Hospital prices in Muncy, Pennsylvania

1 hospitals publish price files here.

Cash prices in Muncy

Procedure	Lowest cash	Median here	Highest	National median
#aptt mix-1:1 incubated	$252.00	$252.00	$252.00	$256.80
#bac vag cand-c. albicans naa	$183.00	$183.00	$183.00	$220.80
#celiac hla-dq8	$1,607.40	$1,607.40	$1,607.40	$1,607.40
#cf-97variants	$2,487.60	$2,487.60	$2,487.60	$3,216.00
#cmvcul-virus inoculation shell	$8.40	$8.40	$8.40	$55.20
#coxa-coxsackie a serotype a16	$93.00	$93.00	$93.00	$111.60
#creutz-prot.,western blot	$146.40	$146.40	$146.40	$176.80
#fecal-sodium	$82.80	$82.80	$82.80	$86.25
#flow interp 9 - 15 markers	$288.00	$288.00	$288.00	$303.00
#pnh-flow cytometry interp	$656.40	$656.40	$656.40	$281.40
#resp virpnl dfa-adenovirus	$162.60	$162.60	$162.60	$139.80
(both sides) smear without diff wbc count	$121.80	$121.80	$121.80	$127.50
17-hydroxypregnenolone	$307.20	$307.20	$307.20	$243.00
17-ketosteroids	$343.20	$343.20	$343.20	$249.60
2d tee w or without fol w/con,in	$848.40	$848.40	$848.40	$1,724.25
2d tte w or without fol w/con,co	$848.40	$848.40	$848.40	$1,481.25
3d ech img cgen car anomal	$1,419.60	$1,419.60	$1,419.60	$1,164.00
3d recon without postprocess indpndt	$697.20	$697.20	$697.20	$697.20
5' nucleotidase - sendout	$243.00	$243.00	$243.00	$243.00
88334 ap bill cytologic exam each additional site	$91.20	$91.20	$91.20	$91.20
Abatacept (with maltose) 250 mg intravenous solution	$4,845.00	$4,845.00	$4,845.00	$361.60
Abciximab injection	$6,244.80	$6,244.80	$6,244.80	$6,244.80
Abd paracentesis/w/o image guide 49082	$971.40	$971.40	$971.40	$1,505.25
Abdominal CT scan (with and without contrast)	$3,476.40	$3,476.40	$3,476.40	$2,049.00
Abdominal CT scan (with contrast)	$2,772.60	$2,772.60	$2,772.60	$1,683.63
Abdominal CT scan (without contrast)	$2,175.00	$2,175.00	$2,175.00	$1,358.76
Abdominal MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$3,061.80
Abdominal MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,096.25
Abdominal MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,902.00
Abdominal Ultrasound (complete)	$916.80	$916.80	$916.80	$755.00
Abdominal Ultrasound (limited)	$690.60	$690.60	$690.60	$629.42
Abdominal paracentesis w/image guidance	$1,689.00	$1,689.00	$1,689.00	$1,689.00
Ablation cryo abd perit om	$122.40	$122.40	$122.40	$6,311.40
Ablation of upper extremity nerves rf	$825.60	$825.60	$825.60	$2,332.50
Abobotulinumtoxina	$4,582.80	$4,582.80	$4,582.80	$3,255.66
Abscess drain retroperitoneal surg code	$5,568.60	$5,568.60	$5,568.60	$5,568.60
Acetaminophen 10 mg/ml soln 100 ml glass cont	$160.80	$160.80	$160.80	$47.40
Acetazolamide 500 mg solution for injection	$256.80	$256.80	$256.80	$256.80
Acetone qualitative	$59.40	$59.40	$59.40	$50.40
Acetylcholine receptor modulating antibody	$388.20	$388.20	$388.20	$300.00
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$1,044.60	$1,044.60	$1,044.60	$648.00
Acetylcysteine non-comp unit	$92.80	$92.80	$92.80	$87.97
Acute hepatitis panel	$762.60	$762.60	$762.60	$496.20
Acute venous thrombus image	$479.40	$479.40	$479.40	$580.00
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$74.40	$74.40	$74.40	$77.65
Adapter b 8 channel 10cm	$3,454.80	$3,454.80	$3,454.80	$3,454.80
Adenosine 3 mg/250 ml bag for osm	$382.20	$382.20	$382.20	$528.78
Adenovirus antibody,serum - quest	$91.80	$91.80	$91.80	$91.80
Adh-sendout	$310.20	$310.20	$310.20	$360.00
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$120.00	$120.00	$120.00	$450.00
Administration chemotherapy IV infusion each additional hour	$223.20	$223.20	$223.20	$298.20
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$223.20	$223.20	$223.20	$336.00
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$808.20	$808.20	$808.20	$790.20
Administration chemotherapy IV push single/initial substance/drug	$508.20	$508.20	$508.20	$526.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$223.20	$223.20	$223.20	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$164.40	$164.40	$164.40	$254.40
Administration immunization 1 vaccine	$12.60	$12.60	$12.60	$12.00
Administration immunization each additional vaccine	$12.60	$12.60	$12.60	$12.00
Administration vaccine hepatitis b	$12.60	$12.60	$12.60	$12.00
Administration vaccine influenza virus	$12.00	$12.00	$12.00	$12.00
Administration vaccine pneumococcal	$12.00	$12.00	$12.00	$12.00
Agalsidase beta 35 mg intravenous solution	$27,295.80	$27,295.80	$27,295.80	$27,295.80
Albumin (human), 25%, 50ml	$304.00	$304.00	$304.00	$304.00
Albumin (human), 5%, 250 ml	$682.40	$682.40	$682.40	$609.00
Albumin (microalbumin) 24 hour urine quantitative	$349.20	$349.20	$349.20	$76.80
Albumin body fluid quantitative each specimen	$63.60	$63.60	$63.60	$40.20
Albumin serum plasma or whole blood	$66.60	$66.60	$66.60	$54.75
Albuterol ipratrop non-comp	$13.80	$13.80	$13.80	$13.80
Albuterol non-comp con	$5.00	$5.00	$5.00	$5.00
Albuterol non-comp unit	$10.00	$10.00	$10.00	$7.20
Aldesleukin injection	$6,538.20	$6,538.20	$6,538.20	$6,538.20
Alemtuzumab 12 mg/1.2 ml intravenous solution	$8,173.80	$8,173.80	$8,173.80	$16,540.80
Alkaline phosphatase	$130.80	$130.80	$130.80	$51.75
Allergen alpha lactalbumin ige	$25.80	$25.80	$25.80	$57.60
Allergen egg white ige	$86.40	$86.40	$86.40	$66.60
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$2,221.80	$2,221.80	$2,221.80	$2,929.80
Allograft dermis 20x25x1mm decell w/matracell arthroflex	$2,027.40	$2,027.40	$2,027.40	$9,702.00
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$4,885.20	$4,885.20	$4,885.20	$4,885.20
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution	$29.80	$29.80	$29.80	$40.40
Alpha-fetoprotein afp-l3 frac & total	$147.00	$147.00	$147.00	$441.00
Alpha-fetoprotein amniotic	$160.20	$160.20	$160.20	$138.60
Alpha-fetoprotein tumor marker	$139.20	$139.20	$139.20	$155.40
Alprostadil for injection	$550.20	$550.20	$550.20	$550.20
Alt/sgpt	$133.80	$133.80	$133.80	$77.25
Alteplase 100 mg infusion from pyxis vial	$40,758.00	$40,758.00	$40,758.00	$31,563.16
Aluminum - quest	$319.20	$319.20	$319.20	$168.00
Amikacin 4 mg/ml intravitreal injection - cnr	$26.80	$26.80	$26.80	$27.00
Amino acids quant 2-5	$220.80	$220.80	$220.80	$220.80
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$8.00	$8.00	$8.00	$9.15
Aminolevulinic acid delta	$178.80	$178.80	$178.80	$216.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$70.20	$70.20	$70.20	$65.64
Amiodarone 50 mg/ml intravenous solution	$224.40	$224.40	$224.40	$96.80
Ammonia	$126.00	$126.00	$126.00	$141.00
Amniotic fluid scan	$202.80	$202.80	$202.80	$202.80
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$176.40	$176.40	$176.40	$146.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$1,050.00	$1,050.00	$1,050.00	$592.80
Ampicillin 1 gram solution for injection	$77.40	$77.40	$77.40	$110.40
Ampicillin-sulbactam 1.5 gram solution for injection	$67.20	$67.20	$67.20	$61.20
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis	$280.20	$280.20	$280.20	$280.20
Amylase	$113.40	$113.40	$113.40	$120.75
An cholangiogram percutaneous compl	$694.80	$694.80	$694.80	$3,342.00
An fluoro guide for cvp	$1,275.00	$1,275.00	$1,275.00	$789.75
Ana ds-dna	$374.40	$374.40	$374.40	$178.80
Analysis gene f2 20210g>a variant	$2,361.60	$2,361.60	$2,361.60	$2,361.60
Analysis gene f5 leiden variant	$1,021.80	$1,021.80	$1,021.80	$1,191.60
Anaplsma phgcytophlm amp prb	$290.40	$290.40	$290.40	$290.40
Anca screen with reflex to titer -quest	$156.00	$156.00	$156.00	$156.00
Angiotensin ii	$276.60	$276.60	$276.60	$276.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$23,223.60	$23,223.60	$23,223.60	$22,037.40
Anidulafungin injection	$417.00	$417.00	$417.00	$116.22
Ankle X-ray	$307.20	$307.20	$307.20	$312.74
Anti mog serum - sendout	$132.60	$132.60	$132.60	$192.60
Antibody bacterium, not elsewhere specified	$36.60	$36.60	$36.60	$118.50
Antibody elution rbc reference	$67.80	$67.80	$67.80	$98.40
Antibody htlv-i	$79.20	$79.20	$79.20	$85.20
Antibody id rbc panel	$205.80	$205.80	$205.80	$235.80
Antibody identification platelet antibodies heparin-pf4 igg	$527.40	$527.40	$527.40	$621.00
Antibody influenza virus	$3,164.40	$3,164.40	$3,164.40	$147.00
Antibody lymphocytic choriomeningitis	$91.80	$91.80	$91.80	$111.20
Antibody screen rbc	$113.40	$113.40	$113.40	$113.40
Antibody tetanus	$332.40	$332.40	$332.40	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$11.40	$11.40	$11.40	$15.20
Antihemophilic viii/vwf comp	$10.20	$10.20	$10.20	$10.20
Antineutrophil cytoplasmic antibody screen each antibody	$156.00	$156.00	$156.00	$140.25
Antineutrophil cytoplasmic antibody titer each antibody	$156.00	$156.00	$156.00	$156.00
Antinuclear antibodies	$75.00	$75.00	$75.00	$97.50
Antinuclear antibodies titer	$91.20	$91.20	$91.20	$102.00
Antiphosphatidylserine antibody	$394.20	$394.20	$394.20	$303.00
Antistreptolysin o screen	$56.40	$56.40	$56.40	$56.40
Antistreptolysin o titer	$117.00	$117.00	$117.00	$83.40
Antithrombin iii activity	$157.80	$157.80	$157.80	$157.80
Aortic dysfunction/dilation	$6,552.00	$6,552.00	$6,552.00	$7,431.60
Apc gene dup/delet variants	$1,528.20	$1,528.20	$1,528.20	$2,299.20
Apc gene full sequence	$1,528.20	$1,528.20	$1,528.20	$1,528.20
Appl modality 1/> areas paraffin bath 97018	$76.80	$76.80	$76.80	$80.40
Appl modality 1/> areas vasopneumatic devices 97016	$76.80	$76.80	$76.80	$92.25
Application finger splntstatic 29130	$471.00	$471.00	$471.00	$208.50
Application long leg splint 29505	$471.00	$471.00	$471.00	$569.60
Application lower leg splint 29515	$471.00	$471.00	$471.00	$471.00
Application of cylinder cast 29365	$801.60	$801.60	$801.60	$801.60
Application of forearm cast 29075	$825.60	$825.60	$825.60	$424.20
Application of long leg cast 29345	$73.20	$73.20	$73.20	$388.50
Application of paste boot 29580	$471.00	$471.00	$471.00	$390.75
Apply forearm splintdynamic 29126	$471.00	$471.00	$471.00	$388.80
Apply hand/wrist cast 29085	$839.40	$839.40	$839.40	$520.80
Apply of finger splint 29131	$577.80	$577.80	$577.80	$514.80
Aqua therapy w/exercise/ea 15 min 97113	$137.40	$137.40	$137.40	$137.40
Aquaporin-4 antibody cba each	$132.60	$132.60	$132.60	$159.00
Aquatic exercise - group charge	$93.00	$93.00	$93.00	$95.40
Argatroban nonesrd use 1mg	$3,121.80	$3,121.80	$3,121.80	$881.10
Arsenic trioxide 2 mg/ml intravenous solution	$2,751.00	$2,751.00	$2,751.00	$292.80
Arterial blood draw/perc 36620	$1,175.40	$1,175.40	$1,175.40	$622.20
Artery x-rays arm/leg 75710-26	$2,556.60	$2,556.60	$2,556.60	$3,092.00
Artery x-rays arms/legs 75716-26	$2,446.20	$2,446.20	$2,446.20	$2,958.40
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$922.20	$922.20	$922.20	$642.60
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$1,473.60	$1,473.60	$1,473.60	$498.00
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$943.20	$943.20	$943.20	$619.50
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$825.60	$825.60	$825.60	$453.60
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$1,194.60	$1,194.60	$1,194.60	$723.60
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$825.60	$825.60	$825.60	$493.50
Ascenda two piece catheter	$25,665.60	$25,665.60	$25,665.60	$28,797.60
Aspir/inj thyroid cyst 60300	$1,119.00	$1,119.00	$1,119.00	$873.00
Aspirate bladder/sprapubic cath 51102	$3,936.60	$3,936.60	$3,936.60	$3,146.25
Aspirate pleura without imaging 32554	$1,076.40	$1,076.40	$1,076.40	$1,212.00
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$971.40	$971.40	$971.40	$971.40
Assay dir meas fr estradiol	$103.20	$103.20	$103.20	$117.00
Assay neurflmnt light chain	$1,585.20	$1,585.20	$1,585.20	$1,585.20
Assay of fluoride	$227.40	$227.40	$227.40	$227.40
Assay of glutathione	$77.40	$77.40	$77.40	$77.40
Assay of procainamide w/metab	$280.80	$280.80	$280.80	$129.75
Assay of prostaglandin	$183.60	$183.60	$183.60	$211.80
Assay of sialic acid	$188.40	$188.40	$188.40	$188.40
Assay of silica	$266.40	$266.40	$266.40	$194.40
Assay of somatostatin	$235.20	$235.20	$235.20	$284.00
Assay of thiocyanate	$226.20	$226.20	$226.20	$226.20
Assay of urine sulfate	$52.20	$52.20	$52.20	$52.20
Assay toxin or antitoxin	$154.20	$154.20	$154.20	$110.40
Assess aphasia/interp/rpt/per hr 96105	$486.00	$486.00	$486.00	$449.40
Assessment leukocyte fecal qualitative/semiquantitative	$39.60	$39.60	$39.60	$47.60
Ast/sgot	$39.60	$39.60	$39.60	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$40,521.60	$40,521.60	$40,521.60	$311.20
Atropine 0.1 mg/ml injection syringe	$63.60	$63.60	$63.60	$39.35
Augment injectable kit 3.0cc	$8,028.60	$8,028.60	$8,028.60	$8,418.60
Autologous blood op salvage	$222.60	$222.60	$222.60	$228.60
Autologous blood process	$679.20	$679.20	$679.20	$276.00
Avul nail plate addl	$114.00	$114.00	$114.00	$318.75
Avulsion nail plate partial/complete simple single nail plate	$471.00	$471.00	$471.00	$417.00
Azacitidine injection	$2,860.20	$2,860.20	$2,860.20	$2,163.93
Azathioprine 50 mg tablet	$14.40	$14.40	$14.40	$14.40
Azithromycin 500 mg intravenous solution	$186.40	$186.40	$186.40	$186.40
Aztreonam 1 gram solution for injection	$16.80	$16.80	$16.80	$21.60
B cells total count	$112.80	$112.80	$112.80	$136.00
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$4,377.00	$4,377.00	$4,377.00	$3,464.00
Baclofen 50 mcg/ml intrathecal solution (wrapper)	$337.80	$337.80	$337.80	$420.00
Baclofen eval charges	$130.20	$130.20	$130.20	$118.20
Bacterial vaginosis pcr	$336.00	$336.00	$336.00	$390.60
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve	$22.20	$22.20	$22.20	$24.60
Barrier skin flextend 2.25in floating flang new image	$2.40	$2.40	$2.40	$3.60
Bartonella dna pcr-sendout	$671.40	$671.40	$671.40	$671.40
Bausch health Ultrasound surg	$609.00	$609.00	$609.00	$800.00
Belatacept 250 mg intravenous solution	$4,381.80	$4,381.80	$4,381.80	$3,406.85
Belimumab 120 mg intravenous solution	$7,881.60	$7,881.60	$7,881.60	$7,881.60
Benztropine 1 mg/ml injection solution	$277.80	$277.80	$277.80	$115.80
Beta 2 glycoprotein 1 antibody iga	$61.80	$61.80	$61.80	$133.50
Beta-2 microglobulin	$262.80	$262.80	$262.80	$110.40
Beta-amyloid 1-40	$1,404.00	$1,404.00	$1,404.00	$1,404.00
Beta-amyloid 1-42	$1,404.00	$1,404.00	$1,404.00	$1,056.60
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$287.40	$287.40	$287.40	$149.68
Bevacizumab 25 mg/ml intravenous solution	$14,404.80	$14,404.80	$14,404.80	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$6,055.20	$6,055.20	$6,055.20	$3,154.20
Bilateral n blobk inj pudendal 64430	$3,548.40	$3,548.40	$3,548.40	$2,632.20
Bilateral n block inj occipital 64405	$568.20	$568.20	$568.20	$951.00
Bilateral n block inj trigeminal 64400	$825.60	$825.60	$825.60	$885.75
Bilirubin direct	$82.80	$82.80	$82.80	$62.25
Bilirubin total	$133.80	$133.80	$133.80	$58.80
Biopsy abdominal mass	$1,119.00	$1,119.00	$1,119.00	$1,704.60
Biopsy bone trocar/needle superficial	$1,119.00	$1,119.00	$1,119.00	$1,629.60
Biopsy muscle percutaneous needle	$1,119.00	$1,119.00	$1,119.00	$1,629.60
Biopsy needle liver percutaneous	$1,062.60	$1,062.60	$1,062.60	$1,642.50
Biopsy needle lymph node superficial	$1,119.00	$1,119.00	$1,119.00	$1,352.80
Biopsy of lip 40490	$881.40	$881.40	$881.40	$672.00
Biopsy of salivary gland 42400	$971.40	$971.40	$971.40	$1,178.25
Biopsy renal percutaneous trocar/needle (both sides)	$1,119.00	$1,119.00	$1,119.00	$1,717.20
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$1,712.40	$1,712.40	$1,712.40	$1,745.40
Biopsy/soft tissue/neck or thorax 21550	$1,822.80	$1,822.80	$1,822.80	$2,512.20
Biospy of bladder	$120.00	$120.00	$120.00	$120.00
Biotinidase - quest	$221.40	$221.40	$221.40	$267.00
Bivalirudin	$5,267.40	$5,267.40	$5,267.40	$5,267.40
Bladder irrigate/lavage/instill 51700	$825.60	$825.60	$825.60	$664.20
Bleomycin 15 unit solution for injection	$306.40	$306.40	$306.40	$306.40
Bln 1.2 mono emrg 15x1.2	$805.80	$805.80	$805.80	$6,582.60
Bln 30frx10mmx12cm renal nephromax	$4,790.40	$4,790.40	$4,790.40	$4,790.40
Bln dil 900ml preperitnl	$375.60	$375.60	$375.60	$2,017.80
Bln inpact admiral 4x150x130cm	$3,617.40	$3,617.40	$3,617.40	$4,954.20
Bln press regulation 71-80cm	$8,839.20	$8,839.20	$8,839.20	$16,708.20
Bln ureth 5ml 28f 2wy ltx st	$43.20	$43.20	$43.20	$83.40
Block tap inj(s) w/wo img uni	$580.80	$580.80	$580.80	$1,095.00
Blood Clotting (PT/INR) Test	$77.40	$77.40	$77.40	$45.00
Blood Clotting (PTT) Test	$423.00	$423.00	$423.00	$64.35
Blood Count (CBC) Test	$95.40	$95.40	$95.40	$66.75
Blood Count (CBC) Test (without differential)	$80.40	$80.40	$80.40	$57.50
Blood Culture Test	$399.60	$399.60	$399.60	$112.20
Blood draw capillary 36416	$27.60	$27.60	$27.60	$12.60
Blood gases o2 saturation direct measurement	$121.80	$121.80	$121.80	$225.75
Blood gases ph venous	$268.20	$268.20	$268.20	$60.00
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$230.40	$230.40	$230.40	$45.00
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$21.00	$21.00	$21.00	$21.00
Blood occult feces colorectal neoplasm screening qualitative	$21.00	$21.00	$21.00	$21.00
Blood occult peroxidase activity qualitative gastric	$50.40	$50.40	$50.40	$48.00
Blood smear microscopic w manual differential wbc count	$49.80	$49.80	$49.80	$59.40
Blood split unit	$247.80	$247.80	$247.80	$300.60
Blood typing abo	$8.40	$8.40	$8.40	$41.40
Blood typing ag donor ea ag	$64.80	$64.80	$64.80	$102.00
Blood typing rbc ag non abo/rh ea	$81.00	$81.00	$81.00	$84.60
Blood typing rh (d)	$40.20	$40.20	$40.20	$57.60
Blood typing rh phenotype complete reference	$121.20	$121.20	$121.20	$53.25
Blood volume	$1,284.00	$1,284.00	$1,284.00	$1,284.00
Bone Density Scan (DEXA)	$264.60	$264.60	$264.60	$398.56
Bone imaging multiple areas	$1,168.20	$1,168.20	$1,168.20	$1,228.80
Bone marrow biopsyneedle/trocar 38221	$861.60	$861.60	$861.60	$1,200.00
Bone marrow imaging body	$2,315.40	$2,315.40	$2,315.40	$2,315.40
Bone marrow;aspiration only 38220	$758.40	$758.40	$758.40	$1,253.25
Bone survey-lead poisoning	$697.80	$697.80	$697.80	$619.50
Bone void filler nanoss 10cc	$3,990.60	$3,990.60	$3,990.60	$3,780.00
Bone/joint imaging ltd area	$857.40	$857.40	$857.40	$857.40
Boot j walker l	$1,417.80	$1,417.80	$1,417.80	$1,417.80
Boot walker genesis full shell 3-strap s	$805.80	$805.80	$805.80	$805.80
Borrelia burgdorferi (lyme disease) antibody nonspecific	$70.80	$70.80	$70.80	$94.80
Borrelia miyamotoi amp prb	$290.40	$290.40	$290.40	$349.80
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$7,423.80	$7,423.80	$7,423.80	$3,308.40
Bowel imaging	$1,447.80	$1,447.80	$1,447.80	$1,365.75
Br punct aspir ea add, l	$971.40	$971.40	$971.40	$497.40
Bra surgical elizabeth pink sm	$148.80	$148.80	$148.80	$55.20
Brace ank air stirrup univ	$272.40	$272.40	$272.40	$272.40
Brace ankle stablizing lg	$286.80	$286.80	$286.80	$286.80
Brace knee extender plus 22-30in	$351.60	$351.60	$351.60	$351.60
Brace oths wrist hnd fngr without	$360.60	$360.60	$360.60	$194.40
Brace wrist classic lft sm	$132.60	$132.60	$132.60	$132.60
Braf gene	$293.40	$293.40	$293.40	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$3,826.20	$3,826.20	$3,826.20	$2,650.00
Brain MRA (blood vessel MRI, with contrast)	$3,207.00	$3,207.00	$3,207.00	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$2,366.40	$2,366.40	$2,366.40	$1,802.40
Brain MRI (with and without contrast)	$3,804.00	$3,804.00	$3,804.00	$2,919.75
Brain MRI (with contrast)	$2,910.60	$2,910.60	$2,910.60	$2,224.96
Brain MRI (without contrast)	$2,398.20	$2,398.20	$2,398.20	$1,830.00
Brain flow imaging only	$1,557.00	$1,557.00	$1,557.00	$627.00
Brain image 4+ views	$1,015.80	$1,015.80	$1,015.80	$1,228.00
Brain image w/flow 4 + views	$1,873.80	$1,873.80	$1,873.80	$1,574.40
Brca1&2 gen ful dup/del alys	$2,035.20	$2,035.20	$2,035.20	$2,287.20
Brcassure comprehensive panel-sendout	$2,222.40	$2,222.40	$2,222.40	$1,920.00
Breast Biopsy (ultrasound-guided, percutaneous)	$3,828.00	$3,828.00	$3,828.00	$3,069.25
Breast punct aspir cyst, bil	$1,119.00	$1,119.00	$1,119.00	$845.40
Breath tst attain/anal c-14	$592.80	$592.80	$592.80	$592.80
Brentuximab vedotin 50 mg intravenous solution	$31,641.60	$31,641.60	$31,641.60	$31,641.60
Bronchial challenge	$761.40	$761.40	$761.40	$761.40
Budesonide non-comp unit	$463.20	$463.20	$463.20	$463.20
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$8.20	$8.20	$8.20	$9.00
Bundled special stain group 1 microorganisms	$161.40	$161.40	$161.40	$145.80
Bundled special stain group 2	$237.60	$237.60	$237.60	$134.25
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$0.40	$0.40	$0.40	$1.40
Buprenorph X-ray 100 mg or less	$5,427.00	$5,427.00	$5,427.00	$7,360.99
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet	$27.00	$27.00	$27.00	$20.25
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet	$64.40	$64.40	$64.40	$36.60
Buprenorphine X-ray over 100 mg	$7,236.00	$7,236.00	$7,236.00	$7,360.99
Buprenorphine hydrochloride	$14.20	$14.20	$14.20	$14.40
Bx bone trocar/ndl deep	$1,119.00	$1,119.00	$1,119.00	$2,179.80
Bx breast 1st lesion strtctc	$3,700.20	$3,700.20	$3,700.20	$3,700.20
Bx breast add lesion Ultrasound imag	$1,914.60	$1,914.60	$1,914.60	$2,315.20
Bx breast add lesion strtctc	$2,079.60	$2,079.60	$2,079.60	$2,515.20
Bx pancreas pq ndl	$971.40	$971.40	$971.40	$1,900.50
Bx pleura pq ndl	$971.40	$971.40	$971.40	$1,672.80
