|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,510.80 |
$1,666.80 |
$2,105.40 |
$1,160.10
|
|
Autologous blood op salvage
|
$199.80 |
$228.60 |
$254.40 |
$943.80
|
|
Autologous blood process
|
$199.20 |
$301.20 |
$441.00 |
$266.75
|
|
Automated diff wbc count
|
$56.40 |
$63.60 |
$82.80 |
$36.30
|
|
Autonomic nrv adrenrg inervj
|
$178.20 |
$178.20 |
$684.60 |
$297.45
|
|
Autonomic nrv parasym inervj
|
$169.80 |
$169.80 |
$530.40 |
$299.72
|
|
Autonomic nrv syst funj test
|
$150.00 |
$188.40 |
$625.80 |
$365.04
|
|
Avelumab 20 mg/ml intravenous solution
|
$231.00 |
$307.80 |
$4,358.40 |
$3,721.71
|
|
Avul nail plate addl
|
$357.00 |
$388.20 |
$456.60 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$366.60 |
$477.00 |
$852.60 |
$326.27
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$100.20 |
$100.20 |
$100.20 |
$23,112.50
|
|
Axicabtagene ciloleucel car+
|
$4,257,600.00 |
$4,257,600.00 |
$4,257,600.00 |
$1,510,740.00
|
|
Axillary lymphadenect/superficial 38740
|
$6,097.20 |
$6,097.20 |
$6,097.20 |
$6,311.00
|
|
Azacitidine injection
|
$13.80 |
$1,762.80 |
$2,095.20 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$10.80 |
$29.25 |
$29.25 |
$3.44
|
|
Azathioprine parenteral
|
$810.00 |
$810.00 |
$2,562.00 |
$465.00
|
|
Azithromycin 500 mg intravenous solution
|
$104.80 |
$1,063.80 |
$1,063.80 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$95.20 |
$202.80 |
$202.80 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$11.80 |
$34.20 |
$34.20 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,320.00 |
$3,464.00 |
$7,524.60 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$420.00 |
$420.00 |
$3,171.60 |
$158.07
|
|
Baclofen eval charges
|
$85.80 |
$124.20 |
$156.60 |
$87.50
|
|
Bacterial meningitis antigen
|
$63.00 |
$201.60 |
$316.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$118.20 |
$334.20 |
$441.60 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$269.40 |
$316.20 |
$409.20 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$24.00 |
$24.60 |
$273.00 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$66.00 |
$110.40 |
$210.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$6,571.80 |
$8,132.40 |
$10,911.00 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$16,169.40 |
$78,286.80 |
$144,877.80 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,289.40 |
$1,413.00 |
$2,179.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$779.40 |
$873.00 |
$1,312.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$779.40 |
$873.00 |
$1,312.80 |
$484.80
|
|
Barrier film 28ml spray no stng cavilon
|
$27.60 |
$27.60 |
$27.60 |
$19.50
|
|
Bartonella dna pcr-sendout
|
$313.20 |
$393.00 |
$3,133.20 |
$195.25
|
|
Basic vestibular evaluation
|
$169.20 |
$462.60 |
$638.40 |
$346.09
|
|
Basiliximab
|
$7,420.80 |
$7,420.80 |
$7,420.80 |
$8,127.89
|
|
Battery elec/combo vad, rep
|
$10,695.00 |
$10,695.00 |
$10,695.00 |
$374.55
|
|
Bausch health Ultrasound surg
|
$609.00 |
$5,261.40 |
$17,911.20 |
$768.50
|
|
B cells total count
|
$334.20 |
$382.20 |
$876.00 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$22.20 |
$22.20 |
$22.20 |
$404.04
|
|
Bebtelovimab injection
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$450.00
|
|
Behavior counsel obesity 15min medicare g0447
|
$20.40 |
$20.40 |
$20.40 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$20.25 |
$20.25 |
$5,053.80 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$159.60 |
$162.00 |
$1,282.20 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$52.80 |
$52.80 |
$52.80 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$52.80 |
$53.40 |
$19,878.00 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$67.20 |
$87.00 |
$285.60 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$250.20 |
$417.00 |
$1,321.80 |
$264.60
|
|
Benign lesion paring 4+
|
$573.00 |
$573.00 |
