Hospital prices in Somerset, Pennsylvania

1 hospitals publish price files here.

Hospital	Address	System	Priced procedures
UPMC Somerset	225 South Center Avenue	UPMC	3706

Cash prices in Somerset

Procedure	Lowest cash	Median here	Highest	National median
#a/b/c/c/h pnl-candida albicans ab	$66.60	$66.60	$66.60	$140.00
#acylcarnitineprfl	$36.00	$36.00	$36.00	$205.80
#afb mycobacteria suscep. #1	$41.40	$41.40	$41.40	$41.40
#bac vag cand-c. albicans naa	$195.60	$195.60	$195.60	$220.80
#cf-97variants	$3,216.00	$3,216.00	$3,216.00	$3,216.00
#cmvcul-virus inoculation shell	$109.80	$109.80	$109.80	$60.75
#covid19rsv-rsv	$390.60	$390.60	$390.60	$84.00
#coxa-coxsackie a serotype a16	$72.60	$72.60	$72.60	$110.40
#creutz-prot.,western blot	$147.60	$147.60	$147.60	$176.80
#fecal-sodium	$24.60	$24.60	$24.60	$91.20
#flow interp 9 - 15 markers	$55.20	$55.20	$55.20	$303.00
#pnh-flow cytometry interp	$165.60	$165.60	$165.60	$529.20
11-desoxycortisol - sendout	$148.20	$148.20	$148.20	$175.20
17-hydroxypregnenolone	$49.20	$49.20	$49.20	$243.00
17-ketosteroids	$46.20	$46.20	$46.20	$249.60
2d tee w or without fol w/con,in	$1,450.80	$1,450.80	$1,450.80	$1,641.60
2nd order venous cath	$5,583.60	$5,583.60	$5,583.60	$5,583.60
3-d radiotherapy plan	$5,005.80	$5,005.80	$5,005.80	$4,423.20
3d recon without postprocess indpndt	$1,242.60	$1,242.60	$1,242.60	$697.20
5' nucleotidase - sendout	$56.40	$56.40	$56.40	$223.20
88334 ap bill cytologic exam each additional site	$86.40	$86.40	$86.40	$91.20
99397 periodic comp preventive med 65+ years est	$176.40	$176.40	$176.40	$167.25
Abatacept (with maltose) 250 mg intravenous solution	$856.80	$856.80	$856.80	$213.00
Abd aorta w/runoff s&i	$5,906.40	$5,906.40	$5,906.40	$4,443.00
Abd paracentesis/w/o image guide 49082	$1,641.00	$1,641.00	$1,641.00	$1,550.40
Abd/low ext cath 1st	$4,321.20	$4,321.20	$4,321.20	$4,321.20
Abd/low ext cath 2nd	$4,321.20	$4,321.20	$4,321.20	$4,321.20
Abd/low ext cath 3rd	$4,321.20	$4,321.20	$4,321.20	$4,321.20
Abd/low ext cath addl	$4,321.20	$4,321.20	$4,321.20	$988.80
Abdominal CT scan (with and without contrast)	$1,424.40	$1,424.40	$1,424.40	$2,049.00
Abdominal CT scan (with contrast)	$1,424.40	$1,424.40	$1,424.40	$1,683.63
Abdominal CT scan (without contrast)	$876.00	$876.00	$876.00	$1,358.76
Abdominal MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$3,061.80
Abdominal MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$2,077.14
Abdominal MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$1,902.00
Abdominal Ultrasound (complete)	$394.20	$394.20	$394.20	$755.00
Abdominal Ultrasound (limited)	$394.20	$394.20	$394.20	$629.42
Abdominal paracentesis w/image guidance	$1,225.20	$1,225.20	$1,225.20	$1,689.00
Abdominoplasty 15830	$3,040.80	$3,040.80	$3,040.80	$3,040.80
Ablate arrhythmia add on	$6,913.20	$6,913.20	$6,913.20	$6,913.20
Ablate bone tumor(s) cryo perq 20983	$18,135.00	$18,135.00	$18,135.00	$4,898.25
Ablate bone tumor(s) perq	$12,743.40	$12,743.40	$12,743.40	$4,708.50
Ablate heart dysrhythm focus	$8,922.00	$8,922.00	$8,922.00	$7,078.20
Ablate pulm tumor perq crybl	$9,977.40	$9,977.40	$9,977.40	$9,977.40
Ablate pulm tumor perq rf	$14,655.00	$14,655.00	$14,655.00	$14,655.00
Ablation cardiac vagal inputs atrium	$1,960.80	$1,960.80	$1,960.80	$377.40
Ablation cryo abd perit om	$3,136.80	$3,136.80	$3,136.80	$3,136.80
Ablation cryo adrenal tumor	$138.60	$138.60	$138.60	$5,790.75
Ablation cryo pq liver tumor(s)	$14,653.80	$14,653.80	$14,653.80	$8,080.50
Ablation of upper extremity nerves rf	$961.20	$961.20	$961.20	$2,242.80
Abortion (mpr)	$571.80	$571.80	$571.80	$571.80
Abscess drain retroperitoneal surg code	$3,637.20	$3,637.20	$3,637.20	$5,596.80
Access & clsr pq fem art endogft dlvry w/img uni	$5,737.80	$5,737.80	$5,737.80	$5,737.80
Acetaminophen 10 mg/ml soln 100 ml glass cont	$3.00	$3.00	$3.00	$2.40
Acetaminophen 120 mg rectal suppository	$9.00	$9.00	$9.00	$9.00
Acetaminophen level	$159.60	$159.60	$159.60	$159.60
Acetazolamide 500 mg solution for injection	$25.80	$25.80	$25.80	$256.80
Acetone qualitative	$17.40	$17.40	$17.40	$50.40
Acetylcholine receptor modulating antibody	$93.60	$93.60	$93.60	$300.00
Acetylcholinesterase assay	$44.40	$44.40	$44.40	$44.40
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$12.60	$12.60	$12.60	$1,044.60
Acne surgery 10040	$265.20	$265.20	$265.20	$265.20
Aco annual medicare visit (awv), initial g0438aco	$432.00	$432.00	$432.00	$225.00
Aco annual medicare visit (awv), subsq g0439aco	$290.40	$290.40	$290.40	$148.50
Aco cont gluc mnt phys/qhp eqp 95250aco	$390.00	$390.00	$390.00	$417.00
Aco med nutria tx/group, ea 30 min 97804aco	$52.80	$52.80	$52.80	$30.00
Acute hepatitis panel	$310.20	$310.20	$310.20	$496.20
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$0.60	$0.60	$0.60	$74.40
Adenosine 3 mg/250 ml bag for osm	$6.00	$6.00	$6.00	$382.20
Adenovirus ag ia	$24.00	$24.00	$24.00	$187.80
Adenovirus antibody,serum - quest	$46.20	$46.20	$46.20	$91.80
Adh-sendout	$123.00	$123.00	$123.00	$360.00
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$44.40	$44.40	$44.40	$450.00
Administration chemotherapy IV infusion each additional hour	$197.40	$197.40	$197.40	$269.60
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$197.40	$197.40	$197.40	$322.20
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$608.40	$608.40	$608.40	$790.20
Administration chemotherapy IV push single/initial substance/drug	$526.20	$526.20	$526.20	$508.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$568.20	$568.20	$568.20	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$285.00	$285.00	$285.00	$254.40
Administration immunization 1 vaccine	$115.20	$115.20	$115.20	$12.00
Administration immunization each additional component	$40.20	$40.20	$40.20	$48.60
Administration immunization each additional vaccine	$67.80	$67.80	$67.80	$12.00
Administration immunization first component each vaccine	$115.20	$115.20	$115.20	$115.20
Administration vaccine hepatitis b	$99.00	$99.00	$99.00	$12.00
Administration vaccine influenza virus	$12.60	$12.60	$12.60	$12.00
Administration vaccine pneumococcal	$72.60	$72.60	$72.60	$12.00
Ado-trastuzumab emtansine 100 mg intravenous solution	$3,735.60	$3,735.60	$3,735.60	$139.20
Adrenal cortex & medulla img	$4,242.60	$4,242.60	$4,242.60	$4,242.60
Aep neurodiagnostic i&r	$583.80	$583.80	$583.80	$519.60
Air injection into abdomen 49400	$1,285.20	$1,285.20	$1,285.20	$2,270.40
Albumin (human), 25%, 50ml	$99.00	$99.00	$99.00	$304.00
Albumin (microalbumin) 24 hour urine quantitative	$29.40	$29.40	$29.40	$76.80
Albumin body fluid quantitative each specimen	$40.20	$40.20	$40.20	$40.20
Albumin serum plasma or whole blood	$25.80	$25.80	$25.80	$66.60
Albuterol non-comp con	$28.80	$28.80	$28.80	$5.00
Aldesleukin injection	$3,330.60	$3,330.60	$3,330.60	$6,538.20
Alemtuzumab 12 mg/1.2 ml intravenous solution	$14,398.80	$14,398.80	$14,398.80	$8,173.80
Alkaline phosphatase	$25.80	$25.80	$25.80	$86.40
Allergen alpha lactalbumin ige	$100.20	$100.20	$100.20	$57.60
Allergen egg white ige	$30.00	$30.00	$30.00	$57.60
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution	$378.00	$378.00	$378.00	$40.40
Alpha-fetoprotein afp-l3 frac & total	$326.40	$326.40	$326.40	$441.00
Alpha-fetoprotein amniotic	$62.40	$62.40	$62.40	$141.60
Alpha-fetoprotein tumor marker	$85.20	$85.20	$85.20	$155.40
Alprostadil for injection	$151.80	$151.80	$151.80	$550.20
Alt/sgpt	$27.00	$27.00	$27.00	$86.40
Alteplase 100 mg infusion from pyxis vial	$5,280.00	$5,280.00	$5,280.00	$5,280.00
Aluminum - quest	$128.40	$128.40	$128.40	$168.00
Alys cplx sp/pn npgt w/prgrm	$369.60	$369.60	$369.60	$1,303.50
Amikacin 4 mg/ml intravitreal injection - cnr	$3.60	$3.60	$3.60	$27.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$7.80	$7.80	$7.80	$58.40
Amiodarone 50 mg/ml intravenous solution	$0.60	$0.60	$0.60	$96.80
Amitriptyline (elavil) -sendout	$63.00	$63.00	$63.00	$260.25
Amivantamab-vmjw 50 mg/ml intravenous solution	$298.20	$298.20	$298.20	$298.20
Ammonia	$74.40	$74.40	$74.40	$141.00
Amniocentesis therapeutic	$1,034.40	$1,034.40	$1,034.40	$850.50
Amniocentesisdiagnostic 59000	$1,511.40	$1,511.40	$1,511.40	$1,104.00
Amp f/th 1/2 jt/phalanx w/neurect local flap	$4,150.20	$4,150.20	$4,150.20	$4,150.20
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$28.80	$28.80	$28.80	$146.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$185.40	$185.40	$185.40	$592.80
Ampicillin 1 gram solution for injection	$16.20	$16.20	$16.20	$93.60
Ampicillin-sulbactam 1.5 gram solution for injection	$43.20	$43.20	$43.20	$61.20
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis	$502.20	$502.20	$502.20	$280.20
Amputate thigh through femur 27590	$2,126.40	$2,126.40	$2,126.40	$2,126.40
Amputation leg thr tib/fib 27880	$2,446.80	$2,446.80	$2,446.80	$2,446.80
Amputation of lower leg	$1,417.20	$1,417.20	$1,417.20	$1,417.20
Amylase	$37.80	$37.80	$37.80	$113.40
An cholangiogram percutaneous compl	$7,069.80	$7,069.80	$7,069.80	$3,342.00
An fluoro guide for cvp	$450.00	$450.00	$450.00	$789.75
Ana ds-dna	$44.40	$44.40	$44.40	$178.80
Anal pressure record	$954.00	$954.00	$954.00	$954.00
Anal/urinary muscle study	$587.40	$587.40	$587.40	$1,258.20
Analysis gene f2 20210g>a variant	$380.40	$380.40	$380.40	$2,361.60
Analysis gene f5 leiden variant	$424.80	$424.80	$424.80	$1,191.60
Analysis tumor	$337.20	$337.20	$337.20	$337.20
Anaplsma phgcytophlm amp prb	$70.80	$70.80	$70.80	$290.40
Anca screen with reflex to titer -quest	$83.40	$83.40	$83.40	$103.20
Androstanediol	$103.80	$103.80	$103.80	$337.80
Angio balloon ctrl dialysis seg add-on	$3,240.60	$3,240.60	$3,240.60	$7,522.20
Angio tib/peroneal/init ves/unila 37228	$17,281.80	$17,281.80	$17,281.80	$29,775.00
Angio trnslmnl balloon same artery ea addl	$2,162.40	$2,162.40	$2,162.40	$4,126.80
Angio trnslmnl balloon same artery ini	$12,116.40	$12,116.40	$12,116.40	$7,883.25
Angio trnslmnl balloon same vein ea addl	$1,862.40	$1,862.40	$1,862.40	$4,999.50
Angio trnslmnl balloon same vein ini	$12,394.80	$12,394.80	$12,394.80	$7,522.20
Angioplasty fem/pop unilat 37224	$17,281.80	$17,281.80	$17,281.80	$21,742.80
Angioplasty tib/pero/unilat/ea add 37232	$8,640.60	$8,640.60	$8,640.60	$16,829.40
Angioplasty/iliac/init ves/unilat 37220	$16,320.60	$16,320.60	$16,320.60	$16,320.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$175.80	$175.80	$175.80	$22,037.40
Anidulafungin injection	$114.00	$114.00	$114.00	$116.22
Ankle X-ray	$188.40	$188.40	$188.40	$312.74
Annual Physical, Established Patient (age 18-39)	$148.20	$148.20	$148.20	$203.45
Annual Physical, Established Patient (age 40-64)	$148.20	$148.20	$148.20	$212.88
Annual Physical, New Patient (age 18-39)	$154.80	$154.80	$154.80	$218.00
Annual Physical, New Patient (age 40-64)	$154.80	$154.80	$154.80	$229.20
Anogenital exam child w imag	$684.60	$684.60	$684.60	$684.60
Anora (draw only)	$24.00	$24.00	$24.00	$24.00
Anoscopy control bleeding 46614	$3,812.40	$3,812.40	$3,812.40	$2,655.60
Anoscopy remove fb 46608	$2,551.20	$2,551.20	$2,551.20	$2,551.20
Anti-inhibitor	$1,248.00	$1,248.00	$1,248.00	$8.70
Antibody bacterium, not elsewhere specified	$72.00	$72.00	$72.00	$76.80
Antibody elution rbc reference	$203.40	$203.40	$203.40	$98.40
Antibody htlv-i	$46.20	$46.20	$46.20	$85.20
Antibody htlv/hiv confirm test	$107.40	$107.40	$107.40	$246.60
Antibody id rbc panel	$403.20	$403.20	$403.20	$205.80
Antibody identification platelet antibodies heparin-pf4 igg	$102.60	$102.60	$102.60	$527.40
Antibody influenza virus	$75.60	$75.60	$75.60	$147.00
Antibody lymphocytic choriomeningitis	$46.20	$46.20	$46.20	$111.20
Antibody screen rbc	$70.20	$70.20	$70.20	$113.40
Antibody tetanus	$82.20	$82.20	$82.20	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$1,152.00	$1,152.00	$1,152.00	$15.20
Antinuclear antibodies	$67.80	$67.80	$67.80	$98.25
Antinuclear antibodies titer	$63.00	$63.00	$63.00	$102.00
Antiphosphatidylserine antibody	$89.40	$89.40	$89.40	$303.00
Antistreptolysin o titer	$41.40	$41.40	$41.40	$83.40
Antithrombin iii activity	$60.00	$60.00	$60.00	$157.80
Antithymocyte globuln rabbit	$639.60	$639.60	$639.60	$4,139.25
Apheresis plasma	$5,519.40	$5,519.40	$5,519.40	$3,486.60
Appendectomy	$869.40	$869.40	$869.40	$869.40
Appendix Removal (Laparoscopic)	$1,580.40	$1,580.40	$1,580.40	$6,457.82
Appl cast figure-of-eight	$613.80	$613.80	$613.80	$613.80
Appl modality 1/> areas vasopneumatic devices 97016	$49.80	$49.80	$49.80	$92.25
Application finger splntstatic 29130	$226.20	$226.20	$226.20	$208.50
Application long leg splint 29505	$789.00	$789.00	$789.00	$789.00
Application lower leg splint 29515	$520.80	$520.80	$520.80	$471.00
Application of forearm cast 29075	$370.80	$370.80	$370.80	$424.20
Application of long arm cast 29065	$440.40	$440.40	$440.40	$966.00
Application of long leg cast 29345	$520.80	$520.80	$520.80	$388.50
Application of paste boot 29580	$496.20	$496.20	$496.20	$390.75
Application short leg cast 29405	$520.80	$520.80	$520.80	$366.60
Applicator tag rfid localizer 12gx7cm	$168.60	$168.60	$168.60	$470.25
Apply forearm splintdynamic 29126	$239.40	$239.40	$239.40	$388.80
Apply hand/wrist cast 29085	$520.80	$520.80	$520.80	$535.80
Apply interstit radiat compl	$2,441.40	$2,441.40	$2,441.40	$4,419.00
Apply intrcav radiat compl	$1,959.60	$1,959.60	$1,959.60	$475.80
Apply of finger splint 29131	$370.80	$370.80	$370.80	$514.80
Apply short leg castambul type 29425	$520.80	$520.80	$520.80	$333.00
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion	$13.80	$13.80	$13.80	$9.20
Aquaporin-4 antibody cba each	$66.60	$66.60	$66.60	$159.00
Aquaporin-4 antibody elisa	$58.80	$58.80	$58.80	$132.60
Aripiprazole 441 mg/1.6 ml inj	$579.60	$579.60	$579.60	$10.20
Arsenic trioxide 2 mg/ml intravenous solution	$35.40	$35.40	$35.40	$292.80
Arterial blood draw/perc 36620	$667.80	$667.80	$667.80	$622.20
Artery x-rays adrenal gland	$3,476.40	$3,476.40	$3,476.40	$3,476.40
Artery x-rays adrenals	$5,906.40	$5,906.40	$5,906.40	$3,440.40
Artery x-rays arm/leg 75710-26	$5,906.40	$5,906.40	$5,906.40	$3,092.00
Artery x-rays arms/legs 75716-26	$5,906.40	$5,906.40	$5,906.40	$2,958.40
Artery x-rays chest	$5,906.40	$5,906.40	$5,906.40	$4,255.50
Artery x-rays lung	$3,476.40	$3,476.40	$3,476.40	$2,919.00
Artery x-rays lung	$5,906.40	$5,906.40	$5,906.40	$4,931.25
Artery x-rays lungs	$5,906.40	$5,906.40	$5,906.40	$5,836.50
Artery x-rays spine	$9,796.20	$9,796.20	$9,796.20	$2,866.20
Artery xray each vessel 7577426	$1,365.60	$1,365.60	$1,365.60	$2,463.60
Artery xray of abdomen 75726-26	$9,796.20	$9,796.20	$9,796.20	$4,130.40
Artery xrays of pelvis 75736 26	$9,796.20	$9,796.20	$9,796.20	$4,369.50
Artery-vein nonautograft	$9,842.40	$9,842.40	$9,842.40	$6,325.50
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$817.20	$817.20	$817.20	$642.60
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$453.60	$453.60	$453.60	$498.00
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$948.00	$948.00	$948.00	$625.80
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$453.60	$453.60	$453.60	$453.60
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$817.20	$817.20	$817.20	$803.25
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$453.60	$453.60	$453.60	$453.60
Asp & inj w/heparin pleurx cath	$1,434.00	$1,434.00	$1,434.00	$1,092.00
Asp core fat pad	$1,589.40	$1,589.40	$1,589.40	$166.20
Asp pq spinal cord cyst/syrinx	$2,037.60	$2,037.60	$2,037.60	$2,037.60
Aspir/inj thyroid cyst 60300	$924.60	$924.60	$924.60	$924.60
Aspirate bladder/sprapubic cath 51102	$6,756.00	$6,756.00	$6,756.00	$3,395.40
Aspirate pleura without imaging 32554	$1,861.20	$1,861.20	$1,861.20	$1,215.00
Aspirate/inj ganglion cyst 20612	$401.40	$401.40	$401.40	$552.00
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$2,304.60	$2,304.60	$2,304.60	$971.40
Assay alkaline phosphatase	$44.40	$44.40	$44.40	$81.00
Assay of chloramphenicol	$45.60	$45.60	$45.60	$45.60
Assay of corticosterone	$49.20	$49.20	$49.20	$49.20
Assay of galactose	$41.40	$41.40	$41.40	$394.50
Assay of interleukin-6 (il-6)	$87.60	$87.60	$87.60	$87.60
Assay of lap enzyme	$34.80	$34.80	$34.80	$34.80
Assay of osteocalcin	$150.60	$150.60	$150.60	$159.60
Assay of procainamide w/metab	$61.20	$61.20	$61.20	$149.40
Assay of prostaglandin	$211.80	$211.80	$211.80	$211.80
Assay of salicylate	$159.60	$159.60	$159.60	$159.60
Assay of thiocyanate	$42.60	$42.60	$42.60	$72.60
Assay of urine sulfate	$27.60	$27.60	$27.60	$59.25
Assay toxin or antitoxin	$110.40	$110.40	$110.40	$154.20
Assess aphasia/interp/rpt/per hr 96105	$214.20	$214.20	$214.20	$466.50
Assess cyst contrast inject	$1,304.40	$1,304.40	$1,304.40	$845.40
Ast/sgot	$25.80	$25.80	$25.80	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$318.00	$318.00	$318.00	$311.20
Athrectomy fem/pop/unilateral 37225	$17,281.80	$17,281.80	$17,281.80	$34,695.00
Athrectomy tib/pero/unilat/ini ves 37229	$24,161.40	$24,161.40	$24,161.40	$24,161.40
Atropine 0.1 mg/ml injection syringe	$6.60	$6.60	$6.60	$39.35
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body	$7,900.20	$7,900.20	$7,900.20	$8,721.00
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic	$17,602.20	$17,602.20	$17,602.20	$9,145.50
Autologous blood process	$201.60	$201.60	$201.60	$276.00
Automated diff wbc count	$32.40	$32.40	$32.40	$32.40
Av fistula revision	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Av fuse uppr arm basilic	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Av fuse uppr arm cephalic	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Av fusion direct any site	$5,832.00	$5,832.00	$5,832.00	$5,832.00
Av fusion/forearm vein 36820	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Avelumab 20 mg/ml intravenous solution	$112.20	$112.20	$112.20	$231.00
Avul nail plate addl	$370.80	$370.80	$370.80	$318.75
Avulsion nail plate partial/complete simple single nail plate	$520.80	$520.80	$520.80	$471.00
Azacitidine injection	$351.00	$351.00	$351.00	$1,918.20
Azithromycin 500 mg intravenous solution	$6.00	$6.00	$6.00	$186.40
Aztreonam 1 gram solution for injection	$21.60	$21.60	$21.60	$21.60
B cells total count	$210.00	$210.00	$210.00	$136.00
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$28.20	$28.20	$28.20	$3,464.00
Baclofen 50 mcg/ml intrathecal solution (wrapper)	$43.80	$43.80	$43.80	$420.00
Bacterial meningitis antigen	$42.60	$42.60	$42.60	$108.00
Bacterial vaginosis pcr	$390.60	$390.60	$390.60	$336.00
Balloon dilate urtrl strix	$3,457.20	$3,457.20	$3,457.20	$6,571.80
Bartonella dna pcr-sendout	$195.60	$195.60	$195.60	$671.40
Basiliximab	$2,629.20	$2,629.20	$2,629.20	$7,420.80
Bcg live 50 mg intravesical suspension	$97.80	$97.80	$97.80	$605.43
Belatacept 250 mg intravenous solution	$581.40	$581.40	$581.40	$4,381.80
Belimumab 120 mg intravenous solution	$1,225.80	$1,225.80	$1,225.80	$7,506.00
Bendamustine 100 mg intravenous powder for solution	$1,782.60	$1,782.60	$1,782.60	$214.20
Bendamustine 25 mg/ml intravenous solution (bendeka)	$370.80	$370.80	$370.80	$87.00
Benign lesion paring 2-4	$364.20	$364.20	$364.20	$300.75
Benign lesion paring 4+	$435.60	$435.60	$435.60	$435.60
Benztropine 1 mg/ml injection solution	$43.80	$43.80	$43.80	$115.80
Beta 2 glycoprotein 1 antibody iga	$142.20	$142.20	$142.20	$138.00
Beta-2 microglobulin	$81.60	$81.60	$81.60	$110.40
Beta-amyloid 1-40	$94.80	$94.80	$94.80	$1,404.00
Beta-amyloid 1-42	$94.80	$94.80	$94.80	$1,226.40
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$6.60	$6.60	$6.60	$149.68
Bevacizumab 25 mg/ml intravenous solution	$119.40	$119.40	$119.40	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$104.40	$104.40	$104.40	$459.00
Bevacizumab-bvzr 25 mg/ml intravenous solution	$91.80	$91.80	$91.80	$162.60
Bilateral n block inj occipital 64405	$496.20	$496.20	$496.20	$951.00
Bilateral n block inj trigeminal 64400	$452.40	$452.40	$452.40	$998.40
Bile duct endoscopy add-on 47550	$7,502.40	$7,502.40	$7,502.40	$7,502.40
Biliary endo perq dx w/speci	$9,768.60	$9,768.60	$9,768.60	$6,068.25
Biliary endoscopy thru skin	$11,428.80	$11,428.80	$11,428.80	$4,336.50
Biliary endoscopy thru skin	$18,827.40	$18,827.40	$18,827.40	$1,036.20
Biliary endoscopy thru skin	$4,714.20	$4,714.20	$4,714.20	$2,959.50
Bilicheck	$25.20	$25.20	$25.20	$25.20
Bilirubin direct	$25.20	$25.20	$25.20	$62.25
Bilirubin total	$25.20	$25.20	$25.20	$58.80
Biopsy abdominal mass	$2,461.20	$2,461.20	$2,461.20	$1,704.60
Biopsy bone trocar/needle superficial	$2,461.20	$2,461.20	$2,461.20	$1,629.60
Biopsy muscle percutaneous needle	$2,461.20	$2,461.20	$2,461.20	$1,629.60
Biopsy needle liver percutaneous	$6,913.20	$6,913.20	$6,913.20	$1,642.50
Biopsy needle lymph node superficial	$2,461.20	$2,461.20	$2,461.20	$1,533.00
Biopsy of prostate	$3,295.80	$3,295.80	$3,295.80	$1,818.40
Biopsy of salivary gland 42400	$2,198.40	$2,198.40	$2,198.40	$1,178.25
Biopsy renal percutaneous trocar/needle (both sides)	$2,304.60	$2,304.60	$2,304.60	$1,717.20
Biopsy vaginal mucosa xtnsv	$5,680.20	$5,680.20	$5,680.20	$5,680.20
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$4,644.60	$4,644.60	$4,644.60	$1,745.40
Biopsy/excision of lymph node(s); open deep 38530	$4,592.40	$4,592.40	$4,592.40	$4,592.40
Biospy of bladder	$2,136.60	$2,136.60	$2,136.60	$120.00
Bis xtracell fluid analysis	$271.20	$271.20	$271.20	$147.75
Bivalirudin	$585.00	$585.00	$585.00	$5,267.40
Bladder irrigate/lavage/instill 51700	$819.00	$819.00	$819.00	$819.00
Bld prd mix	$201.60	$201.60	$201.60	$140.25
Bleomycin 15 unit solution for injection	$34.20	$34.20	$34.20	$306.40
Blind interatrial shunt ide	$39,788.40	$39,788.40	$39,788.40	$39,788.40
Bln 1.2 mono emrg 15x1.2	$6,126.60	$6,126.60	$6,126.60	$6,126.60
Bln 30frx10mmx12cm renal nephromax	$661.80	$661.80	$661.80	$4,790.40
Bln inpact admiral 4x150x130cm	$7,575.60	$7,575.60	$7,575.60	$4,954.20
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$5,022.00	$5,022.00	$5,022.00	$5,142.60
Block paracervical nrv	$948.00	$948.00	$948.00	$982.50
Blood Clotting (PT/INR) Test	$22.20	$22.20	$22.20	$45.00
Blood Clotting (PTT) Test	$34.80	$34.80	$34.80	$65.00
Blood Count (CBC) Test	$44.40	$44.40	$44.40	$67.20
Blood Count (CBC) Test (without differential)	$37.80	$37.80	$37.80	$56.55
Blood Culture Test	$57.00	$57.00	$57.00	$112.20
Blood draw capillary 36416	$7.80	$7.80	$7.80	$12.60
Blood gases ph venous	$60.00	$60.00	$60.00	$60.00
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$22.20	$22.20	$22.20	$21.00
Blood occult feces colorectal neoplasm screening qualitative	$18.00	$18.00	$18.00	$20.40
Blood occult peroxidase activity qualitative gastric	$27.00	$27.00	$27.00	$48.00
Blood smear interpretation	$85.80	$85.80	$85.80	$92.40
Blood smear microscopic w manual differential wbc count	$20.40	$20.40	$20.40	$59.40
Blood split unit	$192.60	$192.60	$192.60	$247.80
Blood typing abo	$155.40	$155.40	$155.40	$34.80
Blood typing ag donor ea ag	$403.20	$403.20	$403.20	$80.40
Blood typing rbc ag non abo/rh ea	$639.00	$639.00	$639.00	$84.00
Blood typing rh (d)	$57.60	$57.60	$57.60	$57.00
Blood, l/r, irradiated	$441.00	$441.00	$441.00	$438.60
Bone Density Scan (DEXA)	$262.80	$262.80	$262.80	$398.56
Bone imaging multiple areas	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Bone marrow biopsyneedle/trocar 38221	$2,080.80	$2,080.80	$2,080.80	$1,180.80
Bone marrow imaging body	$1,228.80	$1,228.80	$1,228.80	$2,315.40
Bone marrow imaging ltd	$1,228.80	$1,228.80	$1,228.80	$1,133.40
Bone marrow imaging mult	$1,228.80	$1,228.80	$1,228.80	$1,090.80
Bone marrow interpretation	$3,124.80	$3,124.80	$3,124.80	$251.40
Bone marrow;aspiration only 38220	$2,080.80	$2,080.80	$2,080.80	$917.60
Bone survey-lead poisoning	$262.80	$262.80	$262.80	$697.80
Bone/joint imaging ltd area	$1,228.80	$1,228.80	$1,228.80	$857.40
Borrelia burgdorferi (lyme disease) antibody nonspecific	$94.80	$94.80	$94.80	$94.80
Borrelia miyamotoi amp prb	$70.80	$70.80	$70.80	$349.80
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$961.80	$961.80	$961.80	$3,308.40
Bowel imaging	$1,228.80	$1,228.80	$1,228.80	$1,447.80
Br punct aspir ea add, l	$497.40	$497.40	$497.40	$507.75
Brace wrist classic lft sm	$75.00	$75.00	$75.00	$160.00
Brach/thor cath 1st	$4,321.20	$4,321.20	$4,321.20	$4,321.20
Brach/thor cath 2nd	$2,881.20	$2,881.20	$2,881.20	$5,364.60
Brach/thor cath 3rd	$3,135.00	$3,135.00	$3,135.00	$3,175.50
Brach/thor cath addl	$4,249.20	$4,249.20	$4,249.20	$1,933.50
Brachy source yttrium-90	$39,612.00	$39,612.00	$39,612.00	$37,851.00
Brachytx isodose complex	$942.60	$942.60	$942.60	$984.60
Brachytx isodose intermed	$991.80	$991.80	$991.80	$991.80
Brachytx isodose plan simple	$817.20	$817.20	$817.20	$817.20
Braf gene	$1,013.40	$1,013.40	$1,013.40	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$2,854.80	$2,854.80	$2,854.80	$2,604.00
Brain MRA (blood vessel MRI, with contrast)	$2,854.80	$2,854.80	$2,854.80	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$1,741.80	$1,741.80	$1,741.80	$1,790.00
Brain MRI (with and without contrast)	$2,854.80	$2,854.80	$2,854.80	$2,884.20
Brain MRI (with contrast)	$2,854.80	$2,854.80	$2,854.80	$2,224.96
Brain MRI (without contrast)	$1,741.80	$1,741.80	$1,741.80	$1,825.59
Brain flow imaging only	$1,574.40	$1,574.40	$1,574.40	$1,557.00
Brain image 4+ views	$1,574.40	$1,574.40	$1,574.40	$1,228.00
Brain image < 4 views	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Brain image w/flow 4 + views	$1,574.40	$1,574.40	$1,574.40	$1,574.40
Brain image w/flow < 4 views	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Breast Biopsy (ultrasound-guided, percutaneous)	$2,087.40	$2,087.40	$2,087.40	$3,092.06
Breast punct aspir cyst, bil	$924.60	$924.60	$924.60	$845.40
Breath recording infant	$1,793.40	$1,793.40	$1,793.40	$1,793.40
Brentuximab vedotin 50 mg intravenous solution	$6,781.20	$6,781.20	$6,781.20	$13,562.40
Bronch ebus ivntj perph les 31654	$1,015.20	$1,015.20	$1,015.20	$2,132.40
Bronch ebus samplng 1/2 node	$4,452.00	$4,452.00	$4,452.00	$4,214.40
Bronch ebus samplng 3/> node	$8,557.20	$8,557.20	$8,557.20	$4,643.40
Bronch thermoplsty 1 lobe	$8,245.80	$8,245.80	$8,245.80	$6,792.00
Bronch thermoplsty 2/> lobes	$8,245.80	$8,245.80	$8,245.80	$7,765.50
Bronchial allergy tests	$2,043.60	$2,043.60	$2,043.60	$591.00
Bronchial challenge	$650.40	$650.40	$650.40	$777.60
Bronchoscopy bronch stents	$8,245.80	$8,245.80	$8,245.80	$3,273.00
Bronchoscopy dilate w/stent	$8,245.80	$8,245.80	$8,245.80	$6,666.00
Bronchoscopy w/biopsy(s) 31625	$2,168.40	$2,168.40	$2,168.40	$2,256.75
Bronchoscopy w/fb removal 31635	$3,848.40	$3,848.40	$3,848.40	$3,540.00
Bronchoscopy w/markers	$8,245.80	$8,245.80	$8,245.80	$3,643.20
Bronchoscopy/lung bx addl 31632	$2,794.80	$2,794.80	$2,794.80	$1,305.75
Bronchoscopy/lung bx each 31628	$4,452.00	$4,452.00	$4,452.00	$3,484.80
Bronchoscopy/needle bx addl 31633	$1,959.60	$1,959.60	$1,959.60	$1,872.75
Bronchoscopy/needle bx each 31629	$4,452.00	$4,452.00	$4,452.00	$3,846.60
Budesonide non-comp unit	$2.40	$2.40	$2.40	$714.40
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$0.60	$0.60	$0.60	$9.00
Bundled special stain group 1 microorganisms	$116.40	$116.40	$116.40	$145.80
Bundled special stain group 2	$78.60	$78.60	$78.60	$134.25
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$1.20	$1.20	$1.20	$1.40
Buprenorphine X-ray over 100 mg	$806.40	$806.40	$806.40	$7,360.99
Buprenorphine hydrochloride	$9.00	$9.00	$9.00	$14.40
Buprenorphine oral 1mg	$2.40	$2.40	$2.40	$715.66
Bur rotalink 2.15mm	$9,807.60	$9,807.60	$9,807.60	$9,807.60
Butorphanol tartrate 1 mg	$4.80	$4.80	$4.80	$90.60
Bx bone trocar/ndl deep	$2,458.80	$2,458.80	$2,458.80	$2,179.80
Bx breast 1st lesion mr imag	$2,087.40	$2,087.40	$2,087.40	$2,955.75
Bx breast 1st lesion strtctc	$2,087.40	$2,087.40	$2,087.40	$3,700.20
Bx breast add lesion Ultrasound imag	$1,042.80	$1,042.80	$1,042.80	$2,315.20
Bx breast add lesion mr imag	$1,042.80	$1,042.80	$1,042.80	$2,781.75
Bx breast add lesion strtctc	$1,135.20	$1,135.20	$1,135.20	$2,079.60
Bx breast pq tomo guide	$7,249.80	$7,249.80	$7,249.80	$7,249.80
Bx liver with other	$247.80	$247.80	$247.80	$247.80
Bx muscle	$250.80	$250.80	$250.80	$250.80
Bx pancreas pq ndl	$2,080.80	$2,080.80	$2,080.80	$1,917.75
Bx perianal mass	$2,348.40	$2,348.40	$2,348.40	$1,059.00
Bx pleura pq ndl	$2,080.80	$2,080.80	$2,080.80	$1,560.60
Bx spinal cord pq ndl	$2,080.80	$2,080.80	$2,080.80	$0.60
Bx thigh/knee soft tiss supf 27323	$1,439.40	$1,439.40	$1,439.40	$1,506.00
Bx thyroid/percutan core needle 60100	$924.60	$924.60	$924.60	$979.50
Bx vag mucos smpl (sep proc)	$1,452.00	$1,452.00	$1,452.00	$966.60
Bx vulva or perineum/1 lesion 56605	$1,452.00	$1,452.00	$1,452.00	$2,812.80
Bx vulva or perineum/ea add lesion 56606	$312.00	$312.00	$312.00	$557.60
Bx/curett of cervix w/scope 57454	$615.60	$615.60	$615.60	$785.40
Bx/exc lymph node/open/deep cervic 38510	$1,159.20	$1,159.20	$1,159.20	$1,159.20
Bx/exc lymph node/open/superfic 38500	$666.60	$666.60	$666.60	$666.60
Bypass temp external fem-fem	$2,304.60	$2,304.60	$2,304.60	$2,349.00
C motor evoked lwr limbs	$1,258.80	$1,258.80	$1,258.80	$413.25
C motor evoked uppr limbs	$1,258.80	$1,258.80	$1,258.80	$424.20
C motor evoked upr&lwr limbs	$2,029.20	$2,029.20	$2,029.20	$704.40
C-1 esterase, berinert	$2,302.20	$2,302.20	$2,302.20	$156.00
C-Section Delivery (full care)	$10,034.40	$10,034.40	$10,034.40	$4,739.20
C-peptide	$120.00	$120.00	$120.00	$171.00
C-reactive protein	$29.40	$29.40	$29.40	$126.00
C-reactive protein high sensitivity	$72.60	$72.60	$72.60	$137.40
C1 esterase inhibitor func - sendout	$66.60	$66.60	$66.60	$143.20
CT 3d report other modality w/workstation	$607.80	$607.80	$607.80	$697.20
CT Angiogram of Abdomen and Pelvis	$2,985.60	$2,985.60	$2,985.60	$2,839.85
CT Angiogram of the Chest (for blood clot)	$1,424.40	$1,424.40	$1,424.40	$2,094.23
CT Angiogram of the Head	$1,294.80	$1,294.80	$1,294.80	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$2,985.60	$2,985.60	$2,985.60	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$2,985.60	$2,985.60	$2,985.60	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$2,213.40	$2,213.40	$2,213.40	$2,418.75
