Hospital prices in Wellsboro, Pennsylvania

1 hospitals publish price files here.

Cash prices in Wellsboro

Procedure	Lowest cash	Median here	Highest	National median
#a/b/c/c/h pnl-candida albicans ab	$140.00	$140.00	$140.00	$133.20
#acylcarnitineprfl	$268.80	$268.80	$268.80	$169.20
#aptt mix-1:1 incubated	$252.00	$252.00	$252.00	$256.80
#bac vag cand-c. albicans naa	$220.80	$220.80	$220.80	$220.80
#cbg+cort-cbg	$246.00	$246.00	$246.00	$186.00
#celiac hla-dq8	$1,607.40	$1,607.40	$1,607.40	$1,607.40
#cf-97variants	$3,108.00	$3,108.00	$3,108.00	$3,216.00
#cmvcul-virus inoculation shell	$10.00	$10.00	$10.00	$55.20
#coxa-coxsackie a serotype a16	$112.80	$112.80	$112.80	$111.60
#creutz-prot.,western blot	$176.80	$176.80	$176.80	$176.80
#flow interp 9 - 15 markers	$348.00	$348.00	$348.00	$303.00
#pnh-flow cytometry interp	$793.60	$793.60	$793.60	$281.40
#resp virpnl dfa-adenovirus	$196.80	$196.80	$196.80	$139.80
(both sides) smear without diff wbc count	$147.20	$147.20	$147.20	$127.50
11-desoxycortisol - sendout	$597.60	$597.60	$597.60	$175.20
17-hydroxypregnenolone	$372.00	$372.00	$372.00	$243.00
17-ketosteroids	$415.20	$415.20	$415.20	$249.60
24 hr ambulatory b/p monitor	$460.80	$460.80	$460.80	$191.40
2d tee w or without fol w/con,in	$1,026.40	$1,026.40	$1,026.40	$1,724.25
2d tte w or without fol w/con,co	$1,026.40	$1,026.40	$1,026.40	$1,481.25
3d ech img cgen car anomal	$1,716.80	$1,716.80	$1,716.80	$1,164.00
3d recon without postprocess indpndt	$843.20	$843.20	$843.20	$697.20
5' nucleotidase - sendout	$294.40	$294.40	$294.40	$243.00
88334 ap bill cytologic exam each additional site	$110.40	$110.40	$110.40	$91.20
99381 initial comp preventive med less than 1 year new	$134.40	$134.40	$134.40	$134.40
99382 initial comp preventive med 1 to 4 years new	$143.40	$143.40	$143.40	$117.00
99383 initial comp preventive med 5 to 11 years new	$151.20	$151.20	$151.20	$111.00
99391 periodic comp preventive med less than 1 year est	$122.40	$122.40	$122.40	$102.75
99392 periodic comp preventive med 1 to 4 years est	$134.40	$134.40	$134.40	$100.50
99393 periodic comp preventive med 5 to 11 years est	$134.40	$134.40	$134.40	$111.00
99394 periodic comp preventive med 12 to 17 years est	$151.20	$151.20	$151.20	$121.50
99397 periodic comp preventive med 65+ years est	$178.80	$178.80	$178.80	$167.25
Abatacept (with maltose) 250 mg intravenous solution	$4,845.00	$4,845.00	$4,845.00	$361.60
Abciximab injection	$6,244.80	$6,244.80	$6,244.80	$6,244.80
Abd paracentesis/w/o image guide 49082	$1,175.20	$1,175.20	$1,175.20	$1,505.25
Abdominal CT scan (with and without contrast)	$4,204.00	$4,204.00	$4,204.00	$2,049.00
Abdominal CT scan (with contrast)	$3,352.80	$3,352.80	$3,352.80	$1,683.63
Abdominal CT scan (without contrast)	$2,630.40	$2,630.40	$2,630.40	$1,358.76
Abdominal MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$3,061.80
Abdominal MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$2,096.25
Abdominal MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$1,902.00
Abdominal Ultrasound (complete)	$1,108.80	$1,108.80	$1,108.80	$755.00
Abdominal Ultrasound (limited)	$835.20	$835.20	$835.20	$629.42
Abdominal paracentesis w/image guidance	$1,689.00	$1,689.00	$1,689.00	$1,689.00
Ablation cryo thigh/knee	$507.20	$507.20	$507.20	$274.50
Ablation of upper extremity nerves rf	$998.40	$998.40	$998.40	$2,332.50
Abobotulinumtoxina	$4,582.80	$4,582.80	$4,582.80	$3,255.66
Abscess drain retroperitoneal surg code	$5,596.80	$5,596.80	$5,596.80	$5,568.60
Acetaminophen 10 mg/ml soln 100 ml glass cont	$168.60	$168.60	$168.60	$47.40
Acetazolamide 500 mg solution for injection	$256.80	$256.80	$256.80	$256.80
Acetone qualitative	$72.40	$72.40	$72.40	$50.40
Acetylcholine receptor modulating antibody	$388.20	$388.20	$388.20	$300.00
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$1,044.60	$1,044.60	$1,044.60	$648.00
Acetylcysteine non-comp unit	$92.80	$92.80	$92.80	$87.97
Aco annual medicare visit (awv), initial g0438aco	$121.80	$121.80	$121.80	$243.00
Aco annual medicare visit (awv), subsq g0439aco	$141.00	$141.00	$141.00	$160.50
Acute hepatitis panel	$921.60	$921.60	$921.60	$496.20
Acute venous thrombus image	$580.00	$580.00	$580.00	$580.00
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$74.40	$74.40	$74.40	$77.65
Adenosine 3 mg/250 ml bag for osm	$382.20	$382.20	$382.20	$528.78
Adenovirus ag ia	$196.00	$196.00	$196.00	$187.80
Adenovirus antibody,serum - quest	$111.20	$111.20	$111.20	$91.80
Adh-sendout	$375.20	$375.20	$375.20	$360.00
Adj gastric band via subq port	$4,264.00	$4,264.00	$4,264.00	$2,977.20
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$1,130.40	$1,130.40	$1,130.40	$450.00
Administration chemotherapy IV infusion each additional hour	$269.60	$269.60	$269.60	$298.20
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$269.60	$269.60	$269.60	$336.00
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$977.60	$977.60	$977.60	$790.20
Administration chemotherapy IV push single/initial substance/drug	$615.20	$615.20	$615.20	$526.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$269.60	$269.60	$269.60	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$223.20	$223.20	$223.20	$254.40
Administration immunization 1 vaccine	$16.00	$16.00	$16.00	$12.00
Administration immunization each additional component	$58.80	$58.80	$58.80	$48.60
Administration immunization each additional vaccine	$16.00	$16.00	$16.00	$12.00
Administration immunization first component each vaccine	$283.20	$283.20	$283.20	$115.20
Administration immunization intranasal/oral route 1 vaccine	$18.40	$18.40	$18.40	$40.50
Administration immunization intranasal/oral route each additional vaccine	$18.40	$18.40	$18.40	$39.00
Administration rsv monoclonal ab seasonal dose im w/counseling	$25.20	$25.20	$25.20	$24.00
Administration vaccine hepatitis b	$16.00	$16.00	$16.00	$12.00
Administration vaccine influenza virus	$16.00	$16.00	$16.00	$12.00
Administration vaccine pneumococcal	$16.00	$16.00	$16.00	$12.00
Administration vaccine rsv monoclonal ab seasonal dose im	$25.20	$25.20	$25.20	$24.00
Ado-trastuzumab emtansine 100 mg intravenous solution	$139.20	$139.20	$139.20	$139.20
Aep hearing status deter i&r	$154.40	$154.40	$154.40	$336.60
Aep neurodiagnostic i&r	$295.20	$295.20	$295.20	$583.80
Aep thrshld est mlt freq i&r	$295.20	$295.20	$295.20	$867.00
Agalsidase beta 35 mg intravenous solution	$27,295.80	$27,295.80	$27,295.80	$27,295.80