Bx skin punch ea sep/ addl les	$148.80	$148.80	$148.80	$327.00
Bx soft tiss pelvis/hip deep 27041	$1,119.00	$1,119.00	$1,119.00	$1,352.80
Bx thyroid/percutan core needle 60100	$1,119.00	$1,119.00	$1,119.00	$1,119.00
Bypass temp external fem-fem	$1,473.00	$1,473.00	$1,473.00	$2,428.80
C-1 esterase, berinert	$156.00	$156.00	$156.00	$168.60
C-peptide	$348.60	$348.60	$348.60	$171.00
C-reactive protein	$238.20	$238.20	$238.20	$126.00
C-reactive protein high sensitivity	$452.40	$452.40	$452.40	$137.40
C-reactive protein, quantitative	$441.00	$441.00	$441.00	$147.00
C1 esterase inhibitor func - sendout	$148.20	$148.20	$148.20	$143.20
CT 3d report other modality w/workstation	$697.20	$697.20	$697.20	$697.20
CT Angiogram of Abdomen and Pelvis	$7,318.20	$7,318.20	$7,318.20	$2,839.85
CT Angiogram of the Chest (for blood clot)	$3,384.00	$3,384.00	$3,384.00	$2,094.23
CT Angiogram of the Head	$4,092.00	$4,092.00	$4,092.00	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$5,723.40	$5,723.40	$5,723.40	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$4,453.20	$4,453.20	$4,453.20	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$3,320.40	$3,320.40	$3,320.40	$2,418.75
CT angio hrt w/3d image	$2,133.00	$2,133.00	$2,133.00	$2,371.80
CT angio pelvis	$2,494.20	$2,494.20	$2,494.20	$2,494.20
CT guid cryo ablat intramuscular	$4,267.80	$4,267.80	$4,267.80	$879.75
CT guidance for needle placement	$2,904.60	$2,904.60	$2,904.60	$2,065.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$2,921.40	$2,921.40	$2,921.40	$1,524.60
CT heart w/evaluation of calcium without contrast	$126.00	$126.00	$126.00	$120.00
CT hrt w/3d image	$3,384.00	$3,384.00	$3,384.00	$3,303.75
CT limited or localized follow-up study	$541.20	$541.20	$541.20	$654.40
CT lower extremity w/contrast (both sides)	$2,680.20	$2,680.20	$2,680.20	$2,654.40
CT lower extremity without contrast (both sides)	$2,358.60	$2,358.60	$2,358.60	$1,740.00
CT lwr extremity w/o&w/dye	$2,819.40	$2,819.40	$2,819.40	$2,785.80
CT neck soft tissue w/contrast	$2,511.00	$2,511.00	$2,511.00	$2,511.00
CT neck soft tissue without & w/contrast	$3,145.80	$3,145.80	$3,145.80	$2,953.20
CT neck soft tissue without contrast	$2,061.60	$2,061.60	$2,061.60	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$2,151.00	$2,151.00	$2,151.00	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$1,623.00	$1,623.00	$1,623.00	$1,623.00
CT orbit/sella/fossa w/wo contrast	$2,712.60	$2,712.60	$2,712.60	$2,712.60
CT t-spine w /wo contrast	$2,602.20	$2,602.20	$2,602.20	$2,602.20
CT thoracic spine w/contrast	$2,555.40	$2,555.40	$2,555.40	$2,555.40
CT thoracic spine without contrast	$2,074.20	$2,074.20	$2,074.20	$1,740.00
CT thorax low dose for lung screening without contrast	$253.20	$253.20	$253.20	$253.20
CT upper extremity w/contrast (both sides)	$2,358.60	$2,358.60	$2,358.60	$2,358.60
CT upper extremity without contrast (both sides)	$1,943.40	$1,943.40	$1,943.40	$1,740.00
CT uppr extremity w/o&w/dye	$3,574.80	$3,574.80	$3,574.80	$2,785.80
Caffeine citrate 20 mg/ml inj for po	$111.00	$111.00	$111.00	$106.71
Calcitonin (salmon) 200 unit/ml injection solution	$20,030.40	$20,030.40	$20,030.40	$9,437.60
Calcium 24 hour urine	$82.80	$82.80	$82.80	$78.75
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$3.00	$3.00	$3.00	$0.80
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution	$0.80	$0.80	$0.80	$0.80
Calcium ionized	$107.40	$107.40	$107.40	$107.40
Calcium total	$39.60	$39.60	$39.60	$43.80
Calprotectin fecal	$290.40	$290.40	$290.40	$257.40
Candida dna	$255.60	$255.60	$255.60	$197.40
Cannula ercp contour 5-4-3 tip	$585.00	$585.00	$585.00	$7,828.80
Cap nerve 2x15mm	$792.00	$792.00	$792.00	$4,846.80
Cap trach decann 15mm	$931.80	$931.80	$931.80	$1,737.00
Carbamazepine free	$235.20	$235.20	$235.20	$117.00
Carbamazepine free -sendout	$197.40	$197.40	$197.40	$194.25
Carbamazepine total therapeutic drug level	$197.40	$197.40	$197.40	$137.40
Carbohydrate urine - sendout	$30.60	$30.60	$30.60	$30.60
Carbon dioxide	$39.60	$39.60	$39.60	$47.80
Carboplatin 10 mg/ml desensitization	$500.40	$500.40	$500.40	$500.40
Carboxyhemoglobin quantitative	$226.80	$226.80	$226.80	$102.00
Carcinoembryonic ag (cea)	$411.00	$411.00	$411.00	$162.75
Cardiac MRI w/stress img	$2,657.40	$2,657.40	$2,657.40	$3,422.40
Cardiac perf planar mult/ef/wm	$2,606.40	$2,606.40	$2,606.40	$2,792.40
Cardiac perf planar sgl/ef/wm	$3,198.60	$3,198.60	$3,198.60	$3,198.60
Cardiac perf spect sgl/ef/wm rst/strs	$3,772.20	$3,772.20	$3,772.20	$3,772.20
Cardiac shunt imaging	$1,657.80	$1,657.80	$1,657.80	$1,657.80
Cardiolipin antibody iga	$89.40	$89.40	$89.40	$197.40
Cardioversion elective electrical conversion arrhythmia external	$1,245.00	$1,245.00	$1,245.00	$1,505.60
Caregiver training strategies&tq 1st 30 minutes	$103.20	$103.20	$103.20	$105.00
Carfilzomib 10 mg intravenous solution	$10,440.00	$10,440.00	$10,440.00	$1,876.80
Carmustine 100 mg intravenous powder for solution	$21,846.60	$21,846.60	$21,846.60	$2,713.80
Carotene	$209.40	$209.40	$209.40	$85.50
Carotid Artery Ultrasound (Duplex)	$1,433.40	$1,433.40	$1,433.40	$1,059.82
Caspofungin acetate	$1,752.00	$1,752.00	$1,752.00	$1,752.00
Cath ablt clsfast 7fx100cmx	$3,024.00	$3,024.00	$3,024.00	$3,024.00
Cath ablt rx lasr 2.0mm turbo	$35.40	$35.40	$35.40	$7,380.00
Cath acuity innr ic130 6f 63cm	$130.20	$130.20	$130.20	$8,586.00
Cath adherent clot 10mm 6f 10	$228.00	$228.00	$228.00	$21,679.20
Cath bi-dir df smarttouch	$1,185.60	$1,185.60	$1,185.60	$8,813.25
Cath council tip 16fr 5cc	$45.60	$45.60	$45.60	$59.40
Cath cv dl inj 7fx16cm	$532.80	$532.80	$532.80	$2,185.20
Cath epdrl brevi-stf 12in .043	$2,166.60	$2,166.60	$2,166.60	$2,295.00
Cath groshong MRI 8fr plstc port	$1,778.40	$1,778.40	$1,778.40	$2,449.80
Cath imag ivus pv 8.5fx90 .035	$1,237.80	$1,237.80	$1,237.80	$6,378.75
Cath infuse micro 150cm rapidtransit	$114.00	$114.00	$114.00	$114.00
Cath malecot 28fr 4-wing ltx	$672.00	$672.00	$672.00	$2,099.40
Cath pezzer 34fr drain bardex propor head mushrm ltx	$85.20	$85.20	$85.20	$190.20
Cath uret open tp 6fx70cm	$288.60	$288.60	$288.60	$671.40
Cath/saline/contrast/sis/hysteosal 58340	$380.40	$380.40	$380.40	$411.60
Catheterization collection of specimen single patient all places of service	$42.60	$42.60	$42.60	$42.60
Cauterization chemical granulation tissue	$408.60	$408.60	$408.60	$408.60
Cdna analysis for variants	$1,792.80	$1,792.80	$1,792.80	$1,934.40
Cebpa gene full sequence	$1,905.60	$1,905.60	$1,905.60	$1,686.00
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$42.00	$42.00	$42.00	$16.40
Cefepime 1 gram solution for injection	$186.60	$186.60	$186.60	$51.00
Cefotaxime sodium injection	$10.20	$10.20	$10.20	$43.10
Cefoxitin 1 gram intravenous solution	$105.00	$105.00	$105.00	$94.59
Ceftaroline fosamil 600 mg intravenous solution	$814.20	$814.20	$814.20	$552.60
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$41.40	$41.40	$41.40	$93.60
Ceftazidime and avibactam	$1,516.80	$1,516.80	$1,516.80	$1,248.60
Ceftriaxone 1 gram solution for injection	$50.20	$50.20	$50.20	$123.72
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$12.40	$12.40	$12.40	$30.60
Cell count body fluid	$186.00	$186.00	$186.00	$60.75
Cell count w differential body fluid	$158.40	$158.40	$158.40	$131.40
Cell cryopreserve/storage	$133.80	$133.80	$133.80	$117.60
Cell function assay w/stim	$898.80	$898.80	$898.80	$898.80
Cemiplimab-rwlc 50 mg/ml intravenous solution	$42,145.80	$42,145.80	$42,145.80	$527.40
Cerebrospinal fld flw imag	$579.00	$579.00	$579.00	$1,124.25
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$34.60	$34.60	$34.60	$34.80
Cetuximab 100 mg/50 ml intravenous solution	$2,809.20	$2,809.20	$2,809.20	$2,809.20
Cftr gene intron poly t	$226.80	$226.80	$226.80	$283.80
Change cystostomy tube simple	$825.60	$825.60	$825.60	$411.00
Change of windpipe airway 31502	$472.80	$472.80	$472.80	$472.80
Chest 2 vws w oblique	$499.20	$499.20	$499.20	$450.75
Chest CT scan (with and without contrast)	$3,152.40	$3,152.40	$3,152.40	$2,105.40
Chest CT scan (with contrast)	$2,664.00	$2,664.00	$2,664.00	$1,697.25
Chest CT scan (without contrast)	$2,244.60	$2,244.60	$2,244.60	$1,350.03
Chest X-ray	$580.20	$580.20	$580.20	$303.24
Chest X-ray (single view)	$175.20	$175.20	$175.20	$225.00
Chest apical lordotic proj	$499.20	$499.20	$499.20	$419.40
Chg radiologic exam esophagus double contrast	$713.40	$713.40	$713.40	$713.40
Chlamydia culture	$730.20	$730.20	$730.20	$109.80
Chlamydia type	$52.20	$52.20	$52.20	$42.60
Chlnggrphy intraop addl s&i	$238.80	$238.80	$238.80	$288.80
Chloride	$39.60	$39.60	$39.60	$39.60
Chloride 24 hour urine	$66.60	$66.60	$66.60	$60.75
Chloroprocaine hcl injection	$1.20	$1.20	$1.20	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$1,236.80	$1,236.80	$1,236.80	$1,236.80
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$215.40	$215.40	$215.40	$91.92
Chlorpromazine 100 mg tablet	$1.20	$1.20	$1.20	$1.20
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$982.80	$982.80	$982.80	$629.25
Cholecystostomy complete w/supervision & interpretation	$3,933.00	$3,933.00	$3,933.00	$3,449.25
Cholesterol	$39.60	$39.60	$39.60	$45.75
Cholesterol (Lipid) Test	$228.00	$228.00	$228.00	$100.00
Cholesterol body fluid	$514.80	$514.80	$514.80	$6,088.80
Chromatography	$18.60	$18.60	$18.60	$178.80
Chromo high res and frag x - sendout	$688.80	$688.80	$688.80	$770.40
Chromogenic substrate assay	$158.40	$158.40	$158.40	$158.40
Chromosome analysis 15-20 cell count	$1,017.00	$1,017.00	$1,017.00	$1,017.00
Chromosome analysis 45	$917.40	$917.40	$917.40	$1,109.60
Chromosome study additional	$472.80	$472.80	$472.80	$453.60
Chronic urticaria - sendout	$133.80	$133.80	$133.80	$133.80
Chylomicron screen, bf - sendout	$334.80	$334.80	$334.80	$336.75
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$9.00	$9.00	$9.00	$23.67
Cisplatin 1 mg/ml desensitization	$83.40	$83.40	$83.40	$700.00
Cladribine 10 mg/10 ml intravenous solution	$2,014.80	$2,014.80	$2,014.80	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$1,736.40	$1,736.40	$1,736.40	$6,678.60
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$45.80	$45.80	$45.80	$47.40
Clip ligating vesolock lg	$608.40	$608.40	$608.40	$925.20
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution	$453.60	$453.60	$453.60	$361.14
Clos txnose fx without stablz 21315	$825.60	$825.60	$825.60	$2,896.50
Close lac/mouth vest/2.5 cm or < 40830	$825.60	$825.60	$825.60	$777.60
Closed carpo/metacarpal disl thumb w/manip	$825.60	$825.60	$825.60	$825.60
Closed treatment of femoral fracture proximal end neck; wi	$3,001.80	$3,001.80	$3,001.80	$3,279.60
Closed tx humerus fx w/manip 24505	$825.60	$825.60	$825.60	$1,198.50
Closed tx humerus fx with manip 23605	$3,135.00	$3,135.00	$3,135.00	$2,460.00
Closed tx humerus fx without manip 23600	$825.60	$825.60	$825.60	$447.60
Closed tx metatarsophalangeal jnt disl without anes	$825.60	$825.60	$825.60	$647.40
Closed tx/acetabululm without manip 27220	$464.40	$464.40	$464.40	$464.40
Closed tx/talus fracture without manip 28430	$825.60	$825.60	$825.60	$327.60
Clot factor viii reltd antgn	$288.00	$288.00	$288.00	$288.00
Clozapine, 25 mg	$8.40	$8.40	$8.40	$8.40
Clsd tx bimalleol ank fx without manip 27808	$825.60	$825.60	$825.60	$998.40
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$825.60	$825.60	$825.60	$430.80
Clsd tx clavicle dislocation without manip 23540	$534.60	$534.60	$534.60	$581.25
Clsd tx dist fib fx w/manip 27788	$718.20	$718.20	$718.20	$868.80
Clsd tx elbow dislocation child 24640	$825.60	$825.60	$825.60	$525.75
Clsd tx fracture of radius 25500	$825.60	$825.60	$825.60	$442.50
Clsd tx fx radius/ulna dist w/manip 25605	$825.60	$825.60	$825.60	$1,912.80
Clsd tx fx radius/ulna dist without manip 25600	$825.60	$825.60	$825.60	$825.60
Clsd tx fx radius/ulna w/manip 25565	$825.60	$825.60	$825.60	$2,055.00
Clsd tx fx radius/ulna without manip 25560	$825.60	$825.60	$825.60	$825.60
Clsd tx hip disloc without anes 27265	$718.20	$718.20	$718.20	$868.80
Clsd tx humeral fract without manip 24530	$825.60	$825.60	$825.60	$759.00
Clsd tx humerus fract without manip 24500	$825.60	$825.60	$825.60	$759.00
Clsd tx iphal jnt disl w/manip req anes	$3,349.80	$3,349.80	$3,349.80	$3,964.20
Clsd tx mandibular fx without manip 21450	$961.80	$961.80	$961.80	$961.80
Clsd tx metatarsal fracture w/manip 28475	$534.60	$534.60	$534.60	$759.00
Clsd tx patella disloc without anes 27560	$825.60	$825.60	$825.60	$998.40
Clsd tx radius fracture w/manip 24655	$3,365.40	$3,365.40	$3,365.40	$2,712.00
Clsd tx shoulder dislc/fx 23665	$3,135.00	$3,135.00	$3,135.00	$3,135.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$4,790.40	$4,790.40	$4,790.40	$2,073.00
Clsd tx temporomandibular dislocat 21480	$825.60	$825.60	$825.60	$942.60
Clsd tx toe dislocation without anes28660	$613.80	$613.80	$613.80	$520.80
Clsd tx trimall ankle fx w/manip 27818	$718.20	$718.20	$718.20	$1,362.75
Clsd tx trimall ankle fx without manip 27816	$825.60	$825.60	$825.60	$825.60
Clsd tx wrist carpal fx without manip 25630	$825.60	$825.60	$825.60	$370.80
Clsd tx wrist scaphoid fx without manip 25622	$825.60	$825.60	$825.60	$520.80
Clsd tx wrist ulnar styloid fx 25650	$729.60	$729.60	$729.60	$729.60
Clsd tx/clavicular fx without manip 23500	$825.60	$825.60	$825.60	$819.60
Clsd tx/dis phalan fx without manip/ea 26750	$825.60	$825.60	$825.60	$370.80
Clsd tx/dis tib/wt bear no manip 27824	$633.60	$633.60	$633.60	$766.40
Clsd tx/fem shaft fx/manipulation 27502	$2,926.80	$2,926.80	$2,926.80	$2,319.00
Clsd tx/fx grt toe/phalanx/phalang 28490	$825.60	$825.60	$825.60	$370.80
Clsd tx/fx/phalanx/phalang/manip 28515	$825.60	$825.60	$825.60	$429.60
Clsd tx/grt hum tube fx without manip 23620	$729.60	$729.60	$729.60	$729.60
Clsd tx/metacar/interphal artic fx 26740	$729.60	$729.60	$729.60	$529.50
Clsd tx/metacarpal fx/sg without manip 26600	$825.60	$825.60	$825.60	$470.40
Clsd tx/metacarpal fx/sng/w manip 26605	$825.60	$825.60	$825.60	$825.60
Clsd tx/metatarsal fx without manip 28470	$825.60	$825.60	$825.60	$520.80
Clsd tx/patellar fx without manip 27520	$825.60	$825.60	$825.60	$759.00
Clsd tx/prox/mid phalnx fx/no manp 26720	$825.60	$825.60	$825.60	$366.60
Clsd tx/radial head/neck fx/no manip 24650	$825.60	$825.60	$825.60	$453.00
Clsd tx/scapular fx without manip 23570	$825.60	$825.60	$825.60	$496.20
Clsd tx/shoulder dislo/manip/anest 23655	$3,135.00	$3,135.00	$3,135.00	$2,139.60
Clsd tx/ulnar shaft fx without manip 25530	$825.60	$825.60	$825.60	$445.80
Clsd/shoulder dislo/manip/no anest 23650	$825.60	$825.60	$825.60	$856.20
Clsd/ulnar fx/prox end without manip 24670	$825.60	$825.60	$825.60	$494.40
Cltx carpl scphd fx w/mnpj	$3,184.20	$3,184.20	$3,184.20	$3,769.20
Cltx gr hmrl tbrs fx w/mnpj	$729.60	$729.60	$729.60	$2,055.00
Cltx hum epcndylr fx wo mnpj	$825.60	$825.60	$825.60	$825.60
Cltx humrl cndylr fx wo mnpj	$825.60	$825.60	$825.60	$825.60
Cltx lunate dislc w/mnpj	$825.60	$825.60	$825.60	$2,055.00
Cltx mndblr fx w/mnpj	$3,349.80	$3,349.80	$3,349.80	$3,349.80
Cltx scap fx w/mnpj +-tractj	$2,425.80	$2,425.80	$2,425.80	$2,450.40
Cmv pcr-sendout	$860.40	$860.40	$860.40	$557.25
Co-treatment - group 15 mins, st	$91.20	$91.20	$91.20	$108.00
Co2 monitor per day	$990.60	$990.60	$990.60	$337.50
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$32,266.20	$32,266.20	$32,266.20	$16,994.46
Coagulation time activated teg	$25.20	$25.20	$25.20	$39.60
Cold agglutinin titer	$100.20	$100.20	$100.20	$100.20
Colistimethate sodium inj	$129.00	$129.00	$129.00	$129.00
Collar cerv 18.25x3.5in serp firm density sm	$10.20	$10.20	$10.20	$75.60
Collar cerv ascend 172 reg	$135.00	$135.00	$135.00	$318.51
Collar cerv patriot adlt	$117.00	$117.00	$117.00	$227.40
Collection blood specimen from completely implantable venous access device	$162.00	$162.00	$162.00	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$162.00	$162.00	$162.00	$208.50
Collection of venous blood by venipuncture	$27.60	$27.60	$27.60	$22.50
Colonoscopy (diagnostic)	$1,653.60	$1,653.60	$1,653.60	$1,500.00
Colonoscopy (with biopsy)	$3,252.60	$3,252.60	$3,252.60	$1,846.40
Colonoscopy (with polyp removal)	$3,252.60	$3,252.60	$3,252.60	$1,875.00
Colonoscopy thru stoma spx	$3,156.60	$3,156.60	$3,156.60	$2,079.00
Colonoscopy w/ablation	$3,252.60	$3,252.60	$3,252.60	$2,571.00
Colonoscopy w/control bleed	$3,252.60	$3,252.60	$3,252.60	$2,501.40
Colonoscopy with biopsy	$3,252.60	$3,252.60	$3,252.60	$1,788.60
Colonoscopy/w endoscopic stent 45389	$6,529.80	$6,529.80	$6,529.80	$4,379.25
Colporrhapy/vag injury sut/non ob 57200	$3,435.60	$3,435.60	$3,435.60	$3,435.60
Compatibility test each unit antiglobulin technique	$433.20	$433.20	$433.20	$203.40
Compatibility test each unit electronic	$82.80	$82.80	$82.80	$119.40
Compatibility test each unit immediate spin technique	$220.80	$220.80	$220.80	$203.40
Complement antigen each component c3	$148.20	$148.20	$148.20	$175.80
Complement fixation each	$100.20	$100.20	$100.20	$100.20
Complex repair trunk 1.1-2.5cm 13120	$825.60	$825.60	$825.60	$1,919.40
Complex repair trunk 2.6-7.5cm 13101	$2,172.00	$2,172.00	$2,172.00	$2,253.00
Complx repair enel 1.1-2.5 cm 13151	$2,172.00	$2,172.00	$2,172.00	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$2,172.00	$2,172.00	$2,172.00	$2,938.80
Complx repair enel addl 5cm/< 13153	$660.00	$660.00	$660.00	$660.00
Complx repair fccmnaxghf 13131	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Complx repair fccmnaxghf 13132	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Complx repair fccmnaxghf 13133	$2,172.00	$2,172.00	$2,172.00	$1,089.00
Complx repair sal addl 5 cm/> 13122	$825.60	$825.60	$825.60	$828.60
Complx repair trunk addl 5cm/< 13102	$1,095.60	$1,095.60	$1,095.60	$931.20
Concentration infection agents any type	$76.80	$76.80	$76.80	$42.00
Condylomata destruction 56420	$589.80	$589.80	$589.80	$831.60
Conjugated estrogens 25 mg solution for injection	$1,375.20	$1,375.20	$1,375.20	$1,291.95
Consultation pathology during surgery	$159.00	$159.00	$159.00	$141.75
Consultation pathology during surgery cytological exam initial site	$176.40	$176.40	$176.40	$176.40
Consultation pathology during surgery frozen section each additional block	$211.80	$211.80	$211.80	$211.80
Consultation pathology during surgery frozen section first tissue block	$276.00	$276.00	$276.00	$276.00
Consultation/report referred material w/preparation of slides	$737.40	$737.40	$737.40	$737.40
Consultation/report referred slides prepared elsewhere	$184.20	$184.20	$184.20	$213.60
Contrast baths charges	$103.20	$103.20	$103.20	$96.00
Contrast x-ray gallbladder	$719.40	$719.40	$719.40	$719.40
Contrast x-ray of ankle	$718.20	$718.20	$718.20	$896.40
Contrast x-ray of elbow	$718.20	$718.20	$718.20	$793.80
Contrast x-ray of hip	$718.20	$718.20	$718.20	$868.80
Contrast x-ray of knee joint	$718.20	$718.20	$718.20	$896.40
Contrast x-ray of wrist	$718.20	$718.20	$718.20	$417.75
Control nosebleed pack+caut 30905	$471.00	$471.00	$471.00	$569.60
Control of nosebleed ant comp 30903	$471.00	$471.00	$471.00	$569.60
Control of nosebleedantersmpl 30901	$471.00	$471.00	$471.00	$471.00
Controller infinity pt dbs	$4,678.20	$4,678.20	$4,678.20	$4,347.00
Coombs direct	$70.20	$70.20	$70.20	$80.40
Coombs indirect titer reference	$306.00	$306.00	$306.00	$186.75
Copper intrauterine device	$2,606.40	$2,606.40	$2,606.40	$2,606.40
Core ndl bx lng/med perq	$2,911.80	$2,911.80	$2,911.80	$3,052.80
Cornea pre-cut midwest eye cornea pre-cut midwest eye	$1,200.00	$1,200.00	$1,200.00	$9,900.00
Coronary thrombolysis/iv infusion 92977	$477.60	$477.60	$477.60	$477.60
Cortisol total am	$273.00	$273.00	$273.00	$165.00
Cosyntropin 0.25 mg solution for injection	$594.40	$594.40	$594.40	$542.40
Counseling smoke cess interm >10mins	$50.40	$50.40	$50.40	$48.00
Cover eye w/membrane	$14,438.40	$14,438.40	$14,438.40	$14,438.40
Coveredge 32 lead kit 40cm 48	$3,029.40	$3,029.40	$3,029.40	$6,339.60
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose	$1,071.00	$1,071.00	$1,071.00	$1,020.00
Covid-19 administration immunization im inj 1st/only component	$25.20	$25.20	$25.20	$24.00
Cr-51 sodium chromate	$417.60	$417.60	$417.60	$417.60
Crbrospnl fld flw imag cistern	$3,014.40	$3,014.40	$3,014.40	$2,313.75
Create eardrum opening	$7,126.80	$7,126.80	$7,126.80	$7,126.80
Creatine - sendout	$45.60	$45.60	$45.60	$45.60
Creatine kinase	$127.20	$127.20	$127.20	$90.00
Creatine kinase isoenzymes	$37.80	$37.80	$37.80	$66.00
Creatine kinase mb	$146.40	$146.40	$146.40	$131.40
Creatinine	$39.60	$39.60	$39.60	$44.25
Creatinine 24 hour urine	$106.20	$106.20	$106.20	$80.40
Creatinine clearance urine	$146.40	$146.40	$146.40	$151.50
Critical care 30-74 minutes	$1,796.40	$1,796.40	$1,796.40	$2,085.75
Critical care each additional 30 minutes	$504.00	$504.00	$504.00	$570.60
Crotalidae poly immune fab	$14,450.40	$14,450.40	$14,450.40	$6,805.20
Cryofibrinogen qualitative - sendout	$54.00	$54.00	$54.00	$61.20
Cryoprecipitate each unit	$235.20	$235.20	$235.20	$235.20
Cryptosporidium antigen	$162.60	$162.60	$162.60	$162.60
Crystal identification light microscopy	$93.00	$93.00	$93.00	$65.25
Csf leakage imaging	$3,574.20	$3,574.20	$3,574.20	$3,574.20