CT angio hrt w/3d image	$1,424.40	$1,424.40	$1,424.40	$2,243.25
CT angio pelvis	$1,424.40	$1,424.40	$1,424.40	$2,494.20
CT colonography screening	$689.40	$689.40	$689.40	$6,423.00
CT guid parench tis ablat	$835.80	$835.80	$835.80	$1,185.75
CT guidance for needle placement	$914.40	$914.40	$914.40	$2,179.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$1,524.60	$1,524.60	$1,524.60	$1,645.50
CT heart w/evaluation of calcium without contrast	$127.20	$127.20	$127.20	$120.00
CT hrt c+ strux cgen hrt ds	$1,424.40	$1,424.40	$1,424.40	$2,418.75
CT hrt w/3d image	$1,424.40	$1,424.40	$1,424.40	$2,883.00
CT limited or localized follow-up study	$624.60	$624.60	$624.60	$654.40
CT lower extremity w/contrast (both sides)	$1,424.40	$1,424.40	$1,424.40	$2,654.40
CT lower extremity without contrast (both sides)	$876.00	$876.00	$876.00	$1,740.00
CT lwr extremity w/o&w/dye	$1,424.40	$1,424.40	$1,424.40	$2,785.80
CT neck soft tissue w/contrast	$1,294.80	$1,294.80	$1,294.80	$2,511.00
CT neck soft tissue without & w/contrast	$1,294.80	$1,294.80	$1,294.80	$2,953.20
CT neck soft tissue without contrast	$796.80	$796.80	$796.80	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$1,294.80	$1,294.80	$1,294.80	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$796.80	$796.80	$796.80	$1,623.00
CT orbit/sella/fossa w/wo contrast	$1,294.80	$1,294.80	$1,294.80	$2,712.60
CT scan for therapy guide	$1,276.80	$1,276.80	$1,276.80	$843.60
CT t-spine w /wo contrast	$1,424.40	$1,424.40	$1,424.40	$2,602.20
CT thoracic spine w/contrast	$1,424.40	$1,424.40	$1,424.40	$2,555.40
CT thoracic spine without contrast	$876.00	$876.00	$876.00	$1,740.00
CT thorax low dose for lung screening without contrast	$190.20	$190.20	$190.20	$253.20
CT upper extremity w/contrast (both sides)	$1,424.40	$1,424.40	$1,424.40	$2,358.60
CT upper extremity without contrast (both sides)	$876.00	$876.00	$876.00	$1,740.00
CT uppr extremity w/o&w/dye	$1,424.40	$1,424.40	$1,424.40	$3,029.40
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$1,397.40	$1,397.40	$1,397.40	$495.60
Cable cath 22-pin diag	$2,526.60	$2,526.60	$2,526.60	$2,604.00
Cad breast MRI w/r&i	$150.60	$150.60	$150.60	$150.60
Cadd pump refill	$501.60	$501.60	$501.60	$175.80
Caffeine citrate 20 mg/ml inj for po	$7.20	$7.20	$7.20	$106.71
Calcitonin (salmon) 200 unit/ml injection solution	$939.60	$939.60	$939.60	$9,437.60
Calcium 24 hour urine	$30.60	$30.60	$30.60	$78.75
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$0.60	$0.60	$0.60	$0.80
Calcium ionized	$69.60	$69.60	$69.60	$107.40
Calcium total	$25.80	$25.80	$25.80	$43.80
Calprotectin fecal	$99.00	$99.00	$99.00	$250.20
Canakinumab injection	$10,902.60	$10,902.60	$10,902.60	$10,902.60
Candida dna	$112.20	$112.20	$112.20	$197.40
Cannula ercp contour 5-4-3 tip	$289.80	$289.80	$289.80	$7,828.80
Canthotomy 67715	$3,228.00	$3,228.00	$3,228.00	$3,228.00
Cap trach decann 15mm	$1,737.00	$1,737.00	$1,737.00	$1,708.20
Car seat/bed test 60 minutes	$87.00	$87.00	$87.00	$87.00
Carbamazepine free -sendout	$67.20	$67.20	$67.20	$194.25
Carbamazepine total therapeutic drug level	$103.80	$103.80	$103.80	$137.40
Carbohydrate urine - sendout	$21.00	$21.00	$21.00	$30.60
Carbon dioxide	$24.60	$24.60	$24.60	$39.60
Carboplatin 10 mg/ml desensitization	$0.60	$0.60	$0.60	$1,096.00
Carboxyhemoglobin quantitative	$63.00	$63.00	$63.00	$120.00
Carcinoembryonic ag (cea)	$96.60	$96.60	$96.60	$162.75
Card MRI veloc flow mapping	$321.60	$321.60	$321.60	$660.60
Cardiac MRI w/stress img	$3,422.40	$3,422.40	$3,422.40	$3,213.60
Cardiac Stress Test	$414.00	$414.00	$414.00	$186.60
Cardiac perf planar mult/ef/wm	$4,242.60	$4,242.60	$4,242.60	$2,792.40
Cardiac perf planar sgl/ef/wm	$4,242.60	$4,242.60	$4,242.60	$3,654.00
Cardiac perf spect sgl/ef/wm rst/strs	$4,242.60	$4,242.60	$4,242.60	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$209.40	$209.40	$209.40	$218.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$209.40	$209.40	$209.40	$106.20
Cardiac shunt imaging	$1,228.80	$1,228.80	$1,228.80	$1,657.80
Cardiolipin antibody iga	$146.40	$146.40	$146.40	$186.60
Cardioversion elective electrical conversion arrhythmia external	$2,001.00	$2,001.00	$2,001.00	$1,505.60
Cardioversion/elective/internal 92961	$865.20	$865.20	$865.20	$865.20
Carfilzomib 10 mg intravenous solution	$1,876.80	$1,876.80	$1,876.80	$149.40
Carmustine 100 mg intravenous powder for solution	$1,582.20	$1,582.20	$1,582.20	$2,713.80
Carotene	$46.80	$46.80	$46.80	$121.20
Carotid Artery Ultrasound (Duplex)	$788.40	$788.40	$788.40	$1,059.82
Cath 2lum 14.5frx43cm maxid kt mahurkar	$364.20	$364.20	$364.20	$973.80
Cath ablat bi-d d-d 8fr 115cm	$3,341.40	$3,341.40	$3,341.40	$10,349.40
Cath ablt clsfast 7fx100cmx	$2,271.00	$2,271.00	$2,271.00	$3,024.00
Cath ablt rx lasr 2.0mm turbo	$5,082.00	$5,082.00	$5,082.00	$5,082.00
Cath acuity innr ic130 6f 63cm	$5,546.40	$5,546.40	$5,546.40	$5,743.20
Cath acunav ge 10frx90cm	$8,475.60	$8,475.60	$8,475.60	$7,951.50
Cath adherent clot 10mm 6f 10	$4,761.60	$4,761.60	$4,761.60	$17,505.60
Cath baloon occl urnry 34f 7x2x65	$559.80	$559.80	$559.80	$3,581.40
Cath bi-dir df smarttouch	$8,232.00	$8,232.00	$8,232.00	$8,813.25
Cath blazer dx/20 2-10-2 space	$3,710.40	$3,710.40	$3,710.40	$5,062.50
Cath combo lt&rt heart w/inj/s	$8,719.20	$8,719.20	$8,719.20	$8,708.40
Cath cv dl inj 7fx16cm	$2,185.20	$2,185.20	$2,185.20	$1,887.00
Cath del ampltz 12f 45d 80cm	$379.20	$379.20	$379.20	$2,010.00
Cath groshong MRI 8fr plstc port	$1,597.20	$1,597.20	$1,597.20	$2,380.80
Cath hawkone s directional	$7,639.20	$7,639.20	$7,639.20	$7,639.20
Cath imag ivus pv 8.5fx90 .035	$7,522.20	$7,522.20	$7,522.20	$5,895.00
Cath left heart transseptal punc	$3,816.00	$3,816.00	$3,816.00	$4,045.80
Cath left heart/lv gram	$5,240.40	$5,240.40	$5,240.40	$5,695.80
Cath lt/rt pulm art	$9,800.40	$9,800.40	$9,800.40	$2,959.80
Cath malecot 28fr 4-wing ltx	$2,099.40	$2,099.40	$2,099.40	$1,687.20
Cath occl flo-rester 2.25x12mm cor internal vessel occluder	$13,558.20	$13,558.20	$13,558.20	$25,520.40
Cath place 1st order venous 36011	$3,910.20	$3,910.20	$3,910.20	$5,364.60
Cath plc art ang/grft lt/rt hr	$7,636.80	$7,636.80	$7,636.80	$11,503.20
Cath plc art/angio/rt hrt cath	$5,873.40	$5,873.40	$5,873.40	$12,175.20
Cath plc art/grft/angio right hrt	$6,685.80	$6,685.80	$6,685.80	$14,423.40
Cath right heart w/o2 sat & card	$4,762.80	$4,762.80	$4,762.80	$6,457.80
Cath right hrt mnpul art	$1,847.40	$1,847.40	$1,847.40	$2,094.75
Cath segmntl pulm art	$4,567.80	$4,567.80	$4,567.80	$2,792.40
Cath steerable flex adv 12f	$5,464.80	$5,464.80	$5,464.80	$3,718.20
Cath stripping venous s&i	$1,564.20	$1,564.20	$1,564.20	$712.20
Cath/saline/contrast/sis/hysteosal 58340	$548.40	$548.40	$548.40	$411.60
Catheter declot mechanical	$2,472.00	$2,472.00	$2,472.00	$1,523.25
Catheter insert artery	$391.20	$391.20	$391.20	$391.20
Catheter stripping venous	$6,231.60	$6,231.60	$6,231.60	$5,745.60
Catheterization collection of specimen single patient all places of service	$145.80	$145.80	$145.80	$42.60
Cathj umbilical vein dx/ther nb	$425.40	$425.40	$425.40	$425.40
Cauterization chemical granulation tissue	$354.00	$354.00	$354.00	$408.60
Cdna analysis for variants	$1,070.40	$1,070.40	$1,070.40	$1,934.40
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$8.40	$8.40	$8.40	$19.65
Cefepime 1 gram solution for injection	$8.40	$8.40	$8.40	$62.80
Cefoxitin 1 gram intravenous solution	$19.80	$19.80	$19.80	$105.00
Ceftaroline fosamil 600 mg intravenous solution	$147.00	$147.00	$147.00	$495.00
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$3.00	$3.00	$3.00	$52.80
Ceftazidime and avibactam	$237.00	$237.00	$237.00	$991.80
Ceftriaxone 1 gram solution for injection	$37.20	$37.20	$37.20	$123.72
Cell count body fluid	$33.00	$33.00	$33.00	$60.75
Cell count w differential body fluid	$40.80	$40.80	$40.80	$131.40
Cell function assay w/stim	$490.20	$490.20	$490.20	$898.80
Cell marker study	$116.40	$116.40	$116.40	$212.40
Cemiplimab-rwlc 50 mg/ml intravenous solution	$882.60	$882.60	$882.60	$527.40
Cerebrospinal fld flw imag	$1,475.40	$1,475.40	$1,475.40	$1,215.75
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$3,431.40	$3,431.40	$3,431.40	$34.80
Cervical or vaginal cancer screening g0101	$172.80	$172.80	$172.80	$156.75
Cetuximab 100 mg/50 ml intravenous solution	$9.00	$9.00	$9.00	$775.20
Change cystostomy tube simple	$1,728.00	$1,728.00	$1,728.00	$477.60
Change g-tube to g-j perc	$6,196.80	$6,196.80	$6,196.80	$3,754.80
Change nephroureteral cath	$4,905.00	$4,905.00	$4,905.00	$3,154.80
Change of ureter tube/stent	$3,457.20	$3,457.20	$3,457.20	$2,397.00
Change of windpipe airway 31502	$463.80	$463.80	$463.80	$472.80
Change stent via transureth	$6,593.40	$6,593.40	$6,593.40	$0.60
Change ureter stent percut	$4,696.80	$4,696.80	$4,696.80	$4,099.50
Chemo adm cns w/lmbr punct	$2,903.40	$2,903.40	$2,903.40	$1,119.00
Chemo ia push tecnique	$2,376.60	$2,376.60	$2,376.60	$760.80
Chemotherapy injection 96542	$288.00	$288.00	$288.00	$288.00
Chemotx admn pertl cav impl	$1,071.00	$1,071.00	$1,071.00	$852.00
Chest 2 vws w oblique	$262.80	$262.80	$262.80	$450.75
Chest CT scan (with and without contrast)	$1,424.40	$1,424.40	$1,424.40	$2,105.40
Chest CT scan (with contrast)	$1,424.40	$1,424.40	$1,424.40	$1,697.25
Chest CT scan (without contrast)	$876.00	$876.00	$876.00	$1,350.03
Chest X-ray	$188.40	$188.40	$188.40	$303.24
Chest X-ray (single view)	$188.40	$188.40	$188.40	$225.00
Chest apical lordotic proj	$188.40	$188.40	$188.40	$419.40
Chg pr pul rehab for copd patients	$133.20	$133.20	$133.20	$134.25
Chg radiologic exam esophagus double contrast	$427.80	$427.80	$427.80	$713.40
Chlamydia culture	$109.80	$109.80	$109.80	$142.20
Chlamydia type	$31.20	$31.20	$31.20	$42.60
Chlnggrphy intraop addl s&i	$134.40	$134.40	$134.40	$250.80
Chloride	$23.40	$23.40	$23.40	$39.60
Chloride 24 hour urine	$29.40	$29.40	$29.40	$60.75
Chloroprocaine hcl injection	$0.60	$0.60	$0.60	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$178.20	$178.20	$178.20	$1,236.80
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$16.80	$16.80	$16.80	$91.92
Chlorpromazine 100 mg tablet	$8.40	$8.40	$8.40	$1.20
Cholangiogram percutaneous compl	$7,069.80	$7,069.80	$7,069.80	$3,342.00
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$1,026.60	$1,026.60	$1,026.60	$694.50
Cholecystostomy complete w/supervision & interpretation	$4,714.20	$4,714.20	$4,714.20	$3,872.40
Cholesterol	$22.20	$22.20	$22.20	$40.80
Cholesterol (Lipid) Test	$87.60	$87.60	$87.60	$100.00
Cholesterol body fluid	$49.80	$49.80	$49.80	$6,088.80
Cholinesterase	$40.80	$40.80	$40.80	$103.20
Chorion biopsy	$1,511.40	$1,511.40	$1,511.40	$1,511.40
Chrom analysis	$126.00	$126.00	$126.00	$309.60
Chromo high res and frag x - sendout	$329.40	$329.40	$329.40	$1,067.40
Chromosome analys amniotic	$627.00	$627.00	$627.00	$627.00
Chromosome analysis 15-20 cell count	$897.60	$897.60	$897.60	$988.50
Chromosome karyotype study	$120.60	$120.60	$120.60	$181.80
Chronic urticaria - sendout	$24.60	$24.60	$24.60	$133.80
Chylomicron screen, bf - sendout	$222.60	$222.60	$222.60	$336.75
Cidofovir injection	$118.20	$118.20	$118.20	$2,980.80
Cilastatin sodium injection	$19.80	$19.80	$19.80	$223.80
Cladribine 10 mg/10 ml intravenous solution	$25.80	$25.80	$25.80	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$6,678.60	$6,678.60	$6,678.60	$4,416.60
Clip ligating vesolock lg	$1,380.60	$1,380.60	$1,380.60	$925.20
Close lac/mouth vest/2.5 cm or < 40830	$777.60	$777.60	$777.60	$825.60
Closed carpo/metacarpal disl thumb w/manip	$1,420.80	$1,420.80	$1,420.80	$825.60
Closed tx humerus fx w/manip 24505	$2,055.00	$2,055.00	$2,055.00	$1,651.80
Closed tx humerus fx with manip 23605	$2,055.00	$2,055.00	$2,055.00	$2,460.00
Closed tx humerus fx without manip 23600	$447.60	$447.60	$447.60	$447.60
Closed tx metatarsophalangeal jnt disl without anes	$520.80	$520.80	$520.80	$647.40
Closed tx orbit without manipulj	$1,663.80	$1,663.80	$1,663.80	$1,663.80
Closed tx post hip arthroplasty disloc w/anes 27266	$2,055.00	$2,055.00	$2,055.00	$2,139.60
Closed tx septal&nose fx	$3,971.40	$3,971.40	$3,971.40	$3,971.40
Closed tx sesamoid fx 28530	$759.00	$759.00	$759.00	$525.75
Closed tx/acetabululm without manip 27220	$759.00	$759.00	$759.00	$464.40
Closed tx/talus fracture without manip 28430	$327.60	$327.60	$327.60	$327.60
Closure enterostomy lg/sm intestine anast 44626	$4,242.60	$4,242.60	$4,242.60	$4,242.60
Closure laceration vestibule mouth > 2.5 cm cmplx	$1,663.80	$1,663.80	$1,663.80	$1,731.60
Closure paravalvlr leak pq	$5,734.80	$5,734.80	$5,734.80	$5,734.80
Clot factor xii hageman	$97.80	$97.80	$97.80	$197.60
Clot factor xiii fibrin stab	$82.20	$82.20	$82.20	$97.20
Cls tx of heel fracture w/manip 28405	$759.00	$759.00	$759.00	$4,057.20
Clsd tx bimalleol ank fx without manip 27808	$1,212.00	$1,212.00	$1,212.00	$1,212.00
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$327.60	$327.60	$327.60	$430.80
Clsd tx clav dislc without manip 23520	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Clsd tx clavicle dislocation without manip 23540	$819.60	$819.60	$819.60	$581.25
Clsd tx coccygeal fracture 27200	$327.60	$327.60	$327.60	$327.60
Clsd tx dist fib fx w/manip 27788	$1,225.20	$1,225.20	$1,225.20	$1,225.20
Clsd tx elbow dislocation child 24640	$370.80	$370.80	$370.80	$525.75
Clsd tx finger tendon w/wo perq pin 26432	$3,354.00	$3,354.00	$3,354.00	$1,863.75
Clsd tx fracture of radius 25500	$366.60	$366.60	$366.60	$442.50
Clsd tx fx radius/ulna dist w/manip 25605	$2,055.00	$2,055.00	$2,055.00	$1,912.80
Clsd tx fx radius/ulna dist without manip 25600	$520.80	$520.80	$520.80	$825.60
Clsd tx fx radius/ulna w/manip 25565	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Clsd tx fx radius/ulna without manip 25560	$930.00	$930.00	$930.00	$825.60
Clsd tx hip disloc without anes 27265	$1,272.60	$1,272.60	$1,272.60	$1,272.60
Clsd tx humeral fract without manip 24530	$759.00	$759.00	$759.00	$825.60
Clsd tx humerus fract without manip 24500	$759.00	$759.00	$759.00	$759.00
Clsd tx mandibular fx without manip 21450	$669.60	$669.60	$669.60	$961.80
Clsd tx metatarsal fracture w/manip 28475	$759.00	$759.00	$759.00	$759.00
Clsd tx nose fx without manip 21310	$819.60	$819.60	$819.60	$819.60
Clsd tx of ankle fracture w/manip 28435	$2,440.80	$2,440.80	$2,440.80	$2,440.80
Clsd tx patella disloc without anes 27560	$1,225.20	$1,225.20	$1,225.20	$1,225.20
Clsd tx prox fib/shaft fx w/manip 27781	$2,322.60	$2,322.60	$2,322.60	$1,863.75
Clsd tx radius fracture w/manip 24655	$2,055.00	$2,055.00	$2,055.00	$3,025.80
Clsd tx shoulder dislc/fx 23665	$2,055.00	$2,055.00	$2,055.00	$3,135.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$2,055.00	$2,055.00	$2,055.00	$2,186.40
Clsd tx temporomandibular dislocat 21480	$1,225.20	$1,225.20	$1,225.20	$998.40
Clsd tx toe dislocation without anes28660	$520.80	$520.80	$520.80	$613.80
Clsd tx trimall ankle fx w/manip 27818	$2,055.00	$2,055.00	$2,055.00	$1,632.60
Clsd tx trimall ankle fx without manip 27816	$488.40	$488.40	$488.40	$825.60
Clsd tx vert body fx without manip req &w/csting/bracing	$759.00	$759.00	$759.00	$756.75
Clsd tx wrist carpal fx without manip 25630	$370.80	$370.80	$370.80	$370.80
Clsd tx wrist scaphoid fx without manip 25622	$520.80	$520.80	$520.80	$520.80
Clsd tx wrist trans-scaph fx w/manip 25680	$597.60	$597.60	$597.60	$597.60
Clsd tx wrist ulnar styloid fx 25650	$520.80	$520.80	$520.80	$729.60
Clsd tx/clavicular fx without manip 23500	$819.60	$819.60	$819.60	$819.60
Clsd tx/dis phalan fx without manip/ea 26750	$370.80	$370.80	$370.80	$592.80
Clsd tx/dis tib/wt bear no manip 27824	$844.20	$844.20	$844.20	$766.40
Clsd tx/fem shaft fx/manipulation 27502	$2,319.00	$2,319.00	$2,319.00	$2,926.80
Clsd tx/fx grt toe/phalanx/phalang 28490	$370.80	$370.80	$370.80	$370.80
Clsd tx/fx/phalanx/phalang/manip 28515	$370.80	$370.80	$370.80	$478.20
Clsd tx/grt hum tube fx without manip 23620	$993.00	$993.00	$993.00	$729.60
Clsd tx/metacar/interphal artic fx 26740	$370.80	$370.80	$370.80	$529.50
Clsd tx/metacarpal fx/sg without manip 26600	$470.40	$470.40	$470.40	$470.40
Clsd tx/metacarpal fx/sng/w manip 26605	$808.20	$808.20	$808.20	$998.40
Clsd tx/metatarsal fx without manip 28470	$520.80	$520.80	$520.80	$520.80
Clsd tx/patellar fx without manip 27520	$759.00	$759.00	$759.00	$759.00
Clsd tx/prox/mid phalnx fx/no manp 26720	$366.60	$366.60	$366.60	$366.60
Clsd tx/radial head/neck fx/no manip 24650	$370.80	$370.80	$370.80	$453.00
Clsd tx/scapular fx without manip 23570	$496.20	$496.20	$496.20	$496.20
Clsd tx/shoulder dislo/manip/anest 23655	$2,184.60	$2,184.60	$2,184.60	$2,184.60
Clsd tx/ulnar shaft fx without manip 25530	$445.80	$445.80	$445.80	$445.80
Clsd/shoulder dislo/manip/no anest 23650	$856.20	$856.20	$856.20	$998.40
Clsd/ulnar fx/prox end without manip 24670	$494.40	$494.40	$494.40	$494.40
Cltx carpl scphd fx w/mnpj	$2,440.80	$2,440.80	$2,440.80	$3,769.20
Cltx gr hmrl tbrs fx w/mnpj	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Cltx hum epcndylr fx wo mnpj	$856.20	$856.20	$856.20	$825.60
Cltx humrl cndylr fx wo mnpj	$759.00	$759.00	$759.00	$825.60
Cltx lunate dislc w/mnpj	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Cltx post ankle fx	$1,642.80	$1,642.80	$1,642.80	$333.75
Cmv pcr-sendout	$195.60	$195.60	$195.60	$557.25
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$8,040.00	$8,040.00	$8,040.00	$16,994.46
Coagulation time activated teg	$13.20	$13.20	$13.20	$31.00
Cold agglutinin screen (arc)	$45.00	$45.00	$45.00	$70.80
Cold agglutinin titer	$45.00	$45.00	$45.00	$85.20
Colectomy partial w/anastomosis 44140	$5,395.80	$5,395.80	$5,395.80	$5,395.80
Colectomy prtl w/remove terminal ileum+ileocolos 44160	$3,279.60	$3,279.60	$3,279.60	$3,279.60
Colectomy prtl w/skin level cecost/colostomy 44141	$4,815.60	$4,815.60	$4,815.60	$4,815.60
Colectomy/end colost/close dis seg 44143	$4,608.00	$4,608.00	$4,608.00	$4,608.00
Colistimethate sodium inj	$16.80	$16.80	$16.80	$129.00
Collection blood specimen from completely implantable venous access device	$155.40	$155.40	$155.40	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$537.00	$537.00	$537.00	$196.00
Collection of venous blood by venipuncture	$7.80	$7.80	$7.80	$20.25
Colonoscopy (diagnostic)	$1,330.80	$1,330.80	$1,330.80	$1,500.00
Colonoscopy (with polyp removal)	$1,666.80	$1,666.80	$1,666.80	$1,958.40
Colonoscopy w/control bleed	$2,019.60	$2,019.60	$2,019.60	$2,501.40
Colporrhapy/vag injury sut/non ob 57200	$6,660.60	$6,660.60	$6,660.60	$3,435.60
Colposcopy vulva 56820	$378.00	$378.00	$378.00	$435.00
Colposcopy w/biopsy of cervix 57455	$615.60	$615.60	$615.60	$1,155.75
Colposcopy/cervix/bx vagina/cervix 57421	$1,452.00	$1,452.00	$1,452.00	$1,452.00
Colposcopy/cervix/inc up/adjacent vag 57452	$378.00	$378.00	$378.00	$434.40
Compatibility test each unit antiglobulin technique	$203.40	$203.40	$203.40	$203.40
Compatibility test each unit electronic	$203.40	$203.40	$203.40	$119.40
Compatibility test each unit immediate spin technique	$203.40	$203.40	$203.40	$159.00
Complement antigen each component c3	$66.60	$66.60	$66.60	$148.20
Complex repair trunk 1.1-2.5cm 13120	$1,927.80	$1,927.80	$1,927.80	$1,919.40
Complex repair trunk 2.6-7.5cm 13101	$1,357.20	$1,357.20	$1,357.20	$2,253.00
Complx repair enel 1.1-2.5 cm 13151	$1,332.60	$1,332.60	$1,332.60	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$1,212.00	$1,212.00	$1,212.00	$2,938.80
Complx repair enel addl 5cm/< 13153	$319.20	$319.20	$319.20	$798.40
Complx repair fccmnaxghf 13131	$911.40	$911.40	$911.40	$2,172.00
Complx repair fccmnaxghf 13132	$1,212.00	$1,212.00	$1,212.00	$2,172.00
Complx repair fccmnaxghf 13133	$1,089.00	$1,089.00	$1,089.00	$1,089.00
Complx repair sal addl 5 cm/> 13122	$828.60	$828.60	$828.60	$828.60
Complx repair trunk 1.1-2.5 cm 13100	$1,927.80	$1,927.80	$1,927.80	$3,769.20
Complx repair trunk addl 5cm/< 13102	$741.60	$741.60	$741.60	$931.20
Concentration infection agents any type	$38.40	$38.40	$38.40	$44.40
Condylomata destruction 56420	$831.60	$831.60	$831.60	$831.60
Conjugated estrogens 25 mg solution for injection	$220.80	$220.80	$220.80	$1,291.95
Consultation pathology during surgery	$78.60	$78.60	$78.60	$144.60
Consultation pathology during surgery cytological exam initial site	$1,472.40	$1,472.40	$1,472.40	$176.40
Consultation pathology during surgery frozen section each additional block	$112.20	$112.20	$112.20	$211.80
Consultation pathology during surgery frozen section first tissue block	$337.20	$337.20	$337.20	$276.00
Consultation/report referred material w/preparation of slides	$116.40	$116.40	$116.40	$737.40
Consultation/report referred slides prepared elsewhere	$163.20	$163.20	$163.20	$213.60
Contrast exam abdominl aorta 75625-26	$5,906.40	$5,906.40	$5,906.40	$4,711.50
Contrast exam thoracic aorta	$5,906.40	$5,906.40	$5,906.40	$5,906.40
Contrast exam thoracic aorta 75605-26	$9,796.20	$9,796.20	$9,796.20	$4,972.50
Contrast x-ray gallbladder	$427.80	$427.80	$427.80	$719.40
Contrast x-ray of ankle	$896.40	$896.40	$896.40	$868.80
Contrast x-ray of elbow	$814.20	$814.20	$814.20	$793.80
Contrast x-ray of hip	$814.20	$814.20	$814.20	$868.80
Contrast x-ray of knee joint	$896.40	$896.40	$896.40	$896.40
Contrast x-ray of wrist	$896.40	$896.40	$896.40	$417.75
Control nosebleed pack+caut 30905	$992.40	$992.40	$992.40	$937.20
Control of nosebleed ant comp 30903	$896.40	$896.40	$896.40	$896.40
Control of nosebleedantersmpl 30901	$520.80	$520.80	$520.80	$477.00
Control oropharyngeal hemorr/simp 42960	$1,349.40	$1,349.40	$1,349.40	$1,802.40
Conv gtube to jtube	$3,848.40	$3,848.40	$3,848.40	$3,848.40
Conversion ext bil drg cath	$7,502.40	$7,502.40	$7,502.40	$2,959.50
Convert nephrostomy catheter	$4,953.00	$4,953.00	$4,953.00	$2,643.00
Coombs direct	$75.00	$75.00	$75.00	$75.00
Coombs indirect qualitative each reagent red cell reference	$336.00	$336.00	$336.00	$19.20
Coombs indirect titer reference	$203.40	$203.40	$203.40	$186.75
Copper cu 64 dotatate diag	$2,083.80	$2,083.80	$2,083.80	$2,125.80
Copper intrauterine device	$651.00	$651.00	$651.00	$2,606.40
Core ndl bx lng/med perq	$3,199.80	$3,199.80	$3,199.80	$3,052.80
Cornea pre-cut midwest eye cornea pre-cut midwest eye	$21,789.60	$21,789.60	$21,789.60	$11,265.60
Coronary angio/cath placement bypass graft/lv gram/lt heart	$6,234.00	$6,234.00	$6,234.00	$9,024.60
Coronary angio/lv gram/lt heart	$4,655.40	$4,655.40	$4,655.40	$10,991.40
Coronary angio/lv gram/rt&lt heart	$6,549.60	$6,549.60	$6,549.60	$10,049.40
Coronary art/grft angio s&i	$5,553.60	$5,553.60	$5,553.60	$8,194.20
Coronary catheterization w/angiography supervision & interpretation	$4,739.40	$4,739.40	$4,739.40	$7,491.00
Cortisol total am	$82.20	$82.20	$82.20	$165.00
Cosyntropin 0.25 mg solution for injection	$63.60	$63.60	$63.60	$542.40
Counseling smoke cess interm >10mins	$52.20	$52.20	$52.20	$48.00
Coveredge 32 lead kit 40cm 48	$4,535.40	$4,535.40	$4,535.40	$6,339.60
Covid-19 administration immunization im inj 1st/only component	$24.00	$24.00	$24.00	$24.00
Crbrospnl fld flw imag cistern	$1,574.40	$1,574.40	$1,574.40	$2,313.75
Creat artery-vein fistula autograft 36825	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Creatine kinase	$33.00	$33.00	$33.00	$90.00
Creatine kinase mb	$58.80	$58.80	$58.80	$131.40
Creatinine	$25.80	$25.80	$25.80	$43.80
Creatinine 24 hour urine	$25.80	$25.80	$25.80	$80.40
Creatinine clearance urine	$55.20	$55.20	$55.20	$146.40
Critical care 30-74 minutes	$2,304.00	$2,304.00	$2,304.00	$2,172.00
Critical care each additional 30 minutes	$1,152.00	$1,152.00	$1,152.00	$609.60
Crizanlizumab-tmca 10 mg/ml intravenous solution	$147.00	$147.00	$147.00	$436.20
Cryoprecipitate each unit	$72.60	$72.60	$72.60	$284.00
Cryptosporidium antigen	$66.60	$66.60	$66.60	$162.60
Crystal identification light microscopy	$52.80	$52.80	$52.80	$65.25
Csf leakage imaging	$4,242.60	$4,242.60	$4,242.60	$3,574.20
Cta abdomen without & /or w/contrast	$1,424.40	$1,424.40	$1,424.40	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$1,424.40	$1,424.40	$1,424.40	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$1,424.40	$1,424.40	$1,424.40	$3,067.20
Cta neck without &/or w/contrast	$1,294.80	$1,294.80	$1,294.80	$2,598.60
Cta upper extremity w &/or without contrast left	$1,424.40	$1,424.40	$1,424.40	$3,067.20
Ctrl nosebld postir subsq 30906	$1,852.80	$1,852.80	$1,852.80	$2,574.60
Culture aerobic additional method definitive id each	$45.60	$45.60	$45.60	$67.80
Culture afb any source	$61.20	$61.20	$61.20	$92.80
Culture anaerobic additional method definitive id each	$45.60	$45.60	$45.60	$117.00
Culture anaerobic except blood	$52.80	$52.80	$52.80	$126.00
Culture bact stool aero addl path ea	$52.80	$52.80	$52.80	$52.80
Culture body fluid	$48.00	$48.00	$48.00	$151.50
Culture fungi definitive id mold	$57.00	$57.00	$57.00	$102.60
Culture fungi definitive id yeast	$57.00	$57.00	$57.00	$75.00
Culture fungi other (except blood)	$46.80	$46.80	$46.80	$137.40
Culture fungi skin/hair/nail	$43.20	$43.20	$43.20	$80.40
Culture mycobacteria definitive id each isolate	$81.00	$81.00	$81.00	$123.00
Culture mycoplasma any source	$86.40	$86.40	$86.40	$162.00
Culture screening strep group a	$37.80	$37.80	$37.80	$105.75
Culture typing immunologic	$29.40	$29.40	$29.40	$45.00
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets	$459.00	$459.00	$459.00	$408.75
Culture typing nucleic acid probe amplified per culture/isolate each organism	$195.60	$195.60	$195.60	$343.20
Culture urine each isolate	$45.60	$45.60	$45.60	$74.40
Curette/treat cornea	$1,345.80	$1,345.80	$1,345.80	$1,200.60
Cutter lead	$1,505.40	$1,505.40	$1,505.40	$3,079.80
Cv line/pic reposition	$2,472.00	$2,472.00	$2,472.00	$2,100.75
Cv stress test i&r only 93018	$66.00	$66.00	$66.00	$42.60
Cv stress test/supervision only 93016	$85.80	$85.80	$85.80	$42.60
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$3.60	$3.60	$3.60	$15.00
Cyclic citrullinated peptide antibody	$72.60	$72.60	$72.60	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$439.20	$439.20	$439.20	$3.75
Cyclophosphamide 25 mg capsule	$7.80	$7.80	$7.80	$43.20
Cyclosporine 2 hour	$119.40	$119.40	$119.40	$119.40
Cyclosporine 250 mg/5 ml intravenous solution	$7.80	$7.80	$7.80	$243.99
Cyclosporine modified 25 mg capsule	$2.40	$2.40	$2.40	$10.80
Cyclosporine oral 100 mg	$10.20	$10.20	$10.20	$34.00
Cystatin c	$94.20	$94.20	$94.20	$128.40
Cystine urine quantitative	$116.40	$116.40	$116.40	$125.40
Cystogram >= 3 views supervision & interpretation	$896.40	$896.40	$896.40	$919.50
Cystoscopy & ureter catheter	$6,144.60	$6,144.60	$6,144.60	$3,546.00
Cystoscopy (Bladder Scope)	$1,815.60	$1,815.60	$1,815.60	$1,636.00
Cystoscopy and treatment	$784.80	$784.80	$784.80	$4,170.00
Cystostomy cystotomy w/drainage 51040	$3,276.00	$3,276.00	$3,276.00	$4,977.60
Cystouretero & or pyeloscope	$4,730.40	$4,730.40	$4,730.40	$4,730.40
Cystourethroscop/calib/dilat stric 52281	$2,428.80	$2,428.80	$2,428.80	$3,442.20
Cytarabine 20 mg/ml injection solution	$0.60	$0.60	$0.60	$66.20
Cyto/molecular report	$57.60	$57.60	$57.60	$85.80
Cytomegalovirus (cmv) antibody igg	$81.00	$81.00	$81.00	$146.40
Cytomegalovirus (cmv) antibody igm	$94.20	$94.20	$94.20	$134.40
Cytopath c/v index add-on	$34.20	$34.20	$34.20	$34.20
Cytopath fl nongyn filter	$91.20	$91.20	$91.20	$140.40
Cytopath smear oth prep screen & interp	$54.60	$54.60	$54.60	$113.40
Cytopath smear other source	$116.40	$116.40	$116.40	$116.40
Cytopath smear other source	$54.60	$54.60	$54.60	$54.60
Cytopath tbs c/v manual	$36.60	$36.60	$36.60	$36.60
Cytopathology cellular enhancement technique non-gyn	$265.20	$265.20	$265.20	$265.20
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$110.40	$110.40	$110.40	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$115.20	$115.20	$115.20	$61.20
Cytopathology concentration technique smears & interpretation	$85.80	$85.80	$85.80	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$78.60	$78.60	$78.60	$137.40
Cytopathology fna adequacy evaluation each separate additional episode same site	$132.00	$132.00	$132.00	$48.00
Cytopathology fna adequacy evaluation first episode each site	$337.20	$337.20	$337.20	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$223.80	$223.80	$223.80	$195.75
Dacarbazine 100 mg intravenous solution	$19.20	$19.20	$19.20	$76.80
Dactinomycin 0.5 mg intravenous solution	$1,624.80	$1,624.80	$1,624.80	$1,624.80
Dalbavancin 500 mg intravenous solution	$1,067.40	$1,067.40	$1,067.40	$1,067.40
Daptomycin 500 mg/10 ml intravenous solution	$267.00	$267.00	$267.00	$1,138.20
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$387.60	$387.60	$387.60	$109.20
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$2,322.00	$2,322.00	$2,322.00	$5,546.48
Daunorubicin 5 mg/ml intravenous solution	$19.80	$19.80	$19.80	$622.20
Dch glucoscan	$19.80	$19.80	$19.80	$19.80
Dch pulmonary stress test	$650.40	$650.40	$650.40	$650.40
Dch validity tests	$25.20	$25.20	$25.20	$31.50
Deamidated gliadin antibody iga	$58.80	$58.80	$58.80	$80.40
Debr musc/fascia 20sq cm/< 11043	$1,965.00	$1,965.00	$1,965.00	$1,965.00
Debrid ecz/inf skin up tp 10% body 11000	$1,488.00	$1,488.00	$1,488.00	$922.50
Debride nail1-5 11720	$232.20	$232.20	$232.20	$282.60
Debride skin bone at fx site	$3,515.40	$3,515.40	$3,515.40	$3,785.40
Debride skn/sq t/m/f necro infctj abdl wall 11005	$2,073.00	$2,073.00	$2,073.00	$2,073.00
Debride skn/sq/musc/abd wall 11004	$1,539.00	$1,539.00	$1,539.00	$1,539.00
Debridement (>20 cm) charge pt	$483.60	$483.60	$483.60	$321.00
Debridement bone <= 20 sq cm	$2,320.80	$2,320.80	$2,320.80	$2,359.20
Debridement subcutaneous tissue <= 20 sq cm	$1,580.40	$1,580.40	$1,580.40	$1,580.40
Debridement/bone/20 sq cm or less 11046	$147.00	$147.00	$147.00	$817.20
Decalcification	$124.80	$124.80	$124.80	$201.00
Decitabine 50 mg intravenous solution	$1,026.60	$1,026.60	$1,026.60	$292.80
