Hospital prices in Seneca, Pennsylvania

1 hospitals publish price files here.

Hospital	Address	System	Priced procedures
UPMC Northwest	100 Fairfield Drive	UPMC	2893

Cash prices in Seneca

Procedure	Lowest cash	Median here	Highest	National median
#a/b/c/c/h pnl-candida albicans ab	$112.80	$112.80	$112.80	$133.20
#acylcarnitineprfl	$144.60	$144.60	$144.60	$169.20
#aptt mix-1:1 incubated	$562.20	$562.20	$562.20	$256.80
#bac vag cand-c. albicans naa	$474.00	$474.00	$474.00	$220.80
#cbg+cort-cbg	$328.20	$328.20	$328.20	$186.00
#celiac hla-dq8	$1,704.00	$1,704.00	$1,704.00	$1,607.40
#cf-97variants	$3,357.60	$3,357.60	$3,357.60	$3,216.00
#cmvcul-virus inoculation shell	$83.40	$83.40	$83.40	$55.20
#coxa-coxsackie a serotype a16	$111.60	$111.60	$111.60	$111.60
#creutz-prot.,western blot	$166.20	$166.20	$166.20	$176.80
#fecal-sodium	$43.80	$43.80	$43.80	$86.25
#flow interp 9 - 15 markers	$303.00	$303.00	$303.00	$303.00
#pnh-flow cytometry interp	$837.60	$837.60	$837.60	$281.40
17-hydroxypregnenolone	$325.20	$325.20	$325.20	$243.00
17-ketosteroids	$58.80	$58.80	$58.80	$249.60
2d tee w or without fol w/con,in	$1,641.60	$1,641.60	$1,641.60	$1,724.25
2d tte w or without fol w/con,co	$2,071.20	$2,071.20	$2,071.20	$1,481.25
2nd order venous cath	$9,776.40	$9,776.40	$9,776.40	$5,583.60
3-d radiotherapy plan	$3,859.80	$3,859.80	$3,859.80	$4,423.20
5' nucleotidase - sendout	$58.80	$58.80	$58.80	$243.00
88334 ap bill cytologic exam each additional site	$141.60	$141.60	$141.60	$91.20
Abatacept (with maltose) 250 mg intravenous solution	$96.80	$96.80	$96.80	$361.60
Abd paracentesis/w/o image guide 49082	$1,550.40	$1,550.40	$1,550.40	$1,505.25
Abd/low ext cath 1st	$5,015.40	$5,015.40	$5,015.40	$3,237.00
Abd/low ext cath 2nd	$6,644.40	$6,644.40	$6,644.40	$4,321.20
Abd/low ext cath 3rd	$7,387.20	$7,387.20	$7,387.20	$3,810.00
Abd/low ext cath addl	$1,287.00	$1,287.00	$1,287.00	$1,045.50
Abdominal CT scan (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$2,049.00
Abdominal CT scan (with contrast)	$1,368.00	$1,368.00	$1,368.00	$1,683.63
Abdominal CT scan (without contrast)	$1,226.40	$1,226.40	$1,226.40	$1,358.76
Abdominal MRI (with and without contrast)	$3,815.40	$3,815.40	$3,815.40	$3,061.80
Abdominal MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,096.25
Abdominal MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,902.00
Abdominal Ultrasound (complete)	$564.00	$564.00	$564.00	$755.00
Abdominal Ultrasound (limited)	$315.00	$315.00	$315.00	$629.42
Abdominal paracentesis w/image guidance	$1,898.40	$1,898.40	$1,898.40	$1,689.00
Abl1 gene	$1,282.20	$1,282.20	$1,282.20	$2,004.60
Abobotulinumtoxina	$64.60	$64.60	$64.60	$3,255.66
Abscess drain retroperitoneal surg code	$7,281.60	$7,281.60	$7,281.60	$5,568.60
Access & clsr pq fem art endogft dlvry w/img uni	$504.00	$504.00	$504.00	$5,737.80
Acetaminophen 10 mg/ml soln 100 ml glass cont	$0.80	$0.80	$0.80	$47.40
Acetazolamide 500 mg solution for injection	$195.20	$195.20	$195.20	$256.80
Acetone qualitative	$34.80	$34.80	$34.80	$50.40
Acetylcholine receptor modulating antibody	$108.00	$108.00	$108.00	$300.00
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$478.80	$478.80	$478.80	$648.00
Acetylcysteine non-comp unit	$107.20	$107.20	$107.20	$87.97
Acute hepatitis panel	$306.00	$306.00	$306.00	$496.20
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$427.20	$427.20	$427.20	$77.65
Adapter b 8 channel 10cm	$1,725.60	$1,725.60	$1,725.60	$3,454.80
Adenosine 3 mg/250 ml bag for osm	$117.00	$117.00	$117.00	$528.78
Adenovirus ag ia	$187.80	$187.80	$187.80	$187.80
Adenovirus antibody,serum - quest	$84.60	$84.60	$84.60	$91.80
Adh-sendout	$236.40	$236.40	$236.40	$360.00
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$450.00	$450.00	$450.00	$450.00
Administration chemotherapy IV infusion each additional hour	$210.00	$210.00	$210.00	$298.20
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$449.40	$449.40	$449.40	$336.00
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$912.00	$912.00	$912.00	$790.20
Administration chemotherapy IV push single/initial substance/drug	$652.20	$652.20	$652.20	$526.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$243.00	$243.00	$243.00	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$388.80	$388.80	$388.80	$254.40
Administration immunization 1 vaccine	$12.00	$12.00	$12.00	$12.00
Administration immunization each additional vaccine	$12.00	$12.00	$12.00	$12.00
Administration vaccine hepatitis b	$12.00	$12.00	$12.00	$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
Ado-trastuzumab emtansine 100 mg intravenous solution	$108.60	$108.60	$108.60	$139.20
Afamelanotide implant, 1 mg	$6,529.20	$6,529.20	$6,529.20	$6,529.20
Air injection into abdomen 49400	$6,051.00	$6,051.00	$6,051.00	$2,270.40
Albumin (human), 25%, 50ml	$952.80	$952.80	$952.80	$304.00
Albumin (human), 5%, 250 ml	$717.60	$717.60	$717.60	$609.00
Albumin (microalbumin) 24 hour urine quantitative	$33.00	$33.00	$33.00	$76.80
Albumin body fluid quantitative each specimen	$15.00	$15.00	$15.00	$40.20
Albumin serum plasma or whole blood	$33.00	$33.00	$33.00	$54.75
Albumin, human 5 % intravenous solution	$183.60	$183.60	$183.60	$183.60
Albuterol ipratrop non-comp	$11.60	$11.60	$11.60	$13.80
Albuterol non-comp con	$5.40	$5.40	$5.40	$5.00
Albuterol non-comp unit	$8.40	$8.40	$8.40	$7.20
Alkaline phosphatase	$34.80	$34.80	$34.80	$51.75
Allergen alpha lactalbumin ige	$39.00	$39.00	$39.00	$57.60
Allergen egg white ige	$39.00	$39.00	$39.00	$66.60
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution	$40.40	$40.40	$40.40	$40.40
Alpha-fetoprotein afp-l3 frac & total	$570.00	$570.00	$570.00	$441.00
Alpha-fetoprotein amniotic	$193.80	$193.80	$193.80	$138.60
Alpha-fetoprotein tumor marker	$102.00	$102.00	$102.00	$155.40
Alt/sgpt	$37.20	$37.20	$37.20	$77.25
Alteplase 100 mg infusion from pyxis vial	$189.60	$189.60	$189.60	$31,563.16
Aluminum - quest	$168.00	$168.00	$168.00	$168.00
Amikacin 4 mg/ml intravitreal injection - cnr	$11.60	$11.60	$11.60	$27.00
Amino acids quant 2-5	$229.20	$229.20	$229.20	$220.80
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$13.00	$13.00	$13.00	$9.15
Aminolevulinic acid delta	$108.60	$108.60	$108.60	$216.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$58.40	$58.40	$58.40	$65.64
Amiodarone 50 mg/ml intravenous solution	$167.20	$167.20	$167.20	$96.80
Ammonia	$80.40	$80.40	$80.40	$141.00
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$155.20	$155.20	$155.20	$146.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$235.20	$235.20	$235.20	$592.80
Ampicillin 1 gram solution for injection	$111.20	$111.20	$111.20	$110.40
Ampicillin-sulbactam 1.5 gram solution for injection	$61.20	$61.20	$61.20	$61.20
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis	$340.20	$340.20	$340.20	$280.20
Amylase	$40.80	$40.80	$40.80	$120.75
An cholangiogram percutaneous compl	$3,342.00	$3,342.00	$3,342.00	$3,342.00
An fluoro guide for cvp	$429.60	$429.60	$429.60	$789.75
Analysis gene f2 20210g>a variant	$2,503.20	$2,503.20	$2,503.20	$2,361.60
Analysis gene f5 leiden variant	$1,251.60	$1,251.60	$1,251.60	$1,191.60
Analyze neurostimulator simple w/reprogramming 95971	$670.80	$670.80	$670.80	$670.80
Anaplsma phgcytophlm amp prb	$189.00	$189.00	$189.00	$290.40
Anca screen with reflex to titer -quest	$42.00	$42.00	$42.00	$156.00
Androstanediol	$489.00	$489.00	$489.00	$337.80
Angio balloon ctrl dialysis seg add-on	$11,788.80	$11,788.80	$11,788.80	$7,522.20
Angio tib/peroneal/init ves/unila 37228	$37,266.60	$37,266.60	$37,266.60	$29,775.00
Angio trnslmnl balloon same artery ea addl	$9,692.40	$9,692.40	$9,692.40	$4,126.80
Angio trnslmnl balloon same artery ini	$9,692.40	$9,692.40	$9,692.40	$7,883.25
Angioplasty fem/pop unilat 37224	$21,742.80	$21,742.80	$21,742.80	$21,742.80
Angioplasty tib/pero/unilat/ea add 37232	$27,920.40	$27,920.40	$27,920.40	$16,829.40
Angioplasty/iliac/init ves/unilat 37220	$20,309.40	$20,309.40	$20,309.40	$16,320.60
Angiotensin ii	$147.60	$147.60	$147.60	$276.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$22,037.40	$22,037.40	$22,037.40	$22,037.40
Ankle X-ray	$119.40	$119.40	$119.40	$312.74
Anti mog serum - sendout	$102.00	$102.00	$102.00	$192.60
Antibody bacterium, not elsewhere specified	$119.40	$119.40	$119.40	$118.50
Antibody elution rbc reference	$54.00	$54.00	$54.00	$98.40
Antibody htlv-i	$76.20	$76.20	$76.20	$85.20
Antibody id rbc panel	$129.60	$129.60	$129.60	$235.80
Antibody identification platelet antibodies heparin-pf4 igg	$360.60	$360.60	$360.60	$621.00
Antibody influenza virus	$158.40	$158.40	$158.40	$147.00
Antibody lymphocytic choriomeningitis	$146.40	$146.40	$146.40	$111.20
Antibody screen rbc	$54.00	$54.00	$54.00	$113.40
Antibody tetanus	$97.20	$97.20	$97.20	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$15.20	$15.20	$15.20	$15.20
Antineutrophil cytoplasmic antibody screen each antibody	$42.00	$42.00	$42.00	$140.25
Antineutrophil cytoplasmic antibody titer each antibody	$42.00	$42.00	$42.00	$156.00
Antinuclear antibodies	$62.40	$62.40	$62.40	$97.50
Antinuclear antibodies titer	$102.60	$102.60	$102.60	$102.00
Antiphosphatidylserine antibody	$204.00	$204.00	$204.00	$303.00
Antistreptolysin o screen	$37.20	$37.20	$37.20	$56.40
Antistreptolysin o titer	$45.00	$45.00	$45.00	$83.40
Antithrombin iii activity	$89.40	$89.40	$89.40	$157.80
Apc gene dup/delet variants	$2,299.20	$2,299.20	$2,299.20	$2,299.20
Apl(pml-rara) quant - sendout	$2,235.60	$2,235.60	$2,235.60	$1,187.25
Appl multlay comprs arm/hand	$514.80	$514.80	$514.80	$409.50
Application finger splntstatic 29130	$159.60	$159.60	$159.60	$208.50
Application long leg splint 29505	$1,002.00	$1,002.00	$1,002.00	$569.60
Application lower leg splint 29515	$388.80	$388.80	$388.80	$471.00
Application multi layer compression below knee (both sides)	$338.40	$338.40	$338.40	$377.25
Application of long arm cast 29065	$1,343.40	$1,343.40	$1,343.40	$440.40
Application of paste boot 29580	$336.00	$336.00	$336.00	$390.75
Application short leg cast 29405	$366.60	$366.60	$366.60	$359.25
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm	$2,992.20	$2,992.20	$2,992.20	$2,109.00
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm	$3,460.20	$3,460.20	$3,460.20	$2,109.00
Apply forearm splintdynamic 29126	$366.60	$366.60	$366.60	$388.80
Apply of finger splint 29131	$610.80	$610.80	$610.80	$514.80
Apply rigid leg cast 29445	$1,426.80	$1,426.80	$1,426.80	$631.20
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion	$7.80	$7.80	$7.80	$9.20
Aquaporin-4 antibody cba each	$102.00	$102.00	$102.00	$159.00
Aquaporin-4 antibody elisa	$102.00	$102.00	$102.00	$132.60
Aquatic exercise - group charge	$80.40	$80.40	$80.40	$95.40
Argatroban nonesrd use 1mg	$627.00	$627.00	$627.00	$881.10
Arsenic trioxide 2 mg/ml intravenous solution	$292.80	$292.80	$292.80	$292.80
Arterial blood draw/perc 36620	$607.20	$607.20	$607.20	$622.20
Artery x-rays arm/leg 75710-26	$2,833.20	$2,833.20	$2,833.20	$3,092.00
Artery x-rays arms/legs 75716-26	$2,833.20	$2,833.20	$2,833.20	$2,958.40
Artery xray of abdomen 75726-26	$3,805.80	$3,805.80	$3,805.80	$3,805.80
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$366.60	$366.60	$366.60	$498.00
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$336.60	$336.60	$336.60	$619.50
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$271.20	$271.20	$271.20	$453.60
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$708.00	$708.00	$708.00	$723.60
Asp core fat pad	$103.20	$103.20	$103.20	$166.20
Aspirate bladder/sprapubic cath 51102	$3,951.60	$3,951.60	$3,951.60	$3,146.25
Aspirate pleura without imaging 32554	$1,611.00	$1,611.00	$1,611.00	$1,212.00
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$777.00	$777.00	$777.00	$971.40
Aspiration peritonsillar abscess	$109.20	$109.20	$109.20	$283.50
Assay dir meas fr estradiol	$128.40	$128.40	$128.40	$117.00
Assay myeloperoxidase	$205.80	$205.80	$205.80	$151.80
Assay neurflmnt light chain	$1,615.20	$1,615.20	$1,615.20	$1,585.20
Assay of adp & amp	$292.80	$292.80	$292.80	$271.50
Assay of breath ethanol	$202.80	$202.80	$202.80	$165.00
Assay of feces porphyrins	$276.00	$276.00	$276.00	$204.60
Assay of fluoride	$317.40	$317.40	$317.40	$227.40
Assay of glucosidase	$342.00	$342.00	$342.00	$969.00
Assay of glutathione	$93.60	$93.60	$93.60	$77.40
Assay of interleukin-6 (il-6)	$67.20	$67.20	$67.20	$67.20
Assay of leflunomide	$141.00	$141.00	$141.00	$153.00
Assay of lrh hormone	$159.00	$159.00	$159.00	$299.20
Assay of osteocalcin	$274.80	$274.80	$274.80	$150.60
Assay of procainamide w/metab	$149.40	$149.40	$149.40	$129.75
Assay of prostaglandin	$298.20	$298.20	$298.20	$211.80
Assay of sialic acid	$229.20	$229.20	$229.20	$188.40
Assay of somatostatin	$153.00	$153.00	$153.00	$284.00
Assay of thiocyanate	$72.60	$72.60	$72.60	$226.20
Assay of urine sulfate	$43.80	$43.80	$43.80	$52.20
Assess cyst contrast inject	$1,873.80	$1,873.80	$1,873.80	$845.40
Assessment leukocyte fecal qualitative/semiquantitative	$70.20	$70.20	$70.20	$47.60
Ast/sgot	$36.00	$36.00	$36.00	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$313.60	$313.60	$313.60	$311.20
Athrectomy fem/pop/unilateral 37225	$120,934.20	$120,934.20	$120,934.20	$34,695.00
Atropine 0.1 mg/ml injection syringe	$22.80	$22.80	$22.80	$39.35
Augment injectable kit 3.0cc	$7,492.80	$7,492.80	$7,492.80	$8,418.60
Avelumab 20 mg/ml intravenous solution	$231.00	$231.00	$231.00	$231.00
Avul nail plate addl	$571.80	$571.80	$571.80	$318.75
Avulsion nail plate partial/complete simple single nail plate	$417.00	$417.00	$417.00	$417.00
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial	$100.20	$100.20	$100.20	$100.20
Azacitidine injection	$22.60	$22.60	$22.60	$2,163.93
Azathioprine 50 mg tablet	$10.40	$10.40	$10.40	$14.40
Azithromycin 500 mg intravenous solution	$319.20	$319.20	$319.20	$186.40
Aztreonam 1 gram solution for injection	$19.80	$19.80	$19.80	$21.60
B cells total count	$335.40	$335.40	$335.40	$136.00
Baclofen eval charges	$118.20	$118.20	$118.20	$118.20
Bacterial meningitis antigen	$236.40	$236.40	$236.40	$100.80
Bacterial vaginosis pcr	$424.80	$424.80	$424.80	$390.60
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve	$70.80	$70.80	$70.80	$24.60
Balloon dilate urtrl strix	$10,138.20	$10,138.20	$10,138.20	$6,571.80
Bartonella dna pcr-sendout	$306.00	$306.00	$306.00	$671.40
Bausch health Ultrasound surg	$609.00	$609.00	$609.00	$800.00
Bcg live 50 mg intravesical suspension	$732.60	$732.60	$732.60	$605.43
Belatacept 250 mg intravenous solution	$21.00	$21.00	$21.00	$3,406.85
Belimumab 120 mg intravenous solution	$220.80	$220.80	$220.80	$7,881.60
Bendamustine 100 mg intravenous powder for solution	$56.40	$56.40	$56.40	$214.20
Bendamustine 25 mg/ml intravenous solution (bendeka)	$70.80	$70.80	$70.80	$87.00
Benign lesion paring 2-4	$576.60	$576.60	$576.60	$300.75
Benztropine 1 mg/ml injection solution	$100.20	$100.20	$100.20	$115.80
Beta 2 glycoprotein 1 antibody iga	$229.20	$229.20	$229.20	$133.50
Beta-2 microglobulin	$74.40	$74.40	$74.40	$110.40
Beta-amyloid 1-40	$1,670.40	$1,670.40	$1,670.40	$1,404.00
Beta-amyloid 1-42	$1,670.40	$1,670.40	$1,670.40	$1,056.60
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$49.20	$49.20	$49.20	$149.68
Bevacizumab 25 mg/ml intravenous solution	$398.40	$398.40	$398.40	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$231.00	$231.00	$231.00	$3,154.20
Bilateral n block inj occipital 64405	$1,959.60	$1,959.60	$1,959.60	$951.00
Bilateral n block inj trigeminal 64400	$2,232.00	$2,232.00	$2,232.00	$885.75
Bilirubin direct	$33.00	$33.00	$33.00	$62.25
Bilirubin total	$33.00	$33.00	$33.00	$58.80
Biopsy abdominal mass	$2,419.20	$2,419.20	$2,419.20	$1,704.60
Biopsy bone trocar/needle superficial	$2,094.00	$2,094.00	$2,094.00	$1,629.60
Biopsy cervixsingle/multiple 57500	$8,072.40	$8,072.40	$8,072.40	$7,461.60
Biopsy muscle percutaneous needle	$1,891.20	$1,891.20	$1,891.20	$1,629.60
Biopsy needle liver percutaneous	$2,056.80	$2,056.80	$2,056.80	$1,642.50
Biopsy needle lymph node superficial	$1,741.80	$1,741.80	$1,741.80	$1,352.80
Biopsy renal percutaneous trocar/needle (both sides)	$2,056.80	$2,056.80	$2,056.80	$1,717.20
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$1,176.60	$1,176.60	$1,176.60	$1,745.40
Biopsy/soft tissue/neck or thorax 21550	$3,198.60	$3,198.60	$3,198.60	$2,512.20
Biospy of bladder	$111.60	$111.60	$111.60	$120.00
Bladder irrigate/lavage/instill 51700	$611.40	$611.40	$611.40	$664.20
Bleomycin 15 unit solution for injection	$1,089.00	$1,089.00	$1,089.00	$306.40
Blinatumomab 35 mcg intravenous solution	$311.40	$311.40	$311.40	$417.00
Blink reflex test	$159.60	$159.60	$159.60	$378.00
Bln 1.2 mono emrg 15x1.2	$3,042.60	$3,042.60	$3,042.60	$6,582.60
Bln 30frx10mmx12cm renal nephromax	$752.40	$752.40	$752.40	$4,790.40
Bln dil 900ml preperitnl	$2,067.60	$2,067.60	$2,067.60	$2,017.80
Bln inpact admiral 4x150x130cm	$4,954.20	$4,954.20	$4,954.20	$4,954.20
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$2,530.20	$2,530.20	$2,530.20	$5,175.00
Bln ureth 5ml 28f 2wy ltx st	$102.00	$102.00	$102.00	$83.40
Blood Clotting (PT/INR) Test	$34.80	$34.80	$34.80	$45.00
Blood Clotting (PTT) Test	$119.40	$119.40	$119.40	$64.35
Blood Count (CBC) Test	$89.40	$89.40	$89.40	$66.75
Blood Count (CBC) Test (without differential)	$51.00	$51.00	$51.00	$57.50
Blood Culture Test	$137.40	$137.40	$137.40	$112.20
Blood draw capillary 36416	$7.80	$7.80	$7.80	$12.60
Blood gases o2 saturation direct measurement	$436.20	$436.20	$436.20	$225.75
Blood gases ph venous	$60.00	$60.00	$60.00	$60.00
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$30.60	$30.60	$30.60	$45.00
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$20.40	$20.40	$20.40	$21.00
Blood occult feces colorectal neoplasm screening qualitative	$20.40	$20.40	$20.40	$21.00
Blood occult peroxidase activity qualitative gastric	$52.20	$52.20	$52.20	$48.00
Blood smear interpretation	$92.40	$92.40	$92.40	$108.00
Blood split unit	$300.60	$300.60	$300.60	$300.60
Blood typing abo	$34.80	$34.80	$34.80	$41.40
Blood typing ag donor ea ag	$106.20	$106.20	$106.20	$102.00
Blood typing rbc ag non abo/rh ea	$80.40	$80.40	$80.40	$84.60
Blood typing rh (d)	$47.40	$47.40	$47.40	$57.60
Bone Density Scan (DEXA)	$240.00	$240.00	$240.00	$398.56
Bone marrow biopsyneedle/trocar 38221	$1,237.20	$1,237.20	$1,237.20	$1,200.00
Bone marrow interpretation	$250.80	$250.80	$250.80	$251.40
Bone survey-lead poisoning	$420.60	$420.60	$420.60	$619.50
Bone/joint imaging ltd area	$508.80	$508.80	$508.80	$857.40
Boot j walker l	$1,516.20	$1,516.20	$1,516.20	$1,417.80
Boot walker genesis full shell 3-strap s	$861.60	$861.60	$861.60	$805.80
Borrelia antibody	$210.60	$210.60	$210.60	$176.40
Borrelia burgdorferi (lyme disease) antibody nonspecific	$99.00	$99.00	$99.00	$94.80
Borrelia miyamotoi amp prb	$189.00	$189.00	$189.00	$349.80
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$241.20	$241.20	$241.20	$3,308.40
Br punct aspir ea add, l	$361.80	$361.80	$361.80	$497.40
Bra surgical elizabeth pink sm	$55.20	$55.20	$55.20	$55.20
Brace ank air stirrup univ	$249.60	$249.60	$249.60	$272.40
Brace ankle stablizing lg	$231.60	$231.60	$231.60	$286.80
Brace knee support neoprene padded open patella med	$1,083.60	$1,083.60	$1,083.60	$558.00
Brace oths wrist hnd fngr without	$642.00	$642.00	$642.00	$194.40
Brace wrist classic lft sm	$522.60	$522.60	$522.60	$132.60
Brach/thor cath 1st	$8,405.40	$8,405.40	$8,405.40	$4,128.75
Brach/thor cath 2nd	$10,167.00	$10,167.00	$10,167.00	$2,881.20
Braf gene	$1,392.00	$1,392.00	$1,392.00	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$5,969.40	$5,969.40	$5,969.40	$2,650.00
Brain MRA (blood vessel MRI, without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,802.40
Brain MRI (with and without contrast)	$3,827.40	$3,827.40	$3,827.40	$2,919.75
Brain MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,224.96
Brain MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,830.00
Brca1&2 gen ful dup/del alys	$2,287.20	$2,287.20	$2,287.20	$2,287.20
Brcassure comprehensive panel-sendout	$1,920.00	$1,920.00	$1,920.00	$1,920.00
Breast Biopsy (ultrasound-guided, percutaneous)	$3,145.20	$3,145.20	$3,145.20	$3,069.25
Breast punct aspir cyst, bil	$777.00	$777.00	$777.00	$845.40
Brentuximab vedotin 50 mg intravenous solution	$492.80	$492.80	$492.80	$31,641.60
Bronchial challenge	$520.20	$520.20	$520.20	$761.40
Bronchoscopy w/biopsy(s) 31625	$2,132.40	$2,132.40	$2,132.40	$2,256.75
Budesonide non-comp unit	$875.20	$875.20	$875.20	$463.20
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$9.00	$9.00	$9.00	$9.00
Bundled special stain group 1 microorganisms	$67.20	$67.20	$67.20	$145.80
Bundled special stain group 2	$67.20	$67.20	$67.20	$134.25
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$1.40	$1.40	$1.40	$1.40
Buprenorph X-ray 100 mg or less	$6,604.80	$6,604.80	$6,604.80	$7,360.99
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet	$15.40	$15.40	$15.40	$20.25
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet	$25.00	$25.00	$25.00	$36.60
Buprenorphine X-ray over 100 mg	$6,604.80	$6,604.80	$6,604.80	$7,360.99