Cta abdomen without & /or w/contrast	$3,739.20	$3,739.20	$3,739.20	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$4,764.00	$4,764.00	$4,764.00	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$3,098.40	$3,098.40	$3,098.40	$3,067.20
Cta neck without &/or w/contrast	$2,598.60	$2,598.60	$2,598.60	$2,598.60
Cta upper extremity w &/or without contrast left	$3,739.20	$3,739.20	$3,739.20	$3,067.20
Ctrl nosebld postir subsq 30906	$3,691.20	$3,691.20	$3,691.20	$2,487.00
Culture aerobic additional method definitive id each	$170.40	$170.40	$170.40	$77.25
Culture afb any source	$76.80	$76.80	$76.80	$92.80
Culture anaerobic additional method definitive id each	$127.80	$127.80	$127.80	$117.00
Culture anaerobic except blood	$147.00	$147.00	$147.00	$127.50
Culture bact stool aero addl path ea	$86.40	$86.40	$86.40	$52.80
Culture body fluid	$232.20	$232.20	$232.20	$151.50
Culture fungi definitive id yeast	$75.00	$75.00	$75.00	$75.00
Culture fungi other (except blood)	$170.40	$170.40	$170.40	$137.40
Culture fungi skin/hair/nail	$70.80	$70.80	$70.80	$80.40
Culture mycoplasma any source	$289.80	$289.80	$289.80	$162.00
Culture screening strep group a	$279.00	$279.00	$279.00	$108.00
Culture typing immunologic	$14.40	$14.40	$14.40	$45.00
Culture typing nucleic acid probe amplified per culture/isolate each organism	$54.00	$54.00	$54.00	$343.20
Culture urine each isolate	$76.80	$76.80	$76.80	$74.40
Curette/treat cornea	$1,888.20	$1,888.20	$1,888.20	$1,200.60
Cutter lead	$195.60	$195.60	$195.60	$3,284.40
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$54.00	$54.00	$54.00	$15.00
Cyclic citrullinated peptide antibody	$251.40	$251.40	$251.40	$222.00
Cyclophosphamide 25 mg capsule	$43.20	$43.20	$43.20	$43.20
Cyclosporine 2 hour	$448.80	$448.80	$448.80	$119.40
Cyclosporine 250 mg/5 ml intravenous solution	$29.00	$29.00	$29.00	$243.99
Cyclosporine modified 25 mg capsule	$8.80	$8.80	$8.80	$10.80
Cyclosporine oral 100 mg	$34.00	$34.00	$34.00	$34.00
Cyp2c19 gene com variants	$790.80	$790.80	$790.80	$1,004.00
Cystatin c	$275.40	$275.40	$275.40	$128.40
Cystic fibrosis cftr	$3,474.60	$3,474.60	$3,474.60	$4,054.80
Cystogram >= 3 views supervision & interpretation	$795.00	$795.00	$795.00	$896.40
Cystoscopy (Bladder Scope)	$1,287.60	$1,287.60	$1,287.60	$1,636.00
Cystoscopy prostatic imp 1-3	$5,953.80	$5,953.80	$5,953.80	$5,953.80
Cytarabine 20 mg/ml injection solution	$70.80	$70.80	$70.80	$66.20
Cyto/molecular report	$269.40	$269.40	$269.40	$85.80
Cytogenetics 25-99	$158.40	$158.40	$158.40	$292.80
Cytomegalovirus (cmv) antibody igg	$146.40	$146.40	$146.40	$146.40
Cytomegalovirus (cmv) antibody igm	$146.40	$146.40	$146.40	$131.25
Cytopath fl nongyn filter	$140.40	$140.40	$140.40	$140.40
Cytopath smear oth prep screen & interp	$100.20	$100.20	$100.20	$113.40
Cytopath smear other source	$54.60	$54.60	$54.60	$66.40
Cytopathology cellular enhancement technique non-gyn	$142.20	$142.20	$142.20	$240.75
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$82.20	$82.20	$82.20	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$64.20	$64.20	$64.20	$64.20
Cytopathology concentration technique smears & interpretation	$51.00	$51.00	$51.00	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$232.20	$232.20	$232.20	$137.40
Cytopathology fna adequacy evaluation first episode each site	$70.80	$70.80	$70.80	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$372.60	$372.60	$372.60	$195.75
Dacarbazine 100 mg intravenous solution	$76.80	$76.80	$76.80	$67.40
Dactinomycin 0.5 mg intravenous solution	$2,879.40	$2,879.40	$2,879.40	$2,879.40
Dalbavancin 500 mg intravenous solution	$7,113.00	$7,113.00	$7,113.00	$6,061.91
Daptomycin 500 mg/10 ml intravenous solution	$2,063.40	$2,063.40	$2,063.40	$1,138.20
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$17,923.80	$17,923.80	$17,923.80	$5,546.48
Darbepoetin alfa, esrd use	$2,151.00	$2,151.00	$2,151.00	$2,151.00
Daunorubicin 5 mg/ml intravenous solution	$622.20	$622.20	$622.20	$413.60
Dch glucoscan	$12.00	$12.00	$12.00	$19.80
Dch pulmonary stress test	$156.00	$156.00	$156.00	$660.60
Dch validity tests	$51.00	$51.00	$51.00	$31.50
Deamidated gliadin antibody iga	$80.40	$80.40	$80.40	$80.40
Debrid ecz/inf skin up tp 10% body 11000	$1,317.00	$1,317.00	$1,317.00	$922.50
Debrid/rmv fgn bdy/open fx/skin/sq 11010	$1,470.60	$1,470.60	$1,470.60	$1,778.40
Debride nail1-5 11720	$471.00	$471.00	$471.00	$274.20
Debride nail6 or more 11721	$202.20	$202.20	$202.20	$306.60
Debride/subq tissue/ea add 20sq cm 11045	$728.40	$728.40	$728.40	$811.20
Debridement (>20 cm) charge pt	$259.20	$259.20	$259.20	$321.00
Debridement subcutaneous tissue <= 20 sq cm	$825.60	$825.60	$825.60	$1,148.25
Decalcification	$388.20	$388.20	$388.20	$124.80
Decitabine 50 mg intravenous solution	$5,326.20	$5,326.20	$5,326.20	$292.80
Declotting thrombolytic agent implanted vas access device 36	$653.40	$653.40	$653.40	$609.75
Deferoxamine 500 mg solution for injection	$43.20	$43.20	$43.20	$102.84
Degarelix 120 mg subcutaneous solution	$2,262.60	$2,262.60	$2,262.60	$2,262.60
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$64.80	$64.80	$64.80	$90.60
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$10,269.00	$10,269.00	$10,269.00	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$589.80	$589.80	$589.80	$712.80
Desmopressin 4 mcg/ml injection solution	$2,755.80	$2,755.80	$2,755.80	$172.46
Device ablt adv novasure	$9,649.20	$9,649.20	$9,649.20	$9,649.20
Device intraute mirena	$4,133.60	$4,133.60	$4,133.60	$3,052.80
Device sut capio slim opn	$1,350.00	$1,350.00	$1,350.00	$1,454.07
Device tiss remov myosure reach	$2,707.20	$2,707.20	$2,707.20	$2,707.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$127.20	$127.20	$127.20	$127.20
Dexametha opth insert 0.1 mg	$1,432.80	$1,432.80	$1,432.80	$505.80
Dexamethasone 4 mg tablet	$5.40	$5.40	$5.40	$5.40
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$6.60	$6.60	$6.60	$7.60
Dexrazoxane hcl 250 mg intravenous solution	$1,196.40	$1,196.40	$1,196.40	$1,087.80
Dextran 40 infusion	$645.60	$645.60	$645.60	$225.55
Dextrose 5 % IV bolus	$26.80	$26.80	$26.80	$26.80
Dextrose 5 % and 0.9 % sodium chloride intravenous solution	$32.40	$32.40	$32.40	$37.20
Dextrose 5 % and lactated ringers intravenous solution	$29.00	$29.00	$29.00	$29.00
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$60.40	$60.40	$60.40	$60.40
Dhea-s (dehydroepiand sulfate)	$184.20	$184.20	$184.20	$210.00
Diabetes (HbA1c) Test	$165.60	$165.60	$165.60	$70.00
Diagnostic Mammogram (both breasts)	$483.00	$483.00	$483.00	$424.00
Diagnostic Mammogram (one breast)	$316.80	$316.80	$316.80	$297.05
Diagnostic anoscopy spx 46600	$2,524.20	$2,524.20	$2,524.20	$432.60
Diagnostic laryngoscopy 31505	$279.60	$279.60	$279.60	$432.60
Diagnostic laryngoscopy 31575	$256.80	$256.80	$256.80	$615.00
Diatrizoate meglumine 18 % urethral solution	$79.20	$79.20	$79.20	$58.24
Diazepam 5 mg/ml injection solution (wrapper)	$127.20	$127.20	$127.20	$35.40
Dicyclomine injection	$494.40	$494.40	$494.40	$425.60
Diffusing capacity	$412.20	$412.20	$412.20	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$34.00	$34.00	$34.00	$29.85
Digoxin immune fab 40 mg intravenous solution	$16,441.80	$16,441.80	$16,441.80	$11,176.80
Digoxin total therapeutic drug level	$126.00	$126.00	$126.00	$126.00
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$924.80	$924.80	$924.80	$518.40
Dilate esophagus 1/mult pass	$1,372.80	$1,372.80	$1,372.80	$1,548.00
Dilator fascial 10fx20cm	$845.40	$845.40	$845.40	$795.60
Dimenhydrinate injection	$13.20	$13.20	$13.20	$14.40
Dimethyl sulfoxide 50% 50 ml	$3,160.80	$3,160.80	$3,160.80	$2,501.55
Diphenhydramine 50 mg/ml injection (wrapper)	$16.80	$16.80	$16.80	$13.80
Diphtheria-tetanus toxoids 0.5 ml (peds)	$24.60	$24.60	$24.60	$24.60
Disability dlco	$234.00	$234.00	$234.00	$234.00
Disaccharidases	$88.80	$88.80	$88.80	$181.20
Discography cerv/thor spine	$1,987.80	$1,987.80	$1,987.80	$2,062.50
Dna antibody native/double stranded	$249.60	$249.60	$249.60	$159.00
Dna gardnerella	$255.60	$255.60	$255.60	$197.40
Dna trichomonas	$266.40	$266.40	$266.40	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$162.00	$162.00	$162.00	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$7,030.80	$7,030.80	$7,030.80	$94.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$89.40	$89.40	$89.40	$56.40
Doppler echo complete	$959.40	$959.40	$959.40	$677.40
Doppler upper/lower extremity arteries complete bilateral	$1,081.80	$1,081.80	$1,081.80	$946.50
Doppler upper/lower extremity arteries limited bilateral	$759.60	$759.60	$759.60	$564.75
Doripenem 50 mg/ml inj 10 ml	$8.40	$8.40	$8.40	$8.40
Dornase alfa non-comp unit	$236.00	$236.00	$236.00	$380.80
Dornhoffer fixed part w/window	$36,517.20	$36,517.20	$36,517.20	$53,356.20
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$162.60	$162.60	$162.60	$358.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$4,487.40	$4,487.40	$4,487.40	$2,245.20
Doxycycline hyclate 100 mg intravenous powder for solution	$1.20	$1.20	$1.20	$1.20
Dpyd gene common variants	$2,358.60	$2,358.60	$2,358.60	$2,476.80
Drain blood from under nail 11740	$247.20	$247.20	$247.20	$266.40
Drain cath image guided visceral pq	$4,627.80	$4,627.80	$4,627.80	$4,627.80
Drain cerebro spinal fluid 62272	$1,260.60	$1,260.60	$1,260.60	$1,485.75
Drain finger abscess;simple 26010	$589.80	$589.80	$589.80	$318.00
Drain thigh/knee lesion 27301	$5,397.60	$5,397.60	$5,397.60	$5,469.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$1,440.00	$1,440.00	$1,440.00	$824.40
Drainage ext aud canal abscess 69020	$1,440.00	$1,440.00	$1,440.00	$1,440.00
Drainage external ear complex 69005	$7,126.80	$7,126.80	$7,126.80	$4,074.75
Drainage external ear simple 69000	$589.80	$589.80	$589.80	$709.50
Drainage of arm bursa 23931	$2,883.60	$2,883.60	$2,883.60	$2,638.50
Drainage of kidney lesion	$1,119.00	$1,119.00	$1,119.00	$2,056.80
Drainage of mouth lesion	$3,435.60	$3,435.60	$3,435.60	$3,430.80
Drainage of nose lesion int 30000	$3,592.20	$3,592.20	$3,592.20	$3,592.20
Drainage of rectal abscess 45020	$5,376.00	$5,376.00	$5,376.00	$5,376.00
Dress/debrid prtl-thick burn l 16030	$825.60	$825.60	$825.60	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$825.60	$825.60	$825.60	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$589.80	$589.80	$589.80	$408.60
Drng of eyelid abscess 67700	$7,126.80	$7,126.80	$7,126.80	$3,479.40
Drng of finger abscess comp 26011	$1,875.00	$1,875.00	$1,875.00	$1,875.00
Drng of scrotum abscess 55100	$2,892.60	$2,892.60	$2,892.60	$2,630.40
Droperidol 2.5 mg/ml injection solution	$39.60	$39.60	$39.60	$39.60
Drsg interceed 3x4in adh wnd barr absorb	$1,778.40	$1,778.40	$1,778.40	$1,956.48
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$696.00	$696.00	$696.00	$841.60
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm	$29,534.40	$29,534.40	$29,534.40	$26,932.05
Drug assay vedolizumab	$431.40	$431.40	$431.40	$298.80
Drug test def 1-7 classes	$316.80	$316.80	$316.80	$437.40
Drug test(s) presumptive any class instrument chemistry analyzers	$53.40	$53.40	$53.40	$441.60
Drvvt confirm - quest	$174.60	$174.60	$174.60	$174.60
Ductogram sgl duct	$862.20	$862.20	$862.20	$547.80
Dup scan/hemodialysis access 93990	$878.40	$878.40	$878.40	$684.60
Dup scan/lwr xtr vasc stdy bilat 93924	$914.40	$914.40	$914.40	$963.75
Dup scan/ue art/graft/bilat/comp 93930	$975.00	$975.00	$975.00	$903.00
Duplex scan bilateral study 93985	$1,429.20	$1,429.20	$1,429.20	$1,144.80
Duplex scan unilateral study 93986	$714.60	$714.60	$714.60	$643.20
Duragen 1x1 5ea/bx	$425.40	$425.40	$425.40	$425.40
Dx bronchoscope/wash 31622	$2,322.60	$2,322.60	$2,322.60	$2,168.40
Dxa bone density axl vrt fx	$672.60	$672.60	$672.60	$672.60
E equine encephalitis igg	$91.80	$91.80	$91.80	$122.40
ER Visit (level 1, minor)	$252.60	$252.60	$252.60	$286.51
ER Visit (level 2)	$406.80	$406.80	$406.80	$469.39
ER Visit (level 3)	$744.00	$744.00	$744.00	$827.20
ER Visit (level 4)	$1,243.80	$1,243.80	$1,243.80	$1,330.00
ER Visit (level 5, high severity)	$1,287.60	$1,287.60	$1,287.60	$1,892.80
Ear irrigation 69209	$117.00	$117.00	$117.00	$128.25
Ecg 12 lead tracing only	$271.80	$271.80	$271.80	$271.80
Ecg < 30 days transmission & analysis	$259.20	$259.20	$259.20	$720.75
Ecg external < 48 hours recording	$551.40	$551.40	$551.40	$551.40
Ecg external < 48 hours scanning analysis w/report	$671.40	$671.40	$671.40	$642.75
Ecg external > 48 hours up to 7 days recording	$74.40	$74.40	$74.40	$74.40
Ecg external >7 days up to 15 days recording	$75.00	$75.00	$75.00	$75.00
Echo exam uterus 76831-	$695.40	$695.40	$695.40	$695.40
Echo guidance radiotherapy	$2,199.00	$2,199.00	$2,199.00	$2,718.00
Echo guide for amniocentesis	$499.20	$499.20	$499.20	$564.75
Echo guide for artery repair	$1,009.20	$1,009.20	$1,009.20	$1,009.20
Echo stress	$873.00	$873.00	$873.00	$1,056.00
Echo tee probe placement image acquisition interpretation & report	$860.40	$860.40	$860.40	$1,875.00
Echo transesophageal	$391.20	$391.20	$391.20	$391.20
Echo transesophageal intraop	$2,142.60	$2,142.60	$2,142.60	$2,142.60
Echo transthoracic	$904.80	$904.80	$904.80	$1,094.40
Echo transthoracic	$534.60	$534.60	$534.60	$534.60
Echo tte 2d comp wo ctrst wo clr/dplr	$848.40	$848.40	$848.40	$1,137.75
Echocardiogram (Heart Ultrasound)	$2,265.00	$2,265.00	$2,265.00	$2,021.12
Echocardiography doppler color flow mapping	$480.00	$480.00	$480.00	$485.25
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$2,265.00	$2,265.00	$2,265.00	$2,265.00
Echocardiography transthoracic 2d followup/limited	$399.60	$399.60	$399.60	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$364.20	$364.20	$364.20	$691.20
Echocardiograpy doppler follow up/limited study	$763.20	$763.20	$763.20	$336.00
Echograp trans r pros study	$392.40	$392.40	$392.40	$576.60
Eculizumab 300 mg/30 ml intravenous solution	$268.80	$268.80	$268.80	$268.80
Eeg monitor/record/awake/drowsy 95816	$1,189.80	$1,189.80	$1,189.80	$1,099.50
Eeg recording awake and asleep	$1,189.80	$1,189.80	$1,189.80	$1,173.00
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$79.20	$79.20	$79.20	$85.60
Egd control bleeding any	$3,414.00	$3,414.00	$3,414.00	$2,553.75
Egd guide wire insertion	$3,526.20	$3,526.20	$3,526.20	$2,978.40
Egd remove foreign body	$3,526.20	$3,526.20	$3,526.20	$2,501.40
Egd remove lesion snare	$3,414.00	$3,414.00	$3,414.00	$2,597.25
Egd varices ligation	$3,414.00	$3,414.00	$3,414.00	$3,061.20
Egfr gene com variants	$793.80	$793.80	$793.80	$808.80
Ehrlicha chaffeensis amp prb	$290.40	$290.40	$290.40	$290.40
Electrolyte panel	$130.80	$130.80	$130.80	$130.80
Emg 2 ext w-w/o paraspinal area 95861	$462.60	$462.60	$462.60	$665.40
Emg cranial nerve bilateral	$444.00	$444.00	$444.00	$529.80
Encephalitis, california igg/igm	$91.80	$91.80	$91.80	$122.40
Encephalitis, st louis igg/igm	$91.80	$91.80	$91.80	$122.40
Encephalitis, western equine igg/igm	$91.80	$91.80	$91.80	$122.40
Endo cath bile duct s&i	$1,216.80	$1,216.80	$1,216.80	$982.20
Endo cath panc duct s&i	$1,216.80	$1,216.80	$1,216.80	$877.20
Endoscopy swallow (fees) vid	$162.00	$162.00	$162.00	$551.25
Endoscpy nsl/sns w/cntrl nsl hmrrgh	$2,287.20	$2,287.20	$2,287.20	$2,377.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$69.60	$69.60	$69.60	$69.60
Entamoeba histolytica ag eia - sendout	$151.20	$151.20	$151.20	$89.25
Epinephrine 1 mg/ml im kit - pediatric	$441.60	$441.60	$441.60	$441.60
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution	$6.60	$6.60	$6.60	$3.00
Epirubicin 200 mg/100 ml intravenous solution	$213.00	$213.00	$213.00	$161.59
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$4,764.60	$4,764.60	$4,764.60	$255.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$229.80	$229.80	$229.80	$336.66
Epstein barr early antigen antibody	$224.40	$224.40	$224.40	$126.00
Epstein barr nuclear antigen antibody	$292.20	$292.20	$292.20	$124.50
Epstein barr viral capsid antigen antibody igm	$292.20	$292.20	$292.20	$153.75
Eptifibatide 0.75 mg/ml intravenous solution	$2,520.60	$2,520.60	$2,520.60	$350.40
Eptinezumab-jjmr 100 mg/ml intravenous solution	$46.40	$46.40	$46.40	$3,637.20
Ercp biliary & pancreas	$1,070.40	$1,070.40	$1,070.40	$987.60
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$595.80	$595.80	$595.80	$227.20
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$460.00	$460.00	$460.00	$120.00
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$11.80	$11.80	$11.80	$11.80
Esoph egd dilation <30 mm	$3,414.00	$3,414.00	$3,414.00	$2,597.25
Esophageal dilat s&i	$556.20	$556.20	$556.20	$787.50
Esophagoscopy flex dx brush	$3,526.20	$3,526.20	$3,526.20	$2,959.80
Established Patient Office Visit (level 1)	$115.20	$115.20	$115.20	$115.05
Estradiol total	$373.20	$373.20	$373.20	$242.40
Estrogens total-sendout	$310.20	$310.20	$310.20	$270.00
Ethanolamine oleate 100 mg	$1,605.00	$1,605.00	$1,605.00	$1,605.00
Ethylene glycol -sendout	$202.80	$202.80	$202.80	$114.60
Etonogestrel implant system	$5,044.00	$5,044.00	$5,044.00	$4,715.65
Etoposide 20 mg/ml intravenous solution	$52.20	$52.20	$52.20	$213.17
Etoposide 50 mg cap	$285.60	$285.60	$285.60	$285.60
Euflexxa inj per dose	$752.40	$752.40	$752.40	$1,186.77
Eval/fit voice prosthesis iii, st	$310.20	$310.20	$310.20	$431.25
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen	$518.40	$518.40	$518.40	$237.00
Event monitor	$462.00	$462.00	$462.00	$352.50
Exc benign snhfg 3.1-4.0cm 11424	$4,530.60	$4,530.60	$4,530.60	$3,417.00
Exc benign tal 0.5 < cm 11400	$1,440.00	$1,440.00	$1,440.00	$1,527.60
Exc thrombosed hemorrhoid 46320	$7,126.80	$7,126.80	$7,126.80	$2,491.20
Exc/pilonidal cyst/sinus/simple 11770	$7,126.80	$7,126.80	$7,126.80	$4,440.60
Exchange drainage catheter	$971.40	$971.40	$971.40	$2,610.75
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm	$490.80	$490.80	$490.80	$1,520.25
Expander breast 300cc mod hght extra proj smth natrelle	$2,967.60	$2,967.60	$2,967.60	$2,967.60
Expander tiss 133s-mv-12-t 300ml natrelle smth	$3,449.40	$3,449.40	$3,449.40	$4,135.20
Explore penetrating wnd/extremity 20103	$3,349.80	$3,349.80	$3,349.80	$3,349.80
Explore/treat wrist joint	$5,383.80	$5,383.80	$5,383.80	$5,268.60
External chromosome analysis 20-25 cells	$942.60	$942.60	$942.60	$919.20
External pretreatment of serum for use in antibody identification by dilution	$121.20	$121.20	$121.20	$181.80
External tissue culture neoplastic disorders bone marrow/blood cells	$354.60	$354.60	$354.60	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$132.60	$132.60	$132.60	$212.00
Eye implant band 40	$2,963.40	$2,963.40	$2,963.40	$2,927.40
Facial bones <3	$320.40	$320.40	$320.40	$388.00
Factor ix	$321.60	$321.60	$321.60	$222.60
Factor viii	$289.80	$289.80	$289.80	$213.00
Factor viii recomb novoeight	$3.40	$3.40	$3.40	$3.40
Fallopian tube recnl	$804.60	$804.60	$804.60	$2,904.00
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$0.40	$0.40	$0.40	$0.40
Fat/lipids feces qualitative	$199.80	$199.80	$199.80	$39.60
Fatty acids nonesterified	$153.60	$153.60	$153.60	$139.50
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$218.40	$218.40	$218.40	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$5,580.60	$5,580.60	$5,580.60	$3,736.68
Ferritin	$223.20	$223.20	$223.20	$223.20
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$3,963.60	$3,963.60	$3,963.60	$3,963.60
Fetal fibronectin	$851.40	$851.40	$851.40	$727.80
Fibrin degradation d dimer quantitative	$148.20	$148.20	$148.20	$93.00
Fibrin degradation products	$91.80	$91.80	$91.80	$111.20
Fibrinogen activity	$133.20	$133.20	$133.20	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$61.80	$61.80	$61.80	$72.00
Fibrinolytic plasminogen xcpt antgnc asa	$66.60	$66.60	$66.60	$83.40
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$2,461.20	$2,461.20	$2,461.20	$1,964.97
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$582.00	$582.00	$582.00	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$2,032.80	$2,032.80	$2,032.80	$1,504.82
Finasteride, 5 mg	$20.60	$20.60	$20.60	$32.20
Fine needle asp without image guide 10021	$722.40	$722.40	$722.40	$722.40
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$726.00	$726.00	$726.00	$738.00
Flecainide (tambocor)-sendout	$205.80	$205.80	$205.80	$129.60
Flexible Sigmoidoscopy	$659.40	$659.40	$659.40	$1,278.72
Flow cytometry interp 16 or more	$374.40	$374.40	$374.40	$699.60
Flow cytometry marker each additional	$276.60	$276.60	$276.60	$181.50
Flow cytometry one marker technical component	$276.60	$276.60	$276.60	$288.60
Floxuridine injection	$555.60	$555.60	$555.60	$8,522.40
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$42.00	$42.00	$42.00	$24.41
Fludarabine 50 mg intravenous solution	$1,258.80	$1,258.80	$1,258.80	$601.96
Fluidotherapy charges pt	$118.20	$118.20	$118.20	$118.20
Fluorescent antibody titer dna	$202.20	$202.20	$202.20	$202.20
Fluoroguide for spine inject 77003-26	$1,275.00	$1,275.00	$1,275.00	$678.00
Fluoroguide needle placement	$1,275.00	$1,275.00	$1,275.00	$599.25
Fluoroscopy up to 1 hour	$534.60	$534.60	$534.60	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$318.60	$318.60	$318.60	$152.80
Fluphenazine decanoate 25 mg/ml injection solution	$718.20	$718.20	$718.20	$380.85
Fna bx w/ct gdn 1st les	$971.40	$971.40	$971.40	$900.75