Declotting thrombolytic agent implanted vas access device 36	$740.40	$740.40	$740.40	$543.00
Decompress small bowel	$3,899.40	$3,899.40	$3,899.40	$3,899.40
Deferoxamine 500 mg solution for injection	$20.40	$20.40	$20.40	$102.84
Degarelix 120 mg subcutaneous solution	$457.20	$457.20	$457.20	$2,262.60
Delivery of placenta 59414	$3,786.60	$3,786.60	$3,786.60	$3,276.00
Delivery transcath fxtn dvc to endogrft w/s&i	$8,864.40	$8,864.40	$8,864.40	$8,864.40
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$1,127.40	$1,127.40	$1,127.40	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$734.40	$734.40	$734.40	$734.40
Des thora aorta rpr without left sub art 33881	$9,807.60	$9,807.60	$9,807.60	$9,807.60
Design mlc device for imrt	$1,479.60	$1,479.60	$1,479.60	$1,772.40
Desmopressin 4 mcg/ml injection solution	$49.20	$49.20	$49.20	$172.46
Desoxycorticosterone	$67.20	$67.20	$67.20	$324.00
Destroy cervthor facet jnt 64633	$2,606.40	$2,606.40	$2,606.40	$3,434.40
Destroy cth facet jnt addl 64634	$2,099.40	$2,099.40	$2,099.40	$2,841.60
Destroy internal hemorrhoids destroy 46930	$1,522.80	$1,522.80	$1,522.80	$2,551.20
Destroy premlg lesns;1st lesn 17000	$520.80	$520.80	$520.80	$520.80
Destruction 2-14 lesions 17003	$72.60	$72.60	$72.60	$83.25
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$2,908.20	$2,908.20	$2,908.20	$3,434.40
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$2,224.80	$2,224.80	$2,224.80	$3,434.40
Destruction premal lesions 15/> 17004	$532.80	$532.80	$532.80	$532.80
Device intraute mirena	$693.60	$693.60	$693.60	$3,052.80
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$188.40	$188.40	$188.40	$127.20
Dexametha opth insert 0.1 mg	$354.00	$354.00	$354.00	$505.80
Dexamethasone 4 mg tablet	$0.60	$0.60	$0.60	$5.40
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$4.20	$4.20	$4.20	$6.60
Dexrazoxane hcl 250 mg intravenous solution	$328.80	$328.80	$328.80	$1,087.80
Dhea-s (dehydroepiand sulfate)	$113.40	$113.40	$113.40	$210.00
Diab manage trn ind/group	$16.80	$16.80	$16.80	$93.00
Diabetes (HbA1c) Test	$49.20	$49.20	$49.20	$69.55
Diag laparo separate proc 49320	$853.80	$853.80	$853.80	$853.80
Diagnostic Mammogram (both breasts)	$310.20	$310.20	$310.20	$424.00
Diagnostic Mammogram (one breast)	$349.80	$349.80	$349.80	$297.05
Diagnostic anoscopy spx 46600	$432.60	$432.60	$432.60	$432.60
Diagnostic laryngoscopy 31505	$432.60	$432.60	$432.60	$432.60
Diagnostic laryngoscopy 31575	$956.40	$956.40	$956.40	$615.00
Diagnostic radio unlisted proc	$170.40	$170.40	$170.40	$564.75
Dialysis circuit perm vascular embolization 36909	$2,160.60	$2,160.60	$2,160.60	$4,614.60
Dialysis one evaluation	$970.80	$970.80	$970.80	$1,098.60
Diazepam 5 mg/ml injection solution (wrapper)	$9.60	$9.60	$9.60	$35.40
Dicyclomine injection	$25.20	$25.20	$25.20	$425.60
Diffusing capacity	$970.20	$970.20	$970.20	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$85.80	$85.80	$85.80	$29.85
Digoxin immune fab 40 mg intravenous solution	$2,869.80	$2,869.80	$2,869.80	$11,176.20
Digoxin total therapeutic drug level	$96.00	$96.00	$96.00	$126.00
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$89.40	$89.40	$89.40	$924.80
Dilat xst trc ndurlgc px	$9,487.80	$9,487.80	$9,487.80	$2,577.00
Dilat xst trc new access rcs	$11,311.20	$11,311.20	$11,311.20	$4,437.60
Dilate biliary duct/ampulla	$2,304.60	$2,304.60	$2,304.60	$2,304.60
Dilate ic vasospasm ea add vsl diff territory	$1,269.00	$1,269.00	$1,269.00	$1,623.00
Dilate ic vasospasm ea add vsl same territory	$1,269.00	$1,269.00	$1,269.00	$1,623.00
Dilate ic vasospasm init	$3,609.60	$3,609.60	$3,609.60	$3,609.60
Dilate urethra stricture	$534.00	$534.00	$534.00	$682.20
Diltiazem 5 mg/ml intravenous solution	$12.60	$12.60	$12.60	$107.23
Dimenhydrinate injection	$6.60	$6.60	$6.60	$13.80
Dimethyl sulfoxide 50% 50 ml	$7.80	$7.80	$7.80	$644.40
Diphenhydramine 12.5 mg/5 ml oral elixir	$0.60	$0.60	$0.60	$9.60
Diphenhydramine 50 mg/ml injection (wrapper)	$1.80	$1.80	$1.80	$13.80
Disability dlco	$886.80	$886.80	$886.80	$234.00
Disaccharidases	$112.80	$112.80	$112.80	$163.80
Discography cerv/thor spine	$4,030.20	$4,030.20	$4,030.20	$2,404.00
Dissolve clot heart vessel	$1,274.40	$1,274.40	$1,274.40	$0.60
Dist revas ligation hemo	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Dna antibody native/double stranded	$76.80	$76.80	$76.80	$159.00
Dna gardnerella	$112.20	$112.20	$112.20	$197.40
Dna probe chlamydia	$82.20	$82.20	$82.20	$82.20
Dna probe gc	$97.20	$97.20	$97.20	$72.60
Dna trichomonas	$112.20	$112.20	$112.20	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$2.40	$2.40	$2.40	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$35.40	$35.40	$35.40	$86.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$1.20	$1.20	$1.20	$56.40
Doppler echo complete	$471.00	$471.00	$471.00	$677.40
Doppler intravascular pressure flow initial vessel	$3,046.80	$3,046.80	$3,046.80	$3,046.80
Doppler upper/lower extremity arteries complete bilateral	$1,091.40	$1,091.40	$1,091.40	$946.50
Doppler upper/lower extremity arteries limited bilateral	$547.20	$547.20	$547.20	$564.75
Dornase alfa non-comp unit	$30.60	$30.60	$30.60	$236.00
Dostarlimab-gxly 50 mg/ml intravenous solution	$679.80	$679.80	$679.80	$565.80
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$157.80	$157.80	$157.80	$314.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$255.00	$255.00	$255.00	$2,245.20
Doxycycline hyclate 100 mg intravenous powder for solution	$15.60	$15.60	$15.60	$1.20
Drain blood from under nail 11740	$370.80	$370.80	$370.80	$266.40
Drain cath image guided peri/retroperitoneal transvag/transrectal	$2,253.00	$2,253.00	$2,253.00	$2,976.00
Drain cath image guided visceral pq	$3,637.20	$3,637.20	$3,637.20	$5,596.80
Drain cerebro spinal fluid 62272	$1,951.80	$1,951.80	$1,951.80	$1,524.80
Drain finger abscess;simple 26010	$265.20	$265.20	$265.20	$451.20
Drain neck/chest lesion 21501	$5,874.00	$5,874.00	$5,874.00	$3,293.25
Drain thigh/knee lesion 27301	$7,173.60	$7,173.60	$7,173.60	$5,469.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$924.60	$924.60	$924.60	$846.60
Drainage ext aud canal abscess 69020	$2,184.60	$2,184.60	$2,184.60	$1,440.00
Drainage external ear complex 69005	$4,498.20	$4,498.20	$4,498.20	$4,498.20
Drainage external ear simple 69000	$924.60	$924.60	$924.60	$712.80
Drainage mouth roof lesion	$837.00	$837.00	$837.00	$1,651.80
Drainage of arm bursa 23931	$2,080.80	$2,080.80	$2,080.80	$2,638.50
Drainage of kidney lesion	$2,461.20	$2,461.20	$2,461.20	$1,989.75
Drainage of mouth lesion	$3,971.40	$3,971.40	$3,971.40	$3,435.60
Drainage of nose lesion int 30000	$649.80	$649.80	$649.80	$3,592.20
Drainage of nose lesion sept 30020	$1,624.20	$1,624.20	$1,624.20	$1,624.20
Drainage of rectal abscess	$1,522.80	$1,522.80	$1,522.80	$3,520.20
Drainage of urethra abscess 53060	$2,685.60	$2,685.60	$2,685.60	$2,685.60
Dress/debrid prtl-thick burn l 16030	$1,324.20	$1,324.20	$1,324.20	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$528.60	$528.60	$528.60	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$408.60	$408.60	$408.60	$408.60
Drill hole implt ventricular cath/device 61107	$1,723.80	$1,723.80	$1,723.80	$2,397.00
Drng hand tendon sheath 26020	$4,150.20	$4,150.20	$4,150.20	$4,150.20
Drng of eyelid abscess 67700	$770.40	$770.40	$770.40	$5,772.60
Drng of finger abscess comp 26011	$2,080.80	$2,080.80	$2,080.80	$1,875.00
Drng of scrotum abscess 55100	$2,080.80	$2,080.80	$2,080.80	$2,716.80
Drng salivary gland simple 42300	$3,678.60	$3,678.60	$3,678.60	$3,678.60
Droperidol 2.5 mg/ml injection solution	$2.40	$2.40	$2.40	$39.60
Drsg interceed 3x4in adh wnd barr absorb	$640.80	$640.80	$640.80	$1,956.48
Drug admin & hemodynmic meas	$2,304.60	$2,304.60	$2,304.60	$687.00
Drug assay caffeine	$99.00	$99.00	$99.00	$59.25
Drug assay posaconazole	$57.00	$57.00	$57.00	$171.75
Drug assay vedolizumab	$83.40	$83.40	$83.40	$298.80
Drug assay voriconazole	$190.80	$190.80	$190.80	$186.00
Drug of abuse screen urine	$32.40	$32.40	$32.40	$63.75
Drug test def 1-7 classes	$294.00	$294.00	$294.00	$437.40
Drug test def 15-21 classes	$436.80	$436.80	$436.80	$436.80
Drug test def 22+ classes	$634.20	$634.20	$634.20	$634.20
Drug test def 8-14 classes	$345.00	$345.00	$345.00	$440.40
Drug test prsmv instrmnt	$44.40	$44.40	$44.40	$44.40
Drug test(s) presumptive any class instrument chemistry analyzers	$212.40	$212.40	$212.40	$383.20
Drvvt confirm - quest	$91.80	$91.80	$91.80	$174.60
Dstrj nulyt agt gnclr nrv	$5,661.00	$5,661.00	$5,661.00	$1,429.20
Ductogram sgl duct	$547.80	$547.80	$547.80	$547.80
Dup scan/hemodialysis access 93990	$375.60	$375.60	$375.60	$684.60
Dup scan/lwr xtr vasc stdy bilat 93924	$797.40	$797.40	$797.40	$914.40
Dup scan/ue art/graft/bilat/comp 93930	$819.60	$819.60	$819.60	$903.00
Duplex scan bilateral study 93985	$692.40	$692.40	$692.40	$1,144.80
Duplex scan unilateral study 93986	$375.60	$375.60	$375.60	$714.60
Durvalumab 50 mg/ml intravenous solution	$241.20	$241.20	$241.20	$241.20
Dx bronchoscope/brush 31623	$2,168.40	$2,168.40	$2,168.40	$2,168.40
Dx bronchoscope/lavage 31624	$2,168.40	$2,168.40	$2,168.40	$2,926.80
Dx bronchoscope/wash 31622	$2,168.40	$2,168.40	$2,168.40	$2,322.60
Dx gastr intub w/asp spec	$861.60	$861.60	$861.60	$861.60
Dxa bone density axl vrt fx	$239.40	$239.40	$239.40	$672.60
E equine encephalitis igg	$73.80	$73.80	$73.80	$135.75
EKG (Electrocardiogram)	$247.80	$247.80	$247.80	$140.07
ER Visit (level 1, minor)	$391.20	$391.20	$391.20	$286.94
ER Visit (level 2)	$570.60	$570.60	$570.60	$469.39
ER Visit (level 3)	$887.40	$887.40	$887.40	$836.00
ER Visit (level 4)	$1,320.00	$1,320.00	$1,320.00	$1,330.12
ER Visit (level 5, high severity)	$1,828.80	$1,828.80	$1,828.80	$1,892.80
Ear irrigation 69209	$214.80	$214.80	$214.80	$137.40
Ecg 12 lead tracing only	$247.80	$247.80	$247.80	$271.80
Ecg external < 48 hours recording	$752.40	$752.40	$752.40	$551.40
Ecg external < 48 hours scanning analysis w/report	$259.20	$259.20	$259.20	$642.75
Ecg external > 48 hours up to 7 days recording	$72.00	$72.00	$72.00	$72.60
Ecg external >7 days up to 15 days recording	$72.00	$72.00	$72.00	$75.00
Echo exam of eye	$197.40	$197.40	$197.40	$430.20
Echo exam of fetal heart	$424.80	$424.80	$424.80	$300.75
Echo exam of fetal heart	$1,823.40	$1,823.40	$1,823.40	$644.25
Echo exam of fetal heart	$875.40	$875.40	$875.40	$480.75
Echo exam of fetal heart	$424.80	$424.80	$424.80	$424.80
Echo exam uterus 76831-	$819.60	$819.60	$819.60	$819.60
Echo guide for amniocentesis	$295.80	$295.80	$295.80	$499.20
Echo guide for artery repair	$539.40	$539.40	$539.40	$1,009.20
Echo guide for transfusion	$434.40	$434.40	$434.40	$317.25
Echo guide villus sampling	$355.80	$355.80	$355.80	$355.80
Echo stress	$1,737.60	$1,737.60	$1,737.60	$1,056.00
Echo tee probe placement image acquisition interpretation & report	$1,875.00	$1,875.00	$1,875.00	$1,875.00
Echo transesophageal	$1,737.60	$1,737.60	$1,737.60	$1,737.60
Echo transesophageal	$58.80	$58.80	$58.80	$58.80
Echo transesophageal intraop	$1,737.60	$1,737.60	$1,737.60	$2,142.60
Echo transthoracic	$1,737.60	$1,737.60	$1,737.60	$1,094.40
Echo transthoracic	$1,737.60	$1,737.60	$1,737.60	$534.60
Echo tte 2d comp wo ctrst wo clr/dplr	$841.20	$841.20	$841.20	$1,026.40
Echocardiogram (Heart Ultrasound)	$2,311.20	$2,311.20	$2,311.20	$2,024.64
Echocardiography doppler color flow mapping	$418.20	$418.20	$418.20	$520.50
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$2,457.00	$2,457.00	$2,457.00	$2,265.00
Echocardiography transthoracic 2d followup/limited	$841.20	$841.20	$841.20	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$1,378.20	$1,378.20	$1,378.20	$691.20
Echocardiograpy doppler follow up/limited study	$303.60	$303.60	$303.60	$350.25
Eculizumab 300 mg/30 ml intravenous solution	$130.20	$130.20	$130.20	$268.80
Eeg 41-60 minutes 95812-26	$790.80	$790.80	$790.80	$1,081.50
Eeg during surgery	$363.60	$363.60	$363.60	$643.80
Eeg monitor/record/awake/drowsy 95816	$615.00	$615.00	$615.00	$855.60
Eeg over 1 hour 95813 - 26	$907.80	$907.80	$907.80	$907.80
Eeg recording awake and asleep	$951.60	$951.60	$951.60	$1,173.00
Eeg wo vid ea 12-26hr unmntr	$1,773.60	$1,773.60	$1,773.60	$1,126.20
Eeg/cerebral death evaluation only 95824 -26	$1,177.80	$1,177.80	$1,177.80	$1,177.80
Eeg/record in coma or sleep only 95822	$548.40	$548.40	$548.40	$1,095.60
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$185.40	$185.40	$185.40	$85.60
Egd Ultrasound fine needle bx/aspir	$694.80	$694.80	$694.80	$3,514.50
Egd esophagogastrc fndoplsty	$12,753.60	$12,753.60	$12,753.60	$11,934.00
Egd remove foreign body	$2,019.60	$2,019.60	$2,019.60	$2,625.00
Egfr gene com variants	$1,875.60	$1,875.60	$1,875.60	$808.80
Ehrlicha chaffeensis amp prb	$70.80	$70.80	$70.80	$290.40
Electroconvulsive therapy 90870	$736.20	$736.20	$736.20	$1,226.40
Electrocorticography durng sx	$881.40	$881.40	$881.40	$881.40
Electrode stimulation brain	$2,346.60	$2,346.60	$2,346.60	$1,137.75
Electrolyte panel	$45.60	$45.60	$45.60	$130.80
Electron microscopy diagnostic	$1,472.40	$1,472.40	$1,472.40	$1,386.00
Electrophys map 3d add-on	$4,608.60	$4,608.60	$4,608.60	$5,610.00
Electrophysiology evaluation	$3,064.20	$3,064.20	$3,064.20	$1,735.80
Electrophysiology evaluation	$7,534.80	$7,534.80	$7,534.80	$5,576.40
Electrophysiology evaluation	$6,361.20	$6,361.20	$6,361.20	$6,361.20
Electrophysiology evaluation	$378.60	$378.60	$378.60	$2,100.60
Electrophysiology evaluation	$3,223.80	$3,223.80	$3,223.80	$2,161.80
Elotuzumab 300 mg intravenous solution	$1,749.60	$1,749.60	$1,749.60	$1,749.60
Emb without cervical dilation 58100	$378.00	$378.00	$378.00	$2,178.00
Embedded ip cath exit-site 49436	$432.00	$432.00	$432.00	$432.00
Embo or occlude vascular arterial s&i	$25,921.80	$25,921.80	$25,921.80	$13,485.60
Embo or occlude vascular hemorrhage s&i	$22,274.40	$22,274.40	$22,274.40	$12,721.80
Embo or occlude vascular tumor/organ/infarct s&i	$22,274.40	$22,274.40	$22,274.40	$11,680.50
Embo or occlude vascular venous s&i	$22,274.40	$22,274.40	$22,274.40	$13,485.60
Embolization s&i	$5,940.60	$5,940.60	$5,940.60	$4,390.50
Emg 2 ext w-w/o paraspinal area 95861	$247.80	$247.80	$247.80	$665.40
Emg 3 ext w-w/o paraspinal area 95863	$270.60	$270.60	$270.60	$447.00
Emg cranial nerve bilateral	$612.60	$612.60	$612.60	$529.80
Emg needle test 1-extremity	$222.60	$222.60	$222.60	$398.25
Emg needle test 4-extremities	$270.60	$270.60	$270.60	$1,050.00
Emg thor paraspinal without t1/t2	$543.60	$543.60	$543.60	$186.00
Encephalitis, california igg/igm	$73.80	$73.80	$73.80	$135.75
Encephalitis, st louis igg/igm	$73.80	$73.80	$73.80	$135.75
Encephalitis, western equine igg/igm	$73.80	$73.80	$73.80	$135.75
Endo abl/incom vein/ext/laser/#1 36478	$7,047.00	$7,047.00	$7,047.00	$6,948.00
Endo cath bile duct s&i	$525.00	$525.00	$525.00	$982.20
Endo cath panc duct s&i	$797.40	$797.40	$797.40	$926.40
Endo cholangiopancreatograph	$4,546.20	$4,546.20	$4,546.20	$4,282.20
Endocerv curettage w/scope 57456	$615.60	$615.60	$615.60	$592.50
Endocervical curettage 57505	$1,381.20	$1,381.20	$1,381.20	$1,119.00
Endoluminal bx biliary tree	$2,354.40	$2,354.40	$2,354.40	$7,821.60
Endoluminl ivus oct c 1st	$3,046.80	$3,046.80	$3,046.80	$3,315.00
Endoluminl ivus oct c ea	$3,046.80	$3,046.80	$3,046.80	$3,046.80
Endovas iliac a device addon	$9,316.20	$9,316.20	$9,316.20	$9,316.20
Endovasc rpr a-biiliac endogft 34705	$7,465.20	$7,465.20	$7,465.20	$10,363.80
Endovasc tempory vessel occl	$22,601.40	$22,601.40	$22,601.40	$8,869.50
Endovenous laser vein addon 36479	$3,149.40	$3,149.40	$3,149.40	$3,149.40
Enfortumab vedotin-ejfv 20 mg intravenous solution	$2,527.80	$2,527.80	$2,527.80	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$74.40	$74.40	$74.40	$69.60
Entamoeba histolytica ag eia - sendout	$66.60	$66.60	$66.60	$89.25
Enterectomy small intestine addl 44121	$644.40	$644.40	$644.40	$644.40
Enterectomy small intestine single 44120	$2,237.40	$2,237.40	$2,237.40	$2,237.40
Enteroenterostomy fusion 44130	$3,469.20	$3,469.20	$3,469.20	$3,469.20
Enzyme histochemistry	$1,472.40	$1,472.40	$1,472.40	$471.60
Ep & ablate supravent arrhyt	$30,975.00	$30,975.00	$30,975.00	$30,975.00
Ep & ablate ventric tachy	$30,975.00	$30,975.00	$30,975.00	$30,975.00
Ep induct arrhy by elect pacing	$2,447.40	$2,447.40	$2,447.40	$3,663.00
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution	$11,590.20	$11,590.20	$11,590.20	$102.60
Epidrm a-grft face/nck/hf/g 15115	$3,834.60	$3,834.60	$3,834.60	$3,834.60
Epidural/lumbar/sacral/ea add level64484	$2,398.80	$2,398.80	$2,398.80	$1,897.80
Epinephrine 1 mg/ml im kit - adult	$118.20	$118.20	$118.20	$118.20
Epinephrine 1 mg/ml im kit - pediatric	$6.60	$6.60	$6.60	$441.60
Epirubicin 200 mg/100 ml intravenous solution	$0.60	$0.60	$0.60	$161.59
Episiotomy/vag rpr oth/thn attending phys 59300	$5,964.60	$5,964.60	$5,964.60	$2,236.20
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$641.40	$641.40	$641.40	$160.00
Epoetin alfa-epbx 40,000 unit/ml injection solution	$264.60	$264.60	$264.60	$336.66
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr	$31.20	$31.20	$31.20	$253.20
Epstein barr early antigen antibody	$76.80	$76.80	$76.80	$126.00
Epstein barr nuclear antigen antibody	$86.40	$86.40	$86.40	$120.75
Epstein barr viral capsid antigen antibody igm	$103.20	$103.20	$103.20	$153.75
Eptinezumab-jjmr 100 mg/ml intravenous solution	$1,060.20	$1,060.20	$1,060.20	$3,637.20
Ercp biliary & pancreas	$1,026.60	$1,026.60	$1,026.60	$1,026.60
Ercp lithotripsy calculi	$7,247.40	$7,247.40	$7,247.40	$4,379.25
Ercp remove duct calculi 43264	$4,546.20	$4,546.20	$4,546.20	$4,282.20
Ercp w/specimen collection	$4,546.20	$4,546.20	$4,546.20	$4,282.20
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$820.80	$820.80	$820.80	$509.40
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$82.80	$82.80	$82.80	$396.00
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$120.00	$120.00	$120.00	$120.00
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$3.00	$3.00	$3.00	$11.80
Esoph fundoplasty lap 43327	$3,781.20	$3,781.20	$3,781.20	$3,781.20
Esoph imped funct test > 1hr	$1,121.40	$1,121.40	$1,121.40	$1,139.25
Esoph imped function test	$603.00	$603.00	$603.00	$603.00
Esophageal dilat s&i	$504.60	$504.60	$504.60	$672.80
Esophagoscopy balloon <30mm	$2,361.00	$2,361.00	$2,361.00	$3,139.50
Esophagoscopy flex remove fb	$2,361.00	$2,361.00	$2,361.00	$2,574.60
Esophagoscopy/flex/diagnostic 43200	$1,509.00	$1,509.00	$1,509.00	$2,978.40
Esophagus motility study	$972.00	$972.00	$972.00	$1,332.75
Establish access to aorta	$2,670.60	$2,670.60	$2,670.60	$2,670.60
Establish access to artery	$1,699.20	$1,699.20	$1,699.20	$1,699.20
Established Patient Office Visit (level 1)	$97.80	$97.80	$97.80	$115.05
Established Patient Office Visit (level 2)	$174.00	$174.00	$174.00	$127.53
Established Patient Office Visit (level 3)	$240.60	$240.60	$240.60	$183.60
Established Patient Office Visit (level 4)	$271.80	$271.80	$271.80	$228.60
Established Patient Office Visit (level 5)	$678.00	$678.00	$678.00	$306.40
Estradiol total	$142.20	$142.20	$142.20	$242.40
Estrogens total-sendout	$110.40	$110.40	$110.40	$270.00
Ethylene glycol -sendout	$28.80	$28.80	$28.80	$114.60
Etonogestrel implant system	$693.60	$693.60	$693.60	$3,428.00
Etoposide 20 mg/ml intravenous solution	$102.00	$102.00	$102.00	$213.17
Etoposide 50 mg cap	$45.00	$45.00	$45.00	$271.80
Euglobulin lysis	$30.60	$30.60	$30.60	$70.80
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen	$496.80	$496.80	$496.80	$270.40
Evaluation of speech fluency 92521	$508.20	$508.20	$508.20	$393.00
Evaluation psychiatric diagnostic	$669.00	$669.00	$669.00	$351.60
Evasc prlng admn rx agnt 1st	$3,609.60	$3,609.60	$3,609.60	$3,609.60
Evasc prlng admn rx agnt add	$1,269.00	$1,269.00	$1,269.00	$1,774.20
Evasc repair of iliac artery; endograft 34718	$17,281.80	$17,281.80	$17,281.80	$4,483.80
Evasc rpr a-ao ndgft 34701	$7,465.20	$7,465.20	$7,465.20	$3,078.00
Evasc rpr a-biiliac ndgft rptr	$8,133.60	$8,133.60	$8,133.60	$10,363.80
Evasc rpr a-iliac ndgft 34717	$9,316.20	$9,316.20	$9,316.20	$4,483.80
Evasc rpr a-unilac ndgft 34703	$7,465.20	$7,465.20	$7,465.20	$3,078.00
Evasc rpr ilio-iliac ndgft	$7,465.20	$7,465.20	$7,465.20	$7,465.20
Evoked potential visual not glaucoma	$572.40	$572.40	$572.40	$572.40
Evoked potentials upper limbs	$339.00	$339.00	$339.00	$491.40
Ex sq tumor/face or scalp 2 cm/> 21012	$877.20	$877.20	$877.20	$3,369.60
Exam of vagina w/scope 57420	$615.60	$615.60	$615.60	$615.60
Exc abd les sc 3 cm/>	$1,144.80	$1,144.80	$1,144.80	$1,144.80
Exc abdl tum deep < 5 cm	$1,464.00	$1,464.00	$1,464.00	$1,464.00
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442	$2,184.60	$2,184.60	$2,184.60	$2,448.00
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443	$2,184.60	$2,184.60	$2,184.60	$2,319.75
Exc ben+marg excep skin tag feenlm <0.5cm 11440	$2,184.60	$2,184.60	$2,184.60	$1,703.40
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423	$406.20	$406.20	$406.20	$1,967.25
Exc ben+marg excep skin tag snhfg >4cm 11426	$718.80	$718.80	$718.80	$3,483.00
Exc ben+marg excep skin tag tal 0.6-1cm 11401	$969.00	$969.00	$969.00	$2,131.50
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403	$1,651.80	$1,651.80	$1,651.80	$1,743.00
Exc benign feenlm 3.1-4.0cm 11444	$2,184.60	$2,184.60	$2,184.60	$2,979.60
Exc benign feenlm >4.0cm 11446	$3,515.40	$3,515.40	$3,515.40	$3,992.40
Exc benign snhfg 3.1-4.0cm 11424	$464.40	$464.40	$464.40	$3,417.00
Exc benign tal 0.5 < cm 11400	$1,341.60	$1,341.60	$1,341.60	$1,703.40
Exc hidradenitis ing simpl 11462	$621.60	$621.60	$621.60	$621.60
Exc mal+marg tal 2.1-3 cm 11603	$508.20	$508.20	$508.20	$1,521.75
Exc malig feenl 1.1-2 11642	$477.00	$477.00	$477.00	$2,185.50
Exc malig snhfg 0.5cm or less 11620	$315.00	$315.00	$315.00	$315.00
Exc malig snhfg 2.1-3 cm 11623	$550.20	$550.20	$550.20	$2,306.25
Exc skn hdrdnt ax complex	$846.00	$846.00	$846.00	$846.00
Exc skn hdrdnt ax smpl/ntrm	$652.80	$652.80	$652.80	$652.80
Exc sq tum/neck/ant thorax 3cm/> 21552	$1,164.60	$1,164.60	$1,164.60	$1,164.60
Exc sq tumor/thigh/knee area 3cm/> 27337	$1,087.80	$1,087.80	$1,087.80	$3,293.25
Exc thigh/knee tum dep 5cm/>	$3,514.80	$3,514.80	$3,514.80	$3,514.80
Exc thrombosed hemorrhoid 46320	$1,522.80	$1,522.80	$1,522.80	$3,560.40
Exc tmr sft tiss shldr subq <3cm	$849.60	$849.60	$849.60	$1,880.25
Exc/pilonidal cyst/sinus/simple 11770	$480.60	$480.60	$480.60	$4,284.00
Exchange biliary drg cath	$7,502.40	$7,502.40	$7,502.40	$2,959.50
Exchange drainage catheter	$6,913.20	$6,913.20	$6,913.20	$2,774.25
Exchange nephrostomy cath	$2,685.60	$2,685.60	$2,685.60	$2,643.00
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm	$2,184.60	$2,184.60	$2,184.60	$2,184.60
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm	$348.00	$348.00	$348.00	$2,064.75
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm	$2,184.60	$2,184.60	$2,184.60	$2,184.60
Excision benign lesion trunk/arms/legs > 4.0 cm	$2,925.00	$2,925.00	$2,925.00	$3,265.20
Excision graft extremity	$504.00	$504.00	$504.00	$504.00
Excision olecranon bursa	$2,271.60	$2,271.60	$2,271.60	$2,271.60
Exercise tst brncspsm w/ecg	$275.40	$275.40	$275.40	$337.50
Exercise tst brncspsm wo ecg	$112.80	$112.80	$112.80	$112.80
Exercise w/hemodynamic meas	$2,715.00	$2,715.00	$2,715.00	$2,715.00
Exp w remove/deep fb/forearm/wrist 25248	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Expl lap celiotomy w/wo bx 49000	$1,389.00	$1,389.00	$1,389.00	$5,776.80
Exploration retroperitoneal area 49010	$2,465.40	$2,465.40	$2,465.40	$2,465.40
Explore adrenal gland w or without biopsy 60540	$2,817.00	$2,817.00	$2,817.00	$2,817.00
Explore parathyroid glands	$1,307.40	$1,307.40	$1,307.40	$1,307.40
Explore penetrating wnd/extremity 20103	$5,344.20	$5,344.20	$5,344.20	$3,349.80
Explore/repair chest 32110	$7,908.00	$7,908.00	$7,908.00	$10,822.80
Explore/treat finger joint	$4,131.00	$4,131.00	$4,131.00	$4,131.00
External chromosome analysis 20-25 cells	$1,033.80	$1,033.80	$1,033.80	$919.20
External tissue culture neoplastic disorders bone marrow/blood cells	$1,028.40	$1,028.40	$1,028.40	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$100.20	$100.20	$100.20	$159.00
F-18 fdg pet diag	$537.60	$537.60	$537.60	$1,013.40
F-18 florbetapir less than or equal to 10 mci	$12,351.00	$12,351.00	$12,351.00	$7,344.60
F-18 fluciclovine per mci	$1,588.80	$1,588.80	$1,588.80	$1,579.20
F-18 sodium fluoride	$640.80	$640.80	$640.80	$640.80
Facial bones <3	$188.40	$188.40	$188.40	$388.00
Factor ix	$96.60	$96.60	$96.60	$222.60
Factor ix recombinant nos	$2,040.00	$2,040.00	$2,040.00	$34.65
Factor viii	$91.20	$91.20	$91.20	$222.60
Factor viii recomb novoeight	$2,592.00	$2,592.00	$2,592.00	$3.40
Factor viii recombinant nos	$2,280.00	$2,280.00	$2,280.00	$13.60
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$1,620.60	$1,620.60	$1,620.60	$55.20
Fat/lipids feces qualitative	$25.80	$25.80	$25.80	$39.60
Fatty acids nonesterified	$94.80	$94.80	$94.80	$153.60
Feeding tube reposition	$447.60	$447.60	$447.60	$447.60
Fem/popl revasc w/stent	$17,281.80	$17,281.80	$17,281.80	$34,620.00
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$35.40	$35.40	$35.40	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$58.80	$58.80	$58.80	$3,736.68
Ferritin	$68.40	$68.40	$68.40	$212.40
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$42.00	$42.00	$42.00	$3,963.60
Fetal biophys profile w/nst 76818	$394.20	$394.20	$394.20	$831.75
Fetal chrom aneuploidy gsa panel	$1,644.00	$1,644.00	$1,644.00	$3,621.60
Fetal contract stress test 59020 - 26	$555.60	$555.60	$555.60	$267.75
Fetal cord puncture prenatal	$1,034.40	$1,034.40	$1,034.40	$1,034.40
Fetal fibronectin	$326.40	$326.40	$326.40	$727.80
Fetal fluid drainage w/us	$1,034.40	$1,034.40	$1,034.40	$1,034.40
Fetal hemoglobin (kleihauer betke)	$40.20	$40.20	$40.20	$121.20
Fetal hemoglobin rosette	$48.00	$48.00	$48.00	$78.60
Fetal non stress test	$752.40	$752.40	$752.40	$451.20
Fetal shunt placement w/us	$1,034.40	$1,034.40	$1,034.40	$355.50
Fibrin degradation d dimer quantitative	$51.60	$51.60	$51.60	$93.00
Fibrin degradation products	$34.20	$34.20	$34.20	$91.80
Fibrin degrade semiquant	$34.80	$34.80	$34.80	$70.20
Fibrinogen activity	$49.20	$49.20	$49.20	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$33.00	$33.00	$33.00	$82.50
Fibrinolytic antiplasmin	$40.20	$40.20	$40.20	$81.60
Fibrinolytic plasminogen	$87.00	$87.00	$87.00	$159.60
Fibrinolytic plasminogen xcpt antgnc asa	$33.00	$33.00	$33.00	$83.40
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$188.40	$188.40	$188.40	$1,964.97
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$262.80	$262.80	$262.80	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$328.80	$328.80	$328.80	$1,504.82
Filter spider fx 3mmx320cm	$6,785.40	$6,785.40	$6,785.40	$6,785.40
Filter vena cava fem denali	$4,507.80	$4,507.80	$4,507.80	$5,179.20
Fine needle asp without image guide 10021	$1,056.00	$1,056.00	$1,056.00	$722.40
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008	$231.60	$231.60	$231.60	$575.40
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$2,287.20	$2,287.20	$2,287.20	$857.25
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$1,152.60	$1,152.60	$1,152.60	$777.00
Fix g/colon tube w/device	$2,977.20	$2,977.20	$2,977.20	$3,659.40
Fl exam g/colon tube w contrast	$1,728.00	$1,728.00	$1,728.00	$780.60
Flecainide (tambocor)-sendout	$124.20	$124.20	$124.20	$141.00
Flexible Sigmoidoscopy	$1,158.00	$1,158.00	$1,158.00	$1,158.00
Flow cytometry interp 16 or more	$208.80	$208.80	$208.80	$699.60
Flow cytometry marker each additional	$175.20	$175.20	$175.20	$175.20
Flow cytometry one marker technical component	$664.80	$664.80	$664.80	$288.60
Floxuridine injection	$2,184.00	$2,184.00	$2,184.00	$8,522.40
Flt3 gene	$598.20	$598.20	$598.20	$598.20
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$2.40	$2.40	$2.40	$24.41
Fludarabine 50 mg intravenous solution	$81.00	$81.00	$81.00	$1,258.80
Fluorescent antibody titer dna	$66.60	$66.60	$66.60	$186.60
Fluoroestradiol f 18	$1,491.00	$1,491.00	$1,491.00	$1,491.00
Fluoroguide for spine inject 77003-26	$990.00	$990.00	$990.00	$678.00
Fluoroguide needle placement	$1,011.60	$1,011.60	$1,011.60	$691.20
Fluoroscopy up to 1 hour	$497.40	$497.40	$497.40	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$0.60	$0.60	$0.60	$152.80
Fmri brain by phys/psych	$1,741.80	$1,741.80	$1,741.80	$1,741.80
Fmri brain by tech	$1,741.80	$1,741.80	$1,741.80	$1,741.80
Fna bx w/ct gdn 1st les	$2,080.80	$2,080.80	$2,080.80	$900.75
Fna bx w/ct gdn ea addl	$314.40	$314.40	$314.40	$738.00
Fna bx w/mr gdn 1st les	$1,498.20	$1,498.20	$1,498.20	$738.00
Fna bx w/mr gdn ea addl	$296.40	$296.40	$296.40	$575.40
Folic acid	$75.00	$75.00	$75.00	$117.00
Folic acid 5 mg/ml injection solution	$3.00	$3.00	$3.00	$1.05
Follow-up angiography	$3,476.40	$3,476.40	$3,476.40	$1,536.60
Fomepizole 1 gram/ml intravenous solution	$600.00	$600.00	$600.00	$5,244.60
Fondaparinux sodium	$87.60	$87.60	$87.60	$540.60
Foot X-ray	$188.40	$188.40	$188.40	$339.50
Forensic cytopathology	$116.40	$116.40	$116.40	$116.40
Foreskn manip w/lss preputial ads+stretching 54450	$534.00	$534.00	$534.00	$534.00
Fosaprepitant 150 mg intravenous powder for solution	$200.40	$200.40	$200.40	$1,233.17
Foscarnet sodium injection	$0.60	$0.60	$0.60	$1,101.86
Fosphenytoin 50 mg pe/ml injection (wrapper)	$12.00	$12.00	$12.00	$94.85
Fracture assessment via dxa	$170.40	$170.40	$170.40	$561.60
Freeing of bowel adhesion 44005	$1,998.60	$1,998.60	$1,998.60	$1,998.60
Fresh frozen plasma frozen within 8 hours of collection each unit	$120.00	$120.00	$120.00	$268.80
Fructosamine glycated protein	$85.20	$85.20	$85.20	$100.20
Fundus photography with i&r 92250	$247.80	$247.80	$247.80	$169.20
Furosemide 10 mg/ml injection solution	$2.40	$2.40	$2.40	$0.60
G-esoph reflx tst w/electrod	$1,109.40	$1,109.40	$1,109.40	$1,557.75
G-tube reposition	$978.00	$978.00	$978.00	$978.00