Albumin (human), 25%, 50ml	$304.00	$304.00	$304.00	$304.00
Albumin (human), 5%, 250 ml	$682.40	$682.40	$682.40	$609.00
Albumin (microalbumin) 24 hour urine quantitative	$422.40	$422.40	$422.40	$76.80
Albumin body fluid quantitative each specimen	$76.60	$76.60	$76.60	$40.20
Albumin serum plasma or whole blood	$80.80	$80.80	$80.80	$54.75
Albuterol ipratrop non-comp	$13.80	$13.80	$13.80	$13.80
Albuterol non-comp con	$5.00	$5.00	$5.00	$5.00
Albuterol non-comp unit	$10.00	$10.00	$10.00	$7.20
Aldesleukin injection	$6,538.20	$6,538.20	$6,538.20	$6,538.20
Alemtuzumab 12 mg/1.2 ml intravenous solution	$8,173.80	$8,173.80	$8,173.80	$16,540.80
Alkaline phosphatase	$158.40	$158.40	$158.40	$51.75
Allergen alpha lactalbumin ige	$31.80	$31.80	$31.80	$57.60
Allergen egg white ige	$216.80	$216.80	$216.80	$66.60
Allergy injection; single 95115	$10.20	$10.20	$10.20	$42.75
Allergy injections; 2 or more 95117	$6.80	$6.80	$6.80	$52.20
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$2,929.80	$2,929.80	$2,929.80	$2,929.80
Allograft dermis 20x25x1mm decell w/matracell arthroflex	$5,792.80	$5,792.80	$5,792.80	$9,702.00
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$4,781.60	$4,781.60	$4,781.60	$4,885.20
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution	$29.80	$29.80	$29.80	$40.40
Alpha-fetoprotein afp-l3 frac & total	$177.60	$177.60	$177.60	$441.00
Alpha-fetoprotein amniotic	$160.20	$160.20	$160.20	$138.60
Alpha-fetoprotein tumor marker	$168.00	$168.00	$168.00	$155.40
Alprostadil for injection	$550.20	$550.20	$550.20	$550.20
Alt/sgpt	$161.60	$161.60	$161.60	$77.25
Alteplase 100 mg infusion from pyxis vial	$40,758.00	$40,758.00	$40,758.00	$31,563.16
Aluminum - quest	$386.40	$386.40	$386.40	$168.00
Alys cplx sp/pn npgt w/prgrm	$1,680.80	$1,680.80	$1,680.80	$1,303.50
Ambl bp mntr w/sw a/r	$207.20	$207.20	$207.20	$199.50
Amikacin 4 mg/ml intravitreal injection - cnr	$26.80	$26.80	$26.80	$27.00
Amino acids quant 2-5	$266.40	$266.40	$266.40	$220.80
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$8.00	$8.00	$8.00	$9.15
Aminolevulinic acid delta	$216.00	$216.00	$216.00	$216.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$70.20	$70.20	$70.20	$65.64
Amiodarone 50 mg/ml intravenous solution	$224.40	$224.40	$224.40	$96.80
Ammonia	$152.00	$152.00	$152.00	$141.00
Amniotic fluid scan	$245.60	$245.60	$245.60	$202.80
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$176.40	$176.40	$176.40	$146.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$1,050.00	$1,050.00	$1,050.00	$592.80
Ampicillin 1 gram solution for injection	$77.40	$77.40	$77.40	$110.40
Ampicillin-sulbactam 1.5 gram solution for injection	$67.20	$67.20	$67.20	$61.20
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis	$280.20	$280.20	$280.20	$280.20
Amputation toe interphalangeal joint	$3,304.80	$3,304.80	$3,304.80	$3,304.80
Amylase	$136.80	$136.80	$136.80	$120.75
An cholangiogram percutaneous compl	$840.00	$840.00	$840.00	$3,342.00
An fluoro guide for cvp	$1,542.40	$1,542.40	$1,542.40	$789.75
Ana ds-dna	$216.00	$216.00	$216.00	$178.80
Anal pressure record	$2,128.00	$2,128.00	$2,128.00	$954.00
Analysis gene f2 20210g>a variant	$2,361.60	$2,361.60	$2,361.60	$2,361.60
Analysis gene f5 leiden variant	$1,764.00	$1,764.00	$1,764.00	$1,191.60
Anaplsma phgcytophlm amp prb	$290.40	$290.40	$290.40	$290.40
Anca screen with reflex to titer -quest	$188.80	$188.80	$188.80	$156.00
Angiotensin ii	$334.40	$334.40	$334.40	$276.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$99,634.80	$99,634.80	$99,634.80	$22,037.40
Anidulafungin injection	$417.00	$417.00	$417.00	$116.22
Ankle X-ray	$372.00	$372.00	$372.00	$312.74
Annual Physical, Established Patient (age 18-39)	$156.60	$156.60	$156.60	$203.45
Annual Physical, Established Patient (age 40-64)	$170.40	$170.40	$170.40	$198.00
Annual Physical, New Patient (age 18-39)	$171.60	$171.60	$171.60	$218.00
Annual Physical, New Patient (age 40-64)	$208.80	$208.80	$208.80	$229.20
Anti mog serum - sendout	$115.80	$115.80	$115.80	$192.60
Antibody bacterium, not elsewhere specified	$44.20	$44.20	$44.20	$118.50
Antibody elution rbc reference	$82.40	$82.40	$82.40	$98.40
Antibody htlv-i	$96.00	$96.00	$96.00	$85.20
Antibody id rbc panel	$248.80	$248.80	$248.80	$235.80
Antibody identification platelet antibodies heparin-pf4 igg	$720.80	$720.80	$720.80	$621.00
Antibody influenza virus	$111.20	$111.20	$111.20	$147.00
Antibody lymphocytic choriomeningitis	$111.20	$111.20	$111.20	$111.20
Antibody screen rbc	$136.80	$136.80	$136.80	$113.40
Antibody tetanus	$402.40	$402.40	$402.40	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$11.40	$11.40	$11.40	$15.20
Antihemophilic viii/vwf comp	$10.20	$10.20	$10.20	$10.20
Antineutrophil cytoplasmic antibody screen each antibody	$188.80	$188.80	$188.80	$140.25
Antineutrophil cytoplasmic antibody titer each antibody	$188.80	$188.80	$188.80	$156.00
Antinuclear antibodies	$206.40	$206.40	$206.40	$97.50
Antinuclear antibodies titer	$110.40	$110.40	$110.40	$102.00
Antiphosphatidylserine antibody	$476.80	$476.80	$476.80	$303.00
Antistreptolysin o screen	$68.40	$68.40	$68.40	$56.40
Antistreptolysin o titer	$141.60	$141.60	$141.60	$83.40
Antithrombin iii activity	$190.40	$190.40	$190.40	$157.80
Aortic dysfunction/dilation	$8,320.00	$8,320.00	$8,320.00	$7,431.60
Apc gene dup/delet variants	$1,848.00	$1,848.00	$1,848.00	$2,299.20
Apc gene full sequence	$1,848.00	$1,848.00	$1,848.00	$1,528.20
Apheresis plasma	$1,532.00	$1,532.00	$1,532.00	$3,486.60
Apl(pml-rara) quant - sendout	$503.20	$503.20	$503.20	$1,187.25
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm	$315.20	$315.20	$315.20	$433.20
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm	$2,148.00	$2,148.00	$2,148.00	$2,148.00
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm	$1,830.40	$1,830.40	$1,830.40	$1,222.50
App high cost ss t/a/l <100sq cm addl <25sq cm	$315.20	$315.20	$315.20	$384.00
App high cost ss t/a/l >100sq cm 1st 100sq cm	$6,088.00	$6,088.00	$6,088.00	$2,978.25
App high cost ss t/a/l >100sq cm addl 100sq cm	$2,156.00	$2,156.00	$2,156.00	$2,072.25
Appl modality 1/> areas paraffin bath 97018	$92.80	$92.80	$92.80	$80.40
Appl modality 1/> areas vasopneumatic devices 97016	$92.80	$92.80	$92.80	$92.25
Application finger splntstatic 29130	$569.60	$569.60	$569.60	$208.50
Application long leg splint 29505	$569.60	$569.60	$569.60	$569.60
Application lower leg splint 29515	$471.00	$471.00	$471.00	$471.00