Fna bx w/ct gdn ea addl	$726.00	$726.00	$726.00	$738.00
Folic acid	$202.20	$202.20	$202.20	$130.80
Folic acid 5 mg/ml injection solution	$0.80	$0.80	$0.80	$1.05
Fomepizole 1 gram/ml intravenous solution	$5,244.60	$5,244.60	$5,244.60	$5,244.60
Fondaparinux sodium	$595.80	$595.80	$595.80	$490.80
Foot X-ray	$364.80	$364.80	$364.80	$339.50
Fosaprepitant 150 mg intravenous powder for solution	$1,549.20	$1,549.20	$1,549.20	$1,233.17
Foscarnet sodium injection	$1,974.60	$1,974.60	$1,974.60	$1,101.86
Fosphenytoin 50 mg pe/ml injection (wrapper)	$122.40	$122.40	$122.40	$94.85
Fracture assessment via dxa	$561.60	$561.60	$561.60	$530.25
Fresh frozen plasma 8-24 hours collection each unit	$243.00	$243.00	$243.00	$246.75
Fresh frozen plasma frozen within 8 hours of collection each unit	$303.00	$303.00	$303.00	$237.00
Fresh frozen plasma thawing ea un	$71.40	$71.40	$71.40	$106.20
Fructosamine glycated protein	$209.40	$209.40	$209.40	$100.20
Furosemide 10 mg/ml injection solution	$0.40	$0.40	$0.40	$0.60
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr	$26.40	$26.40	$26.40	$12.00
Ga-67 gallium 0.1 mci	$42.60	$42.60	$42.60	$190.20
Gadobutrol 1 mmol/ml intravenous solution (wrapper)	$2.40	$2.40	$2.40	$4.80
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)	$70.20	$70.20	$70.20	$15.00
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution	$0.60	$0.60	$0.60	$65.40
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$22.20	$22.20	$22.20	$62.40
Galectin-3	$78.00	$78.00	$78.00	$83.40
Gamma globulin 1 cc inj	$381.00	$381.00	$381.00	$189.60
Gamma glutamyltransferase	$111.00	$111.00	$111.00	$88.20
Gammaglobulin iga	$280.80	$280.80	$280.80	$171.60
Gammaglobulin ige	$226.80	$226.80	$226.80	$148.50
Gamunex-c/gammaked	$10,154.40	$10,154.40	$10,154.40	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$735.20	$735.20	$735.20	$415.20
Gardner vag dna quant	$290.40	$290.40	$290.40	$351.20
Gastroesophageal reflux study	$1,621.80	$1,621.80	$1,621.80	$1,228.80
Gated heart multiple	$2,298.00	$2,298.00	$2,298.00	$1,228.80
Gemcitabine 1 gram intravenous solution	$365.40	$365.40	$365.40	$365.40
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$37,978.20	$37,978.20	$37,978.20	$37,698.54
Generator barostim neo2 2014	$49,450.20	$49,450.20	$49,450.20	$52,543.20
Genetic tstg severe inh cond	$13,264.80	$13,264.80	$13,264.80	$11,622.60
Gentamicin 10 mg/ml liquid compound - enteral use only	$49.60	$49.60	$49.60	$49.60
Gentamicin peak therapeutic drug level	$351.60	$351.60	$351.60	$201.00
Ghs HIV antibody	$200.40	$200.40	$200.40	$129.75
Ghs IV infusion bamlanivimab/etesevimab	$1,071.00	$1,071.00	$1,071.00	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV infusion sotrovimab	$1,071.00	$1,071.00	$1,071.00	$1,020.00
Ghs IV thrombolytics - cerebral	$513.60	$513.60	$513.60	$620.80
Ghs abscess perianal iandd	$1,512.60	$1,512.60	$1,512.60	$1,829.60
Ghs abscess postoperative iandd complex	$5,002.80	$5,002.80	$5,002.80	$3,993.00
Ghs alcohol, methyl (methanol)-medtox	$110.40	$110.40	$110.40	$147.60
Ghs antibodies (torch) igm	$455.40	$455.40	$455.40	$131.25
Ghs aspiration bladder - needle	$688.20	$688.20	$688.20	$616.80
Ghs bladder cath - complex-foley	$471.00	$471.00	$471.00	$492.00
Ghs change cysto/gastrost	$1,759.80	$1,759.80	$1,759.80	$1,265.40
Ghs chemo IV push, ea addtl	$446.40	$446.40	$446.40	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$54.00	$54.00	$54.00	$360.00
Ghs cl tx knee disl; wo anesth	$2,389.20	$2,389.20	$2,389.20	$2,370.60
Ghs cl tx metacarpophal disloc without anes	$825.60	$825.60	$825.60	$471.75
Ghs closd tx interphalang jt disloc w/ma	$825.60	$825.60	$825.60	$630.00
Ghs closed reduction ankle dislocation	$825.60	$825.60	$825.60	$825.60
Ghs closed tx bimalleolar fracture w/manip	$718.20	$718.20	$718.20	$1,635.60
Ghs closed tx radiocarpal disloc w manip	$825.60	$825.60	$825.60	$466.80
Ghs closed tx tibial fracture w/manip	$718.20	$718.20	$718.20	$1,547.25
Ghs clsd red med malleolus fx w manip	$2,926.80	$2,926.80	$2,926.80	$2,632.20
Ghs clsd tx frac distal tibia w/manipulation	$2,827.20	$2,827.20	$2,827.20	$2,319.00
Ghs community re-entry 15 minutes	$70.80	$70.80	$70.80	$85.60
Ghs conjunctiva foreign body-embed bil	$408.60	$408.60	$408.60	$494.40
Ghs conjunctiva foreign body-superf bil	$408.60	$408.60	$408.60	$351.75
Ghs corneal fb with slit lamp bilat	$408.60	$408.60	$408.60	$408.60
Ghs corneal fb without slit lamp bilat	$408.60	$408.60	$408.60	$422.25
Ghs cricothyroidotomy	$5,383.80	$5,383.80	$5,383.80	$777.60
Ghs diphtheria toxoid ab igg	$304.20	$304.20	$304.20	$165.60
Ghs dislocation elbow closed treatment	$825.60	$825.60	$825.60	$856.20
Ghs ed rmvl or bivalving cast	$471.00	$471.00	$471.00	$471.00
Ghs ed therapeutic lp, drain csf w fluoro	$1,360.20	$1,360.20	$1,360.20	$1,439.40
Ghs excision ingrown nail	$589.80	$589.80	$589.80	$484.80
Ghs eyelid foreign body-embedded - bil	$718.20	$718.20	$718.20	$868.80
Ghs fb removal - incisional	$7,126.80	$7,126.80	$7,126.80	$3,182.40
Ghs fb removal - non-incisional	$3,129.60	$3,129.60	$3,129.60	$1,551.00
Ghs fb removal foot - deep - left	$7,126.80	$7,126.80	$7,126.80	$3,771.00
Ghs fish cytogen	$354.60	$354.60	$354.60	$235.80
Ghs fish hybrid in situ 100-300	$354.60	$354.60	$354.60	$354.60
Ghs gastric intub aspiration lavage	$218.40	$218.40	$218.40	$304.80
Ghs histoplasma antigen	$674.40	$674.40	$674.40	$492.00
Ghs hla-dr/dq, multiple antigens	$458.40	$458.40	$458.40	$462.60
Ghs i and d abscess/hematoma scrotum	$7,126.80	$7,126.80	$7,126.80	$4,134.00
Ghs i and d perirectal abscess 46040	$2,172.00	$2,172.00	$2,172.00	$2,637.00
Ghs i and d pilonidal cyst complex	$3,349.80	$3,349.80	$3,349.80	$1,572.00
Ghs i and d pilonidal cyst simple	$589.80	$589.80	$589.80	$589.80
Ghs incision thrombosed ext hemorrhoid	$825.60	$825.60	$825.60	$526.50
Ghs inhibitor screen	$345.00	$345.00	$345.00	$345.00
Ghs init tx 1st degree burn	$471.00	$471.00	$471.00	$448.50
Ghs insertion of needle - bone	$471.00	$471.00	$471.00	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$825.60	$825.60	$825.60	$1,829.40
Ghs intermed repair 20.1 - 30.0 cm-12036	$2,649.00	$2,649.00	$2,649.00	$3,520.20
Ghs intermed repair over 30 cm - 12037	$6,688.20	$6,688.20	$6,688.20	$4,080.00
Ghs intro needle/intracath vein - 36000	$118.20	$118.20	$118.20	$240.00
Ghs lac repair mouth.ant tong 2.5cm/less	$471.00	$471.00	$471.00	$569.60
Ghs layer closure 2.5 cm or less - 12031	$825.60	$825.60	$825.60	$477.00
Ghs layer closure 2.5 cm or less - 12041	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 2.5cm or less - 12051	$825.60	$825.60	$825.60	$520.80
Ghs layer closure 2.6 - 5.0 cm - 12052	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$825.60	$825.60	$825.60	$998.40
Ghs layer closure 7.6 - 12.5 cm - 12044	$825.60	$825.60	$825.60	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12054	$825.60	$825.60	$825.60	$998.40
Ghs layered repair 12.6 - 20.0 cm -12045	$1,134.60	$1,134.60	$1,134.60	$1,372.00
Ghs layered repair 12.6 - 20.0 cm -12055	$825.60	$825.60	$825.60	$998.40
Ghs leukocyte alkaline phos (mayo)	$291.60	$291.60	$291.60	$291.60
Ghs mbp	$209.40	$209.40	$209.40	$171.60
Ghs moderate sedation < 5 yr, 30 min	$147.00	$147.00	$147.00	$429.60
Ghs moderate sedation ea addtl 15 min	$147.00	$147.00	$147.00	$190.20
Ghs myocardial strain img spckl track	$792.60	$792.60	$792.60	$792.60
Ghs nailbed repair/nail removal	$825.60	$825.60	$825.60	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$1,560.00	$1,560.00	$1,560.00	$1,618.50
Ghs nerve block axillary nerve	$2,285.40	$2,285.40	$2,285.40	$1,763.25
Ghs nerve block brachial plexus	$2,285.40	$2,285.40	$2,285.40	$1,815.00
Ghs nerve block sciatic nerve	$2,399.40	$2,399.40	$2,399.40	$2,184.60
Ghs nerve block suprascapular	$809.40	$809.40	$809.40	$1,131.00
Ghs ng placement w fluoro guidance	$589.80	$589.80	$589.80	$589.80
Ghs o2 saturation	$106.20	$106.20	$106.20	$106.50
Ghs o2 uptake rest & exercise	$660.60	$660.60	$660.60	$799.20
Ghs osteopathic manipulative tx, 1-2 regions	$39.60	$39.60	$39.60	$47.80
Ghs ot prosthetic training/15 min	$130.20	$130.20	$130.20	$121.20
Ghs ot sensory integrative tech/15min	$130.20	$130.20	$130.20	$130.20
Ghs pacing - transcutaneous	$1,434.60	$1,434.60	$1,434.60	$940.50
Ghs peritonsillar abscess i andd	$825.60	$825.60	$825.60	$1,080.75
Ghs phenylketonurid	$237.60	$237.60	$237.60	$128.25
Ghs plngl fx pm cl	$825.60	$825.60	$825.60	$685.80
Ghs plt ct-manual	$70.20	$70.20	$70.20	$70.20
Ghs prostatic acid phosphatase (mayo)	$237.60	$237.60	$237.60	$83.40
Ghs protoporphyrins fract	$139.80	$139.80	$139.80	$99.00
Ghs removal intranasal foreign body	$247.20	$247.20	$247.20	$341.40
Ghs removal pharyngeal foreign body	$704.40	$704.40	$704.40	$397.50
Ghs reticulocyte count	$35.40	$35.40	$35.40	$42.80
Ghs rsv eia (respir synctial vrs)	$286.20	$286.20	$286.20	$286.20
Ghs sedimentation rate	$62.40	$62.40	$62.40	$62.40
Ghs semen analysis fert	$195.60	$195.60	$195.60	$195.60
Ghs sensitivity (per antimicro)	$111.60	$111.60	$111.60	$74.40
Ghs simple repair 12.6 - 20.0 cm - 12005	$589.80	$589.80	$589.80	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$589.80	$589.80	$589.80	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$781.80	$781.80	$781.80	$965.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$589.80	$589.80	$589.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$589.80	$589.80	$589.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$589.80	$589.80	$589.80	$589.80
Ghs simple repair over 30 cm - 12007	$589.80	$589.80	$589.80	$660.00
Ghs somatosensory testing upper & lower limbs	$687.00	$687.00	$687.00	$855.60
Ghs sp train/fitting sp device - kx	$179.40	$179.40	$179.40	$324.75
Ghs speech-gen aug dev eval iii, st	$156.00	$156.00	$156.00	$189.00
Ghs sphenopalatine ganglion block	$568.20	$568.20	$568.20	$928.20
Ghs st - re-eval for alt comm	$249.60	$249.60	$249.60	$410.25
Ghs strapping shoulder - 29240	$471.00	$471.00	$471.00	$346.20
Ghs superficial wnd dehis w packing12021	$781.80	$781.80	$781.80	$1,272.60
Ghs superficial wnd dehiscence simp12020	$3,384.00	$3,384.00	$3,384.00	$2,181.60
Ghs tx distal phalangeal fx with manipulation	$825.60	$825.60	$825.60	$660.00
Ghs tx sp hip disloc abd splnt/trac wo	$499.80	$499.80	$499.80	$1,961.40
Ghs urine, porphyrins quant	$518.40	$518.40	$518.40	$288.60
Ghs vaginal delivery only	$1,012.80	$1,012.80	$1,012.80	$4,464.60
Gi inhouse confirmation	$86.40	$86.40	$86.40	$86.25
Glassia injection	$34.80	$34.80	$34.80	$384.00
Glucagon 1 mg solution for injection	$1,053.60	$1,053.60	$1,053.60	$1,053.60
Glucagon plasma - sendout	$202.20	$202.20	$202.20	$144.60
Glucose 1 hr post dose	$37.20	$37.20	$37.20	$54.00
Glucose blood by monitoring device cleared by fda for home use	$31.20	$31.20	$31.20	$30.00
Glucose blood quantitative	$52.20	$52.20	$52.20	$52.20
Glucose body fluid	$52.20	$52.20	$52.20	$63.20
Glucose tolerance test (gtt) 3 specimens	$199.80	$199.80	$199.80	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$42.60	$42.60	$42.60	$42.60
Glycopyrrolate 0.2 mg/ml injection solution	$35.40	$35.40	$35.40	$11.70
Golimumab 12.5 mg/ml intravenous solution	$104.80	$104.80	$104.80	$104.80
Gonadotropin follicle stimulating hormone (fsh)	$280.80	$280.80	$280.80	$187.50
Gonadotropin luteinizing hormone (lh)	$255.60	$255.60	$255.60	$156.00
Goserelin 10.8 mg subcutaneous implant	$4,524.00	$4,524.00	$4,524.00	$1,886.40
Graft impl ult thck 6x12cm -cost per sq cm	$13,093.20	$13,093.20	$13,093.20	$28,358.40
Graft nerve adv 3-4x70mm	$21,493.20	$21,493.20	$21,493.20	$25,992.80
Graft patch felt ptfe 2x2	$4,338.00	$4,338.00	$4,338.00	$7,958.40
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$2,568.60	$2,568.60	$2,568.60	$6,241.80
Graft xenmtrx sft rect 15x20cm	$2,647.80	$2,647.80	$2,647.80	$30,786.60
Graft xenmtrx sft rect 19x28cm	$2,112.60	$2,112.60	$2,112.60	$3,076.20
Granisetron hcl injection	$27.00	$27.00	$27.00	$181.80
Great toe with reduction 28495	$825.60	$825.60	$825.60	$825.60
Guide endoanchr sg-64 aaa 62cm	$7,473.60	$7,473.60	$7,473.60	$9,038.40
Guide wire threaded 1.4x150mm	$1,009.80	$1,009.80	$1,009.80	$2,825.40
Guide worley csg 9fx50cm std	$188.40	$188.40	$188.40	$1,083.60
Guided cath fluid drainage 10030	$2,183.40	$2,183.40	$2,183.40	$1,600.20
Gw stiffened micro access kit	$850.80	$850.80	$850.80	$3,215.40
H pylori (c-13) breath	$379.20	$379.20	$379.20	$346.80
Haloperidol decanoate 50 mg/ml intramuscular solution	$160.00	$160.00	$160.00	$160.00
Haloperidol lactate 5 mg/ml injection solution	$9.00	$9.00	$9.00	$9.00
Hand X-ray	$294.60	$294.60	$294.60	$315.00
Hand-held pefr meter a4614	$25.20	$25.20	$25.20	$25.80
Haptoglobin quantitative	$155.40	$155.40	$155.40	$155.40
Hc fl sm bowel enteroclss tube w kub double contrast	$1,272.60	$1,272.60	$1,272.60	$1,539.20
Hc i-131 sodium iodide cap dx per mci	$190.20	$190.20	$190.20	$190.20
Hc nm fusion spect CT unlisted	$374.40	$374.40	$374.40	$680.25
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$1,957.20	$1,957.20	$1,957.20	$1,006.50
Hcg qualitative	$102.60	$102.60	$102.60	$85.20
Hcg quantitative	$301.80	$301.80	$301.80	$178.20
Head CT scan (with and without contrast)	$2,704.20	$2,704.20	$2,704.20	$1,914.25
Head CT scan (with contrast)	$2,371.20	$2,371.20	$2,371.20	$1,587.69
Head CT scan (without contrast)	$1,602.60	$1,602.60	$1,602.60	$1,268.90
Heart image spect	$1,651.20	$1,651.20	$1,651.20	$1,996.80
Heart infarct image	$1,094.40	$1,094.40	$1,094.40	$1,228.80
Hematocrit	$78.60	$78.60	$78.60	$39.75
Hematopoietic nuclear tx	$617.40	$617.40	$617.40	$746.40
Hemoglobin	$45.60	$45.60	$45.60	$36.75
Hemoglobin f (fetal) chemical	$239.40	$239.40	$239.40	$239.40
Hemoglobin fetal qualitative	$228.00	$228.00	$228.00	$61.80
Hemoglobin methemoglobin quantitative	$226.80	$226.80	$226.80	$132.75
Hemoglobin plasma	$61.20	$61.20	$61.20	$62.40
Hemoglobin urine	$52.20	$52.20	$52.20	$63.20
Hemophilus influenza antibdy	$139.20	$139.20	$139.20	$168.00
Heparin assay	$335.40	$335.40	$335.40	$194.25
Heparin bolus from bag	$46.20	$46.20	$46.20	$39.40
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$4.40	$4.40	$4.40	$5.40
Hepatitis a antibody igm	$168.00	$168.00	$168.00	$126.60
Hepatitis b core antibody igm	$168.00	$168.00	$168.00	$131.25
Hepatitis b core antibody total	$455.40	$455.40	$455.40	$121.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$1,109.60	$1,109.60	$1,109.60	$1,109.60
Hepatitis b surface antibody	$137.40	$137.40	$137.40	$112.50
Hepatitis c antibody	$279.60	$279.60	$279.60	$163.80
Hepatobiliary system imaging	$1,608.00	$1,608.00	$1,608.00	$1,608.00
Hereditary colon ca dsordrs	$3,202.80	$3,202.80	$3,202.80	$3,394.80
Herpes simplex 2 ag if	$143.40	$143.40	$143.40	$143.40
Herpes simplex type 1 antibody igg	$271.80	$271.80	$271.80	$99.00
Herpes simplex type 2 antibody igg	$91.80	$91.80	$91.80	$111.00
Herpes simplex virus isolation	$447.60	$447.60	$447.60	$189.00
Heterophile antibodies screening	$56.40	$56.40	$56.40	$56.40
Hhv-6 dna quant	$551.40	$551.40	$551.40	$469.50
Hip X-ray	$653.40	$653.40	$653.40	$290.35
Histamine	$351.60	$351.60	$351.60	$254.40
Hla i & ii typing lr	$3,189.60	$3,189.60	$3,189.60	$3,189.60
Hla i low res one antigen equiv ea	$651.00	$651.00	$651.00	$837.60
Hla i typing high res 1 allele grp ea	$448.20	$448.20	$448.20	$688.80
Hla ii typing ag equiv lr	$912.00	$912.00	$912.00	$912.00
Hocm 350-399mg/ml iodine,1ml	$9.00	$9.00	$9.00	$0.90
Homocysteine	$301.80	$301.80	$301.80	$102.75
Homogenization tissue	$96.00	$96.00	$96.00	$76.80
Homovanillic acid (hva)	$286.80	$286.80	$286.80	$128.00
Hpv types 16 & 18 only	$188.40	$188.40	$188.40	$228.00
Hrdtry cardmypy gene panel	$7,324.20	$7,324.20	$7,324.20	$9,382.20
Hrdtry perph neurphy panel	$22,852.20	$22,852.20	$22,852.20	$22,852.20
Htt gene detc abnor alleles	$1,210.80	$1,210.80	$1,210.80	$1,271.40
Human epididymis protein 4 (he4)	$166.20	$166.20	$166.20	$180.60
Hyaluronidase 150 unit/ml injection solution	$259.20	$259.20	$259.20	$60.00
Hyaluronidase, human recombinant 150 unit/ml injection solution	$2.80	$2.80	$2.80	$316.80
Hydralazine 20 mg/ml injection solution	$92.80	$92.80	$92.80	$92.80
Hydration IV infusion each additional hour	$322.20	$322.20	$322.20	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$1,143.00	$1,143.00	$1,143.00	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$583.20	$583.20	$583.20	$121.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$8.00	$8.00	$8.00	$12.75
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$630.40	$630.40	$630.40	$654.40
Hydrxycorticsterds 17- (17-ohcs)	$168.60	$168.60	$168.60	$168.60
Hysterosalpingography s&i	$1,358.40	$1,358.40	$1,358.40	$1,139.25
I&d frarm&/wrst deep absc/hematoma	$6,141.00	$6,141.00	$6,141.00	$3,350.40
I&d lacrimal sac	$6,196.80	$6,196.80	$6,196.80	$3,177.00
I-123 iobenguane diag	$7,549.20	$7,549.20	$7,549.20	$10,866.00
I-123 ioflupane diag	$5,594.40	$5,594.40	$5,594.40	$8,455.20
I-123 sod iodide diag per 100 uci	$103.20	$103.20	$103.20	$139.20
I131 iodide cap, rx	$106.20	$106.20	$106.20	$184.20
I131 iodide sol, rx	$78.60	$78.60	$78.60	$78.60
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$285.60	$285.60	$285.60	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$388.20	$388.20	$388.20	$325.20
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$285.60	$285.60	$285.60	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$1,143.00	$1,143.00	$1,143.00	$611.25
Iadna legionella pneumophila amplified probe tq	$290.40	$290.40	$290.40	$351.20
Ibutilide fumarate 0.1 mg/ml intravenous solution	$2,792.80	$2,792.80	$2,792.80	$1,022.55
Idarubicin hcl injection	$555.60	$555.60	$555.60	$555.60
Ifosfamide 1 gram intravenous solution	$268.20	$268.20	$268.20	$294.81
Igh gene rearrange amp meth	$757.20	$757.20	$757.20	$757.20
Igh@ var region somatic mutation analy	$1,283.40	$1,283.40	$1,283.40	$1,392.00
Igk rearrangeabn clonal pop	$757.20	$757.20	$757.20	$961.60
Ihc/icc per specimen each additional single antibody stain	$293.40	$293.40	$293.40	$286.50
Ihc/icc per specimen each multiplex antibody stain	$84.60	$84.60	$84.60	$318.75
Ihc/icc per specimen initial single antibody stain	$84.60	$84.60	$84.60	$312.00
Immobilizer shldr cntor adlt	$35.40	$35.40	$35.40	$198.00
Immobilizer shldr dlx str 24-36in med	$198.00	$198.00	$198.00	$198.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$623.20	$623.20	$623.20	$629.40
Immunoassay tumor antigen quantitative ca 125	$174.00	$174.00	$174.00	$141.00
Immunoassay tumor antigen quantitative ca 19-9	$174.60	$174.60	$174.60	$159.00
Immunodiff gel qual ea antigen/ab	$232.20	$232.20	$232.20	$123.00
Immunodiffusion nes	$123.00	$123.00	$123.00	$148.80
Immunofixation electrophoresis serum	$219.60	$219.60	$219.60	$231.00
Immunofluorescence per specimen each additional single antibody stain	$84.60	$84.60	$84.60	$108.00
Immunofluorescence per specimen initial single antibody stain	$84.60	$84.60	$84.60	$168.00
Implant cartilage 10mm synthetic	$7,003.80	$7,003.80	$7,003.80	$18,039.00
Implant ureth bulk agent	$1,094.40	$1,094.40	$1,094.40	$1,617.00
Imported lipodox inj	$11,220.60	$11,220.60	$11,220.60	$4,018.20
In situ hybridization per specimen initial single probe stain	$512.40	$512.40	$512.40	$303.75
In-111 ibritumomab tiux dx	$12,163.20	$12,163.20	$12,163.20	$14,202.00
In-111 pentetate dtpa / 0.5 mci	$544.20	$544.20	$544.20	$1,273.80
In-111 pentetreotide	$3,477.00	$3,477.00	$3,477.00	$11,244.60
In-111 satumomab pend	$905.40	$905.40	$905.40	$905.40
Incision & drainage hematoma/seroma/fluid collection	$3,349.80	$3,349.80	$3,349.80	$2,080.80
Incision of breast lesion	$4,599.00	$4,599.00	$4,599.00	$3,825.00
Incision of burn scab initi	$825.60	$825.60	$825.60	$825.60
Incision of eardrum	$4,688.40	$4,688.40	$4,688.40	$3,486.60
Infect ag drug suscept pheno predict	$1,390.80	$1,390.80	$1,390.80	$724.80
Infect ag eia influenza a or b ea	$286.20	$286.20	$286.20	$62.40
Infect ag genotype na cytomegalovirus	$1,484.40	$1,484.40	$1,484.40	$1,484.40
Infect ag genotype na dna hepatitis b	$368.40	$368.40	$368.40	$500.40
Infect ag genotype na hiv-1 other region	$1,390.80	$1,390.80	$1,390.80	$1,143.60
Infect ag genotype na hiv-1 revr trn/prt	$1,390.80	$1,390.80	$1,390.80	$1,431.00
Infect ag ia optc obs influenza	$379.20	$379.20	$379.20	$102.00
Infect ag if influenza a	$150.60	$150.60	$150.60	$150.60
Infect ag if influenza b	$150.60	$150.60	$150.60	$150.60
Infect ag if nos ea	$211.80	$211.80	$211.80	$211.80
Infect ag if pneumocystis carinii	$143.40	$143.40	$143.40	$143.40
Infect ag if varicella zoster	$134.40	$134.40	$134.40	$134.40
Infect ag na herpes simplex quant	$440.40	$440.40	$440.40	$385.80
Infect ag na hpv high-risk types	$325.20	$325.20	$325.20	$282.00
Infect ag na influenza r/amp 1st 2 types	$1,147.80	$1,147.80	$1,147.80	$532.80
Infect ag na resp virus 12-25 targets	$624.00	$624.00	$624.00	$1,414.50
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$103.20	$103.20	$103.20	$117.00
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$493.80	$493.80	$493.80	$96.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$199.80	$199.80	$199.80	$111.60