Butorphanol tartrate 1 mg	$89.40	$89.40	$89.40	$90.60
Bx bone trocar/ndl deep	$2,553.60	$2,553.60	$2,553.60	$2,179.80
Bx breast 1st lesion strtctc	$5,112.00	$5,112.00	$5,112.00	$3,700.20
Bx breast add lesion Ultrasound imag	$2,792.40	$2,792.40	$2,792.40	$2,315.20
Bx breast add lesion strtctc	$5,112.00	$5,112.00	$5,112.00	$2,515.20
Bx pancreas pq ndl	$3,197.40	$3,197.40	$3,197.40	$1,900.50
Bx skin punch ea sep/ addl les	$658.20	$658.20	$658.20	$327.00
Bx thyroid/percutan core needle 60100	$1,240.20	$1,240.20	$1,240.20	$1,119.00
Bypass temp external fem-fem	$114.60	$114.60	$114.60	$2,428.80
C motor evoked uppr limbs	$400.80	$400.80	$400.80	$424.20
C motor evoked upr&lwr limbs	$2,663.40	$2,663.40	$2,663.40	$780.00
C-kit mutation liquid tumor - sendout	$4,054.80	$4,054.80	$4,054.80	$4,054.80
C-peptide	$102.60	$102.60	$102.60	$171.00
C-reactive protein	$40.80	$40.80	$40.80	$126.00
C-reactive protein high sensitivity	$137.40	$137.40	$137.40	$137.40
C1 esterase inhibitor func - sendout	$202.80	$202.80	$202.80	$143.20
CT 3d report other modality w/workstation	$610.80	$610.80	$610.80	$697.20
CT Angiogram of Abdomen and Pelvis	$3,063.00	$3,063.00	$3,063.00	$2,839.85
CT Angiogram of the Chest (for blood clot)	$1,576.80	$1,576.80	$1,576.80	$2,094.23
CT Angiogram of the Head	$1,533.00	$1,533.00	$1,533.00	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$1,368.00	$1,368.00	$1,368.00	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$1,226.40	$1,226.40	$1,226.40	$2,418.75
CT angio pelvis	$1,533.00	$1,533.00	$1,533.00	$2,494.20
CT colonography dx	$1,226.40	$1,226.40	$1,226.40	$2,139.00
CT colonography screening	$6,423.00	$6,423.00	$6,423.00	$6,423.00
CT guidance for needle placement	$1,516.20	$1,516.20	$1,516.20	$2,065.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$771.00	$771.00	$771.00	$1,524.60
CT lower extremity w/contrast (both sides)	$1,176.00	$1,176.00	$1,176.00	$2,654.40
CT lower extremity without contrast (both sides)	$989.40	$989.40	$989.40	$1,740.00
CT lwr extremity w/o&w/dye	$1,240.20	$1,240.20	$1,240.20	$2,785.80
CT neck soft tissue w/contrast	$1,368.00	$1,368.00	$1,368.00	$2,511.00
CT neck soft tissue without & w/contrast	$1,533.00	$1,533.00	$1,533.00	$2,953.20
CT neck soft tissue without contrast	$1,226.40	$1,226.40	$1,226.40	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$1,368.00	$1,368.00	$1,368.00	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$1,226.40	$1,226.40	$1,226.40	$1,623.00
CT orbit/sella/fossa w/wo contrast	$1,533.00	$1,533.00	$1,533.00	$2,712.60
CT scan for therapy guide	$855.60	$855.60	$855.60	$843.60
CT t-spine w /wo contrast	$1,750.20	$1,750.20	$1,750.20	$2,602.20
CT thoracic spine w/contrast	$1,636.80	$1,636.80	$1,636.80	$2,555.40
CT thoracic spine without contrast	$1,368.00	$1,368.00	$1,368.00	$1,740.00
CT thorax low dose for lung screening without contrast	$666.60	$666.60	$666.60	$253.20
CT upper extremity w/contrast (both sides)	$1,368.00	$1,368.00	$1,368.00	$2,358.60
CT upper extremity without contrast (both sides)	$1,068.00	$1,068.00	$1,068.00	$1,740.00
CT uppr extremity w/o&w/dye	$1,240.20	$1,240.20	$1,240.20	$2,785.80
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$441.60	$441.60	$441.60	$495.60
Cabergoline, oral 0.25mg	$105.00	$105.00	$105.00	$173.02
Calcitonin (salmon) 200 unit/ml injection solution	$9,437.60	$9,437.60	$9,437.60	$9,437.60
Calcium 24 hour urine	$43.80	$43.80	$43.80	$78.75
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$0.80	$0.80	$0.80	$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	$66.60	$66.60	$66.60	$107.40
Calcium total	$37.20	$37.20	$37.20	$43.80
Calprotectin fecal	$175.20	$175.20	$175.20	$257.40
Candida dna	$175.80	$175.80	$175.80	$197.40
Cannula ercp contour 5-4-3 tip	$7,828.80	$7,828.80	$7,828.80	$7,828.80
Canthotomy 67715	$3,352.80	$3,352.80	$3,352.80	$2,709.00
Cap nerve 2x15mm	$706.20	$706.20	$706.20	$4,846.80
Cap trach decann 15mm	$1,444.80	$1,444.80	$1,444.80	$1,737.00
Carbamazepine free	$89.40	$89.40	$89.40	$117.00
Carbamazepine free -sendout	$89.40	$89.40	$89.40	$194.25
Carbamazepine total therapeutic drug level	$89.40	$89.40	$89.40	$137.40
Carbohydrate deficient transf - sendout	$111.60	$111.60	$111.60	$111.60
Carbohydrate urine - sendout	$28.80	$28.80	$28.80	$30.60
Carbon dioxide	$36.00	$36.00	$36.00	$47.80
Carboplatin 10 mg/ml desensitization	$1,696.00	$1,696.00	$1,696.00	$500.40
Carboxyhemoglobin quantitative	$72.00	$72.00	$72.00	$102.00
Carcinoembryonic ag (cea)	$96.60	$96.60	$96.60	$162.75
Cardiac perf spect sgl/ef/wm rst/strs	$1,963.80	$1,963.80	$1,963.80	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$121.20	$121.20	$121.20	$218.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$90.60	$90.60	$90.60	$106.20
Cardiolipin antibody iga	$129.60	$129.60	$129.60	$197.40
Cardioversion elective electrical conversion arrhythmia external	$883.20	$883.20	$883.20	$1,505.60
Caregiver training strategies&tq 1st 30 minutes	$105.00	$105.00	$105.00	$105.00
Caregiver training strategies&tq ea addl 15 min	$52.20	$52.20	$52.20	$52.20
Carfilzomib 10 mg intravenous solution	$136.00	$136.00	$136.00	$1,876.80
Carmustine 100 mg intravenous powder for solution	$287.40	$287.40	$287.40	$2,713.80
Carotene	$65.40	$65.40	$65.40	$85.50
Carotid Artery Ultrasound (Duplex)	$979.80	$979.80	$979.80	$1,059.82
Caspofungin acetate	$2,284.80	$2,284.80	$2,284.80	$1,752.00
Cath 2lum 14.5frx43cm maxid kt mahurkar	$428.40	$428.40	$428.40	$973.80
Cath ablt clsfast 7fx100cmx	$1,363.20	$1,363.20	$1,363.20	$3,024.00
Cath acuity innr ic130 6f 63cm	$1,338.60	$1,338.60	$1,338.60	$8,586.00
Cath adherent clot 10mm 6f 10	$1,504.20	$1,504.20	$1,504.20	$21,679.20
Cath baloon occl urnry 34f 7x2x65	$358.80	$358.80	$358.80	$7,256.82
Cath council tip 16fr 5cc	$130.20	$130.20	$130.20	$59.40
Cath cv dl inj 7fx16cm	$670.80	$670.80	$670.80	$2,185.20
Cath groshong MRI 8fr plstc port	$2,380.80	$2,380.80	$2,380.80	$2,449.80
Cath hawkone s directional	$7,936.80	$7,936.80	$7,936.80	$7,639.20
Cath infuse micro 150cm rapidtransit	$81.60	$81.60	$81.60	$114.00
Cath left heart/lv gram	$5,695.80	$5,695.80	$5,695.80	$7,483.80
Cath malecot 28fr 4-wing ltx	$655.20	$655.20	$655.20	$2,099.40
Cath pezzer 34fr drain bardex propor head mushrm ltx	$201.00	$201.00	$201.00	$190.20
Cath place 1st order venous 36011	$10,167.00	$10,167.00	$10,167.00	$3,910.20
Cath plc art ang/grft lt/rt hr	$11,503.20	$11,503.20	$11,503.20	$11,503.20
Cath plc art/angio/rt hrt cath	$8,503.80	$8,503.80	$8,503.80	$12,175.20
Cath right heart w/o2 sat & card	$6,459.60	$6,459.60	$6,459.60	$6,457.80
Cath steerable flex adv 12f	$2,410.80	$2,410.80	$2,410.80	$2,925.00
Cath uret open tp 6fx70cm	$733.20	$733.20	$733.20	$671.40
Catheterization collection of specimen single patient all places of service	$39.00	$39.00	$39.00	$42.60
Cauterization chemical granulation tissue	$299.40	$299.40	$299.40	$408.60
Cdna analysis for variants	$7,041.00	$7,041.00	$7,041.00	$1,934.40
Cebpa gene full sequence	$2,182.20	$2,182.20	$2,182.20	$1,686.00
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$20.80	$20.80	$20.80	$16.40
Cefepime 1 gram solution for injection	$43.40	$43.40	$43.40	$51.00
Cefotaxime sodium injection	$88.20	$88.20	$88.20	$43.10
Cefoxitin 1 gram intravenous solution	$108.80	$108.80	$108.80	$94.59
Ceftaroline fosamil 600 mg intravenous solution	$217.80	$217.80	$217.80	$552.60
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$52.80	$52.80	$52.80	$93.60
Ceftriaxone 1 gram solution for injection	$177.60	$177.60	$177.60	$123.72
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$47.20	$47.20	$47.20	$30.60
Cell count w differential body fluid	$58.80	$58.80	$58.80	$131.40
Cell cryopreserve/storage	$165.60	$165.60	$165.60	$117.60
Cell function assay w/stim	$1,146.00	$1,146.00	$1,146.00	$898.80
Cell marker study	$126.60	$126.60	$126.60	$212.40
Cemiplimab-rwlc 50 mg/ml intravenous solution	$497.40	$497.40	$497.40	$527.40
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$37.80	$37.80	$37.80	$34.80
Cetuximab 100 mg/50 ml intravenous solution	$210.60	$210.60	$210.60	$2,809.20
Change cystostomy tube simple	$298.20	$298.20	$298.20	$411.00
Change cystostomy tube; complex 51710	$3,396.00	$3,396.00	$3,396.00	$2,813.40
Change g-tube to g-j perc	$3,861.60	$3,861.60	$3,861.60	$3,534.60
Change of windpipe airway 31502	$580.20	$580.20	$580.20	$472.80
Chemo adm cns w/lmbr punct	$1,119.00	$1,119.00	$1,119.00	$1,119.00
Chest 2 vws w oblique	$83.40	$83.40	$83.40	$450.75
Chest CT scan (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$2,105.40
Chest CT scan (with contrast)	$1,368.00	$1,368.00	$1,368.00	$1,697.25
Chest CT scan (without contrast)	$1,226.40	$1,226.40	$1,226.40	$1,350.03
Chest X-ray	$141.00	$141.00	$141.00	$303.24
Chest X-ray (single view)	$108.60	$108.60	$108.60	$225.00
Chest apical lordotic proj	$218.40	$218.40	$218.40	$419.40
Chg radiologic exam esophagus double contrast	$253.20	$253.20	$253.20	$713.40
Chlamydia culture	$96.00	$96.00	$96.00	$109.80
Chlamydia type	$64.80	$64.80	$64.80	$42.60
Chloride	$34.80	$34.80	$34.80	$39.60
Chloride 24 hour urine	$34.80	$34.80	$34.80	$60.75
Chloroprocaine hcl injection	$1.20	$1.20	$1.20	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$1,060.80	$1,060.80	$1,060.80	$1,236.80
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$39.40	$39.40	$39.40	$91.92
Chlorpromazine 100 mg tablet	$0.80	$0.80	$0.80	$1.20
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$516.60	$516.60	$516.60	$629.25
Cholecystostomy complete w/supervision & interpretation	$3,158.40	$3,158.40	$3,158.40	$3,449.25
Cholesterol	$40.80	$40.80	$40.80	$45.75
Cholesterol (Lipid) Test	$133.20	$133.20	$133.20	$100.00
Cholesterol body fluid	$6,841.20	$6,841.20	$6,841.20	$6,088.80
Chrom analysis	$228.60	$228.60	$228.60	$309.60
Chromatography	$163.80	$163.80	$163.80	$178.80
Chromo high res and frag x - sendout	$3,739.80	$3,739.80	$3,739.80	$770.40
Chromogenic substrate assay	$188.40	$188.40	$188.40	$158.40
Chromosome analysis 100	$3,003.60	$3,003.60	$3,003.60	$519.00
Chromosome analysis 15-20 cell count	$817.80	$817.80	$817.80	$1,017.00
Chromosome analysis 5	$2,955.60	$2,955.60	$2,955.60	$1,206.00
Chromosome study additional	$590.40	$590.40	$590.40	$453.60
Chronic urticaria - sendout	$114.60	$114.60	$114.60	$133.80
Chylomicron screen, bf - sendout	$526.20	$526.20	$526.20	$336.75
Ciliary transsleral therapy	$4,594.20	$4,594.20	$4,594.20	$4,288.80
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$101.60	$101.60	$101.60	$23.67
Ciprofloxacin otic susp 6 mg	$128.80	$128.80	$128.80	$876.00
Circumcision (newborn)	$2,149.20	$2,149.20	$2,149.20	$1,549.50
Cisplatin 1 mg/ml desensitization	$700.00	$700.00	$700.00	$700.00
Cladribine 10 mg/10 ml intravenous solution	$329.60	$329.60	$329.60	$355.41
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$76.20	$76.20	$76.20	$47.40
Clip ligating vesolock lg	$699.00	$699.00	$699.00	$925.20
Clos txnose fx without stablz 21315	$4,779.60	$4,779.60	$4,779.60	$2,896.50
Close lac/mouth vest/2.5 cm or < 40830	$388.80	$388.80	$388.80	$777.60
Closed tx humerus fx w/manip 24505	$2,860.80	$2,860.80	$2,860.80	$1,198.50
Clot factor fletcher fact	$109.80	$109.80	$109.80	$260.40
Clot factor viii reltd antgn	$343.80	$343.80	$343.80	$288.00
Clot factor wght kininogen	$320.40	$320.40	$320.40	$320.40
Clot factor xii hageman	$131.40	$131.40	$131.40	$197.60
Clot factor xiii fibrin stab	$69.60	$69.60	$69.60	$106.20
Clozapine, 25 mg	$17.40	$17.40	$17.40	$8.40
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$315.00	$315.00	$315.00	$430.80
Clsd tx dist fib fx w/manip 27788	$3,017.40	$3,017.40	$3,017.40	$868.80
Clsd tx elbow dislocation child 24640	$280.20	$280.20	$280.20	$525.75
Clsd tx fx radius/ulna dist w/manip 25605	$2,509.80	$2,509.80	$2,509.80	$1,912.80
Clsd tx fx radius/ulna w/manip 25565	$2,186.40	$2,186.40	$2,186.40	$2,055.00
Clsd tx hip disloc without anes 27265	$1,632.60	$1,632.60	$1,632.60	$868.80
Clsd tx iphal jnt disl w/manip req anes	$4,633.20	$4,633.20	$4,633.20	$3,964.20
Clsd tx metatarsal fracture w/manip 28475	$4,795.80	$4,795.80	$4,795.80	$759.00
Clsd tx of ankle fracture w/manip 28435	$4,497.60	$4,497.60	$4,497.60	$2,440.80
Clsd tx patella disloc without anes 27560	$1,632.60	$1,632.60	$1,632.60	$998.40
Clsd tx prox fib/shaft fx w/manip 27781	$3,570.00	$3,570.00	$3,570.00	$1,863.75
Clsd tx radius fracture w/manip 24655	$3,449.40	$3,449.40	$3,449.40	$2,712.00
Clsd tx shoulder dislc/fx 23665	$2,186.40	$2,186.40	$2,186.40	$3,135.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$2,186.40	$2,186.40	$2,186.40	$2,073.00
Clsd tx temporomandibular dislocat 21480	$3,032.40	$3,032.40	$3,032.40	$942.60
Clsd tx toe dislocation without anes28660	$763.20	$763.20	$763.20	$520.80
Clsd tx trimall ankle fx w/manip 27818	$1,632.60	$1,632.60	$1,632.60	$1,362.75
Clsd tx wrist ulnar styloid fx 25650	$810.00	$810.00	$810.00	$729.60
Clsd tx/fem shaft fx/manipulation 27502	$4,281.00	$4,281.00	$4,281.00	$2,319.00
Clsd tx/fx/phalanx/phalang/manip 28515	$556.80	$556.80	$556.80	$429.60
Clsd tx/metacarpal fx/sng/w manip 26605	$4,165.80	$4,165.80	$4,165.80	$825.60
Clsd tx/nasal bone fx/stabilize 21320	$4,594.20	$4,594.20	$4,594.20	$3,600.75
Clsd tx/shoulder dislo/manip/anest 23655	$1,632.60	$1,632.60	$1,632.60	$2,139.60
Clsd/shoulder dislo/manip/no anest 23650	$1,632.60	$1,632.60	$1,632.60	$856.20
Cltx scap fx w/mnpj +-tractj	$3,379.20	$3,379.20	$3,379.20	$2,450.40
Cmv pcr-sendout	$306.60	$306.60	$306.60	$557.25
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$8.20	$8.20	$8.20	$16,994.46
Cold agglutinin titer	$39.00	$39.00	$39.00	$100.20
Collar cerv 18.25x3.5in serp firm density sm	$223.20	$223.20	$223.20	$75.60
Collar cerv ascend 172 reg	$236.40	$236.40	$236.40	$318.51
Collar cerv patriot adlt	$316.80	$316.80	$316.80	$227.40
Collection blood specimen from completely implantable venous access device	$72.00	$72.00	$72.00	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$240.00	$240.00	$240.00	$208.50
Collection of venous blood by venipuncture	$10.20	$10.20	$10.20	$22.50
Colonoscopy & polypectomy 44392	$3,379.20	$3,379.20	$3,379.20	$3,114.00
Colonoscopy (diagnostic)	$1,500.00	$1,500.00	$1,500.00	$1,500.00
Colonoscopy (with biopsy)	$2,132.40	$2,132.40	$2,132.40	$1,846.40
Colonoscopy (with polyp removal)	$2,132.40	$2,132.40	$2,132.40	$1,875.00
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)	$2,132.40	$2,132.40	$2,132.40	$3,043.50
Colonoscopy stoma w/snare 44394	$3,373.80	$3,373.80	$3,373.80	$2,854.80
Colonoscopy submucous njx	$4,867.20	$4,867.20	$4,867.20	$3,528.00
Colonoscopy thru stoma spx	$3,380.40	$3,380.40	$3,380.40	$2,079.00
Colonoscopy w/injection	$2,448.60	$2,448.60	$2,448.60	$2,495.25
Colonoscopy with biopsy	$1,555.20	$1,555.20	$1,555.20	$1,788.60
Compatibility test each unit antiglobulin technique	$179.40	$179.40	$179.40	$203.40
Compatibility test each unit immediate spin technique	$89.40	$89.40	$89.40	$203.40
Complement antigen each component c3	$54.00	$54.00	$54.00	$175.80
Complement fixation each	$122.40	$122.40	$122.40	$100.20
Complex repair trunk 1.1-2.5cm 13120	$4,060.20	$4,060.20	$4,060.20	$1,919.40
Complx repair enel 1.1-2.5 cm 13151	$4,909.80	$4,909.80	$4,909.80	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$4,655.40	$4,655.40	$4,655.40	$2,938.80
Complx repair fccmnaxghf 13131	$2,186.40	$2,186.40	$2,186.40	$2,172.00
Complx repair fccmnaxghf 13132	$5,469.60	$5,469.60	$5,469.60	$2,172.00
Complx repair fccmnaxghf 13133	$1,718.40	$1,718.40	$1,718.40	$1,089.00
Complx repair sal addl 5 cm/> 13122	$1,128.00	$1,128.00	$1,128.00	$828.60
Concentration infection agents any type	$44.40	$44.40	$44.40	$42.00
Condylomata destruction 56420	$1,632.00	$1,632.00	$1,632.00	$831.60
Consultation pathology during surgery	$63.60	$63.60	$63.60	$141.75
Consultation pathology during surgery cytological exam initial site	$231.60	$231.60	$231.60	$176.40
Consultation pathology during surgery frozen section each additional block	$40.80	$40.80	$40.80	$211.80
Consultation pathology during surgery frozen section first tissue block	$159.60	$159.60	$159.60	$276.00
Contrast exam abdominl aorta 75625-26	$2,833.20	$2,833.20	$2,833.20	$4,356.00
Control nosebleed pack+caut 30905	$1,632.00	$1,632.00	$1,632.00	$569.60
Control of nosebleed ant comp 30903	$1,632.00	$1,632.00	$1,632.00	$569.60
Control of nosebleedantersmpl 30901	$388.80	$388.80	$388.80	$471.00
Controller infinity pt dbs	$3,636.00	$3,636.00	$3,636.00	$4,347.00
Convert nephrostomy catheter	$2,643.00	$2,643.00	$2,643.00	$2,643.00
Coombs direct	$37.20	$37.20	$37.20	$80.40
Coombs indirect titer reference	$67.20	$67.20	$67.20	$186.75
Copper intrauterine device	$3,515.20	$3,515.20	$3,515.20	$2,606.40
Core ndl bx lng/med perq	$3,052.80	$3,052.80	$3,052.80	$3,052.80
Coronary angio/cath placement bypass graft/lv gram/lt heart	$9,024.60	$9,024.60	$9,024.60	$10,920.00
Coronary angio/lv gram/lt heart	$8,070.00	$8,070.00	$8,070.00	$10,991.40
Coronary angio/lv gram/rt&lt heart	$10,049.40	$10,049.40	$10,049.40	$10,049.40
Cortisol total am	$89.40	$89.40	$89.40	$165.00
Cosyntropin 0.25 mg solution for injection	$844.80	$844.80	$844.80	$542.40
Counseling smoke cess interm >10mins	$48.00	$48.00	$48.00	$48.00
Coveredge 32 lead kit 40cm 48	$3,053.40	$3,053.40	$3,053.40	$6,339.60
Covid-19 administration immunization im inj 1st/only component	$24.00	$24.00	$24.00	$24.00
Creatine - sendout	$31.80	$31.80	$31.80	$45.60
Creatine kinase	$40.80	$40.80	$40.80	$90.00
Creatine kinase isoenzymes	$66.00	$66.00	$66.00	$66.00
Creatine kinase mb	$114.60	$114.60	$114.60	$131.40
Creatinine	$34.80	$34.80	$34.80	$44.25
Creatinine 24 hour urine	$43.80	$43.80	$43.80	$80.40
Creatinine clearance urine	$64.80	$64.80	$64.80	$151.50
Critical care 30-74 minutes	$1,263.00	$1,263.00	$1,263.00	$2,085.75
Critical care each additional 30 minutes	$478.80	$478.80	$478.80	$570.60
Cryofibrinogen qualitative - sendout	$80.40	$80.40	$80.40	$61.20
Cryoprecipitate each unit	$619.20	$619.20	$619.20	$235.20
Cryptococcus abs qn - sendout	$136.20	$136.20	$136.20	$184.50
Cryptosporidium antigen	$193.80	$193.80	$193.80	$162.60
Crystal identification light microscopy	$36.00	$36.00	$36.00	$65.25
Cta abdomen without & /or w/contrast	$1,533.00	$1,533.00	$1,533.00	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$2,020.20	$2,020.20	$2,020.20	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$1,533.00	$1,533.00	$1,533.00	$3,067.20
Cta neck without &/or w/contrast	$1,533.00	$1,533.00	$1,533.00	$2,598.60
Cta upper extremity w &/or without contrast left	$1,533.00	$1,533.00	$1,533.00	$3,067.20
Culture aerobic additional method definitive id each	$43.80	$43.80	$43.80	$77.25
Culture afb any source	$74.40	$74.40	$74.40	$92.80
Culture anaerobic additional method definitive id each	$88.20	$88.20	$88.20	$117.00
Culture anaerobic except blood	$105.00	$105.00	$105.00	$127.50
Culture bact stool aero addl path ea	$40.80	$40.80	$40.80	$52.80
Culture body fluid	$84.60	$84.60	$84.60	$151.50
Culture fungi definitive id mold	$70.80	$70.80	$70.80	$81.75
Culture fungi definitive id yeast	$67.20	$67.20	$67.20	$75.00
Culture fungi other (except blood)	$80.40	$80.40	$80.40	$137.40
Culture fungi skin/hair/nail	$80.40	$80.40	$80.40	$80.40
Culture mycobacteria definitive id each isolate	$189.60	$189.60	$189.60	$123.00
Culture mycoplasma any source	$84.60	$84.60	$84.60	$162.00
Culture screening strep group a	$60.60	$60.60	$60.60	$108.00
Culture typing immunologic	$45.00	$45.00	$45.00	$45.00
Culture typing nucleic acid probe amplified per culture/isolate each organism	$588.60	$588.60	$588.60	$343.20
Culture urine each isolate	$40.80	$40.80	$40.80	$74.40
Cutter lead	$1,829.40	$1,829.40	$1,829.40	$3,284.40
Cv line/pic reposition	$1,591.20	$1,591.20	$1,591.20	$1,629.75
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$7.40	$7.40	$7.40	$15.00
Cyanocobalamin unsat binding capacity	$93.60	$93.60	$93.60	$93.60
Cyclic citrullinated peptide antibody	$97.20	$97.20	$97.20	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$2.40	$2.40	$2.40	$3.75
Cyclosporine 2 hour	$102.00	$102.00	$102.00	$119.40
Cyclosporine modified 25 mg capsule	$20.20	$20.20	$20.20	$10.80
Cyclosporine oral 100 mg	$59.40	$59.40	$59.40	$34.00
Cylinder pump set 20cm titan zero angl	$3,862.80	$3,862.80	$3,862.80	$27,160.20
Cyp2c19 gene com variants	$1,065.60	$1,065.60	$1,065.60	$1,004.00
Cyp2c9 gene com variants	$1,870.20	$1,870.20	$1,870.20	$1,852.80
Cyp2d6 gene com variants	$269.40	$269.40	$269.40	$269.40
Cystatin c	$119.40	$119.40	$119.40	$128.40
Cystine urine quantitative	$125.40	$125.40	$125.40	$167.25
Cystogram >= 3 views supervision & interpretation	$269.40	$269.40	$269.40	$896.40
Cystoscopy & ureter catheter	$4,281.00	$4,281.00	$4,281.00	$3,417.00
Cystoscopy (Bladder Scope)	$3,031.80	$3,031.80	$3,031.80	$1,636.00
Cystoscopy and treatment	$4,368.00	$4,368.00	$4,368.00	$4,102.20
Cystostomy cystotomy w/drainage 51040	$6,051.00	$6,051.00	$6,051.00	$4,977.60
Cystourethroscopy w/biopsy(s) 52204	$4,869.60	$4,869.60	$4,869.60	$4,869.60
Cytarabine 20 mg/ml injection solution	$66.20	$66.20	$66.20	$66.20
Cyto/molecular report	$186.00	$186.00	$186.00	$85.80