Ga-67 gallium 0.1 mci	$114.60	$114.60	$114.60	$190.20
Ga-68 gallium 68 dotatate	$217.80	$217.80	$217.80	$156.00
Gadobutrol 1 mmol/ml intravenous solution (wrapper)	$4.80	$4.80	$4.80	$4.80
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)	$2.40	$2.40	$2.40	$15.00
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$8.40	$8.40	$8.40	$62.40
Gallbladder Removal (Laparoscopic)	$8,289.60	$8,289.60	$8,289.60	$6,672.53
Gallium illuccix 1 millicure	$2,235.60	$2,235.60	$2,235.60	$2,235.60
Gamma globulin 1 cc inj	$31.20	$31.20	$31.20	$189.60
Gamma glutamyltransferase	$36.60	$36.60	$36.60	$111.00
Gammaglobulin iga	$51.00	$51.00	$51.00	$171.60
Gammaglobulin ige	$82.80	$82.80	$82.80	$148.50
Gammaplex injection	$6.00	$6.00	$6.00	$6.00
Gamunex-c/gammaked	$7.80	$7.80	$7.80	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$3.60	$3.60	$3.60	$735.20
Gardner vag dna quant	$232.80	$232.80	$232.80	$351.20
Gastric motility studies	$972.00	$972.00	$972.00	$1,578.60
Gastric mucosa imaging	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Gastroesophageal reflux study	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Gastroesophageal reflux test	$1,115.40	$1,115.40	$1,115.40	$1,531.20
Gated heart multiple	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Gemcitabine 1 gram intravenous solution	$0.60	$0.60	$0.60	$365.40
Generator emblem MRI sicd subq	$29,232.00	$29,232.00	$29,232.00	$61,875.00
Gentamicin 10 mg/ml liquid compound - enteral use only	$1.80	$1.80	$1.80	$49.60
Gentamicin peak therapeutic drug level	$117.00	$117.00	$117.00	$201.00
Ghs HIV antibody	$57.60	$57.60	$57.60	$129.75
Ghs IV inf sq injection, on-body injector	$108.00	$108.00	$108.00	$138.60
Ghs IV infusion bamlanivimab/etesevimab	$309.60	$309.60	$309.60	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$309.60	$309.60	$309.60	$1,020.00
Ghs IV infusion sotrovimab	$1,135.20	$1,135.20	$1,135.20	$1,020.00
Ghs IV thrombolytics - cerebral	$1,295.40	$1,295.40	$1,295.40	$1,295.40
Ghs abscess perianal iandd	$1,158.00	$1,158.00	$1,158.00	$1,829.60
Ghs abscess postoperative iandd complex	$3,515.40	$3,515.40	$3,515.40	$3,993.00
Ghs acetylcholinesterase, rbc	$34.80	$34.80	$34.80	$133.50
Ghs alcohol, methyl (methanol)-medtox	$115.80	$115.80	$115.80	$147.60
Ghs alpha thalasemia, 7 deletions	$591.60	$591.60	$591.60	$1,687.20
Ghs antibodies (torch) igm	$81.00	$81.00	$81.00	$131.25
Ghs aspiration bladder - needle	$446.40	$446.40	$446.40	$616.80
Ghs bladder cath - complex-foley	$871.20	$871.20	$871.20	$605.40
Ghs central line insert < age 5, failed	$3,229.80	$3,229.80	$3,229.80	$2,676.75
Ghs change cysto/gastrost	$824.40	$824.40	$824.40	$1,550.40
Ghs chemo >8 hrs	$580.80	$580.80	$580.80	$772.50
Ghs chemo IV push, ea addtl	$526.20	$526.20	$526.20	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$195.60	$195.60	$195.60	$360.00
Ghs cl tx knee disl; wo anesth	$1,961.40	$1,961.40	$1,961.40	$2,370.60
Ghs cl tx metacarpophal disloc without anes	$370.80	$370.80	$370.80	$590.40
Ghs closd tx interphalang jt disloc w/ma	$366.60	$366.60	$366.60	$630.00
Ghs closed reduction ankle dislocation	$819.60	$819.60	$819.60	$998.40
Ghs closed tx bimalleolar fracture w/manip	$2,055.00	$2,055.00	$2,055.00	$1,635.60
Ghs closed tx radiocarpal disloc w manip	$466.80	$466.80	$466.80	$466.80
Ghs closed tx tibial fracture w/manip	$2,055.00	$2,055.00	$2,055.00	$1,810.80
Ghs closure surg wound/dehiscence-13160	$2,785.80	$2,785.80	$2,785.80	$2,785.80
Ghs clsd red med malleolus fx w manip	$2,266.80	$2,266.80	$2,266.80	$2,659.50
Ghs clsd red med malleolus fx without manip	$831.60	$831.60	$831.60	$825.60
Ghs clsd tx frac distal tibia w/manipulation	$2,319.00	$2,319.00	$2,319.00	$2,418.00
Ghs conjunctiva foreign body-embed bil	$606.00	$606.00	$606.00	$494.40
Ghs conjunctiva foreign body-superf bil	$279.00	$279.00	$279.00	$361.80
Ghs corneal fb with slit lamp bilat	$396.00	$396.00	$396.00	$459.60
Ghs corneal fb without slit lamp bilat	$606.00	$606.00	$606.00	$422.25
Ghs cricothyroidotomy	$777.60	$777.60	$777.60	$2,097.00
Ghs diphtheria toxoid ab igg	$85.20	$85.20	$85.20	$165.60
Ghs dislocation elbow closed treatment	$856.20	$856.20	$856.20	$998.40
Ghs ed peritoneal lavage w guidance if performed	$2,660.40	$2,660.40	$2,660.40	$3,175.50
Ghs ed rmvl or bivalving cast	$370.80	$370.80	$370.80	$471.00
Ghs ed therapeutic lp, drain csf w fluoro	$2,461.20	$2,461.20	$2,461.20	$1,439.40
Ghs eeg cont rec w/video by tec min 8 chnls	$284.40	$284.40	$284.40	$586.80
Ghs epidermal shaving diameter >2.0 cm	$1,341.60	$1,341.60	$1,341.60	$1,341.60
Ghs excision ingrown nail	$484.80	$484.80	$484.80	$484.80
Ghs eyelid foreign body-embedded - bil	$1,359.60	$1,359.60	$1,359.60	$868.80
Ghs fb removal - incisional	$2,674.80	$2,674.80	$2,674.80	$3,182.40
Ghs fb removal - non-incisional	$2,080.80	$2,080.80	$2,080.80	$1,461.75
Ghs fb removal foot - deep - left	$2,925.00	$2,925.00	$2,925.00	$4,115.40
Ghs fb removal from muscle - complicated	$3,737.40	$3,737.40	$3,737.40	$3,737.40
Ghs fish cytogen	$153.00	$153.00	$153.00	$186.00
Ghs fish hybrid in situ 100-300	$366.60	$366.60	$366.60	$354.60
Ghs flow volume loop	$366.60	$366.60	$366.60	$201.00
Ghs gastric intub aspiration lavage	$403.20	$403.20	$403.20	$304.80
Ghs hcv amplificaiton	$195.60	$195.60	$195.60	$223.80
Ghs histoplasma antigen	$74.40	$74.40	$74.40	$492.00
Ghs i and d abscess/hematoma scrotum	$5,452.20	$5,452.20	$5,452.20	$4,869.60
Ghs i and d perirectal abscess 46040	$3,564.60	$3,564.60	$3,564.60	$3,048.75
Ghs i and d pilonidal cyst complex	$1,341.60	$1,341.60	$1,341.60	$1,572.00
Ghs i and d pilonidal cyst simple	$924.60	$924.60	$924.60	$589.80
Ghs incision thrombosed ext hemorrhoid	$520.80	$520.80	$520.80	$745.20
Ghs inf midline insertion	$4,321.20	$4,321.20	$4,321.20	$4,051.20
Ghs inhibitor screen	$65.40	$65.40	$65.40	$345.00
Ghs init tx 1st degree burn	$378.60	$378.60	$378.60	$448.50
Ghs inj neurolytic other perph nerve	$1,231.20	$1,231.20	$1,231.20	$1,231.20
Ghs inj transforaminal cerv ea add bil	$1,362.60	$1,362.60	$1,362.60	$1,362.60
Ghs inj transforaminal cerv single bil	$2,647.20	$2,647.20	$2,647.20	$1,972.80
Ghs insertion of needle - bone	$550.80	$550.80	$550.80	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$1,212.00	$1,212.00	$1,212.00	$2,140.50
Ghs intermed repair 20.1 - 30.0 cm-12036	$2,075.40	$2,075.40	$2,075.40	$3,520.20
Ghs intermed repair over 30 cm - 12037	$3,189.00	$3,189.00	$3,189.00	$3,532.20
Ghs intro needle/intracath vein - 36000	$2,304.60	$2,304.60	$2,304.60	$240.00
Ghs irrigate corpora cavernosa for priapism	$745.80	$745.80	$745.80	$2,619.00
Ghs lac repair mouth.ant tong 2.5cm/less	$724.20	$724.20	$724.20	$724.20
Ghs layer closure 2.5 cm or less - 12031	$520.80	$520.80	$520.80	$520.80
Ghs layer closure 2.5 cm or less - 12041	$520.80	$520.80	$520.80	$825.60
Ghs layer closure 2.5cm or less - 12051	$520.80	$520.80	$520.80	$550.50
Ghs layer closure 2.6 - 5.0 cm - 12052	$520.80	$520.80	$520.80	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$819.00	$819.00	$819.00	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$819.00	$819.00	$819.00	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$1,212.00	$1,212.00	$1,212.00	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12044	$1,212.00	$1,212.00	$1,212.00	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12054	$1,200.60	$1,200.60	$1,200.60	$998.40
Ghs layered repair 12.6 - 20.0 cm -12045	$993.00	$993.00	$993.00	$1,372.00
Ghs layered repair 12.6 - 20.0 cm -12055	$993.00	$993.00	$993.00	$993.00
Ghs layered repair 20.1 - 30.0 cm -12046	$1,927.80	$1,927.80	$1,927.80	$1,927.80
Ghs layered repair 20.1 - 30.0 cm -12056	$1,272.60	$1,272.60	$1,272.60	$471.75
Ghs layered repair over 3.0 cm -12057	$1,272.60	$1,272.60	$1,272.60	$471.75
Ghs layered repair over 30.0 cm -12047	$2,925.00	$2,925.00	$2,925.00	$2,925.00
Ghs mbp	$87.00	$87.00	$87.00	$171.60
Ghs moderate sedation < 5 yr, 30 min	$759.00	$759.00	$759.00	$429.60
Ghs moderate sedation < 5 yr, 30 min, other	$468.60	$468.60	$468.60	$525.75
Ghs moderate sedation ea addtl 15 min	$831.60	$831.60	$831.60	$190.20
Ghs moderate sedation ea addtl 15 min, other	$235.80	$235.80	$235.80	$69.75
Ghs myocardial strain img spckl track	$306.60	$306.60	$306.60	$792.60
Ghs nailbed repair/nail removal	$1,236.60	$1,236.60	$1,236.60	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$2,184.60	$2,184.60	$2,184.60	$1,618.50
Ghs nerve blk intercostal, single level	$2,184.60	$2,184.60	$2,184.60	$1,546.50
Ghs nerve block brachial plexus	$1,815.00	$1,815.00	$1,815.00	$1,815.00
Ghs nerve block celiac plexus	$2,512.80	$2,512.80	$2,512.80	$2,569.20
Ghs nerve block sciatic nerve	$2,184.60	$2,184.60	$2,184.60	$2,184.60
Ghs nerve block suprascapular	$1,976.40	$1,976.40	$1,976.40	$1,173.60
Ghs ng placement w fluoro guidance	$2,304.60	$2,304.60	$2,304.60	$602.40
Ghs o2 saturation	$53.40	$53.40	$53.40	$106.50
Ghs opcc repair cvp w subq port	$3,535.80	$3,535.80	$3,535.80	$3,535.80
Ghs opcc repair cvp without subq port	$1,992.00	$1,992.00	$1,992.00	$2,205.00
Ghs osteopathic manipulative tx, 1-2 regions	$97.80	$97.80	$97.80	$47.80
Ghs ot sensory integrative tech/15min	$96.00	$96.00	$96.00	$130.20
Ghs pacing - transcutaneous	$1,755.00	$1,755.00	$1,755.00	$940.50
Ghs paravert facet/nerve cerv ea add bil	$595.20	$595.20	$595.20	$1,656.60
Ghs paravert facet/nerve lumb ea add bil	$750.00	$750.00	$750.00	$1,321.20
Ghs path - pap (papanicolau) smear - vagina	$91.20	$91.20	$91.20	$91.20
Ghs peritonsillar abscess i andd	$1,225.20	$1,225.20	$1,225.20	$1,225.20
Ghs picc line insert < 5	$2,060.40	$2,060.40	$2,060.40	$3,226.80
Ghs plngl fx pm cl	$520.80	$520.80	$520.80	$723.00
Ghs ppd (tb intradermal)	$85.80	$85.80	$85.80	$52.50
Ghs pr without cont pulse ox	$133.20	$133.20	$133.20	$134.25
Ghs prostatic acid phosphatase (mayo)	$49.20	$49.20	$49.20	$87.00
Ghs protoporphyrins fract	$72.60	$72.60	$72.60	$99.00
Ghs pseudocholinesterase,dibucain-inhibi	$44.40	$44.40	$44.40	$108.00
Ghs quinidine	$103.80	$103.80	$103.80	$103.80
Ghs refill of implantable pump	$774.60	$774.60	$774.60	$774.00
Ghs removal intranasal foreign body	$328.80	$328.80	$328.80	$341.40
Ghs removal pharyngeal foreign body	$550.80	$550.80	$550.80	$367.50
Ghs repair extensor tendon hand, ea tendon	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Ghs repair tendon ext forearm/wrist ea	$4,150.20	$4,150.20	$4,150.20	$5,693.40
Ghs reticulocyte count	$22.20	$22.20	$22.20	$42.80
Ghs semen analysis fert	$88.80	$88.80	$88.80	$195.60
Ghs sensitivity (per antimicro)	$42.00	$42.00	$42.00	$75.75
Ghs simple repair 12.6 - 20.0 cm - 12005	$819.60	$819.60	$819.60	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$1,230.60	$1,230.60	$1,230.60	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$965.40	$965.40	$965.40	$965.40
Ghs simple repair 20.1 - 30.0 cm - 12017	$2,079.60	$2,079.60	$2,079.60	$2,993.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$808.20	$808.20	$808.20	$610.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$808.20	$808.20	$808.20	$610.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$808.20	$808.20	$808.20	$610.80
Ghs simple repair over 30 cm - 12007	$660.00	$660.00	$660.00	$712.80
Ghs simple repair over 30 cm - 12018	$660.00	$660.00	$660.00	$381.75
Ghs somatosensory testing lower extremit	$720.60	$720.60	$720.60	$978.60
Ghs somatosensory testing upper & lower limbs	$1,077.00	$1,077.00	$1,077.00	$855.60
Ghs sphenopalatine ganglion block	$2,380.80	$2,380.80	$2,380.80	$928.20
Ghs strapping shoulder - 29240	$346.20	$346.20	$346.20	$460.20
Ghs subcutaneous infus, for therapy ea. add. hr	$147.60	$147.60	$147.60	$147.60
Ghs subcutaneous infus. for therapy init 1 hr	$522.00	$522.00	$522.00	$522.00
Ghs superficial wnd dehis w packing12021	$1,272.60	$1,272.60	$1,272.60	$1,272.60
Ghs superficial wnd dehiscence simp12020	$759.00	$759.00	$759.00	$2,370.60
Ghs tracheostomy emergency - transtracheal	$5,073.00	$5,073.00	$5,073.00	$5,073.00
Ghs tx distal phalangeal fx with manipulation	$415.80	$415.80	$415.80	$774.00
Ghs tx sp hip disloc abd splnt/trac wo	$1,961.40	$1,961.40	$1,961.40	$1,961.40
Ghs urine, porphyrins quant	$75.00	$75.00	$75.00	$288.60
Ghs vaginal delivery only	$4,464.60	$4,464.60	$4,464.60	$4,464.60
Ghs veeg 12-26 hr intmt mont	$1,773.60	$1,773.60	$1,773.60	$2,109.60
Gi inhouse confirmation	$52.80	$52.80	$52.80	$86.25
Gi tract capsule endoscopy (pillcam) 91110	$1,191.00	$1,191.00	$1,191.00	$1,766.25
Giardia lamblia antibody	$81.60	$81.60	$81.60	$138.00
Glassia injection	$384.00	$384.00	$384.00	$41.40
Glucagon 1 mg solution for injection	$168.00	$168.00	$168.00	$1,053.60
Glucagon hcl 1 mg/ml solution for injection	$167.40	$167.40	$167.40	$509.06
Glucagon plasma - sendout	$72.60	$72.60	$72.60	$144.60
Glucose 1 hr post dose	$24.00	$24.00	$24.00	$45.00
Glucose blood by monitoring device cleared by fda for home use	$19.20	$19.20	$19.20	$31.20
Glucose blood quantitative	$21.00	$21.00	$21.00	$52.20
Glucose body fluid	$21.00	$21.00	$21.00	$63.20
Glucose monitoring continual min 72hr pt	$90.60	$90.60	$90.60	$95.40
Glucose tolerance test (gtt) 3 specimens	$94.20	$94.20	$94.20	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$20.40	$20.40	$20.40	$34.80
Glycopyrrolate 0.2 mg/ml injection solution	$11.40	$11.40	$11.40	$11.70
Golimumab 12.5 mg/ml intravenous solution	$299.40	$299.40	$299.40	$108.00
Gonadotropin follicle stimulating hormone (fsh)	$94.20	$94.20	$94.20	$187.50
Gonadotropin luteinizing hormone (lh)	$94.20	$94.20	$94.20	$156.00
Goserelin 10.8 mg subcutaneous implant	$1,591.80	$1,591.80	$1,591.80	$1,831.20
Graft axiofill 1000mg	$29.40	$29.40	$29.40	$3,597.00
Graft xenmtrx sft rect 19x28cm	$461.40	$461.40	$461.40	$2,112.60
Granisetron hcl injection	$6.00	$6.00	$6.00	$181.80
Great toe with reduction 28495	$759.00	$759.00	$759.00	$825.60
Gstrct prtl dstl w/roux-en-y rcnstj 43633	$3,764.40	$3,764.40	$3,764.40	$3,764.40
Gu dilat ureter/urethra s&i	$4,154.40	$4,154.40	$4,154.40	$4,154.40
Guid loc target vol rad tx	$300.60	$300.60	$300.60	$823.20
Guide wire threaded 1.4x150mm	$2,162.40	$2,162.40	$2,162.40	$2,162.40
Guide worley csg 9fx50cm std	$92.40	$92.40	$92.40	$325.20
Guided cath fluid drainage 10030	$4,608.60	$4,608.60	$4,608.60	$1,600.20
Gw stiffened micro access kit	$1,252.80	$1,252.80	$1,252.80	$3,215.40
H pylori (c-13) breath	$340.80	$340.80	$340.80	$371.40
HIV prep, ftc/tdf 200/300mg	$36.60	$36.60	$36.60	$36.60
Haloperidol decanoate 50 mg/ml intramuscular solution	$30.60	$30.60	$30.60	$160.00
Haloperidol lactate 5 mg/ml injection solution	$12.00	$12.00	$12.00	$9.00
Hand X-ray	$188.40	$188.40	$188.40	$315.00
Handle/convey/speciman/office-lab 99000	$23.40	$23.40	$23.40	$23.40
Haptoglobin quantitative	$64.20	$64.20	$64.20	$155.40
Hast w/i&r phys/qhp	$275.40	$275.40	$275.40	$275.40
Hast w/oxygen titrate	$226.80	$226.80	$226.80	$226.80
Hba1/hba2 gene dup/del vrnts	$438.00	$438.00	$438.00	$714.75
Hbb full gene sequence	$1,172.40	$1,172.40	$1,172.40	$2,080.80
Hc i-131 sodium iodide cap dx per mci	$184.20	$184.20	$184.20	$190.20
Hc nm kidney imaging with flow	$1,228.80	$1,228.80	$1,228.80	$1,312.50
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$1,800.00	$1,800.00	$1,800.00	$1,006.50
Hc pet myocardial imaging metabolic eval single study	$4,972.20	$4,972.20	$4,972.20	$4,972.20
Hc transcatheter placement and sbsq removal cepd perq	$3,046.80	$3,046.80	$3,046.80	$2,175.00
Hcg qualitative	$39.00	$39.00	$39.00	$90.60
Hcg quantitative	$76.20	$76.20	$76.20	$178.20
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$2,553.60	$2,553.60	$886.20
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$2,553.60	$2,553.60	$542.40
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$2,553.60	$2,553.60	$2,553.60
Hdr rdncl skn surf brachytx	$598.20	$598.20	$598.20	$1,093.20
Hdr rdncl skn surf brachytx	$598.20	$598.20	$598.20	$598.20
Head CT scan (with and without contrast)	$1,300.20	$1,300.20	$1,300.20	$1,914.25
Head CT scan (with contrast)	$1,294.80	$1,294.80	$1,294.80	$1,587.69
Head CT scan (without contrast)	$1,105.20	$1,105.20	$1,105.20	$1,268.90
Heart infarct image	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Helicobacter pylori antibody igm	$61.20	$61.20	$61.20	$61.20
Hematocrit	$12.60	$12.60	$12.60	$39.75
Hematopoietic nuclear tx	$918.60	$918.60	$918.60	$746.40
Hemin 350 mg intravenous powder for solution	$6,247.80	$6,247.80	$6,247.80	$6,247.80
Hemodialysis one evaluation	$1,081.80	$1,081.80	$1,081.80	$1,389.00
Hemoglobin	$12.60	$12.60	$12.60	$37.20
Hemoglobin fetal qualitative	$18.00	$18.00	$18.00	$61.80
Hemoglobin methemoglobin quantitative	$45.00	$45.00	$45.00	$132.75
Hemoglobin plasma	$37.80	$37.80	$37.80	$61.20
Hemophilus influenza antibdy	$88.80	$88.80	$88.80	$168.00
Hemorrhoidectomy intrnl lig rbbr band ligations	$2,925.00	$2,925.00	$2,925.00	$2,925.00
Hepagam b im injection	$586.80	$586.80	$586.80	$586.80
Heparin assay	$66.60	$66.60	$66.60	$194.25
Heparin bolus from bag	$9.60	$9.60	$9.60	$11.00
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$1.20	$1.20	$1.20	$4.40
Hepatectomy removal of liver 47120	$4,246.20	$4,246.20	$4,246.20	$4,246.20
Hepatitis a antibody igm	$64.20	$64.20	$64.20	$126.60
Hepatitis b core antibody igm	$65.40	$65.40	$65.40	$127.50
Hepatitis b core antibody total	$69.60	$69.60	$69.60	$121.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$105.60	$105.60	$105.60	$1,109.60
Hepatitis b surface antibody	$59.40	$59.40	$59.40	$112.50
Hepatitis c antibody	$108.00	$108.00	$108.00	$163.80
Hepatobiliary system imaging	$1,228.80	$1,228.80	$1,228.80	$1,608.00
Hernia Repair (Inguinal)	$1,696.80	$1,696.80	$1,696.80	$6,210.72
Herpes simplex 1 ag if	$66.60	$66.60	$66.60	$158.40
Herpes simplex type 1 antibody igg	$76.80	$76.80	$76.80	$96.00
Herpes simplex type 2 antibody igg	$109.80	$109.80	$109.80	$111.00
Herpes simplex virus isolation	$189.00	$189.00	$189.00	$189.00
Heterophile antibodies screening	$29.40	$29.40	$29.40	$56.40
Hhv-6 dna quant	$232.80	$232.80	$232.80	$457.80
Hip X-ray	$188.40	$188.40	$188.40	$290.00
Histamine	$149.40	$149.40	$149.40	$318.00
Histochemical stains add-on	$126.00	$126.00	$126.00	$122.40
Hiv-1 ag ia	$87.00	$87.00	$87.00	$223.20
Hizentra injection	$25.80	$25.80	$25.80	$181.20
Hla class i high defin qual	$1,800.60	$1,800.60	$1,800.60	$435.60
Hla class i phenotype qual	$531.60	$531.60	$531.60	$276.00
Hla class i semiquant panel	$1,989.00	$1,989.00	$1,989.00	$697.50
Hla class ii high defin qual	$1,812.00	$1,812.00	$1,812.00	$507.00
Hla class ii phenotype qual	$455.40	$455.40	$455.40	$346.80
Hla class ii semiquant panel	$1,797.00	$1,797.00	$1,797.00	$620.25
Hla i & ii typing hr	$749.40	$749.40	$749.40	$2,453.40
Hla i & ii typing lr	$2,323.80	$2,323.80	$2,323.80	$3,189.60
Hla i typing 1 locus hr	$384.00	$384.00	$384.00	$384.00
Hla i typing complete hr	$727.20	$727.20	$727.20	$413.25
Hla i typing complete lr	$2,332.80	$2,332.80	$2,332.80	$2,332.80
Hla i typing high res 1 allele grp ea	$981.60	$981.60	$981.60	$888.00
Hla ii typing 1 loc hr	$714.60	$714.60	$714.60	$1,843.80
Hla ii typing ag equiv lr	$797.40	$797.40	$797.40	$912.00
Hla typing a b or c	$322.80	$322.80	$322.80	$669.60
Hla x-match noncytotoxc addl	$203.40	$203.40	$203.40	$168.00
Hla x-math non-cytotoxic	$608.40	$608.40	$608.40	$429.75
Hlth bhv ivntj fam 1st 30	$96.60	$96.60	$96.60	$111.60
Hlth bhv ivntj grp 1st 30	$76.80	$76.80	$76.80	$117.00
Homocysteine	$91.20	$91.20	$91.20	$114.60
Homogenization tissue	$12.60	$12.60	$12.60	$76.80
Homovanillic acid (hva)	$81.00	$81.00	$81.00	$108.00
Hpv types 16 & 18 only	$225.00	$225.00	$225.00	$228.00
Hyaluronidase, human recombinant 150 unit/ml injection solution	$33.00	$33.00	$33.00	$316.80
Hydralazine 20 mg/ml injection solution	$25.20	$25.20	$25.20	$92.80
Hydration IV infusion each additional hour	$108.00	$108.00	$108.00	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$522.00	$522.00	$522.00	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$22.20	$22.20	$22.20	$121.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$22.80	$22.80	$22.80	$12.75
Hydroxyzine hcl 50 mg/ml intramuscular solution	$17.40	$17.40	$17.40	$17.55
Hydrxycorticsterds 17- (17-ohcs)	$65.40	$65.40	$65.40	$168.60
Hysterosalpingography s&i	$547.80	$547.80	$547.80	$1,358.40
I & d vag hematoma non-ob 57023	$3,515.40	$3,515.40	$3,515.40	$3,515.40
I&d abscss rtrphryngl/paraphryngl intraorl apprch	$3,971.40	$3,971.40	$3,971.40	$3,948.00
I-123 iobenguane diag	$12,202.20	$12,202.20	$12,202.20	$10,866.00
I-123 ioflupane diag	$8,455.20	$8,455.20	$8,455.20	$8,455.20
I-123 sod iodide diag per 100 uci	$139.20	$139.20	$139.20	$139.20
I-131 iobenguane sulf diag mibg	$7,450.80	$7,450.80	$7,450.80	$7,450.80
I-131 sod iodide sol diag per mci	$114.60	$114.60	$114.60	$114.60
I131 iodide cap, rx	$184.20	$184.20	$184.20	$184.20
I131 iodide sol, rx	$52.20	$52.20	$52.20	$78.60
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$171.60	$171.60	$171.60	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$325.20	$325.20	$325.20	$285.60
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$397.80	$397.80	$397.80	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$522.00	$522.00	$522.00	$586.50
IV inj ra drug dx study	$1,228.80	$1,228.80	$1,228.80	$564.00
Iaadi respiratory synctial virus	$75.00	$75.00	$75.00	$75.00
Iadna legionella pneumophila amplified probe tq	$195.60	$195.60	$195.60	$351.20
Ibandronate 3 mg/3 ml intravenous syringe	$105.00	$105.00	$105.00	$839.85
Ibuprofen injection	$150.00	$150.00	$150.00	$86.20
Ibutilide fumarate 0.1 mg/ml intravenous solution	$37.80	$37.80	$37.80	$1,022.55
Icatibant injection	$1,016.40	$1,016.40	$1,016.40	$3,697.02
Icd cobalt xt dr MRI is1 df1	$36,540.60	$36,540.60	$36,540.60	$48,847.50
Icd crtd cobalt hf MRI is1 df1	$45,067.20	$45,067.20	$45,067.20	$45,067.20
Icd crtp serena MRI	$24,360.60	$24,360.60	$24,360.60	$15,759.00
Icd reliance df4 ib 64cm	$18,804.00	$18,804.00	$18,804.00	$14,973.00
Ifosfamide 1 gram intravenous solution	$64.20	$64.20	$64.20	$294.81
Igh@ var region somatic mutation analy	$1,702.80	$1,702.80	$1,702.80	$1,392.00
Ihc/icc per specimen each additional single antibody stain	$157.20	$157.20	$157.20	$272.40
Ihc/icc per specimen each multiplex antibody stain	$664.80	$664.80	$664.80	$318.75
Ihc/icc per specimen initial single antibody stain	$337.20	$337.20	$337.20	$310.50
Iliac revasc add-on 37222	$8,640.60	$8,640.60	$8,640.60	$8,640.60
Iliac/fem angio cath insert	$2,881.20	$2,881.20	$2,881.20	$2,980.50
Immune complex assay	$88.80	$88.80	$88.80	$168.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$678.00	$678.00	$678.00	$623.20
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution	$5,101.20	$5,101.20	$5,101.20	$1,080.00
Immunoassay tumor antigen quantitative ca 125	$116.40	$116.40	$116.40	$174.00
Immunoassay tumor antigen quantitative ca 19-9	$116.40	$116.40	$116.40	$166.50
Immunodiff gel qual ea antigen/ab	$66.60	$66.60	$66.60	$137.25
Immunofixation electrophoresis serum	$126.60	$126.60	$126.60	$219.60
Immunofluorescence per specimen each additional single antibody stain	$195.60	$195.60	$195.60	$102.40
Immunofluorescence per specimen initial single antibody stain	$664.80	$664.80	$664.80	$108.00
Immunoglobulin assay	$69.60	$69.60	$69.60	$108.00
Immunology procedure	$605.40	$605.40	$605.40	$43.80
Impl neurostim electr perc	$12,736.80	$12,736.80	$12,736.80	$6,302.40
Implant open hernia repair w/mesh 49568	$632.40	$632.40	$632.40	$632.40
Implant tcat pulm vlv perq	$10,503.00	$10,503.00	$10,503.00	$10,503.00
In situ hybridization per specimen each additional single probe stain	$339.00	$339.00	$339.00	$339.00
In situ hybridization per specimen initial single probe stain	$337.20	$337.20	$337.20	$300.00
In-111 autol wbc diag per dose	$6,806.40	$6,806.40	$6,806.40	$6,806.40
In-111 capromab pendet	$16,003.80	$16,003.80	$16,003.80	$16,003.80
In-111 ibritumomab tiux dx	$14,202.00	$14,202.00	$14,202.00	$14,202.00
In-111 oxyquinolin per 0.5 mci	$6,806.40	$6,806.40	$6,806.40	$2,808.00
In-111 pentetate dtpa / 0.5 mci	$3,424.80	$3,424.80	$3,424.80	$820.20
In-111 pentetreotide	$18,255.00	$18,255.00	$18,255.00	$4,204.80
Incision & drainage hematoma/seroma/fluid collection	$2,080.80	$2,080.80	$2,080.80	$2,080.80
Incision of achilles tendon	$4,284.60	$4,284.60	$4,284.60	$1,863.75
Incision of bile duct 47420	$5,571.60	$5,571.60	$5,571.60	$5,571.60
Incision of breast lesion	$2,715.60	$2,715.60	$2,715.60	$3,825.00
Incision of foot fascia	$4,272.00	$4,272.00	$4,272.00	$4,272.00
Incision of hip tendon	$4,284.60	$4,284.60	$4,284.60	$4,284.60
Incision of hip tendons	$5,605.80	$5,605.80	$5,605.80	$3,752.25
Incision of tendon & muscle	$9,067.20	$9,067.20	$9,067.20	$8,293.50
Incision of thigh tendon	$8,561.40	$8,561.40	$8,561.40	$3,752.25
Incision of thigh tendons	$8,561.40	$8,561.40	$8,561.40	$8,561.40
Incisn windpipe	$1,051.20	$1,051.20	$1,051.20	$2,460.00
Induced ab 1+ vag sup w/dlv fetus	$5,949.60	$5,949.60	$5,949.60	$5,949.60
Infect ag drug suscept pheno predict	$724.80	$724.80	$724.80	$764.40
Infect ag eia influenza a or b ea	$51.60	$51.60	$51.60	$62.40
Infect ag genotype na hiv-1 other region	$716.40	$716.40	$716.40	$1,390.80
Infect ag genotype na hiv-1 revr trn/prt	$1,431.00	$1,431.00	$1,431.00	$1,431.00
Infect ag ia direct hiv-1 antgn	$182.40	$182.40	$182.40	$182.40
Infect ag if nos ea	$90.60	$90.60	$90.60	$211.80
Infect ag if varicella zoster	$75.00	$75.00	$75.00	$134.40
Infect ag na hep b amp	$126.60	$126.60	$126.60	$374.40
Infect ag na herpes simplex quant	$102.60	$102.60	$102.60	$440.40
Infect ag na hpv high-risk types	$195.60	$195.60	$195.60	$284.40
Infect ag na influenza r/amp 1st 2 types	$532.80	$532.80	$532.80	$532.80
Infect ag na orthopoxvirus amp prb each	$195.60	$195.60	$195.60	$195.60
Infect ag na resp virus 12-25 targets	$2,317.80	$2,317.80	$2,317.80	$1,414.50
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$43.80	$43.80	$43.80	$108.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$66.60	$66.60	$66.60	$111.60
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$80.40	$80.40	$80.40	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$57.00	$57.00	$57.00	$114.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$57.00	$57.00	$57.00	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$135.00	$135.00	$135.00	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$66.60	$66.60	$66.60	$236.40
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$66.60	$66.60	$66.60	$142.20
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$66.60	$66.60	$66.60	$115.80
Infectious agent nucleic acid amplified probe	$195.60	$195.60	$195.60	$349.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$195.60	$195.60	$195.60	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$207.60	$207.60	$207.60	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$3,829.20	$3,829.20	$3,829.20	$1,408.80
Infectious agent nucleic acid amplified probe hsv-1	$195.60	$195.60	$195.60	$306.00
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$195.60	$195.60	$195.60	$398.40
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$195.60	$195.60	$195.60	$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	$84.60	$84.60	$84.60	$194.40
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	$195.60	$195.60	$195.60	$194.40
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$195.60	$195.60	$195.60	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$876.60	$876.60	$876.60	$481.80
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$553.20	$553.20	$553.20	$742.20
Infectious agent nucleic acid quantification bk virus	$238.80	$238.80	$238.80	$483.00
Infectious agent nucleic acid quantification hepatitis b	$238.80	$238.80	$238.80	$443.40
Infectious agent nucleic acid quantification hepatitis c	$243.00	$243.00	$243.00	$542.40
Infectious agent nucleic acid quantification hiv-1	$474.60	$474.60	$474.60	$754.20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$793.80	$793.80	$793.80	$615.60
Infliximab 100 mg intravenous solution	$700.20	$700.20	$700.20	$700.20
Infliximab-axxq 100 mg intravenous solution	$300.00	$300.00	$300.00	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$567.60	$567.60	$567.60	$567.60
Influenza dna amp prob addl	$105.00	$105.00	$105.00	$299.40
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$93.60	$93.60	$93.60	$40.00
Infuse radioactive materials	$624.60	$624.60	$624.60	$624.60
Initiation & management bipap/cpap initial day	$627.00	$627.00	$627.00	$510.00
Inj anifrolumab-fnia 1mg	$1,522.80	$1,522.80	$1,522.80	$10,166.40
Inj brixadi, more than 7 day	$2,846.40	$2,846.40	$2,846.40	$4,345.20
Inj calcitriol per 0.1 mcg	$5.40	$5.40	$5.40	$25.20
Inj cefazolin (wg crit care)	$3.00	$3.00	$3.00	$3.00
Inj cefazolin sodium, hikma	$4.80	$4.80	$4.80	$4.80
Inj ceftolozane tazobactam	$94.80	$94.80	$94.80	$286.20
Inj cntr knee arthro incl ct/mri	$186.60	$186.60	$186.60	$461.25
Inj crotalidae im f(ab')2 eq	$792.00	$792.00	$792.00	$1,134.60
Inj cyclophosphamd (ingenus)	$87.60	$87.60	$87.60	$3.75
Inj disk cerv-thor ea lev	$1,878.60	$1,878.60	$1,878.60	$2,577.00
Inj dx for sinogram	$2,304.60	$2,304.60	$2,304.60	$1,007.25
Inj efgart-alfa 2mg hya-qvfc	$1,723.20	$1,723.20	$1,723.20	$79.80
Inj epidural sgl cerv-thor without img	$1,920.60	$1,920.60	$1,920.60	$1,656.60
Inj for ext venography	$1,152.60	$1,152.60	$1,152.60	$602.40
Inj for mammo ductogram	$306.60	$306.60	$306.60	$306.60
Inj glofitamab gxbm, 2.5 mg	$612.60	$612.60	$612.60	$6,717.00
Inj heparin, pfizer, 1000u	$3.00	$3.00	$3.00	$3.00
Inj herzuma 10 mg	$841.20	$841.20	$841.20	$841.20
Inj hrt cath w/s&i nonsel p-art angrp	$1,230.00	$1,230.00	$1,230.00	$1,230.00
Inj imip 4 cilas 4 releb 2mg	$183.60	$183.60	$183.60	$7.35
Inj ivig privigen 500 mg	$5,274.00	$5,274.00	$5,274.00	$4,345.80
Inj levocarnitine per 1 gm	$4.20	$4.20	$4.20	$205.60
Inj mogamulizumab-kpkc, 1 mg	$540.60	$540.60	$540.60	$691.20
Inj multihance	$3.00	$3.00	$3.00	$126.60
Inj nephrosto/ureterogram w/img exstng access	$1,266.00	$1,266.00	$1,266.00	$2,092.80