Application of cylinder cast 29365	$801.60	$801.60	$801.60	$801.60
Application of forearm cast 29075	$998.40	$998.40	$998.40	$424.20
Application of long leg cast 29345	$176.40	$176.40	$176.40	$388.50
Application of paste boot 29580	$569.60	$569.60	$569.60	$390.75
Application short leg cast 29405	$103.20	$103.20	$103.20	$359.25
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm	$170.40	$170.40	$170.40	$2,109.00
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm	$1,502.40	$1,502.40	$1,502.40	$2,109.00
Apply forearm splintdynamic 29126	$569.60	$569.60	$569.60	$388.80
Apply of finger splint 29131	$664.80	$664.80	$664.80	$514.80
Apply short leg castambul type 29425	$100.00	$100.00	$100.00	$333.00
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion	$4.20	$4.20	$4.20	$9.20
Aqua therapy w/exercise/ea 15 min 97113	$166.40	$166.40	$166.40	$137.40
Aquaporin-4 antibody cba each	$160.00	$160.00	$160.00	$159.00
Aquatic exercise - group charge	$112.80	$112.80	$112.80	$95.40
Argatroban nonesrd use 1mg	$3,121.80	$3,121.80	$3,121.80	$881.10
Arsenic trioxide 2 mg/ml intravenous solution	$2,751.00	$2,751.00	$2,751.00	$292.80
Arterial blood draw/perc 36620	$1,421.60	$1,421.60	$1,421.60	$622.20
Artery x-rays arm/leg 75710-26	$3,092.00	$3,092.00	$3,092.00	$3,092.00
Artery x-rays arms/legs 75716-26	$2,958.40	$2,958.40	$2,958.40	$2,958.40
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$1,115.20	$1,115.20	$1,115.20	$642.60
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$1,473.60	$1,473.60	$1,473.60	$498.00
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$1,140.80	$1,140.80	$1,140.80	$619.50
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$825.60	$825.60	$825.60	$453.60
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$1,444.80	$1,444.80	$1,444.80	$723.60
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$825.60	$825.60	$825.60	$493.50
Aspir/inj thyroid cyst 60300	$1,175.20	$1,175.20	$1,175.20	$873.00
Aspirate bladder/sprapubic cath 51102	$4,760.80	$4,760.80	$4,760.80	$3,146.25
Aspirate pleura without imaging 32554	$1,076.40	$1,076.40	$1,076.40	$1,212.00
Aspirate/inj ganglion cyst 20612	$228.00	$228.00	$228.00	$491.25
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$1,175.20	$1,175.20	$1,175.20	$971.40
Assay dir meas fr estradiol	$124.80	$124.80	$124.80	$117.00
Assay neurflmnt light chain	$1,585.20	$1,585.20	$1,585.20	$1,585.20
Assay of fluoride	$275.20	$275.20	$275.20	$227.40
Assay of glutathione	$93.60	$93.60	$93.60	$77.40
Assay of lrh hormone	$299.20	$299.20	$299.20	$299.20
Assay of procainamide w/metab	$340.00	$340.00	$340.00	$129.75
Assay of prostaglandin	$964.00	$964.00	$964.00	$211.80
Assay of sialic acid	$188.40	$188.40	$188.40	$188.40
Assay of somatostatin	$284.00	$284.00	$284.00	$284.00
Assay of thiocyanate	$273.60	$273.60	$273.60	$226.20
Assay of urine sulfate	$63.20	$63.20	$63.20	$52.20
Assess aphasia/interp/rpt/per hr 96105	$587.20	$587.20	$587.20	$449.40
Assessment leukocyte fecal qualitative/semiquantitative	$47.60	$47.60	$47.60	$47.60
Ast/sgot	$47.80	$47.80	$47.80	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$40,521.60	$40,521.60	$40,521.60	$311.20
Atropine 0.1 mg/ml injection syringe	$63.60	$63.60	$63.60	$39.35
Augment injectable kit 3.0cc	$9,247.20	$9,247.20	$9,247.20	$8,418.60
Autologous blood op salvage	$268.80	$268.80	$268.80	$228.60
Autologous blood process	$821.60	$821.60	$821.60	$276.00
Avelumab 20 mg/ml intravenous solution	$172.80	$172.80	$172.80	$231.00
Avul nail plate addl	$31.20	$31.20	$31.20	$318.75
Avulsion nail plate partial/complete simple single nail plate	$471.00	$471.00	$471.00	$417.00
Azacitidine injection	$2,860.20	$2,860.20	$2,860.20	$2,163.93
Azathioprine 50 mg tablet	$14.40	$14.40	$14.40	$14.40
Azithromycin 500 mg intravenous solution	$186.40	$186.40	$186.40	$186.40
Aztreonam 1 gram solution for injection	$16.80	$16.80	$16.80	$21.60
B cells total count	$136.00	$136.00	$136.00	$136.00
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$4,377.00	$4,377.00	$4,377.00	$3,464.00
Baclofen 50 mcg/ml intrathecal solution (wrapper)	$337.80	$337.80	$337.80	$420.00
Baclofen eval charges	$157.60	$157.60	$157.60	$118.20
Bacterial meningitis antigen	$121.60	$121.60	$121.60	$100.80
Bacterial vaginosis pcr	$406.40	$406.40	$406.40	$390.60
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve	$27.40	$27.40	$27.40	$24.60
Barrier skin flextend 2.25in floating flang new image	$4.80	$4.80	$4.80	$3.60
Barrier skn ft cx ff red 2.25 ctf new image w/tape	$10.00	$10.00	$10.00	$10.00
Bartholin gland cyst/marsupializat 56440	$5,744.80	$5,744.80	$5,744.80	$5,744.80
Bartonella dna pcr-sendout	$812.00	$812.00	$812.00	$671.40
Bausch health Ultrasound surg	$800.00	$800.00	$800.00	$800.00
Belatacept 250 mg intravenous solution	$4,381.80	$4,381.80	$4,381.80	$3,406.85
Belimumab 120 mg intravenous solution	$7,881.60	$7,881.60	$7,881.60	$7,881.60
Bendamustine 25 mg/ml intravenous solution (bendeka)	$114.00	$114.00	$114.00	$87.00
Benign lesion paring 2-4	$40.20	$40.20	$40.20	$300.75
Benign lesion paring 4+	$52.80	$52.80	$52.80	$368.25
Benztropine 1 mg/ml injection solution	$277.80	$277.80	$277.80	$115.80
Beta 2 glycoprotein 1 antibody iga	$74.60	$74.60	$74.60	$133.50
Beta-2 microglobulin	$324.80	$324.80	$324.80	$110.40
Beta-amyloid 1-40	$1,404.00	$1,404.00	$1,404.00	$1,404.00
Beta-amyloid 1-42	$1,404.00	$1,404.00	$1,404.00	$1,056.60
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$287.40	$287.40	$287.40	$149.68
Bevacizumab 25 mg/ml intravenous solution	$14,404.80	$14,404.80	$14,404.80	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$6,055.20	$6,055.20	$6,055.20	$3,154.20
Bilateral n blobk inj pudendal 64430	$4,291.20	$4,291.20	$4,291.20	$2,632.20
Bilateral n block inj occipital 64405	$687.20	$687.20	$687.20	$951.00
Bilateral n block inj trigeminal 64400	$998.40	$998.40	$998.40	$885.75
Bilirubin direct	$100.00	$100.00	$100.00	$62.25
Bilirubin total	$161.60	$161.60	$161.60	$58.80
Biopsy abdominal mass	$1,352.80	$1,352.80	$1,352.80	$1,704.60
Biopsy bone trocar/needle superficial	$1,352.80	$1,352.80	$1,352.80	$1,629.60
Biopsy cervixsingle/multiple 57500	$7,461.60	$7,461.60	$7,461.60	$7,461.60
Biopsy muscle percutaneous needle	$1,352.80	$1,352.80	$1,352.80	$1,629.60
Biopsy needle liver percutaneous	$1,285.60	$1,285.60	$1,285.60	$1,642.50
Biopsy needle lymph node superficial	$1,352.80	$1,352.80	$1,352.80	$1,352.80
Biopsy of lip 40490	$1,065.60	$1,065.60	$1,065.60	$672.00