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$166.80	$166.80	$166.80	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$723.60	$723.60	$723.60	$114.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$67.80	$67.80	$67.80	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$226.20	$226.20	$226.20	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$407.40	$407.40	$407.40	$303.00
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$144.00	$144.00	$144.00	$130.50
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$115.80	$115.80	$115.80	$115.80
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$336.00	$336.00	$336.00	$334.20
Infectious agent nucleic acid amplified probe	$290.40	$290.40	$290.40	$355.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$276.00	$276.00	$276.00	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$286.80	$286.80	$286.80	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$582.60	$582.60	$582.60	$933.00
Infectious agent nucleic acid amplified probe hsv-1	$253.80	$253.80	$253.80	$306.75
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$453.60	$453.60	$453.60	$398.40
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$253.80	$253.80	$253.80	$307.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$276.00	$276.00	$276.00	$257.40
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$75.00	$75.00	$75.00	$75.00
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$381.00	$381.00	$381.00	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$1,886.40	$1,886.40	$1,886.40	$529.60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$86.40	$86.40	$86.40	$420.00
Infectious agent nucleic acid quantification bk virus	$517.80	$517.80	$517.80	$517.80
Infectious agent nucleic acid quantification hepatitis b	$513.60	$513.60	$513.60	$443.40
Infectious agent nucleic acid quantification hepatitis c	$778.80	$778.80	$778.80	$778.80
Infectious agent nucleic acid quantification hiv-1	$1,066.20	$1,066.20	$1,066.20	$754.20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$776.40	$776.40	$776.40	$615.60
Infliximab 100 mg intravenous solution	$5,408.40	$5,408.40	$5,408.40	$700.20
Infliximab-axxq 100 mg intravenous solution	$135.20	$135.20	$135.20	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$4,383.60	$4,383.60	$4,383.60	$1,432.80
Influenza dna amp prob addl	$279.00	$279.00	$279.00	$299.40
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$40.00	$40.00	$40.00	$40.00
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis	$414.60	$414.60	$414.60	$386.25
Initiation & management bipap/cpap initial day	$172.20	$172.20	$172.20	$510.00
Inj anifrolumab-fnia 1mg	$45.20	$45.20	$45.20	$11,192.40
Inj aval alfa-nqpt 4mg	$5,052.80	$5,052.80	$5,052.80	$5,052.80
Inj calcitriol per 0.1 mcg	$25.20	$25.20	$25.20	$25.20
Inj ceftolozane tazobactam	$487.80	$487.80	$487.80	$286.20
Inj cntr knee arthro incl ct/mri	$969.00	$969.00	$969.00	$459.75
Inj delandistrogene mox rokl	$2,056,320.00	$2,056,320.00	$2,056,320.00	$2,056,320.00
Inj epidural sgl lumb-sacral without img	$1,260.60	$1,260.60	$1,260.60	$1,524.80
Inj for ext venography	$873.60	$873.60	$873.60	$602.40
Inj imip 4 cilas 4 releb 2mg	$652.80	$652.80	$652.80	$7.35
Inj levocarnitine per 1 gm	$205.60	$205.60	$205.60	$205.60
Inj mepivacaine hcl/10 ml	$31.80	$31.80	$31.80	$28.41
Inj mogamulizumab-kpkc, 1 mg	$558.40	$558.40	$558.40	$691.20
Inj multihance	$612.60	$612.60	$612.60	$126.60
Inj proc ankle arthr	$969.00	$969.00	$969.00	$685.80
Inj proc elbow arthro	$969.00	$969.00	$969.00	$461.40
Inj proc myelogram lumbar	$1,094.40	$1,094.40	$1,094.40	$1,300.50
Inj proc sialogram	$969.00	$969.00	$969.00	$612.60
Inj retro urethrocysto	$3,691.20	$3,691.20	$3,691.20	$2,981.40
Inj tedizolid phosphate	$1,282.20	$1,282.20	$1,282.20	$1,081.80
Inj testosterone cypionate	$40.80	$40.80	$40.80	$72.60
Inj, abilify maintena, 1 mg	$7,107.60	$7,107.60	$7,107.60	$7,107.60
Inj, bezlotoxumab, 10 mg	$17,599.20	$17,599.20	$17,599.20	$11,671.20
Inj, bupivacaine liposome	$7.60	$7.60	$7.60	$7.20
Inj, cefiderocol, 10 mg	$5.80	$5.80	$5.80	$596.40
Inj, clevidipine butyrate	$839.40	$839.40	$839.40	$697.20
Inj, tyenne, 1 mg	$12.60	$12.60	$12.60	$12.75
Inj. fe derisomaltose 10 mg	$141.60	$141.60	$141.60	$181.20
Inj. teprotumumab-trbw 10 mg	$36,300.60	$36,300.60	$36,300.60	$38,425.20
Inj., benralizumab, 1 mg	$568.00	$568.00	$568.00	$5,853.00
Inj., meropenem, vaborbactam	$991.20	$991.20	$991.20	$991.20
Inj., tildrakizumab, 1 mg	$424.00	$424.00	$424.00	$424.00
Injection arthrography hip without anesthesia (both sides)	$969.00	$969.00	$969.00	$780.60
Injection epidural blood patch or clot	$1,470.60	$1,470.60	$1,470.60	$1,470.60
Injection for arthrography wrist (both sides)	$969.00	$969.00	$969.00	$666.60
Injection for bladder x-ray	$2,905.80	$2,905.80	$2,905.80	$1,726.80
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$969.00	$969.00	$969.00	$771.60
Injection into brain canal	$1,094.40	$1,094.40	$1,094.40	$1,094.40
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$1,242.00	$1,242.00	$1,242.00	$2,521.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$165.60	$165.60	$165.60	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$147.00	$147.00	$147.00	$203.40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$147.00	$147.00	$147.00	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$147.00	$147.00	$147.00	$141.00
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$871.80	$871.80	$871.80	$1,021.50
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$1,470.60	$1,470.60	$1,470.60	$911.25
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$616.20	$616.20	$616.20	$616.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$825.60	$825.60	$825.60	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$654.00	$654.00	$654.00	$654.00
Injection, cangrelor	$41,627.40	$41,627.40	$41,627.40	$2,314.80
Injection, daratumumab 10 mg	$9,445.80	$9,445.80	$9,445.80	$198.60
Injection, fulvestrant	$4,423.20	$4,423.20	$4,423.20	$3,584.82
Injection, inclisiran, 1 mg	$39.20	$39.20	$39.20	$39.20
Injection, isavuconazonium	$1,378.20	$1,378.20	$1,378.20	$1,350.22
Injection, renflexis	$1,624.80	$1,624.80	$1,624.80	$1,624.80
Injection,onabotulinumtoxina	$2,783.40	$2,783.40	$2,783.40	$2,876.40
Ins mark abd/pel for right perq	$4,115.40	$4,115.40	$4,115.40	$2,523.00
Ins picad w subq port 5yr>	$1,705.80	$1,705.80	$1,705.80	$3,510.75
Ins tun cv cath wo subq prt/pm	$5,788.20	$5,788.20	$5,788.20	$3,582.00
Insert cath pleura with image	$2,040.00	$2,040.00	$2,040.00	$2,320.80
Insert cath pleura without image	$2,977.80	$2,977.80	$2,977.80	$2,019.00
Insertion catheter bladder non indwelling	$247.20	$247.20	$247.20	$309.00
Insertion catheter bladder temporary simple	$247.20	$247.20	$247.20	$495.00
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$3,349.80	$3,349.80	$3,349.80	$2,618.40
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$2,649.60	$2,649.60	$2,649.60	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$1,267.20	$1,267.20	$1,267.20	$1,532.00
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$3,727.80	$3,727.80	$3,727.80	$4,450.80
Insitu hybridization manual	$512.40	$512.40	$512.40	$585.75
Inst fibrinolysis agent ini day	$1,097.40	$1,097.40	$1,097.40	$1,097.40
Insulin total	$165.60	$165.60	$165.60	$114.60
Int hrhc lig 1 hroid without img	$3,738.00	$3,738.00	$3,738.00	$2,572.50
Interferon alfa-2b inj	$1,111.20	$1,111.20	$1,111.20	$1,111.20
Intracranial complete study	$1,981.20	$1,981.20	$1,981.20	$1,169.40
Intracranial limited study	$1,166.40	$1,166.40	$1,166.40	$732.75
Intraoral i+d tongue/floor lingual 41000	$1,068.00	$1,068.00	$1,068.00	$1,663.80
Intrapul surf admin endo tube	$60.60	$60.60	$60.60	$73.60
Intrinsic factor antibody	$203.40	$203.40	$203.40	$150.00
Intro long gi tube	$559.20	$559.20	$559.20	$663.60
Intro long gi tube w/mult fluo	$384.60	$384.60	$384.60	$464.80
Intubation endotracheal emergency procedure	$718.20	$718.20	$718.20	$868.80
Iodine i-123 sod iodide mil	$1,636.80	$1,636.80	$1,636.80	$1,636.80
Ionm in operatng room 15 min	$177.60	$177.60	$177.60	$191.40
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$41.40	$41.40	$41.40	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$78.60	$78.60	$78.60	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$33,224.40	$33,224.40	$33,224.40	$495.00
Ipratropium bromide non-comp	$4.40	$4.40	$4.40	$7.20
Irinotecan 20 mg/ml intravenous solution (wrapper)	$1,091.20	$1,091.20	$1,091.20	$1,091.20
Iron	$48.00	$48.00	$48.00	$80.40
Iron binding capacity	$100.80	$100.80	$100.80	$100.80
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$555.60	$555.60	$555.60	$315.00
Irradiation of blood product each unit reference	$98.40	$98.40	$98.40	$135.00
Irrigation implantable venous access device for drug delivery systems	$142.20	$142.20	$142.20	$147.60
Ivp w/wo kub w/wo tomography	$1,283.40	$1,283.40	$1,283.40	$1,283.40
Ixabepilone 15 mg intravenous solution	$16,246.20	$16,246.20	$16,246.20	$680.40
Jak2 targeted sequence analysis	$1,011.00	$1,011.00	$1,011.00	$1,227.60
John cunningham antibody	$3,164.40	$3,164.40	$3,164.40	$78.60
Ketone body(s) beta-hydroxybutyrate quantitative	$174.60	$174.60	$174.60	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$24.60	$24.60	$24.60	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$732.60	$732.60	$732.60	$683.50
Kidney function study	$1,179.60	$1,179.60	$1,179.60	$1,133.25
Kidney imag w/bld flow multi	$1,161.00	$1,161.00	$1,161.00	$1,574.40
Kidney imaging morphology	$1,702.20	$1,702.20	$1,702.20	$1,238.25
Kidney img w/bldflw sgl without rx	$1,552.20	$1,552.20	$1,552.20	$1,552.20
Kit case 4.2mm spinejack	$7,686.60	$7,686.60	$7,686.60	$9,652.39
Kit cast tcc 3in w/2reg boots total contact cast	$9.60	$9.60	$9.60	$382.20
Kit gene analys d816 variant	$901.80	$901.80	$901.80	$1,111.20
Kit hfx iq ipg bundle	$55,218.60	$55,218.60	$55,218.60	$56,811.60
Kit lead specify 5-6-5	$11,398.80	$11,398.80	$11,398.80	$13,784.80
Kit sound processor cochlear osia 2	$5,556.60	$5,556.60	$5,556.60	$8,362.80
Knee MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$3,008.26
Knee MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,394.58
Knee MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,209.22
Knee X-ray	$477.00	$477.00	$477.00	$387.20
Kyleena, 19.5 mg	$2,489.60	$2,489.60	$2,489.60	$2,489.60
L/s ratio fetal lung	$405.00	$405.00	$405.00	$194.40
Lacosamide 200 mg/20 ml intravenous solution	$327.00	$327.00	$327.00	$237.75
Lactate dehydrogenase (ldh)	$42.60	$42.60	$42.60	$52.50
Lactated ringers intravenous solution	$32.40	$32.40	$32.40	$32.40
Lactic acid	$121.80	$121.80	$121.80	$121.80
Lactoferrin fecal qualitative	$351.60	$351.60	$351.60	$127.20
Lactoferrin fecal quant	$166.80	$166.80	$166.80	$194.40
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$33,573.60	$33,573.60	$33,573.60	$33,573.60
Laryngoscopy direct w/wo tracheoscopy dx exc newborn	$4,228.80	$4,228.80	$4,228.80	$2,632.20
Lead capillary	$165.60	$165.60	$165.60	$93.00
Lead ingevity 45cm pfret MRI	$1,351.80	$1,351.80	$1,351.80	$4,174.20
Leg Vein Ultrasound (DVT study, both legs)	$1,227.60	$1,227.60	$1,227.60	$1,090.23
Lens iol 23.0 d 1.5 cyl eyhance toric	$283.80	$283.80	$283.80	$609.00
Lens iol ant bicnvx 24.0 multi	$1,974.60	$1,974.60	$1,974.60	$1,429.20
Lens iol ant chamb 10.5	$289.80	$289.80	$289.80	$322.20
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$87.60	$87.60	$87.60	$83.13
Leuprolide 30 mg (4 month) intramuscular syringe kit	$6,275.40	$6,275.40	$6,275.40	$6,209.40
Levetiracetam 500 mg/5 ml intravenous solution	$276.00	$276.00	$276.00	$276.00
Levetiracetam therapeutic drug level	$330.60	$330.60	$330.60	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$37.00	$37.00	$37.00	$47.70
Liberta rc ipg	$39,513.60	$39,513.60	$39,513.60	$52,306.80
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$0.16	$0.16	$0.16	$0.20
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$370.20	$370.20	$370.20	$253.60
Lipase	$139.80	$139.80	$139.80	$139.80
Lipoprotein blood quant	$394.20	$394.20	$394.20	$280.20
Lipoprotein direct measurement hdl	$63.60	$63.60	$63.60	$63.75
Lipoprotein direct measurement ldl	$164.40	$164.40	$164.40	$104.25
Lithium therapeutic drug level	$82.80	$82.80	$82.80	$84.00
Liver Function Test	$232.20	$232.20	$232.20	$93.60
Liver ds alys 3 bmrk srm alg	$944.40	$944.40	$944.40	$944.40
Liver imag w/vasclr flow	$1,510.20	$1,510.20	$1,510.20	$1,510.20
Liver/spleen imag static only	$1,308.60	$1,308.60	$1,308.60	$1,308.60
Liver/spleen imag w/vasclr flow	$1,557.00	$1,557.00	$1,557.00	$1,557.00
Loop ostmy bridg ster	$64.80	$64.80	$64.80	$74.40
Lorazepam 2 mg/ml injection (wrapper)	$31.20	$31.20	$31.20	$49.14
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$3,574.80	$3,574.80	$3,574.80	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$2,555.40	$2,555.40	$2,555.40	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$2,051.40	$2,051.40	$2,051.40	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$417.00	$417.00	$417.00	$341.64
Lumbar diskogram s&i	$1,968.60	$1,968.60	$1,968.60	$2,409.75
Lung Function Test (Spirometry)	$228.00	$228.00	$228.00	$296.91
Lung perfusion imaging	$479.40	$479.40	$479.40	$1,087.20
Lymphatics/lymph node imaging	$1,172.40	$1,172.40	$1,172.40	$1,417.60
Lymphocyte transformation mitogen	$630.00	$630.00	$630.00	$537.60
M.avium-intra dna amp prob	$471.60	$471.60	$471.60	$471.60
M/phmtrc alys ishquant/semiq	$404.40	$404.40	$404.40	$435.00
MRA chest wwo IV cont	$2,479.80	$2,479.80	$2,479.80	$2,713.80
MRA pelvis w IV cont	$1,597.20	$1,597.20	$1,597.20	$1,597.20
MRA pelvis wo IV cont	$1,290.00	$1,290.00	$1,290.00	$1,656.00
MRA without fol w/cont, abd	$2,734.20	$2,734.20	$2,734.20	$2,734.20
MRA without fol w/cont, lwr ext	$1,954.80	$1,954.80	$1,954.80	$2,713.80
MRA without fol w/cont, pelvis	$2,734.20	$2,734.20	$2,734.20	$4,528.80
MRI breast c- unilateral	$1,405.80	$1,405.80	$1,405.80	$1,405.80
MRI breast without cont bi	$3,482.40	$3,482.40	$3,482.40	$2,913.60
MRI cardiac morph & func wo IV cont	$2,514.00	$2,514.00	$2,514.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI chest w IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI chest without & w/contrast	$3,985.80	$3,985.80	$3,985.80	$3,985.80
MRI chest without contrast	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI loex nonjt w IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$4,010.40	$4,010.40	$4,010.40	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI orbit fac&nck w IV cont	$2,910.60	$2,910.60	$2,910.60	$2,910.60
MRI orbit/face/neck without & w/contrast	$3,804.00	$3,804.00	$3,804.00	$3,804.00
MRI orbit/face/neck without contrast	$2,398.20	$2,398.20	$2,398.20	$2,398.20
MRI tmj	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$4,010.40	$4,010.40	$4,010.40	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI upper extremity w/dye	$3,051.00	$3,051.00	$3,051.00	$3,126.75
MRI without fol w/cont, breast	$3,543.00	$3,543.00	$3,543.00	$3,543.00
MRI without fol w/cont, brst, un	$4,459.80	$4,459.80	$4,459.80	$3,261.00
Macroscopic exam arthropod	$75.00	$75.00	$75.00	$54.00
Macroscopic exam parasite	$51.00	$51.00	$51.00	$51.60
Magnesium	$124.80	$124.80	$124.80	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$74.40	$74.40	$74.40	$74.40
Mammosite ced	$11,007.00	$11,007.00	$11,007.00	$2,988.00
Manipulation chest wall demonstration/evaluation subsequent	$193.20	$193.20	$193.20	$193.20
Manipulation chest wall initial demonstration/evaluation	$237.60	$237.60	$237.60	$237.60
Mannitol 12.5 gm/50 ml inj	$88.80	$88.80	$88.80	$88.80
Marker biop eviva buckle ss	$216.60	$216.60	$216.60	$819.00
Mastoids complete	$479.40	$479.40	$479.40	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$316.80	$316.80	$316.80	$108.60
Mayo aathr protein s free	$366.60	$366.60	$366.60	$159.60
Mayo activated protein c resistance assay	$253.20	$253.20	$253.20	$170.25
Mayo adalimumab (humira) therapeutic drug level	$205.80	$205.80	$205.80	$205.80
Mayo alkaline phosphatase isoenzyme	$130.80	$130.80	$130.80	$154.80
Mayo alpha 1 antitrypsin	$197.40	$197.40	$197.40	$205.80
Mayo amikacin trough therapeutic drug level	$113.40	$113.40	$113.40	$153.00
Mayo analysis gene calr common variants exon 9	$1,052.40	$1,052.40	$1,052.40	$1,160.40
Mayo analysis gene jak2 p.val617phe variant	$1,323.00	$1,323.00	$1,323.00	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$1,135.80	$1,135.80	$1,135.80	$1,135.80
Mayo androstenedione	$154.20	$154.20	$154.20	$195.75
Mayo angiotensin 1 converting enzyme (ace) csf	$139.20	$139.20	$139.20	$85.20
Mayo antithrombin iii antigen	$582.60	$582.60	$582.60	$108.60
Mayo aspergillus fumigatus antibody	$118.80	$118.80	$118.80	$111.60
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$290.40	$290.40	$290.40	$290.40
Mayo bart bartonella henselae antibody igg	$16.80	$16.80	$16.80	$100.20
Mayo blastomyces antibody immunodiffusion	$175.20	$175.20	$175.20	$189.75
Mayo bordetella pertussis antibody igg	$100.80	$100.80	$100.80	$100.80
Mayo brcmg brucella antibody igm	$118.80	$118.80	$118.80	$118.80
Mayo c1 esterase inhibitor	$130.80	$130.80	$130.80	$133.20
Mayo cdcom hla class ii typing low resolution one locus each	$1,594.80	$1,594.80	$1,594.80	$706.80
Mayo ceruloplasmin	$97.80	$97.80	$97.80	$97.80
Mayo chemiluminescent parathyroid related peptide	$294.60	$294.60	$294.60	$294.60
Mayo chikv chikungunya antibodies igg	$360.60	$360.60	$360.60	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$157.80	$157.80	$157.80	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$38.40	$38.40	$38.40	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$1,097.40	$1,097.40	$1,097.40	$833.40
Mayo chromium	$232.20	$232.20	$232.20	$129.75
Mayo coccidioides antibody	$229.80	$229.80	$229.80	$131.40
Mayo cocou cortisone urine	$305.40	$305.40	$305.40	$305.40
Mayo cortisol free	$273.00	$273.00	$273.00	$133.20
Mayo covid-19 antibody nucleocapsid total	$123.00	$123.00	$123.00	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$171.00	$171.00	$171.00	$123.75
Mayo deoxyribonuclease antibody titer	$102.60	$102.60	$102.60	$96.00
Mayo dhea (dehydroepiandrosterone)	$479.40	$479.40	$479.40	$333.00
Mayo dihydrotestosterone	$301.80	$301.80	$301.80	$301.80
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid	$141.60	$141.60	$141.60	$141.60
Mayo efpo chloride stool	$267.60	$267.60	$267.60	$102.00
Mayo estriol	$121.80	$121.80	$121.80	$147.20
Mayo estrone	$177.60	$177.60	$177.60	$165.00
Mayo ethosuximide therapeutic drug level	$318.60	$318.60	$318.60	$153.00
Mayo everolimus therapeutic drug level	$359.40	$359.40	$359.40	$210.00
Mayo factor ii	$54.00	$54.00	$54.00	$97.20
Mayo factor v	$338.40	$338.40	$338.40	$189.00
Mayo factor vii	$185.40	$185.40	$185.40	$185.40
Mayo factor viii vw factor antigen	$239.40	$239.40	$239.40	$176.40
Mayo factor viii vw factor multimetric analysis	$239.40	$239.40	$239.40	$243.60
Mayo factor viii vw factor ristocetin cofactor	$239.40	$239.40	$239.40	$289.60
Mayo factor x	$356.40	$356.40	$356.40	$243.75
Mayo factor xi	$162.60	$162.60	$162.60	$196.80
Mayo fat/lipids feces quantitative	$198.00	$198.00	$198.00	$197.40
Mayo ffspg allergen clam igg	$144.00	$144.00	$144.00	$53.40
Mayo fibrinogen antigen	$120.00	$120.00	$120.00	$120.00
Mayo gabapentin bld/srm/plasma therapeutic drug level	$432.00	$432.00	$432.00	$141.00
Mayo gamma-globin full gene sequencing	$7,746.60	$7,746.60	$7,746.60	$8,992.20
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$357.60	$357.60	$357.60	$288.60
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2	$504.00	$504.00	$504.00	$417.00
Mayo hiser histoplasma antibodies immunodiffusion	$186.60	$186.60	$186.60	$161.25
Mayo hla typing a/b/c single antigen	$293.40	$293.40	$293.40	$293.40
Mayo hvdip HIV 1 antibody	$149.40	$149.40	$149.40	$131.40
Mayo hvdip HIV 2 antibody	$149.40	$149.40	$149.40	$97.20
Mayo hydroxyprogesterone 17-d	$466.20	$466.20	$466.20	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$273.00	$273.00	$273.00	$273.00
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$491.40	$491.40	$491.40	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$197.40	$197.40	$197.40	$141.00
Mayo immunoassay tumor antigen quantitative chromogranin a	$364.20	$364.20	$364.20	$186.75
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$187.80	$187.80	$187.80	$153.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$427.20	$427.20	$427.20	$252.75
Mayo infectious agent nucleic acid amplified probe enterovirus	$693.60	$693.60	$693.60	$500.25
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$54.00	$54.00	$54.00	$349.80
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii	$290.40	$290.40	$290.40	$292.50
Mayo infectious agent nucleic acid quantification cytomegalovirus	$505.20	$505.20	$505.20	$366.60
Mayo infectious disease hepatitis c chronic six biochemical assays	$674.40	$674.40	$674.40	$516.60
Mayo infliximab therapeutic drug level	$196.20	$196.20	$196.20	$523.20
Mayo inhab inhibin a	$127.80	$127.80	$127.80	$309.75
Mayo insft insulin free	$117.00	$117.00	$117.00	$117.00
Mayo insulin antibodies	$197.40	$197.40	$197.40	$121.20
Mayo iodine	$202.20	$202.20	$202.20	$202.20
Mayo lacosamide therapeutic drug level	$205.80	$205.80	$205.80	$199.50
Mayo lamotrigine therapeutic drug level	$330.60	$330.60	$330.60	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$37.20	$37.20	$37.20	$93.75