Inj ogivri 10 mg	$564.00	$564.00	$564.00	$564.00
Inj pegfilgrastim-bmez 0.5mg	$3,925.20	$3,925.20	$3,925.20	$3,925.20
Inj peritoneal venous shunt	$1,665.60	$1,665.60	$1,665.60	$553.80
Inj proc ankle arthr	$405.60	$405.60	$405.60	$685.80
Inj proc elbow arthro	$461.40	$461.40	$461.40	$666.60
Inj proc lumbr disk ea lvl	$3,214.20	$3,214.20	$3,214.20	$3,214.20
Inj proc myelogram lumbar	$518.40	$518.40	$518.40	$1,094.40
Inj proc sialogram	$612.60	$612.60	$612.60	$612.60
Inj progesterone per 50 mg	$1.80	$1.80	$1.80	$12.60
Inj retro urethrocysto	$504.00	$504.00	$504.00	$2,981.40
Inj scleros sol mult veins	$1,728.00	$1,728.00	$1,728.00	$1,119.00
Inj scleros sol sgl vein	$1,108.20	$1,108.20	$1,108.20	$1,193.40
Inj secukinumab intrav 1mg	$253.80	$253.80	$253.80	$43.50
Inj teclistamab cqyv 0.5 mg	$3,345.00	$3,345.00	$3,345.00	$85.20
Inj tedizolid phosphate	$184.20	$184.20	$184.20	$1,081.80
Inj testosterone cypionate	$12.60	$12.60	$12.60	$72.60
Inj thiotepa nos 1 mg	$450.00	$450.00	$450.00	$450.00
Inj w/fluor eval cv device	$417.00	$417.00	$417.00	$866.40
Inj(s) sclerosant spider veins limb/trunk	$602.40	$602.40	$602.40	$12.00
Inj, brixadi, 7 days or less	$533.40	$533.40	$533.40	$1,086.00
Inj, bupivacaine liposome	$13.20	$13.20	$13.20	$7.20
Inj, cefepime hcl (b braun)	$17.40	$17.40	$17.40	$43.40
Inj, cefiderocol, 10 mg	$131.40	$131.40	$131.40	$6.00
Inj, factor x, (human), 1iu	$6.60	$6.60	$6.60	$32.40
Inj, lanreotide, (cipla) 1mg	$10,671.00	$10,671.00	$10,671.00	$8,487.60
Inj, levothyroxine, freskabi	$10.20	$10.20	$10.20	$244.63
Inj, releuko 1 mcg	$190.80	$190.80	$190.80	$190.80
Inj, sezaby, 1 mg	$79.80	$79.80	$79.80	$79.80
Inj, sutimlimab-jome, 10 mg	$52.20	$52.20	$52.20	$34.80
Inj, tyenne, 1 mg	$58.20	$58.20	$58.20	$12.75
Inj. fe derisomaltose 10 mg	$194.40	$194.40	$194.40	$181.20
Inj. herceptin hylecta, 10mg	$561.00	$561.00	$561.00	$413.40
Inj. mycophenolate mofetil	$64.20	$64.20	$64.20	$387.27
Inj. teprotumumab-trbw 10 mg	$9,829.20	$9,829.20	$9,829.20	$38,425.20
Inj., benralizumab, 1 mg	$3,405.60	$3,405.60	$3,405.60	$5,853.00
Inj., meropenem, vaborbactam	$129.60	$129.60	$129.60	$991.20
Inj., tildrakizumab, 1 mg	$10,342.20	$10,342.20	$10,342.20	$424.00
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)	$1,420.80	$1,420.80	$1,420.80	$709.20
Injection arthrography hip without anesthesia (both sides)	$461.40	$461.40	$461.40	$841.20
Injection carpal tunnel therapeutic (both sides)	$596.40	$596.40	$596.40	$741.00
Injection during cath supravalvular aortography	$1,728.00	$1,728.00	$1,728.00	$2,211.75
Injection epidural blood patch or clot	$1,192.80	$1,192.80	$1,192.80	$1,470.60
Injection for arthrography wrist (both sides)	$471.00	$471.00	$471.00	$753.00
Injection for bladder x-ray	$585.00	$585.00	$585.00	$2,055.60
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$461.40	$461.40	$461.40	$780.60
Injection for spleen x-ray	$788.40	$788.40	$788.40	$788.40
Injection for ureter x-ray	$1,540.80	$1,540.80	$1,540.80	$1,540.80
Injection for ureter x-ray	$1,540.80	$1,540.80	$1,540.80	$1,540.80
Injection into brain canal	$961.20	$961.20	$961.20	$1,094.40
Injection into spinal artery	$1,852.80	$1,852.80	$1,852.80	$1,852.80
Injection of sinus tract	$2,046.00	$2,046.00	$2,046.00	$1,670.25
Injection radioactive tracer sentinel node (both sides)	$837.60	$837.60	$837.60	$787.50
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$2,647.20	$2,647.20	$2,647.20	$2,521.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$522.00	$522.00	$522.00	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$108.00	$108.00	$108.00	$177.60
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$108.00	$108.00	$108.00	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$171.60	$171.60	$171.60	$147.00
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$2,346.60	$2,346.60	$2,346.60	$1,054.40
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$948.00	$948.00	$948.00	$948.00
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)	$2,647.20	$2,647.20	$2,647.20	$1,952.40
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$1,318.80	$1,318.80	$1,318.80	$1,320.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$1,456.20	$1,456.20	$1,456.20	$1,777.50
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$1,318.80	$1,318.80	$1,318.80	$1,334.25
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$1,318.80	$1,318.80	$1,318.80	$1,713.00
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance	$2,048.40	$2,048.40	$2,048.40	$2,164.80
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance	$2,048.40	$2,048.40	$2,048.40	$2,048.40
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$894.60	$894.60	$894.60	$703.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$396.60	$396.60	$396.60	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$766.20	$766.20	$766.20	$654.00
Injection, cangrelor	$572.40	$572.40	$572.40	$2,314.80
Injection, daratumumab 10 mg	$85.20	$85.20	$85.20	$198.60
Injection, fulvestrant	$115.80	$115.80	$115.80	$3,940.80
Injection, inclisiran, 1 mg	$1,348.80	$1,348.80	$1,348.80	$39.20
Injection, isavuconazonium	$229.20	$229.20	$229.20	$1,041.60
Injection, renflexis	$451.80	$451.80	$451.80	$1,624.80
Injection, siltuximab	$3,603.00	$3,603.00	$3,603.00	$3,603.00
Injection,onabotulinumtoxina	$380.40	$380.40	$380.40	$2,783.40
Ins cath ren art 1st bi	$6,300.60	$6,300.60	$6,300.60	$6,300.60
Ins cath ren art 1st uni	$6,300.60	$6,300.60	$6,300.60	$5,074.50
Ins cath ren art 2nd+ bi	$6,300.60	$6,300.60	$6,300.60	$7,922.25
Ins cath ren art 2nd+ uni	$10,450.20	$10,450.20	$10,450.20	$7,959.00
Ins cerv dilator (sep proc)	$678.00	$678.00	$678.00	$1,127.25
Ins icd gen exist sgl lead	$34,428.60	$34,428.60	$34,428.60	$33,033.60
Ins left heart vent thor inscn ecmo	$2,046.60	$2,046.60	$2,046.60	$2,046.60
Ins lv lead exist pm/icd	$15,540.60	$15,540.60	$15,540.60	$9,178.50
Ins mark abd/pel for right perq	$4,079.40	$4,079.40	$4,079.40	$4,079.40
Ins mark thor for right perq	$4,211.40	$4,211.40	$4,211.40	$2,831.25
Ins picad w subq port 5yr>	$4,201.80	$4,201.80	$4,201.80	$4,201.80
Ins picc wo subq prt/pmp w image guidnc <5yr	$1,992.00	$1,992.00	$1,992.00	$728.25
Ins pm gen w/exist mlt leads	$41,511.60	$41,511.60	$41,511.60	$15,600.75
Ins pq tunnld ip cath w/img	$11,758.20	$11,758.20	$11,758.20	$8,686.20
Ins tun cv cath wo subq prt/pm	$6,966.60	$6,966.60	$6,966.60	$4,564.50
Ins tun cv cath wo subq prt/pm	$4,201.80	$4,201.80	$4,201.80	$4,201.80
Ins tun intraperit dia cath	$4,714.20	$4,714.20	$4,714.20	$3,691.20
Ins vag brachytx device	$1,102.80	$1,102.80	$1,102.80	$1,102.80
Ins/rpl ldless pm right vent w img & eval	$24,161.40	$24,161.40	$24,161.40	$16,670.40
Ins/rpl pm gen exist dual lead	$15,540.60	$15,540.60	$15,540.60	$10,852.20
Ins/rpl pm gen exist sgl lead	$18,185.40	$18,185.40	$18,185.40	$7,319.25
Ins/rpl pm w/tv ld atrl	$25,170.00	$25,170.00	$25,170.00	$15,256.20
Ins/rpl wireless pulm art sensor incl s&i	$43,233.60	$43,233.60	$43,233.60	$10,953.00
Insert cannula vein-to-vein hemodialysis	$6,966.60	$6,966.60	$6,966.60	$6,414.00
Insert cath pleura with image	$10,384.20	$10,384.20	$10,384.20	$2,467.20
Insert drug delivery implant	$254.40	$254.40	$254.40	$1,418.25
Insert hepatic shunt (tips)	$11,241.60	$11,241.60	$11,241.60	$9,741.00
Insert intrauterine device iud	$254.40	$254.40	$254.40	$513.00
Insert picvad cath	$4,201.80	$4,201.80	$4,201.80	$2,907.75
Insert pm/icd lead dual	$11,583.60	$11,583.60	$11,583.60	$6,880.50
Insert sq defib electrode	$12,994.80	$12,994.80	$12,994.80	$12,994.80
Insert swan-ganz cath	$2,472.00	$2,472.00	$2,472.00	$2,472.00
Insert tunneled cv 2cath 2sits without port/pmp 36565	$8,004.00	$8,004.00	$8,004.00	$5,018.25
Insert tunneled cv cath	$8,004.00	$8,004.00	$8,004.00	$0.60
Insert tunneled cv cath	$8,004.00	$8,004.00	$8,004.00	$3,252.75
Insert vad art access left hrt arterial access	$2,497.20	$2,497.20	$2,497.20	$2,497.20
Insert/repl sq defib w/eltrd	$48,933.60	$48,933.60	$48,933.60	$30,741.60
Insertion catheter bladder non indwelling	$558.60	$558.60	$558.60	$309.00
Insertion catheter bladder temporary simple	$640.20	$640.20	$640.20	$495.00
Insertion catheter pleural indwelling tunneled with cuff	$8,638.80	$8,638.80	$8,638.80	$6,840.00
Insertion intra aortic balloon assist device percutaneous	$3,600.00	$3,600.00	$3,600.00	$2,809.20
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$9,498.60	$9,498.60	$9,498.60	$6,702.00
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$2,732.40	$2,732.40	$2,732.40	$2,712.75
Insertion of catheter vein	$3,023.40	$3,023.40	$3,023.40	$2,687.25
Insertion of catheter vein	$4,608.60	$4,608.60	$4,608.60	$3,172.80
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular	$25,401.60	$25,401.60	$25,401.60	$14,596.20
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular	$24,630.00	$24,630.00	$24,630.00	$12,188.40
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator	$5,751.00	$5,751.00	$5,751.00	$9,855.00
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$2,472.00	$2,472.00	$2,472.00	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$3,925.80	$3,925.80	$3,925.80	$1,532.00
Insertion single tranvenous electrode/ppm/implantable defibrillator	$11,583.60	$11,583.60	$11,583.60	$7,267.20
Insertion subcutaneous cardiac rhythm monitor	$17,281.80	$17,281.80	$17,281.80	$7,037.25
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$8,004.00	$8,004.00	$8,004.00	$4,450.80
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber	$48,933.60	$48,933.60	$48,933.60	$41,292.60
Insertion/replacement temporary single chamber electrode/pacemaker catheter	$11,583.60	$11,583.60	$11,583.60	$6,820.50
Insitu hybridization (fish)	$664.80	$664.80	$664.80	$664.80
Insitu hybridization auto	$664.80	$664.80	$664.80	$717.60
Insitu hybridization manual	$664.80	$664.80	$664.80	$531.75
Inst fibrinolysis agent ini day	$157.20	$157.20	$157.20	$1,097.40
Inst fibrinolysis agent sbsq d	$139.20	$139.20	$139.20	$1,025.25
Inst via cath agent pleurds	$2,146.80	$2,146.80	$2,146.80	$2,421.00
Instillation anticarcinogenic agent bladder	$587.40	$587.40	$587.40	$970.50
Insulin total	$57.60	$57.60	$57.60	$114.60
Int hrhc lig 2+hroid without img	$581.40	$581.40	$581.40	$1,911.60
Interdiscal perq aspir dx	$1,930.20	$1,930.20	$1,930.20	$1,753.80
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)	$4,959.00	$4,959.00	$4,959.00	$3,988.80
Intracard echo interv w/s&i	$927.00	$927.00	$927.00	$4,080.60
Intracran angioplsty w/stent	$8,401.80	$8,401.80	$8,401.80	$8,401.80
Intracranial angioplasty	$7,673.40	$7,673.40	$7,673.40	$9,051.00
Intracranial complete study	$481.20	$481.20	$481.20	$1,169.40
Intracranial limited study	$238.80	$238.80	$238.80	$732.75
Intraoral i+d tongue/floor lingual 41000	$1,663.80	$1,663.80	$1,663.80	$1,663.80
Intrauterine transfusion ftl	$846.00	$846.00	$846.00	$846.00
Intraventricular pacing	$8,922.00	$8,922.00	$8,922.00	$3,647.40
Intrinsic factor antibody	$85.20	$85.20	$85.20	$150.00
Intro cath dialysis circuit	$2,317.80	$2,317.80	$2,317.80	$3,121.20
Intro cath dialysis circuit w/pta	$12,150.60	$12,150.60	$12,150.60	$8,154.60
Intro cath dialysis circuit w/stent plcmnt	$25,053.60	$25,053.60	$25,053.60	$3,652.20
Intro cath svc/ivc	$2,426.40	$2,426.40	$2,426.40	$2,478.60
Intro catheter aorta	$4,321.20	$4,321.20	$4,321.20	$2,806.50
Intro long gi tube	$1,788.00	$1,788.00	$1,788.00	$684.60
Intro long gi tube w/mult fluo	$423.60	$423.60	$423.60	$464.80
Intrvasc Ultrasound noncoronary 1st vessel	$6,337.80	$6,337.80	$6,337.80	$3,510.75
Intrvasc Ultrasound noncoronary addl vessel	$5,288.40	$5,288.40	$5,288.40	$3,632.40
Intubation endotracheal emergency procedure	$463.80	$463.80	$463.80	$934.50
Iodine i-123 sod iodide mil	$753.00	$753.00	$753.00	$1,636.80
Ionm in operatng room 15 min	$264.00	$264.00	$264.00	$191.40
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$1.20	$1.20	$1.20	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$0.60	$0.60	$0.60	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$511.80	$511.80	$511.80	$495.00
Irinotecan 20 mg/ml intravenous solution (wrapper)	$7.80	$7.80	$7.80	$1,091.20
Irinotecan liposomal 4.3 mg/ml intravenous	$169.80	$169.80	$169.80	$169.80
Iron	$32.40	$32.40	$32.40	$60.00
Iron binding capacity	$44.40	$44.40	$44.40	$100.80
Iron dextran 50 mg/ml injection solution	$10.20	$10.20	$10.20	$99.00
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$7.20	$7.20	$7.20	$555.60
Irrigation implantable venous access device for drug delivery systems	$136.80	$136.80	$136.80	$142.20
Isatuximab-irfc 20 mg/ml intravenous solution	$92.40	$92.40	$92.40	$149.40
Ivc venogram s&i	$5,906.40	$5,906.40	$5,906.40	$3,258.00
Ivp w/wo kub w/wo tomography	$427.80	$427.80	$427.80	$1,283.40
Ixabepilone 15 mg intravenous solution	$3,484.80	$3,484.80	$3,484.80	$399.60
J-tube placement	$556.80	$556.80	$556.80	$556.80
John cunningham antibody	$37.80	$37.80	$37.80	$78.60
Ketone body(s) beta-hydroxybutyrate quantitative	$42.00	$42.00	$42.00	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$3.60	$3.60	$3.60	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$394.20	$394.20	$394.20	$683.50
Kidney function study	$1,228.80	$1,228.80	$1,228.80	$1,179.60
Kidney imag w/bld flow multi	$1,574.40	$1,574.40	$1,574.40	$1,574.40
Kidney imaging morphology	$1,228.80	$1,228.80	$1,228.80	$1,238.25
Kidney img w/bldflw sgl without rx	$1,574.40	$1,574.40	$1,574.40	$1,552.20
Kit gene analys d816 variant	$721.80	$721.80	$721.80	$1,144.80
Knee MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$3,008.26
Knee MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$2,394.58
Knee MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$2,205.00
Knee X-ray	$262.80	$262.80	$262.80	$388.44
Kras gene variants exon 2	$697.80	$697.80	$697.80	$389.40
L/s ratio fetal lung	$79.80	$79.80	$79.80	$194.40
Labetalol 5 mg/ml IV (wrapper)	$7.80	$7.80	$7.80	$4.50
Lacosamide 200 mg/20 ml intravenous solution	$2.40	$2.40	$2.40	$227.40
Lactate dehydrogenase (ldh)	$30.60	$30.60	$30.60	$52.00
Lactic acid	$58.80	$58.80	$58.80	$121.80
Lactoferrin fecal qualitative	$99.60	$99.60	$99.60	$127.20
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$18,264.00	$18,264.00	$18,264.00	$33,573.60
Lanthanum carbonate oral 5mg	$7.20	$7.20	$7.20	$7.20
Lap inc hern repair comp 49655	$909.60	$909.60	$909.60	$909.60
Lap inc hernia repair 49654	$2,228.40	$2,228.40	$2,228.40	$2,228.40
Lap ing hernia repair init	$1,126.20	$1,126.20	$1,126.20	$1,126.20
Lap insert tunnel ip cath	$1,267.20	$1,267.20	$1,267.20	$1,267.20
Lap revision perm ip cath	$979.20	$979.20	$979.20	$979.20
Lap vent/abd hern proc comp 49653	$2,441.40	$2,441.40	$2,441.40	$2,441.40
Lap vent/abd hernia repair 49652	$1,966.80	$1,966.80	$1,966.80	$1,966.80
Laparo partial nephrectomy	$4,511.40	$4,511.40	$4,511.40	$4,511.40
Laparo proc abdm/per/oment 49329	$4,308.00	$4,308.00	$4,308.00	$4,308.00
Laparo radical nephrectomy	$2,357.40	$2,357.40	$2,357.40	$2,357.40
Laparoscopic nephrectomy	$2,110.80	$2,110.80	$2,110.80	$2,110.80
Laparoscopy adrenalectomy	$3,313.20	$3,313.20	$3,313.20	$3,313.20
Laparoscopy biopsy	$905.40	$905.40	$905.40	$905.40
Laparoscopy excise lesions	$1,830.00	$1,830.00	$1,830.00	$1,830.00
Laparoscopy splenectomy	$2,479.20	$2,479.20	$2,479.20	$2,479.20
Laryngoscopy direct w/wo tracheoscopy dx exc newborn	$2,514.60	$2,514.60	$2,514.60	$2,632.20
Laryngoscopy w/fb removal	$3,505.20	$3,505.20	$3,505.20	$2,017.50
Lead acuity x4 spiral l 86cm	$9,999.00	$9,999.00	$9,999.00	$4,863.24
Lead capillary	$62.40	$62.40	$62.40	$93.00
Lead ingevity 45cm pfret MRI	$2,715.00	$2,715.00	$2,715.00	$4,174.20
Leg Vein Ultrasound (DVT study, both legs)	$819.60	$819.60	$819.60	$1,090.23
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$60.00	$60.00	$60.00	$87.60
Leuprolide 3.75 mg intramuscular syringe kit	$3,087.60	$3,087.60	$3,087.60	$3,559.80
Leuprolide 30 mg (4 month) intramuscular syringe kit	$7,358.40	$7,358.40	$7,358.40	$6,209.40
Levetiracetam 500 mg/5 ml intravenous solution	$7.80	$7.80	$7.80	$276.00
Levetiracetam therapeutic drug level	$33.60	$33.60	$33.60	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$1.20	$1.20	$1.20	$47.70
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$4.20	$4.20	$4.20	$0.20
Lidocaine therapeutic drug level	$104.40	$104.40	$104.40	$142.20
Lig/band angioaccess av fistula	$12,573.60	$12,573.60	$12,573.60	$12,573.60
Ligate oviduct(s) add-on 58611	$3,814.20	$3,814.20	$3,814.20	$3,814.20
Ligation/biopsy of temporal artery 37609	$4,489.80	$4,489.80	$4,489.80	$4,489.80
Ligation/major artery/extremity 37618	$1,497.00	$1,497.00	$1,497.00	$3,848.40
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$0.60	$0.60	$0.60	$253.60
Lipase	$40.80	$40.80	$40.80	$139.80
Lipoprotein blood quant	$172.20	$172.20	$172.20	$285.00
Lipoprotein direct measurement hdl	$42.00	$42.00	$42.00	$63.60
Lipoprotein direct measurement ldl	$54.00	$54.00	$54.00	$104.25
Lithium therapeutic drug level	$46.80	$46.80	$46.80	$84.00
Lithotripsy transluminal coronary percutaneous	$5,071.20	$5,071.20	$5,071.20	$3,650.25
Liver Function Test	$54.00	$54.00	$54.00	$93.60
Liver abs/cyst dr opn 1-2 stge	$2,376.00	$2,376.00	$2,376.00	$2,376.00
Liver ds alys 3 bmrk srm alg	$68.40	$68.40	$68.40	$944.40
Liver imag w/vasclr flow	$1,800.00	$1,800.00	$1,800.00	$1,510.20
Liver imaging	$4,242.60	$4,242.60	$4,242.60	$1,241.25
Liver/spleen imag static only	$1,228.80	$1,228.80	$1,228.80	$1,308.60
Liver/spleen imag w/vasclr flow	$1,228.80	$1,228.80	$1,228.80	$1,557.00
Loncastuximab tesirine-lpyl 10 mg intravenous solution	$15,780.00	$15,780.00	$15,780.00	$15,780.00
Lorazepam 2 mg/ml injection (wrapper)	$1.80	$1.80	$1.80	$31.20
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$1,424.40	$1,424.40	$1,424.40	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$1,424.40	$1,424.40	$1,424.40	$1,829.25
Lower Back (Lumbar Spine) CT scan (without contrast)	$876.00	$876.00	$876.00	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Lower Back (Lumbar Spine) MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$272.40	$272.40	$272.40	$341.64
Lumbar diskogram s&i	$4,030.20	$4,030.20	$4,030.20	$2,690.25
Lung Function Test (Spirometry)	$346.20	$346.20	$346.20	$296.91
Lung function test (mbc/mvv)	$155.40	$155.40	$155.40	$109.80
Lung perfusion imaging	$1,228.80	$1,228.80	$1,228.80	$1,087.20
Lurbinectedin 4 mg intravenous solution	$4,770.00	$4,770.00	$4,770.00	$400.20
Luspatercept-aamt 25 mg subcutaneous solution	$6,976.20	$6,976.20	$6,976.20	$87.60
Lutetium lu 177 dotatat ther	$616.20	$616.20	$616.20	$616.20
Lutetium lu 177 vipivotide	$27,310.20	$27,310.20	$27,310.20	$600.00
Lymphatics/lymph node imaging	$1,574.40	$1,574.40	$1,574.40	$1,574.40
Lymphocyte transformation mitogen	$272.40	$272.40	$272.40	$537.60
Lymphocytotoxicity assay	$1,055.40	$1,055.40	$1,055.40	$1,055.40
M/phmtrc alys ishquant/semiq	$337.20	$337.20	$337.20	$435.00
M/phmtrc alys ishquant/semiq	$177.00	$177.00	$177.00	$152.40
M/phmtrc alysishquant/semiq	$166.20	$166.20	$166.20	$507.60
MRA aorta thoracic w/wo contrast	$191.40	$191.40	$191.40	$2,121.75
MRA chest w IV cont	$2,713.80	$2,713.80	$2,713.80	$5,810.40
MRA chest wo IV cont	$1,656.00	$1,656.00	$1,656.00	$4,193.40
MRA chest wwo IV cont	$2,713.80	$2,713.80	$2,713.80	$2,713.80
MRA pelvis w IV cont	$2,713.80	$2,713.80	$2,713.80	$1,597.20
MRA pelvis wo IV cont	$1,656.00	$1,656.00	$1,656.00	$1,656.00
MRA w/cont, abd	$2,713.80	$2,713.80	$2,713.80	$2,713.80
MRA w/cont, lwr ext	$2,713.80	$2,713.80	$2,713.80	$2,713.80
MRA without cont, abd	$1,656.00	$1,656.00	$1,656.00	$3,815.40
MRA without cont, lwr ext	$1,656.00	$1,656.00	$1,656.00	$1,656.00
MRA without fol w/cont, abd	$2,713.80	$2,713.80	$2,713.80	$2,734.20
MRA without fol w/cont, lwr ext	$2,713.80	$2,713.80	$2,713.80	$2,713.80
MRA without fol w/cont, pelvis	$2,713.80	$2,713.80	$2,713.80	$4,528.80
MRI breast c- unilateral	$480.60	$480.60	$480.60	$1,405.80
MRI breast without cont bi	$480.60	$480.60	$480.60	$2,913.60
MRI cardiac morph & func wo IV cont	$1,656.00	$1,656.00	$1,656.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$2,713.80	$2,713.80	$2,713.80	$3,051.00
MRI cardiac morph & func wwo IV cont w/stress img	$4,837.20	$4,837.20	$4,837.20	$4,837.20
MRI chest w IV cont	$4,837.20	$4,837.20	$4,837.20	$3,051.00
MRI chest without & w/contrast	$2,713.80	$2,713.80	$2,713.80	$3,985.80
MRI chest without contrast	$1,656.00	$1,656.00	$1,656.00	$2,514.00
MRI fetal ea addl gestation	$652.20	$652.20	$652.20	$652.20
MRI fetal sngl/1st gestation	$1,656.00	$1,656.00	$1,656.00	$1,656.00
MRI guid ndl plc s&i	$1,431.00	$1,431.00	$1,431.00	$1,431.00
MRI loex nonjt w IV cont	$2,713.80	$2,713.80	$2,713.80	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$2,713.80	$2,713.80	$2,713.80	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$1,656.00	$1,656.00	$1,656.00	$2,514.00
MRI orbit fac&nck w IV cont	$2,854.80	$2,854.80	$2,854.80	$2,910.60
MRI orbit/face/neck without & w/contrast	$2,854.80	$2,854.80	$2,854.80	$3,804.00
MRI orbit/face/neck without contrast	$1,741.80	$1,741.80	$1,741.80	$2,398.20
MRI tmj	$1,656.00	$1,656.00	$1,656.00	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$2,713.80	$2,713.80	$2,713.80	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$1,656.00	$1,656.00	$1,656.00	$2,514.00
MRI upper extremity w/dye	$2,713.80	$2,713.80	$2,713.80	$3,166.80
MRI w/cont, breast, bi	$2,713.80	$2,713.80	$2,713.80	$2,713.80
MRI w/cont, breast, uni	$1,294.80	$1,294.80	$1,294.80	$1,294.80
MRI without fol w/cont, breast	$2,713.80	$2,713.80	$2,713.80	$3,543.00
MRI without fol w/cont, brst, un	$2,713.80	$2,713.80	$2,713.80	$3,261.00
Macroscopic exam arthropod	$24.00	$24.00	$24.00	$54.00
Macroscopic exam parasite	$24.00	$24.00	$24.00	$51.60
Magnesium	$40.20	$40.20	$40.20	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$1.80	$1.80	$1.80	$74.40
Magnetic image bone marrow	$1,656.00	$1,656.00	$1,656.00	$1,656.00
Mammosite ced	$120.00	$120.00	$120.00	$2,988.00
Manipulation chest wall demonstration/evaluation subsequent	$248.40	$248.40	$248.40	$186.00
Manipulation chest wall initial demonstration/evaluation	$248.40	$248.40	$248.40	$237.60
Manual diff wbc count b-coat	$19.20	$19.20	$19.20	$41.40
Map tachycard site(s)	$3,363.00	$3,363.00	$3,363.00	$3,500.40
Mapping functional cort/subcort ea add'l hr	$744.00	$744.00	$744.00	$744.00
Margetuximab-cmkb 25 mg/ml intravenous solution	$138.00	$138.00	$138.00	$95.40
Marker biop eviva buckle ss	$1,213.20	$1,213.20	$1,213.20	$819.00
Mast mod rad	$3,126.00	$3,126.00	$3,126.00	$3,126.00
Mastoids complete	$262.80	$262.80	$262.80	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$73.80	$73.80	$73.80	$117.00
Mayo aathr protein s free	$77.40	$77.40	$77.40	$159.60
Mayo activated protein c resistance assay	$77.40	$77.40	$77.40	$170.25
Mayo adalimumab (humira) therapeutic drug level	$85.80	$85.80	$85.80	$205.80
Mayo alcohol definitive assay volatile screen	$40.80	$40.80	$40.80	$440.40
Mayo alkaline phosphatase isoenzyme	$42.00	$42.00	$42.00	$154.80
Mayo alkaloids definitive assay nicotine/cotinine	$61.20	$61.20	$61.20	$270.75
Mayo alpha 1 antitrypsin	$67.80	$67.80	$67.80	$197.40
Mayo amikacin trough therapeutic drug level	$109.20	$109.20	$109.20	$153.00
Mayo analysis gene jak2 p.val617phe variant	$529.80	$529.80	$529.80	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$792.60	$792.60	$792.60	$1,192.80
Mayo analysis microarray cytogenomic copy number/snp variants	$6,701.40	$6,701.40	$6,701.40	$11,640.60
Mayo androstenedione	$148.20	$148.20	$148.20	$186.40
Mayo angiotensin 1 converting enzyme (ace) csf	$74.40	$74.40	$74.40	$85.20
Mayo antithrombin iii antigen	$55.20	$55.20	$55.20	$110.25
Mayo aspergillus fumigatus antibody	$83.40	$83.40	$83.40	$111.60
Mayo avwpr vw factor activity	$156.00	$156.00	$156.00	$322.80
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$70.80	$70.80	$70.80	$290.40
Mayo bart bartonella henselae antibody igg	$56.40	$56.40	$56.40	$100.20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$837.60	$837.60	$837.60	$837.60
Mayo blastomyces antibody immunodiffusion	$72.00	$72.00	$72.00	$178.20
Mayo bordetella pertussis antibody igg	$73.80	$73.80	$73.80	$100.80
Mayo brcmg brucella antibody igm	$49.80	$49.80	$49.80	$118.80
Mayo c1 esterase inhibitor	$124.80	$124.80	$124.80	$130.80
Mayo carnitine total and free quantitative each specimen plasma	$85.80	$85.80	$85.80	$205.80
Mayo cdcom hla class ii typing low resolution one locus each	$706.80	$706.80	$706.80	$706.80
Mayo ceruloplasmin	$54.60	$54.60	$54.60	$100.20
Mayo chemiluminescent parathyroid related peptide	$72.00	$72.00	$72.00	$281.40
Mayo chikv chikungunya antibodies igg	$72.00	$72.00	$72.00	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$66.00	$66.00	$66.00	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$71.40	$71.40	$71.40	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$833.40	$833.40	$833.40	$833.40
Mayo chromium	$102.60	$102.60	$102.60	$139.20
Mayo coccidioides antibody	$64.20	$64.20	$64.20	$131.40
Mayo cocou cortisone urine	$122.40	$122.40	$122.40	$305.40
Mayo cortisol free	$85.20	$85.20	$85.20	$138.00
Mayo covid-19 antibody nucleocapsid total	$123.00	$123.00	$123.00	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$67.80	$67.80	$67.80	$123.75
Mayo cyanide	$98.40	$98.40	$98.40	$204.00
Mayo deoxyribonuclease antibody titer	$74.40	$74.40	$74.40	$102.60
Mayo dhea (dehydroepiandrosterone)	$127.80	$127.80	$127.80	$333.00
Mayo efpo chloride stool	$25.20	$25.20	$25.20	$102.60
Mayo estriol	$122.40	$122.40	$122.40	$147.20
Mayo estrone	$126.60	$126.60	$126.60	$165.00
Mayo ethosuximide therapeutic drug level	$117.00	$117.00	$117.00	$153.00
Mayo everolimus therapeutic drug level	$34.80	$34.80	$34.80	$210.00
Mayo factor ii	$66.00	$66.00	$66.00	$97.20
Mayo factor v	$90.60	$90.60	$90.60	$195.00
Mayo factor vii	$91.20	$91.20	$91.20	$185.40
Mayo factor viii vw factor antigen	$116.40	$116.40	$116.40	$184.50
Mayo factor viii vw factor multimetric analysis	$116.40	$116.40	$116.40	$239.40
Mayo factor viii vw factor ristocetin cofactor	$116.40	$116.40	$116.40	$243.60
Mayo factor x	$91.20	$91.20	$91.20	$243.75
Mayo factor xi	$91.20	$91.20	$91.20	$162.60
Mayo fat/lipids feces quantitative	$85.80	$85.80	$85.80	$197.40
Mayo fbl culture fungi blood	$114.00	$114.00	$114.00	$126.00
Mayo ffspg allergen clam igg	$43.80	$43.80	$43.80	$53.40
Mayo gabapentin bld/srm/plasma therapeutic drug level	$55.80	$55.80	$55.80	$141.00
Mayo gamma-globin full gene sequencing	$201.00	$201.00	$201.00	$8,992.20
Mayo hemosiderin qualitative urine	$24.00	$24.00	$24.00	$58.50
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$195.60	$195.60	$195.60	$357.60
Mayo hiser histoplasma antibodies immunodiffusion	$77.40	$77.40	$77.40	$161.25
Mayo hla typing a/b/c single antigen	$144.60	$144.60	$144.60	$293.40
Mayo hvdip HIV 1 antibody	$49.20	$49.20	$49.20	$88.20
Mayo hvdip HIV 2 antibody	$75.60	$75.60	$75.60	$97.20
Mayo hydroxyprogesterone 17-d	$137.40	$137.40	$137.40	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$87.60	$87.60	$87.60	$259.80
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$83.40	$83.40	$83.40	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$116.40	$116.40	$116.40	$197.40
Mayo immunoassay tumor antigen quantitative chromogranin a	$1,221.60	$1,221.60	$1,221.60	$186.75
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$89.40	$89.40	$89.40	$141.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$66.60	$66.60	$66.60	$218.40
Mayo infectious agent nucleic acid amplified probe enterovirus	$195.60	$195.60	$195.60	$428.40
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine	$76.20	$76.20	$76.20	$349.80
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$195.60	$195.60	$195.60	$349.80
Mayo infectious agent nucleic acid quantification cytomegalovirus	$259.20	$259.20	$259.20	$350.40
Mayo infectious disease hepatitis c chronic six biochemical assays	$516.60	$516.60	$516.60	$669.00
Mayo infliximab therapeutic drug level	$85.80	$85.80	$85.80	$523.20
Mayo inhab inhibin a	$87.00	$87.00	$87.00	$309.75
Mayo insulin antibodies	$119.40	$119.40	$119.40	$121.20
Mayo itraconazole therapeutic drug level	$54.60	$54.60	$54.60	$159.00
Mayo lacosamide therapeutic drug level	$69.60	$69.60	$69.60	$205.80
Mayo lamotrigine therapeutic drug level	$33.60	$33.60	$33.60	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$65.40	$65.40	$65.40	$70.80
Mayo leptospira antibody igm	$58.80	$58.80	$58.80	$82.50
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$86.40	$86.40	$86.40	$181.50
Mayo manganese	$135.60	$135.60	$135.60	$100.80
Mayo metanephrines plasma	$86.40	$86.40	$86.40	$316.80
Mayo mgle voltage-gated calcium channel antibody each	$93.60	$93.60	$93.60	$235.20
Mayo mgrm acetylcholine receptor binding antibody	$93.60	$93.60	$93.60	$235.20
Mayo microsomal antibody liver-kidney	$81.00	$81.00	$81.00	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$381.60	$381.60	$381.60	$206.40
Mayo molecular pathology procedure level 2 apoe genotype	$495.60	$495.60	$495.60	$1,528.80
Mayo muramidase	$94.80	$94.80	$94.80	$141.00
Mayo muscle-specific kinase (musk) antibody	$93.60	$93.60	$93.60	$235.20
Mayo mycophenolic acid therapeutic drug level	$46.20	$46.20	$46.20	$202.20
Mayo myoglobin	$65.40	$65.40	$65.40	$144.60
Mayo nickel	$89.40	$89.40	$89.40	$189.60
Mayo organic acid methylmalonic single quantitative	$107.40	$107.40	$107.40	$298.20
Mayo oxalate 24 hour urine	$73.80	$73.80	$73.80	$170.40
Mayo parvs parvovirus b19 antibody igg	$83.40	$83.40	$83.40	$136.50
Mayo paval fluorescent antibody screen agna type 1	$66.60	$66.60	$66.60	$132.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$195.60	$195.60	$195.60	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$91.80	$91.80	$91.80	$232.20
Mayo pntft phenytoin free therapeutic drug level	$98.40	$98.40	$98.40	$93.60
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$43.20	$43.20	$43.20	$192.60
Mayo pregnenolone	$314.40	$314.40	$314.40	$314.40