Cytogenetics 25-99	$292.80	$292.80	$292.80	$292.80
Cytogenomic neo microra alys	$1,343.40	$1,343.40	$1,343.40	$1,343.40
Cytomegalovirus (cmv) antibody igg	$71.40	$71.40	$71.40	$146.40
Cytomegalovirus (cmv) antibody igm	$85.20	$85.20	$85.20	$131.25
Cytopathology cellular enhancement technique non-gyn	$316.20	$316.20	$316.20	$240.75
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$78.00	$78.00	$78.00	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$61.20	$61.20	$61.20	$64.20
Cytopathology concentration technique smears & interpretation	$96.60	$96.60	$96.60	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$68.40	$68.40	$68.40	$137.40
Cytopathology fna adequacy evaluation each separate additional episode same site	$75.60	$75.60	$75.60	$48.00
Cytopathology fna adequacy evaluation first episode each site	$51.00	$51.00	$51.00	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$85.20	$85.20	$85.20	$195.75
Dacarbazine 100 mg intravenous solution	$93.00	$93.00	$93.00	$67.40
Dalbavancin 500 mg intravenous solution	$64.40	$64.40	$64.40	$6,061.91
Daptomycin 500 mg/10 ml intravenous solution	$711.60	$711.60	$711.60	$1,138.20
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$109.20	$109.20	$109.20	$109.20
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$32.20	$32.20	$32.20	$5,546.48
Dch validity tests	$18.60	$18.60	$18.60	$31.50
Deamidated gliadin antibody iga	$96.60	$96.60	$96.60	$80.40
Debr musc/fascia 20sq cm/< 11043	$2,446.20	$2,446.20	$2,446.20	$1,965.00
Debrid ecz/inf skin up tp 10% body 11000	$544.20	$544.20	$544.20	$922.50
Debrid/rmv fgn bdy/open fx/skin/sq 11010	$2,350.20	$2,350.20	$2,350.20	$1,778.40
Debride nail1-5 11720	$274.20	$274.20	$274.20	$274.20
Debride nail6 or more 11721	$413.40	$413.40	$413.40	$306.60
Debride/subq tissue/ea add 20sq cm 11045	$1,588.80	$1,588.80	$1,588.80	$811.20
Debridement (>20 cm) charge pt	$341.40	$341.40	$341.40	$321.00
Debridement bone <= 20 sq cm	$2,359.20	$2,359.20	$2,359.20	$2,553.60
Debridement subcutaneous tissue <= 20 sq cm	$2,116.20	$2,116.20	$2,116.20	$1,148.25
Debridement/bone/20 sq cm or less 11046	$1,632.00	$1,632.00	$1,632.00	$817.20
Debridement/bone/ea add 20 sq cm 11047	$1,062.60	$1,062.60	$1,062.60	$2,160.00
Decalcification	$102.00	$102.00	$102.00	$124.80
Decitabine 50 mg intravenous solution	$184.80	$184.80	$184.80	$292.80
Declotting thrombolytic agent implanted vas access device 36	$381.60	$381.60	$381.60	$609.75
Degarelix 120 mg subcutaneous solution	$25.80	$25.80	$25.80	$2,262.60
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$84.60	$84.60	$84.60	$90.60
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$68.00	$68.00	$68.00	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$1,632.60	$1,632.60	$1,632.60	$712.80
Design mlc device for imrt	$1,254.00	$1,254.00	$1,254.00	$1,772.40
Desmopressin 4 mcg/ml injection solution	$39.40	$39.40	$39.40	$172.46
Desoxycorticosterone	$285.60	$285.60	$285.60	$285.60
Destroy cervthor facet jnt 64633	$4,080.60	$4,080.60	$4,080.60	$2,841.60
Destroy cth facet jnt addl 64634	$4,080.60	$4,080.60	$4,080.60	$2,099.40
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$4,350.00	$4,350.00	$4,350.00	$2,908.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$4,393.20	$4,393.20	$4,393.20	$2,224.80
Device ablt adv novasure	$4,733.40	$4,733.40	$4,733.40	$9,649.20
Device intraute mirena	$3,052.80	$3,052.80	$3,052.80	$3,052.80
Device tiss remov myosure reach	$2,842.20	$2,842.20	$2,842.20	$2,707.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$121.20	$121.20	$121.20	$127.20
Dexametha opth insert 0.1 mg	$505.60	$505.60	$505.60	$505.80
Dexamethasone 4 mg tablet	$9.00	$9.00	$9.00	$5.40
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$7.60	$7.60	$7.60	$7.60
Dexrazoxane hcl 250 mg intravenous solution	$307.20	$307.20	$307.20	$1,087.80
Dextrose 5 % IV bolus	$76.40	$76.40	$76.40	$26.80
Dextrose 5 % and 0.9 % sodium chloride intravenous solution	$75.60	$75.60	$75.60	$37.20
Dextrose 5 % and lactated ringers intravenous solution	$78.40	$78.40	$78.40	$29.00
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$80.80	$80.80	$80.80	$60.40
Dhea-s (dehydroepiand sulfate)	$111.60	$111.60	$111.60	$210.00
Diab manage trn ind/group	$93.00	$93.00	$93.00	$93.00
Diabetes (HbA1c) Test	$74.40	$74.40	$74.40	$70.00
Diagnostic Mammogram (both breasts)	$591.60	$591.60	$591.60	$424.00
Diagnostic Mammogram (one breast)	$487.20	$487.20	$487.20	$297.05
Diagnostic anoscopy spx 46600	$463.20	$463.20	$463.20	$432.60
Diagnostic laryngoscopy 31575	$1,199.40	$1,199.40	$1,199.40	$615.00
Diatrizoate meglumine 18 % urethral solution	$0.60	$0.60	$0.60	$58.24
Diazepam 5 mg/ml injection solution (wrapper)	$29.40	$29.40	$29.40	$35.40
Dicyclomine injection	$84.00	$84.00	$84.00	$425.60
Diffusing capacity	$145.80	$145.80	$145.80	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$12.80	$12.80	$12.80	$29.85
Digoxin immune fab 40 mg intravenous solution	$8,382.60	$8,382.60	$8,382.60	$11,176.80
Digoxin total therapeutic drug level	$89.40	$89.40	$89.40	$126.00
Dilate esophagus 1/mult pass	$1,558.20	$1,558.20	$1,558.20	$1,548.00
Dilator fascial 10fx20cm	$232.20	$232.20	$232.20	$795.60
Dimenhydrinate injection	$12.80	$12.80	$12.80	$14.40
Dimethyl sulfoxide 50% 50 ml	$208.80	$208.80	$208.80	$2,501.55
Diphenhydramine 12.5 mg/5 ml oral elixir	$9.60	$9.60	$9.60	$9.60
Diphenhydramine 50 mg/ml injection (wrapper)	$8.60	$8.60	$8.60	$13.80
Diphtheria-tetanus toxoids 0.5 ml (peds)	$24.60	$24.60	$24.60	$24.60
Disability dlco	$190.20	$190.20	$190.20	$234.00
Disaccharidases	$163.80	$163.80	$163.80	$181.20
Dna antibody native/double stranded	$60.00	$60.00	$60.00	$159.00
Dna gardnerella	$175.80	$175.80	$175.80	$197.40
Dna trichomonas	$183.60	$183.60	$183.60	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$297.00	$297.00	$297.00	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$94.40	$94.40	$94.40	$94.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$28.20	$28.20	$28.20	$56.40
Doppler intravascular pressure flow initial vessel	$1,242.60	$1,242.60	$1,242.60	$3,046.80
Doppler upper/lower extremity arteries complete bilateral	$425.40	$425.40	$425.40	$946.50
Doppler upper/lower extremity arteries limited bilateral	$339.60	$339.60	$339.60	$564.75
Dornase alfa non-comp unit	$104.80	$104.80	$104.80	$380.80
Dostarlimab-gxly 50 mg/ml intravenous solution	$565.80	$565.80	$565.80	$565.80
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$358.40	$358.40	$358.40	$358.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$1,812.00	$1,812.00	$1,812.00	$2,245.20
Doxycycline hyclate 100 mg intravenous powder for solution	$0.60	$0.60	$0.60	$1.20
Dpyd gene common variants	$2,524.20	$2,524.20	$2,524.20	$2,476.80
Drain blood from under nail 11740	$276.00	$276.00	$276.00	$266.40
Drain cath image guided visceral pq	$7,281.60	$7,281.60	$7,281.60	$4,627.80
Drain cerebro spinal fluid 62272	$3,449.40	$3,449.40	$3,449.40	$1,485.75
Drain finger abscess;simple 26010	$194.40	$194.40	$194.40	$318.00
Drain thigh/knee lesion 27301	$5,469.60	$5,469.60	$5,469.60	$5,469.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$824.40	$824.40	$824.40	$824.40
Drainage external ear simple 69000	$1,134.60	$1,134.60	$1,134.60	$709.50
Drainage of arm bursa 23931	$2,183.40	$2,183.40	$2,183.40	$2,638.50
Drainage of kidney lesion	$2,056.80	$2,056.80	$2,056.80	$2,056.80
Drainage of mouth lesion	$3,379.20	$3,379.20	$3,379.20	$3,288.75
Drainage of mouth lesion	$3,430.80	$3,430.80	$3,430.80	$3,430.80
Dress/debrid prtl-thick burn l 16030	$3,570.00	$3,570.00	$3,570.00	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$866.40	$866.40	$866.40	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$529.20	$529.20	$529.20	$408.60
Drng of eyelid abscess 67700	$7,063.80	$7,063.80	$7,063.80	$3,479.40
Drng of finger abscess comp 26011	$3,017.40	$3,017.40	$3,017.40	$1,875.00
Drng of scrotum abscess 55100	$2,486.40	$2,486.40	$2,486.40	$2,630.40
Droperidol 2.5 mg/ml injection solution	$22.80	$22.80	$22.80	$39.60
Drsg interceed 3x4in adh wnd barr absorb	$2,118.60	$2,118.60	$2,118.60	$1,956.48
Drug assay vedolizumab	$126.60	$126.60	$126.60	$298.80
Drug asy hydroxychloroquine	$57.60	$57.60	$57.60	$511.50
Drug test def 1-7 classes	$239.40	$239.40	$239.40	$437.40
Drug test def 8-14 classes	$239.40	$239.40	$239.40	$440.40
Drug test(s) presumptive any class instrument chemistry analyzers	$239.40	$239.40	$239.40	$441.60
Drvvt confirm - quest	$163.80	$163.80	$163.80	$174.60
Dstrj nulyt agt gnclr nrv	$1,400.40	$1,400.40	$1,400.40	$1,429.20
Dup scan/hemodialysis access 93990	$498.00	$498.00	$498.00	$684.60
Dup scan/ue art/graft/bilat/comp 93930	$490.20	$490.20	$490.20	$903.00
Duplex scan bilateral study 93985	$1,662.00	$1,662.00	$1,662.00	$1,144.80
Duplex scan unilateral study 93986	$831.00	$831.00	$831.00	$643.20
Durvalumab 50 mg/ml intravenous solution	$200.40	$200.40	$200.40	$241.20
Dx bronchoscope/lavage 31624	$4,661.40	$4,661.40	$4,661.40	$2,926.80
Dx bronchoscope/wash 31622	$1,558.20	$1,558.20	$1,558.20	$2,168.40
Dxa bone density axl vrt fx	$151.80	$151.80	$151.80	$672.60
E equine encephalitis igg	$122.40	$122.40	$122.40	$122.40
ER Visit (level 1, minor)	$213.00	$213.00	$213.00	$286.51
ER Visit (level 2)	$265.20	$265.20	$265.20	$469.39
ER Visit (level 3)	$336.60	$336.60	$336.60	$827.20
ER Visit (level 4)	$570.00	$570.00	$570.00	$1,330.00
ER Visit (level 5, high severity)	$703.20	$703.20	$703.20	$1,892.80
Ear irrigation 69209	$79.80	$79.80	$79.80	$128.25
Ecg 12 lead tracing only	$147.60	$147.60	$147.60	$271.80
Ecg < 30 days transmission & analysis	$855.60	$855.60	$855.60	$720.75
Ecg external < 48 hours recording	$235.80	$235.80	$235.80	$551.40
Ecg external < 48 hours scanning analysis w/report	$404.40	$404.40	$404.40	$642.75
Ecg external > 48 hours up to 7 days recording	$66.00	$66.00	$66.00	$74.40
Ecg external >7 days up to 15 days recording	$63.00	$63.00	$63.00	$75.00
Echo guidance radiotherapy	$3,656.40	$3,656.40	$3,656.40	$2,718.00
Echo stress	$626.40	$626.40	$626.40	$1,056.00
Echo tee probe placement image acquisition interpretation & report	$1,641.60	$1,641.60	$1,641.60	$1,875.00
Echo tte 2d comp wo ctrst wo clr/dplr	$1,025.40	$1,025.40	$1,025.40	$1,137.75
Echocardiogram (Heart Ultrasound)	$1,820.40	$1,820.40	$1,820.40	$2,021.12
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$1,820.40	$1,820.40	$1,820.40	$2,265.00
Echocardiography transthoracic 2d followup/limited	$691.20	$691.20	$691.20	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$691.20	$691.20	$691.20	$691.20
Echocardiograpy doppler follow up/limited study	$324.00	$324.00	$324.00	$336.00
Echograp trans r pros study	$576.60	$576.60	$576.60	$576.60
Ecmo/ecls initiation artery 33947	$1,554.60	$1,554.60	$1,554.60	$1,554.60
Ecmo/ecls insj prph cannula 6yrs&older perq 33952	$1,958.40	$1,958.40	$1,958.40	$1,958.40
Eeg during surgery	$604.80	$604.80	$604.80	$1,488.75
Eeg monitor/record/awake/drowsy 95816	$584.40	$584.40	$584.40	$1,099.50
Eeg over 1 hour 95813 - 26	$627.00	$627.00	$627.00	$907.80
Eeg recording awake and asleep	$584.40	$584.40	$584.40	$1,173.00
Eeg without vid 2-12 hr unmntr	$586.20	$586.20	$586.20	$586.20
Eeg without vid 2-12hr cont mntr	$589.20	$589.20	$589.20	$623.40
Eeg without vid ea 12-26hr cont	$1,126.20	$1,126.20	$1,126.20	$1,194.00
Eeg without vid ea 12-26hr intmt	$1,126.20	$1,126.20	$1,126.20	$1,126.20
Eeg wo vid 2-12hr intmt mntr	$586.80	$586.80	$586.80	$602.40
Eeg wo vid ea 12-26hr unmntr	$1,126.20	$1,126.20	$1,126.20	$1,126.20
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$67.20	$67.20	$67.20	$85.60
Egd control bleeding any	$2,132.40	$2,132.40	$2,132.40	$2,553.75
Egd lesion ablation	$2,448.60	$2,448.60	$2,448.60	$3,360.75
Egd remove foreign body	$2,132.40	$2,132.40	$2,132.40	$2,501.40
Egd remove lesion snare	$2,132.40	$2,132.40	$2,132.40	$2,597.25
Egd/remov tum/polyp/hot bx forcep 43250	$4,283.40	$4,283.40	$4,283.40	$3,414.00
Ehrlicha chaffeensis amp prb	$189.00	$189.00	$189.00	$290.40
Electrolyte panel	$51.00	$51.00	$51.00	$130.80
Electron microscopy diagnostic	$1,386.00	$1,386.00	$1,386.00	$1,472.40
Emb without cervical dilation 58100	$2,193.00	$2,193.00	$2,193.00	$2,115.00
Emg 2 ext w-w/o paraspinal area 95861	$464.40	$464.40	$464.40	$665.40
Emg cranial nerve bilateral	$496.80	$496.80	$496.80	$529.80
Emg thor paraspinal without t1/t2	$152.40	$152.40	$152.40	$186.00
Encephalitis, california igg/igm	$122.40	$122.40	$122.40	$122.40
Encephalitis, st louis igg/igm	$122.40	$122.40	$122.40	$122.40
Encephalitis, western equine igg/igm	$122.40	$122.40	$122.40	$122.40
Enfortumab vedotin-ejfv 20 mg intravenous solution	$67.20	$67.20	$67.20	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$77.00	$77.00	$77.00	$69.60
Enzyme histochemistry	$573.60	$573.60	$573.60	$573.60
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution	$102.00	$102.00	$102.00	$102.60
Epidural/lumbar/sacral/ea add level64484	$1,897.80	$1,897.80	$1,897.80	$1,711.50
Epinephrine 1 mg/ml im kit - pediatric	$106.40	$106.40	$106.40	$441.60
Episiotomy/vag rpr oth/thn attending phys 59300	$2,236.20	$2,236.20	$2,236.20	$2,952.75
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$111.20	$111.20	$111.20	$255.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$918.00	$918.00	$918.00	$336.66
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr	$389.40	$389.40	$389.40	$253.20
Epstein barr early antigen antibody	$76.20	$76.20	$76.20	$126.00
Epstein barr nuclear antigen antibody	$102.00	$102.00	$102.00	$124.50
Epstein barr viral capsid antigen antibody igm	$105.00	$105.00	$105.00	$153.75
Eptifibatide 0.75 mg/ml intravenous solution	$88.80	$88.80	$88.80	$350.40
Eptinezumab-jjmr 100 mg/ml intravenous solution	$3,637.20	$3,637.20	$3,637.20	$3,637.20
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$345.60	$345.60	$345.60	$509.40
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$227.20	$227.20	$227.20	$227.20
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$9.60	$9.60	$9.60	$11.80
Esoph egd dilation <30 mm	$2,132.40	$2,132.40	$2,132.40	$2,597.25
Established Patient Office Visit (level 1)	$129.60	$129.60	$129.60	$115.05
Established Patient Office Visit (level 2)	$145.80	$145.80	$145.80	$127.53
Established Patient Office Visit (level 3)	$186.60	$186.60	$186.60	$183.60
Established Patient Office Visit (level 4)	$201.60	$201.60	$201.60	$228.60
Established Patient Office Visit (level 5)	$291.00	$291.00	$291.00	$306.40
Estradiol total	$137.40	$137.40	$137.40	$242.40
Estrogens total-sendout	$292.80	$292.80	$292.80	$270.00
Ethylene glycol -sendout	$104.40	$104.40	$104.40	$114.60
Etonogestrel implant system	$3,428.00	$3,428.00	$3,428.00	$4,715.65
Etoposide 20 mg/ml intravenous solution	$1,867.20	$1,867.20	$1,867.20	$213.17
Euglobulin lysis	$61.80	$61.80	$61.80	$70.80
Evaluation of speech fluency 92521	$404.40	$404.40	$404.40	$393.00
Event monitor	$228.60	$228.60	$228.60	$352.50
Evoked potential visual not glaucoma	$699.00	$699.00	$699.00	$699.00
Evoked potentials upper limbs	$490.20	$490.20	$490.20	$561.00
Exc benign feenlm 3.1-4.0cm 11444	$3,430.80	$3,430.80	$3,430.80	$2,979.60
Exc/pilonidal cyst/sinus/simple 11770	$5,481.60	$5,481.60	$5,481.60	$4,440.60
Exchange biliary drg cath	$3,855.00	$3,855.00	$3,855.00	$2,959.50
Exchange drainage catheter	$4,902.00	$4,902.00	$4,902.00	$2,610.75
Exchange nephrostomy cath	$2,643.00	$2,643.00	$2,643.00	$2,572.20
Expander tiss 133s-mv-12-t 300ml natrelle smth	$3,237.00	$3,237.00	$3,237.00	$4,135.20
Explore penetrating wnd/extremity 20103	$2,678.40	$2,678.40	$2,678.40	$3,349.80
Explore/treat wrist joint	$5,268.60	$5,268.60	$5,268.60	$5,268.60
Ext ecg>48hr<7d scan a/r	$246.60	$246.60	$246.60	$238.50
Ext ecg>7d<15d scan a/r	$240.00	$240.00	$240.00	$240.00
External chromosome analysis 20-25 cells	$1,124.40	$1,124.40	$1,124.40	$919.20
External ocular photography	$91.20	$91.20	$91.20	$91.20
External tissue culture neoplastic disorders bone marrow/blood cells	$1,167.00	$1,167.00	$1,167.00	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$89.40	$89.40	$89.40	$212.00
F-18 fdg pet diag	$1,007.40	$1,007.40	$1,007.40	$1,257.60
Facial bones <3	$288.60	$288.60	$288.60	$388.00
Factor ix	$112.80	$112.80	$112.80	$222.60
Factor ix complex	$8.40	$8.40	$8.40	$8.40
Factor viii	$112.80	$112.80	$112.80	$213.00
Factor viii recombinant nos	$4.80	$4.80	$4.80	$11.10
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$55.20	$55.20	$55.20	$55.20
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$0.40	$0.40	$0.40	$0.40
Fat/lipids feces qualitative	$30.00	$30.00	$30.00	$39.60
Fatty acids nonesterified	$171.60	$171.60	$171.60	$139.50
Fem/popl revasc w/stent	$34,620.00	$34,620.00	$34,620.00	$34,620.00
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$144.00	$144.00	$144.00	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$4.60	$4.60	$4.60	$3,736.68
Ferritin	$76.20	$76.20	$76.20	$223.20
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$6.20	$6.20	$6.20	$3,963.60
Fetal chrom aneuploidy gsa panel	$3,621.60	$3,621.60	$3,621.60	$3,621.60
Fetal hemoglobin (kleihauer betke)	$121.20	$121.20	$121.20	$121.20
Fetal non stress test	$266.40	$266.40	$266.40	$451.20
Fibrin degradation d dimer quantitative	$93.60	$93.60	$93.60	$93.00
Fibrin degradation products	$45.00	$45.00	$45.00	$111.20
Fibrin degrade semiquant	$70.20	$70.20	$70.20	$70.20
Fibrinogen activity	$105.00	$105.00	$105.00	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$180.00	$180.00	$180.00	$72.00
Fibrinolytic antiplasmin	$130.20	$130.20	$130.20	$81.60
Fibrinolytic plasminogen	$124.20	$124.20	$124.20	$165.00
Fibrinolytic plasminogen xcpt antgnc asa	$97.20	$97.20	$97.20	$83.40
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$1,366.80	$1,366.80	$1,366.80	$1,964.97
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$1.20	$1.20	$1.20	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$1,093.80	$1,093.80	$1,093.80	$1,504.82
Filter spider fx 3mmx320cm	$3,649.20	$3,649.20	$3,649.20	$8,212.50
Filter vena cava fem denali	$5,991.00	$5,991.00	$5,991.00	$5,179.20
Finasteride, 5 mg	$32.20	$32.20	$32.20	$32.20
Fine needle asp without image guide 10021	$478.80	$478.80	$478.80	$722.40
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$777.00	$777.00	$777.00	$857.25
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$777.00	$777.00	$777.00	$738.00
Fix g/colon tube w/device	$2,854.80	$2,854.80	$2,854.80	$3,659.40
Fl exam g/colon tube w contrast	$602.40	$602.40	$602.40	$780.60
Flecainide (tambocor)-sendout	$141.00	$141.00	$141.00	$129.60
Flotufolastat f18 diag 1 mci	$1,173.60	$1,173.60	$1,173.60	$1,173.60
Flow cytometry interp 16 or more	$699.60	$699.60	$699.60	$699.60
Flow cytometry marker each additional	$141.00	$141.00	$141.00	$181.50
Flow cytometry one marker technical component	$288.60	$288.60	$288.60	$288.60
Flt3 gene	$1,102.80	$1,102.80	$1,102.80	$598.20
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$907.80	$907.80	$907.80	$24.41
Fluidotherapy charges pt	$85.80	$85.80	$85.80	$118.20
Fluorescent antibody titer dna	$39.00	$39.00	$39.00	$202.20
Fluoroguide for spine inject 77003-26	$511.80	$511.80	$511.80	$678.00
Fluoroguide needle placement	$429.60	$429.60	$429.60	$599.25
Fluoroscopy up to 1 hour	$496.20	$496.20	$496.20	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$49.80	$49.80	$49.80	$152.80
Fluphenazine decanoate 25 mg/ml injection solution	$346.20	$346.20	$346.20	$380.85
Fna bx w/ct gdn 1st les	$777.00	$777.00	$777.00	$900.75
Folic acid	$89.40	$89.40	$89.40	$130.80
Folic acid 5 mg/ml injection solution	$1.40	$1.40	$1.40	$1.05
Fomepizole 1 gram/ml intravenous solution	$80.80	$80.80	$80.80	$5,244.60
Fondaparinux sodium	$490.80	$490.80	$490.80	$490.80
Foot X-ray	$118.20	$118.20	$118.20	$339.50
Fosaprepitant 150 mg intravenous powder for solution	$1,366.80	$1,366.80	$1,366.80	$1,233.17
Fosphenytoin 50 mg pe/ml injection (wrapper)	$84.60	$84.60	$84.60	$94.85
Fresh frozen plasma 8-24 hours collection each unit	$602.40	$602.40	$602.40	$246.75
Fresh frozen plasma frozen within 8 hours of collection each unit	$229.20	$229.20	$229.20	$237.00
Fresh frozen plasma thawing ea un	$199.80	$199.80	$199.80	$106.20
Fructosamine glycated protein	$66.60	$66.60	$66.60	$100.20
Fundus photography with i&r 92250	$169.20	$169.20	$169.20	$169.20
Furosemide 10 mg/ml injection solution	$0.40	$0.40	$0.40	$0.60
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)	$19.20	$19.20	$19.20	$15.00
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$108.60	$108.60	$108.60	$62.40
Galectin-3	$96.00	$96.00	$96.00	$83.40
Gamma glutamyltransferase	$45.00	$45.00	$45.00	$88.20
Gammaglobulin iga	$80.40	$80.40	$80.40	$171.60
Gammaglobulin ige	$80.40	$80.40	$80.40	$148.50
Gamunex-c/gammaked	$345.60	$345.60	$345.60	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$415.20	$415.20	$415.20	$415.20
Gemcitabine 1 gram intravenous solution	$1,180.80	$1,180.80	$1,180.80	$365.40
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$74.40	$74.40	$74.40	$37,698.54
Generator barostim neo2 2014	$42,237.00	$42,237.00	$42,237.00	$52,543.20
Genetic tstg severe inh cond	$14,904.00	$14,904.00	$14,904.00	$11,622.60