Biopsy of prostate	$1,818.40	$1,818.40	$1,818.40	$1,818.40
Biopsy of salivary gland 42400	$1,175.20	$1,175.20	$1,175.20	$1,178.25
Biopsy renal percutaneous trocar/needle (both sides)	$1,352.80	$1,352.80	$1,352.80	$1,717.20
Biopsy skin incisional single lesion	$640.80	$640.80	$640.80	$640.80
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$3,164.80	$3,164.80	$3,164.80	$1,745.40
Biopsy/soft tissue/neck or thorax 21550	$2,204.00	$2,204.00	$2,204.00	$2,512.20
Bivalirudin	$5,267.40	$5,267.40	$5,267.40	$5,267.40
Bladder irrigate/lavage/instill 51700	$998.40	$998.40	$998.40	$664.20
Bleomycin 15 unit solution for injection	$306.40	$306.40	$306.40	$306.40
Bln 1.2 mono emrg 15x1.2	$5,457.60	$5,457.60	$5,457.60	$6,582.60
Bln 30frx10mmx12cm renal nephromax	$5,793.60	$5,793.60	$5,793.60	$4,790.40
Bln dil 900ml preperitnl	$2,731.20	$2,731.20	$2,731.20	$2,017.80
Bln inpact admiral 4x150x130cm	$4,375.20	$4,375.20	$4,375.20	$4,954.20
Bln press regulation 71-80cm	$10,689.60	$10,689.60	$10,689.60	$16,708.20
Bln ureth 5ml 28f 2wy ltx st	$52.80	$52.80	$52.80	$83.40
Block plantar digital nerve	$61.80	$61.80	$61.80	$572.25
Block tap inj(s) w/wo img bi	$792.80	$792.80	$792.80	$792.80
Blood Clotting (PT/INR) Test	$93.60	$93.60	$93.60	$45.00
Blood Clotting (PTT) Test	$511.20	$511.20	$511.20	$64.35
Blood Count (CBC) Test	$115.20	$115.20	$115.20	$66.75
Blood Count (CBC) Test (without differential)	$97.60	$97.60	$97.60	$57.50
Blood Culture Test	$483.20	$483.20	$483.20	$112.20
Blood draw capillary 36416	$33.80	$33.80	$33.80	$12.60
Blood gases o2 saturation direct measurement	$147.20	$147.20	$147.20	$225.75
Blood gases ph venous	$137.60	$137.60	$137.60	$60.00
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$279.20	$279.20	$279.20	$45.00
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$27.20	$27.20	$27.20	$21.00
Blood occult feces colorectal neoplasm screening qualitative	$27.20	$27.20	$27.20	$21.00
Blood occult peroxidase activity qualitative gastric	$61.40	$61.40	$61.40	$48.00
Blood smear interpretation	$108.00	$108.00	$108.00	$108.00
Blood smear microscopic w manual differential wbc count	$60.20	$60.20	$60.20	$59.40
Blood split unit	$247.80	$247.80	$247.80	$300.60
Blood typing abo	$10.00	$10.00	$10.00	$41.40
Blood typing ag donor ea ag	$78.60	$78.60	$78.60	$102.00
Blood typing rbc ag non abo/rh ea	$98.40	$98.40	$98.40	$84.60
Blood typing rh (d)	$49.20	$49.20	$49.20	$57.60
Blood typing rh phenotype complete reference	$146.40	$146.40	$146.40	$53.25
Blood volume	$1,552.80	$1,552.80	$1,552.80	$1,284.00
Bone Density Scan (DEXA)	$320.00	$320.00	$320.00	$398.56
Bone biopsy open superficial	$5,752.80	$5,752.80	$5,752.80	$5,396.40
Bone imaging multiple areas	$1,412.80	$1,412.80	$1,412.80	$1,228.80
Bone marrow biopsyneedle/trocar 38221	$1,042.40	$1,042.40	$1,042.40	$1,200.00
Bone marrow imaging body	$2,800.00	$2,800.00	$2,800.00	$2,315.40
Bone marrow interpretation	$304.00	$304.00	$304.00	$251.40
Bone marrow;aspiration only 38220	$917.60	$917.60	$917.60	$1,253.25
Bone survey-lead poisoning	$844.00	$844.00	$844.00	$619.50
Bone void filler nanoss 10cc	$4,825.60	$4,825.60	$4,825.60	$3,780.00
Bone/joint imaging ltd area	$1,036.80	$1,036.80	$1,036.80	$857.40
Boot j walker l	$1,714.40	$1,714.40	$1,714.40	$1,417.80
Boot walker genesis full shell 3-strap s	$974.40	$974.40	$974.40	$805.80
Borrelia antibody	$176.40	$176.40	$176.40	$176.40
Borrelia burgdorferi (lyme disease) antibody nonspecific	$85.60	$85.60	$85.60	$94.80
Borrelia miyamotoi amp prb	$351.20	$351.20	$351.20	$349.80
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$7,423.80	$7,423.80	$7,423.80	$3,308.40
Bowel imaging	$1,751.20	$1,751.20	$1,751.20	$1,365.75
Br punct aspir ea add, l	$1,022.40	$1,022.40	$1,022.40	$497.40
Bra surgical elizabeth pink sm	$180.00	$180.00	$180.00	$55.20
Brace ank air stirrup univ	$328.80	$328.80	$328.80	$272.40
Brace ankle stablizing lg	$346.40	$346.40	$346.40	$286.80
Brace knee extender plus 22-30in	$424.80	$424.80	$424.80	$351.60
Brace oths wrist hnd fngr without	$436.00	$436.00	$436.00	$194.40
Brace wrist classic lft sm	$160.00	$160.00	$160.00	$132.60
Braf gene	$1,656.00	$1,656.00	$1,656.00	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$4,627.20	$4,627.20	$4,627.20	$2,650.00
Brain MRA (blood vessel MRI, with contrast)	$3,878.40	$3,878.40	$3,878.40	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$2,861.60	$2,861.60	$2,861.60	$1,802.40
Brain MRI (with and without contrast)	$4,600.00	$4,600.00	$4,600.00	$2,919.75
Brain MRI (with contrast)	$3,520.00	$3,520.00	$3,520.00	$2,224.96
Brain MRI (without contrast)	$2,900.80	$2,900.80	$2,900.80	$1,830.00
Brain flow imaging only	$1,882.40	$1,882.40	$1,882.40	$627.00
Brain image 4+ views	$1,228.00	$1,228.00	$1,228.00	$1,228.00
Brain image w/flow 4 + views	$2,265.60	$2,265.60	$2,265.60	$1,574.40
Brca1&2 gen ful dup/del alys	$3,464.00	$3,464.00	$3,464.00	$2,287.20
Brcassure comprehensive panel-sendout	$2,560.00	$2,560.00	$2,560.00	$1,920.00
Breast Biopsy (ultrasound-guided, percutaneous)	$4,629.60	$4,629.60	$4,629.60	$3,069.25
Breast punct aspir cyst, bil	$1,119.00	$1,119.00	$1,119.00	$845.40
Breath tst attain/anal c-14	$716.80	$716.80	$716.80	$592.80
Brentuximab vedotin 50 mg intravenous solution	$31,641.60	$31,641.60	$31,641.60	$31,641.60
Bronch ebus samplng 1/2 node	$4,214.40	$4,214.40	$4,214.40	$3,484.80
Bronch ebus samplng 3/> node	$4,214.40	$4,214.40	$4,214.40	$4,643.40
Bronch w/debrdmt subgltc & uppr trach	$2,664.80	$2,664.80	$2,664.80	$2,664.80
Bronchial challenge	$920.80	$920.80	$920.80	$761.40
Bronchoscopy w/biopsy(s) 31625	$3,540.00	$3,540.00	$3,540.00	$2,256.75
Bronchoscopy w/fb removal 31635	$3,540.00	$3,540.00	$3,540.00	$3,279.00
Bronchoscopy/lung bx each 31628	$4,214.40	$4,214.40	$4,214.40	$3,484.80
Bronchoscopy/needle bx each 31629	$4,214.40	$4,214.40	$4,214.40	$3,846.60
Budesonide non-comp unit	$463.20	$463.20	$463.20	$463.20
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$8.20	$8.20	$8.20	$9.00
Bundled special stain group 1 microorganisms	$195.20	$195.20	$195.20	$145.80
Bundled special stain group 2	$287.20	$287.20	$287.20	$134.25
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$0.40	$0.40	$0.40	$1.40
Buprenorph X-ray 100 mg or less	$5,427.00	$5,427.00	$5,427.00	$7,360.99
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet	$27.00	$27.00	$27.00	$20.25
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet	$64.40	$64.40	$64.40	$36.60