Mayo prmb primidone therapeutic drug level	$118.80	$118.80	$118.80	$129.60
Mayo proinsulin	$135.60	$135.60	$135.60	$262.50
Mayo psaft prostate specific antigen free	$93.60	$93.60	$93.60	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$93.60	$93.60	$93.60	$300.00
Mayo receptor assay transferrin soluble	$186.00	$186.00	$186.00	$240.00
Mayo renin	$112.20	$112.20	$112.20	$168.60
Mayo repu protein electrophoresis urine	$91.20	$91.20	$91.20	$194.40
Mayo selenium	$129.60	$129.60	$129.60	$177.00
Mayo serotonin	$157.20	$157.20	$157.20	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$107.40	$107.40	$107.40	$114.60
Mayo sirolimus therapeutic drug level	$98.40	$98.40	$98.40	$150.60
Mayo syphilis test non-treponemal antibody qualitative vdrl	$24.00	$24.00	$24.00	$41.40
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$1,206.60	$1,206.60	$1,206.60	$859.80
Mayo tgrp testosterone free	$128.40	$128.40	$128.40	$128.40
Mayo tgrp testosterone total	$130.80	$130.80	$130.80	$193.50
Mayo thyroglobulin	$81.00	$81.00	$81.00	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$56.40	$56.40	$56.40	$97.80
Mayo ticks babesia microti antibody igg	$69.60	$69.60	$69.60	$134.40
Mayo vasoactive intestinal peptide	$178.80	$178.80	$178.80	$375.60
Mayo vitamin b-2 (riboflavin)	$102.60	$102.60	$102.60	$187.20
Mayo vitamin b3 (niacin)	$86.40	$86.40	$86.40	$147.00
Mayo vitamin k	$69.60	$69.60	$69.60	$320.40
Measurement post void urine by ultrasound	$151.80	$151.80	$151.80	$198.00
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$50.40	$50.40	$50.40	$252.10
Meperidine (pf) 25 mg/ml injection (wrapper)	$5.40	$5.40	$5.40	$16.40
Meropenem 1 gram intravenous solution	$17.40	$17.40	$17.40	$77.20
Mesna 100 mg/ml intravenous solution	$3.60	$3.60	$3.60	$153.60
Metabolic Blood Panel (Basic)	$55.20	$55.20	$55.20	$97.60
Metabolic Blood Panel (Comprehensive)	$68.40	$68.40	$68.40	$135.20
Methadone injection	$23.40	$23.40	$23.40	$55.95
Methotrexate sodium (pf) 1 gram solution for injection	$1.80	$1.80	$1.80	$284.80
Methotrexate sodium 2.5 mg tablet	$1.80	$1.80	$1.80	$28.65
Methotrexate therapeutic drug level	$124.20	$124.20	$124.20	$129.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$133.20	$133.20	$133.20	$1,135.20
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$18.00	$18.00	$18.00	$42.45
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$160.20	$160.20	$160.20	$504.60
Methylprednisolone 4 mg tablet	$1.20	$1.20	$1.20	$10.80
Methylprednisolone acetate 40 mg/ml suspension for injection	$11.40	$11.40	$11.40	$1.20
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$40.80	$40.80	$40.80	$6.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$0.60	$0.60	$0.60	$8.60
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)	$1.80	$1.80	$1.80	$2.40
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$0.60	$0.60	$0.60	$3.15
Micafungin 100 mg intravenous solution	$112.20	$112.20	$112.20	$26.20
Microdissection laser	$135.00	$135.00	$135.00	$600.60
Microdissection manual	$284.40	$284.40	$284.40	$538.20
Midazolam 1 mg/ml injection solution	$7.80	$7.80	$7.80	$33.00
Middle cerebral artery echo	$239.40	$239.40	$239.40	$285.60
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution	$190.20	$190.20	$190.20	$131.40
Mitomycin 40 mg intravenous solution	$758.40	$758.40	$758.40	$1,714.80
Mitomycin instillation	$14,202.00	$14,202.00	$14,202.00	$858.00
Mitoxantrone 2 mg/ml concentrate,intravenous	$10.20	$10.20	$10.20	$1,254.00
Mnt subs tx for change dx	$59.40	$59.40	$59.40	$24.60
Monitor reveal linq ii cardiac	$13,107.60	$13,107.60	$13,107.60	$12,370.80
Mopath procedure level 1	$138.60	$138.60	$138.60	$936.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$10.20	$10.20	$10.20	$61.40
Morphine 4 mg/ml injection (wrapper)	$12.00	$12.00	$12.00	$22.80
Morphine 4 mg/ml injection (wrapper)\|discarded drug not administered	$1.80	$1.80	$1.80	$8.37
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$337.20	$337.20	$337.20	$349.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$664.80	$664.80	$664.80	$664.80
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$337.20	$337.20	$337.20	$337.20
Mr safety determination physician/other qhp	$161.40	$161.40	$161.40	$161.40
Mr safety implant elec prepj	$168.60	$168.60	$168.60	$168.60
Mr sfty implt&/fb asmt stf 1	$45.00	$45.00	$45.00	$45.00
Mr sfty med physics xm cstmz	$444.00	$444.00	$444.00	$444.00
Mr spectroscopy	$559.20	$559.20	$559.20	$1,610.25
Mra, w/o&w/dye, spinal canal	$2,713.80	$2,713.80	$2,713.80	$1,833.60
Mra, w/o&w/dye, upper extr	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Mthfr gene analy common variants	$378.60	$378.60	$378.60	$357.60
Mumps antibody igg	$91.20	$91.20	$91.20	$168.75
Muscle test cran nerv unilat	$441.00	$441.00	$441.00	$441.00
Muscle test larynx	$222.60	$222.60	$222.60	$327.60
Mycophenolate mofetil 250 mg capsule	$10.20	$10.20	$10.20	$79.60
Mycophenolic acid	$2.40	$2.40	$2.40	$32.00
Mycoplasma antibody igm	$74.40	$74.40	$74.40	$181.20
Myelogphy 2/> spine regions	$1,450.80	$1,450.80	$1,450.80	$4,064.40
Myelography l-s spine	$1,450.80	$1,450.80	$1,450.80	$3,447.00
Myelography neck spine	$1,450.80	$1,450.80	$1,450.80	$3,476.40
Myelography thoracic spine	$1,450.80	$1,450.80	$1,450.80	$2,874.60
Myelography via inj w/s&i 2+ regions	$1,496.40	$1,496.40	$1,496.40	$2,289.60
Myelography via inj w/s&i cervical	$1,496.40	$1,496.40	$1,496.40	$2,289.60
Myelography via inj w/s&i lumbosacral	$1,496.40	$1,496.40	$1,496.40	$2,289.60
Myelography via inj w/s&i thoracic	$1,496.40	$1,496.40	$1,496.40	$2,289.60
Myeloperoxidase ab multi step qualitative/semiquantitative	$58.80	$58.80	$58.80	$108.60
Myocrd img pet 1 std w/ct	$5,639.40	$5,639.40	$5,639.40	$5,639.40
Myocrd img pet 1std rst/strs	$5,639.40	$5,639.40	$5,639.40	$4,928.25
Myocrd img pet 2rtracer CT	$10,748.40	$10,748.40	$10,748.40	$10,748.40
Myocrd img pet mlt rst&strs	$5,639.40	$5,639.40	$5,639.40	$5,301.00
Myocrd img pet rst/strs w/ct	$5,639.40	$5,639.40	$5,639.40	$5,639.40
N block inj hypogas plxs	$2,755.80	$2,755.80	$2,755.80	$1,878.75
N-invas est c ffr sw aly cta	$1,919.40	$1,919.40	$1,919.40	$1,919.40
Nalbuphine 10 mg/ml injection solution	$2.40	$2.40	$2.40	$16.20
Naloxone 0.4 mg/ml injection (wrapper)	$9.60	$9.60	$9.60	$1.20
Nasopharyngoscopy w/endoscope	$605.40	$605.40	$605.40	$441.60
Natalizumab 300 mg/15 ml intravenous solution	$328.20	$328.20	$328.20	$28,621.80
Natriuretic peptide	$199.20	$199.20	$199.20	$287.40
Natural killer cells total count	$210.00	$210.00	$210.00	$243.00
Navigational bronchoscopy 31627	$1,062.00	$1,062.00	$1,062.00	$5,596.80
Ndl emg musc 1 xtr/non-limb	$247.80	$247.80	$247.80	$241.20
Ndl insj without njx 1 or 2 musc	$54.60	$54.60	$54.60	$22.50
Neck (Cervical Spine) CT scan (with and without contrast)	$1,294.80	$1,294.80	$1,294.80	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$1,294.80	$1,294.80	$1,294.80	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$796.80	$796.80	$796.80	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$2,854.80	$2,854.80	$2,854.80	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$2,854.80	$2,854.80	$2,854.80	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$1,741.80	$1,741.80	$1,741.80	$1,914.00
Neck MRA (blood vessel MRI, with and without contrast)	$2,854.80	$2,854.80	$2,854.80	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$2,854.80	$2,854.80	$2,854.80	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$1,741.80	$1,741.80	$1,741.80	$1,790.58
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$8.40	$8.40	$8.40	$72.60
Nephrectomy open 50220	$15,304.80	$15,304.80	$15,304.80	$15,304.80
Nerve conduction 7-8 studies	$177.60	$177.60	$177.60	$1,498.80
Nerve conduction studies 1-2	$177.60	$177.60	$177.60	$210.00
Nerve conduction studies 11-12	$328.20	$328.20	$328.20	$2,280.00
Nerve conduction studies 13+	$328.20	$328.20	$328.20	$2,693.40
Nerve conduction studies 3-4	$177.60	$177.60	$177.60	$642.60
Nerve conduction studies 5-6	$177.60	$177.60	$177.60	$1,069.20
Nerve conduction studies 9-10	$328.20	$328.20	$328.20	$1,926.60
Neurolysis celiac plexus	$3,025.20	$3,025.20	$3,025.20	$3,501.75
New Patient Office Visit (level 2)	$214.80	$214.80	$214.80	$178.00
New Patient Office Visit (level 3)	$441.00	$441.00	$441.00	$229.20
New Patient Office Visit (level 4)	$610.80	$610.80	$610.80	$307.00
New Patient Office Visit (level 5)	$814.80	$814.80	$814.80	$401.50
Nicardipine 25 mg/10 ml intravenous solution	$13.80	$13.80	$13.80	$3.80
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$0.60	$0.60	$0.60	$4.00
Nivolumab 10 mg/ml intravenous solution (wrapper)	$186.60	$186.60	$186.60	$104.40
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution	$435.60	$435.60	$435.60	$375.60
Njx aa&/strd nrv nrvtg si jt	$2,537.40	$2,537.40	$2,537.40	$685.80
Njx interlaminar crv/thrc	$2,149.80	$2,149.80	$2,149.80	$2,067.00
Njx interlaminar lmbr/sac	$2,149.80	$2,149.80	$2,149.80	$2,149.80
Njx px nfrosgrm &/urtrgrm	$1,266.00	$1,266.00	$1,266.00	$1,266.00
Nm imaging bone/joint 3 phase study	$1,228.80	$1,228.80	$1,228.80	$2,037.60
Nm imaging bone/joint whole body	$1,228.80	$1,228.80	$1,228.80	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$1,228.80	$1,228.80	$1,228.80	$1,651.20
Nm imaging gastric emptying study	$1,228.80	$1,228.80	$1,228.80	$1,510.20
Nm imaging gastrointestinal acute blood loss	$1,228.80	$1,228.80	$1,228.80	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$1,574.40	$1,574.40	$1,574.40	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$1,574.40	$1,574.40	$1,574.40	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$1,574.40	$1,574.40	$1,574.40	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,228.80	$1,228.80	$1,228.80	$1,389.75
Nm radiopharmaceutical therapy oral administration	$791.40	$791.40	$791.40	$1,123.50
Non-card vasc flow imaging	$1,228.80	$1,228.80	$1,228.80	$806.25
Noninv pace analysis	$1,002.00	$1,002.00	$1,002.00	$504.00
Npm1 gene	$890.40	$890.40	$890.40	$2,101.20
Npsy fam hlth interv ea addl 15 min	$181.80	$181.80	$181.80	$115.50
Npsy grp hlth intrv ea addl 15 min	$76.80	$76.80	$76.80	$117.00
Npsy tst eval phsy/qhp 1st hr	$244.80	$244.80	$244.80	$292.50
Npsy tst eval phsy/qhp ea l hr	$182.40	$182.40	$182.40	$153.75
Nr lnr acclrtr tx max 5 sessions	$9,337.20	$9,337.20	$9,337.20	$9,337.20
Ntsty modul rad tx dlvr cplx	$1,765.20	$1,765.20	$1,765.20	$2,407.80
Ntsty modul rad tx dlvr smpl	$1,765.20	$1,765.20	$1,765.20	$2,092.80
Nuclear Stress Test (Heart)	$4,242.60	$4,242.60	$4,242.60	$3,842.40
Nuclear exam of tear flow	$1,228.80	$1,228.80	$1,228.80	$770.40
Nuclear rx IV admin	$791.40	$791.40	$791.40	$1,408.20
Nuclear rx intra-arterial	$742.20	$742.20	$742.20	$742.20
Ob Ultrasound nuchal meas 1 gest	$394.20	$394.20	$394.20	$519.60
Ob Ultrasound nuchal meas add-on	$175.20	$175.20	$175.20	$175.20
Obinutuzumab 1,000 mg/40 ml intravenous solution	$123.60	$123.60	$123.60	$236.00
Observation direct referral from physician office for admission	$420.00	$420.00	$420.00	$138.00
Observation per hour	$111.60	$111.60	$111.60	$443.40
Obstetrics panel	$310.80	$310.80	$310.80	$320.40
Obtaining screen pap smear	$24.60	$24.60	$24.60	$48.00
Ocrelizumab 30 mg/ml intravenous solution	$1,182.60	$1,182.60	$1,182.60	$1,182.60
Octreotide acetate 100 mcg/ml injection (wrapper)	$29.40	$29.40	$29.40	$540.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$4,066.20	$4,066.20	$4,066.20	$8,451.00
Ofatumumab 20 mg/ml intravenous solution (wrapper)	$72.00	$72.00	$72.00	$201.60
Olanzapine 10 mg intramuscular solution	$30.00	$30.00	$30.00	$16.60
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)	$830.40	$830.40	$830.40	$333.60
Oncoprotein dcp	$233.40	$233.40	$233.40	$537.00
Ondansetron 8 mg disintegrating tablet	$21.60	$21.60	$21.60	$25.20
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$0.60	$0.60	$0.60	$34.32
Open thrombectomy of av fistula without revision 36831	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Opn exc/dst ntra-abd	$8,653.20	$8,653.20	$8,653.20	$8,653.20
Opn exc/dstr ntra-abd 5 cm/<	$6,780.00	$6,780.00	$6,780.00	$6,780.00
Oral aprepitant	$52.20	$52.20	$52.20	$738.00
Oral everolimus	$6.00	$6.00	$6.00	$1,208.40
Organic acids total quant ea spec	$36.00	$36.00	$36.00	$277.20
Oritavancin 400 mg intravenous solution	$696.00	$696.00	$696.00	$105.60
Ortho whf rigd without jnt cstm w/fit&adj	$702.00	$702.00	$702.00	$153.00
Orthopantogram	$188.40	$188.40	$188.40	$274.50
Oscillation chest wall mechanical per session	$419.40	$419.40	$419.40	$235.20
Osmolality blood	$33.00	$33.00	$33.00	$77.25
Osmolality urine	$34.20	$34.20	$34.20	$90.60
Ot evaluation high complexity patient/family	$363.00	$363.00	$363.00	$272.40
Ot evaluation low complexity patient/family	$226.80	$226.80	$226.80	$265.50
Ot evaluation moderate complexity patient/family	$303.60	$303.60	$303.60	$272.40
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$60.60	$60.60	$60.60	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$60.60	$60.60	$60.60	$130.20
Ot re-evaluation patient/family	$138.60	$138.60	$138.60	$138.00
Ot therapeutic activities direct patient contact each 15 minutes	$80.40	$80.40	$80.40	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$114.60	$114.60	$114.60	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$114.60	$114.60	$114.60	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$73.80	$73.80	$73.80	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$96.00	$96.00	$96.00	$110.40
Ot training self care/home management direct contact each 15 minutes	$97.20	$97.20	$97.20	$115.80
Oth resp proc, group	$304.80	$304.80	$304.80	$144.00
Oth resp proc, indiv	$54.60	$54.60	$54.60	$54.60
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr	$13.80	$13.80	$13.80	$125.40
Oxaliplatin 5 mg/ml desensitization	$3.00	$3.00	$3.00	$58.80
Oxytocin 10 unit/ml injection solution	$7.20	$7.20	$7.20	$29.00
P-32 chromic phos ther per mci	$894.00	$894.00	$894.00	$1,084.20
PSA (Prostate) Test	$115.20	$115.20	$115.20	$103.85
Paclitaxel 6 mg/ml concentrate,intravenous	$1.20	$1.20	$1.20	$75.00
Paclitaxel protein-bound 100 mg intravenous suspension	$963.60	$963.60	$963.60	$61.80
Paliperidone 117 mg/0.75 ml inj	$1,391.40	$1,391.40	$1,391.40	$99.20
Palonosetron hcl	$24.00	$24.00	$24.00	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$5.40	$5.40	$5.40	$450.00
Pancreatectomy dist subtot w/wo splenecto 48140	$5,536.20	$5,536.20	$5,536.20	$5,536.20
Panitumumab 20 mg/ml intravenous solution (wrapper)	$197.40	$197.40	$197.40	$550.80
Papaverin hcl injection	$12.00	$12.00	$12.00	$64.00
Parathormone (pth) intact	$209.40	$209.40	$209.40	$226.20
Parathyrd planar w/spect&ct	$1,574.40	$1,574.40	$1,574.40	$2,145.00
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505	$3,900.00	$3,900.00	$3,900.00	$3,900.00
Parathyroid autotransplantation 60512	$575.40	$575.40	$575.40	$575.40
Parathyroid planar imaging	$1,228.80	$1,228.80	$1,228.80	$1,436.25
Parathyroid planar img w/tomo spect	$1,228.80	$1,228.80	$1,228.80	$1,949.25
Paricalcitol	$9.00	$9.00	$9.00	$35.52
Paring/cutting benign hyperkeratotic lesion single	$288.60	$288.60	$288.60	$288.60
Partial removal of esophagus 43117	$11,446.20	$11,446.20	$11,446.20	$11,446.20
Partial removal of rib	$1,800.60	$1,800.60	$1,800.60	$1,800.60
Partial removal of thyroid	$1,260.00	$1,260.00	$1,260.00	$1,260.00
Partial removal of thyroid	$958.20	$958.20	$958.20	$958.20
Partial thyroid lobect w/contratlat stot lobec 60212	$2,652.60	$2,652.60	$2,652.60	$2,652.60
Path clin consltj sf 5-20	$98.40	$98.40	$98.40	$198.60
Pdgfra gene	$1,189.80	$1,189.80	$1,189.80	$1,585.20
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$6,417.60	$6,417.60	$6,417.60	$6,121.20
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe	$3,924.60	$3,924.60	$3,924.60	$1,333.80
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$4,174.80	$4,174.80	$4,174.80	$10,699.80
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe	$4,300.20	$4,300.20	$4,300.20	$645.60
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$2,087.40	$2,087.40	$2,087.40	$2,112.00
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe	$2,499.60	$2,499.60	$2,499.60	$395.40
Pegloticase 8 mg/ml intravenous solution	$17,178.60	$17,178.60	$17,178.60	$94,586.40
Pelvic CT scan (with and without contrast)	$1,424.40	$1,424.40	$1,424.40	$1,992.00
Pelvic CT scan (with contrast)	$1,424.40	$1,424.40	$1,424.40	$1,706.25
Pelvic CT scan (without contrast)	$876.00	$876.00	$876.00	$1,313.40
Pelvic MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Pelvic MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$1,966.42
Pelvic MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$1,810.38
Pelvic Ultrasound (complete)	$394.20	$394.20	$394.20	$647.87
Pelvic Ultrasound (limited)	$394.20	$394.20	$394.20	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$850.20	$850.20	$850.20	$6,668.40
Pemetrexed disodium 100 mg intravenous powder for solution	$2,425.80	$2,425.80	$2,425.80	$3,134.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$96.00	$96.00	$96.00	$507.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$30.00	$30.00	$30.00	$192.60
Penile injection	$403.80	$403.80	$403.80	$619.20
Pentamidine non-comp unit	$99.60	$99.60	$99.60	$1,311.00
Pentobarbital sodium inj	$42.00	$42.00	$42.00	$63.60
Pentostatin 10 mg intravenous solution	$1,609.20	$1,609.20	$1,609.20	$6,720.00
Perc cryo ablate renal tum	$20,125.80	$20,125.80	$20,125.80	$20,125.80
Perc d-e cor revasc chro add	$402.60	$402.60	$402.60	$2,265.60
Perc d-e cor revasc chro sin	$24,161.40	$24,161.40	$24,161.40	$17,506.20
Perc d-e cor revasc t cabg b	$9,788.40	$9,788.40	$9,788.40	$23,282.40
Perc d-e cor revasc t cabg s	$15,411.00	$15,411.00	$15,411.00	$15,411.00
Perc d-e cor stent ather br	$9,788.40	$9,788.40	$9,788.40	$10,454.40
Perc d-e cor stent ather s	$24,161.40	$24,161.40	$24,161.40	$18,556.80
Perc drug-el cor stent bran	$9,788.40	$9,788.40	$9,788.40	$11,088.60
Perc drug-el cor stent sing	$15,411.00	$15,411.00	$15,411.00	$16,258.50
Perc rf ablate renal tumor	$17,216.40	$17,216.40	$17,216.40	$5,724.00
Percut ablate liver rf	$7,327.20	$7,327.20	$7,327.20	$6,566.25
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$104.40	$104.40	$104.40	$1,066.20
Pericardiocentesis wwo imaging	$2,473.20	$2,473.20	$2,473.20	$2,472.75
Peripheral vascular rehab	$129.60	$129.60	$129.60	$184.50
Perit-vens shunt pat tst	$1,228.80	$1,228.80	$1,228.80	$1,127.40
Perphenazine 4mg oral	$0.60	$0.60	$0.60	$0.60
Perq art m-thrombect &/nfs	$17,446.80	$17,446.80	$17,446.80	$12,590.40
Perq clsr tcat l atr apndge	$5,606.40	$5,606.40	$5,606.40	$5,311.20
Perq dev breast 1st mr guide	$2,153.40	$2,153.40	$2,153.40	$2,153.40
Perq dev breast 1st strtctc	$924.60	$924.60	$924.60	$1,793.40
Perq plmt bile duct stent	$7,327.20	$7,327.20	$7,327.20	$8,839.80
Perq plmt bile duct stent	$14,191.20	$14,191.20	$14,191.20	$14,191.20
Perq rplcmt g-tube req revsn gstrst trk	$978.00	$978.00	$978.00	$1,550.40
Perq transcath closure each	$4,354.20	$4,354.20	$4,354.20	$4,354.20
Perq transcath cls aortic	$46,970.40	$46,970.40	$46,970.40	$46,970.40
Perq transcath cls mitral	$46,970.40	$46,970.40	$46,970.40	$46,970.40
Perq transcath septal reduxn	$5,606.40	$5,606.40	$5,606.40	$390.00
Pertuzu, trastuzu, 10 mg	$523.20	$523.20	$523.20	$324.60
Pertuzumab 30 mg/ml desensitization	$279.60	$279.60	$279.60	$22,539.60
Pet CT skull-mid thgh initial	$5,639.40	$5,639.40	$5,639.40	$5,639.40
Pet CT whole body initial	$5,639.40	$5,639.40	$5,639.40	$5,639.40
Pet fdg brain metoblic eval sb	$5,639.40	$5,639.40	$5,639.40	$4,834.50
Pet image w/ct lmtd	$5,639.40	$5,639.40	$5,639.40	$5,639.40
Pet not otherwise specified	$1,300.80	$1,300.80	$1,300.80	$1,300.80
Pet scan brain perf study	$7,048.20	$7,048.20	$7,048.20	$4,812.00
Ph body fluid	$19.20	$19.20	$19.20	$39.60
Phencyclidine (pcp)	$74.40	$74.40	$74.40	$74.40
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$40.80	$40.80	$40.80	$42.15
Phenobarbital therapeutic drug level	$110.40	$110.40	$110.40	$153.00
Phentolaine mesylate inj	$293.40	$293.40	$293.40	$1,028.40
Phenylephrine 10 mg/ml injection solution	$2.40	$2.40	$2.40	$0.14
Phenytoin total therapeutic drug level	$94.80	$94.80	$94.80	$114.00
Phleb veins 1 extrm 10-20 stab	$8,640.60	$8,640.60	$8,640.60	$4,579.20
Phleb veins 1 extrm >20 stab	$8,640.60	$8,640.60	$8,640.60	$3,629.25
Phlebotomy therapeutic	$231.00	$231.00	$231.00	$284.40
Phosphorus	$24.60	$24.60	$24.60	$70.80
Phosphorus 24 hour urine	$29.40	$29.40	$29.40	$91.20
Phytonadione (vitamin k1) 10 mg/ml injection solution	$29.40	$29.40	$29.40	$52.80
Piflu f-18, dia 1 millicurie	$1,252.20	$1,252.20	$1,252.20	$1,252.20
Pinworm exam	$238.80	$238.80	$238.80	$50.40
Piperacillin-tazobactam 3.375 gram intravenous solution	$9.00	$9.00	$9.00	$115.20
Place cath intracranial art	$541.80	$541.80	$541.80	$5,670.60
Place cath xtrnl carotid	$4,043.40	$4,043.40	$4,043.40	$6,755.25
Place duod/jej tube perc	$7,209.00	$7,209.00	$7,209.00	$4,509.60
Place endorectal app	$1,156.80	$1,156.80	$1,156.80	$1,156.80
Place gastrostomy tube perc	$7,713.60	$7,713.60	$7,713.60	$3,735.00
Place non-slctv cath thoracic arta	$6,360.60	$6,360.60	$6,360.60	$11,718.60
Place right device/marker pros	$1,887.60	$1,887.60	$1,887.60	$1,887.60
Place slctv cath carotd art uni	$10,549.80	$10,549.80	$10,549.80	$10,950.75
Place slctv cath carotid/inom art excrn uni	$6,360.60	$6,360.60	$6,360.60	$7,552.20
Place slctv cath carotid/inom art intcrn uni	$10,549.80	$10,549.80	$10,549.80	$12,801.00
Place slctv cath subclavian art	$6,360.60	$6,360.60	$6,360.60	$10,678.80
Place slctv cath vertebral art uni	$10,549.80	$10,549.80	$10,549.80	$12,613.50
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$924.60	$924.60	$924.60	$1,380.00
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$1,930.80	$1,930.80	$1,930.80	$1,264.80
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$1,162.20	$1,162.20	$1,162.20	$1,564.20
Placement nephrostomy catheter (both sides)	$5,191.20	$5,191.20	$5,191.20	$2,483.40
Placement occlusive device venous/arterial access site post procedure	$2,304.60	$2,304.60	$2,304.60	$942.00
Placement stent(s) intravascular transcatheter artery initial	$21,745.20	$21,745.20	$21,745.20	$13,400.40
Plasma cryoprecipitate reduced each unit	$130.80	$130.80	$130.80	$246.75
Platelet aggregation each agent teg	$126.00	$126.00	$126.00	$223.50
Platelet automated	$23.40	$23.40	$23.40	$42.80
Platelet pheresis irr ea	$991.80	$991.80	$991.80	$2,500.50
Platelets each unit	$154.80	$154.80	$154.80	$477.00
Platelets irradiated ea unit	$199.80	$199.80	$199.80	$320.40
Platelets leukocytes reduced each unit	$181.80	$181.80	$181.80	$241.20
Platelets leukocytes reduced irradiated each unit	$310.20	$310.20	$310.20	$360.00
Platelets pheresis leukocytes reduced each unit	$715.80	$715.80	$715.80	$2,713.80
Platelets pheresis leukocytes reduced irradiated each unit	$908.40	$908.40	$908.40	$3,168.60
Plc pq device breast ea addl lesion MRI guide	$1,704.60	$1,704.60	$1,704.60	$2,954.25
Plc pq device breast ea addl lesion Ultrasound guide	$969.00	$969.00	$969.00	$946.80
Plc pq device breast ea addl lesion stereo guide	$663.60	$663.60	$663.60	$1,619.40
Plcmnt biliary drainage cath w/img ext	$7,503.60	$7,503.60	$7,503.60	$4,144.20
Plcmnt stent transcath ctrl dialysis seg add-on	$16,133.40	$16,133.40	$16,133.40	$4,359.60
Plcmnt ureteral stent pq w/img exstng trct	$7,729.80	$7,729.80	$7,729.80	$4,913.40
Plcmnt ureteral stent pq w/img new w/cath	$7,729.80	$7,729.80	$7,729.80	$4,370.40
Plcmt dlyd xtn pros 1st vsl	$9,316.20	$9,316.20	$9,316.20	$7,148.25
Plcmt sft tiss loc pq w/img 1st lsn	$1,387.20	$1,387.20	$1,387.20	$1,124.25
Plcmt sft tiss loc pq w/img ea addl lsn	$1,442.40	$1,442.40	$1,442.40	$560.25
Plcmt xtn pros evasc rpr per vsl	$9,316.20	$9,316.20	$9,316.20	$5,988.00
Plethysmography lung volumes/airway resistance	$762.60	$762.60	$762.60	$368.25
Plmt biliary drainage cath	$7,503.60	$7,503.60	$7,503.60	$4,144.20
Plmt nephroureteral catheter	$5,190.00	$5,190.00	$5,190.00	$4,763.40
Plmt ureteral stent prq	$7,729.80	$7,729.80	$7,729.80	$8,248.80
Pm phone r-strip device eval	$254.40	$254.40	$254.40	$229.80
Poct blood gases ph pco2 po2 arterial calculated o2	$243.00	$243.00	$243.00	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$10,525.80	$10,525.80	$10,525.80	$36,544.20
Porfimer sodium injection	$13,787.40	$13,787.40	$13,787.40	$90,741.60
Potassium 24 hour urine	$24.00	$24.00	$24.00	$52.20
Potassium serum/plasma/whole blood	$24.00	$24.00	$24.00	$39.60
Pq biliary strict dil s&i	$2,397.60	$2,397.60	$2,397.60	$1,803.00
Pq dr cath chg w cont s&i	$2,119.80	$2,119.80	$2,119.80	$1,347.00
Pq kyphplsty 1 bdy lumb w/img	$18,813.00	$18,813.00	$18,813.00	$8,849.25
Pq thr inj ext pse	$1,125.60	$1,125.60	$1,125.60	$918.00
Pq vrtbrplst 1 bdy inj crv-thr w/img ini	$4,150.20	$4,150.20	$4,150.20	$3,752.25
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl	$2,268.00	$2,268.00	$2,268.00	$1,992.00
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini	$7,986.60	$7,986.60	$7,986.60	$7,009.80
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr	$4,150.20	$4,150.20	$4,150.20	$4,150.20
Pr application of long arm splint	$520.80	$520.80	$520.80	$471.00
Pr application splint static short arm	$406.20	$406.20	$406.20	$307.50
Pr biopsy skin punch single lesion	$690.60	$690.60	$690.60	$639.00
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$52.20	$52.20	$52.20	$30.00
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$378.60	$378.60	$378.60	$428.25
Pr discharge day management hospital ip/obs <=30 min on ecounter date	$256.20	$256.20	$256.20	$256.20
Pr discharge day management hospital ip/obs > 30 min on encounter date	$274.20	$274.20	$274.20	$274.20
Pr ecg 12 lead report only	$22.20	$22.20	$22.20	$22.20
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp	$129.00	$129.00	$129.00	$111.60
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$2,361.00	$2,361.00	$2,361.00	$3,061.50
Pr evaluation psychiatric diagnostic w/medical services	$351.60	$351.60	$351.60	$394.50
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm	$2,080.80	$2,080.80	$2,080.80	$2,080.80
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm	$2,184.60	$2,184.60	$2,184.60	$2,952.60
Pr excision nail/nail matrix partial/complete permanent removal	$484.80	$484.80	$484.80	$1,470.60
Pr hospital ip/obs care initial high level per day	$584.40	$584.40	$584.40	$584.40
Pr hospital ip/obs care initial moderate level per day	$420.00	$420.00	$420.00	$420.00
Pr hospital ip/obs care initial straightforward or low level per day	$277.80	$277.80	$277.80	$277.80
Pr hospital ip/obs care subsequent high level per day	$296.40	$296.40	$296.40	$296.40
Pr hospital ip/obs care subsequent moderate level per day	$205.20	$205.20	$205.20	$205.20
Pr hospital ip/obs care subsequent straightforward or low level per day	$134.40	$134.40	$134.40	$134.40
Pr incision & drainage abscess complicated/multiple	$955.80	$955.80	$955.80	$955.80
Pr incision & drainage abscess simple/single	$510.60	$510.60	$510.60	$510.60
Pr incision & drainage abscess vulva/perineal	$831.60	$831.60	$831.60	$998.40
Pr incision & removal foreign body subcutaneous tissues simple	$520.80	$520.80	$520.80	$589.80
Pr management transitional care moderate w/in 14 days of discharge	$255.00	$255.00	$255.00	$255.00
Pr moderate sedation same physician >= 5 years initial 15 minutes	$831.60	$831.60	$831.60	$330.00
Pr removal drug delivery implant	$1,165.20	$1,165.20	$1,165.20	$1,448.25
Pr removal foreign body external auditory canal without anesthesia	$370.80	$370.80	$370.80	$313.50
Pr removal intrauterine device	$411.00	$411.00	$411.00	$598.20
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$819.00	$819.00	$819.00	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$520.80	$520.80	$520.80	$520.80
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$520.80	$520.80	$520.80	$520.80
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$520.80	$520.80	$520.80	$520.80
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$520.80	$520.80	$520.80	$589.80
Pr tube thoracostomy w/connection to drainage open	$2,472.00	$2,472.00	$2,472.00	$2,412.60
Pralatrexate injection	$4,072.20	$4,072.20	$4,072.20	$4,072.20
Pralidoxime 1 gram solution for injection	$51.60	$51.60	$51.60	$297.18
Prcrd drg 6+yr without anomly	$2,473.20	$2,473.20	$2,473.20	$2,783.40
Prealbumin	$74.40	$74.40	$74.40	$114.00
Pregnancy Ultrasound (complete, after first trimester)	$394.20	$394.20	$394.20	$607.12
Pregnancy Ultrasound (first trimester)	$394.20	$394.20	$394.20	$580.03
Pressure max expiratory/inspiratory	$279.00	$279.00	$279.00	$187.20
Pressure velocity wire add ves	$3,046.80	$3,046.80	$3,046.80	$2,646.00
Pretreat rbc w chem/drugs reference	$48.00	$48.00	$48.00	$225.60
Prgr stim/pace a/iv drug	$3,457.20	$3,457.20	$3,457.20	$3,905.40
Prim art mech thrmbc non-intracranial	$17,281.80	$17,281.80	$17,281.80	$17,281.80
Prim art mech thrmbc non-intracranial add-on	$9,877.80	$9,877.80	$9,877.80	$5,352.00
Probe cryo 1150mm endo flex ster disp	$3,250.20	$3,250.20	$3,250.20	$5,730.60
Procainamide 100 mg/ml injection (wrapper)	$36.00	$36.00	$36.00	$225.00
Procalcitonin	$138.00	$138.00	$138.00	$161.60
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$5.40	$5.40	$5.40	$30.30
Prochlorperazine maleate 5 mg tablet	$0.60	$0.60	$0.60	$3.00
Proctosigmoidoscopy dx 45300	$1,420.20	$1,420.20	$1,420.20	$1,857.60
Progesterone	$105.00	$105.00	$105.00	$181.20
Prolactin	$98.40	$98.40	$98.40	$191.25
Promethazine hcl injection	$1.80	$1.80	$1.80	$10.99
Propofol infusion 10 mg/ml	$6.00	$6.00	$6.00	$21.45
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$6.60	$6.60	$6.60	$16.46
Prostate biopsy, any mthd	$643.20	$643.20	$643.20	$308.40
Protamine 10 mg/ml intravenous solution	$1.80	$1.80	$1.80	$115.20
Protein c activity	$70.20	$70.20	$70.20	$129.60
Protein electrophoretic fractionation & quantitation serum	$61.20	$61.20	$61.20	$171.60
Protein s total	$58.80	$58.80	$58.80	$181.50