Genome sequence analysis	$4,439.40	$4,439.40	$4,439.40	$4,439.40
Gentamicin 10 mg/ml liquid compound - enteral use only	$46.00	$46.00	$46.00	$49.60
Gentamicin peak therapeutic drug level	$96.00	$96.00	$96.00	$201.00
Ghs HIV antibody	$255.60	$255.60	$255.60	$129.75
Ghs IV inf sq injection, on-body injector	$145.80	$145.80	$145.80	$145.80
Ghs IV infusion bamlanivimab/etesevimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV infusion sotrovimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV thrombolytics - cerebral	$1,635.60	$1,635.60	$1,635.60	$620.80
Ghs abscess perianal iandd	$3,449.40	$3,449.40	$3,449.40	$1,829.60
Ghs abscess postoperative iandd complex	$4,281.00	$4,281.00	$4,281.00	$3,993.00
Ghs alcohol, methyl (methanol)-medtox	$147.60	$147.60	$147.60	$147.60
Ghs alpha thalasemia, 7 deletions	$1,687.20	$1,687.20	$1,687.20	$1,687.20
Ghs analysis neurostim without reprogramming	$574.80	$574.80	$574.80	$612.00
Ghs antibodies (torch) igm	$62.40	$62.40	$62.40	$131.25
Ghs bladder cath - complex-foley	$605.40	$605.40	$605.40	$492.00
Ghs block ilioinguinal/gentitofemoral	$1,260.60	$1,260.60	$1,260.60	$1,332.00
Ghs central line insert < age 5, failed	$3,106.20	$3,106.20	$3,106.20	$3,106.20
Ghs change cysto/gastrost	$1,156.80	$1,156.80	$1,156.80	$1,265.40
Ghs chemo IV push, ea addtl	$378.00	$378.00	$378.00	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$591.00	$591.00	$591.00	$360.00
Ghs cl tx metacarpophal disloc without anes	$590.40	$590.40	$590.40	$471.75
Ghs closd tx interphalang jt disloc w/ma	$280.20	$280.20	$280.20	$630.00
Ghs closed reduction ankle dislocation	$3,032.40	$3,032.40	$3,032.40	$825.60
Ghs closed tx bimalleolar fracture w/manip	$3,032.40	$3,032.40	$3,032.40	$1,635.60
Ghs closed tx tibial fracture w/manip	$1,884.60	$1,884.60	$1,884.60	$1,547.25
Ghs clsd red med malleolus fx w manip	$3,396.00	$3,396.00	$3,396.00	$2,632.20
Ghs clsd tx frac distal tibia w/manipulation	$2,186.40	$2,186.40	$2,186.40	$2,319.00
Ghs conjunctiva foreign body-superf bil	$166.20	$166.20	$166.20	$351.75
Ghs corneal fb with slit lamp bilat	$388.80	$388.80	$388.80	$408.60
Ghs corneal fb without slit lamp bilat	$280.20	$280.20	$280.20	$422.25
Ghs diphtheria toxoid ab igg	$240.00	$240.00	$240.00	$165.60
Ghs dislocation elbow closed treatment	$3,032.40	$3,032.40	$3,032.40	$856.20
Ghs ed peritoneal lavage w guidance if performed	$5,218.20	$5,218.20	$5,218.20	$3,175.50
Ghs ed therapeutic lp, drain csf w fluoro	$1,439.40	$1,439.40	$1,439.40	$1,439.40
Ghs eeg cont rec w/video by tec min 8 chnls	$586.80	$586.80	$586.80	$586.80
Ghs excision ingrown nail	$607.20	$607.20	$607.20	$484.80
Ghs eyelid foreign body-embedded - bil	$2,002.80	$2,002.80	$2,002.80	$868.80
Ghs febrile agglutinns(mayo)	$117.60	$117.60	$117.60	$76.50
Ghs fish cytogen	$186.00	$186.00	$186.00	$235.80
Ghs fish hybrid in situ 100-300	$337.20	$337.20	$337.20	$354.60
Ghs flow volume loop	$145.80	$145.80	$145.80	$223.20
Ghs gastric intub aspiration lavage	$252.00	$252.00	$252.00	$304.80
Ghs histoplasma antigen	$125.40	$125.40	$125.40	$492.00
Ghs hla-dr/dq, multiple antigens	$424.80	$424.80	$424.80	$462.60
Ghs i and d abscess/hematoma scrotum	$4,869.60	$4,869.60	$4,869.60	$4,134.00
Ghs i and d perirectal abscess 46040	$5,469.60	$5,469.60	$5,469.60	$2,637.00
Ghs i and d pilonidal cyst simple	$388.80	$388.80	$388.80	$589.80
Ghs incision thrombosed ext hemorrhoid	$745.20	$745.20	$745.20	$526.50
Ghs inf midline insertion	$5,299.20	$5,299.20	$5,299.20	$4,051.20
Ghs inhibitor screen	$85.20	$85.20	$85.20	$345.00
Ghs init tx 1st degree burn	$282.00	$282.00	$282.00	$448.50
Ghs inj neurolytic other perph nerve	$1,343.40	$1,343.40	$1,343.40	$1,231.20
Ghs inj transforaminal cerv ea add bil	$1,972.80	$1,972.80	$1,972.80	$1,320.00
Ghs insertion of needle - bone	$678.60	$678.60	$678.60	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$2,183.40	$2,183.40	$2,183.40	$1,829.40
Ghs irrigate corpora cavernosa for priapism	$3,562.20	$3,562.20	$3,562.20	$2,619.00
Ghs lac repair mouth.ant tong 2.5cm/less	$4,779.60	$4,779.60	$4,779.60	$569.60
Ghs layer closure 2.5 cm or less - 12031	$388.80	$388.80	$388.80	$477.00
Ghs layer closure 2.5 cm or less - 12041	$388.80	$388.80	$388.80	$825.60
Ghs layer closure 2.5cm or less - 12051	$388.80	$388.80	$388.80	$520.80
Ghs layer closure 2.6 - 5.0 cm - 12052	$388.80	$388.80	$388.80	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$610.80	$610.80	$610.80	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$695.40	$695.40	$695.40	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$2,183.40	$2,183.40	$2,183.40	$998.40
Ghs layer closure 7.6 - 12.5 cm - 12044	$4,779.60	$4,779.60	$4,779.60	$1,212.00
Ghs low level laser therapy	$159.60	$159.60	$159.60	$126.60
Ghs mbp	$112.80	$112.80	$112.80	$171.60
Ghs moderate sedation ea addtl 15 min	$189.00	$189.00	$189.00	$190.20
Ghs musc test done w/n test comp	$274.80	$274.80	$274.80	$322.80
Ghs musc tst done w/nerv tst lim	$260.40	$260.40	$260.40	$322.80
Ghs myocardial strain img spckl track	$838.80	$838.80	$838.80	$792.60
Ghs nailbed repair/nail removal	$1,632.60	$1,632.60	$1,632.60	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$1,540.80	$1,540.80	$1,540.80	$1,618.50
Ghs nerve block interscaline	$3,582.00	$3,582.00	$3,582.00	$1,926.00
Ghs nerve block lumbar or thoracic symp	$3,570.00	$3,570.00	$3,570.00	$1,907.25
Ghs ng placement w fluoro guidance	$334.20	$334.20	$334.20	$589.80
Ghs opcc repair cvp without subq port	$4,956.00	$4,956.00	$4,956.00	$2,205.00
Ghs ot group caregiver training	$44.40	$44.40	$44.40	$44.40
Ghs ot prosthetic training/15 min	$225.60	$225.60	$225.60	$121.20
Ghs ot sensory integrative tech/15min	$146.40	$146.40	$146.40	$130.20
Ghs paravert facet/nerve cerv ea add bil	$1,897.80	$1,897.80	$1,897.80	$1,656.60
Ghs paravert facet/nerve lumb ea add bil	$985.80	$985.80	$985.80	$1,386.00
Ghs peritonsillar abscess i andd	$1,632.60	$1,632.60	$1,632.60	$1,080.75
Ghs phenylketonurid	$37.80	$37.80	$37.80	$128.25
Ghs plngl fx pm cl	$723.00	$723.00	$723.00	$685.80
Ghs ppd (tb intradermal)	$57.00	$57.00	$57.00	$52.50
Ghs protoporphyrins fract	$99.00	$99.00	$99.00	$99.00
Ghs removal intranasal foreign body	$276.00	$276.00	$276.00	$341.40
Ghs rsv eia (respir synctial vrs)	$187.80	$187.80	$187.80	$286.20
Ghs sensitivity (per antimicro)	$34.80	$34.80	$34.80	$74.40
Ghs simple repair 12.6 - 20.0 cm - 12005	$2,183.40	$2,183.40	$2,183.40	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$4,548.00	$4,548.00	$4,548.00	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$4,620.00	$4,620.00	$4,620.00	$965.40
Ghs simple repair 20.1 - 30.0 cm - 12017	$4,594.20	$4,594.20	$4,594.20	$2,993.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$610.80	$610.80	$610.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$610.80	$610.80	$610.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$610.80	$610.80	$610.80	$589.80
Ghs simple repair over 30 cm - 12007	$4,795.80	$4,795.80	$4,795.80	$660.00
Ghs somatosensory testing lower extremit	$490.20	$490.20	$490.20	$978.60
Ghs somatosensory testing upper & lower limbs	$1,858.80	$1,858.80	$1,858.80	$855.60
Ghs sp train/fitting sp device - kx	$378.00	$378.00	$378.00	$324.75
Ghs st - re-eval for alt comm	$991.80	$991.80	$991.80	$410.25
Ghs superficial wnd dehis w packing12021	$3,197.40	$3,197.40	$3,197.40	$1,272.60
Ghs superficial wnd dehiscence simp12020	$3,112.80	$3,112.80	$3,112.80	$2,181.60
Ghs tx distal phalangeal fx with manipulation	$824.40	$824.40	$824.40	$660.00
Ghs urine, porphyrins quant	$80.40	$80.40	$80.40	$288.60
Gi inhouse confirmation	$84.60	$84.60	$84.60	$86.25
Giardia lamblia antibody	$186.00	$186.00	$186.00	$138.00
Glucagon 1 mg solution for injection	$522.40	$522.40	$522.40	$1,053.60
Glucagon plasma - sendout	$131.40	$131.40	$131.40	$144.60
Glucose 1 hr post dose	$54.00	$54.00	$54.00	$54.00
Glucose blood by monitoring device cleared by fda for home use	$32.40	$32.40	$32.40	$30.00
Glucose blood quantitative	$34.80	$34.80	$34.80	$52.20
Glucose body fluid	$34.80	$34.80	$34.80	$63.20
Glucose tolerance test (gtt) 3 specimens	$96.60	$96.60	$96.60	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$34.80	$34.80	$34.80	$42.60
Glycopyrrolate 0.2 mg/ml injection solution	$11.60	$11.60	$11.60	$11.70
Golimumab 12.5 mg/ml intravenous solution	$108.00	$108.00	$108.00	$104.80
Gonadotropin follicle stimulating hormone (fsh)	$89.40	$89.40	$89.40	$187.50
Gonadotropin luteinizing hormone (lh)	$84.60	$84.60	$84.60	$156.00
Goserelin 10.8 mg subcutaneous implant	$1,886.40	$1,886.40	$1,886.40	$1,886.40
Graft axiofill 1000mg	$3,442.80	$3,442.80	$3,442.80	$3,597.00
Graft nerve adv 3-4x70mm	$5,283.60	$5,283.60	$5,283.60	$25,992.80
Graft patch felt ptfe 2x2	$2,249.40	$2,249.40	$2,249.40	$7,958.40
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm	$394.20	$394.20	$394.20	$3,681.60
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$5,533.20	$5,533.20	$5,533.20	$6,241.80
Graft xenmtrx sft rect 15x20cm	$3,613.80	$3,613.80	$3,613.80	$30,786.60
Graft xenmtrx sft rect 19x28cm	$255.00	$255.00	$255.00	$3,076.20
Granisetron hcl injection	$728.40	$728.40	$728.40	$181.80
Great toe with reduction 28495	$4,620.00	$4,620.00	$4,620.00	$825.60
Growth hormone antibody	$145.80	$145.80	$145.80	$145.80
Guid loc target vol rad tx	$1,214.40	$1,214.40	$1,214.40	$823.20
Guide endoanchr sg-64 aaa 62cm	$1,821.00	$1,821.00	$1,821.00	$9,038.40
Guide wire threaded 1.4x150mm	$2,001.60	$2,001.60	$2,001.60	$2,825.40
Guide worley csg 9fx50cm std	$141.00	$141.00	$141.00	$1,083.60
Guided cath fluid drainage 10030	$1,473.60	$1,473.60	$1,473.60	$1,600.20
Gw stiffened micro access kit	$496.80	$496.80	$496.80	$3,215.40
H pylori (c-13) breath	$346.80	$346.80	$346.80	$346.80
Haloperidol decanoate 50 mg/ml intramuscular solution	$1,022.40	$1,022.40	$1,022.40	$160.00
Haloperidol lactate 5 mg/ml injection solution	$46.40	$46.40	$46.40	$9.00
Hand X-ray	$119.40	$119.40	$119.40	$315.00
Hand-held pefr meter a4614	$26.40	$26.40	$26.40	$25.80
Haptoglobin quantitative	$57.00	$57.00	$57.00	$155.40
Hbb gene dup/del variants	$1,672.80	$1,672.80	$1,672.80	$1,672.80
Hbot, full body chamber, 30m	$430.80	$430.80	$430.80	$756.60
Hcg qualitative	$74.40	$74.40	$74.40	$85.20
Hcg quantitative	$84.60	$84.60	$84.60	$178.20
Head CT scan (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$1,914.25
Head CT scan (with contrast)	$1,368.00	$1,368.00	$1,368.00	$1,587.69
Head CT scan (without contrast)	$1,226.40	$1,226.40	$1,226.40	$1,268.90
Hematocrit	$24.00	$24.00	$24.00	$39.75
Hemodialysis one evaluation	$1,223.40	$1,223.40	$1,223.40	$1,389.00
Hemoglobin	$24.00	$24.00	$24.00	$36.75
Hemoglobin f (fetal) chemical	$57.00	$57.00	$57.00	$239.40
Hemoglobin fetal qualitative	$86.40	$86.40	$86.40	$61.80
Hemoglobin methemoglobin quantitative	$54.00	$54.00	$54.00	$132.75
Hemoglobin plasma	$39.00	$39.00	$39.00	$62.40
Hemolysins and agglutinins incubated	$157.20	$157.20	$157.20	$98.40
Hemophilus influenza antibdy	$268.20	$268.20	$268.20	$168.00
Heparin assay	$75.60	$75.60	$75.60	$194.25
Heparin bolus from bag	$39.40	$39.40	$39.40	$39.40
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$5.40	$5.40	$5.40	$5.40
Hepatitis a antibody igm	$80.40	$80.40	$80.40	$126.60
Hepatitis b core antibody igm	$91.20	$91.20	$91.20	$131.25
Hepatitis b core antibody total	$74.40	$74.40	$74.40	$121.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$1,720.80	$1,720.80	$1,720.80	$1,109.60
Hepatitis b surface antibody	$67.20	$67.20	$67.20	$112.50
Hepatitis c antibody	$90.60	$90.60	$90.60	$163.80
Hepatitis d quantification	$385.80	$385.80	$385.80	$627.00
Hepatobiliary system imaging	$855.60	$855.60	$855.60	$1,608.00
Hereditary colon ca dsordrs	$3,394.80	$3,394.80	$3,394.80	$3,394.80
Herpes simplex 1 ag if	$198.60	$198.60	$198.60	$158.40
Herpes simplex 2 ag if	$183.60	$183.60	$183.60	$143.40
Herpes simplex type 1 antibody igg	$85.20	$85.20	$85.20	$99.00
Herpes simplex type 2 antibody igg	$175.80	$175.80	$175.80	$111.00
Herpes simplex virus isolation	$186.60	$186.60	$186.60	$189.00
Heterophile antibodies screening	$37.20	$37.20	$37.20	$56.40
Hexa gene	$1,416.00	$1,416.00	$1,416.00	$1,336.80
Hhv-6 dna quant	$378.00	$378.00	$378.00	$469.50
Hip X-ray	$134.40	$134.40	$134.40	$290.35
Histamine	$209.40	$209.40	$209.40	$254.40
Histochemical stains add-on	$57.60	$57.60	$57.60	$122.40
Hiv-1 ag ia	$298.20	$298.20	$298.20	$223.20
Hla class i high defin qual	$409.20	$409.20	$409.20	$551.25
Hla class i phenotype qual	$276.00	$276.00	$276.00	$276.00
Hla class ii high defin qual	$409.20	$409.20	$409.20	$471.00
Hla class ii phenotype qual	$487.20	$487.20	$487.20	$346.80
Hla i & ii typing hr	$2,453.40	$2,453.40	$2,453.40	$2,453.40
Hla i low res one antigen equiv ea	$837.60	$837.60	$837.60	$837.60
Hla i typing 1 locus hr	$1,111.80	$1,111.80	$1,111.80	$384.00
Hla i typing complete lr	$2,508.00	$2,508.00	$2,508.00	$1,672.20
Hla i typing high res 1 allele grp ea	$549.60	$549.60	$549.60	$688.80
Hla ii typing 1 loc hr	$2,925.00	$2,925.00	$2,925.00	$1,843.80
Hla ii typing ag equiv lr	$1,024.80	$1,024.80	$1,024.80	$912.00
Hla typing a b or c	$669.60	$669.60	$669.60	$669.60
Hocm 250-299mg/ml iodine,1ml	$0.60	$0.60	$0.60	$34.80
Hocm 350-399mg/ml iodine,1ml	$0.80	$0.80	$0.80	$0.90
Homocysteine	$114.60	$114.60	$114.60	$102.75
Homogenization tissue	$111.60	$111.60	$111.60	$76.80
Homovanillic acid (hva)	$99.00	$99.00	$99.00	$128.00
Hpv types 16 & 18 only	$284.40	$284.40	$284.40	$228.00
Hrdtry cardmypy gene panel	$9,556.80	$9,556.80	$9,556.80	$9,382.20
Hrdtry perph neurphy panel	$23,150.40	$23,150.40	$23,150.40	$22,852.20
Htt gene detc abnor alleles	$1,333.80	$1,333.80	$1,333.80	$1,271.40
Human epididymis protein 4 (he4)	$345.60	$345.60	$345.60	$180.60
Hyaluronidase, human recombinant 150 unit/ml injection solution	$316.80	$316.80	$316.80	$316.80
Hydralazine 20 mg/ml injection solution	$94.40	$94.40	$94.40	$92.80
Hydration IV infusion each additional hour	$105.00	$105.00	$105.00	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$388.20	$388.20	$388.20	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$42.80	$42.80	$42.80	$121.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$4.40	$4.40	$4.40	$12.75
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$654.40	$654.40	$654.40	$654.40
Hysterosalpingography s&i	$429.60	$429.60	$429.60	$1,139.25
Hysterotomy abdominal 59100	$3,761.40	$3,761.40	$3,761.40	$3,761.40
Hzv zoster vacc recombinant adjuvanted im inj	$150.00	$150.00	$150.00	$150.00
I&d abscss rtrphryngl/paraphryngl intraorl apprch	$2,812.80	$2,812.80	$2,812.80	$3,948.00
I-123 sod iodide diag per 100 uci	$646.80	$646.80	$646.80	$139.20
I131 iodide cap, rx	$706.80	$706.80	$706.80	$184.20
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$228.60	$228.60	$228.60	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$133.20	$133.20	$133.20	$325.20
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$138.00	$138.00	$138.00	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$411.60	$411.60	$411.60	$611.25
Ia infect ag ab qual/semiquant sgl step	$149.40	$149.40	$149.40	$96.00
Iadna legionella pneumophila amplified probe tq	$591.00	$591.00	$591.00	$351.20
Icd crtd cobalt hf MRI is1 df1	$40,346.40	$40,346.40	$40,346.40	$44,003.25
Ifosfamide 1 gram intravenous solution	$752.00	$752.00	$752.00	$294.81
Igh gene rearrange amp meth	$933.00	$933.00	$933.00	$757.20
Igh@ var region somatic mutation analy	$1,416.60	$1,416.60	$1,416.60	$1,392.00
Igk rearrangeabn clonal pop	$933.00	$933.00	$933.00	$961.60
Ihc/icc per specimen each additional single antibody stain	$272.40	$272.40	$272.40	$286.50
Ihc/icc per specimen each multiplex antibody stain	$272.40	$272.40	$272.40	$318.75
Ihc/icc per specimen initial single antibody stain	$272.40	$272.40	$272.40	$312.00
Iliac revasc add-on 37222	$10,123.20	$10,123.20	$10,123.20	$8,640.60
Imetelstat 188 mg intravenous solution	$99.00	$99.00	$99.00	$99.00
Immobilizer shldr cntor adlt	$198.00	$198.00	$198.00	$198.00
Immobilizer shldr dlx str 24-36in med	$94.80	$94.80	$94.80	$198.00
Immune complex assay	$289.20	$289.20	$289.20	$168.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$476.00	$476.00	$476.00	$629.40
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution	$191.40	$191.40	$191.40	$2,778.42
Immunoassay tumor antigen quantitative ca 125	$141.00	$141.00	$141.00	$141.00
Immunoassay tumor antigen quantitative ca 19-9	$141.00	$141.00	$141.00	$159.00
Immunoassay tumor qual	$233.40	$233.40	$233.40	$190.20
Immunodiff gel qual ea antigen/ab	$72.00	$72.00	$72.00	$123.00
Immunodiffusion nes	$129.60	$129.60	$129.60	$148.80
Immunofixation electrophoresis serum	$114.00	$114.00	$114.00	$231.00
Immunofluorescence per specimen each additional single antibody stain	$108.00	$108.00	$108.00	$108.00
Immunofluorescence per specimen initial single antibody stain	$108.00	$108.00	$108.00	$168.00
Immunoglobulin assay	$144.00	$144.00	$144.00	$144.00
Immunology procedure	$43.80	$43.80	$43.80	$43.80
Impl neurostim electr perc	$4,795.80	$4,795.80	$4,795.80	$6,302.40
Implant cartilage 10mm synthetic	$7,867.80	$7,867.80	$7,867.80	$18,039.00
Implant ureth bulk agent	$1,360.20	$1,360.20	$1,360.20	$1,617.00
In situ hybridization per specimen initial single probe stain	$141.00	$141.00	$141.00	$303.75
Incision & drainage hematoma/seroma/fluid collection	$1,223.40	$1,223.40	$1,223.40	$2,080.80
Infect ag drug suscept pheno predict	$764.40	$764.40	$764.40	$724.80
Infect ag genotype na cytomegalovirus	$1,790.40	$1,790.40	$1,790.40	$1,484.40
Infect ag genotype na hiv-1 other region	$1,768.80	$1,768.80	$1,768.80	$1,143.60
Infect ag genotype na hiv-1 revr trn/prt	$2,065.80	$2,065.80	$2,065.80	$1,431.00
Infect ag if hep delta agent	$252.60	$252.60	$252.60	$199.20
Infect ag if legionella pneumophila	$303.00	$303.00	$303.00	$85.50
Infect ag if pneumocystis carinii	$100.20	$100.20	$100.20	$143.40
Infect ag na herpes simplex quant	$385.80	$385.80	$385.80	$385.80
Infect ag na hpv high-risk types	$284.40	$284.40	$284.40	$282.00
Infect ag na influenza r/amp 1st 2 types	$516.60	$516.60	$516.60	$532.80
Infect ag na resp virus 12-25 targets	$2,801.40	$2,801.40	$2,801.40	$1,414.50
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$108.00	$108.00	$108.00	$117.00
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$100.20	$100.20	$100.20	$96.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$76.20	$76.20	$76.20	$111.60
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$88.20	$88.20	$88.20	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$76.20	$76.20	$76.20	$114.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$93.60	$93.60	$93.60	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$268.80	$268.80	$268.80	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$74.40	$74.40	$74.40	$303.00
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$108.00	$108.00	$108.00	$130.50
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$99.00	$99.00	$99.00	$115.80
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$147.00	$147.00	$147.00	$334.20
Infectious agent nucleic acid amplified probe	$189.00	$189.00	$189.00	$355.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$203.40	$203.40	$203.40	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$547.80	$547.80	$547.80	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$2,298.60	$2,298.60	$2,298.60	$933.00
Infectious agent nucleic acid amplified probe hsv-1	$306.00	$306.00	$306.00	$306.75
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$576.00	$576.00	$576.00	$398.40
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$306.60	$306.60	$306.60	$307.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$198.60	$198.60	$198.60	$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 sars-cov-2/inf a&b/rsv	$210.00	$210.00	$210.00	$210.00
Infectious agent nucleic acid amplified probe streptococcus group a	$568.20	$568.20	$568.20	$194.40
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$231.00	$231.00	$231.00	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$454.20	$454.20	$454.20	$529.60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$1,008.00	$1,008.00	$1,008.00	$742.20
Infectious agent nucleic acid quantification bk virus	$385.80	$385.80	$385.80	$517.80
Infectious agent nucleic acid quantification hepatitis b	$385.80	$385.80	$385.80	$443.40
Infectious agent nucleic acid quantification hepatitis c	$346.80	$346.80	$346.80	$778.80
Infectious agent nucleic acid quantification hiv-1	$754.20	$754.20	$754.20	$754.20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$951.60	$951.60	$951.60	$615.60
Infliximab 100 mg intravenous solution	$380.80	$380.80	$380.80	$700.20
Infliximab-axxq 100 mg intravenous solution	$1,062.00	$1,062.00	$1,062.00	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$203.20	$203.20	$203.20	$1,432.80
Influenza dna amp prob addl	$342.00	$342.00	$342.00	$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	$377.40	$377.40	$377.40	$386.25
Initiation & management bipap/cpap initial day	$428.40	$428.40	$428.40	$510.00
Inj andexxa, 10 mg	$751.80	$751.80	$751.80	$13,381.20