Buprenorphine X-ray over 100 mg	$7,236.00	$7,236.00	$7,236.00	$7,360.99
Buprenorphine hydrochloride	$14.20	$14.20	$14.20	$14.40
Butorphanol tartrate 1 mg	$133.20	$133.20	$133.20	$90.60
Bx bone trocar/ndl deep	$1,352.80	$1,352.80	$1,352.80	$2,179.80
Bx breast 1st lesion strtctc	$4,474.40	$4,474.40	$4,474.40	$3,700.20
Bx breast add lesion Ultrasound imag	$2,315.20	$2,315.20	$2,315.20	$2,315.20
Bx breast add lesion strtctc	$2,515.20	$2,515.20	$2,515.20	$2,515.20
Bx breast perq without image 19100	$4,291.20	$4,291.20	$4,291.20	$2,813.40
Bx pancreas pq ndl	$1,175.20	$1,175.20	$1,175.20	$1,900.50
Bx pleura pq ndl	$1,175.20	$1,175.20	$1,175.20	$1,672.80
Bx skin incisnl ea sep/add l les	$320.80	$320.80	$320.80	$336.00
Bx skin punch ea sep/ addl les	$180.00	$180.00	$180.00	$327.00
Bx skin tangential ea sep/ addl les	$180.00	$180.00	$180.00	$291.75
Bx soft tiss pelvis/hip deep 27041	$1,352.80	$1,352.80	$1,352.80	$1,352.80
Bx thyroid/percutan core needle 60100	$1,352.80	$1,352.80	$1,352.80	$1,119.00
Bx vag mucos smpl (sep proc)	$849.60	$849.60	$849.60	$966.60
Bx vulva or perineum/1 lesion 56605	$4,291.20	$4,291.20	$4,291.20	$2,765.25
Bx vulva or perineum/ea add lesion 56606	$557.60	$557.60	$557.60	$557.60
Bx/curett of cervix w/scope 57454	$1,015.20	$1,015.20	$1,015.20	$785.40
Bypass temp external fem-fem	$1,781.60	$1,781.60	$1,781.60	$2,428.80
C-1 esterase, berinert	$156.00	$156.00	$156.00	$168.60
C-peptide	$421.60	$421.60	$421.60	$171.00
C-reactive protein	$288.00	$288.00	$288.00	$126.00
C-reactive protein high sensitivity	$571.20	$571.20	$571.20	$137.40
C-reactive protein, quantitative	$533.60	$533.60	$533.60	$147.00
C1 esterase inhibitor func - sendout	$143.20	$143.20	$143.20	$143.20
CT 3d report other modality w/workstation	$843.20	$843.20	$843.20	$697.20
CT Angiogram of Abdomen and Pelvis	$8,850.40	$8,850.40	$8,850.40	$2,839.85
CT Angiogram of the Chest (for blood clot)	$4,092.00	$4,092.00	$4,092.00	$2,094.23
CT Angiogram of the Head	$4,948.80	$4,948.80	$4,948.80	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$6,921.60	$6,921.60	$6,921.60	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$5,385.60	$5,385.60	$5,385.60	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$4,015.20	$4,015.20	$4,015.20	$2,418.75
CT angio hrt w/3d image	$2,580.00	$2,580.00	$2,580.00	$2,371.80
CT angio pelvis	$3,016.00	$3,016.00	$3,016.00	$2,494.20
CT guidance for needle placement	$3,512.00	$3,512.00	$3,512.00	$2,065.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$3,532.80	$3,532.80	$3,532.80	$1,524.60
CT heart w/evaluation of calcium without contrast	$200.00	$200.00	$200.00	$120.00
CT hrt w/3d image	$4,092.00	$4,092.00	$4,092.00	$3,303.75
CT limited or localized follow-up study	$654.40	$654.40	$654.40	$654.40
CT lower extremity w/contrast (both sides)	$3,240.80	$3,240.80	$3,240.80	$2,654.40
CT lower extremity without contrast (both sides)	$2,852.80	$2,852.80	$2,852.80	$1,740.00
CT lwr extremity w/o&w/dye	$3,409.60	$3,409.60	$3,409.60	$2,785.80
CT neck soft tissue w/contrast	$3,036.80	$3,036.80	$3,036.80	$2,511.00
CT neck soft tissue without & w/contrast	$3,804.00	$3,804.00	$3,804.00	$2,953.20
CT neck soft tissue without contrast	$2,492.80	$2,492.80	$2,492.80	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$2,600.80	$2,600.80	$2,600.80	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$1,962.40	$1,962.40	$1,962.40	$1,623.00
CT orbit/sella/fossa w/wo contrast	$3,280.80	$3,280.80	$3,280.80	$2,712.60
CT t-spine w /wo contrast	$3,146.40	$3,146.40	$3,146.40	$2,602.20
CT thoracic spine w/contrast	$3,090.40	$3,090.40	$3,090.40	$2,555.40
CT thoracic spine without contrast	$2,508.00	$2,508.00	$2,508.00	$1,740.00
CT thorax low dose for lung screening without contrast	$306.40	$306.40	$306.40	$253.20
CT upper extremity w/contrast (both sides)	$2,852.80	$2,852.80	$2,852.80	$2,358.60
CT upper extremity without contrast (both sides)	$2,350.40	$2,350.40	$2,350.40	$1,740.00
CT uppr extremity w/o&w/dye	$4,323.20	$4,323.20	$4,323.20	$2,785.80
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$808.20	$808.20	$808.20	$495.60
Caffeine citrate 20 mg/ml inj for po	$111.00	$111.00	$111.00	$106.71
Calcitonin (salmon) 200 unit/ml injection solution	$20,030.40	$20,030.40	$20,030.40	$9,437.60
Calcium 24 hour urine	$95.20	$95.20	$95.20	$78.75
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$0.80	$0.80	$0.80	$0.80
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution	$0.80	$0.80	$0.80	$0.80
Calcium ionized	$129.60	$129.60	$129.60	$107.40
Calcium total	$47.80	$47.80	$47.80	$43.80
Calprotectin fecal	$351.20	$351.20	$351.20	$257.40
Campylobacter antibody	$92.80	$92.80	$92.80	$93.60
Candida dna	$267.20	$267.20	$267.20	$197.40
Cannula ercp contour 5-4-3 tip	$168.60	$168.60	$168.60	$7,828.80
Cap nerve 2x15mm	$2,275.20	$2,275.20	$2,275.20	$4,846.80
Cap trach decann 15mm	$1,127.20	$1,127.20	$1,127.20	$1,737.00
Carbamazepine free	$284.00	$284.00	$284.00	$117.00
Carbamazepine free -sendout	$238.40	$238.40	$238.40	$194.25
Carbamazepine total therapeutic drug level	$238.40	$238.40	$238.40	$137.40
Carbohydrate urine - sendout	$30.60	$30.60	$30.60	$30.60
Carbon dioxide	$47.80	$47.80	$47.80	$47.80
Carboplatin 10 mg/ml desensitization	$500.40	$500.40	$500.40	$500.40
Carboxyhemoglobin quantitative	$274.40	$274.40	$274.40	$102.00
Carcinoembryonic ag (cea)	$496.80	$496.80	$496.80	$162.75
Cardiac MRI w/stress img	$3,213.60	$3,213.60	$3,213.60	$3,422.40
Cardiac perf planar mult/ef/wm	$3,152.00	$3,152.00	$3,152.00	$2,792.40
Cardiac perf planar sgl/ef/wm	$3,868.00	$3,868.00	$3,868.00	$3,198.60
Cardiac perf spect sgl/ef/wm rst/strs	$4,562.40	$4,562.40	$4,562.40	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$218.40	$218.40	$218.40	$218.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$213.60	$213.60	$213.60	$106.20
Cardiac shunt imaging	$2,004.80	$2,004.80	$2,004.80	$1,657.80
Cardiolipin antibody iga	$485.60	$485.60	$485.60	$197.40
Cardioversion elective electrical conversion arrhythmia external	$1,505.60	$1,505.60	$1,505.60	$1,505.60
Caregiver training strategies&tq 1st 30 minutes	$103.20	$103.20	$103.20	$105.00
Carfilzomib 10 mg intravenous solution	$10,440.00	$10,440.00	$10,440.00	$1,876.80
Carmustine 100 mg intravenous powder for solution	$21,846.60	$21,846.60	$21,846.60	$2,713.80
Carotene	$252.80	$252.80	$252.80	$85.50
Carotid Artery Ultrasound (Duplex)	$1,733.60	$1,733.60	$1,733.60	$1,059.82
Caspofungin acetate	$1,752.00	$1,752.00	$1,752.00	$1,752.00