Protein total 24 hour urine	$19.80	$19.80	$19.80	$39.60
Protein total body fluid	$21.00	$21.00	$21.00	$67.80
Protein total serum plasma whole blood	$21.00	$21.00	$21.00	$80.40
Prothrombin complex kcentra	$32.40	$32.40	$32.40	$8.25
Prothrombin time substitution plasma fractions each	$21.00	$21.00	$21.00	$66.60
Prp i/hern init block >5 yr	$1,536.60	$1,536.60	$1,536.60	$8,917.80
Prq av fstl crt uxtr sep acs	$37,664.40	$37,664.40	$37,664.40	$33,250.80
Prq av fstl crtj uxtr 1 acs	$37,664.40	$37,664.40	$37,664.40	$37,664.40
Prq card revasc chronic addl	$3,477.60	$3,477.60	$3,477.60	$3,477.60
Prq card revasc mi 1 vsl	$15,411.00	$15,411.00	$15,411.00	$23,616.60
Prq card revasc mi 1 vsl drug-eluting	$15,411.00	$15,411.00	$15,411.00	$15,411.00
Prq card stent w/angio addl	$9,768.60	$9,768.60	$9,768.60	$9,768.60
Prq cardiac angio addl art	$5,071.20	$5,071.20	$5,071.20	$5,071.20
Prq revasc byp graft 1 art and/or branches	$15,411.00	$15,411.00	$15,411.00	$15,411.00
Prq revasc byp graft addl	$11,988.60	$11,988.60	$11,988.60	$11,988.60
Prq tcat plmt ntrac st 1 les	$15,411.00	$15,411.00	$15,411.00	$15,411.00
Prq trlml c athrc st angiop1	$24,161.40	$24,161.40	$24,161.40	$24,161.40
Prq trluml c angiop 1art&/br	$10,148.40	$10,148.40	$10,148.40	$10,148.40
Prq trluml c athrc 1 art&/br	$17,281.80	$17,281.80	$17,281.80	$17,281.80
Prq trluml revsc ch occ ant	$15,411.00	$15,411.00	$15,411.00	$23,616.60
Psy/npsy phys/qhp 2> tst 1st 30 min	$55.20	$55.20	$55.20	$225.60
Psy/npsy phys/qhp 2> tst ea l 30 min	$42.60	$42.60	$42.60	$153.75
Psych test eval svc phys/qhp 1st hr	$250.80	$250.80	$250.80	$316.50
Psych test eval svc phys/qhp ea addl hr	$183.60	$183.60	$183.60	$183.60
Psychotherapy patient individual therapy 60 minutes	$302.40	$302.40	$302.40	$254.40
Pt evaluation high complexity patient/family	$363.00	$363.00	$363.00	$297.00
Pt evaluation low complexity patient/family	$226.80	$226.80	$226.80	$238.40
Pt evaluation moderate complexity patient/family	$303.60	$303.60	$303.60	$264.00
Pt re-evaluation patient/family	$139.20	$139.20	$139.20	$117.60
Pt repositioning canalith procedure(s) per day	$78.60	$78.60	$78.60	$269.60
Pt therapeutic procedure >=1 area gait training each 15 minutes	$44.40	$44.40	$44.40	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$73.80	$73.80	$73.80	$110.40
Pt wheelchair management each 15 minutes	$60.60	$60.60	$60.60	$81.75
Pulmonary vent imaging	$1,228.80	$1,228.80	$1,228.80	$705.60
Pulse ox continuous overnight monitoring	$350.40	$350.40	$350.40	$350.40
Pulse ox multiple	$102.00	$102.00	$102.00	$251.40
Pulse ox single	$98.40	$98.40	$98.40	$91.20
Punc of shunt for asp or inj	$2,015.40	$2,015.40	$2,015.40	$2,015.40
Puncture arterial withdrawal blood for diagnosis	$248.40	$248.40	$248.40	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$520.80	$520.80	$520.80	$505.20
Puncture spinal lumbar diagnostic	$2,040.00	$2,040.00	$2,040.00	$1,230.60
Pyridoxine hcl 100 mg	$12.60	$12.60	$12.60	$29.11
Pyruvate	$73.80	$73.80	$73.80	$114.00
Pyruvate kinase	$33.60	$33.60	$33.60	$130.80
Quant diff pulm perf and vent w/imaging	$1,574.40	$1,574.40	$1,574.40	$2,878.80
Quant diff pulm perf w/imaging	$1,228.80	$1,228.80	$1,228.80	$1,438.50
Quest t3 uptake	$32.40	$32.40	$32.40	$96.75
Quinupristin/dalfopristin	$279.60	$279.60	$279.60	$279.60
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$408.00	$408.00	$408.00	$880.00
Radiation handling	$296.40	$296.40	$296.40	$296.40
Radiation physics consult	$744.00	$744.00	$744.00	$568.80
Radiation therapy dose plan	$546.60	$546.60	$546.60	$595.80
Radiation treatment aid(s)	$501.00	$501.00	$501.00	$501.00
Radiation treatment aid(s)	$715.80	$715.80	$715.80	$1,244.40
Radiation treatment aid(s)	$489.00	$489.00	$489.00	$489.00
Radiation treatment delivery	$1,046.40	$1,046.40	$1,046.40	$698.40
Radiation treatment delivery	$1,750.80	$1,750.80	$1,750.80	$1,321.20
Radiology port images(s)	$236.40	$236.40	$236.40	$178.20
Radiotherapy dose plan imrt	$3,873.00	$3,873.00	$3,873.00	$6,649.20
Radium ra223 dichl ther/uci	$17,014.80	$17,014.80	$17,014.80	$389.40
Radphm lcl tmr plnr bdy sgl day img	$4,242.60	$4,242.60	$4,242.60	$2,283.00
Radphm lcl tmr plnr bdy two day img	$4,242.60	$4,242.60	$4,242.60	$2,886.40
Radphm lcl tmr spect/ct 2+ areas/2+ days	$4,242.60	$4,242.60	$4,242.60	$3,347.20
Radphm lcl tomogr sgl area sgl day	$4,242.60	$4,242.60	$4,242.60	$2,929.80
Radphm lcl tumor plr sgl day	$1,228.80	$1,228.80	$1,228.80	$1,070.40
Ramucirumab 10 mg/ml intravenous solution	$85.20	$85.20	$85.20	$187.20
Rapid Strep Test	$93.00	$93.00	$93.00	$72.00
Rapid desensitization	$689.40	$689.40	$689.40	$689.40
Rasburicase 1.5 mg intravenous solution	$644.40	$644.40	$644.40	$9,544.20
Ravulizumab-cwvz 100 mg/ml intravenous solution	$1,280.40	$1,280.40	$1,280.40	$71,857.80
Rbc count only automated	$6.60	$6.60	$6.60	$21.40
Rbc irradiated each unit	$273.00	$273.00	$273.00	$510.60
Re-explore parathyroids	$1,744.80	$1,744.80	$1,744.80	$1,744.80
Red blood cells each unit	$200.40	$200.40	$200.40	$759.60
Red blood cells leukocytes reduced each unit	$269.40	$269.40	$269.40	$830.25
Red blood cells leukocytes reduced irradiated each unit	$376.80	$376.80	$376.80	$837.00
Redo endovas vena cava filtr	$7,195.20	$7,195.20	$7,195.20	$3,682.50
Reduce bowel obstruction 44050	$2,479.20	$2,479.20	$2,479.20	$2,479.20
Regadenoson 0.4 mg/5 ml intravenous syringe	$30.60	$30.60	$30.60	$897.00
Relocation skin pocket aicd	$3,487.20	$3,487.20	$3,487.20	$3,607.80
Relocation skin pocket pm	$2,460.00	$2,460.00	$2,460.00	$2,504.40
Rem endovas vena cava filter	$5,819.40	$5,819.40	$5,819.40	$5,819.40
Rem/biv cast full arm/leg	$370.80	$370.80	$370.80	$450.00
Removal biliary drg cath	$1,663.20	$1,663.20	$1,663.20	$1,663.20
Removal central venous catheter tunneled without port/pump	$3,457.20	$3,457.20	$3,457.20	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$3,457.20	$3,457.20	$3,457.20	$3,081.00
Removal cerumen impacted (both sides)	$120.60	$120.60	$120.60	$169.20
Removal clot in graft oth/thn 35875	$6,966.60	$6,966.60	$6,966.60	$5,270.25
Removal devitalized tissue non-selective debridement without anesthesia per session	$265.20	$265.20	$265.20	$276.00
Removal duct glbldr calculi	$1,132.80	$1,132.80	$1,132.80	$2,987.40
Removal embedded foreign body vestibule mouth smpl	$1,191.00	$1,191.00	$1,191.00	$876.00
Removal foreign body foot subcutaneous right	$2,169.00	$2,169.00	$2,169.00	$901.80
Removal implant superficial separate procedure	$4,161.60	$4,161.60	$4,161.60	$3,387.00
Removal of anal tags	$3,552.60	$3,552.60	$3,552.60	$3,128.40
Removal of breast lesion	$1,078.20	$1,078.20	$1,078.20	$1,078.20
Removal of gallbladder 47600	$2,816.40	$2,816.40	$2,816.40	$2,816.40
Removal of skin tags each add'l 10	$351.00	$351.00	$351.00	$351.00
Removal of small intestine 44125	$3,120.60	$3,120.60	$3,120.60	$3,120.60
Removal of stomach partial 43631	$3,851.40	$3,851.40	$3,851.40	$3,851.40
Removal of stomachpartial 43632	$5,407.20	$5,407.20	$5,407.20	$5,407.20
Removal of thyroid	$3,475.80	$3,475.80	$3,475.80	$3,475.80
Removal of thyroid	$1,246.20	$1,246.20	$1,246.20	$1,246.20
Removal skin tags fibrocutaneous any area <= 15 lesions	$819.00	$819.00	$819.00	$628.20
Removal sutr and stapl no anes	$187.20	$187.20	$187.20	$39.00
Removal sutr or stapl no anes	$187.20	$187.20	$187.20	$27.60
Removal sutr/staple req anes	$3,784.80	$3,784.80	$3,784.80	$3,784.80
Removal tunnled intprtnl cath	$10,505.40	$10,505.40	$10,505.40	$3,209.40
Removal/replacement ppm generator dual lead system	$19,161.00	$19,161.00	$19,161.00	$9,527.25
Remove anal fist subq	$1,015.20	$1,015.20	$1,015.20	$1,015.20
Remove brain canal fluid	$961.20	$961.20	$961.20	$961.20
Remove cva lumen obstruct	$682.80	$682.80	$682.80	$1,428.00
Remove ext hem groups 2+	$3,552.60	$3,552.60	$3,552.60	$3,934.20
Remove foreign body from eye	$3,433.80	$3,433.80	$3,433.80	$3,769.20
Remove int/ext hem 1 group	$922.20	$922.20	$922.20	$922.20
Remove pilonidal cyst compl	$1,492.20	$1,492.20	$1,492.20	$1,492.20
Remove pilonidal cyst exten	$1,125.60	$1,125.60	$1,125.60	$1,125.60
Remove renal tube w/fluoro	$3,200.40	$3,200.40	$3,200.40	$2,057.40
Remove stent via transureth	$5,276.40	$5,276.40	$5,276.40	$1,638.75
Remove thyroid lesion 60200	$10,214.40	$10,214.40	$10,214.40	$10,214.40
Remove ureter stent percut	$6,318.00	$6,318.00	$6,318.00	$10,887.60
Remove vaginal foreign body 57415	$3,786.60	$3,786.60	$3,786.60	$3,577.50
Remove wrist tendon lesion	$817.80	$817.80	$817.80	$817.80
Remvl peritoneal fb frm cavity	$5,151.00	$5,151.00	$5,151.00	$5,151.00
Renal function panel	$56.40	$56.40	$56.40	$156.00
Renal venogram bil s&i	$5,906.40	$5,906.40	$5,906.40	$2,859.75
Reopening of recent laparotomy 49002	$1,888.20	$1,888.20	$1,888.20	$1,888.20
Repair blood vess/direct/intra/abd 35221	$3,912.00	$3,912.00	$3,912.00	$3,912.00
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$1,664.40	$1,664.40	$1,664.40	$2,172.00
Repair defect of artery 35011	$2,715.60	$2,715.60	$2,715.60	$2,715.60
Repair dental ellis ii fx	$777.60	$777.60	$777.60	$278.40
Repair elbow perc	$6,362.40	$6,362.40	$6,362.40	$3,919.80
Repair epigastric hernia reduce 49570	$1,087.80	$1,087.80	$1,087.80	$1,087.80
Repair extns tendon finger without grft ea	$2,055.00	$2,055.00	$2,055.00	$5,324.40
Repair finger/hand tendon	$4,150.20	$4,150.20	$4,150.20	$3,505.20
Repair finger/hand tendon	$4,150.20	$4,150.20	$4,150.20	$4,150.20
Repair ing hernia sliding	$1,504.20	$1,504.20	$1,504.20	$1,504.20
Repair lac palate<2 cm	$1,673.40	$1,673.40	$1,673.40	$1,673.40
Repair lip full thkns =<one-half vert height	$2,079.60	$2,079.60	$2,079.60	$2,079.60
Repair lip full thkns >one-half vert height/cmplx	$2,046.00	$2,046.00	$2,046.00	$2,046.00
Repair of achilles tendon	$9,067.20	$9,067.20	$9,067.20	$9,067.20
Repair of bladder opening	$619.20	$619.20	$619.20	$619.20
Repair pm/icd lead sgl	$4,523.40	$4,523.40	$4,523.40	$4,257.75
Repair recur ventrl hern reduce 49565	$1,038.00	$1,038.00	$1,038.00	$1,038.00
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$1,497.00	$1,497.00	$1,497.00	$2,440.80
Repair rpr lip full thickness vermilion only	$993.00	$993.00	$993.00	$2,916.60
Repair stomach opening	$1,880.40	$1,880.40	$1,880.40	$3,709.50
Repair tendon extensor foot 1/2 each tendon	$9,012.00	$9,012.00	$9,012.00	$4,561.20
Repair tendon/muscle forearm/wrist prime sngl ea	$9,332.40	$9,332.40	$9,332.40	$6,096.00
Repair tongue lac <2.5cm past 1/3 tongue 41251	$1,050.60	$1,050.60	$1,050.60	$262.50
Repair umbil hern incar > 5 yr 49587	$1,243.20	$1,243.20	$1,243.20	$1,243.20
Repair umbil hern reduc > 5 yr 49585	$1,411.20	$1,411.20	$1,411.20	$1,411.20
Repair upper arm/elbow tendon/muscle ea	$9,067.20	$9,067.20	$9,067.20	$6,645.75
Repair ventral hern init incar 49561	$7,572.60	$7,572.60	$7,572.60	$7,572.60
Repair ventral hern init reduc 49560	$997.20	$997.20	$997.20	$997.20
Repeat thyroid surgery	$2,567.40	$2,567.40	$2,567.40	$2,567.40
Replace duod/jej tube perc	$4,216.80	$4,216.80	$4,216.80	$2,779.20
Replace g-j tube perc	$4,274.40	$4,274.40	$4,274.40	$3,246.60
Replace g/c tube perc	$3,972.00	$3,972.00	$3,972.00	$3,076.80
Replace picvad cath	$4,201.80	$4,201.80	$4,201.80	$4,201.80
Replace tunneled cv cath	$4,273.80	$4,273.80	$4,273.80	$4,004.40
Repos lv lead pm/icd	$4,201.80	$4,201.80	$4,201.80	$3,322.50
Repos sq defib eltrd	$4,831.80	$4,831.80	$4,831.80	$6,864.00
Reposition pm/icd lead	$4,608.60	$4,608.60	$4,608.60	$3,780.00
Rerepair ing hernia blocked	$5,185.20	$5,185.20	$5,185.20	$5,185.20
Rerepair ing hernia reduce	$1,662.00	$1,662.00	$1,662.00	$7,126.80
Reslizumab 10 mg/ml intravenous solution	$64.20	$64.20	$64.20	$34.40
Resp virus 6-11 targets	$1,212.60	$1,212.60	$1,212.60	$1,212.60
Respirator motion mgmt simul	$1,757.40	$1,757.40	$1,757.40	$1,189.20
Resuscitation cardiopulmonary	$1,023.60	$1,023.60	$1,023.60	$843.00
Resuscitation delivery/birthing room	$1,017.00	$1,017.00	$1,017.00	$885.00
Revasc intra lithotrip-ather	$22,899.00	$22,899.00	$22,899.00	$22,821.00
Revasc intra lithotrip-stent	$22,899.00	$22,899.00	$22,899.00	$22,821.00
Revasc intravasc lithotripsy	$11,449.20	$11,449.20	$11,449.20	$12,754.50
Revasc lith-sten-ath tib/per	$36,522.60	$36,522.60	$36,522.60	$36,522.60
Revasc lithotr-ather tib/per	$36,522.60	$36,522.60	$36,522.60	$36,522.60
Revasc lithotr-stent tib/per	$36,522.60	$36,522.60	$36,522.60	$36,522.60
Revasc lithotrip tibi/perone	$22,833.60	$22,833.60	$22,833.60	$22,833.60
Revasc lithotrip-stent-ather	$36,839.40	$36,839.40	$36,839.40	$33,032.40
Revise stomach bowel fusion 43860	$4,329.60	$4,329.60	$4,329.60	$4,329.60
Revision of cervix	$7,368.60	$7,368.60	$7,368.60	$7,213.50
Revision of colostomy paraclt hernia 44346	$3,117.60	$3,117.60	$3,117.60	$3,117.60
Revision open av fistula without thromb	$9,842.40	$9,842.40	$9,842.40	$9,842.40
Revision tips	$7,508.40	$7,508.40	$7,508.40	$7,508.40
Revsc opn/prq tib/pero stent	$8,640.60	$8,640.60	$8,640.60	$8,640.60
Rf abltj nrv nrvtg si jt	$5,661.00	$5,661.00	$5,661.00	$3,989.40
Rheumatoid factor qualitative	$33.60	$33.60	$33.60	$75.00
Rheumatoid factor quantitative	$31.80	$31.80	$31.80	$74.40
Rho d immune globulin inj	$70.80	$70.80	$70.80	$728.80
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe	$48.00	$48.00	$48.00	$172.80
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$106.80	$106.80	$106.80	$0.60
Right ventric recording	$2,545.80	$2,545.80	$2,545.80	$3,039.75
Risankizumab-rzaa 60 mg/ml intravenous solution	$588.00	$588.00	$588.00	$26.40
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln	$337.20	$337.20	$337.20	$218.40
Rituximab 10 mg/ml concentrate,intravenous	$55.80	$55.80	$55.80	$433.20
Rituximab-abbs 10 mg/ml intravenous solution	$50.40	$50.40	$50.40	$372.60
Rituximab-arrx 10 mg/ml intravenous solution	$42.60	$42.60	$42.60	$207.60
Rituximab-pvvr 10 mg/ml intravenous solution	$42.60	$42.60	$42.60	$7,826.40
Rmvl foreign body upper arm/elbow subcutaneous	$2,080.80	$2,080.80	$2,080.80	$1,470.60
Rmvl icd by tv extr	$4,589.40	$4,589.40	$4,589.40	$4,482.75
Rmvl icd gen w/rplc icd gen dual lead sys	$34,564.20	$34,564.20	$34,564.20	$34,564.20
Rmvl icd gen w/rplc icd gen mlt lead sys	$48,933.60	$48,933.60	$48,933.60	$36,067.20
Rmvl icd gen w/rplc icd gen sgl lead sys	$34,564.20	$34,564.20	$34,564.20	$21,319.50
Rmvl icd pulse gen only	$4,523.40	$4,523.40	$4,523.40	$3,655.80
Rmvl ndwellg tun pleural cath	$2,304.60	$2,304.60	$2,304.60	$2,026.20
Rmvl perm pm pulse gen	$11,583.60	$11,583.60	$11,583.60	$3,033.60
Rmvl pm gen w/rplc pm gen mlt lead sys	$27,759.00	$27,759.00	$27,759.00	$27,759.00
Rmvl pm gen w/rplc pm gen sgl lead sys	$17,467.80	$17,467.80	$17,467.80	$17,467.80
Rmvl pq iabp	$243.00	$243.00	$243.00	$243.00
Rmvl pq vad left hrt vein sep session	$512.40	$512.40	$512.40	$988.80
Rmvl sq defib electrode	$4,831.80	$4,831.80	$4,831.80	$4,831.80
Rmvl subq card rhythm mntr	$2,304.60	$2,304.60	$2,304.60	$2,304.60
Rmvl tv pm lead dual	$4,523.40	$4,523.40	$4,523.40	$3,687.00
Rmvl tv pm lead sgl	$4,523.40	$4,523.40	$4,523.40	$3,303.75
Romidepsin 10 mg/2 ml intravenous powder for solution	$1,918.80	$1,918.80	$1,918.80	$197.60
Romiplostim 125 mcg subcutaneous solution	$3,004.80	$3,004.80	$3,004.80	$34.60
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)	$641.40	$641.40	$641.40	$8,372.44
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$9.00	$9.00	$9.00	$178.80
Rp loclzj tum 2+area 1+d img	$1,228.80	$1,228.80	$1,228.80	$2,070.60
Rp loclzj tum spect w/ct 1	$4,242.60	$4,242.60	$4,242.60	$2,767.80
Rp loclzj tum spect w/ct 2	$4,812.60	$4,812.60	$4,812.60	$3,322.20
Rpl non-tun cvc wo sbq prt/pmp	$3,588.60	$3,588.60	$3,588.60	$2,703.00
Rpl picc wo subq port/pump incl image guidnc w/s&i	$3,217.80	$3,217.80	$3,217.80	$2,587.20
Rpl tun cvc wo subq port	$4,201.80	$4,201.80	$4,201.80	$2,957.25
Rpl tun-cvad w subq port	$8,004.00	$8,004.00	$8,004.00	$5,510.40
Rpl tun-cvad w subq pump	$8,004.00	$8,004.00	$8,004.00	$0.60
Rpr aa hrn 1st < 3 cm rdc	$7,767.60	$7,767.60	$7,767.60	$6,856.20
Rpr aa hrn 1st < 3 ncr/strn	$11,428.80	$11,428.80	$11,428.80	$11,428.80
Rpr rem hernia init reduce	$1,509.60	$1,509.60	$1,509.60	$1,509.60
Rsv assay w/optic	$73.80	$73.80	$73.80	$13.60
Rubella antibody igg	$80.40	$80.40	$80.40	$103.50
Rubeola antibody igg	$72.00	$72.00	$72.00	$165.00
Russell viper venom diluted	$48.60	$48.60	$48.60	$137.25
Sacituzumab govitecan-hziy 180 mg intravenous solution	$1,441.80	$1,441.80	$1,441.80	$5,043.00
Salivary gland imaging	$1,228.80	$1,228.80	$1,228.80	$585.00
Salivary glnd img serial img	$1,228.80	$1,228.80	$1,228.80	$1,621.80
Sarscov coronavirus ag ia	$84.60	$84.60	$84.60	$34.80
Sc ther infusion reset pump	$148.20	$148.20	$148.20	$148.20
Scan duplex abd/pelvis/retroperitoneal complete	$819.60	$819.60	$819.60	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$488.40	$488.40	$488.40	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$819.60	$819.60	$819.60	$994.50
Scan duplex aorta/ivc/iliac unilateral/limited	$394.20	$394.20	$394.20	$715.80
Scan duplex extracranial arteries unilateral/limited study	$379.80	$379.80	$379.80	$672.00
Scan duplex extremity veins unilateral/limited study	$394.20	$394.20	$394.20	$829.20
Scan duplex lower extremity arteries complete bilateral	$819.60	$819.60	$819.60	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$488.40	$488.40	$488.40	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$394.20	$394.20	$394.20	$779.25
Sclerotherapy fluid collection pq w/img	$2,643.60	$2,643.60	$2,643.60	$2,643.60
Scr c/v cyto,thinlayer,rescr	$189.60	$189.60	$189.60	$78.00
Screen cerv/vag thin layer	$145.20	$145.20	$145.20	$61.20
Screen pap by tech w md supv	$55.20	$55.20	$55.20	$55.20
Screen/visual acuity/bilat/quant 99173	$79.80	$79.80	$79.80	$79.80
Screening HIV antigen/antibody combination assay	$76.20	$76.20	$76.20	$76.20
Screening Mammogram	$399.60	$399.60	$399.60	$331.50
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations	$100.20	$100.20	$100.20	$241.20
Screening hepatitis b non-obstetric high risk	$60.00	$60.00	$60.00	$63.00
Screening hepatitis c antibody high risk	$108.00	$108.00	$108.00	$46.80
Screening pap smear by phys	$75.60	$75.60	$75.60	$75.60
Screening prostate cancer PSA	$97.80	$97.80	$97.80	$96.00
Sec abd wall suture evisceration/dehsn 49900	$2,139.60	$2,139.60	$2,139.60	$9,201.00
Sec art mech thrmbc non-intracranial add-on	$12,577.80	$12,577.80	$12,577.80	$8,416.80
Sedimentation rate erythrocyte automated	$37.80	$37.80	$37.80	$57.00
Semen analysis presence/motility	$86.40	$86.40	$86.40	$118.20
Serpina1 gene	$252.00	$252.00	$252.00	$345.60
Set radiation therapy field	$1,273.20	$1,273.20	$1,273.20	$1,485.60
Set radiation therapy field	$1,029.00	$1,029.00	$1,029.00	$1,029.00
Set radiation therapy field	$655.20	$655.20	$655.20	$794.40
Sevelamer carbonate 800 mg tablet	$3.60	$3.60	$3.60	$3.60
Sevelamer carbonate pdr 20mg	$10.20	$10.20	$10.20	$638.94
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<	$520.80	$520.80	$520.80	$520.80
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm	$520.80	$520.80	$520.80	$722.40
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm	$819.00	$819.00	$819.00	$880.20
Shave sgl skin lsn f/e/e/n/l/m >2cm	$1,341.60	$1,341.60	$1,341.60	$582.75
Shave sgl skin lsn s/n/h/f/g 0.5cm/<	$520.80	$520.80	$520.80	$494.40
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm	$520.80	$520.80	$520.80	$535.80
Shave sgl skin lsn s/n/h/f/g 1.1-2cm	$575.40	$575.40	$575.40	$575.40
Shave sgl skin lsn t/a/l 0.5cm/<	$520.80	$520.80	$520.80	$520.80
Shave sgl skin lsn t/a/l 1.1-2.0cm	$660.00	$660.00	$660.00	$660.00
Sheath gldlight lasr 12fx50cm	$7,034.40	$7,034.40	$7,034.40	$7,076.25
Shoulder MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$2,650.10
Shoulder MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$2,822.25
Shoulder MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$1,938.28
Shoulder X-ray	$188.40	$188.40	$188.40	$307.20
Shuntogram nonvascular supervision & interpretation	$262.80	$262.80	$262.80	$354.60
Sialography s&i	$547.80	$547.80	$547.80	$1,283.40
Sialolithotomy 42330	$3,971.40	$3,971.40	$3,971.40	$3,732.75
Sickling rbc	$28.80	$28.80	$28.80	$81.00
Signal avg ecg w or without ecg 93278	$204.60	$204.60	$204.60	$408.60
Sincalide 5 mcg solution for injection	$81.60	$81.60	$81.60	$475.20
Sinus CT scan (with and without contrast)	$1,294.80	$1,294.80	$1,294.80	$1,871.00
Sinus CT scan (with contrast)	$1,294.80	$1,294.80	$1,294.80	$1,566.40
Sinus CT scan (without contrast)	$796.80	$796.80	$796.80	$1,275.30
Sinus/juglr venogram s&i	$5,906.40	$5,906.40	$5,906.40	$2,226.60
Sipuleucel-t - su	$150.00	$150.00	$150.00	$95,750.46
Sirolimus, oral	$20.40	$20.40	$20.40	$180.00
Slitting of prepuce	$4,029.00	$4,029.00	$4,029.00	$4,029.00
Slp pure tone screening	$127.20	$127.20	$127.20	$64.50
Sm-153 lexidron ther	$5,947.80	$5,947.80	$5,947.80	$12,410.40
Smear fluorescent and/or acid fast stain	$30.60	$30.60	$30.60	$81.00
Smear gram stain	$24.00	$24.00	$24.00	$55.80
Smear special stain inclusion bodies/parasites	$46.20	$46.20	$46.20	$46.20
Smear wet mount	$32.40	$32.40	$32.40	$78.75
Sodium 24 hour urine	$25.20	$25.20	$25.20	$52.20
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$3.60	$3.60	$3.60	$61.20
Sodium serum/plasma/whole blood	$24.60	$24.60	$24.60	$40.20
Somatosensory testing	$583.80	$583.80	$583.80	$760.80
Special physics consult	$892.20	$892.20	$892.20	$732.00
Special radiation dosimetry	$739.80	$739.80	$739.80	$471.00
Special radiation treatment	$2,055.00	$2,055.00	$2,055.00	$1,986.00
Special teletx port plan	$939.60	$939.60	$939.60	$1,078.80
Specific gravity body fluid	$17.40	$17.40	$17.40	$25.80
Speech evaluation complex	$547.80	$547.80	$547.80	$971.40
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$2,461.20	$2,461.20	$2,461.20	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$650.40	$650.40	$650.40	$543.75
Spleen imaging	$1,228.80	$1,228.80	$1,228.80	$469.50
Splint func pos polyflex ii med	$116.40	$116.40	$116.40	$149.40
Split blood or products	$201.60	$201.60	$201.60	$303.00
Sputum specimen collection	$1,087.80	$1,087.80	$1,087.80	$337.50
Sr-89 stront chlor ther / mci	$5,445.60	$5,445.60	$5,445.60	$2,773.60
Srs linear based	$12,437.40	$12,437.40	$12,437.40	$8,479.20
St analysis behavior qualitative voice/resonance	$435.00	$435.00	$435.00	$326.25
St cognitve performance testing healthcare professional each hour	$601.20	$601.20	$601.20	$392.40
St evaluate speech sound production	$414.00	$414.00	$414.00	$310.20
St evaluate speech sound production comprehensive/expressive	$865.20	$865.20	$865.20	$334.80
St evaluation motion fluoroscopic swallow function cine/video	$263.40	$263.40	$263.40	$354.75
St evaluation swallow function	$532.80	$532.80	$532.80	$416.40
St treatment speech individual	$459.00	$459.00	$459.00	$203.40
St treatment swallow dysfunction/oral	$384.60	$384.60	$384.60	$216.80
Stent axios caut enh 15x10mm electrocaut	$10,104.60	$10,104.60	$10,104.60	$30,010.80
Stent bili dbl pgtl 10fx5cm	$361.20	$361.20	$361.20	$720.00
Stent bili rx wallflx 10x80 uncvr	$6,966.60	$6,966.60	$6,966.60	$11,522.40
Stent bronch dumon sil 10x40mm	$5,596.20	$5,596.20	$5,596.20	$10,323.00
Stent iliac/open or perc/uni/init 37221	$17,281.80	$17,281.80	$17,281.80	$17,448.00
Stent iliac/open/perc/ea ad/ipsila 37223	$8,640.60	$8,640.60	$8,640.60	$16,307.40
Stent/athrectomy/fem/pop/unilat 37227	$24,161.40	$24,161.40	$24,161.40	$54,766.80
Stent/tib/peroneal/unilat/initial 37230	$24,161.40	$24,161.40	$24,161.40	$24,161.40
Str markers specimen anal	$505.20	$505.20	$505.20	$1,678.50
Strapping of ankle and/or ft 29540	$520.80	$520.80	$520.80	$315.60
Strapping of chest	$378.60	$378.60	$378.60	$378.60
Strapping of elbow or wrist 29260	$204.60	$204.60	$204.60	$453.00
Strapping of hand or finger	$204.60	$204.60	$204.60	$291.00
Strapping of hip	$411.60	$411.60	$411.60	$147.00
Strapping of knee	$411.60	$411.60	$411.60	$243.60
Strapping of toes 29550	$204.60	$204.60	$204.60	$204.60
Streptozocin injection	$209.40	$209.40	$209.40	$1,286.99
Stress test pulmonary	$399.00	$399.00	$399.00	$399.00
Stress tte complete	$1,793.40	$1,793.40	$1,793.40	$1,989.60
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$4.80	$4.80	$4.80	$16.20
Sugars single quant	$58.80	$58.80	$58.80	$114.60
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution	$0.60	$0.60	$0.60	$0.40
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$105.60	$105.60	$105.60	$167.98
Surgical pathology level 1 gross examination only	$54.60	$54.60	$54.60	$58.20
Surgical pathology level 2 gross & microscopic examination	$54.60	$54.60	$54.60	$189.00
Surgical pathology level 3 gross & microscopic examination	$116.40	$116.40	$116.40	$236.40
Surgical pathology level 4 gross & microscopic examination	$116.40	$116.40	$116.40	$302.40
Surgical pathology level 5 gross & microscopic examination	$664.80	$664.80	$664.80	$493.60
Surgical pathology level 6 gross & microscopic examination	$1,472.40	$1,472.40	$1,472.40	$669.60
Suscept studies macrobroth dilution ea	$37.80	$37.80	$37.80	$87.00
Susceptibility agar dilution per agent	$25.80	$25.80	$25.80	$69.75
Susceptibility enzyme detection per enzyme	$25.80	$25.80	$25.80	$25.80
Susceptibility mic per plate	$48.60	$48.60	$48.60	$96.00
Svc venogram s&i	$1,344.60	$1,344.60	$1,344.60	$2,331.00
Syphilis test non-treponemal antibody quantitative rpr	$24.60	$24.60	$24.60	$67.50
System pacing micra av	$9,256.80	$9,256.80	$9,256.80	$28,759.80
System pcmkr dual chamber leadless micra av2 intrdcr cath	$9,256.80	$9,256.80	$9,256.80	$11,441.25
System sealant biosentry tract	$680.40	$680.40	$680.40	$888.00
T cells absolute cd 4 count	$148.80	$148.80	$148.80	$174.40
T cells absolute cd4/cd8 including ratio	$261.60	$261.60	$261.60	$261.60
T cells total count	$210.00	$210.00	$210.00	$136.00
T3 (triiodothyronine) free	$86.40	$86.40	$86.40	$137.40
T3 (triiodothyronine) total	$72.00	$72.00	$72.00	$155.40
T4 (thyroxine) free	$45.60	$45.60	$45.60	$103.20
T4 (thyroxine) total	$34.20	$34.20	$34.20	$82.80
Tacrol astagraf ex rel oral	$16.80	$16.80	$16.80	$3.15
Tacrol envarsus ex rel oral	$15.60	$15.60	$15.60	$3.40
Tacrolimus 1 mg capsule, immediate-release	$21.00	$21.00	$21.00	$29.40
Tacrolimus 5 mg/ml intravenous solution	$148.20	$148.20	$148.20	$1,588.00
Tacrolimus therapeutic drug level	$98.40	$98.40	$98.40	$174.75
Tafasitamab-cxix 200 mg intravenous solution	$796.80	$796.80	$796.80	$28.80
Talquetamab-tgvs 2 mg/ml subcutaneous solution	$6,216.00	$6,216.00	$6,216.00	$175.20
Tarlatamab-dlle 10 mg intravenous solution	$9,000.00	$9,000.00	$9,000.00	$2,828.40
Tavr perq femoral	$10,503.00	$10,503.00	$10,503.00	$10,503.00
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$556.80	$556.80	$556.80	$697.80
Tb test cell mediated immunity antigen response gamma interferon	$345.00	$345.00	$345.00	$345.00
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe	$357.60	$357.60	$357.60	$357.60
Tc-99m diag per dose	$77.40	$77.40	$77.40	$77.40
Tc-99m exame autol wbc diag per dose	$7,144.80	$7,144.80	$7,144.80	$576.00
Tc-99m fanolesomab diag	$6,315.00	$6,315.00	$6,315.00	$3,894.60
Tc-99m labeled rbc	$590.40	$590.40	$590.40	$282.00
Tc-99m maa	$576.00	$576.00	$576.00	$161.60
Tc-99m mebrofenin	$94.80	$94.80	$94.80	$292.20
Tc-99m medronate	$54.60	$54.60	$54.60	$183.60
Tc-99m mertiatide	$1,284.60	$1,284.60	$1,284.60	$1,909.80
Tc-99m oxidronate	$88.80	$88.80	$88.80	$54.20
Tc-99m pentetate dtpa aerosol	$415.20	$415.20	$415.20	$231.60
Tc-99m pertechnetate per mci	$2.40	$2.40	$2.40	$43.20
Tc-99m pyroph diag per dose up to 25 mci	$232.20	$232.20	$232.20	$152.00
Tc-99m sestamibi p study dose	$610.80	$610.80	$610.80	$640.80
Tc-99m succimer (dmsa)	$1,749.60	$1,749.60	$1,749.60	$672.80
Tc-99m sulfur colloid	$469.20	$469.20	$469.20	$191.20
Tc-99m tetrofosmin p study dose	$597.00	$597.00	$597.00	$511.20
Tc-99m tilmanocept diag	$1,043.40	$1,043.40	$1,043.40	$73.20
Tcd emboli detect without inj	$240.60	$240.60	$240.60	$240.60
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution	$24,312.00	$24,312.00	$24,312.00	$457.20
Telavancin injection	$367.80	$367.80	$367.80	$530.40
Telehealth original site facility fee	$84.60	$84.60	$84.60	$101.40
Telethx isodose plan cplx	$1,189.20	$1,189.20	$1,189.20	$2,941.80
Telethx isodose plan simple	$766.80	$766.80	$766.80	$2,039.40
Temozolomide 100 mg intravenous solution	$601.80	$601.80	$601.80	$1,714.80
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$1,200.00	$1,200.00	$1,200.00	$539.40
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$4,559.40	$4,559.40	$4,559.40	$11,617.80
Terbutaline 1 mg/ml subcutaneous solution	$11.40	$11.40	$11.40	$102.00
Test pathogen(s) for platelets reference	$51.00	$51.00	$51.00	$51.00
Test stress cardiovascular tracing only	$953.40	$953.40	$953.40	$1,618.20
Test urine for porphyrins	$48.60	$48.60	$48.60	$25.80
Testicular imaging w/vasc flow	$1,228.80	$1,228.80	$1,228.80	$1,209.75
Tetanus immune globulin inj	$389.40	$389.40	$389.40	$1,524.00
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe	$1,269.00	$1,269.00	$1,269.00	$48.80
Theophylline therapeutic drug level	$101.40	$101.40	$101.40	$163.80
Ther nma rdctj intus/obstrcj	$389.40	$389.40	$389.40	$389.40
Ther/proph/diag inj ia	$369.00	$369.00	$369.00	$369.00
Therapeutic procd strg endur	$186.00	$186.00	$186.00	$93.60
Therapy nutrition individual initial f2f w/patient each 15 minutes	$50.40	$50.40	$50.40	$28.80
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes	$50.40	$50.40	$50.40	$20.40
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$2.40	$2.40	$2.40	$42.60
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$2,304.60	$2,304.60	$2,304.60	$1,687.50
Thoracotomy with cardiac massage	$3,385.80	$3,385.80	$3,385.80	$3,385.80
Throat x-ray & fluoroscopy	$188.40	$188.40	$188.40	$188.40
Thromb/endar/neck inc/car/vert/subc35301	$6,882.60	$6,882.60	$6,882.60	$6,882.60
Thrombectmy crnry perq mechanical	$6,847.20	$6,847.20	$6,847.20	$4,489.50
Thrombectomy/inf pq dialysis circuit	$12,394.80	$12,394.80	$12,394.80	$4,405.80