Inj anifrolumab-fnia 1mg	$46.00	$46.00	$46.00	$11,192.40
Inj ceftolozane tazobactam	$19.00	$19.00	$19.00	$286.20
Inj cntr knee arthro incl ct/mri	$162.00	$162.00	$162.00	$459.75
Inj cyclophosphamd (ingenus)	$2.40	$2.40	$2.40	$3.75
Inj epidural sgl cerv-thor without img	$3,711.60	$3,711.60	$3,711.60	$1,656.60
Inj for ext venography	$306.60	$306.60	$306.60	$602.40
Inj imip 4 cilas 4 releb 2mg	$5.40	$5.40	$5.40	$7.35
Inj intralesional <= 7 lsn(s)	$350.40	$350.40	$350.40	$286.80
Inj ivig privigen 500 mg	$81.00	$81.00	$81.00	$4,345.80
Inj levocarnitine per 1 gm	$494.40	$494.40	$494.40	$205.60
Inj lwr xtr fscl pln blk uni w/wo image	$108.00	$108.00	$108.00	$108.00
Inj mogamulizumab-kpkc, 1 mg	$691.20	$691.20	$691.20	$691.20
Inj multihance	$31.80	$31.80	$31.80	$126.60
Inj nephrosto/ureterogram w/img exstng access	$2,092.80	$2,092.80	$2,092.80	$1,266.00
Inj ogivri 10 mg	$242.40	$242.40	$242.40	$1,344.00
Inj pegfilgrastim-bmez 0.5mg	$1,313.40	$1,313.40	$1,313.40	$3,925.20
Inj proc ankle arthr	$409.20	$409.20	$409.20	$685.80
Inj proc elbow arthro	$450.00	$450.00	$450.00	$461.40
Inj prohance multipack	$10.80	$10.80	$10.80	$39.00
Inj retro urethrocysto	$3,582.00	$3,582.00	$3,582.00	$2,981.40
Inj secukinumab intrav 1mg	$42.80	$42.80	$42.80	$43.50
Inj testosterone cypionate	$72.60	$72.60	$72.60	$72.60
Inj w/fluor eval cv device	$551.40	$551.40	$551.40	$711.00
Inj zanidatamab-hrii, 2 mg	$44.40	$44.40	$44.40	$44.40
Inj, abilify maintena, 1 mg	$34.00	$34.00	$34.00	$7,107.60
Inj, bezlotoxumab, 10 mg	$11,010.60	$11,010.60	$11,010.60	$11,671.20
Inj, brixadi, 7 days or less	$814.80	$814.80	$814.80	$1,086.00
Inj, bupivacaine liposome	$2.40	$2.40	$2.40	$7.20
Inj, cefepime hcl (b braun)	$43.40	$43.40	$43.40	$43.40
Inj, donanemab-azbt, 2 mg	$7.20	$7.20	$7.20	$7.20
Inj, factor x, (human), 1iu	$34.20	$34.20	$34.20	$33.28
Inj, focinvez, 1mg	$5.40	$5.40	$5.40	$5.40
Inj, nithiodote, 3mg / 125mg	$3.60	$3.60	$3.60	$3.60
Inj, tislelizumab-jsgr	$103.20	$103.20	$103.20	$103.20
Inj, tyenne, 1 mg	$12.80	$12.80	$12.80	$12.75
Inj. herceptin hylecta, 10mg	$189.60	$189.60	$189.60	$561.00
Inj. inebilizumab-cdon, 1 mg	$871.80	$871.80	$871.80	$871.80
Inj. pemetrexed, 10 mg	$156.60	$156.60	$156.60	$156.60
Inj. tagraxofusp-erzs 10 mcg	$544.80	$544.80	$544.80	$560.40
Inj. teprotumumab-trbw 10 mg	$768.00	$768.00	$768.00	$38,425.20
Inj., guselkumab, 1 mg	$695.20	$695.20	$695.20	$675.00
Inj., plazomicin, 5 mg	$85.80	$85.80	$85.80	$85.80
Inj., tildrakizumab, 1 mg	$432.80	$432.80	$432.80	$424.00
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)	$1,505.40	$1,505.40	$1,505.40	$678.75
Injection arthrography hip without anesthesia (both sides)	$450.00	$450.00	$450.00	$780.60
Injection epidural blood patch or clot	$1,156.80	$1,156.80	$1,156.80	$1,470.60
Injection for arthrography wrist (both sides)	$450.00	$450.00	$450.00	$666.60
Injection for bladder x-ray	$2,055.60	$2,055.60	$2,055.60	$1,726.80
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$450.00	$450.00	$450.00	$771.60
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$2,521.20	$2,521.20	$2,521.20	$2,521.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$306.00	$306.00	$306.00	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$144.60	$144.60	$144.60	$203.40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$136.20	$136.20	$136.20	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$121.20	$121.20	$121.20	$141.00
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$880.80	$880.80	$880.80	$1,021.50
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$611.40	$611.40	$611.40	$911.25
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)	$2,674.80	$2,674.80	$2,674.80	$1,671.75
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$1,071.60	$1,071.60	$1,071.60	$1,320.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$2,110.80	$2,110.80	$2,110.80	$1,777.50
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$974.40	$974.40	$974.40	$1,334.25
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$1,885.20	$1,885.20	$1,885.20	$1,713.00
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance	$4,189.80	$4,189.80	$4,189.80	$2,164.80
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance	$3,253.20	$3,253.20	$3,253.20	$2,047.80
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$1,294.20	$1,294.20	$1,294.20	$616.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$571.20	$571.20	$571.20	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$647.40	$647.40	$647.40	$654.00
Injection, daratumumab 10 mg	$682.80	$682.80	$682.80	$198.60
Injection, edaravone, 1 mg	$1,485.00	$1,485.00	$1,485.00	$1,485.00
Injection, fulvestrant	$6,048.60	$6,048.60	$6,048.60	$3,584.82
Injection, inclisiran, 1 mg	$22.80	$22.80	$22.80	$39.20
Injection, isavuconazonium	$3.20	$3.20	$3.20	$1,350.22
Injection, peramivir	$7.40	$7.40	$7.40	$7.40
Injection, renflexis	$228.80	$228.80	$228.80	$1,624.80
Injection, siltuximab	$410.40	$410.40	$410.40	$3,603.00
Injection,onabotulinumtoxina	$3,445.20	$3,445.20	$3,445.20	$2,876.40
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln	$6,358.40	$6,358.40	$6,358.40	$8,027.40
Ins cath ren art 1st bi	$12,124.80	$12,124.80	$12,124.80	$6,300.60
Ins pq tunnld ip cath w/img	$8,416.80	$8,416.80	$8,416.80	$8,416.80
Ins tun cv cath wo subq prt/pm	$2,386.20	$2,386.20	$2,386.20	$3,582.00
Ins tun cvad 2 cath w/subq port(s)	$5,882.40	$5,882.40	$5,882.40	$5,640.60
Insert cath pleura with image	$2,320.80	$2,320.80	$2,320.80	$2,320.80
Insert cath pleura without image	$2,829.00	$2,829.00	$2,829.00	$2,019.00
Insert drug delivery implant	$1,447.80	$1,447.80	$1,447.80	$1,418.25
Insert intrauterine device iud	$607.20	$607.20	$607.20	$513.00
Insert vad art access left hrt arterial access	$2,458.80	$2,458.80	$2,458.80	$2,497.20
Insertion catheter bladder non indwelling	$297.00	$297.00	$297.00	$309.00
Insertion catheter bladder temporary simple	$538.20	$538.20	$538.20	$495.00
Insertion catheter pleural indwelling tunneled with cuff	$8,501.40	$8,501.40	$8,501.40	$6,840.00
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$1,806.60	$1,806.60	$1,806.60	$6,646.50
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$1,239.00	$1,239.00	$1,239.00	$2,618.40
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$1,239.00	$1,239.00	$1,239.00	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$1,239.00	$1,239.00	$1,239.00	$1,532.00
Insitu hybridization auto	$1,438.20	$1,438.20	$1,438.20	$717.60
Insitu hybridization manual	$646.80	$646.80	$646.80	$585.75
Instillation anticarcinogenic agent bladder	$1,062.60	$1,062.60	$1,062.60	$897.00
Insulin total	$57.00	$57.00	$57.00	$114.60
Interdiscal perq aspir dx	$2,792.40	$2,792.40	$2,792.40	$1,753.80
Interferon alfa-2b inj	$108.00	$108.00	$108.00	$1,111.20
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)	$3,403.20	$3,403.20	$3,403.20	$4,959.00
Interferon beta-1a inj	$4,373.40	$4,373.40	$4,373.40	$4,373.40
Intrinsic factor antibody	$96.00	$96.00	$96.00	$150.00
Intro cath dialysis circuit	$3,175.20	$3,175.20	$3,175.20	$3,121.20
Intro cath dialysis circuit w/pta	$8,154.60	$8,154.60	$8,154.60	$7,787.25
Intro catheter aorta	$3,157.20	$3,157.20	$3,157.20	$2,623.50
Intubation endotracheal emergency procedure	$1,051.80	$1,051.80	$1,051.80	$868.80
Ionm in operatng room 15 min	$191.40	$191.40	$191.40	$191.40
Ionm remote/>1 pt or per hr	$1,587.60	$1,587.60	$1,587.60	$1,336.50
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$5.40	$5.40	$5.40	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$16.40	$16.40	$16.40	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$495.00	$495.00	$495.00	$495.00
Ipratropium bromide non-comp	$24.20	$24.20	$24.20	$7.20
Irinotecan 20 mg/ml intravenous solution (wrapper)	$719.20	$719.20	$719.20	$1,091.20
Irinotecan liposomal 4.3 mg/ml intravenous	$115.80	$115.80	$115.80	$210.60
Iron	$60.00	$60.00	$60.00	$80.40
Iron binding capacity	$58.80	$58.80	$58.80	$100.80
Iron dextran 50 mg/ml injection solution	$99.00	$99.00	$99.00	$99.00
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$315.00	$315.00	$315.00	$315.00
Irradiation of blood product each unit reference	$63.60	$63.60	$63.60	$135.00
Irrigation implantable venous access device for drug delivery systems	$147.60	$147.60	$147.60	$147.60
Isatuximab-irfc 20 mg/ml intravenous solution	$156.60	$156.60	$156.60	$156.60
Ixabepilone 15 mg intravenous solution	$680.40	$680.40	$680.40	$680.40
Jak2 targeted sequence analysis	$1,227.60	$1,227.60	$1,227.60	$1,227.60
John cunningham antibody	$98.40	$98.40	$98.40	$78.60
Ketone body(s) beta-hydroxybutyrate quantitative	$43.80	$43.80	$43.80	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$62.00	$62.00	$62.00	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$639.00	$639.00	$639.00	$683.50
Kidney img w/bldflw sgl without rx	$797.40	$797.40	$797.40	$1,552.20
Kit gene analys d816 variant	$1,229.40	$1,229.40	$1,229.40	$1,111.20
Kit lead specify 5-6-5	$7,816.20	$7,816.20	$7,816.20	$13,784.80
Knee MRI (with and without contrast)	$3,815.40	$3,815.40	$3,815.40	$3,008.26
Knee MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,394.58
Knee MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$2,209.22
Knee X-ray	$162.00	$162.00	$162.00	$387.20
Lactate dehydrogenase (ldh)	$36.00	$36.00	$36.00	$52.50
Lactated ringers intravenous solution	$67.00	$67.00	$67.00	$32.40
Lactic acid	$91.20	$91.20	$91.20	$121.80
Lactoferrin fecal qualitative	$198.00	$198.00	$198.00	$127.20
Lactoferrin fecal quant	$284.40	$284.40	$284.40	$194.40
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$195.20	$195.20	$195.20	$33,573.60
Lead capillary	$85.20	$85.20	$85.20	$93.00
Lead ingevity 45cm pfret MRI	$1,296.60	$1,296.60	$1,296.60	$4,174.20
Leg Vein Ultrasound (DVT study, both legs)	$505.80	$505.80	$505.80	$1,090.23
Leishmania antibody	$209.40	$209.40	$209.40	$182.25
Lens iol 23.0 d 1.5 cyl eyhance toric	$609.00	$609.00	$609.00	$609.00
Lens iol ant bicnvx 24.0 multi	$561.00	$561.00	$561.00	$1,429.20
Lens iol ant chamb 10.5	$322.20	$322.20	$322.20	$322.20
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$117.00	$117.00	$117.00	$83.13
Leuprolide 3.75 mg intramuscular syringe kit	$6,521.40	$6,521.40	$6,521.40	$4,568.40
Leuprolide 30 mg (4 month) intramuscular syringe kit	$3,070.40	$3,070.40	$3,070.40	$6,209.40
Levetiracetam 500 mg/5 ml intravenous solution	$379.80	$379.80	$379.80	$276.00
Levetiracetam therapeutic drug level	$141.00	$141.00	$141.00	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$610.80	$610.80	$610.80	$47.70
Levothyroxine 100 mcg intravenous powder for solution	$19.80	$19.80	$19.80	$24.00
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$0.20	$0.20	$0.20	$0.20
Lidocaine therapeutic drug level	$226.20	$226.20	$226.20	$142.20
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$253.60	$253.60	$253.60	$253.60
Lip surgery procedure	$124.20	$124.20	$124.20	$121.80
Lipase	$54.00	$54.00	$54.00	$139.80
Lipoprotein blood quant	$280.20	$280.20	$280.20	$280.20
Lipoprotein direct measurement hdl	$45.00	$45.00	$45.00	$63.75
Lipoprotein direct measurement ldl	$62.40	$62.40	$62.40	$104.25
Lithium therapeutic drug level	$67.20	$67.20	$67.20	$84.00
Liver Function Test	$198.60	$198.60	$198.60	$93.60
Liver ds alys 3 bmrk srm alg	$917.40	$917.40	$917.40	$944.40
Liver/spleen imag static only	$1,032.60	$1,032.60	$1,032.60	$1,308.60
Locm 100-199mg/ml iodine,1ml	$10.40	$10.40	$10.40	$9.75
Lorazepam 2 mg/ml injection (wrapper)	$66.40	$66.40	$66.40	$49.14
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$1,750.20	$1,750.20	$1,750.20	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$1,636.80	$1,636.80	$1,636.80	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$1,368.00	$1,368.00	$1,368.00	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$3,827.40	$3,827.40	$3,827.40	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$154.80	$154.80	$154.80	$341.64
Lung Function Test (Spirometry)	$301.20	$301.20	$301.20	$296.91
Lung function test (mbc/mvv)	$115.80	$115.80	$115.80	$109.80
Lung perfusion imaging	$1,263.00	$1,263.00	$1,263.00	$1,087.20
Lurbinectedin 4 mg intravenous solution	$400.20	$400.20	$400.20	$380.40
Luspatercept-aamt 25 mg subcutaneous solution	$87.60	$87.60	$87.60	$87.60
Lymphatics/lymph node imaging	$691.20	$691.20	$691.20	$1,417.60
Lymphocyte transformation mitogen	$453.00	$453.00	$453.00	$537.60
M.avium-intra dna amp prob	$523.20	$523.20	$523.20	$471.60
M/phmtrc alys ishquant/semiq	$646.80	$646.80	$646.80	$435.00
M/phmtrc alys ishquant/semiq	$152.40	$152.40	$152.40	$152.40
M/phmtrc alysishquant/semiq	$646.80	$646.80	$646.80	$507.60
MRA w/cont, abd	$3,815.40	$3,815.40	$3,815.40	$2,713.80
MRA without cont, abd	$3,815.40	$3,815.40	$3,815.40	$3,815.40
MRA without fol w/cont, abd	$3,815.40	$3,815.40	$3,815.40	$2,734.20
MRI breast without cont bi	$2,913.60	$2,913.60	$2,913.60	$2,913.60
MRI chest without & w/contrast	$3,815.40	$3,815.40	$3,815.40	$3,985.80
MRI chest without contrast	$2,205.00	$2,205.00	$2,205.00	$2,514.00
MRI loex nonjt w IV cont	$2,332.80	$2,332.80	$2,332.80	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$3,815.40	$3,815.40	$3,815.40	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$2,205.00	$2,205.00	$2,205.00	$2,514.00
MRI orbit fac&nck w IV cont	$3,493.20	$3,493.20	$3,493.20	$2,910.60
MRI orbit/face/neck without & w/contrast	$3,815.40	$3,815.40	$3,815.40	$3,804.00
MRI orbit/face/neck without contrast	$2,205.00	$2,205.00	$2,205.00	$2,398.20
MRI tmj	$2,332.20	$2,332.20	$2,332.20	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$3,815.40	$3,815.40	$3,815.40	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$2,205.00	$2,205.00	$2,205.00	$2,514.00
MRI upper extremity w/dye	$3,166.80	$3,166.80	$3,166.80	$3,126.75
MRI without fol w/cont, breast	$2,913.60	$2,913.60	$2,913.60	$3,543.00
Macroscopic exam arthropod	$54.00	$54.00	$54.00	$54.00
Macroscopic exam parasite	$53.40	$53.40	$53.40	$51.60
Magnesium	$39.00	$39.00	$39.00	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$239.40	$239.40	$239.40	$74.40
Manipulation chest wall demonstration/evaluation subsequent	$80.40	$80.40	$80.40	$193.20
Manipulation chest wall initial demonstration/evaluation	$96.00	$96.00	$96.00	$237.60
Mannitol 12.5 gm/50 ml inj	$20.40	$20.40	$20.40	$88.80
Margetuximab-cmkb 25 mg/ml intravenous solution	$94.80	$94.80	$94.80	$138.00
Marker biop eviva buckle ss	$400.80	$400.80	$400.80	$819.00
Mastoids complete	$348.60	$348.60	$348.60	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$96.00	$96.00	$96.00	$108.60
Mayo aathr protein s free	$102.00	$102.00	$102.00	$159.60
Mayo activated protein c resistance assay	$102.60	$102.60	$102.60	$170.25
Mayo adalimumab (humira) therapeutic drug level	$141.00	$141.00	$141.00	$205.80
Mayo alkaline phosphatase isoenzyme	$190.20	$190.20	$190.20	$154.80
Mayo alpha 1 antitrypsin	$66.60	$66.60	$66.60	$205.80
Mayo amikacin trough therapeutic drug level	$237.60	$237.60	$237.60	$153.00
Mayo analysis gene calr common variants exon 9	$1,227.60	$1,227.60	$1,227.60	$1,160.40
Mayo analysis gene jak2 p.val617phe variant	$1,702.80	$1,702.80	$1,702.80	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$2,547.60	$2,547.60	$2,547.60	$1,135.80
Mayo analysis microarray cytogenomic copy number/snp variants	$14,400.60	$14,400.60	$14,400.60	$11,640.60
Mayo androstenedione	$144.60	$144.60	$144.60	$195.75
Mayo angiotensin 1 converting enzyme (ace) csf	$74.40	$74.40	$74.40	$85.20
Mayo antithrombin iii antigen	$97.20	$97.20	$97.20	$108.60
Mayo aspergillus fumigatus antibody	$102.60	$102.60	$102.60	$111.60
Mayo avwpr vw factor activity	$415.80	$415.80	$415.80	$322.80
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$189.00	$189.00	$189.00	$290.40
Mayo bart bartonella henselae antibody igg	$102.60	$102.60	$102.60	$100.20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$1,051.20	$1,051.20	$1,051.20	$837.60
Mayo blastomyces antibody immunodiffusion	$80.40	$80.40	$80.40	$189.75
Mayo bordetella pertussis antibody igg	$85.80	$85.80	$85.80	$100.80
Mayo brcmg brucella antibody igm	$70.20	$70.20	$70.20	$118.80
Mayo c1 esterase inhibitor	$96.60	$96.60	$96.60	$133.20
Mayo carnitine total and free quantitative each specimen plasma	$276.00	$276.00	$276.00	$166.20
Mayo cd20b mononuclear cell antigen nos quantitative each	$427.80	$427.80	$427.80	$351.00
Mayo cdcom hla class ii typing low resolution one locus each	$1,672.20	$1,672.20	$1,672.20	$706.80
Mayo ceruloplasmin	$54.00	$54.00	$54.00	$97.80
Mayo chemiluminescent parathyroid related peptide	$129.60	$129.60	$129.60	$294.60
Mayo chikv chikungunya antibodies igg	$119.40	$119.40	$119.40	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$241.20	$241.20	$241.20	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$89.40	$89.40	$89.40	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$764.40	$764.40	$764.40	$833.40
Mayo chromium	$60.00	$60.00	$60.00	$129.75
Mayo coccidioides antibody	$112.80	$112.80	$112.80	$131.40
Mayo cocou cortisone urine	$108.00	$108.00	$108.00	$305.40
Mayo cortisol free	$84.60	$84.60	$84.60	$133.20
Mayo covid-19 antibody nucleocapsid total	$123.00	$123.00	$123.00	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$115.80	$115.80	$115.80	$123.75
Mayo deoxyribonuclease antibody titer	$93.60	$93.60	$93.60	$96.00
Mayo dhea (dehydroepiandrosterone)	$166.20	$166.20	$166.20	$333.00
Mayo dihydrotestosterone	$239.40	$239.40	$239.40	$301.80
Mayo efpo chloride stool	$89.40	$89.40	$89.40	$102.00
Mayo estriol	$125.40	$125.40	$125.40	$147.20
Mayo estrone	$165.00	$165.00	$165.00	$165.00
Mayo ethosuximide therapeutic drug level	$80.40	$80.40	$80.40	$153.00
Mayo everolimus therapeutic drug level	$141.60	$141.60	$141.60	$210.00
Mayo factor ii	$49.80	$49.80	$49.80	$97.20
Mayo factor vii	$131.40	$131.40	$131.40	$185.40
Mayo factor viii vw factor antigen	$114.60	$114.60	$114.60	$176.40
Mayo factor viii vw factor multimetric analysis	$212.40	$212.40	$212.40	$243.60
Mayo factor viii vw factor ristocetin cofactor	$212.40	$212.40	$212.40	$289.60
Mayo factor x	$131.40	$131.40	$131.40	$243.75
Mayo factor xi	$131.40	$131.40	$131.40	$196.80
Mayo fat/lipids feces quantitative	$110.40	$110.40	$110.40	$197.40
Mayo fbl culture fungi blood	$80.40	$80.40	$80.40	$126.00
Mayo ffspg allergen clam igg	$46.80	$46.80	$46.80	$53.40
Mayo fibrinogen antigen	$78.60	$78.60	$78.60	$120.00
Mayo gabapentin bld/srm/plasma therapeutic drug level	$141.00	$141.00	$141.00	$141.00
Mayo gamma-globin full gene sequencing	$8,992.20	$8,992.20	$8,992.20	$8,992.20
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$288.60	$288.60	$288.60	$288.60
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2	$559.20	$559.20	$559.20	$417.00
Mayo hiser histoplasma antibodies immunodiffusion	$81.00	$81.00	$81.00	$161.25
Mayo hla typing a/b/c single antigen	$118.20	$118.20	$118.20	$293.40
Mayo hvdip HIV 1 antibody	$88.20	$88.20	$88.20	$131.40
Mayo hvdip HIV 2 antibody	$90.60	$90.60	$90.60	$97.20
Mayo hydroxyprogesterone 17-d	$108.00	$108.00	$108.00	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$67.20	$67.20	$67.20	$273.00
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$97.20	$97.20	$97.20	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$141.00	$141.00	$141.00	$141.00
Mayo immunoassay tumor antigen quantitative chromogranin a	$102.60	$102.60	$102.60	$186.75
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance	$987.60	$987.60	$987.60	$987.60
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$191.40	$191.40	$191.40	$153.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$187.20	$187.20	$187.20	$252.75
Mayo infectious agent nucleic acid amplified probe enterovirus	$309.60	$309.60	$309.60	$500.25
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine	$189.00	$189.00	$189.00	$189.00
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$306.00	$306.00	$306.00	$349.80
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii	$189.00	$189.00	$189.00	$292.50
Mayo infectious agent nucleic acid quantification cytomegalovirus	$236.40	$236.40	$236.40	$366.60
Mayo infliximab therapeutic drug level	$133.20	$133.20	$133.20	$523.20
Mayo inhab inhibin a	$861.00	$861.00	$861.00	$309.75
Mayo insft insulin free	$121.20	$121.20	$121.20	$117.00
Mayo insulin antibodies	$85.20	$85.20	$85.20	$121.20
Mayo iodine	$163.80	$163.80	$163.80	$202.20
Mayo itraconazole therapeutic drug level	$140.40	$140.40	$140.40	$159.00
Mayo lacosamide therapeutic drug level	$141.00	$141.00	$141.00	$199.50
Mayo lamotrigine therapeutic drug level	$141.00	$141.00	$141.00	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$70.80	$70.80	$70.80	$93.75
Mayo legionella antibody	$181.20	$181.20	$181.20	$104.40
Mayo lipoprotein electrophoresis	$99.00	$99.00	$99.00	$106.20
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$99.00	$99.00	$99.00	$181.50
Mayo manganese	$57.00	$57.00	$57.00	$110.40
Mayo metanephrines plasma	$80.40	$80.40	$80.40	$384.00
Mayo mgle voltage-gated calcium channel antibody each	$108.00	$108.00	$108.00	$235.20
Mayo mgrm acetylcholine receptor binding antibody	$240.00	$240.00	$240.00	$235.20