Cath 2lum 14.5frx43cm maxid kt mahurkar	$454.40	$454.40	$454.40	$973.80
Cath ablt clsfast 7fx100cmx	$3,656.80	$3,656.80	$3,656.80	$3,024.00
Cath ablt rx lasr 2.0mm turbo	$42.80	$42.80	$42.80	$7,380.00
Cath acuity innr ic130 6f 63cm	$157.60	$157.60	$157.60	$8,586.00
Cath adherent clot 10mm 6f 10	$276.00	$276.00	$276.00	$21,679.20
Cath bi-dir df smarttouch	$1,433.60	$1,433.60	$1,433.60	$8,813.25
Cath council tip 16fr 5cc	$57.60	$57.60	$57.60	$59.40
Cath cv dl inj 7fx16cm	$1,068.80	$1,068.80	$1,068.80	$2,185.20
Cath entrl fd nutri 5fr 40cm	$8.40	$8.40	$8.40	$10.80
Cath groshong MRI 8fr plstc port	$2,151.20	$2,151.20	$2,151.20	$2,449.80
Cath imag ivus pv 8.5fx90 .035	$78.60	$78.60	$78.60	$6,378.75
Cath infuse micro 150cm rapidtransit	$114.00	$114.00	$114.00	$114.00
Cath malecot 28fr 4-wing ltx	$812.80	$812.80	$812.80	$2,099.40
Cath pezzer 34fr drain bardex propor head mushrm ltx	$103.20	$103.20	$103.20	$190.20
Cath uret open tp 6fx70cm	$348.80	$348.80	$348.80	$671.40
Cath/saline/contrast/sis/hysteosal 58340	$460.00	$460.00	$460.00	$411.60
Catheterization collection of specimen single patient all places of service	$42.60	$42.60	$42.60	$42.60
Cathj umbilical vein dx/ther nb	$1,015.20	$1,015.20	$1,015.20	$425.40
Cauterization chemical granulation tissue	$494.40	$494.40	$494.40	$408.60
Cdna analysis for variants	$2,276.80	$2,276.80	$2,276.80	$1,934.40
Cebpa gene full sequence	$2,643.20	$2,643.20	$2,643.20	$1,686.00
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$42.00	$42.00	$42.00	$16.40
Cefepime 1 gram solution for injection	$186.60	$186.60	$186.60	$51.00
Cefotaxime sodium injection	$10.20	$10.20	$10.20	$43.10
Cefoxitin 1 gram intravenous solution	$105.00	$105.00	$105.00	$94.59
Ceftaroline fosamil 600 mg intravenous solution	$814.20	$814.20	$814.20	$552.60
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$41.40	$41.40	$41.40	$93.60
Ceftazidime and avibactam	$1,516.80	$1,516.80	$1,516.80	$1,248.60
Ceftriaxone 1 gram solution for injection	$75.00	$75.00	$75.00	$123.72
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$30.60	$30.60	$30.60	$30.60
Cell count body fluid	$224.80	$224.80	$224.80	$60.75
Cell count w differential body fluid	$191.20	$191.20	$191.20	$131.40
Cell cryopreserve/storage	$161.60	$161.60	$161.60	$117.60
Cell function assay w/stim	$1,087.20	$1,087.20	$1,087.20	$898.80
Cell marker study	$166.40	$166.40	$166.40	$212.40
Cemiplimab-rwlc 50 mg/ml intravenous solution	$42,145.80	$42,145.80	$42,145.80	$527.40
Cerebrospinal fld flw imag	$700.00	$700.00	$700.00	$1,124.25
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$34.60	$34.60	$34.60	$34.80
Cervical or vaginal cancer screening g0101	$48.00	$48.00	$48.00	$156.75
Cetuximab 100 mg/50 ml intravenous solution	$2,809.20	$2,809.20	$2,809.20	$2,809.20
Cftr gene intron poly t	$288.00	$288.00	$288.00	$283.80
Change cystostomy tube simple	$998.40	$998.40	$998.40	$411.00
Change of windpipe airway 31502	$571.20	$571.20	$571.20	$472.80
Chemo adm cns w/lmbr punct	$841.60	$841.60	$841.60	$1,119.00
Chemo extend IV infus w/pump	$841.60	$841.60	$841.60	$696.00
Chemotherapy injection 96542	$841.60	$841.60	$841.60	$615.75
Chemotx admn pertl cav impl	$637.60	$637.60	$637.60	$642.75
Chest 2 vws w oblique	$603.20	$603.20	$603.20	$450.75
Chest CT scan (with and without contrast)	$3,812.80	$3,812.80	$3,812.80	$2,105.40
Chest CT scan (with contrast)	$3,222.40	$3,222.40	$3,222.40	$1,697.25
Chest CT scan (without contrast)	$2,714.40	$2,714.40	$2,714.40	$1,350.03
Chest X-ray	$701.60	$701.60	$701.60	$303.24
Chest X-ray (single view)	$212.00	$212.00	$212.00	$225.00
Chest apical lordotic proj	$603.20	$603.20	$603.20	$419.40
Chg radiologic exam esophagus double contrast	$862.40	$862.40	$862.40	$713.40
Chlamydia culture	$883.20	$883.20	$883.20	$109.80
Chlamydia type	$63.20	$63.20	$63.20	$42.60
Chlnggrphy intraop addl s&i	$288.80	$288.80	$288.80	$288.80
Chloride	$47.80	$47.80	$47.80	$39.60
Chloride 24 hour urine	$80.80	$80.80	$80.80	$60.75
Chloroprocaine hcl injection	$1.20	$1.20	$1.20	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$1,236.80	$1,236.80	$1,236.80	$1,236.80
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$215.40	$215.40	$215.40	$91.92
Chlorpromazine 100 mg tablet	$0.80	$0.80	$0.80	$1.20
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$1,188.80	$1,188.80	$1,188.80	$629.25
Cholecystostomy complete w/supervision & interpretation	$4,756.80	$4,756.80	$4,756.80	$3,449.25
Cholesterol	$47.80	$47.80	$47.80	$45.75
Cholesterol (Lipid) Test	$276.00	$276.00	$276.00	$100.00
Cholesterol body fluid	$622.40	$622.40	$622.40	$6,088.80
Cholinesterase	$103.20	$103.20	$103.20	$103.20
Chromatography	$22.40	$22.40	$22.40	$178.80
Chromo high res and frag x - sendout	$770.40	$770.40	$770.40	$770.40
Chromogenic substrate assay	$158.40	$158.40	$158.40	$158.40
Chromosome analysis 15-20 cell count	$1,241.60	$1,241.60	$1,241.60	$1,017.00
Chromosome analysis 45	$1,109.60	$1,109.60	$1,109.60	$1,109.60
Chromosome study additional	$1,276.00	$1,276.00	$1,276.00	$453.60
Chronic urticaria - sendout	$160.00	$160.00	$160.00	$133.80
Chylomicron screen, bf - sendout	$404.80	$404.80	$404.80	$336.75
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$9.00	$9.00	$9.00	$23.67
Circumcision (newborn)	$630.60	$630.60	$630.60	$1,549.50
Cisplatin 1 mg/ml desensitization	$83.40	$83.40	$83.40	$700.00
Cladribine 10 mg/10 ml intravenous solution	$2,014.80	$2,014.80	$2,014.80	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$2,100.00	$2,100.00	$2,100.00	$6,678.60
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$45.80	$45.80	$45.80	$47.40
Clip ligating vesolock lg	$736.00	$736.00	$736.00	$925.20
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution	$453.60	$453.60	$453.60	$361.14
Clos txnose fx without stablz 21315	$998.40	$998.40	$998.40	$2,896.50
Close lac/mouth vest/2.5 cm or < 40830	$998.40	$998.40	$998.40	$777.60
Closed treatment of femoral fracture proximal end neck; wi	$3,630.40	$3,630.40	$3,630.40	$3,279.60
Closed tx humerus fx w/manip 24505	$998.40	$998.40	$998.40	$1,198.50
Closed tx humerus fx with manip 23605	$3,791.20	$3,791.20	$3,791.20	$2,460.00
Closed tx humerus fx without manip 23600	$998.40	$998.40	$998.40	$447.60
Closed tx metatarsophalangeal jnt disl without anes	$998.40	$998.40	$998.40	$647.40
Closed tx/acetabululm without manip 27220	$561.60	$561.60	$561.60	$464.40
Closed tx/talus fracture without manip 28430	$998.40	$998.40	$998.40	$327.60