Mayo legionella antibody	$391.20	$391.20	$391.20	$104.40
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$234.00	$234.00	$234.00	$181.50
Mayo manganese	$83.40	$83.40	$83.40	$110.40
Mayo metanephrines plasma	$411.00	$411.00	$411.00	$384.00
Mayo mgle voltage-gated calcium channel antibody each	$235.20	$235.20	$235.20	$235.20
Mayo mgrm acetylcholine receptor binding antibody	$235.20	$235.20	$235.20	$235.20
Mayo microsomal antibody liver-kidney	$219.60	$219.60	$219.60	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$206.40	$206.40	$206.40	$210.00
Mayo molecular pathology procedure level 2 apoe genotype	$1,204.20	$1,204.20	$1,204.20	$1,528.80
Mayo muramidase	$248.40	$248.40	$248.40	$96.75
Mayo muscle-specific kinase (musk) antibody	$235.20	$235.20	$235.20	$235.20
Mayo mycophenolic acid therapeutic drug level	$202.20	$202.20	$202.20	$202.20
Mayo myoglobin	$460.80	$460.80	$460.80	$144.60
Mayo nickel	$269.40	$269.40	$269.40	$178.20
Mayo organic acid methylmalonic single quantitative	$606.00	$606.00	$606.00	$361.50
Mayo oxalate 24 hour urine	$170.40	$170.40	$170.40	$170.40
Mayo parvs parvovirus b19 antibody igg	$365.40	$365.40	$365.40	$136.50
Mayo paval fluorescent antibody screen agna type 1	$132.60	$132.60	$132.60	$192.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$177.60	$177.60	$177.60	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$232.20	$232.20	$232.20	$232.20
Mayo pntft phenytoin free therapeutic drug level	$77.40	$77.40	$77.40	$92.25
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$262.80	$262.80	$262.80	$131.25
Mayo pregnenolone	$349.20	$349.20	$349.20	$222.00
Mayo prmb primidone therapeutic drug level	$107.40	$107.40	$107.40	$129.60
Mayo proinsulin	$435.60	$435.60	$435.60	$262.50
Mayo psaft prostate specific antigen free	$421.20	$421.20	$421.20	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$579.00	$579.00	$579.00	$323.40
Mayo receptor assay transferrin soluble	$579.00	$579.00	$579.00	$193.50
Mayo renin	$184.20	$184.20	$184.20	$168.60
Mayo repu protein electrophoresis urine	$219.60	$219.60	$219.60	$194.40
Mayo selenium	$150.60	$150.60	$150.60	$177.00
Mayo serotonin	$631.20	$631.20	$631.20	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$85.20	$85.20	$85.20	$114.60
Mayo sirolimus therapeutic drug level	$280.80	$280.80	$280.80	$173.25
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative	$491.40	$491.40	$491.40	$137.25
Mayo syphilis test non-treponemal antibody qualitative vdrl	$38.40	$38.40	$38.40	$43.80
Mayo tau phosphorylated 217 each	$259.80	$259.80	$259.80	$259.80
Mayo tgrp testosterone free	$72.00	$72.00	$72.00	$128.40
Mayo tgrp testosterone total	$184.20	$184.20	$184.20	$193.50
Mayo thyroglobulin	$184.20	$184.20	$184.20	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$97.80	$97.80	$97.80	$102.60
Mayo ticks babesia microti antibody igg	$121.80	$121.80	$121.80	$126.00
Mayo tulab francisella tularensis antibody igg	$147.60	$147.60	$147.60	$96.60
Mayo vasoactive intestinal peptide	$375.60	$375.60	$375.60	$375.60
Mayo vitamin b-2 (riboflavin)	$251.40	$251.40	$251.40	$138.60
Mayo vitamin b3 (niacin)	$234.00	$234.00	$234.00	$147.00
Mayo vitamin k	$320.40	$320.40	$320.40	$317.25
Mayo zonisamide therapeutic drug level	$307.80	$307.80	$307.80	$210.00
Measurement post void urine by ultrasound	$130.20	$130.20	$130.20	$176.40
Mechlorethamine hcl inj	$690.00	$690.00	$690.00	$690.00
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$533.40	$533.40	$533.40	$252.10
Megestrol 20 mg tabs 100 each bottle	$4.20	$4.20	$4.20	$6.20
Meperidine (pf) 25 mg/ml injection (wrapper)	$23.40	$23.40	$23.40	$16.40
Mepolizumab 100 mg/ml subcutaneous auto-injector	$7,678.20	$7,678.20	$7,678.20	$8,127.60
Meropenem 1 gram intravenous solution	$55.20	$55.20	$55.20	$77.20
Mesna 100 mg/ml intravenous solution	$153.60	$153.60	$153.60	$153.60
Metabolic Blood Panel (Basic)	$186.60	$186.60	$186.60	$97.60
Metabolic Blood Panel (Comprehensive)	$215.40	$215.40	$215.40	$130.97
Methacholine chloride 0.0625 mg/ml nebulization soln	$463.20	$463.20	$463.20	$463.20
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)	$78.20	$78.20	$78.20	$78.20
Methotrexate sodium (pf) 1 gram solution for injection	$332.00	$332.00	$332.00	$284.80
Methotrexate sodium 2.5 mg tablet	$38.60	$38.60	$38.60	$28.65
Methotrexate therapeutic drug level	$438.60	$438.60	$438.60	$129.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$1,135.20	$1,135.20	$1,135.20	$1,620.00
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$53.00	$53.00	$53.00	$42.45
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$504.60	$504.60	$504.60	$504.60
Methylprednisolone 4 mg tablet	$9.00	$9.00	$9.00	$10.80
Methylprednisolone acetate 40 mg/ml suspension for injection	$1.60	$1.60	$1.60	$1.20
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$4.60	$4.60	$4.60	$6.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$5.40	$5.40	$5.40	$10.35
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$0.20	$0.20	$0.20	$3.15
Micafungin 100 mg intravenous solution	$5.80	$5.80	$5.80	$26.20
Microwave bronch, 3d, ebus	$2,913.00	$2,913.00	$2,913.00	$3,523.20
Midazolam 1 mg/ml injection solution	$97.20	$97.20	$97.20	$36.60
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$73.20	$73.20	$73.20	$73.20
Minocycline hydrochloride	$5.20	$5.20	$5.20	$403.80
Mitomycin 40 mg intravenous solution	$3,278.40	$3,278.40	$3,278.40	$1,714.80
Mitomycin instillation	$818.40	$818.40	$818.40	$858.00
Mitoxantrone 2 mg/ml concentrate,intravenous	$1,254.00	$1,254.00	$1,254.00	$1,254.00
Mlh1 gene	$952.80	$952.80	$952.80	$1,123.80
Mlh1 gene dup/delete variant	$1,194.60	$1,194.60	$1,194.60	$1,502.40
Mopath procedure level 1	$238.80	$238.80	$238.80	$873.75
Mopath procedure level 3	$1,052.40	$1,052.40	$1,052.40	$2,046.60
Mopath procedure level 5	$5,040.00	$5,040.00	$5,040.00	$2,734.80
Mopath procedure level 7	$6,588.60	$6,588.60	$6,588.60	$8,366.40
Mopath procedure level 8	$1,792.80	$1,792.80	$1,792.80	$1,687.80
Mopath procedure level 9	$1,819.20	$1,819.20	$1,819.20	$2,250.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$918.00	$918.00	$918.00	$102.60
Morphine 4 mg/ml injection (wrapper)	$1,561.20	$1,561.20	$1,561.20	$27.20
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$322.80	$322.80	$322.80	$349.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$868.80	$868.80	$868.80	$338.40
Mpl gene analysis common variants	$1,011.00	$1,011.00	$1,011.00	$1,227.60
Mr safety determination physician/other qhp	$160.20	$160.20	$160.20	$160.20
Mr safety implant elec prepj	$166.80	$166.80	$166.80	$166.80
Mr sfty implt&/fb asmt stf 1	$44.40	$44.40	$44.40	$44.40
Mr sfty med physics xm cstmz	$439.80	$439.80	$439.80	$439.80
Mra, w/o&w/dye, upper extr	$1,887.00	$1,887.00	$1,887.00	$2,713.80
Msh2 gene dup/delete variant	$1,194.60	$1,194.60	$1,194.60	$1,522.80
Msh2 gene full seq	$1,194.60	$1,194.60	$1,194.60	$1,502.40
Msh6 gene dup/delete variant	$1,194.60	$1,194.60	$1,194.60	$1,523.40
Msh6 gene full seq	$1,194.60	$1,194.60	$1,194.60	$1,522.80
Mthfr gene analy common variants	$275.40	$275.40	$275.40	$357.60
Mucopolysaccharides	$280.80	$280.80	$280.80	$280.80
Mumps antibody igg	$285.60	$285.60	$285.60	$168.75
Mycophenolate mofetil 250 mg capsule	$120.00	$120.00	$120.00	$79.60
Mycoplasma antibody igm	$581.40	$581.40	$581.40	$129.75
Myd88 gene p.leu265pro vrnt	$282.00	$282.00	$282.00	$888.60
Myelogphy 2/> spine regions	$4,064.40	$4,064.40	$4,064.40	$4,064.40
Myelography l-s spine	$3,447.00	$3,447.00	$3,447.00	$3,447.00
Myelography neck spine	$3,476.40	$3,476.40	$3,476.40	$3,476.40
Myelography thoracic spine	$2,874.60	$2,874.60	$2,874.60	$2,874.60
Myelography via inj w/s&i 2+ regions	$4,064.40	$4,064.40	$4,064.40	$2,289.60
Myelography via inj w/s&i cervical	$3,476.40	$3,476.40	$3,476.40	$2,289.60
Myelography via inj w/s&i lumbosacral	$3,447.00	$3,447.00	$3,447.00	$2,289.60
Myelography via inj w/s&i thoracic	$2,874.60	$2,874.60	$2,874.60	$2,572.50
Myeloperoxidase ab multi step qualitative/semiquantitative	$273.00	$273.00	$273.00	$126.00
Nafcillin 2 gram solution for injection	$1.80	$1.80	$1.80	$2.00
Nalbuphine 10 mg/ml injection solution	$16.20	$16.20	$16.20	$22.20
Naltrexone, depot form	$7,275.00	$7,275.00	$7,275.00	$5,794.40
Nasopharyngoscopy w/endoscope	$365.40	$365.40	$365.40	$365.40
Natalizumab 300 mg/15 ml intravenous solution	$28,621.80	$28,621.80	$28,621.80	$28,621.80
Natriuretic peptide	$342.00	$342.00	$342.00	$287.40
Natural killer cells total count	$112.80	$112.80	$112.80	$262.50
Ndl emg musc 1 xtr/non-limb	$205.80	$205.80	$205.80	$241.20
Neck (Cervical Spine) CT scan (with and without contrast)	$3,574.80	$3,574.80	$3,574.80	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$3,176.40	$3,176.40	$3,176.40	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$2,108.40	$2,108.40	$2,108.40	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$3,867.60	$3,867.60	$3,867.60	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$2,941.20	$2,941.20	$2,941.20	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$2,424.00	$2,424.00	$2,424.00	$1,947.58
Neck MRA (blood vessel MRI, with and without contrast)	$3,826.20	$3,826.20	$3,826.20	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$3,207.00	$3,207.00	$3,207.00	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$2,366.40	$2,366.40	$2,366.40	$1,790.58
Neisseria meningitidis	$139.80	$139.80	$139.80	$223.80
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$175.20	$175.20	$175.20	$99.51
Nicardipine 25 mg/10 ml intravenous solution	$3.00	$3.00	$3.00	$3.80
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$4.00	$4.00	$4.00	$4.00
Nivolumab 10 mg/ml intravenous solution (wrapper)	$12,144.00	$12,144.00	$12,144.00	$104.40
Njx interlaminar crv/thrc	$3,015.60	$3,015.60	$3,015.60	$2,476.80
Nm imaging bone/joint 3 phase study	$1,684.80	$1,684.80	$1,684.80	$2,037.60
Nm imaging bone/joint whole body	$1,474.20	$1,474.20	$1,474.20	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$1,651.20	$1,651.20	$1,651.20	$1,651.20
Nm imaging gastric emptying study	$1,510.20	$1,510.20	$1,510.20	$1,510.20
Nm imaging gastrointestinal acute blood loss	$1,691.40	$1,691.40	$1,691.40	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$1,956.60	$1,956.60	$1,956.60	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$1,658.40	$1,658.40	$1,658.40	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$2,217.00	$2,217.00	$2,217.00	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,494.00	$1,494.00	$1,494.00	$1,335.00
Nm radiopharmaceutical therapy oral administration	$944.40	$944.40	$944.40	$944.40
Non-card vasc flow imaging	$417.60	$417.60	$417.60	$504.80
Npm1 gene	$1,905.60	$1,905.60	$1,905.60	$1,905.60
Nuclear Stress Test (Heart)	$4,206.60	$4,206.60	$4,206.60	$3,799.90
Nuclear exam of tear flow	$637.20	$637.20	$637.20	$770.40
Nuclear rx IV admin	$2,610.00	$2,610.00	$2,610.00	$1,408.20
Nuclear rx intracav admin	$3,139.20	$3,139.20	$3,139.20	$1,755.00
Nudt15 gene common variants	$450.00	$450.00	$450.00	$477.00
Ob Ultrasound nuchal meas 1 gest	$519.60	$519.60	$519.60	$519.60
Obinutuzumab 1,000 mg/40 ml intravenous solution	$898.20	$898.20	$898.20	$236.00
Observation direct referral from physician office for admission	$117.00	$117.00	$117.00	$138.00
Observation per hour	$176.40	$176.40	$176.40	$793.20
Obstetrics panel	$228.00	$228.00	$228.00	$320.40
Octreotide acetate 100 mcg/ml injection (wrapper)	$220.80	$220.80	$220.80	$558.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$28,302.00	$28,302.00	$28,302.00	$23,098.20
Oil silicone ophth 8.5ml silikon 1000	$2,292.60	$2,292.60	$2,292.60	$1,824.80
Olanzapine 10 mg intramuscular solution	$12.80	$12.80	$12.80	$30.00
Ondansetron 4 mg s0119	$136.80	$136.80	$136.80	$228.80
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$27.40	$27.40	$27.40	$34.32
Ophthalmic mitomycin	$1,663.20	$1,663.20	$1,663.20	$1,663.20
Oral aprepitant	$1,583.40	$1,583.40	$1,583.40	$1,012.80
Oral busulfan	$24.60	$24.60	$24.60	$24.60
Oral everolimus	$115.20	$115.20	$115.20	$1,208.40
Organic acids total quant ea spec	$277.20	$277.20	$277.20	$277.20
Oritavancin 400 mg intravenous solution	$13,431.00	$13,431.00	$13,431.00	$105.60
Orphenadrine citrate 30 mg/ml injection solution	$61.00	$61.00	$61.00	$61.00
Oscillation chest wall mechanical per session	$128.40	$128.40	$128.40	$235.20
Osmolality blood	$111.00	$111.00	$111.00	$77.25
Osmolality urine	$361.20	$361.20	$361.20	$90.60
Ot evaluation high complexity patient/family	$197.40	$197.40	$197.40	$285.75
Ot evaluation low complexity patient/family	$197.40	$197.40	$197.40	$272.25
Ot evaluation moderate complexity patient/family	$197.40	$197.40	$197.40	$285.75
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$82.80	$82.80	$82.80	$122.25
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$130.20	$130.20	$130.20	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$130.20	$130.20	$130.20	$130.20
Ot re-evaluation patient/family	$97.20	$97.20	$97.20	$138.60
Ot therapeutic activities direct patient contact each 15 minutes	$130.20	$130.20	$130.20	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$101.40	$101.40	$101.40	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$101.40	$101.40	$101.40	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$130.20	$130.20	$130.20	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$130.20	$130.20	$130.20	$117.00
Ot training self care/home management direct contact each 15 minutes	$130.20	$130.20	$130.20	$115.80
Other immunoelectrophoresis	$132.60	$132.60	$132.60	$132.60
Oxaliplatin 5 mg/ml desensitization	$1,965.00	$1,965.00	$1,965.00	$97.20
Oxytocin 10 unit/ml injection solution	$29.00	$29.00	$29.00	$29.00
P-32 chromic phos ther per mci	$1,084.20	$1,084.20	$1,084.20	$1,084.20
P-32 sod phosphate ther per mci	$222.60	$222.60	$222.60	$268.80
PSA (Prostate) Test	$208.20	$208.20	$208.20	$103.85
Paclitaxel 6 mg/ml concentrate,intravenous	$300.60	$300.60	$300.60	$47.20
Paclitaxel protein-bound 100 mg intravenous suspension	$6,166.20	$6,166.20	$6,166.20	$963.60
Paliperidone 117 mg/0.75 ml inj	$9,557.40	$9,557.40	$9,557.40	$6,272.41
Palivizumab 50 mg/0.5 ml inj	$6,940.20	$6,940.20	$6,940.20	$6,940.20
Palonosetron hcl	$378.60	$378.60	$378.60	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$200.00	$200.00	$200.00	$200.00
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr	$30.80	$30.80	$30.80	$30.80
Papaverin hcl injection	$264.80	$264.80	$264.80	$123.60
Parathormone (pth) intact	$188.40	$188.40	$188.40	$228.00
Parathyrd planar w/spect&ct	$2,233.80	$2,233.80	$2,233.80	$2,145.00
Parathyroid planar imaging	$1,859.40	$1,859.40	$1,859.40	$1,436.25
Parathyroid planar img w/tomo spect	$1,859.40	$1,859.40	$1,859.40	$1,859.40
Paricalcitol	$28.20	$28.20	$28.20	$35.52
Particle matristem matrix 1000mg micron-q4118-cost per mg	$5,607.60	$5,607.60	$5,607.60	$7,136.40
Passy muir valve metal trach	$289.80	$289.80	$289.80	$350.40
Path clin consltj sf 5-20	$188.40	$188.40	$188.40	$198.60
Pegaspargase injection	$62,371.80	$62,371.80	$62,371.80	$62,371.80
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$18,128.40	$18,128.40	$18,128.40	$10,699.80
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$1,035.20	$1,035.20	$1,035.20	$2,112.00
Pegloticase 8 mg/ml intravenous solution	$94,586.40	$94,586.40	$94,586.40	$94,586.40
Pegunigalsidase alfa-iwxj	$548.00	$548.00	$548.00	$526.20
Pelvic CT scan (with and without contrast)	$2,533.80	$2,533.80	$2,533.80	$1,992.00
Pelvic CT scan (with contrast)	$1,902.00	$1,902.00	$1,902.00	$1,706.25
Pelvic CT scan (without contrast)	$1,313.40	$1,313.40	$1,313.40	$1,366.50
Pelvic MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,713.80
Pelvic MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$1,966.42
Pelvic MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,810.38
Pelvic Ultrasound (complete)	$732.00	$732.00	$732.00	$647.87
Pelvic Ultrasound (limited)	$718.80	$718.80	$718.80	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$21,534.00	$21,534.00	$21,534.00	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$15,666.00	$15,666.00	$15,666.00	$3,134.40
Peng benzathine/procaine inj	$581.40	$581.40	$581.40	$251.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$1,494.00	$1,494.00	$1,494.00	$1,422.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$136.80	$136.80	$136.80	$192.60
Penile vascular study	$669.60	$669.60	$669.60	$948.75
Pentobarbital sodium inj	$115.20	$115.20	$115.20	$63.60
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$1,066.20	$1,066.20	$1,066.20	$1,066.20
Perq dev breast 1st strtctc	$1,793.40	$1,793.40	$1,793.40	$1,793.40
Perq rplcmt g-tube req revsn gstrst trk	$1,759.80	$1,759.80	$1,759.80	$1,550.40
Pertuzumab 30 mg/ml desensitization	$22,539.60	$22,539.60	$22,539.60	$22,539.60
Pfc sigma fem post aug sz3 8mm	$19,378.20	$19,378.20	$19,378.20	$26,256.60
Ph body fluid	$39.60	$39.60	$39.60	$45.00
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$128.80	$128.80	$128.80	$42.15
Phenobarbital therapeutic drug level	$163.80	$163.80	$163.80	$153.00
Phentolaine mesylate inj	$1,968.60	$1,968.60	$1,968.60	$1,028.40
Phenylephrine 10 mg/ml injection solution	$0.60	$0.60	$0.60	$0.14
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$15.00	$15.00	$15.00	$417.00
Phenytoin total therapeutic drug level	$114.00	$114.00	$114.00	$114.00
Phlebotomy therapeutic	$193.20	$193.20	$193.20	$292.80
Phosphorus	$262.80	$262.80	$262.80	$57.75
Phosphorus 24 hour urine	$262.80	$262.80	$262.80	$91.20
Phys blood bank serv reactj	$398.40	$398.40	$398.40	$398.40
Phytonadione (vitamin k1) 10 mg/ml injection solution	$220.80	$220.80	$220.80	$52.80
Piperacillin-tazobactam 3.375 gram intravenous solution	$114.00	$114.00	$114.00	$115.20
Place po breast cath for rad	$595.80	$595.80	$595.80	$595.80
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$1,141.20	$1,141.20	$1,141.20	$1,562.25
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$1,141.20	$1,141.20	$1,141.20	$1,380.00
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$946.80	$946.80	$946.80	$1,564.20
Platelet aggregation each agent teg	$385.80	$385.80	$385.80	$223.50
Platelet automated	$35.40	$35.40	$35.40	$42.80
Platelets hla matched leukocytes reduced apheresis/pheresis each unit	$4,062.00	$4,062.00	$4,062.00	$4,159.50
Platelets pheresis leukocytes reduced each unit	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Platelets pheresis leukocytes reduced irradiated each unit	$2,893.20	$2,893.20	$2,893.20	$2,893.20
Platelets pheresis pathogen-reduced each unit	$1,791.00	$1,791.00	$1,791.00	$1,791.00
Plc pq device breast ea addl lesion Ultrasound guide	$946.80	$946.80	$946.80	$969.00
Plc pq device breast ea addl lesion stereo guide	$1,619.40	$1,619.40	$1,619.40	$1,619.40
Plethysmography lung volumes/airway resistance	$234.00	$234.00	$234.00	$368.25
Pms2 gene dup/delet variants	$1,194.60	$1,194.60	$1,194.60	$1,522.80
Pms2 gene full seq analysis	$1,194.60	$1,194.60	$1,194.60	$1,522.80
Poct blood gases ph pco2 po2 arterial calculated o2	$268.20	$268.20	$268.20	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$36,544.20	$36,544.20	$36,544.20	$36,544.20
Positioner proc acufex leg acs	$42.60	$42.60	$42.60	$51.40
Potassium 24 hour urine	$52.20	$52.20	$52.20	$63.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$61.80	$61.80	$61.80	$70.80
Potassium serum/plasma/whole blood	$39.60	$39.60	$39.60	$47.80
Pq dr cath chg w cont s&i	$1,347.00	$1,347.00	$1,347.00	$1,347.00
Pq thr inj ext pse	$730.80	$730.80	$730.80	$918.00
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr	$6,141.00	$6,141.00	$6,141.00	$4,150.20
Pr application of long arm splint	$471.00	$471.00	$471.00	$471.00
Pr application splint static short arm	$471.00	$471.00	$471.00	$307.50
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$31.20	$31.20	$31.20	$30.00
Pr cystourethroscopy with insertion indwelling ureteral stent	$4,764.60	$4,764.60	$4,764.60	$3,769.20
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$589.80	$589.80	$589.80	$428.25
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$4,078.80	$4,078.80	$4,078.80	$2,795.25
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm	$3,599.40	$3,599.40	$3,599.40	$2,080.80
Pr excision nail/nail matrix partial/complete permanent removal	$1,470.60	$1,470.60	$1,470.60	$1,233.00
Pr incision & drainage abscess complicated/multiple	$589.80	$589.80	$589.80	$712.80
Pr incision & drainage abscess simple/single	$589.80	$589.80	$589.80	$484.20
Pr incision & drainage abscess vulva/perineal	$825.60	$825.60	$825.60	$831.60
Pr incision & removal foreign body subcutaneous tissues simple	$589.80	$589.80	$589.80	$589.80
Pr moderate sedation same physician >= 5 years initial 15 minutes	$147.00	$147.00	$147.00	$330.00
Pr removal foreign body external auditory canal without anesthesia	$247.20	$247.20	$247.20	$298.40
Pr removal intrauterine device	$589.80	$589.80	$589.80	$589.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$825.60	$825.60	$825.60	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$589.80	$589.80	$589.80	$477.00
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$589.80	$589.80	$589.80	$477.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$589.80	$589.80	$589.80	$477.00