Mayo microsomal antibody liver-kidney	$78.60	$78.60	$78.60	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$141.00	$141.00	$141.00	$210.00
Mayo molecular pathology procedure level 2 apoe genotype	$4,014.60	$4,014.60	$4,014.60	$1,528.80
Mayo mpl sequence analysis exon 10	$752.40	$752.40	$752.40	$752.40
Mayo muramidase	$96.00	$96.00	$96.00	$96.75
Mayo muscle-specific kinase (musk) antibody	$108.00	$108.00	$108.00	$235.20
Mayo mycophenolic acid therapeutic drug level	$163.80	$163.80	$163.80	$202.20
Mayo myoglobin	$74.40	$74.40	$74.40	$144.60
Mayo nickel	$175.20	$175.20	$175.20	$178.20
Mayo organic acid methylmalonic single quantitative	$108.00	$108.00	$108.00	$361.50
Mayo organic acids qualitative each specimen	$229.20	$229.20	$229.20	$229.20
Mayo oxalate 24 hour urine	$60.00	$60.00	$60.00	$170.40
Mayo parvs parvovirus b19 antibody igg	$75.60	$75.60	$75.60	$136.50
Mayo paval fluorescent antibody screen agna type 1	$102.00	$102.00	$102.00	$192.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$306.00	$306.00	$306.00	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$295.80	$295.80	$295.80	$232.20
Mayo pntft phenytoin free therapeutic drug level	$62.40	$62.40	$62.40	$92.25
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$55.80	$55.80	$55.80	$131.25
Mayo pregnenolone	$189.60	$189.60	$189.60	$222.00
Mayo prmb primidone therapeutic drug level	$81.00	$81.00	$81.00	$129.60
Mayo proinsulin	$165.00	$165.00	$165.00	$262.50
Mayo psaft prostate specific antigen free	$129.60	$129.60	$129.60	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$108.00	$108.00	$108.00	$323.40
Mayo rbcme osmotic fragility rbc incubated	$223.80	$223.80	$223.80	$238.80
Mayo receptor assay transferrin soluble	$240.00	$240.00	$240.00	$193.50
Mayo renin	$108.00	$108.00	$108.00	$168.60
Mayo repu protein electrophoresis urine	$241.20	$241.20	$241.20	$194.40
Mayo selenium	$236.40	$236.40	$236.40	$177.00
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria	$91.20	$91.20	$91.20	$91.20
Mayo serotonin	$159.60	$159.60	$159.60	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$175.80	$175.80	$175.80	$114.60
Mayo sirolimus therapeutic drug level	$102.00	$102.00	$102.00	$173.25
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative	$97.20	$97.20	$97.20	$137.25
Mayo syphilis test non-treponemal antibody qualitative vdrl	$43.80	$43.80	$43.80	$43.80
Mayo tau phosphorylated 217 each	$67.20	$67.20	$67.20	$259.80
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$859.80	$859.80	$859.80	$859.80
Mayo tgrp testosterone free	$129.60	$129.60	$129.60	$128.40
Mayo tgrp testosterone total	$126.60	$126.60	$126.60	$193.50
Mayo thyroglobulin	$108.60	$108.60	$108.60	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$62.40	$62.40	$62.40	$102.60
Mayo ticks babesia microti antibody igg	$118.20	$118.20	$118.20	$126.00
Mayo tulab francisella tularensis antibody igg	$96.60	$96.60	$96.60	$96.60
Mayo valpg valproic acid free therapeutic drug level	$96.00	$96.00	$96.00	$126.00
Mayo vasoactive intestinal peptide	$325.20	$325.20	$325.20	$375.60
Mayo vitamin b-2 (riboflavin)	$187.20	$187.20	$187.20	$138.60
Mayo vitamin b3 (niacin)	$115.80	$115.80	$115.80	$147.00
Mayo vitamin k	$126.60	$126.60	$126.60	$317.25
Mayo zonisamide therapeutic drug level	$141.00	$141.00	$141.00	$210.00
Measurement post void urine by ultrasound	$256.80	$256.80	$256.80	$176.40
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$213.60	$213.60	$213.60	$252.10
Megestrol 20 mg tabs 100 each bottle	$6.20	$6.20	$6.20	$6.20
Meperidine (pf) 25 mg/ml injection (wrapper)	$9.80	$9.80	$9.80	$16.40
Mepolizumab 100 mg/ml subcutaneous auto-injector	$108.00	$108.00	$108.00	$8,127.60
Meropenem 1 gram intravenous solution	$77.20	$77.20	$77.20	$77.20
Mesna 100 mg/ml intravenous solution	$1,001.60	$1,001.60	$1,001.60	$153.60
Metabolic Blood Panel (Basic)	$84.60	$84.60	$84.60	$97.60
Metabolic Blood Panel (Comprehensive)	$126.60	$126.60	$126.60	$130.97
Methacholine chloride 0.0625 mg/ml nebulization soln	$255.60	$255.60	$255.60	$463.20
Methotrexate sodium (pf) 1 gram solution for injection	$279.20	$279.20	$279.20	$284.80
Methotrexate sodium 2.5 mg tablet	$29.80	$29.80	$29.80	$28.65
Methotrexate therapeutic drug level	$139.80	$139.80	$139.80	$129.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$2.60	$2.60	$2.60	$1,620.00
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$20.20	$20.20	$20.20	$42.45
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$1.40	$1.40	$1.40	$504.60
Methylprednisolone 4 mg tablet	$22.00	$22.00	$22.00	$10.80
Methylprednisolone acetate 40 mg/ml suspension for injection	$0.60	$0.60	$0.60	$1.20
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$2.20	$2.20	$2.20	$6.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$11.00	$11.00	$11.00	$10.35
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)	$1.20	$1.20	$1.20	$4.80
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$4.80	$4.80	$4.80	$3.15
Micafungin 100 mg intravenous solution	$7.00	$7.00	$7.00	$26.20
Microdissection manual	$604.20	$604.20	$604.20	$538.20
Microsatellite instability	$1,154.40	$1,154.40	$1,154.40	$1,154.40
Midazolam 1 mg/ml injection solution	$11.00	$11.00	$11.00	$36.60
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$398.40	$398.40	$398.40	$73.20
Minocycline hydrochloride	$1.00	$1.00	$1.00	$403.80
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution	$131.40	$131.40	$131.40	$131.40
Mitomycin 40 mg intravenous solution	$1,169.60	$1,169.60	$1,169.60	$1,714.80
Mlh1 gene	$1,123.80	$1,123.80	$1,123.80	$1,123.80
Mlh1 gene full seq	$399.00	$399.00	$399.00	$399.00
Mog-igg1 antb flo cytmtry ea	$102.00	$102.00	$102.00	$213.00
Monitor reveal linq ii cardiac	$15,190.20	$15,190.20	$15,190.20	$12,083.40
Mopath procedure level 1	$837.60	$837.60	$837.60	$873.75
Mopath procedure level 3	$2,046.60	$2,046.60	$2,046.60	$2,046.60
Mopath procedure level 5	$3,109.80	$3,109.80	$3,109.80	$2,734.80
Mopath procedure level 6	$5,299.80	$5,299.80	$5,299.80	$5,054.40
Mopath procedure level 7	$8,476.80	$8,476.80	$8,476.80	$8,366.40
Mopath procedure level 8	$1,687.80	$1,687.80	$1,687.80	$1,687.80
Mopath procedure level 9	$3,327.60	$3,327.60	$3,327.60	$2,250.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$12.80	$12.80	$12.80	$102.60
Morphine 4 mg/ml injection (wrapper)	$19.80	$19.80	$19.80	$27.20
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$616.20	$616.20	$616.20	$349.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$665.40	$665.40	$665.40	$599.40
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$459.60	$459.60	$459.60	$338.40
Mosunetuzumab-axgb 1 mg/ml intravenous solution	$924.00	$924.00	$924.00	$924.00
Mpl gene analysis common variants	$1,227.60	$1,227.60	$1,227.60	$1,227.60
Mr safety determination physician/other qhp	$161.40	$161.40	$161.40	$160.20
Mr safety implant elec prepj	$168.60	$168.60	$168.60	$166.80
Mr sfty implt&/fb asmt stf 1	$45.00	$45.00	$45.00	$44.40
Mr sfty med physics xm cstmz	$444.00	$444.00	$444.00	$439.80
Msh2 gene full seq	$399.00	$399.00	$399.00	$1,502.40
Msh6 gene full seq	$399.00	$399.00	$399.00	$1,522.80
Mthfr gene analy common variants	$357.60	$357.60	$357.60	$357.60
Mucopolysaccharides	$223.80	$223.80	$223.80	$280.80
Mumps antibody igg	$108.00	$108.00	$108.00	$168.75
Muscle test cran nerv unilat	$297.00	$297.00	$297.00	$751.50
Muscle test larynx	$1,132.80	$1,132.80	$1,132.80	$768.00
Mycophenolate mofetil 250 mg capsule	$34.40	$34.40	$34.40	$79.60
Mycophenolic acid	$21.60	$21.60	$21.60	$21.60
Mycoplasma antibody igm	$60.00	$60.00	$60.00	$129.75
Myd88 gene p.leu265pro vrnt	$1,379.40	$1,379.40	$1,379.40	$888.60
Myelography via inj w/s&i 2+ regions	$1,324.80	$1,324.80	$1,324.80	$2,289.60
Myelography via inj w/s&i cervical	$1,324.80	$1,324.80	$1,324.80	$2,289.60
Myelography via inj w/s&i lumbosacral	$1,324.80	$1,324.80	$1,324.80	$2,289.60
Myelography via inj w/s&i thoracic	$1,324.80	$1,324.80	$1,324.80	$2,572.50
Myeloperoxidase ab multi step qualitative/semiquantitative	$96.60	$96.60	$96.60	$126.00
Nalbuphine 10 mg/ml injection solution	$22.20	$22.20	$22.20	$22.20
Natalizumab 300 mg/15 ml intravenous solution	$76.20	$76.20	$76.20	$28,621.80
Natriuretic peptide	$287.40	$287.40	$287.40	$287.40
Natural killer cells total count	$335.40	$335.40	$335.40	$262.50
Ndl emg musc 1 xtr/non-limb	$165.00	$165.00	$165.00	$241.20
Neck (Cervical Spine) CT scan (with and without contrast)	$1,750.20	$1,750.20	$1,750.20	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$1,636.80	$1,636.80	$1,636.80	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$1,368.00	$1,368.00	$1,368.00	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$3,864.00	$3,864.00	$3,864.00	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,947.58
Neck MRA (blood vessel MRI, with and without contrast)	$3,815.40	$3,815.40	$3,815.40	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$2,589.00	$2,589.00	$2,589.00	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,790.58
Neisseria meningitidis	$223.80	$223.80	$223.80	$223.80
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$115.80	$115.80	$115.80	$99.51
Nerve conduction 7-8 studies	$1,450.20	$1,450.20	$1,450.20	$1,635.00
Nerve conduction studies 1-2	$209.40	$209.40	$209.40	$335.40
Nerve conduction studies 11-12	$2,280.00	$2,280.00	$2,280.00	$2,280.00
Nerve conduction studies 13+	$2,693.40	$2,693.40	$2,693.40	$2,693.40
Nerve conduction studies 3-4	$415.20	$415.20	$415.20	$642.60
Nerve conduction studies 5-6	$1,037.40	$1,037.40	$1,037.40	$1,069.20
Nerve conduction studies 9-10	$1,864.80	$1,864.80	$1,864.80	$2,435.25
Neuromuscular junction testing ea nerve any 1 method	$186.60	$186.60	$186.60	$420.00
New Patient Office Visit (level 2)	$216.00	$216.00	$216.00	$178.00
New Patient Office Visit (level 3)	$281.40	$281.40	$281.40	$229.20
New Patient Office Visit (level 4)	$358.80	$358.80	$358.80	$307.00
New Patient Office Visit (level 5)	$526.20	$526.20	$526.20	$401.50
Nicardipine 25 mg/10 ml intravenous solution	$2.80	$2.80	$2.80	$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)	$110.40	$110.40	$110.40	$104.40
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution	$385.80	$385.80	$385.80	$375.60
Njx aa&/strd nrv nrvtg si jt	$727.20	$727.20	$727.20	$668.25
Njx px nfrosgrm &/urtrgrm	$908.40	$908.40	$908.40	$1,266.00
Nm imaging bone/joint 3 phase study	$663.60	$663.60	$663.60	$2,037.60
Nm imaging bone/joint whole body	$797.40	$797.40	$797.40	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$945.00	$945.00	$945.00	$1,651.20
Nm imaging gastric emptying study	$896.40	$896.40	$896.40	$1,510.20
Nm imaging gastrointestinal acute blood loss	$828.60	$828.60	$828.60	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$855.60	$855.60	$855.60	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$763.20	$763.20	$763.20	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$1,666.20	$1,666.20	$1,666.20	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,193.40	$1,193.40	$1,193.40	$1,335.00
Nm radiopharmaceutical therapy oral administration	$626.40	$626.40	$626.40	$944.40
Npm1 gene	$2,182.20	$2,182.20	$2,182.20	$1,905.60
Nras gene variants exon 2&3	$369.60	$369.60	$369.60	$369.60
Ntsty modul rad tx dlvr cplx	$2,153.40	$2,153.40	$2,153.40	$2,407.80
Ntsty modul rad tx dlvr smpl	$1,873.80	$1,873.80	$1,873.80	$2,092.80
Nuclear Stress Test (Heart)	$2,641.80	$2,641.80	$2,641.80	$3,799.90
Nudt15 gene common variants	$477.00	$477.00	$477.00	$477.00
Obinutuzumab 1,000 mg/40 ml intravenous solution	$189.00	$189.00	$189.00	$236.00
Observation direct referral from physician office for admission	$112.80	$112.80	$112.80	$138.00
Observation per hour	$443.40	$443.40	$443.40	$793.20
Obstetrics panel	$594.60	$594.60	$594.60	$320.40
Ocrelizumab 30 mg/ml intravenous solution	$208.80	$208.80	$208.80	$52,712.40
Octreotide acetate 100 mcg/ml injection (wrapper)	$540.60	$540.60	$540.60	$558.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$571.20	$571.20	$571.20	$23,098.20
Olanzapine 10 mg intramuscular solution	$6.40	$6.40	$6.40	$30.00
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)	$175.20	$175.20	$175.20	$830.40
Onco (ovar) two proteins	$150.60	$150.60	$150.60	$127.20
Ondansetron 4 mg s0119	$228.80	$228.80	$228.80	$228.80
Ondansetron 8 mg disintegrating tablet	$52.20	$52.20	$52.20	$25.20
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$45.40	$45.40	$45.40	$34.32
Ophthalmic mitomycin	$1,516.80	$1,516.80	$1,516.80	$1,663.20
Oral aprepitant	$260.40	$260.40	$260.40	$1,012.80
Oral everolimus	$1,208.40	$1,208.40	$1,208.40	$1,208.40
Organic acids total quant ea spec	$145.20	$145.20	$145.20	$277.20
Oscillation chest wall mechanical per session	$96.00	$96.00	$96.00	$235.20
Osmolality blood	$42.00	$42.00	$42.00	$77.25
Osmolality urine	$42.00	$42.00	$42.00	$90.60
Ot evaluation high complexity patient/family	$272.40	$272.40	$272.40	$285.75
Ot evaluation low complexity patient/family	$272.40	$272.40	$272.40	$272.25
Ot evaluation moderate complexity patient/family	$272.40	$272.40	$272.40	$285.75
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$144.60	$144.60	$144.60	$122.25
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$173.40	$173.40	$173.40	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$60.00	$60.00	$60.00	$130.20
Ot re-evaluation patient/family	$105.00	$105.00	$105.00	$138.60
Ot therapeutic activities direct patient contact each 15 minutes	$63.60	$63.60	$63.60	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$274.80	$274.80	$274.80	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$274.80	$274.80	$274.80	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$105.00	$105.00	$105.00	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$80.40	$80.40	$80.40	$117.00
Ot training self care/home management direct contact each 15 minutes	$64.80	$64.80	$64.80	$115.80
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr	$125.40	$125.40	$125.40	$125.40
Oxaliplatin 5 mg/ml desensitization	$40.80	$40.80	$40.80	$97.20
Oxytocin 10 unit/ml injection solution	$60.60	$60.60	$60.60	$29.00
PSA (Prostate) Test	$96.60	$96.60	$96.60	$103.85
Paclitaxel 6 mg/ml concentrate,intravenous	$47.20	$47.20	$47.20	$47.20
Paclitaxel protein-bound 100 mg intravenous suspension	$51.00	$51.00	$51.00	$963.60
Paliperidone 117 mg/0.75 ml inj	$99.20	$99.20	$99.20	$6,272.41
Palonosetron hcl	$159.20	$159.20	$159.20	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$1,189.20	$1,189.20	$1,189.20	$200.00
Panitumumab 20 mg/ml intravenous solution (wrapper)	$283.20	$283.20	$283.20	$364.20
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr	$63.40	$63.40	$63.40	$30.80
Papaverin hcl injection	$64.00	$64.00	$64.00	$123.60
Parathormone (pth) intact	$204.00	$204.00	$204.00	$228.00
Parathyroid planar imaging	$944.40	$944.40	$944.40	$1,436.25
Paricalcitol	$37.20	$37.20	$37.20	$35.52
Paring/cutting benign hyperkeratotic lesion single	$453.00	$453.00	$453.00	$288.60
Particle matristem matrix 1000mg micron-q4118-cost per mg	$1,099.20	$1,099.20	$1,099.20	$7,136.40
Passy muir valve metal trach	$346.20	$346.20	$346.20	$350.40
Path clin consltj mod 21-40	$447.60	$447.60	$447.60	$447.60
Path clin consltj sf 5-20	$198.60	$198.60	$198.60	$198.60
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$1,355.20	$1,355.20	$1,355.20	$6,417.60
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe	$1,333.80	$1,333.80	$1,333.80	$1,333.80
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$10,699.80	$10,699.80	$10,699.80	$10,699.80
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe	$645.60	$645.60	$645.60	$645.60
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$2,112.00	$2,112.00	$2,112.00	$2,112.00
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe	$395.40	$395.40	$395.40	$395.40
Pelvic CT scan (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$1,992.00
Pelvic CT scan (with contrast)	$1,368.00	$1,368.00	$1,368.00	$1,706.25
Pelvic CT scan (without contrast)	$1,226.40	$1,226.40	$1,226.40	$1,366.50
Pelvic MRI (with and without contrast)	$3,815.40	$3,815.40	$3,815.40	$2,713.80
Pelvic MRI (with contrast)	$3,442.80	$3,442.80	$3,442.80	$1,966.42
Pelvic MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,810.38
Pelvic Ultrasound (complete)	$490.20	$490.20	$490.20	$647.87
Pelvic Ultrasound (limited)	$354.00	$354.00	$354.00	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$199.20	$199.20	$199.20	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$379.20	$379.20	$379.20	$3,134.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$96.00	$96.00	$96.00	$1,422.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$144.60	$144.60	$144.60	$192.60
Penile rear tip xtnd 0.5cm	$18,010.20	$18,010.20	$18,010.20	$26,765.44
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$824.40	$824.40	$824.40	$1,066.20
Pericardiocentesis wwo imaging	$3,431.40	$3,431.40	$3,431.40	$2,472.75
Perit-vens shunt pat tst	$1,127.40	$1,127.40	$1,127.40	$1,127.40
Peritoneogram rs&i	$463.20	$463.20	$463.20	$338.40
Perq dev breast 1st strtctc	$1,787.40	$1,787.40	$1,787.40	$1,793.40
Pertuzu, trastuzu, 10 mg	$285.60	$285.60	$285.60	$523.20
Pertuzumab 30 mg/ml desensitization	$30.00	$30.00	$30.00	$22,539.60
Pet CT skull-mid thgh initial	$10,513.20	$10,513.20	$10,513.20	$5,639.40
Pet CT whole body initial	$12,895.20	$12,895.20	$12,895.20	$5,639.40
Pfc sigma fem post aug sz3 8mm	$26,256.60	$26,256.60	$26,256.60	$26,256.60
Ph body fluid	$27.00	$27.00	$27.00	$45.00
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$13.60	$13.60	$13.60	$42.15
Phenobarbital therapeutic drug level	$89.40	$89.40	$89.40	$153.00
Phentolaine mesylate inj	$460.00	$460.00	$460.00	$1,028.40
Phenylephrine 10 mg/ml injection solution	$0.04	$0.04	$0.04	$0.14
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$722.40	$722.40	$722.40	$417.00
Phenytoin total therapeutic drug level	$89.40	$89.40	$89.40	$114.00
Phlebotomy therapeutic	$331.80	$331.80	$331.80	$292.80
Phosphorus	$37.20	$37.20	$37.20	$57.75
Phosphorus 24 hour urine	$45.00	$45.00	$45.00	$91.20
Phys blood bank serv reactj	$201.60	$201.60	$201.60	$398.40
Phytonadione (vitamin k1) 10 mg/ml injection solution	$34.00	$34.00	$34.00	$52.80
Piflu f-18, dia 1 millicurie	$1,033.80	$1,033.80	$1,033.80	$1,252.20
Pin caspar distraction 12mm	$2,681.40	$2,681.40	$2,681.40	$33,127.20
Pinworm exam	$58.80	$58.80	$58.80	$49.20
Piperacillin-tazobactam 3.375 gram intravenous solution	$115.20	$115.20	$115.20	$115.20
Place gastrostomy tube perc	$3,735.00	$3,735.00	$3,735.00	$3,587.40
Place slctv cath subclavian art	$16,897.20	$16,897.20	$16,897.20	$7,476.75
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$1,593.00	$1,593.00	$1,593.00	$1,564.20
Placement nephrostomy catheter (both sides)	$2,483.40	$2,483.40	$2,483.40	$2,483.40
Placement occlusive device venous/arterial access site post procedure	$941.40	$941.40	$941.40	$1,051.50
Placement stent(s) intravascular transcatheter artery initial	$12,780.00	$12,780.00	$12,780.00	$13,400.40
Platelet aggregation each agent teg	$153.00	$153.00	$153.00	$223.50
Platelet automated	$75.00	$75.00	$75.00	$42.80
Platelet pheresis each unit	$1,790.40	$1,790.40	$1,790.40	$1,141.20
Platelets pheresis leukocytes reduced each unit	$1,644.00	$1,644.00	$1,644.00	$2,713.80
Platelets pheresis pathogen-reduced each unit	$1,474.20	$1,474.20	$1,474.20	$1,791.00
Plc pq device breast ea addl lesion stereo guide	$1,787.40	$1,787.40	$1,787.40	$1,619.40
Plcmnt ureteral stent pq w/img exstng trct	$4,913.40	$4,913.40	$4,913.40	$4,913.40
Plcmt sft tiss loc pq w/img 1st lsn	$1,473.60	$1,473.60	$1,473.60	$1,124.25
Plcmt xtn pros evasc rpr per vsl	$2,689.80	$2,689.80	$2,689.80	$4,002.00
Plethysmography lung volumes/airway resistance	$169.20	$169.20	$169.20	$368.25
Pm device progr eval dual	$276.00	$276.00	$276.00	$241.50
Pml/raralpha 1 breakpoint	$1,114.20	$1,114.20	$1,114.20	$1,180.80
Pmp22 gene dup/delet	$2,663.40	$2,663.40	$2,663.40	$2,663.40
Pmp22 gene full sequence	$2,663.40	$2,663.40	$2,663.40	$2,663.40
Pms2 gene dup/delet variants	$1,523.40	$1,523.40	$1,523.40	$1,522.80
Pms2 gene full seq analysis	$3,310.80	$3,310.80	$3,310.80	$1,522.80
Poct blood gases ph pco2 po2 arterial calculated o2	$137.40	$137.40	$137.40	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$368.80	$368.80	$368.80	$36,544.20
Positioner proc acufex leg acs	$42.00	$42.00	$42.00	$51.40
Potassium 24 hour urine	$34.80	$34.80	$34.80	$63.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$70.80	$70.80	$70.80	$70.80
Potassium serum/plasma/whole blood	$34.80	$34.80	$34.80	$47.80
Pq dr cath chg w cont s&i	$591.00	$591.00	$591.00	$1,347.00
Pr application of long arm splint	$304.80	$304.80	$304.80	$471.00
Pr application splint static short arm	$213.00	$213.00	$213.00	$307.50
Pr biopsy skin punch single lesion	$658.20	$658.20	$658.20	$639.00
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$30.00	$30.00	$30.00	$30.00
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$269.40	$269.40	$269.40	$428.25
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$1,550.40	$1,550.40	$1,550.40	$2,795.25
Pr excision nail/nail matrix partial/complete permanent removal	$1,802.40	$1,802.40	$1,802.40	$1,233.00