Clot factor viii reltd antgn	$348.00	$348.00	$348.00	$288.00
Clot factor xii hageman	$197.60	$197.60	$197.60	$197.60
Clozapine, 25 mg	$8.40	$8.40	$8.40	$8.40
Clsd tx bimalleol ank fx without manip 27808	$998.40	$998.40	$998.40	$998.40
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$998.40	$998.40	$998.40	$430.80
Clsd tx clavicle dislocation without manip 23540	$647.20	$647.20	$647.20	$581.25
Clsd tx dist fib fx w/manip 27788	$868.80	$868.80	$868.80	$868.80
Clsd tx elbow dislocation child 24640	$998.40	$998.40	$998.40	$525.75
Clsd tx fracture of radius 25500	$998.40	$998.40	$998.40	$442.50
Clsd tx fx radius/ulna dist w/manip 25605	$998.40	$998.40	$998.40	$1,912.80
Clsd tx fx radius/ulna dist without manip 25600	$998.40	$998.40	$998.40	$825.60
Clsd tx fx radius/ulna w/manip 25565	$995.20	$995.20	$995.20	$2,055.00
Clsd tx fx radius/ulna without manip 25560	$998.40	$998.40	$998.40	$825.60
Clsd tx hip disloc without anes 27265	$868.80	$868.80	$868.80	$868.80
Clsd tx humeral fract without manip 24530	$998.40	$998.40	$998.40	$759.00
Clsd tx humerus fract without manip 24500	$998.40	$998.40	$998.40	$759.00
Clsd tx iphal jnt disl w/manip req anes	$4,051.20	$4,051.20	$4,051.20	$3,964.20
Clsd tx mandibular fx without manip 21450	$1,163.20	$1,163.20	$1,163.20	$961.80
Clsd tx metatarsal fracture w/manip 28475	$647.20	$647.20	$647.20	$759.00
Clsd tx patella disloc without anes 27560	$998.40	$998.40	$998.40	$998.40
Clsd tx prox fib/shaft fx w/manip 27781	$950.40	$950.40	$950.40	$1,863.75
Clsd tx radius fracture w/manip 24655	$4,070.40	$4,070.40	$4,070.40	$2,712.00
Clsd tx shoulder dislc/fx 23665	$3,791.20	$3,791.20	$3,791.20	$3,135.00
Clsd tx temporomandibular dislocat 21480	$998.40	$998.40	$998.40	$942.60
Clsd tx toe dislocation without anes28660	$742.40	$742.40	$742.40	$520.80
Clsd tx trimall ankle fx w/manip 27818	$868.80	$868.80	$868.80	$1,362.75
Clsd tx trimall ankle fx without manip 27816	$998.40	$998.40	$998.40	$825.60
Clsd tx wrist carpal fx without manip 25630	$998.40	$998.40	$998.40	$370.80
Clsd tx wrist scaphoid fx without manip 25622	$998.40	$998.40	$998.40	$520.80
Clsd tx wrist ulnar styloid fx 25650	$882.40	$882.40	$882.40	$729.60
Clsd tx/clavicular fx without manip 23500	$998.40	$998.40	$998.40	$819.60
Clsd tx/dis phalan fx without manip/ea 26750	$998.40	$998.40	$998.40	$370.80
Clsd tx/dis tib/wt bear no manip 27824	$766.40	$766.40	$766.40	$766.40
Clsd tx/fem shaft fx/manipulation 27502	$3,540.00	$3,540.00	$3,540.00	$2,319.00
Clsd tx/fx grt toe/phalanx/phalang 28490	$825.60	$825.60	$825.60	$370.80
Clsd tx/fx/phalanx/phalang/manip 28515	$825.60	$825.60	$825.60	$429.60
Clsd tx/grt hum tube fx without manip 23620	$882.40	$882.40	$882.40	$729.60
Clsd tx/metacar/interphal artic fx 26740	$882.40	$882.40	$882.40	$529.50
Clsd tx/metacarpal fx/sg without manip 26600	$998.40	$998.40	$998.40	$470.40
Clsd tx/metacarpal fx/sng/w manip 26605	$998.40	$998.40	$998.40	$825.60
Clsd tx/metatarsal fx without manip 28470	$825.60	$825.60	$825.60	$520.80
Clsd tx/patellar fx without manip 27520	$998.40	$998.40	$998.40	$759.00
Clsd tx/prox/mid phalnx fx/no manp 26720	$998.40	$998.40	$998.40	$366.60
Clsd tx/radial head/neck fx/no manip 24650	$998.40	$998.40	$998.40	$453.00
Clsd tx/scapular fx without manip 23570	$998.40	$998.40	$998.40	$496.20
Clsd tx/shoulder dislo/manip/anest 23655	$3,791.20	$3,791.20	$3,791.20	$2,139.60
Clsd tx/ulnar shaft fx without manip 25530	$998.40	$998.40	$998.40	$445.80
Clsd/shoulder dislo/manip/no anest 23650	$998.40	$998.40	$998.40	$856.20
Clsd/ulnar fx/prox end without manip 24670	$998.40	$998.40	$998.40	$494.40
Cltx gr hmrl tbrs fx w/mnpj	$882.40	$882.40	$882.40	$2,055.00
Cltx hum epcndylr fx wo mnpj	$998.40	$998.40	$998.40	$825.60
Cltx humrl cndylr fx wo mnpj	$998.40	$998.40	$998.40	$825.60
Cltx lunate dislc w/mnpj	$998.40	$998.40	$998.40	$2,055.00
Cltx mndblr fx w/mnpj	$4,051.20	$4,051.20	$4,051.20	$3,349.80
Cltx scap fx w/mnpj +-tractj	$2,933.60	$2,933.60	$2,933.60	$2,450.40
Cmv pcr-sendout	$1,040.80	$1,040.80	$1,040.80	$557.25
Co-treatment - group 15 mins, st	$110.40	$110.40	$110.40	$108.00
Co2 monitor per day	$1,197.60	$1,197.60	$1,197.60	$337.50
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$32,266.20	$32,266.20	$32,266.20	$16,994.46
Coagulation time activated teg	$31.00	$31.00	$31.00	$39.60
Coagulation time otr method	$40.20	$40.20	$40.20	$40.20
Cold agglutinin titer	$120.80	$120.80	$120.80	$100.20
Colistimethate sodium inj	$129.00	$129.00	$129.00	$129.00
Collar cerv 18.25x3.5in serp firm density sm	$75.60	$75.60	$75.60	$75.60
Collar cerv ascend 172 reg	$163.20	$163.20	$163.20	$318.51
Collar cerv patriot adlt	$141.60	$141.60	$141.60	$227.40
Collection blood specimen from completely implantable venous access device	$196.00	$196.00	$196.00	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$196.00	$196.00	$196.00	$208.50
Collection of venous blood by venipuncture	$34.00	$34.00	$34.00	$22.50
Colonoscopy & polypectomy 44392	$3,933.60	$3,933.60	$3,933.60	$3,114.00
Colonoscopy (diagnostic)	$2,000.00	$2,000.00	$2,000.00	$1,500.00
Colonoscopy (with biopsy)	$3,933.60	$3,933.60	$3,933.60	$1,846.40
Colonoscopy (with polyp removal)	$3,933.60	$3,933.60	$3,933.60	$1,875.00
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)	$3,933.60	$3,933.60	$3,933.60	$3,043.50
Colonoscopy for bleeding 44391	$3,933.60	$3,933.60	$3,933.60	$2,505.60
Colonoscopy for foreign body	$3,933.60	$3,933.60	$3,933.60	$3,104.25
Colonoscopy stoma w/snare 44394	$3,933.60	$3,933.60	$3,933.60	$2,854.80
Colonoscopy submucous njx	$3,933.60	$3,933.60	$3,933.60	$3,528.00
Colonoscopy thru stoma spx	$3,816.80	$3,816.80	$3,816.80	$2,079.00
Colonoscopy w/ablation	$3,933.60	$3,933.60	$3,933.60	$2,571.00
Colonoscopy w/balloon dilat	$3,933.60	$3,933.60	$3,933.60	$2,890.20
Colonoscopy w/band ligation	$3,933.60	$3,933.60	$3,933.60	$2,495.25
Colonoscopy w/control bleed	$3,933.60	$3,933.60	$3,933.60	$2,501.40
Colonoscopy w/decompression	$3,816.80	$3,816.80	$3,816.80	$2,786.40
Colonoscopy w/endoscope Ultrasound	$3,933.60	$3,933.60	$3,933.60	$3,201.00
Colonoscopy w/endoscopic fnb	$3,933.60	$3,933.60	$3,933.60	$3,201.00
Colonoscopy w/fb removal	$2,431.20	$2,431.20	$2,431.20	$2,431.20
Colonoscopy w/injection	$3,933.60	$3,933.60	$3,933.60	$2,495.25
Colonoscopy w/resection	$3,933.60	$3,933.60	$3,933.60	$2,712.75
Colonoscopy w/stent plcmt	$7,896.80	$7,896.80	$7,896.80	$4,379.25
Colonoscopy with ablation	$3,933.60	$3,933.60	$3,933.60	$1,740.00