$602.40 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$94.80 |
$126.60 |
$254.40 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$183.60 |
$264.60 |
$3,933.60 |
$82.55
|
|
Beta-2 microglobulin
|
$91.80 |
$110.40 |
$639.00 |
$85.20
|
|
Beta-amyloid 1-40
|
$1,011.00 |
$1,056.60 |
$1,564.80 |
$312.00
|
|
Beta-amyloid 1-42
|
$1,011.00 |
$1,056.60 |
$1,564.80 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$43.80 |
$160.80 |
$402.00 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$671.40 |
$3,730.20 |
$25,358.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$370.80 |
$459.00 |
$6,409.80 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$6,756.60 |
$6,756.60 |
$7,163.40 |
$2,617.16
|
|
Bevacizumab injection
|
$12.60 |
$12.60 |
$12.60 |
$97.76
|
|
Bfb train 1st 15min cntct 90912
|
$277.20 |
$277.20 |
$277.20 |
$147.95
|
|
B-hexosaminidase ea assay
|
$154.80 |
$197.40 |
$316.20 |
$124.00
|
|
Bhv id assmt by phys/qhp
|
$114.00 |
$114.00 |
$114.00 |
$121.50
|
|
Bhv id suprt assmt by 1 tech
|
$114.00 |
$114.00 |
$114.00 |
$132.72
|
|
Bilateral n blobk inj pudendal 64430
|
$2,270.40 |
$3,009.60 |
$5,602.80 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$945.60 |
$1,141.20 |
$1,939.20 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,008.00 |
$1,565.40 |
$2,184.00 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$4,037.40 |
$4,037.40 |
$4,037.40 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$3,922.80 |
$3,922.80 |
$4,555.80 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$12,186.60 |
$12,186.60 |
$12,186.60 |
$5,741.00
|
|
Bilirubin direct
|
$58.80 |
$126.60 |
$186.60 |
$51.35
|
|
Bilirubin total
|
$58.80 |
$126.60 |
$231.60 |
$54.60
|
|
Biofeedback, pt
|
$308.40 |
$371.40 |
$464.40 |
$127.05
|
|
Biopsy abdominal mass
|
$1,215.00 |
$1,948.80 |
$4,400.40 |
$1,722.60
|
|
Biopsy, bone open deep
|
$3,819.60 |
$3,961.20 |
$4,321.20 |
$4,200.43
|
|
Biopsy bone trocar/needle superficial
|
$1,620.00 |
$2,058.60 |
$3,416.40 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$4,251.60 |
$7,579.80 |
$8,772.60 |
$1,268.54
|
|
Biopsy external ear 69100
|
$876.00 |
$876.00 |
$1,037.40 |
$416.52
|
|
Biopsy eyelid & lid margin
|
$1,783.80 |
$1,783.80 |
$2,648.40 |
$813.65
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,745.40 |
$1,745.40 |
$1,745.40 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$3,128.40 |
$3,128.40 |
$4,485.00 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$1,629.60 |
$2,757.00 |
$3,123.60 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,212.00 |
$1,717.20 |
$3,186.00 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,215.00 |
$1,919.40 |
$3,088.20 |
$1,890.72
|
|
Biopsy of heart lining
|
$1,461.60 |
$1,461.60 |
$3,613.20 |
$3,724.63
|
|
Biopsy of lip 40490
|
$502.20 |
$529.20 |
$672.00 |
$384.00
|
|
Biopsy of nail unit 11755
|
$2,493.60 |
$2,493.60 |
$2,634.60 |
$1,005.61
|
|
Biopsy of penis 54100
|
$1,978.20 |
$1,978.20 |
$2,767.80 |
$1,917.33
|
|
Biopsy of prostate
|
$4,369.80 |
$4,369.80 |
$4,369.80 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,145.90
|
|
Biopsy of tear sac
|
$2,680.20 |
$2,680.20 |
$3,316.20 |
$2,760.73
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,215.00 |
$1,717.20 |
$3,475.20 |
$2,115.00
|
|
Biopsy roof of mouth
|
$988.80 |
$988.80 |
$988.80 |
$1,913.00
|
|
Biopsy skin incisional single lesion
|
$639.00 |
$873.60 |
$1,055.40 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,935.00 |
$2,868.60 |
$3,820.20 |
$2,462.35
|
|
Biopsy vaginal mucosa xtnsv
|
$3,453.60 |
$3,453.60 |
$3,453.60 |
$3,711.50
|
|
Biopsy vestibule of mouth 40808
|
$535.80 |
$535.80 |
$981.00 |
$644.67
|
|
Biospy of bladder
|
$106.80 |
$114.60 |
$300.00 |
$945.00
|
|
Biotinidase - quest
|
$165.60 |
$194.40 |
$267.00 |
$64.40
|
|
Biovance 1 square cm
|
$3,540.60 |
$3,540.60 |
$7,610.40 |
$6,008.70
|
|
Bivalirudin
|
$12.90 |
$2,991.00 |
$5,170.80 |
$1,086.92
|