Pr incision & drainage abscess complicated/multiple	$1,108.20	$1,108.20	$1,108.20	$712.80
Pr incision & drainage abscess simple/single	$431.40	$431.40	$431.40	$484.20
Pr incision & drainage abscess vulva/perineal	$2,183.40	$2,183.40	$2,183.40	$831.60
Pr incision & removal foreign body subcutaneous tissues simple	$388.80	$388.80	$388.80	$589.80
Pr moderate sedation same physician >= 5 years initial 15 minutes	$138.00	$138.00	$138.00	$330.00
Pr removal drug delivery implant	$1,600.20	$1,600.20	$1,600.20	$1,448.25
Pr removal foreign body external auditory canal without anesthesia	$276.00	$276.00	$276.00	$298.40
Pr removal intrauterine device	$1,159.80	$1,159.80	$1,159.80	$589.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$610.80	$610.80	$610.80	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$388.80	$388.80	$388.80	$477.00
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$388.80	$388.80	$388.80	$477.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$388.80	$388.80	$388.80	$477.00
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$388.80	$388.80	$388.80	$520.80
Pr tube thoracostomy w/connection to drainage open	$2,476.20	$2,476.20	$2,476.20	$2,412.60
Prcrd drg 6+yr without anomly	$3,943.80	$3,943.80	$3,943.80	$2,783.40
Prealbumin	$76.20	$76.20	$76.20	$114.00
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution	$32.40	$32.40	$32.40	$13.80
Prednisone 1 mg tablet	$1.00	$1.00	$1.00	$3.00
Pregnancy Ultrasound (complete, after first trimester)	$610.80	$610.80	$610.80	$607.12
Pregnancy Ultrasound (first trimester)	$610.80	$610.80	$610.80	$592.15
Pregnancy associated plasma protein-a	$133.20	$133.20	$133.20	$144.60
Pressure max expiratory/inspiratory	$154.80	$154.80	$154.80	$187.20
Pretreat rbc absorption reference	$54.00	$54.00	$54.00	$128.25
Pretreat rbc w chem/drugs reference	$298.80	$298.80	$298.80	$225.60
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$139.80	$139.80	$139.80	$139.80
Prgrmg dev eval pm/ldls pm	$223.20	$223.20	$223.20	$191.40
Prgrmg eval implantable dfb	$287.40	$287.40	$287.40	$231.60
Prgrmg eval implantable dfb	$360.60	$360.60	$360.60	$279.00
Procalcitonin	$284.40	$284.40	$284.40	$161.60
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$16.20	$16.20	$16.20	$63.42
Prochlorperazine maleate 5 mg tablet	$1.20	$1.20	$1.20	$3.00
Proctosigmoidoscopy w/fb remove 45307	$3,197.40	$3,197.40	$3,197.40	$3,197.40
Progesterone	$102.60	$102.60	$102.60	$181.20
Prolactin	$102.00	$102.00	$102.00	$191.25
Promethazine hcl injection	$26.40	$26.40	$26.40	$10.99
Propofol infusion 10 mg/ml	$4.20	$4.20	$4.20	$21.45
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$120.80	$120.80	$120.80	$16.46
Prostate biopsy, any mthd	$308.40	$308.40	$308.40	$308.40
Protamine 10 mg/ml intravenous solution	$122.40	$122.40	$122.40	$112.23
Protein c activity	$121.20	$121.20	$121.20	$121.20
Protein electrophoretic fractionation & quantitation serum	$241.20	$241.20	$241.20	$171.60
Protein s total	$75.60	$75.60	$75.60	$181.50
Protein total 24 hour urine	$37.20	$37.20	$37.20	$45.00
Protein total body fluid	$37.20	$37.20	$37.20	$81.75
Protein total serum plasma whole blood	$37.20	$37.20	$37.20	$46.50
Prothrombin complex kcentra	$8.20	$8.20	$8.20	$8.25
Prothrombin time substitution plasma fractions each	$60.60	$60.60	$60.60	$66.00
Prq av fstl crt uxtr sep acs	$33,250.80	$33,250.80	$33,250.80	$33,250.80
Prq av fstl crtj uxtr 1 acs	$33,250.80	$33,250.80	$33,250.80	$37,664.40
Prq card revasc mi 1 vsl drug-eluting	$14,003.40	$14,003.40	$14,003.40	$15,411.00
Pt application of modality >=1 area electrical stimulation each 15 minutes	$76.20	$76.20	$76.20	$103.20
Pt application of modality >=1 area hot/cold packs	$64.80	$64.80	$64.80	$47.00
Pt evaluation high complexity patient/family	$320.40	$320.40	$320.40	$297.00
Pt evaluation low complexity patient/family	$320.40	$320.40	$320.40	$264.00
Pt evaluation moderate complexity patient/family	$320.40	$320.40	$320.40	$276.00
Pt re-evaluation patient/family	$105.00	$105.00	$105.00	$129.60
Pt repositioning canalith procedure(s) per day	$384.00	$384.00	$384.00	$223.20
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$76.20	$76.20	$76.20	$114.00
Pt therapeutic procedure >=1 area gait training each 15 minutes	$66.60	$66.60	$66.60	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$105.00	$105.00	$105.00	$110.40
Pt wheelchair management each 15 minutes	$67.20	$67.20	$67.20	$81.75
Pten gene dup/delet variant	$336.60	$336.60	$336.60	$336.60
Pulse ox continuous overnight monitoring	$360.60	$360.60	$360.60	$350.40
Pulse ox multiple	$97.20	$97.20	$97.20	$251.40
Pulse ox single	$33.00	$33.00	$33.00	$91.20
Puncture arterial withdrawal blood for diagnosis	$43.80	$43.80	$43.80	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$505.20	$505.20	$505.20	$496.20
Puncture spinal lumbar diagnostic	$1,156.80	$1,156.80	$1,156.80	$1,230.60
Pyridoxine hcl 100 mg	$21.60	$21.60	$21.60	$29.11
Pyruvate	$64.80	$64.80	$64.80	$114.00
Quant diff pulm perf and vent w/imaging	$2,878.80	$2,878.80	$2,878.80	$2,655.60
Quest t3 uptake	$37.20	$37.20	$37.20	$96.75
Rabies ig heat-treated human im/subq 90376	$992.40	$992.40	$992.40	$3,103.43
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$880.00	$880.00	$880.00	$880.00
Radiation physics consult	$413.40	$413.40	$413.40	$568.80
Radiation therapy dose plan	$425.40	$425.40	$425.40	$571.20
Radiation treatment aid(s)	$823.20	$823.20	$823.20	$501.00
Radiation treatment aid(s)	$846.00	$846.00	$846.00	$1,244.40
Radiation treatment aid(s)	$425.40	$425.40	$425.40	$489.00
Radiation treatment delivery	$529.20	$529.20	$529.20	$698.40
Radiation treatment delivery	$952.80	$952.80	$952.80	$1,321.20
Radiology port images(s)	$178.20	$178.20	$178.20	$178.20
Radiotherapy dose plan imrt	$2,987.40	$2,987.40	$2,987.40	$6,649.20
Radphm lcl tmr plnr bdy sgl day img	$1,936.80	$1,936.80	$1,936.80	$2,283.00
Radphm lcl tomogr sgl area sgl day	$2,929.80	$2,929.80	$2,929.80	$2,929.80
Radphm lcl tumor plr sgl day	$1,202.40	$1,202.40	$1,202.40	$1,070.40
Ramucirumab 10 mg/ml intravenous solution	$187.20	$187.20	$187.20	$187.20
Rasburicase 1.5 mg intravenous solution	$11,391.60	$11,391.60	$11,391.60	$9,544.20
Ravulizumab-cwvz 100 mg/ml intravenous solution	$56,918.40	$56,918.40	$56,918.40	$71,857.80
Rbc count only automated	$19.20	$19.20	$19.20	$22.80
Red blood cells each unit	$1,855.20	$1,855.20	$1,855.20	$759.60
Red blood cells leukocytes reduced each unit	$808.80	$808.80	$808.80	$830.25
Red blood cells leukocytes reduced irradiated each unit	$910.20	$910.20	$910.20	$837.00
Red blood cells washed each unit	$871.80	$871.80	$871.80	$847.50
Regadenoson 0.4 mg/5 ml intravenous syringe	$1,285.80	$1,285.80	$1,285.80	$698.06
Rem endovas vena cava filter	$12,835.80	$12,835.80	$12,835.80	$5,661.75
Remdesivir 100 mg intravenous powder for solution	$17.00	$17.00	$17.00	$16.80
Remote 30 day ecg tech supp	$1,414.20	$1,414.20	$1,414.20	$1,472.40
Removal biliary drg cath	$1,176.00	$1,176.00	$1,176.00	$1,663.20
Removal central venous catheter tunneled without port/pump	$3,504.00	$3,504.00	$3,504.00	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$3,678.60	$3,678.60	$3,678.60	$3,081.00
Removal cerumen impacted (both sides)	$79.80	$79.80	$79.80	$168.00
Removal devitalized tissue non-selective debridement without anesthesia per session	$179.40	$179.40	$179.40	$343.50
Removal embedded foreign body vestibule mouth smpl	$778.20	$778.20	$778.20	$1,051.50
Removal foreign body foot subcutaneous right	$824.40	$824.40	$824.40	$873.00
Removal mamma implant mat 19330	$3,262.20	$3,262.20	$3,262.20	$3,046.80
Removal of hip foreign body 27087	$5,009.40	$5,009.40	$5,009.40	$4,678.80
Removal skin tags fibrocutaneous any area <= 15 lesions	$628.20	$628.20	$628.20	$628.20
Removal sutr and stapl no anes	$37.20	$37.20	$37.20	$39.00
Removal sutr or stapl no anes	$26.40	$26.40	$26.40	$27.60
Removal tunnled intprtnl cath	$3,192.00	$3,192.00	$3,192.00	$3,859.50
Remove foreign body from eye	$4,779.60	$4,779.60	$4,779.60	$3,769.20
Remove renal tube w/fluoro	$1,830.00	$1,830.00	$1,830.00	$1,830.00
Renal function panel	$105.00	$105.00	$105.00	$156.00
Repair blood vessel dir lower extr	$1,444.80	$1,444.80	$1,444.80	$1,582.20
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$5,299.20	$5,299.20	$5,299.20	$2,172.00
Repair dental ellis ii fx	$288.60	$288.60	$288.60	$278.40
Repair extns tendon finger without grft ea	$5,734.80	$5,734.80	$5,734.80	$5,324.40
Repair finger/hand tendon	$3,430.80	$3,430.80	$3,430.80	$3,505.20
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$4,620.00	$4,620.00	$4,620.00	$2,260.20
Replace duod/jej tube perc	$2,860.20	$2,860.20	$2,860.20	$2,618.40
Replace g-j tube perc	$3,504.00	$3,504.00	$3,504.00	$3,246.60
Replace g/c tube perc	$2,695.80	$2,695.80	$2,695.80	$2,695.80
Reptilase test	$83.40	$83.40	$83.40	$97.20
Reslizumab 10 mg/ml intravenous solution	$34.40	$34.40	$34.40	$34.40
Resp virus 6-11 targets	$1,575.00	$1,575.00	$1,575.00	$1,212.60
Resuscitation cardiopulmonary	$508.80	$508.80	$508.80	$843.00
Reticulocyte automated	$33.00	$33.00	$33.00	$54.75
Rf abltj nrv nrvtg si jt	$3,989.40	$3,989.40	$3,989.40	$3,768.60
Rheumatoid factor qualitative	$37.80	$37.80	$37.80	$75.00
Rheumatoid factor quantitative	$54.00	$54.00	$54.00	$98.25
Rho d immune globulin inj	$622.40	$622.40	$622.40	$622.40
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe	$172.80	$172.80	$172.80	$172.80
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$0.20	$0.20	$0.20	$4.20
Risankizumab-rzaa 60 mg/ml intravenous solution	$27.00	$27.00	$27.00	$26.40
Risperidone microspheres 12.5 mg/2 ml inj	$1,370.40	$1,370.40	$1,370.40	$4,199.40
Rituximab 10 mg/ml concentrate,intravenous	$274.40	$274.40	$274.40	$433.20
Rituximab-abbs 10 mg/ml intravenous solution	$320.40	$320.40	$320.40	$372.60
Rituximab-arrx 10 mg/ml intravenous solution	$207.60	$207.60	$207.60	$207.60
Rituximab-pvvr 10 mg/ml intravenous solution	$7,826.40	$7,826.40	$7,826.40	$7,826.40
Rmvl ndwellg tun pleural cath	$2,026.20	$2,026.20	$2,026.20	$1,826.40
Romidepsin 10 mg/2 ml intravenous powder for solution	$87.60	$87.60	$87.60	$197.60
Romiplostim 125 mcg subcutaneous solution	$34.60	$34.60	$34.60	$34.60
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)	$7,324.20	$7,324.20	$7,324.20	$8,372.44
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$114.60	$114.60	$114.60	$178.80
Rpl non-tun cvc wo sbq prt/pmp	$2,025.00	$2,025.00	$2,025.00	$2,703.00
Rpl picc wo subq port/pump incl image guidnc w/s&i	$3,075.00	$3,075.00	$3,075.00	$2,534.25
Rpl tun cvc wo subq port	$4,692.00	$4,692.00	$4,692.00	$2,957.25
Rubella antibody igg	$67.20	$67.20	$67.20	$103.50
Rubeola antibody igg	$67.20	$67.20	$67.20	$166.50
Russell viper venom diluted	$119.40	$119.40	$119.40	$119.40
Rx metab gen seq alys pnl 6	$2,427.00	$2,427.00	$2,427.00	$2,427.00
Sacituzumab govitecan-hziy 180 mg intravenous solution	$5,043.00	$5,043.00	$5,043.00	$5,043.00
Sarscov coronavirus ag ia	$34.80	$34.80	$34.80	$34.80
Scan duplex abd/pelvis/retroperitoneal complete	$1,210.80	$1,210.80	$1,210.80	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$808.80	$808.80	$808.80	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$464.40	$464.40	$464.40	$819.60
Scan duplex aorta/ivc/iliac unilateral/limited	$308.40	$308.40	$308.40	$724.50
Scan duplex extracranial arteries unilateral/limited study	$490.20	$490.20	$490.20	$672.00
Scan duplex extremity veins unilateral/limited study	$339.60	$339.60	$339.60	$829.20
Scan duplex lower extremity arteries complete bilateral	$539.40	$539.40	$539.40	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$429.60	$429.60	$429.60	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$416.40	$416.40	$416.40	$855.75
Scr c/v cyto,thinlayer,rescr	$84.00	$84.00	$84.00	$78.00
Screen cerv/vag thin layer	$61.20	$61.20	$61.20	$61.20
Screening Mammogram	$205.20	$205.20	$205.20	$331.50
Screening hepatitis b non-obstetric high risk	$70.20	$70.20	$70.20	$63.00
Screening prostate cancer PSA	$96.00	$96.00	$96.00	$96.00
Screw cortex 2.0 x 10mm	$7,264.20	$7,264.20	$7,264.20	$15,714.60
Sedimentation rate erythrocyte automated	$33.00	$33.00	$33.00	$57.00
Semen analysis w/count	$55.80	$55.80	$55.80	$64.20
Sept9 promoter methylation analysis	$627.00	$627.00	$627.00	$602.40
Serpina1 gene	$345.60	$345.60	$345.60	$345.60
Set radiation therapy field	$1,485.60	$1,485.60	$1,485.60	$1,485.60
Set radiation therapy field	$794.40	$794.40	$794.40	$794.40
Shoulder MRI (with and without contrast)	$3,815.40	$3,815.40	$3,815.40	$2,650.10
Shoulder MRI (with contrast)	$2,449.80	$2,449.80	$2,449.80	$2,822.25
Shoulder MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$1,938.28
Shoulder X-ray	$118.20	$118.20	$118.20	$307.20
Shunt glaucoma baerveldt 350mm	$4,636.80	$4,636.80	$4,636.80	$4,636.80
Sickling rbc	$54.00	$54.00	$54.00	$81.00
Sigmoidoscopy and biopsy	$1,558.20	$1,558.20	$1,558.20	$1,864.80
Sigmoidoscopy w/tumr remove	$1,558.80	$1,558.80	$1,558.80	$2,314.50
Signal avg ecg w or without ecg 93278	$408.60	$408.60	$408.60	$408.60
Sincalide 5 mcg solution for injection	$475.20	$475.20	$475.20	$475.20
Sinus CT scan (with and without contrast)	$1,533.00	$1,533.00	$1,533.00	$1,871.00
Sinus CT scan (with contrast)	$1,368.00	$1,368.00	$1,368.00	$1,566.40
Sinus CT scan (without contrast)	$1,226.40	$1,226.40	$1,226.40	$1,275.30
Skin Biopsy	$658.20	$658.20	$658.20	$381.60
Skyla, 13.5 mg	$1,426.80	$1,426.80	$1,426.80	$2,343.60
Sling arm deluxe w/pad xs	$91.80	$91.80	$91.80	$197.40
Sling suprapubic suburetheral	$3,137.40	$3,137.40	$3,137.40	$7,586.40
Smear fluorescent and/or acid fast stain	$24.00	$24.00	$24.00	$83.25
Smear gram stain	$28.80	$28.80	$28.80	$55.80
Smear nasal eosinophil	$27.00	$27.00	$27.00	$89.40
Smear special stain inclusion bodies/parasites	$33.00	$33.00	$33.00	$46.20
Smear wet mount	$33.00	$33.00	$33.00	$78.75
Sodium 24 hour urine	$34.80	$34.80	$34.80	$52.20
Sodium chloride 0.9 % IV bolus	$52.20	$52.20	$52.20	$32.40
Sodium chloride 0.9 % IV bolus	$40.40	$40.40	$40.40	$22.20
Sodium chloride 0.9 % intravenous solution	$58.40	$58.40	$58.40	$33.28
Sodium chloride 3 % ivpb	$25.80	$25.80	$25.80	$21.60
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$61.20	$61.20	$61.20	$43.20
Sodium serum/plasma/whole blood	$34.80	$34.80	$34.80	$44.25
Special physics consult	$564.00	$564.00	$564.00	$732.00
Special radiation dosimetry	$320.40	$320.40	$320.40	$471.00
Special radiation treatment	$3,791.40	$3,791.40	$3,791.40	$1,986.00
Special teletx port plan	$1,515.00	$1,515.00	$1,515.00	$1,078.80
Specific gravity body fluid	$16.80	$16.80	$16.80	$25.80
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,439.40	$1,439.40	$1,439.40	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$281.40	$281.40	$281.40	$543.75
Splint rstrc wrst/cmc right med	$97.20	$97.20	$97.20	$122.40
St analysis behavior qualitative voice/resonance	$404.40	$404.40	$404.40	$326.25
St evaluate speech sound production	$404.40	$404.40	$404.40	$310.20
St evaluate speech sound production comprehensive/expressive	$404.40	$404.40	$404.40	$351.00
St evaluation motion fluoroscopic swallow function cine/video	$455.40	$455.40	$455.40	$455.40
St evaluation swallow function	$463.80	$463.80	$463.80	$416.40
St treatment speech individual	$173.40	$173.40	$173.40	$217.60
St treatment swallow dysfunction/oral	$130.20	$130.20	$130.20	$288.00
Stent axios caut enh 15x10mm electrocaut	$4,290.60	$4,290.60	$4,290.60	$32,602.80
Stent bili dbl pgtl 10fx5cm	$712.20	$712.20	$712.20	$810.00
Stent bili rx wallflx 10x80 uncvr	$3,802.20	$3,802.20	$3,802.20	$33,109.80
Stent iliac/open or perc/uni/init 37221	$21,381.00	$21,381.00	$21,381.00	$17,448.00
Stent iliac/open/perc/ea ad/ipsila 37223	$16,307.40	$16,307.40	$16,307.40	$16,307.40
Stent/athrectomy/fem/pop/unilat 37227	$54,766.80	$54,766.80	$54,766.80	$54,766.80
Str markers specimen anal	$265.20	$265.20	$265.20	$1,270.50
Strep a ag ia	$106.20	$106.20	$106.20	$76.80
Strep b dna amp probe	$505.80	$505.80	$505.80	$194.40
Stress test pulmonary	$281.40	$281.40	$281.40	$399.00
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$7.60	$7.60	$7.60	$22.19
Sugars single quant	$104.40	$104.40	$104.40	$114.60
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	$476.80	$476.80	$476.80	$167.98
Support clav 29.6-40.5in med	$165.00	$165.00	$165.00	$131.40
Surgical pathology level 1 gross examination only	$36.00	$36.00	$36.00	$62.40
Surgical pathology level 2 gross & microscopic examination	$67.20	$67.20	$67.20	$189.00
Surgical pathology level 3 gross & microscopic examination	$74.40	$74.40	$74.40	$236.40
Surgical pathology level 4 gross & microscopic examination	$169.20	$169.20	$169.20	$302.40
Surgical pathology level 5 gross & microscopic examination	$360.60	$360.60	$360.60	$493.60
Surgical pathology level 6 gross & microscopic examination	$691.20	$691.20	$691.20	$691.20
Suscept studies macrobroth dilution ea	$115.80	$115.80	$115.80	$87.00
Susceptibility agar dilution per agent	$34.80	$34.80	$34.80	$91.80
Susceptibility enzyme detection per enzyme	$78.60	$78.60	$78.60	$25.80
Susceptibility mic per plate	$42.00	$42.00	$42.00	$96.00
Sweat collection by iontophoresis	$80.40	$80.40	$80.40	$80.40
Syphilis test non-treponemal antibody quantitative rpr	$65.40	$65.40	$65.40	$70.50
System pacing micra av	$6,175.20	$6,175.20	$6,175.20	$28,759.80
System pcmkr dual chamber leadless micra av2 intrdcr cath	$7,169.40	$7,169.40	$7,169.40	$11,441.25
System sealant biosentry tract	$888.00	$888.00	$888.00	$900.00
T cells absolute cd 4 count	$380.40	$380.40	$380.40	$174.40
T cells absolute cd4/cd8 including ratio	$428.40	$428.40	$428.40	$261.60
T cells total count	$325.20	$325.20	$325.20	$112.80
T3 (triiodothyronine) free	$85.20	$85.20	$85.20	$137.40
T3 (triiodothyronine) total	$70.80	$70.80	$70.80	$155.40
T4 (thyroxine) free	$42.00	$42.00	$42.00	$103.20
T4 (thyroxine) total	$45.00	$45.00	$45.00	$82.80
Tacrolimus 1 mg capsule, immediate-release	$42.80	$42.80	$42.80	$29.40
Tacrolimus therapeutic drug level	$121.20	$121.20	$121.20	$174.75
Tafasitamab-cxix 200 mg intravenous solution	$28.80	$28.80	$28.80	$28.80
Talquetamab-tgvs 2 mg/ml subcutaneous solution	$123.60	$123.60	$123.60	$175.20
Tamoxifen 10 mg tabs 60 each bottle	$8.20	$8.20	$8.20	$14.80
Tape plstc 1inx5yd hosp tb pk	$0.60	$0.60	$0.60	$0.60
Target gsa panel hmtlmph neop	$7,146.00	$7,146.00	$7,146.00	$2,947.80
Target gsa panel organ/hmtlmph neop	$5,739.00	$5,739.00	$5,739.00	$5,739.00
Tarlatamab-dlle 10 mg intravenous solution	$2,828.40	$2,828.40	$2,828.40	$2,828.40
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$785.40	$785.40	$785.40	$697.80
Tb test cell mediated immunity antigen response gamma interferon	$547.20	$547.20	$547.20	$345.00
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe	$3.60	$3.60	$3.60	$357.60
Tc-99m exametazime diag	$1,750.20	$1,750.20	$1,750.20	$1,461.00
Tc-99m maa	$292.80	$292.80	$292.80	$161.60
Tc-99m mebrofenin	$327.00	$327.00	$327.00	$303.00
Tc-99m medronate	$189.60	$189.60	$189.60	$183.60
Tc-99m non-heu per study dose	$15.00	$15.00	$15.00	$15.00
Tc-99m pentetate dtpa	$209.40	$209.40	$209.40	$122.40
Tc-99m pentetate dtpa aerosol	$218.40	$218.40	$218.40	$231.60
Tc-99m pyroph diag per dose up to 25 mci	$93.60	$93.60	$93.60	$152.00
Tc-99m sestamibi p study dose	$725.40	$725.40	$725.40	$725.40
Tc-99m sulfur colloid	$186.00	$186.00	$186.00	$191.20
Tc-99m tilmanocept diag	$72.60	$72.60	$72.60	$73.20
Telavancin injection	$7.20	$7.20	$7.20	$748.80
Telethx isodose plan cplx	$2,237.40	$2,237.40	$2,237.40	$2,941.80
Telethx isodose plan simple	$1,855.20	$1,855.20	$1,855.20	$2,039.40
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$9,993.00	$9,993.00	$9,993.00	$14,427.60
Terbutaline 1 mg/ml subcutaneous solution	$156.00	$156.00	$156.00	$102.00
Teriparatide injection	$53.80	$53.80	$53.80	$67.80
Test stress cardiovascular tracing only	$665.40	$665.40	$665.40	$1,618.20
Tetanus immune globulin inj	$1,378.40	$1,378.40	$1,378.40	$1,524.00
Theophylline therapeutic drug level	$81.00	$81.00	$81.00	$163.80
Therapy nutrition individual initial f2f w/patient each 15 minutes	$27.00	$27.00	$27.00	$28.80
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes	$20.40	$20.40	$20.40	$25.80
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$38.20	$38.20	$38.20	$38.20
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,509.00	$1,509.00	$1,509.00	$1,542.40
Thrombin time	$39.00	$39.00	$39.00	$87.00
Thromboplastin time partial (ptt) substitution fractions each	$96.60	$96.60	$96.60	$96.60
Thromboxane urine	$228.60	$228.60	$228.60	$130.80
Thyroglobulin antibody	$223.20	$223.20	$223.20	$168.75
Thyroid (TSH) Test	$89.40	$89.40	$89.40	$110.00
Thyroid Ultrasound	$315.00	$315.00	$315.00	$603.90
Thyroxine binding globulin (tbg)	$96.60	$96.60	$96.60	$129.60
Tigecycline injection	$6.00	$6.00	$6.00	$58.20
Tisotumab vedotin-tftv 40 mg intravenous solution	$334.80	$334.80	$334.80	$334.80
Tissue culture skin/biopsy	$1,296.60	$1,296.60	$1,296.60	$1,358.25
Tissue exam koh skin/hair/nails	$33.00	$33.00	$33.00	$70.80
Tissue transglutaminase iga	$96.60	$96.60	$96.60	$100.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$64.80	$64.80	$64.80	$97.60