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$589.80	$589.80	$589.80	$520.80
Pr tube thoracostomy w/connection to drainage open	$2,172.00	$2,172.00	$2,172.00	$2,412.60
Pralidoxime 1 gram solution for injection	$399.60	$399.60	$399.60	$297.18
Prealbumin	$114.00	$114.00	$114.00	$114.00
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution	$13.80	$13.80	$13.80	$13.80
Prednisone 1 mg tablet	$14.80	$14.80	$14.80	$3.00
Pregnancy Ultrasound (complete, after first trimester)	$690.60	$690.60	$690.60	$607.12
Pregnancy Ultrasound (first trimester)	$690.60	$690.60	$690.60	$592.15
Pregnancy associated plasma protein-a	$171.60	$171.60	$171.60	$144.60
Pressure max expiratory/inspiratory	$154.20	$154.20	$154.20	$187.20
Pretreat rbc absorption reference	$97.80	$97.80	$97.80	$128.25
Pretreat rbc w chem/drugs reference	$243.60	$243.60	$243.60	$225.60
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$187.80	$187.80	$187.80	$139.80
Procainamide 100 mg/ml injection (wrapper)	$533.60	$533.60	$533.60	$225.00
Procalcitonin	$133.80	$133.80	$133.80	$161.60
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$115.20	$115.20	$115.20	$63.42
Progesterone	$268.20	$268.20	$268.20	$181.20
Prolactin	$307.20	$307.20	$307.20	$191.25
Promethazine hcl injection	$8.40	$8.40	$8.40	$10.99
Propofol infusion 10 mg/ml	$174.00	$174.00	$174.00	$21.45
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$4.80	$4.80	$4.80	$16.46
Prostate biopsy, any mthd	$97.80	$97.80	$97.80	$308.40
Protamine 10 mg/ml intravenous solution	$115.20	$115.20	$115.20	$112.23
Protein c activity	$310.20	$310.20	$310.20	$121.20
Protein electrophoretic fractionation & quantitation serum	$171.60	$171.60	$171.60	$171.60
Protein s total	$551.40	$551.40	$551.40	$181.50
Protein total 24 hour urine	$55.20	$55.20	$55.20	$45.00
Protein total body fluid	$82.80	$82.80	$82.80	$81.75
Protein total serum plasma whole blood	$86.40	$86.40	$86.40	$46.50
Prothrombin complex kcentra	$13.80	$13.80	$13.80	$8.25
Prothrombin time substitution plasma fractions each	$190.20	$190.20	$190.20	$66.00
Pt application of modality >=1 area electrical stimulation each 15 minutes	$103.20	$103.20	$103.20	$103.20
Pt application of modality >=1 area hot/cold packs	$38.40	$38.40	$38.40	$47.00
Pt application of modality >=1 area iontophoresis each 15 minutes	$103.20	$103.20	$103.20	$103.20
Pt application of modality >=1 area ultrasound each 15 minutes	$101.40	$101.40	$101.40	$101.40
Pt application of modality traction mechanical	$103.20	$103.20	$103.20	$119.25
Pt evaluation high complexity patient/family	$197.40	$197.40	$197.40	$297.00
Pt evaluation low complexity patient/family	$197.40	$197.40	$197.40	$264.00
Pt evaluation moderate complexity patient/family	$197.40	$197.40	$197.40	$276.00
Pt re-evaluation patient/family	$97.20	$97.20	$97.20	$129.60
Pt repositioning canalith procedure(s) per day	$223.20	$223.20	$223.20	$223.20
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$114.00	$114.00	$114.00	$114.00
Pt therapeutic procedure >=1 area gait training each 15 minutes	$130.20	$130.20	$130.20	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$130.20	$130.20	$130.20	$110.40
Pt wheelchair management each 15 minutes	$165.60	$165.60	$165.60	$81.75
Pulmonary vent imaging	$1,403.40	$1,403.40	$1,403.40	$705.60
Pulse ox continuous overnight monitoring	$302.40	$302.40	$302.40	$350.40
Pulse ox multiple	$388.20	$388.20	$388.20	$251.40
Pulse ox single	$62.40	$62.40	$62.40	$91.20
Puncture arterial withdrawal blood for diagnosis	$87.60	$87.60	$87.60	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$1,119.00	$1,119.00	$1,119.00	$496.20
Puncture spinal lumbar diagnostic	$1,470.60	$1,470.60	$1,470.60	$1,230.60
Pyridoxine hcl 100 mg	$70.20	$70.20	$70.20	$29.11
Quant diff pulm perf and vent w/imaging	$3,089.40	$3,089.40	$3,089.40	$2,655.60
Quant diff pulm perf w/imaging	$1,126.20	$1,126.20	$1,126.20	$1,362.40
Quest t3 uptake	$295.20	$295.20	$295.20	$96.75
Rabies ig heat-treated human im/subq 90376	$3,289.80	$3,289.80	$3,289.80	$3,103.43
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$15,010.80	$15,010.80	$15,010.80	$880.00
Radium ra223 dichl ther/uci	$384.60	$384.60	$384.60	$389.40
Radphm lcl tmr plnr bdy sgl day img	$1,360.80	$1,360.80	$1,360.80	$2,283.00
Radphm lcl tmr plnr bdy two day img	$2,386.20	$2,386.20	$2,386.20	$2,386.20
Radphm lcl tmr spect/ct 2+ areas/2+ days	$2,767.80	$2,767.80	$2,767.80	$3,347.20
Radphm lcl tomogr sgl area sgl day	$2,767.80	$2,767.80	$2,767.80	$2,929.80
Radphm lcl tumor plr sgl day	$769.20	$769.20	$769.20	$1,070.40
Radphm quant measure sgl area add-on	$2,767.80	$2,767.80	$2,767.80	$2,764.20
Ramucirumab 10 mg/ml intravenous solution	$5,140.20	$5,140.20	$5,140.20	$187.20
Rapid Strep Test	$29.40	$29.40	$29.40	$72.00
Rasburicase 1.5 mg intravenous solution	$3,833.40	$3,833.40	$3,833.40	$9,544.20
Ravulizumab-cwvz 100 mg/ml intravenous solution	$14,859.00	$14,859.00	$14,859.00	$71,857.80
Rbc count only automated	$17.40	$17.40	$17.40	$22.80
Rbc serum pretx incubj drugs	$189.60	$189.60	$189.60	$192.60
Red blood cells each unit	$759.60	$759.60	$759.60	$759.60
Red blood cells leukocytes reduced each unit	$1,027.80	$1,027.80	$1,027.80	$830.25
Red blood cells leukocytes reduced irradiated each unit	$1,189.20	$1,189.20	$1,189.20	$837.00
Red cell sequestration	$2,616.00	$2,616.00	$2,616.00	$2,616.00
Rem/biv cast full arm/leg	$471.00	$471.00	$471.00	$450.00
Remdesivir 100 mg intravenous powder for solution	$16.00	$16.00	$16.00	$16.80
Removal central venous catheter tunneled without port/pump	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Removal cerumen impacted (both sides)	$247.20	$247.20	$247.20	$168.00
Removal devitalized tissue non-selective debridement without anesthesia per session	$589.80	$589.80	$589.80	$343.50
Removal embedded foreign body vestibule mouth smpl	$1,767.60	$1,767.60	$1,767.60	$1,051.50
Removal foreign body foot subcutaneous right	$1,470.60	$1,470.60	$1,470.60	$873.00
Removal skin tags fibrocutaneous any area <= 15 lesions	$471.00	$471.00	$471.00	$628.20
Removal sutr and stapl no anes	$39.00	$39.00	$39.00	$39.00
Removal sutr or stapl no anes	$27.60	$27.60	$27.60	$27.60
Remove ext hem groups 2+	$3,934.20	$3,934.20	$3,934.20	$3,934.20
Remove foreign body from eye	$4,494.00	$4,494.00	$4,494.00	$3,769.20
Renal function panel	$156.00	$156.00	$156.00	$156.00
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Repair dental ellis ii fx	$229.80	$229.80	$229.80	$278.40
Repair of eye wound	$6,981.00	$6,981.00	$6,981.00	$5,322.00
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$4,942.20	$4,942.20	$4,942.20	$2,260.20
Repair rpr lip full thickness vermilion only	$3,349.80	$3,349.80	$3,349.80	$2,916.60
Replace duod/jej tube perc	$1,868.40	$1,868.40	$1,868.40	$2,618.40
Replace g-j tube perc	$3,105.00	$3,105.00	$3,105.00	$3,246.60
Reptilase test	$87.60	$87.60	$87.60	$97.20
Rerepair ing hernia reduce	$7,126.80	$7,126.80	$7,126.80	$7,126.80
Resuscitation cardiopulmonary	$603.60	$603.60	$603.60	$843.00
Reticulocyte automated	$75.60	$75.60	$75.60	$54.75
Rheumatoid factor qualitative	$75.00	$75.00	$75.00	$75.00
Rheumatoid factor quantitative	$141.60	$141.60	$141.60	$98.25
Rho d immune globulin inj	$728.80	$728.80	$728.80	$622.40
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe	$163.20	$163.20	$163.20	$172.80
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$0.20	$0.20	$0.20	$4.20
Ring fx reform 11-13x17mm	$422.40	$422.40	$422.40	$1,509.75
Risankizumab-rzaa 60 mg/ml intravenous solution	$26.40	$26.40	$26.40	$26.40
Risperidone microspheres 12.5 mg/2 ml inj	$4,199.40	$4,199.40	$4,199.40	$4,199.40
Rituximab 10 mg/ml concentrate,intravenous	$21,757.20	$21,757.20	$21,757.20	$433.20
Rituximab-pvvr 10 mg/ml intravenous solution	$199.20	$199.20	$199.20	$7,826.40
Rmvl foreign body upper arm/elbow subcutaneous	$1,470.60	$1,470.60	$1,470.60	$1,470.60
Romidepsin 10 mg/2 ml intravenous powder for solution	$197.60	$197.60	$197.60	$197.60
Romiplostim 125 mcg subcutaneous solution	$44.60	$44.60	$44.60	$34.60
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$178.80	$178.80	$178.80	$178.80
Rp loclzj tum 2+area 1+d img	$2,298.00	$2,298.00	$2,298.00	$2,070.60
Rp loclzj tum spect w/ct 1	$2,767.80	$2,767.80	$2,767.80	$2,767.80
Rp loclzj tum spect w/ct 2	$3,139.20	$3,139.20	$3,139.20	$3,322.20
Rpl non-tun cvc wo sbq prt/pmp	$2,281.20	$2,281.20	$2,281.20	$2,703.00
Rubella antibody igg	$130.20	$130.20	$130.20	$103.50
Rubeola antibody igg	$219.60	$219.60	$219.60	$166.50
Russell viper venom diluted	$424.20	$424.20	$424.20	$119.40
Sacituzumab govitecan-hziy 180 mg intravenous solution	$66.60	$66.60	$66.60	$5,043.00
Salivary glnd img serial img	$1,621.80	$1,621.80	$1,621.80	$1,621.80
Sarscov coronavirus ag ia	$34.80	$34.80	$34.80	$34.80
Scan duplex abd/pelvis/retroperitoneal complete	$1,265.40	$1,265.40	$1,265.40	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$1,044.00	$1,044.00	$1,044.00	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$1,054.80	$1,054.80	$1,054.80	$819.60
Scan duplex aorta/ivc/iliac unilateral/limited	$931.80	$931.80	$931.80	$724.50
Scan duplex extracranial arteries unilateral/limited study	$861.00	$861.00	$861.00	$672.00
Scan duplex extremity veins unilateral/limited study	$847.80	$847.80	$847.80	$829.20
Scan duplex lower extremity arteries complete bilateral	$1,678.20	$1,678.20	$1,678.20	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$986.40	$986.40	$986.40	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$931.80	$931.80	$931.80	$855.75
Scr c/v cyto,thinlayer,rescr	$82.20	$82.20	$82.20	$78.00
Screen cerv/vag thin layer	$64.20	$64.20	$64.20	$61.20
Screening Colonoscopy (average risk)	$1,512.00	$1,512.00	$1,512.00	$1,440.00
Screening Colonoscopy (high risk)	$1,575.00	$1,575.00	$1,575.00	$1,864.80
Screening Mammogram	$237.60	$237.60	$237.60	$331.50
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations	$241.20	$241.20	$241.20	$241.20
Screening hepatitis b non-obstetric high risk	$142.20	$142.20	$142.20	$63.00
Screening hepatitis c antibody high risk	$208.20	$208.20	$208.20	$46.80
Screening prostate cancer PSA	$100.80	$100.80	$100.80	$96.00
Screw cortex 2.0 x 10mm	$10,326.60	$10,326.60	$10,326.60	$15,714.60
Sedimentation rate erythrocyte automated	$57.00	$57.00	$57.00	$57.00
Semen analysis presence/motility	$118.20	$118.20	$118.20	$118.20
Semen analysis w/count	$176.40	$176.40	$176.40	$64.20
Serpina1 gene	$295.20	$295.20	$295.20	$345.60
Shave sgl skin lsn s/n/h/f/g 0.5cm/<	$408.60	$408.60	$408.60	$494.40
Shoulder MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,650.10
Shoulder MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,822.25
Shoulder MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,938.28
Shoulder X-ray	$307.20	$307.20	$307.20	$307.20
Shunt glaucoma baerveldt 350mm	$5,572.20	$5,572.20	$5,572.20	$4,636.80
Sialography s&i	$1,283.40	$1,283.40	$1,283.40	$1,283.40
Sickling rbc	$81.00	$81.00	$81.00	$81.00
Sigmoidoscopy and biopsy	$3,156.60	$3,156.60	$3,156.60	$1,864.80
Sigmoidoscopy w/tumr remove	$3,252.60	$3,252.60	$3,252.60	$2,314.50
Sincalide 5 mcg solution for injection	$516.00	$516.00	$516.00	$475.20
Sinus CT scan (with and without contrast)	$2,712.60	$2,712.60	$2,712.60	$1,871.00
Sinus CT scan (with contrast)	$2,160.00	$2,160.00	$2,160.00	$1,566.40
Sinus CT scan (without contrast)	$1,590.60	$1,590.60	$1,590.60	$1,275.30
Sirolimus, oral	$180.00	$180.00	$180.00	$180.00
Sling arm deluxe w/pad xs	$201.60	$201.60	$201.60	$197.40
Sling suprapubic suburetheral	$4,039.80	$4,039.80	$4,039.80	$7,586.40
Slp eval non-spch gen comm dev	$310.20	$310.20	$310.20	$310.20
Sm-153 lexidron ther	$12,410.40	$12,410.40	$12,410.40	$12,410.40
Small bowel endoscopy	$3,358.20	$3,358.20	$3,358.20	$2,467.50
Small bowel endoscopy br/wa	$3,358.20	$3,358.20	$3,358.20	$1,895.40
Smear fluorescent and/or acid fast stain	$91.80	$91.80	$91.80	$83.25
Smear gram stain	$91.80	$91.80	$91.80	$55.80
Smear nasal eosinophil	$101.40	$101.40	$101.40	$89.40
Smear special stain inclusion bodies/parasites	$194.40	$194.40	$194.40	$46.20
Smear wet mount	$111.60	$111.60	$111.60	$78.75
Sodium 24 hour urine	$52.20	$52.20	$52.20	$52.20
Sodium chloride 0.9 % IV bolus	$32.40	$32.40	$32.40	$32.40
Sodium chloride 0.9 % IV bolus	$22.20	$22.20	$22.20	$22.20
Sodium chloride 0.9 % intravenous solution	$26.00	$26.00	$26.00	$33.28
Sodium chloride 3 % ivpb	$26.40	$26.40	$26.40	$21.60
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$147.60	$147.60	$147.60	$43.20
Sodium serum/plasma/whole blood	$39.60	$39.60	$39.60	$44.25
Specific gravity body fluid	$42.60	$42.60	$42.60	$25.80
Speech evaluation complex	$971.40	$971.40	$971.40	$971.40
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,360.20	$1,360.20	$1,360.20	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$526.80	$526.80	$526.80	$543.75
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii	$542.40	$542.40	$542.40	$542.40
Splint extn xsm w sof-stretch rolyan	$108.00	$108.00	$108.00	$93.00
Splint rstrc wrst/cmc right med	$122.40	$122.40	$122.40	$122.40
Sr-89 stront chlor ther / mci	$2,293.20	$2,293.20	$2,293.20	$2,773.60
St analysis behavior qualitative voice/resonance	$310.20	$310.20	$310.20	$326.25
St cognitve performance testing healthcare professional each hour	$392.40	$392.40	$392.40	$330.75
St evaluate speech sound production	$310.20	$310.20	$310.20	$310.20
St evaluate speech sound production comprehensive/expressive	$310.20	$310.20	$310.20	$351.00
St evaluation motion fluoroscopic swallow function cine/video	$249.60	$249.60	$249.60	$455.40
St evaluation swallow function	$249.60	$249.60	$249.60	$416.40
St treatment speech individual	$180.00	$180.00	$180.00	$217.60
St treatment swallow dysfunction/oral	$179.40	$179.40	$179.40	$288.00
Stent axios caut enh 15x10mm electrocaut	$8,935.20	$8,935.20	$8,935.20	$32,602.80
Stent bili dbl pgtl 10fx5cm	$477.60	$477.60	$477.60	$810.00
Stent bili rx wallflx 10x80 uncvr	$6,513.00	$6,513.00	$6,513.00	$33,109.80
Strapping of ankle and/or ft 29540	$315.60	$315.60	$315.60	$315.60
Strapping of elbow or wrist 29260	$471.00	$471.00	$471.00	$453.00
Strapping of knee	$243.60	$243.60	$243.60	$243.60
Strep a ag ia	$76.80	$76.80	$76.80	$76.80
Strep b dna amp probe	$107.40	$107.40	$107.40	$194.40
Stress tte complete	$1,989.60	$1,989.60	$1,989.60	$1,989.60
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$73.20	$73.20	$73.20	$22.19
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution	$0.40	$0.40	$0.40	$0.40
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$148.00	$148.00	$148.00	$167.98
Support clav 29.6-40.5in med	$180.60	$180.60	$180.60	$131.40
Surgical pathology level 1 gross examination only	$48.00	$48.00	$48.00	$62.40
Surgical pathology level 2 gross & microscopic examination	$189.00	$189.00	$189.00	$189.00
Surgical pathology level 3 gross & microscopic examination	$212.40	$212.40	$212.40	$236.40
Surgical pathology level 4 gross & microscopic examination	$250.20	$250.20	$250.20	$302.40
Surgical pathology level 5 gross & microscopic examination	$408.00	$408.00	$408.00	$493.60
Surgical pathology level 6 gross & microscopic examination	$619.20	$619.20	$619.20	$691.20
Susceptibility agar dilution per agent	$91.80	$91.80	$91.80	$91.80
Susceptibility enzyme detection per enzyme	$16.80	$16.80	$16.80	$25.80
Susceptibility mic per plate	$187.80	$187.80	$187.80	$96.00
Syphilis test non-treponemal antibody quantitative rpr	$76.80	$76.80	$76.80	$70.50
System pcmkr dual chamber leadless micra av2 intrdcr cath	$6,970.20	$6,970.20	$6,970.20	$11,441.25
T cells absolute cd 4 count	$144.00	$144.00	$144.00	$174.40
T cells absolute cd4/cd8 including ratio	$112.80	$112.80	$112.80	$261.60
T cells total count	$112.80	$112.80	$112.80	$112.80
T3 (triiodothyronine) free	$137.40	$137.40	$137.40	$137.40
T3 (triiodothyronine) total	$222.60	$222.60	$222.60	$155.40
T4 (thyroxine) free	$300.00	$300.00	$300.00	$103.20
T4 (thyroxine) total	$82.80	$82.80	$82.80	$82.80
Tacrol envarsus ex rel oral	$3.40	$3.40	$3.40	$3.40
Tacrolimus 1 mg capsule, immediate-release	$27.60	$27.60	$27.60	$29.40
Tacrolimus 5 mg/ml intravenous solution	$1,588.00	$1,588.00	$1,588.00	$1,588.00
Tacrolimus therapeutic drug level	$276.00	$276.00	$276.00	$174.75
Tamoxifen 10 mg tabs 60 each bottle	$14.80	$14.80	$14.80	$14.80
Target gsa panel hmtlmph neop	$2,947.80	$2,947.80	$2,947.80	$2,947.80
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$797.40	$797.40	$797.40	$697.80
Tb test cell mediated immunity antigen response gamma interferon	$209.40	$209.40	$209.40	$345.00
Tc-99m apcitide diag	$1,761.60	$1,761.60	$1,761.60	$1,761.60
Tc-99m arcitumomab	$2,781.60	$2,781.60	$2,781.60	$2,781.60
Tc-99m bicisate	$697.80	$697.80	$697.80	$844.00
Tc-99m depreotide	$209.40	$209.40	$209.40	$209.40
Tc-99m disofenin	$59.40	$59.40	$59.40	$59.40
Tc-99m fanolesomab diag	$3,894.60	$3,894.60	$3,894.60	$3,894.60
Tc-99m labeled rbc	$147.00	$147.00	$147.00	$282.00
Tc-99m maa	$133.80	$133.80	$133.80	$161.60
Tc-99m mebrofenin	$292.20	$292.20	$292.20	$303.00
Tc-99m medronate	$39.60	$39.60	$39.60	$183.60
Tc-99m mertiatide	$709.20	$709.20	$709.20	$1,978.20
Tc-99m non-heu per study dose	$19.20	$19.20	$19.20	$15.00
Tc-99m oxidronate	$44.40	$44.40	$44.40	$54.20
Tc-99m pentetate dtpa	$55.80	$55.80	$55.80	$122.40
Tc-99m pentetate dtpa aerosol	$196.20	$196.20	$196.20	$231.60
Tc-99m pertechnetate per mci	$59.40	$59.40	$59.40	$43.20
Tc-99m pyroph diag per dose up to 25 mci	$126.00	$126.00	$126.00	$152.00
Tc-99m sestamibi p study dose	$237.60	$237.60	$237.60	$725.40
Tc-99m succimer (dmsa)	$556.20	$556.20	$556.20	$672.80
Tc-99m sulfur colloid	$158.40	$158.40	$158.40	$191.20
Tc-99m tetrofosmin p study dose	$511.20	$511.20	$511.20	$511.20
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$8,196.60	$8,196.60	$8,196.60	$539.40
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$27,148.20	$27,148.20	$27,148.20	$14,427.60
Terbutaline 1 mg/ml subcutaneous solution	$111.20	$111.20	$111.20	$102.00
Test for chlorohydrocarbons	$85.20	$85.20	$85.20	$207.75
Test stress cardiovascular tracing only	$1,618.20	$1,618.20	$1,618.20	$1,618.20
Testicular imaging w/vasc flow	$1,193.40	$1,193.40	$1,193.40	$1,193.40
Tetanus immune globulin inj	$2,306.40	$2,306.40	$2,306.40	$1,524.00
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe	$48.80	$48.80	$48.80	$48.80
Theophylline therapeutic drug level	$163.80	$163.80	$163.80	$163.80
Ther nma rdctj intus/obstrcj	$1,384.80	$1,384.80	$1,384.80	$208.50
Ther/proph/diag inj ia	$378.00	$378.00	$378.00	$369.00
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$42.60	$42.60	$42.60	$38.20
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,422.60	$1,422.60	$1,422.60	$1,542.40
Thrombin time	$81.00	$81.00	$81.00	$87.00
Thyroglobulin antibody	$210.00	$210.00	$210.00	$168.75
Thyroid (TSH) Test	$448.80	$448.80	$448.80	$110.00
Thyroid Ultrasound	$646.20	$646.20	$646.20	$603.90
Thyroid imaging	$1,248.60	$1,248.60	$1,248.60	$1,228.80
Thyroid met imaging	$869.40	$869.40	$869.40	$1,051.20
Thyroid mets imag whole body	$3,225.60	$3,225.60	$3,225.60	$2,013.75
Thyroid uptake measurement	$889.80	$889.80	$889.80	$856.50
Thyroxine binding globulin (tbg)	$208.20	$208.20	$208.20	$129.60
Tigecycline injection	$724.80	$724.80	$724.80	$58.20
Tissue culture skin/biopsy	$1,299.00	$1,299.00	$1,299.00	$1,358.25
Tissue culture tumor	$1,980.00	$1,980.00	$1,980.00	$945.00
Tissue exam koh skin/hair/nails	$70.80	$70.80	$70.80	$70.80
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm	$4,244.40	$4,244.40	$4,244.40	$3,150.60
Tissue transglutaminase iga	$273.00	$273.00	$273.00	$100.20
Tl-201 thallium diag per mci	$50.40	$50.40	$50.40	$169.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$1,094.40	$1,094.40	$1,094.40	$97.60
Tobramycin peak therapeutic drug level	$180.00	$180.00	$180.00	$180.00
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$9,652.20	$9,652.20	$9,652.20	$5,861.40
Tomosynthesis breast diagnostic left	$108.00	$108.00	$108.00	$123.00
Tomosynthesis breast screen bilateral	$57.00	$57.00	$57.00	$65.40
Toxoplasma antibody igg	$241.20	$241.20	$241.20	$188.25
Toxoplasma antibody igm	$241.20	$241.20	$241.20	$106.50
Tpmt gene com vrnts	$450.00	$450.00	$450.00	$477.00
Trabectedin 1 mg intravenous solution	$13,269.60	$13,269.60	$13,269.60	$2,068.20
Transferrin	$108.00	$108.00	$108.00	$108.00
Transfusion blood/blood component(s)	$1,821.00	$1,821.00	$1,821.00	$1,166.25
Trastuzumab 150 mg intravenous solution	$7,007.40	$7,007.40	$7,007.40	$5,762.28
Trastuzumab-qyyp 150 mg intravenous solution	$5,910.00	$5,910.00	$5,910.00	$198.00
Trauma partial team response w/critical care services level 4	$6,141.60	$6,141.60	$6,141.60	$6,448.80
Treat ankle dislocation	$3,135.00	$3,135.00	$3,135.00	$2,574.60
Treat clavicle dislocation 23545	$825.60	$825.60	$825.60	$998.40
Treat elbow dislocation	$3,135.00	$3,135.00	$3,135.00	$2,074.80
Treat elbow fracture	$3,135.00	$3,135.00	$3,135.00	$3,135.00
Treat finger fracture each	$3,135.00	$3,135.00	$3,135.00	$2,055.00
Treat fracture of radius	$825.60	$825.60	$825.60	$1,514.25
Treat fracture of ulna	$499.80	$499.80	$499.80	$2,006.25