Thrombectomy/inf pq dialysis circuit w/pta	$24,300.00	$24,300.00	$24,300.00	$6,277.20
Thrombectomy/inf pq dialysis circuit w/stent plcmnt	$24,300.00	$24,300.00	$24,300.00	$4,405.80
Thrombin time	$29.40	$29.40	$29.40	$86.40
Thromboplastin time partial (ptt) substitution fractions each	$32.40	$32.40	$32.40	$99.75
Thyroglobulin antibody	$88.80	$88.80	$88.80	$154.80
Thyroid (TSH) Test	$85.80	$85.80	$85.80	$110.00
Thyroid Ultrasound	$394.20	$394.20	$394.20	$603.90
Thyroid imaging	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Thyroid met imaging	$1,228.80	$1,228.80	$1,228.80	$1,051.20
Thyroid met imaging/studies	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Thyroid met uptake	$407.40	$407.40	$407.40	$407.40
Thyroid mets imag whole body	$1,574.40	$1,574.40	$1,574.40	$2,506.50
Thyroid uptake measurement	$1,228.80	$1,228.80	$1,228.80	$889.80
Thyrotropin alfa 0.9 mg intramuscular solution	$1,186.20	$1,186.20	$1,186.20	$7,476.81
Thyroxine binding globulin (tbg)	$75.00	$75.00	$75.00	$129.60
Tib/per revasc stent & ather 37231	$66,098.40	$66,098.40	$66,098.40	$21,900.00
Tib/per revasc stnt & ather	$21,287.40	$21,287.40	$21,287.40	$21,287.40
Tib/per revasc w/ather add-on 37233	$14,982.00	$14,982.00	$14,982.00	$14,982.00
Tigecycline injection	$93.60	$93.60	$93.60	$34.65
Tilt table study	$920.40	$920.40	$920.40	$1,439.40
Tisotumab vedotin-tftv 40 mg intravenous solution	$4,113.60	$4,113.60	$4,113.60	$334.80
Tissue culture placenta	$543.00	$543.00	$543.00	$1,024.20
Tissue culture skin/biopsy	$1,007.40	$1,007.40	$1,007.40	$1,358.25
Tissue exam koh skin/hair/nails	$238.80	$238.80	$238.80	$70.80
Tissue transglutaminase iga	$58.80	$58.80	$58.80	$100.20
Tl-201 thallium diag per mci	$391.80	$391.80	$391.80	$169.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$49.80	$49.80	$49.80	$84.60
Tobramycin non-comp unit	$1.80	$1.80	$1.80	$124.14
Tobramycin peak therapeutic drug level	$115.80	$115.80	$115.80	$180.00
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$783.00	$783.00	$783.00	$5,861.40
Tomosynthesis breast diagnostic left	$65.40	$65.40	$65.40	$123.00
Tomosynthesis breast screen bilateral	$65.40	$65.40	$65.40	$65.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$141.00	$141.00	$141.00	$130.80
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution	$889.20	$889.20	$889.20	$70.80
Toxoplasma antibody igg	$80.40	$80.40	$80.40	$188.25
Toxoplasma antibody igm	$80.40	$80.40	$80.40	$112.80
Tpmt gene com vrnts	$1,009.80	$1,009.80	$1,009.80	$477.00
Trabectedin 1 mg intravenous solution	$2,068.20	$2,068.20	$2,068.20	$2,068.20
Training self management diabetes individual outpatient department per 30 minutes	$70.80	$70.80	$70.80	$121.20
Transab esoph hiat hern repair 43332	$3,075.60	$3,075.60	$3,075.60	$3,075.60
Transabdom amnioinfus w/us	$1,034.40	$1,034.40	$1,034.40	$1,034.40
Transcath biopsy	$6,966.60	$6,966.60	$6,966.60	$3,075.00
Transcath closure of asd	$29,803.20	$29,803.20	$29,803.20	$15,283.20
Transcath mv repair addl prosthesis	$4,354.20	$4,354.20	$4,354.20	$2,269.20
Transcath mv repair init prosthesis	$10,503.00	$10,503.00	$10,503.00	$17,108.40
Transcath occlusion cns	$7,125.60	$7,125.60	$7,125.60	$8,813.40
Transcath occlusion non-cns	$15,162.00	$15,162.00	$15,162.00	$9,294.60
Transcath rmvl perm ldss pmkr rv	$10,522.80	$10,522.80	$10,522.80	$2,724.00
Transcatheter bx s&i	$6,169.80	$6,169.80	$6,169.80	$2,866.20
Transferrin	$64.80	$64.80	$64.80	$108.00
Transfusion blood/blood component(s)	$1,476.00	$1,476.00	$1,476.00	$1,166.25
Trastuzumab 150 mg intravenous solution	$934.80	$934.80	$934.80	$4,378.80
Trastuzumab-anns 150 mg intravenous solution	$2,284.80	$2,284.80	$2,284.80	$1,410.00
Trastuzumab-qyyp 150 mg intravenous solution	$2,034.60	$2,034.60	$2,034.60	$198.00
Tray bonemarrw oncontrol 102mm	$858.60	$858.60	$858.60	$858.60
Treat big toe fracture	$6,649.80	$6,649.80	$6,649.80	$6,649.80
Treat clavicle dislocation 23545	$1,961.40	$1,961.40	$1,961.40	$998.40
Treat elbow fracture	$2,055.00	$2,055.00	$2,055.00	$3,135.00
Treat finger fracture each	$2,055.00	$2,055.00	$2,055.00	$2,186.40
Treat foot dislocation	$625.80	$625.80	$625.80	$625.80
Treat foot dislocation	$759.00	$759.00	$759.00	$759.00
Treat fracture of radius	$2,055.00	$2,055.00	$2,055.00	$1,632.60
Treat fracture of radius	$2,055.00	$2,055.00	$2,055.00	$2,055.00
Treat fracture of ulna	$965.40	$965.40	$965.40	$1,728.60
Treat humerus fracture	$2,055.00	$2,055.00	$2,055.00	$3,242.40
Treat humerus fracture	$2,055.00	$2,055.00	$2,055.00	$2,848.80
Treat knee fracture 27530	$759.00	$759.00	$759.00	$825.60
Treat midfoot fracture each	$2,925.00	$2,925.00	$2,925.00	$5,502.00
Treat sternum fracture	$759.00	$759.00	$759.00	$423.00
Treat thigh fracture	$759.00	$759.00	$759.00	$261.75
Treat thigh fracture	$846.60	$846.60	$846.60	$647.20
Treat thumb fracture	$4,728.00	$4,728.00	$4,728.00	$4,728.00
Treat ulnar fracture	$2,055.00	$2,055.00	$2,055.00	$2,979.60
Treat vaginal bleeding	$1,324.20	$1,324.20	$1,324.20	$1,324.20
Treat wrist bone fracture	$2,184.60	$2,184.60	$2,184.60	$2,184.60
Treat wrist dislocation	$921.60	$921.60	$921.60	$921.60
Treatment incomplete abortion completed surgically any trimester	$5,405.40	$5,405.40	$5,405.40	$7,126.80
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$273.00	$273.00	$273.00	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$424.80	$424.80	$424.80	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$418.20	$418.20	$418.20	$286.80
Treatment missed abortion completed surgically 1st trimester	$5,405.40	$5,405.40	$5,405.40	$7,085.25
Treatment of ankle fracture 27786	$1,212.00	$1,212.00	$1,212.00	$825.60
Treatment of fibula fracture 27780	$769.80	$769.80	$769.80	$769.80
Treatment of heel fracture 28400	$759.00	$759.00	$759.00	$759.00
Treatment of penis lesion	$3,515.40	$3,515.40	$3,515.40	$3,515.40
Treatment of thigh fracture	$2,055.00	$2,055.00	$2,055.00	$2,479.80
Treatment of thigh fracture	$621.60	$621.60	$621.60	$677.25
Treatment of thigh fracture	$759.00	$759.00	$759.00	$825.60
Treatment of toe fracture 28510	$371.40	$371.40	$371.40	$766.20
Treatment radiation delivery level 2	$834.00	$834.00	$834.00	$787.80
Tremelimumab-actl 20 mg/ml intravenous solution	$1,560.00	$1,560.00	$1,560.00	$263.40
Treponema pallidum antibody	$79.80	$79.80	$79.80	$150.60
Triamcinolone acetonide 40 mg/ml suspension for injection	$10.80	$10.80	$10.80	$43.20
Trichinella antibody	$70.20	$70.20	$70.20	$176.40
Triglycerides	$29.40	$29.40	$29.40	$93.00
Trilaciclib 300 mg intravenous solution	$928.80	$928.80	$928.80	$928.80
Trim nondyst nails	$130.20	$130.20	$130.20	$138.60
Triptorelin pamoate	$3,103.20	$3,103.20	$3,103.20	$3,103.20
Trmt of fracture (femoral shaft) 27500	$759.00	$759.00	$759.00	$759.00
Trnscath plc stent crv crtd w/prtct	$17,777.40	$17,777.40	$17,777.40	$9,767.25
Trnscath plc stent crv crtd without prtct	$8,784.00	$8,784.00	$8,784.00	$8,784.00
Trnscath plc vas stent w/s&i ea addl artery	$10,516.80	$10,516.80	$10,516.80	$10,516.80
Trnscath plc vas stent w/s&i ea addl vein	$8,640.60	$8,640.60	$8,640.60	$9,800.25
Trnscath plc vas stent w/s&i ini vein	$17,352.60	$17,352.60	$17,352.60	$13,400.40
Trnscath retrv pq vasc fb w/guide	$7,288.20	$7,288.20	$7,288.20	$7,288.20
Trnscath tx thromblytc art/ven sbsq day	$5,324.40	$5,324.40	$5,324.40	$5,324.40
Trnscath tx thromblytc artery non-intracrn ini day	$6,966.60	$6,966.60	$6,966.60	$8,034.75
Trnscath tx thromblytc cath rmv sbsq day	$5,324.40	$5,324.40	$5,324.40	$5,623.50
Trnscath tx thromblytc vein ini day	$4,201.80	$4,201.80	$4,201.80	$5,236.20
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm	$2,289.00	$2,289.00	$2,289.00	$9,424.80
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<	$582.00	$582.00	$582.00	$582.00
Troponin quantitative	$63.60	$63.60	$63.60	$114.60
Tte w or without contr, cont ecg	$1,905.60	$1,905.60	$1,905.60	$2,577.00
Tte w or without fol w/con,stres	$2,457.00	$2,457.00	$2,457.00	$1,171.20
Tubal Ligation (Laparoscopic)	$936.60	$936.60	$936.60	$1,536.60
Tx atrial fib pulm vein isol	$30,975.00	$30,975.00	$30,975.00	$29,199.75
Tx closed hip disl traumatic without anes	$1,249.20	$1,249.20	$1,249.20	$1,249.20
Tx closed tib shaft fx without manip	$1,408.20	$1,408.20	$1,408.20	$718.20
Tx l/r atrial fib addl	$4,257.00	$4,257.00	$4,257.00	$10,523.25
Tx open dstl phlngl fx f/t internal fixation ea	$4,150.20	$4,150.20	$4,150.20	$5,734.80
Tx open iphlngl jt disl internal fixation sngl	$6,223.80	$6,223.80	$6,223.80	$4,281.00
Tx tarsal bone fx without manip 28450	$509.40	$509.40	$509.40	$509.40
Ua w/micro/comp poc	$18.00	$18.00	$18.00	$25.80
Ublituximab-xiiy 25 mg/ml intravenous solution	$1,047.00	$1,047.00	$1,047.00	$133.20
Ultrasound abdomen aorta screening study aaa	$394.20	$394.20	$394.20	$288.00
Ultrasound breast complete	$394.20	$394.20	$394.20	$597.60
Ultrasound breast unilateral limited (both sides)	$372.60	$372.60	$372.60	$478.50
Ultrasound chest	$394.20	$394.20	$394.20	$543.60
Ultrasound doppler velocimetry fetal umbilical artery	$257.40	$257.40	$257.40	$257.40
Ultrasound elastography parenchyma	$202.20	$202.20	$202.20	$202.20
Ultrasound encephalogram	$394.20	$394.20	$394.20	$520.80
Ultrasound exam k transpl w/doppler	$394.20	$394.20	$394.20	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$394.20	$394.20	$394.20	$540.00
Ultrasound guidance for vascular access	$663.60	$663.60	$663.60	$400.20
Ultrasound guide intraoperative	$890.40	$890.40	$890.40	$760.00
Ultrasound guide tissue ablation	$649.80	$649.80	$649.80	$1,032.75
Ultrasound guided needle placement supervision & interpretation	$591.00	$591.00	$591.00	$1,009.80
Ultrasound hips infant dynamic	$280.20	$280.20	$280.20	$516.60
Ultrasound infant hips ltd without stress	$280.20	$280.20	$280.20	$311.25
Ultrasound joint complete left	$394.20	$394.20	$394.20	$808.50
Ultrasound joint/nonvascular extremity limited left	$394.20	$394.20	$394.20	$571.80
Ultrasound ob >=14wks ea addl gest	$976.80	$976.80	$976.80	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$304.80	$304.80	$304.80	$309.00
Ultrasound pregnant uterus detailed fetal exam single/1st gestation	$819.60	$819.60	$819.60	$915.75
Ultrasound pregnant uterus follow up per fetus	$394.20	$394.20	$394.20	$450.75
Ultrasound pregnant uterus limited >= 1 fetuses	$394.20	$394.20	$394.20	$630.00
Ultrasound pregnant uterus transvaginal	$394.20	$394.20	$394.20	$678.60
Ultrasound prostate/transrectal	$394.20	$394.20	$394.20	$695.40
Ultrasound retroperitoneal limited	$394.20	$394.20	$394.20	$543.00
Ultrasound scrotum and contents	$394.20	$394.20	$394.20	$693.75
Ultrasound spinal canal and contents	$394.20	$394.20	$394.20	$571.80
Ultrasound transabd ea addl gest	$343.20	$343.20	$343.20	$701.25
Ultrasound transvaginal non obstetric	$419.40	$419.40	$419.40	$820.80
Unlisted CT procedure	$2,254.20	$2,254.20	$2,254.20	$758.40
Unlisted dx gi procedure	$613.20	$613.20	$613.20	$247.20
Unlisted fetal invas px w/us	$348.60	$348.60	$348.60	$348.60
Unlisted fluoroscopic px	$226.20	$226.20	$226.20	$199.20
Unlisted laparoscopic liver biopy 47379	$3,289.80	$3,289.80	$3,289.80	$3,289.80
Unlisted laparoscopic reduction intestine 44238	$3,467.40	$3,467.40	$3,467.40	$3,467.40
Unlisted mr procedure	$568.20	$568.20	$568.20	$1,037.40
Unlisted procedure liver	$2,287.20	$2,287.20	$2,287.20	$2,694.00
Unlisted procedure microbiology	$112.20	$112.20	$112.20	$277.50
Unlisted px biliary tract	$1,788.00	$1,788.00	$1,788.00	$1,788.00
Unlisted px med radj physics	$404.40	$404.40	$404.40	$404.40
Unlisted transfusion med px	$32.40	$32.40	$32.40	$306.00
Unsched dialysis esrd pt hos	$2,160.60	$2,160.60	$2,160.60	$1,560.60
Upgrade pm system	$15,540.60	$15,540.60	$15,540.60	$5,231.40
Upper Back (Thoracic Spine) MRI (with and without contrast)	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$2,713.80	$2,713.80	$2,713.80	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$1,656.00	$1,656.00	$1,656.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$1,909.80	$1,909.80	$1,909.80	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$2,083.20	$2,083.20	$2,083.20	$1,675.80
Urea nitrogen	$21.60	$21.60	$21.60	$39.60
Urea nitrogen 24 hour urine	$28.80	$28.80	$28.80	$63.00
Ureteral reflux study	$1,228.80	$1,228.80	$1,228.80	$1,353.75
Urethrcystgrphy rtrgrde s&i	$547.80	$547.80	$547.80	$699.75
Urethrocystography void s&i	$547.80	$547.80	$547.80	$880.50
Uric acid blood	$23.40	$23.40	$23.40	$58.50
Uric acid urine	$25.80	$25.80	$25.80	$52.20
Urinalysis (with microscopy)	$23.40	$23.40	$23.40	$36.66
Urinalysis (without microscopy)	$17.40	$17.40	$17.40	$32.50
Urinalysis microscopic only	$13.80	$13.80	$13.80	$13.80
Urinalysis qual/semiquant excpt ia	$8.40	$8.40	$8.40	$51.00
Urine Culture Test	$45.00	$45.00	$45.00	$65.15
Urine pregnancy test	$63.00	$63.00	$63.00	$69.75
Urography inf drip &/or bolus	$427.80	$427.80	$427.80	$427.80
Urography, antegrade	$896.40	$896.40	$896.40	$1,132.80
Ustekinumab 130 mg/26 ml intravenous solution	$46.20	$46.20	$46.20	$55.80
Ustekinumab 45 mg/0.5 ml subcutaneous solution	$16,705.20	$16,705.20	$16,705.20	$746.40
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml	$193.20	$193.20	$193.20	$209.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$193.20	$193.20	$193.20	$340.00
Vaccine dtap < 7 years im	$32.40	$32.40	$32.40	$33.60
Vaccine dtap-ipv/hib im	$66.00	$66.00	$66.00	$25.50
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$9.00	$9.00	$9.00	$31.20
Vaccine hepatitis a (hepa) adult im	$46.80	$46.80	$46.80	$108.00
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im	$43.80	$43.80	$43.80	$67.80
Vaccine hepatitis b (hepb) adult 3 dose im	$40.80	$40.80	$40.80	$86.40
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im	$33.00	$33.00	$33.00	$63.20
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im	$76.20	$76.20	$76.20	$54.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$51.00	$51.00	$51.00	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$267.00	$267.00	$267.00	$109.60
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$93.60	$93.60	$93.60	$108.80
Vaccine mmr live subcutaneous	$54.00	$54.00	$54.00	$64.80
Vaccine pneumonococcal conjugate 20 valent (pcv20) im	$322.80	$322.80	$322.80	$192.00
Vaccine rabies im	$259.80	$259.80	$259.80	$800.00
Vaccine respiratory syncytial virus bivalent subunit/preservative free im	$177.00	$177.00	$177.00	$504.00
Vaccine td preservative free >= 7 years im	$42.60	$42.60	$42.60	$74.40
Vaccine tdap >=7 years im	$54.00	$54.00	$54.00	$42.40
Valproic acid total therapeutic drug level	$97.20	$97.20	$97.20	$181.20
Valrubicin injection	$168.60	$168.60	$168.60	$6,841.31
Valvuloplasty aortic	$12,208.80	$12,208.80	$12,208.80	$6,420.60
Valvuloplasty mitral	$23,686.20	$23,686.20	$23,686.20	$9,472.50
Valvuloplasty pulmonary	$15,019.80	$15,019.80	$15,019.80	$14,701.50
Vancomycin 1,000 mg intravenous injection	$130.20	$130.20	$130.20	$0.60
Vancomycin peak therapeutic drug level	$97.20	$97.20	$97.20	$155.40
Varicella zoster antibody igg	$75.00	$75.00	$75.00	$128.40
Varicella-zoster immue globin im	$1,309.20	$1,309.20	$1,309.20	$2,109.00
Vasopressin 20 unit/ml intravenous solution	$201.60	$201.60	$201.60	$8.00
Vedolizumab 300 mg intravenous solution	$5,199.60	$5,199.60	$5,199.60	$27,154.80
Veeg intrmnt 2-12 hrs	$924.60	$924.60	$924.60	$783.60
Vein x-ray adrenal gland	$5,906.40	$5,906.40	$5,906.40	$2,489.25
Vein x-ray adrenal glands	$9,796.20	$9,796.20	$9,796.20	$2,934.00
Vein x-ray eye socket	$1,344.60	$1,344.60	$1,344.60	$1,344.60
Vein x-ray kidney	$5,906.40	$5,906.40	$5,906.40	$2,587.20
Vein x-ray liver	$5,906.40	$5,906.40	$5,906.40	$3,328.80
Vein x-ray liver w/hemodynam	$5,906.40	$5,906.40	$5,906.40	$4,614.60
Vein x-ray liver w/hemodynam	$5,906.40	$5,906.40	$5,906.40	$3,009.60
Vein x-ray liver without hemodyn	$3,476.40	$3,476.40	$3,476.40	$3,476.40
Vein x-ray skull	$3,476.40	$3,476.40	$3,476.40	$2,280.00
Vein x-ray skull epidural	$1,344.60	$1,344.60	$1,344.60	$1,344.60
Vein x-ray spleen/liver	$3,476.40	$3,476.40	$3,476.40	$3,324.60
Velaglucerase alfa 400 unit intravenous solution	$876.00	$876.00	$876.00	$5,564.78
Ven thrombosis images bilat	$1,228.80	$1,228.80	$1,228.80	$1,228.80
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$123.00	$123.00	$123.00	$123.00
Venogram ext bil s&i	$3,476.40	$3,476.40	$3,476.40	$3,476.40
Venogram extremity supervision & interpretation unilateral	$1,344.60	$1,344.60	$1,344.60	$1,653.75
Venous m-thrombectomy add-on	$10,522.80	$10,522.80	$10,522.80	$10,522.80
Venous mech thrombectomy	$17,446.80	$17,446.80	$17,446.80	$12,268.80
Venous sampling s&i	$9,796.20	$9,796.20	$9,796.20	$3,362.40
Venous thrombosis imaging	$1,800.00	$1,800.00	$1,800.00	$1,417.60
Ventilator each subsequent day	$1,585.80	$1,585.80	$1,585.80	$1,417.20
Ventilator initial day	$1,585.80	$1,585.80	$1,585.80	$1,585.80
Version cephalic external	$5,430.00	$5,430.00	$5,430.00	$1,444.80
Very long chain fatty acids	$42.00	$42.00	$42.00	$383.40
Vinblastine 1 mg/ml intravenous solution	$3.00	$3.00	$3.00	$159.60
Vincristine 1 mg/ml intravenous solution	$10.20	$10.20	$10.20	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$15.00	$15.00	$15.00	$417.00
Visit established high 40-54 minutes/level 5	$465.60	$465.60	$465.60	$465.60
Vital capacity test	$350.40	$350.40	$350.40	$186.75
Vitamin D Test	$149.40	$149.40	$149.40	$142.35
Vitamin b-12	$76.80	$76.80	$76.80	$133.80
Volume measurement urine timed	$25.80	$25.80	$25.80	$35.25
Vonvendi inj 1 iu vwf:rco	$0.60	$0.60	$0.60	$10.80
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$43.80	$43.80	$43.80	$690.60
Vutrisiran 25 mg/0.5 ml subcutaneous syringe	$143,221.20	$143,221.20	$143,221.20	$13,248.60
Warde 1003990 aldosterone	$205.80	$205.80	$205.80	$299.40
Warde 1005020 citrate 24 hour urine	$141.60	$141.60	$141.60	$210.60
Warde 1005055 5-hiaa 24 hour urine	$65.40	$65.40	$65.40	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$127.80	$127.80	$127.80	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$78.60	$78.60	$78.60	$146.25
Warde 1015200 kappa light chain free	$68.40	$68.40	$68.40	$130.80
Warde 3004000 immunoglobulin subclass 1	$41.40	$41.40	$41.40	$128.40
Warde 3008005 oligoclonal bands	$138.60	$138.60	$138.60	$213.00
Warde 3016000 west nile virus antibody	$94.20	$94.20	$94.20	$111.20
Warde 3016000 west nile virus antibody igg	$80.40	$80.40	$80.40	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$68.40	$68.40	$68.40	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$49.20	$49.20	$49.20	$50.00
Warde 3400652 smear complex special stain ova/parasites	$100.20	$100.20	$100.20	$107.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$309.60	$309.60	$309.60	$477.00
Warde 3400852 arsenic	$96.60	$96.60	$96.60	$142.20
Warde 3708165 mercury urine	$82.20	$82.20	$82.20	$122.40
Warde acetylcholine receptor blocking antibody	$93.60	$93.60	$93.60	$355.80
Warde actin (smooth muscle) antibody each	$58.80	$58.80	$58.80	$132.60
Warde adenosine deaminase pleural fluid	$42.00	$42.00	$42.00	$87.60
Warde adrenocorticotropic hormone (acth)	$195.00	$195.00	$195.00	$241.20
Warde aldolase	$49.20	$49.20	$49.20	$139.20
Warde amino acids 6 or more quantitative each specimen	$85.80	$85.80	$85.80	$552.75
Warde amiodarone therapeutic drug level	$159.60	$159.60	$159.60	$159.60
Warde analysis gene hfe common variants	$378.60	$378.60	$378.60	$1,331.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$947.40	$947.40	$947.40	$788.00
Warde anti-mullerian hormone	$87.60	$87.60	$87.60	$198.75
Warde apolipoprotein b	$819.00	$819.00	$819.00	$133.80
Warde cadmium blood	$119.40	$119.40	$119.40	$119.40
Warde calcitonin	$136.20	$136.20	$136.20	$200.40
Warde calculus (stone) infrared	$65.40	$65.40	$65.40	$116.25
Warde clozapine therapeutic drug level	$52.20	$52.20	$52.20	$129.60
Warde cobalt heavy metal quantitative each nes	$112.20	$112.20	$112.20	$248.25
Warde collagen cross links c-telopeptide	$94.80	$94.80	$94.80	$207.00
Warde complement total hemolytic	$113.40	$113.40	$113.40	$171.75
Warde copper	$63.60	$63.60	$63.60	$159.00
Warde cryoglobulin	$32.40	$32.40	$32.40	$75.60
Warde erythropoietin	$96.00	$96.00	$96.00	$162.00
Warde estrogen fractionated	$163.80	$163.80	$163.80	$298.80
Warde fluorescent antibody screen endomysial iga	$66.60	$66.60	$66.60	$102.00
Warde folic acid rbc	$90.60	$90.60	$90.60	$137.40
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$49.20	$49.20	$49.20	$235.20
Warde gastrin	$89.40	$89.40	$89.40	$154.50
Warde growth hormone (hgh)	$85.20	$85.20	$85.20	$127.50
Warde haloperidol therapeutic drug level	$57.00	$57.00	$57.00	$81.00
Warde helminth antibody strongyloides igg	$72.60	$72.60	$72.60	$150.60
Warde hemoglobin fractionation/quantitation electrophoresis	$91.80	$91.80	$91.80	$102.60
Warde hepatitis a antibody	$69.60	$69.60	$69.60	$123.00
Warde hepatitis be antibody	$64.80	$64.80	$64.80	$100.20
Warde hepatitis delta agent antibody	$36.00	$36.00	$36.00	$142.20
Warde immunofixation electrophoresis urine	$163.80	$163.80	$163.80	$241.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$64.80	$64.80	$64.80	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$1,431.00	$1,431.00	$1,431.00	$1,579.80
Warde islet cell antibody zinc transporter 8	$131.40	$131.40	$131.40	$202.80
Warde lipoprotein (a)	$72.60	$72.60	$72.60	$93.00
Warde lipoprotein-associated phospholipase a2	$234.60	$234.60	$234.60	$266.40
Warde mitochondrial antibody each	$87.60	$87.60	$87.60	$114.00
Warde neutralization rabies	$94.20	$94.20	$94.20	$169.50
Warde oxcarbazepine therapeutic drug level	$33.60	$33.60	$33.60	$129.60
Warde pancreatic elastase fecal quantitative	$58.80	$58.80	$58.80	$144.75
Warde protein c antigen	$61.20	$61.20	$61.20	$110.40
Warde sex hormone binding globulin	$110.40	$110.40	$110.40	$155.40
Warde somatomedin	$108.00	$108.00	$108.00	$119.40
Warde sugars single qualitative each specimen stool	$28.80	$28.80	$28.80	$28.80
Warde t3 (triiodothyronine) reverse	$79.80	$79.80	$79.80	$154.80
Warde thyroid stimulating immunoglobulins	$183.60	$183.60	$183.60	$492.00
Warde topiramate therapeutic drug level	$85.80	$85.80	$85.80	$130.20
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$145.20	$145.20	$145.20	$216.60
Warde viscosity	$59.40	$59.40	$59.40	$153.00
Warde vitamin a	$58.80	$58.80	$58.80	$111.75
Warde vitamin b-1 (thiamine)	$108.00	$108.00	$108.00	$194.40
Warde vitamin b6 (pyridoxine)	$143.40	$143.40	$143.40	$226.80
Warde vitamin c (ascorbic acid)	$49.80	$49.80	$49.80	$104.40
Warde vitamin d (1 25 dihydroxy)	$195.00	$195.00	$195.00	$426.00
Warde vitamin e (alpha-tocopherol)	$72.00	$72.00	$72.00	$129.60
Warde zinc	$57.60	$57.60	$57.60	$114.60
Wbc automated	$13.20	$13.20	$13.20	$36.60
Western blot test	$86.40	$86.40	$86.40	$181.20
Wet mounts/ w preparations	$109.20	$109.20	$109.20	$68.40
Whole blood for transfusion	$244.20	$244.20	$244.20	$759.60
Wound closure by adhesive	$486.00	$486.00	$486.00	$486.00
Wrist X-ray	$188.40	$188.40	$188.40	$311.20
X-ray abdomen 1 view	$188.40	$188.40	$188.40	$405.00
X-ray abdomen 2 views	$262.80	$262.80	$262.80	$395.20
X-ray abdomen >=3 views	$262.80	$262.80	$262.80	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$262.80	$262.80	$262.80	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$188.40	$188.40	$188.40	$405.00
X-ray ankle 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$814.20	$814.20	$814.20	$868.80
X-ray bone age studies	$262.80	$262.80	$262.80	$327.00
X-ray bone length studies	$262.80	$262.80	$262.80	$405.00
X-ray bone survey complete	$262.80	$262.80	$262.80	$743.25
X-ray bone survey infant	$262.80	$262.80	$262.80	$303.60
X-ray cervical spine 2-3 views	$188.40	$188.40	$188.40	$419.40
X-ray cervical spine 4-5 views	$262.80	$262.80	$262.80	$590.25
X-ray cervical spine >= 6 views	$262.80	$262.80	$262.80	$679.20
X-ray clavicle complete (both sides)	$188.40	$188.40	$188.40	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$427.80	$427.80	$427.80	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$427.80	$427.80	$427.80	$1,107.00
X-ray elbow 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray elbow >= 3 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$427.80	$427.80	$427.80	$713.40
X-ray exam entire spi 4/5 vw	$262.80	$262.80	$262.80	$666.60
X-ray exam entire spi 6/> vw	$262.80	$262.80	$262.80	$666.60
X-ray exam of arm infant	$262.80	$262.80	$262.80	$318.75
X-ray exam of eye sockets	$262.80	$262.80	$262.80	$405.00
X-ray exam of femur 1	$188.40	$188.40	$188.40	$287.20
X-ray exam of jaw joint	$547.80	$547.80	$547.80	$547.80
X-ray exam of jaw joint	$188.40	$188.40	$188.40	$405.00
X-ray exam of sinuses	$188.40	$188.40	$188.40	$343.50
X-ray exam si joints	$262.80	$262.80	$262.80	$218.40
X-ray exam thorac spine4/>vw	$262.80	$262.80	$262.80	$456.60
X-ray eye detection foreign body (both sides)	$188.40	$188.40	$188.40	$419.40
X-ray facial bones complete > 3 views	$262.80	$262.80	$262.80	$444.00
X-ray femur >=2 views (both sides)	$188.40	$188.40	$188.40	$414.00
X-ray finger(s) >= 2 views (both sides)	$188.40	$188.40	$188.40	$310.50
X-ray foot 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray forearm 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray hand 2 views (both sides)	$262.80	$262.80	$262.80	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$188.40	$188.40	$188.40	$354.40
X-ray hip uni w/wo pelvis min 4 views	$262.80	$262.80	$262.80	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$262.80	$262.80	$262.80	$374.40
X-ray hip with pelvis when performed bilateral 3-4 views	$262.80	$262.80	$262.80	$414.00
X-ray hip with pelvis when performed bilateral >= 5 views	$262.80	$262.80	$262.80	$456.60
X-ray hip with pelvis when performed unilateral 1 view left	$188.40	$188.40	$188.40	$405.00
X-ray humerus >= 2 views left	$188.40	$188.40	$188.40	$405.00
X-ray joint survey 1 view	$262.80	$262.80	$262.80	$345.00
X-ray knee 1-2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray knee 3 views (both sides)	$188.40	$188.40	$188.40	$399.00
X-ray knee ap standing bilateral	$188.40	$188.40	$188.40	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$262.80	$262.80	$262.80	$408.00
X-ray lower extremities infant > 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray lumbosacral spine >= 4 views	$262.80	$262.80	$262.80	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$262.80	$262.80	$262.80	$682.20
X-ray mandible complete > 4 views	$262.80	$262.80	$262.80	$412.80
X-ray mandible ltd <4 views	$188.40	$188.40	$188.40	$375.60
X-ray nasal bones complete > 3 views	$188.40	$188.40	$188.40	$316.80
X-ray neck soft tissue	$188.40	$188.40	$188.40	$314.25
X-ray nose to rectum for foreign body child	$188.40	$188.40	$188.40	$294.40
X-ray optic foramina	$188.40	$188.40	$188.40	$292.80
X-ray pelvis 1-2 views	$262.80	$262.80	$262.80	$405.00
X-ray pelvis complete > 3 views	$262.80	$262.80	$262.80	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$896.40	$896.40	$896.40	$875.20
X-ray ribs 2 views left	$188.40	$188.40	$188.40	$304.80
X-ray ribs 3 views bilateral	$262.80	$262.80	$262.80	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$262.80	$262.80	$262.80	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$262.80	$262.80	$262.80	$644.40
X-ray sacroiliac joints >= 3 views	$262.80	$262.80	$262.80	$405.00
X-ray sacrum/coccyx >= 2 views	$188.40	$188.40	$188.40	$387.60
X-ray scapula complete (both sides)	$262.80	$262.80	$262.80	$304.20
X-ray sella turcica	$188.40	$188.40	$188.40	$405.00
X-ray shoulder 1 view (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray sinus tract/fistula/abscess	$1,129.80	$1,129.80	$1,129.80	$1,167.00
X-ray sinuses paranasal complete > 3 views	$188.40	$188.40	$188.40	$419.40
X-ray skull < 4 views	$262.80	$262.80	$262.80	$377.25
X-ray skull > 4 views complete	$262.80	$262.80	$262.80	$532.80
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$427.80	$427.80	$427.80	$669.60
X-ray small intestine follow-through study	$490.20	$490.20	$490.20	$419.40
X-ray spine single view	$188.40	$188.40	$188.40	$327.00
X-ray sternoclavicular joint(s) > 3 views	$188.40	$188.40	$188.40	$393.00
X-ray sternum > 2 views	$188.40	$188.40	$188.40	$382.50
X-ray surgical specimen	$1,129.80	$1,129.80	$1,129.80	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$427.80	$427.80	$427.80	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$188.40	$188.40	$188.40	$456.60
X-ray thoracic spine 2 views	$262.80	$262.80	$262.80	$405.00
X-ray thoracic spine 3 views	$262.80	$262.80	$262.80	$456.60
X-ray thoracolumbar spine >=2 views	$188.40	$188.40	$188.40	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$188.40	$188.40	$188.40	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$262.80	$262.80	$262.80	$666.60
X-ray tibia/fibula 2 views (both sides)	$188.40	$188.40	$188.40	$419.40
X-ray toe(s) > 2 views (both sides)	$188.40	$188.40	$188.40	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$427.80	$427.80	$427.80	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$427.80	$427.80	$427.80	$580.20
X-ray wrist 2 views (both sides)	$188.40	$188.40	$188.40	$405.00
X-ray xm phrnx&/crv esoph c+	$427.80	$427.80	$427.80	$427.80
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<	$2,925.00	$2,925.00	$2,925.00	$3,448.20
Xm archive tissue molec anal	$54.60	$54.60	$54.60	$51.75
Xylose absorption test blood &/or urine	$46.80	$46.80	$46.80	$46.80
Yttrium y-90 ibritumomab ther	$123,585.60	$123,585.60	$123,585.60	$114,488.00
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$15.60	$15.60	$15.60	$94.80
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$38.40	$38.40	$38.40	$229.80
Zolbetuximab-clzb 100 mg intravenous solution	$948.00	$948.00	$948.00	$46.20
Zoledronic acid 4 mg/5 ml intravenous solution	$110.40	$110.40	$110.40	$4,010.40
_afb id by dna probe rflx ast	$112.20	$112.20	$112.20	$141.00
_afb org id by sequencing rflx ast-sendout	$642.60	$642.60	$642.60	$1,327.80
_fragile x methylation-sendout	$162.00	$162.00	$162.00	$475.80