Tobramycin peak therapeutic drug level	$112.80	$112.80	$112.80	$180.00
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$5,467.80	$5,467.80	$5,467.80	$5,861.40
Tomosynthesis breast diagnostic left	$123.00	$123.00	$123.00	$123.00
Tomosynthesis breast screen bilateral	$45.00	$45.00	$45.00	$65.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$96.00	$96.00	$96.00	$130.80
Total tau	$67.20	$67.20	$67.20	$282.60
Toxoplasma antibody igg	$89.40	$89.40	$89.40	$188.25
Toxoplasma antibody igm	$97.20	$97.20	$97.20	$106.50
Tpmt gene com vrnts	$477.00	$477.00	$477.00	$477.00
Trabectedin 1 mg intravenous solution	$879.00	$879.00	$879.00	$2,068.20
Training self management diabetes individual outpatient department per 30 minutes	$121.20	$121.20	$121.20	$121.20
Transferrin	$56.40	$56.40	$56.40	$108.00
Transfusion blood/blood component(s)	$931.80	$931.80	$931.80	$1,166.25
Trastuzumab 150 mg intravenous solution	$276.00	$276.00	$276.00	$5,762.28
Trastuzumab-qyyp 150 mg intravenous solution	$205.20	$205.20	$205.20	$198.00
Tray bonemarrw oncontrol 102mm	$553.80	$553.80	$553.80	$1,094.25
Treat ankle dislocation	$3,430.80	$3,430.80	$3,430.80	$2,574.60
Treat elbow dislocation	$4,490.40	$4,490.40	$4,490.40	$2,074.80
Treat finger fracture each	$2,186.40	$2,186.40	$2,186.40	$2,055.00
Treat fracture of radius	$1,632.60	$1,632.60	$1,632.60	$1,514.25
Treat fracture of ulna	$3,636.60	$3,636.60	$3,636.60	$2,006.25
Treat hip dislocation	$4,620.00	$4,620.00	$4,620.00	$3,448.20
Treat hip dislocation	$5,989.80	$5,989.80	$5,989.80	$4,357.80
Treat humerus fracture	$2,848.80	$2,848.80	$2,848.80	$2,848.80
Treat knee dislocation	$3,582.00	$3,582.00	$3,582.00	$2,767.80
Treat kneecap dislocation	$3,197.40	$3,197.40	$3,197.40	$2,554.80
Treat toe dislocation	$3,197.40	$3,197.40	$3,197.40	$3,505.20
Treat vaginal bleeding	$3,197.40	$3,197.40	$3,197.40	$235.50
Treatment incomplete abortion completed surgically any trimester	$8,491.80	$8,491.80	$8,491.80	$5,405.40
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$171.60	$171.60	$171.60	$246.60
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$74.40	$74.40	$74.40	$286.80
Treatment missed abortion completed surgically 1st trimester	$8,491.80	$8,491.80	$8,491.80	$7,085.25
Treatment of thigh fracture	$3,352.80	$3,352.80	$3,352.80	$2,479.80
Tremelimumab-actl 20 mg/ml intravenous solution	$265.80	$265.80	$265.80	$263.40
Treponema pallidum antibody	$67.20	$67.20	$67.20	$150.60
Trg gene rearrangement anal	$1,051.20	$1,051.20	$1,051.20	$781.20
Triamcinolone acetonide 40 mg/ml suspension for injection	$12.80	$12.80	$12.80	$45.00
Trichinella antibody	$176.40	$176.40	$176.40	$140.25
Triglycerides	$39.00	$39.00	$39.00	$80.40
Trim nail(s)	$112.80	$112.80	$112.80	$105.60
Trimethobenzamide hcl inj	$77.60	$77.60	$77.60	$99.20
Triptorelin pamoate	$2,681.40	$2,681.40	$2,681.40	$16,454.18
Trnscath plc vas stent w/s&i ini vein	$12,780.00	$12,780.00	$12,780.00	$13,370.25
Trnscath retrv pq vasc fb w/guide	$6,120.00	$6,120.00	$6,120.00	$7,288.20
Trnscath tx thromblytc artery non-intracrn ini day	$8,554.80	$8,554.80	$8,554.80	$6,966.60
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<	$4,368.00	$4,368.00	$4,368.00	$4,080.00
Troponin quantitative	$114.60	$114.60	$114.60	$137.40
Tte w or without contr, cont ecg	$2,588.40	$2,588.40	$2,588.40	$2,577.00
Tte w or without fol w/con,stres	$626.40	$626.40	$626.40	$1,171.20
Tube trach disp innr can 5 xlt	$141.00	$141.00	$141.00	$394.80
Tube trach disp innr can 6 xlt	$72.60	$72.60	$72.60	$72.60
Tx closed distal humerus fx	$134.40	$134.40	$134.40	$153.60
Tx closed hip disl traumatic without anes	$3,032.40	$3,032.40	$3,032.40	$998.40
Tx open dstl phlngl fx f/t internal fixation ea	$5,734.80	$5,734.80	$5,734.80	$5,734.80
Tx open iphlngl jt disl internal fixation sngl	$4,281.00	$4,281.00	$4,281.00	$4,281.00
Tx phalangeal shaft fx open prox/middle ea	$6,170.40	$6,170.40	$6,170.40	$6,170.40
Ugt1a1 gene analy common variants	$1,240.20	$1,240.20	$1,240.20	$1,194.60
Ultrasound abdomen aorta screening study aaa	$248.40	$248.40	$248.40	$288.00
Ultrasound breast complete	$627.00	$627.00	$627.00	$546.60
Ultrasound breast unilateral limited (both sides)	$400.20	$400.20	$400.20	$478.50
Ultrasound chest	$543.60	$543.60	$543.60	$543.60
Ultrasound encephalogram	$552.00	$552.00	$552.00	$520.80
Ultrasound exam k transpl w/doppler	$426.00	$426.00	$426.00	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$385.80	$385.80	$385.80	$540.00
Ultrasound guidance for vascular access	$254.40	$254.40	$254.40	$400.20
Ultrasound guided needle placement supervision & interpretation	$354.00	$354.00	$354.00	$1,009.80
Ultrasound hips infant dynamic	$516.60	$516.60	$516.60	$516.60
Ultrasound joint complete left	$625.80	$625.80	$625.80	$808.50
Ultrasound joint/nonvascular extremity limited left	$557.40	$557.40	$557.40	$571.80
Ultrasound ob >=14wks ea addl gest	$1,906.20	$1,906.20	$1,906.20	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$610.80	$610.80	$610.80	$373.60
Ultrasound pregnant uterus limited >= 1 fetuses	$321.00	$321.00	$321.00	$630.00
Ultrasound pregnant uterus transvaginal	$441.60	$441.60	$441.60	$703.50
Ultrasound prostate/transrectal	$354.00	$354.00	$354.00	$695.40
Ultrasound retroperitoneal limited	$306.00	$306.00	$306.00	$606.00
Ultrasound scrotum and contents	$490.20	$490.20	$490.20	$735.75
Ultrasound spinal canal and contents	$354.00	$354.00	$354.00	$571.80
Ultrasound transvaginal non obstetric	$354.00	$354.00	$354.00	$820.80
Unlisted CT procedure	$624.00	$624.00	$624.00	$758.40
Unlisted mr procedure	$173.40	$173.40	$173.40	$1,037.40
Unlisted procedure microbiology	$312.00	$312.00	$312.00	$277.50
Unlisted px forearm/wrist	$109.20	$109.20	$109.20	$109.20
Unlisted px leg/ankle	$118.20	$118.20	$118.20	$118.20
Unlisted px posterior segmnt	$4,036.20	$4,036.20	$4,036.20	$4,036.20
Unlisted px tongue flr mouth	$118.20	$118.20	$118.20	$286.80
Unlisted ultrasound procedure	$306.00	$306.00	$306.00	$306.00
Unsched dialysis esrd pt hos	$1,776.60	$1,776.60	$1,776.60	$1,560.60
Upper Back (Thoracic Spine) MRI (with and without contrast)	$3,864.00	$3,864.00	$3,864.00	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$2,224.80	$2,224.80	$2,224.80	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$2,205.00	$2,205.00	$2,205.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$1,558.20	$1,558.20	$1,558.20	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$2,132.40	$2,132.40	$2,132.40	$1,675.80
Urea nitrogen	$34.80	$34.80	$34.80	$39.60
Urea nitrogen 24 hour urine	$43.80	$43.80	$43.80	$63.00
Urea nitrogen clearance	$103.20	$103.20	$103.20	$57.00
Urethrcystgrphy rtrgrde s&i	$306.60	$306.60	$306.60	$642.60
Urethrocystography void s&i	$306.60	$306.60	$306.60	$880.50
Uric acid blood	$36.00	$36.00	$36.00	$58.50
Uric acid urine	$36.00	$36.00	$36.00	$52.20
Urinalysis (with microscopy)	$36.00	$36.00	$36.00	$36.52
Urinalysis (without microscopy)	$17.40	$17.40	$17.40	$32.50
Urine Culture Test	$84.60	$84.60	$84.60	$65.25
Urine pregnancy test	$39.00	$39.00	$39.00	$69.75
Ustekinumab 130 mg/26 ml intravenous solution	$70.20	$70.20	$70.20	$55.80
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$340.00	$340.00	$340.00	$340.00
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$31.20	$31.20	$31.20	$31.20
Vaccine hepatitis a (hepa) adult im	$81.00	$81.00	$81.00	$108.00
Vaccine hepatitis b (hepb) adult 3 dose im	$86.40	$86.40	$86.40	$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 hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im	$109.20	$109.20	$109.20	$186.00
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$12.00	$12.00	$12.00	$12.00
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 monoclonal antibody seasonal dose 0.5 ml im	$1,196.00	$1,196.00	$1,196.00	$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
Valproic acid total therapeutic drug level	$96.00	$96.00	$96.00	$181.20
Vancomycin 1,000 mg intravenous injection	$0.60	$0.60	$0.60	$0.60
Vancomycin hcl injection	$42.00	$42.00	$42.00	$42.00
Vancomycin peak therapeutic drug level	$102.00	$102.00	$102.00	$155.40
Varicella zoster antibody igg	$64.80	$64.80	$64.80	$117.00
Vasopressin 20 unit/ml intravenous solution	$8.00	$8.00	$8.00	$42.00
Vedolizumab 300 mg intravenous solution	$74.20	$74.20	$74.20	$27,154.80
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$122.40	$122.40	$122.40	$122.40
Venogram extremity supervision & interpretation unilateral	$989.40	$989.40	$989.40	$1,528.50
Ventilator each subsequent day	$428.40	$428.40	$428.40	$1,417.20
Ventilator initial day	$691.80	$691.80	$691.80	$1,585.80
Version cephalic external	$1,962.60	$1,962.60	$1,962.60	$1,444.80
Very long chain fatty acids	$315.00	$315.00	$315.00	$342.75
Vinblastine 1 mg/ml intravenous solution	$91.20	$91.20	$91.20	$159.60
Vincristine 1 mg/ml intravenous solution	$181.60	$181.60	$181.60	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$437.40	$437.40	$437.40	$417.00
Virus isolation addl studies ea	$186.60	$186.60	$186.60	$186.60
Vitamin D Test	$145.80	$145.80	$145.80	$145.80
Vitamin b-12	$89.40	$89.40	$89.40	$133.80
Volume measurement urine timed	$47.40	$47.40	$47.40	$35.25
Vonvendi inj 1 iu vwf:rco	$5.40	$5.40	$5.40	$10.80
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$706.20	$706.20	$706.20	$690.60
Vutrisiran 25 mg/0.5 ml subcutaneous syringe	$9,373.80	$9,373.80	$9,373.80	$13,248.60
Warde 1003990 aldosterone	$201.60	$201.60	$201.60	$299.40
Warde 1005020 citrate 24 hour urine	$110.40	$110.40	$110.40	$210.60
Warde 1005055 5-hiaa 24 hour urine	$70.80	$70.80	$70.80	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$126.60	$126.60	$126.60	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$80.40	$80.40	$80.40	$146.25
Warde 1015200 kappa light chain free	$96.60	$96.60	$96.60	$130.80
Warde 3004000 immunoglobulin subclass 1	$128.40	$128.40	$128.40	$141.00
Warde 3008005 oligoclonal bands	$138.00	$138.00	$138.00	$213.00
Warde 3016000 west nile virus antibody	$126.60	$126.60	$126.60	$111.20
Warde 3016000 west nile virus antibody igg	$126.60	$126.60	$126.60	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$111.60	$111.60	$111.60	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$84.60	$84.60	$84.60	$50.00
Warde 3400652 smear complex special stain ova/parasites	$158.40	$158.40	$158.40	$100.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$664.20	$664.20	$664.20	$447.60
Warde 3400852 arsenic	$112.80	$112.80	$112.80	$170.25
Warde 3708165 mercury urine	$96.60	$96.60	$96.60	$122.40
Warde acetylcholine receptor blocking antibody	$108.00	$108.00	$108.00	$357.75
Warde actin (smooth muscle) antibody each	$102.00	$102.00	$102.00	$132.60
Warde adenosine deaminase pleural fluid	$54.00	$54.00	$54.00	$87.60
Warde adrenocorticotropic hormone (acth)	$192.60	$192.60	$192.60	$241.20
Warde aldolase	$51.00	$51.00	$51.00	$139.20
Warde amino acids 6 or more quantitative each specimen	$393.00	$393.00	$393.00	$552.75
Warde amiodarone therapeutic drug level	$141.00	$141.00	$141.00	$141.00
Warde analysis gene hfe common variants	$2,381.40	$2,381.40	$2,381.40	$1,048.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$1,051.20	$1,051.20	$1,051.20	$788.00
Warde anti-mullerian hormone	$129.60	$129.60	$129.60	$198.75
Warde apolipoprotein b	$67.20	$67.20	$67.20	$133.80
Warde cadmium blood	$124.20	$124.20	$124.20	$119.40
Warde calcitonin	$133.20	$133.20	$133.20	$200.40
Warde calculus (stone) infrared	$97.20	$97.20	$97.20	$116.25
Warde clozapine therapeutic drug level	$141.00	$141.00	$141.00	$129.60
Warde cobalt heavy metal quantitative each nes	$240.00	$240.00	$240.00	$248.25
Warde collagen cross links c-telopeptide	$98.40	$98.40	$98.40	$207.00
Warde complement total hemolytic	$99.00	$99.00	$99.00	$171.75
Warde copper	$64.80	$64.80	$64.80	$174.75
Warde cryoglobulin	$99.00	$99.00	$99.00	$91.20
Warde erythropoietin	$80.40	$80.40	$80.40	$162.00
Warde estrogen fractionated	$298.80	$298.80	$298.80	$298.80
Warde fluorescent antibody screen endomysial iga	$102.00	$102.00	$102.00	$102.00
Warde folic acid rbc	$75.60	$75.60	$75.60	$90.60
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$57.00	$57.00	$57.00	$252.75
Warde gastrin	$85.20	$85.20	$85.20	$154.50
Warde growth hormone (hgh)	$81.00	$81.00	$81.00	$127.50
Warde helminth antibody strongyloides igg	$121.20	$121.20	$121.20	$150.60
Warde hemoglobin fractionation/quantitation electrophoresis	$133.80	$133.80	$133.80	$112.80
Warde hepatitis a antibody	$75.60	$75.60	$75.60	$123.00
Warde hepatitis be antibody	$89.40	$89.40	$89.40	$100.20
Warde hepatitis delta agent antibody	$112.80	$112.80	$112.80	$142.20
Warde immunofixation electrophoresis urine	$241.20	$241.20	$241.20	$279.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$72.00	$72.00	$72.00	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$2,321.40	$2,321.40	$2,321.40	$1,579.80
Warde islet cell antibody zinc transporter 8	$183.60	$183.60	$183.60	$210.00
Warde lipoprotein (a)	$114.60	$114.60	$114.60	$93.00
Warde lipoprotein-associated phospholipase a2	$181.80	$181.80	$181.80	$266.40
Warde mitochondrial antibody each	$102.00	$102.00	$102.00	$114.00
Warde oxcarbazepine therapeutic drug level	$141.00	$141.00	$141.00	$141.00
Warde pancreatic elastase fecal quantitative	$99.00	$99.00	$99.00	$144.75
Warde protein c antigen	$78.60	$78.60	$78.60	$122.25
Warde sex hormone binding globulin	$119.40	$119.40	$119.40	$155.40
Warde somatomedin	$119.40	$119.40	$119.40	$119.40
Warde t3 (triiodothyronine) reverse	$154.80	$154.80	$154.80	$154.80
Warde thyroid stimulating immunoglobulins	$492.00	$492.00	$492.00	$407.25
Warde topiramate therapeutic drug level	$119.40	$119.40	$119.40	$157.60
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$129.60	$129.60	$129.60	$216.60
Warde viscosity	$80.40	$80.40	$80.40	$153.00
Warde vitamin a	$70.80	$70.80	$70.80	$97.20
Warde vitamin b-1 (thiamine)	$147.60	$147.60	$147.60	$194.40
Warde vitamin b6 (pyridoxine)	$198.00	$198.00	$198.00	$226.80
Warde vitamin c (ascorbic acid)	$72.00	$72.00	$72.00	$104.40
Warde vitamin d (1 25 dihydroxy)	$192.60	$192.60	$192.60	$426.00
Warde vitamin e (alpha-tocopherol)	$102.00	$102.00	$102.00	$102.00
Warde zinc	$62.40	$62.40	$62.40	$114.60
Wbc automated	$31.20	$31.20	$31.20	$36.60
Western blot test	$156.60	$156.60	$156.60	$181.20
Whole mitochondrial genome	$4,943.40	$4,943.40	$4,943.40	$4,943.40
Wound therapy negative pressure per session <= 50 sq cm	$211.20	$211.20	$211.20	$211.20
Wound therapy negative pressure per session <= 50 sq cm dme	$298.80	$298.80	$298.80	$230.40
Wound therapy negative pressure per session > 50 sq cm	$210.00	$210.00	$210.00	$230.40
Wound therapy negative pressure per session > 50 sq cm dme	$336.60	$336.60	$336.60	$336.60
Wrist X-ray	$118.20	$118.20	$118.20	$311.20
X-ray abdomen 1 view	$119.40	$119.40	$119.40	$405.00
X-ray abdomen 2 views	$186.00	$186.00	$186.00	$395.20
X-ray abdomen >=3 views	$186.00	$186.00	$186.00	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$345.60	$345.60	$345.60	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$154.80	$154.80	$154.80	$405.00
X-ray ankle 2 views (both sides)	$99.00	$99.00	$99.00	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$782.40	$782.40	$782.40	$868.80
X-ray bone age studies	$145.80	$145.80	$145.80	$327.00
X-ray bone length studies	$302.40	$302.40	$302.40	$405.00
X-ray bone survey complete	$516.60	$516.60	$516.60	$743.25
X-ray bone survey infant	$292.80	$292.80	$292.80	$303.60
X-ray cervical spine 2-3 views	$129.60	$129.60	$129.60	$419.40
X-ray cervical spine 4-5 views	$222.00	$222.00	$222.00	$590.25
X-ray cervical spine >= 6 views	$257.40	$257.40	$257.40	$679.20
X-ray clavicle complete (both sides)	$118.20	$118.20	$118.20	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$385.80	$385.80	$385.80	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$502.20	$502.20	$502.20	$1,107.00
X-ray elbow 2 views (both sides)	$105.00	$105.00	$105.00	$405.00
X-ray elbow >= 3 views (both sides)	$129.60	$129.60	$129.60	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$253.20	$253.20	$253.20	$713.40
X-ray exam entire spi 4/5 vw	$200.40	$200.40	$200.40	$666.60
X-ray exam entire spi 6/> vw	$241.20	$241.20	$241.20	$666.60
X-ray exam of arm infant	$176.40	$176.40	$176.40	$318.75
X-ray exam of eye sockets	$194.40	$194.40	$194.40	$405.00
X-ray exam of femur 1	$129.60	$129.60	$129.60	$287.20
X-ray exam of jaw joint	$216.00	$216.00	$216.00	$405.00
X-ray exam of sinuses	$222.00	$222.00	$222.00	$343.50
X-ray exam si joints	$218.40	$218.40	$218.40	$218.40
X-ray exam thorac spine4/>vw	$345.60	$345.60	$345.60	$456.60
X-ray eye detection foreign body (both sides)	$126.60	$126.60	$126.60	$419.40
X-ray facial bones complete > 3 views	$194.40	$194.40	$194.40	$444.00
X-ray femur >=2 views (both sides)	$129.60	$129.60	$129.60	$414.00
X-ray finger(s) >= 2 views (both sides)	$93.60	$93.60	$93.60	$310.50
X-ray foot 2 views (both sides)	$99.00	$99.00	$99.00	$405.00
X-ray forearm 2 views (both sides)	$105.00	$105.00	$105.00	$405.00
X-ray hand 2 views (both sides)	$99.00	$99.00	$99.00	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$97.20	$97.20	$97.20	$354.40
X-ray hip uni w/wo pelvis min 4 views	$134.40	$134.40	$134.40	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$186.00	$186.00	$186.00	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$186.00	$186.00	$186.00	$419.40
X-ray hip with pelvis when performed bilateral >= 5 views	$186.00	$186.00	$186.00	$507.75
X-ray hip with pelvis when performed unilateral 1 view left	$105.00	$105.00	$105.00	$405.00
X-ray humerus >= 2 views left	$119.40	$119.40	$119.40	$405.00
X-ray knee 1-2 views (both sides)	$119.40	$119.40	$119.40	$405.00
X-ray knee 3 views (both sides)	$162.00	$162.00	$162.00	$399.00
X-ray knee ap standing bilateral	$136.20	$136.20	$136.20	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$166.20	$166.20	$166.20	$408.00
X-ray lower extremities infant > 2 views (both sides)	$306.00	$306.00	$306.00	$405.00
X-ray lumbosacral spine >= 4 views	$257.40	$257.40	$257.40	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$366.60	$366.60	$366.60	$682.20
X-ray mandible complete > 4 views	$198.00	$198.00	$198.00	$412.80
X-ray mandible ltd <4 views	$226.80	$226.80	$226.80	$375.60
X-ray nasal bones complete > 3 views	$118.20	$118.20	$118.20	$316.80
X-ray neck soft tissue	$99.00	$99.00	$99.00	$314.25
X-ray nose to rectum for foreign body child	$108.60	$108.60	$108.60	$246.00
X-ray pelvis 1-2 views	$168.00	$168.00	$168.00	$405.00
X-ray pelvis complete > 3 views	$179.40	$179.40	$179.40	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$426.00	$426.00	$426.00	$839.25
X-ray ribs 2 views left	$175.20	$175.20	$175.20	$304.80
X-ray ribs 3 views bilateral	$204.00	$204.00	$204.00	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$216.00	$216.00	$216.00	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$235.80	$235.80	$235.80	$644.40
X-ray sacroiliac joints >= 3 views	$154.80	$154.80	$154.80	$405.00
X-ray sacrum/coccyx >= 2 views	$119.40	$119.40	$119.40	$387.60
X-ray scapula complete (both sides)	$118.20	$118.20	$118.20	$304.20
X-ray shoulder 1 view (both sides)	$96.00	$96.00	$96.00	$405.00
X-ray sinus tract/fistula/abscess	$502.20	$502.20	$502.20	$1,167.00
X-ray sinuses paranasal complete > 3 views	$194.40	$194.40	$194.40	$419.40
X-ray skull < 4 views	$154.80	$154.80	$154.80	$377.25
X-ray skull > 4 views complete	$218.40	$218.40	$218.40	$532.80
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$268.20	$268.20	$268.20	$669.60
X-ray small intestine follow-through study	$419.40	$419.40	$419.40	$419.40
X-ray spine single view	$105.00	$105.00	$105.00	$327.00
X-ray sternoclavicular joint(s) > 3 views	$253.80	$253.80	$253.80	$393.00
X-ray sternum > 2 views	$129.60	$129.60	$129.60	$382.50
X-ray surgical specimen	$536.40	$536.40	$536.40	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$610.80	$610.80	$610.80	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$194.40	$194.40	$194.40	$456.60
X-ray thoracic spine 2 views	$154.80	$154.80	$154.80	$405.00
X-ray thoracic spine 3 views	$186.00	$186.00	$186.00	$456.60
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$453.00	$453.00	$453.00	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$218.40	$218.40	$218.40	$666.60
X-ray tibia/fibula 2 views (both sides)	$112.80	$112.80	$112.80	$419.40
X-ray toe(s) > 2 views (both sides)	$93.60	$93.60	$93.60	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$520.80	$520.80	$520.80	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$520.80	$520.80	$520.80	$580.20
X-ray wrist 2 views (both sides)	$99.00	$99.00	$99.00	$405.00
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$146.40	$146.40	$146.40	$229.80
Zolbetuximab-clzb 100 mg intravenous solution	$46.20	$46.20	$46.20	$46.20
Zoledronic acid 4 mg/5 ml intravenous solution	$1,069.60	$1,069.60	$1,069.60	$3,207.00
_afb id by dna probe rflx ast	$315.00	$315.00	$315.00	$141.00
_afb org id by sequencing rflx ast-sendout	$1,823.40	$1,823.40	$1,823.40	$1,327.80
_fragile x methylation-sendout	$475.80	$475.80	$475.80	$475.80