Treat hip dislocation	$3,050.40	$3,050.40	$3,050.40	$3,448.20
Treat hip dislocation	$3,349.80	$3,349.80	$3,349.80	$4,357.80
Treat humerus fracture	$3,365.40	$3,365.40	$3,365.40	$3,242.40
Treat humerus fracture	$3,250.80	$3,250.80	$3,250.80	$2,848.80
Treat knee dislocation	$3,135.00	$3,135.00	$3,135.00	$2,767.80
Treat knee fracture 27530	$825.60	$825.60	$825.60	$825.60
Treat kneecap dislocation	$1,931.40	$1,931.40	$1,931.40	$2,554.80
Treat midfoot fracture each	$6,510.60	$6,510.60	$6,510.60	$5,502.00
Treat thigh fracture	$534.60	$534.60	$534.60	$647.20
Treat toe dislocation	$3,505.20	$3,505.20	$3,505.20	$3,505.20
Treat ulnar fracture	$3,365.40	$3,365.40	$3,365.40	$2,979.60
Treat wrist bone fracture	$2,310.00	$2,310.00	$2,310.00	$2,184.60
Treat wrist dislocation	$825.60	$825.60	$825.60	$921.60
Treatment incomplete abortion completed surgically any trimester	$7,126.80	$7,126.80	$7,126.80	$5,405.40
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$246.60	$246.60	$246.60	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$234.00	$234.00	$234.00	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$286.80	$286.80	$286.80	$286.80
Treatment of ankle fracture 27786	$825.60	$825.60	$825.60	$825.60
Treatment of fibula fracture 27780	$825.60	$825.60	$825.60	$769.80
Treatment of heel fracture 28400	$825.60	$825.60	$825.60	$759.00
Treatment of thigh fracture	$3,135.00	$3,135.00	$3,135.00	$2,479.80
Treatment of thigh fracture	$633.60	$633.60	$633.60	$677.25
Treatment of thigh fracture	$825.60	$825.60	$825.60	$825.60
Treatment of toe fracture 28510	$825.60	$825.60	$825.60	$371.40
Treponema pallidum antibody	$146.40	$146.40	$146.40	$150.60
Triamcinolone a inj prs-free	$696.00	$696.00	$696.00	$696.00
Triamcinolone acetonide 40 mg/ml suspension for injection	$55.80	$55.80	$55.80	$45.00
Triglycerides	$121.80	$121.80	$121.80	$80.40
Trim nondyst nails	$130.20	$130.20	$130.20	$138.60
Trimethobenzamide hcl inj	$162.60	$162.60	$162.60	$99.20
Trmt of fracture (femoral shaft) 27500	$729.60	$729.60	$729.60	$759.00
Troponin quantitative	$91.20	$91.20	$91.20	$137.40
Tte w or without fol w/con,stres	$968.40	$968.40	$968.40	$1,171.20
Tube trach disp innr can 5 xlt	$220.80	$220.80	$220.80	$394.80
Tx closed distal humerus fx	$114.60	$114.60	$114.60	$153.60
Tx closed hip disl traumatic without anes	$825.60	$825.60	$825.60	$998.40
Tx closed tib shaft fx without manip	$718.20	$718.20	$718.20	$718.20
Tx open dstl phlngl fx f/t internal fixation ea	$6,510.60	$6,510.60	$6,510.60	$5,734.80
Tx open nsl fx uncomp	$5,368.20	$5,368.20	$5,368.20	$5,368.20
Tx phalangeal shaft fx open prox/middle ea	$6,497.40	$6,497.40	$6,497.40	$6,170.40
Tx tarsal bone fx without manip 28450	$825.60	$825.60	$825.60	$509.40
Ultrasound abdomen aorta screening study aaa	$288.00	$288.00	$288.00	$288.00
Ultrasound breast complete	$546.60	$546.60	$546.60	$546.60
Ultrasound breast unilateral limited (both sides)	$479.40	$479.40	$479.40	$478.50
Ultrasound chest	$461.40	$461.40	$461.40	$543.60
Ultrasound encephalogram	$610.20	$610.20	$610.20	$520.80
Ultrasound exam k transpl w/doppler	$718.80	$718.80	$718.80	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$540.00	$540.00	$540.00	$540.00
Ultrasound guidance for vascular access	$400.20	$400.20	$400.20	$400.20
Ultrasound guide intraoperative	$628.80	$628.80	$628.80	$628.80
Ultrasound guided needle placement supervision & interpretation	$1,009.80	$1,009.80	$1,009.80	$1,009.80
Ultrasound hips infant dynamic	$1,000.20	$1,000.20	$1,000.20	$516.60
Ultrasound infant hips ltd without stress	$658.80	$658.80	$658.80	$311.25
Ultrasound joint complete left	$847.80	$847.80	$847.80	$808.50
Ultrasound joint/nonvascular extremity limited left	$571.80	$571.80	$571.80	$571.80
Ultrasound ob >=14wks ea addl gest	$309.00	$309.00	$309.00	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$309.00	$309.00	$309.00	$373.60
Ultrasound pregnant uterus follow up per fetus	$690.60	$690.60	$690.60	$597.75
Ultrasound pregnant uterus limited >= 1 fetuses	$658.80	$658.80	$658.80	$630.00
Ultrasound pregnant uterus transvaginal	$678.60	$678.60	$678.60	$703.50
Ultrasound prostate/transrectal	$695.40	$695.40	$695.40	$695.40
Ultrasound retroperitoneal limited	$697.80	$697.80	$697.80	$606.00
Ultrasound scrotum and contents	$646.20	$646.20	$646.20	$735.75
Ultrasound spinal canal and contents	$571.80	$571.80	$571.80	$571.80
Ultrasound transvaginal non obstetric	$678.60	$678.60	$678.60	$820.80
Unlisted CT procedure	$758.40	$758.40	$758.40	$758.40
Unlisted cranfcl&maxlfcl px	$114.60	$114.60	$114.60	$114.60
Unlisted cv px dx nuc med	$1,864.20	$1,864.20	$1,864.20	$1,864.20
Unlisted gi px dx nuc med	$780.60	$780.60	$780.60	$780.60
Unlisted muscskel px dx nuc	$545.40	$545.40	$545.40	$545.40
Unlisted procedure microbiology	$368.40	$368.40	$368.40	$277.50
Unlisted px hands/fingers	$5,383.80	$5,383.80	$5,383.80	$5,143.20
Unlstd hematop ret/endo lymp	$607.20	$607.20	$607.20	$607.20
Upper Back (Thoracic Spine) MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$3,526.20	$3,526.20	$3,526.20	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$3,526.20	$3,526.20	$3,526.20	$1,675.80
Urea nitrogen	$39.60	$39.60	$39.60	$39.60
Urea nitrogen 24 hour urine	$63.60	$63.60	$63.60	$63.00
Ureteral reflux study	$1,861.80	$1,861.80	$1,861.80	$1,353.75
Urethrcystgrphy rtrgrde s&i	$642.60	$642.60	$642.60	$642.60
Urethrocystography void s&i	$1,272.60	$1,272.60	$1,272.60	$880.50
Uric acid blood	$48.60	$48.60	$48.60	$58.50
Uric acid urine	$52.20	$52.20	$52.20	$52.20
Urinalysis (with microscopy)	$70.20	$70.20	$70.20	$36.52
Urinalysis (without microscopy)	$37.80	$37.80	$37.80	$32.50
Urinalysis qual/semiquant excpt ia	$51.00	$51.00	$51.00	$51.00
Urinary bldr retent nuc study	$1,489.80	$1,489.80	$1,489.80	$1,489.80
Urine Culture Test	$218.40	$218.40	$218.40	$65.25
Urine pregnancy test	$112.80	$112.80	$112.80	$69.75
Urography, antegrade	$1,132.80	$1,132.80	$1,132.80	$1,132.80
Ustekinumab 130 mg/26 ml intravenous solution	$7,410.00	$7,410.00	$7,410.00	$55.80
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml	$209.40	$209.40	$209.40	$209.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$340.00	$340.00	$340.00	$340.00
Vaccine hepatitis a (hepa) adult im	$108.00	$108.00	$108.00	$108.00
Vaccine hepatitis b (hepb) adult 3 dose im	$653.40	$653.40	$653.40	$86.40
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im	$168.80	$168.80	$168.80	$168.80
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im	$63.20	$63.20	$63.20	$63.20
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im	$12.60	$12.60	$12.60	$12.60
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$12.00	$12.00	$12.00	$12.00
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im	$54.00	$54.00	$54.00	$54.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$24.00	$24.00	$24.00	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$109.60	$109.60	$109.60	$109.60
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$108.80	$108.80	$108.80	$108.80
Vaccine mmr live subcutaneous	$64.80	$64.80	$64.80	$64.80
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im	$75.00	$75.00	$75.00	$75.00
Vaccine pneumococcal conjugate 13 valent (pcv13) im	$144.00	$144.00	$144.00	$144.00
Vaccine pneumonococcal conjugate 20 valent (pcv20) im	$192.00	$192.00	$192.00	$192.00
Vaccine polio (ipv) subcutaneous/im	$38.40	$38.40	$38.40	$40.20
Vaccine rabies im	$800.00	$800.00	$800.00	$800.00
Vaccine respiratory syncytial virus bivalent subunit/preservative free im	$672.00	$672.00	$672.00	$504.00
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im	$1,184.80	$1,184.80	$1,184.80	$1,195.80
Vaccine td preservative free >= 7 years im	$74.40	$74.40	$74.40	$74.40
Vaccine tdap >=7 years im	$42.40	$42.40	$42.40	$42.40
Vaccine typhoid vicps im	$39.00	$39.00	$39.00	$39.00
Vaccine varicella live subcutaneous	$748.80	$748.80	$748.80	$642.96
Vaginal bx	$120.00	$120.00	$120.00	$184.50
Valproic acid total therapeutic drug level	$181.20	$181.20	$181.20	$181.20
Vancomycin 1,000 mg intravenous injection	$0.60	$0.60	$0.60	$0.60
Vancomycin hcl injection	$74.40	$74.40	$74.40	$42.00
Vancomycin peak therapeutic drug level	$213.00	$213.00	$213.00	$155.40
Varicella zoster antibody igg	$146.40	$146.40	$146.40	$117.00
Vasopressin 20 unit/ml intravenous solution	$42.00	$42.00	$42.00	$42.00
Vedolizumab 300 mg intravenous solution	$27,154.80	$27,154.80	$27,154.80	$27,154.80
Ven thrombosis images bilat	$1,989.60	$1,989.60	$1,989.60	$1,103.25
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$511.20	$511.20	$511.20	$122.40
Venogram ext bil s&i	$3,953.40	$3,953.40	$3,953.40	$3,476.40
Venogram extremity supervision & interpretation unilateral	$3,302.40	$3,302.40	$3,302.40	$1,528.50
Venous thrombosis imaging	$1,172.40	$1,172.40	$1,172.40	$1,417.60
Ventilator each subsequent day	$1,718.40	$1,718.40	$1,718.40	$1,417.20
Ventilator initial day	$1,735.20	$1,735.20	$1,735.20	$1,585.80
Vinblastine 1 mg/ml intravenous solution	$199.20	$199.20	$199.20	$159.60
Vincristine 1 mg/ml intravenous solution	$48.60	$48.60	$48.60	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$417.00	$417.00	$417.00	$417.00
Vitamin D Test	$226.80	$226.80	$226.80	$145.80
Vitamin b-12	$133.80	$133.80	$133.80	$133.80
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$690.60	$690.60	$690.60	$690.60
Warde 1003990 aldosterone	$569.40	$569.40	$569.40	$299.40
Warde 1005020 citrate 24 hour urine	$243.00	$243.00	$243.00	$210.60
Warde 1005055 5-hiaa 24 hour urine	$373.20	$373.20	$373.20	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$417.60	$417.60	$417.60	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$209.40	$209.40	$209.40	$146.25
Warde 1015200 kappa light chain free	$130.80	$130.80	$130.80	$130.80
Warde 3004000 immunoglobulin subclass 1	$45.60	$45.60	$45.60	$141.00
Warde 3008005 oligoclonal bands	$237.60	$237.60	$237.60	$213.00
Warde 3016000 west nile virus antibody	$91.80	$91.80	$91.80	$111.20
Warde 3016000 west nile virus antibody igg	$91.80	$91.80	$91.80	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$100.80	$100.80	$100.80	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$41.40	$41.40	$41.40	$50.00
Warde 3400652 smear complex special stain ova/parasites	$88.80	$88.80	$88.80	$100.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$538.20	$538.20	$538.20	$447.60
Warde 3400852 arsenic	$334.80	$334.80	$334.80	$170.25
Warde 3708165 mercury urine	$334.80	$334.80	$334.80	$122.40
Warde acetylcholine receptor blocking antibody	$388.20	$388.20	$388.20	$357.75
Warde actin (smooth muscle) antibody each	$132.60	$132.60	$132.60	$132.60
Warde adenosine deaminase pleural fluid	$87.60	$87.60	$87.60	$87.60
Warde adrenocorticotropic hormone (acth)	$616.80	$616.80	$616.80	$241.20
Warde aldolase	$139.20	$139.20	$139.20	$139.20
Warde amino acids 6 or more quantitative each specimen	$721.20	$721.20	$721.20	$552.75
Warde amiodarone therapeutic drug level	$175.20	$175.20	$175.20	$141.00
Warde analysis gene hfe common variants	$1,048.20	$1,048.20	$1,048.20	$1,048.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$651.60	$651.60	$651.60	$788.00
Warde anti-mullerian hormone	$294.60	$294.60	$294.60	$198.75
Warde apolipoprotein b	$139.20	$139.20	$139.20	$133.80
Warde bile acids	$243.00	$243.00	$243.00	$143.25
Warde cadmium blood	$247.20	$247.20	$247.20	$119.40
Warde calcitonin	$484.20	$484.20	$484.20	$200.40
Warde calculus (stone) infrared	$349.20	$349.20	$349.20	$116.25
Warde clozapine therapeutic drug level	$345.00	$345.00	$345.00	$129.60
Warde cobalt heavy metal quantitative each nes	$309.60	$309.60	$309.60	$248.25
Warde collagen cross links c-telopeptide	$479.40	$479.40	$479.40	$207.00
Warde complement total hemolytic	$164.40	$164.40	$164.40	$171.75
Warde copper	$271.80	$271.80	$271.80	$174.75
Warde cryoglobulin	$75.60	$75.60	$75.60	$91.20
Warde erythropoietin	$178.80	$178.80	$178.80	$162.00
Warde estrogen fractionated	$292.20	$292.20	$292.20	$298.80
Warde fluorescent antibody screen endomysial iga	$83.40	$83.40	$83.40	$102.00
Warde folic acid rbc	$190.20	$190.20	$190.20	$90.60
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$258.60	$258.60	$258.60	$252.75
Warde gastrin	$209.40	$209.40	$209.40	$154.50
Warde growth hormone (hgh)	$280.80	$280.80	$280.80	$127.50
Warde helminth antibody strongyloides igg	$209.40	$209.40	$209.40	$150.60
Warde hepatitis a antibody	$249.60	$249.60	$249.60	$123.00
Warde hepatitis be antibody	$100.20	$100.20	$100.20	$100.20
Warde hepatitis delta agent antibody	$142.20	$142.20	$142.20	$142.20
Warde immunofixation electrophoresis urine	$230.40	$230.40	$230.40	$279.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$674.40	$674.40	$674.40	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$1,579.80	$1,579.80	$1,579.80	$1,579.80
Warde islet cell antibody zinc transporter 8	$133.20	$133.20	$133.20	$210.00
Warde lipoprotein (a)	$93.00	$93.00	$93.00	$93.00
Warde lipoprotein-associated phospholipase a2	$266.40	$266.40	$266.40	$266.40
Warde mitochondrial antibody each	$132.60	$132.60	$132.60	$114.00
Warde oxcarbazepine therapeutic drug level	$199.80	$199.80	$199.80	$141.00
Warde pancreatic elastase fecal quantitative	$456.60	$456.60	$456.60	$144.75
Warde protein c antigen	$190.20	$190.20	$190.20	$122.25
Warde sex hormone binding globulin	$171.00	$171.00	$171.00	$155.40
Warde somatomedin	$511.20	$511.20	$511.20	$119.40
Warde t3 (triiodothyronine) reverse	$733.20	$733.20	$733.20	$154.80
Warde thyroid stimulating immunoglobulins	$869.40	$869.40	$869.40	$407.25
Warde topiramate therapeutic drug level	$130.20	$130.20	$130.20	$157.60
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$739.80	$739.80	$739.80	$216.60
Warde viscosity	$207.00	$207.00	$207.00	$153.00
Warde vitamin a	$421.20	$421.20	$421.20	$97.20
Warde vitamin b-1 (thiamine)	$194.40	$194.40	$194.40	$194.40
Warde vitamin b6 (pyridoxine)	$226.80	$226.80	$226.80	$226.80
Warde vitamin c (ascorbic acid)	$309.60	$309.60	$309.60	$104.40
Warde vitamin d (1 25 dihydroxy)	$579.00	$579.00	$579.00	$426.00
Warde vitamin e (alpha-tocopherol)	$373.20	$373.20	$373.20	$102.00
Warde zinc	$258.60	$258.60	$258.60	$114.60
Wbc automated	$35.40	$35.40	$35.40	$36.60
Whole blood for transfusion	$759.60	$759.60	$759.60	$759.60
Wrist X-ray	$309.60	$309.60	$309.60	$311.20
X-ray abdomen 1 view	$538.20	$538.20	$538.20	$405.00
X-ray abdomen 2 views	$327.00	$327.00	$327.00	$395.20
X-ray abdomen >=3 views	$336.00	$336.00	$336.00	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$504.00	$504.00	$504.00	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$397.80	$397.80	$397.80	$405.00
X-ray ankle 2 views (both sides)	$577.20	$577.20	$577.20	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$718.20	$718.20	$718.20	$868.80
X-ray bone age studies	$289.80	$289.80	$289.80	$327.00
X-ray bone length studies	$483.00	$483.00	$483.00	$405.00
X-ray bone survey complete	$1,675.20	$1,675.20	$1,675.20	$743.25
X-ray bone survey infant	$697.20	$697.20	$697.20	$303.60
X-ray cervical spine 2-3 views	$637.20	$637.20	$637.20	$419.40
X-ray cervical spine 4-5 views	$526.20	$526.20	$526.20	$590.25
X-ray cervical spine >= 6 views	$679.20	$679.20	$679.20	$679.20
X-ray clavicle complete (both sides)	$258.60	$258.60	$258.60	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$647.40	$647.40	$647.40	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$1,107.00	$1,107.00	$1,107.00	$1,107.00
X-ray elbow 2 views (both sides)	$544.80	$544.80	$544.80	$405.00
X-ray elbow >= 3 views (both sides)	$373.80	$373.80	$373.80	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$713.40	$713.40	$713.40	$713.40
X-ray exam entire spi 4/5 vw	$718.20	$718.20	$718.20	$666.60
X-ray exam entire spi 6/> vw	$970.80	$970.80	$970.80	$666.60
X-ray exam of arm infant	$511.20	$511.20	$511.20	$318.75
X-ray exam of eye sockets	$399.00	$399.00	$399.00	$405.00
X-ray exam of femur 1	$237.60	$237.60	$237.60	$287.20
X-ray exam of jaw joint	$542.40	$542.40	$542.40	$547.80
X-ray exam of jaw joint	$665.40	$665.40	$665.40	$405.00
X-ray exam of mastoids	$397.80	$397.80	$397.80	$333.00
X-ray exam of middle ear	$475.20	$475.20	$475.20	$475.20
X-ray exam of salivary gland	$501.60	$501.60	$501.60	$501.60
X-ray exam of sinuses	$318.60	$318.60	$318.60	$343.50
X-ray exam si joints	$213.00	$213.00	$213.00	$218.40
X-ray exam thorac spine4/>vw	$679.20	$679.20	$679.20	$456.60
X-ray eye detection foreign body (both sides)	$540.00	$540.00	$540.00	$419.40
X-ray facial bones complete > 3 views	$444.00	$444.00	$444.00	$444.00
X-ray femur >=2 views (both sides)	$599.40	$599.40	$599.40	$414.00
X-ray finger(s) >= 2 views (both sides)	$294.60	$294.60	$294.60	$310.50
X-ray foot 2 views (both sides)	$627.60	$627.60	$627.60	$405.00
X-ray forearm 2 views (both sides)	$545.40	$545.40	$545.40	$405.00
X-ray hand 2 views (both sides)	$564.60	$564.60	$564.60	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$292.80	$292.80	$292.80	$354.40
X-ray hip uni w/wo pelvis min 4 views	$414.00	$414.00	$414.00	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$374.40	$374.40	$374.40	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$414.00	$414.00	$414.00	$419.40
X-ray hip with pelvis when performed bilateral >= 5 views	$786.00	$786.00	$786.00	$507.75
X-ray hip with pelvis when performed unilateral 1 view left	$621.00	$621.00	$621.00	$405.00
X-ray humerus >= 2 views left	$567.00	$567.00	$567.00	$405.00
X-ray joint survey 1 view	$345.00	$345.00	$345.00	$345.00
X-ray knee 1-2 views (both sides)	$608.40	$608.40	$608.40	$405.00
X-ray knee 3 views (both sides)	$399.00	$399.00	$399.00	$399.00
X-ray knee ap standing bilateral	$237.60	$237.60	$237.60	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$417.00	$417.00	$417.00	$408.00
X-ray lower extremities infant > 2 views (both sides)	$511.20	$511.20	$511.20	$405.00
X-ray lumbosacral spine >= 4 views	$710.40	$710.40	$710.40	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$828.00	$828.00	$828.00	$682.20
X-ray mandible complete > 4 views	$412.80	$412.80	$412.80	$412.80
X-ray mandible ltd <4 views	$375.60	$375.60	$375.60	$375.60
X-ray nasal bones complete > 3 views	$262.20	$262.20	$262.20	$316.80
X-ray neck soft tissue	$285.60	$285.60	$285.60	$314.25
X-ray nose to rectum for foreign body child	$243.00	$243.00	$243.00	$246.00
X-ray optic foramina	$292.80	$292.80	$292.80	$338.25
X-ray pelvis 1-2 views	$511.20	$511.20	$511.20	$405.00
X-ray pelvis complete > 3 views	$509.40	$509.40	$509.40	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$723.60	$723.60	$723.60	$839.25
X-ray ribs 2 views left	$304.80	$304.80	$304.80	$304.80
X-ray ribs 3 views bilateral	$464.40	$464.40	$464.40	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$399.00	$399.00	$399.00	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$644.40	$644.40	$644.40	$644.40
X-ray sacroiliac joints >= 3 views	$397.80	$397.80	$397.80	$405.00
X-ray sacrum/coccyx >= 2 views	$387.60	$387.60	$387.60	$387.60
X-ray scapula complete (both sides)	$304.20	$304.20	$304.20	$304.20
X-ray sella turcica	$494.40	$494.40	$494.40	$405.00
X-ray shoulder 1 view (both sides)	$582.60	$582.60	$582.60	$405.00
X-ray sinus tract/fistula/abscess	$1,167.00	$1,167.00	$1,167.00	$1,167.00
X-ray sinuses paranasal complete > 3 views	$448.80	$448.80	$448.80	$419.40
X-ray skull < 4 views	$364.20	$364.20	$364.20	$377.25
X-ray skull > 4 views complete	$440.40	$440.40	$440.40	$532.80
X-ray slg plne bdy sect without urogr	$945.00	$945.00	$945.00	$945.00
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$669.60	$669.60	$669.60	$669.60
X-ray small intestine follow-through study	$397.20	$397.20	$397.20	$419.40
X-ray spine single view	$309.60	$309.60	$309.60	$327.00
X-ray sternoclavicular joint(s) > 3 views	$385.80	$385.80	$385.80	$393.00
X-ray sternum > 2 views	$331.80	$331.80	$331.80	$382.50
X-ray surgical specimen	$178.80	$178.80	$178.80	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$828.00	$828.00	$828.00	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$675.60	$675.60	$675.60	$456.60
X-ray thoracic spine 2 views	$642.00	$642.00	$642.00	$405.00
X-ray thoracic spine 3 views	$551.40	$551.40	$551.40	$456.60
X-ray thoracolumbar spine >=2 views	$335.40	$335.40	$335.40	$348.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$396.00	$396.00	$396.00	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$718.20	$718.20	$718.20	$666.60
X-ray tibia/fibula 2 views (both sides)	$646.80	$646.80	$646.80	$419.40
X-ray toe(s) > 2 views (both sides)	$364.80	$364.80	$364.80	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$580.20	$580.20	$580.20	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$580.20	$580.20	$580.20	$580.20
X-ray wrist 2 views (both sides)	$587.40	$587.40	$587.40	$405.00
Yttrium y-90 ibritumomab ther	$94,667.40	$94,667.40	$94,667.40	$114,488.00
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$135.00	$135.00	$135.00	$100.06
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$229.80	$229.80	$229.80	$229.80
Zoledronic acid 4 mg/5 ml intravenous solution	$4,651.80	$4,651.80	$4,651.80	$3,207.00
_afb id by dna probe rflx ast	$141.00	$141.00	$141.00	$141.00
_afb org id by sequencing rflx ast-sendout	$1,507.80	$1,507.80	$1,507.80	$1,327.80