Colonoscopy with biopsy	$3,933.60	$3,933.60	$3,933.60	$1,788.60
Colonoscopy/w endoscopic stent 45389	$7,896.80	$7,896.80	$7,896.80	$4,379.25
Colposcopy vulva 56820	$1,577.60	$1,577.60	$1,577.60	$435.00
Colposcopy vulva w/biopsy 56821	$2,133.60	$2,133.60	$2,133.60	$1,626.60
Colposcopy w/biopsy of cervix 57455	$2,084.80	$2,084.80	$2,084.80	$1,147.50
Colposcopy/cervix/inc up/adjacent vag 57452	$434.40	$434.40	$434.40	$434.40
Comp cystometrogram/void presssure 51728	$2,793.60	$2,793.60	$2,793.60	$933.75
Comp cystometrogram/void/uret pres 51729	$2,826.40	$2,826.40	$2,826.40	$1,216.50
Compatibility test each unit antiglobulin technique	$524.00	$524.00	$524.00	$203.40
Compatibility test each unit electronic	$100.00	$100.00	$100.00	$119.40
Compatibility test each unit immediate spin technique	$266.40	$266.40	$266.40	$203.40
Complement antigen each component c3	$332.00	$332.00	$332.00	$175.80
Complement fixation each	$120.80	$120.80	$120.80	$100.20
Complex cystometrogram 51726	$4,291.20	$4,291.20	$4,291.20	$239.25
Complex repair trunk 1.1-2.5cm 13120	$998.40	$998.40	$998.40	$1,919.40
Complex repair trunk 2.6-7.5cm 13101	$2,627.20	$2,627.20	$2,627.20	$2,253.00
Complex uroflowmetry (electronic) 51741	$1,703.20	$1,703.20	$1,703.20	$607.50
Complx repair enel 1.1-2.5 cm 13151	$2,627.20	$2,627.20	$2,627.20	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$2,627.20	$2,627.20	$2,627.20	$2,938.80
Complx repair enel addl 5cm/< 13153	$798.40	$798.40	$798.40	$660.00
Complx repair fccmnaxghf 13131	$2,627.20	$2,627.20	$2,627.20	$2,172.00
Complx repair fccmnaxghf 13132	$2,627.20	$2,627.20	$2,627.20	$2,172.00
Complx repair sal addl 5 cm/> 13122	$998.40	$998.40	$998.40	$828.60
Concentration infection agents any type	$92.80	$92.80	$92.80	$42.00
Condylomata destruction 56420	$712.80	$712.80	$712.80	$831.60
Conjugated estrogens 25 mg solution for injection	$1,375.20	$1,375.20	$1,375.20	$1,291.95
Consult comp w/report rfrd material	$212.80	$212.80	$212.80	$289.20
Consultation pathology during surgery	$192.00	$192.00	$192.00	$141.75
Consultation pathology during surgery cytological exam initial site	$213.60	$213.60	$213.60	$176.40
Consultation pathology during surgery frozen section each additional block	$256.00	$256.00	$256.00	$211.80
Consultation pathology during surgery frozen section first tissue block	$333.60	$333.60	$333.60	$276.00
Consultation/report referred material w/preparation of slides	$891.20	$891.20	$891.20	$737.40
Consultation/report referred slides prepared elsewhere	$222.40	$222.40	$222.40	$213.60
Contrast baths charges	$124.80	$124.80	$124.80	$96.00
Contrast x-ray gallbladder	$870.40	$870.40	$870.40	$719.40
Contrast x-ray of ankle	$868.80	$868.80	$868.80	$896.40
Contrast x-ray of elbow	$868.80	$868.80	$868.80	$793.80
Contrast x-ray of hip	$868.80	$868.80	$868.80	$868.80
Contrast x-ray of knee joint	$868.80	$868.80	$868.80	$896.40
Contrast x-ray of wrist	$868.80	$868.80	$868.80	$417.75
Control nosebleed pack+caut 30905	$569.60	$569.60	$569.60	$569.60
Control of nosebleed ant comp 30903	$569.60	$569.60	$569.60	$569.60
Control of nosebleedantersmpl 30901	$569.60	$569.60	$569.60	$471.00
Conv gtube to jtube	$4,128.80	$4,128.80	$4,128.80	$3,848.40
Coombs direct	$84.80	$84.80	$84.80	$80.40
Coombs indirect titer reference	$370.40	$370.40	$370.40	$186.75
Copper intrauterine device	$2,606.40	$2,606.40	$2,606.40	$2,606.40
Core ndl bx lng/med perq	$3,521.60	$3,521.60	$3,521.60	$3,052.80
Cornea pre-cut midwest eye cornea pre-cut midwest eye	$1,451.20	$1,451.20	$1,451.20	$9,900.00
Coronary thrombolysis/iv infusion 92977	$577.60	$577.60	$577.60	$477.60
Cortisol total am	$1,184.80	$1,184.80	$1,184.80	$165.00
Cosyntropin 0.25 mg solution for injection	$594.40	$594.40	$594.40	$542.40
Counseling smoke cess interm >10mins	$64.00	$64.00	$64.00	$48.00
Cover eye w/membrane	$17,461.60	$17,461.60	$17,461.60	$14,438.40
Coveredge 32 lead kit 40cm 48	$3,664.00	$3,664.00	$3,664.00	$6,339.60
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose	$1,360.00	$1,360.00	$1,360.00	$1,020.00
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose	$1,360.00	$1,360.00	$1,360.00	$1,020.00
Covid-19 administration immunization im inj 1st/only component	$25.20	$25.20	$25.20	$24.00
Cr-51 sodium chromate	$504.80	$504.80	$504.80	$417.60
Crbrospnl fld flw imag cistern	$3,645.60	$3,645.60	$3,645.60	$2,313.75
Create eardrum opening	$8,618.40	$8,618.40	$8,618.40	$7,126.80
Creatine kinase	$153.60	$153.60	$153.60	$90.00
Creatine kinase isoenzymes	$45.80	$45.80	$45.80	$66.00
Creatine kinase mb	$176.80	$176.80	$176.80	$131.40
Creatinine	$47.80	$47.80	$47.80	$44.25
Creatinine 24 hour urine	$128.80	$128.80	$128.80	$80.40
Creatinine clearance urine	$176.80	$176.80	$176.80	$151.50
Critical care 30-74 minutes	$2,172.00	$2,172.00	$2,172.00	$2,085.75
Critical care each additional 30 minutes	$609.60	$609.60	$609.60	$570.60
Crizanlizumab-tmca 10 mg/ml intravenous solution	$272.40	$272.40	$272.40	$436.20
Crotalidae poly immune fab	$14,450.40	$14,450.40	$14,450.40	$6,805.20
Cryocautery of cervix 57511	$723.20	$723.20	$723.20	$723.20
Cryofibrinogen qualitative - sendout	$65.40	$65.40	$65.40	$61.20
Cryoprecipitate each unit	$284.00	$284.00	$284.00	$235.20
Cryptosporidium antigen	$196.80	$196.80	$196.80	$162.60
Crystal identification light microscopy	$112.80	$112.80	$112.80	$65.25
Csf leakage imaging	$4,322.40	$4,322.40	$4,322.40	$3,574.20
Cta abdomen without & /or w/contrast	$4,521.60	$4,521.60	$4,521.60	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$5,761.60	$5,761.60	$5,761.60	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$3,747.20	$3,747.20	$3,747.20	$3,067.20
Cta neck without &/or w/contrast	$3,143.20	$3,143.20	$3,143.20	$2,598.60
Cta upper extremity w &/or without contrast left	$4,521.60	$4,521.60	$4,521.60	$3,067.20
Culture aerobic additional method definitive id each	$205.60	$205.60	$205.60	$77.25
Culture afb any source	$92.80	$92.80	$92.80	$92.80
Culture anaerobic additional method definitive id each	$154.40	$154.40	$154.40	$117.00
Culture anaerobic except blood	$177.60	$177.60	$177.60	$127.50
Culture bact stool aero addl path ea	$104.00	$104.00	$104.00	$52.80
Culture body fluid	$280.80	$280.80	$280.80	$151.50
Culture fungi definitive id mold	$166.40	$166.40	$166.40	$81.75
Culture fungi definitive id yeast	$90.40	$90.40	$90.40	$75.00
Culture fungi other (except blood)	$207.20	$207.20	$207.20	$137.40
Culture fungi skin/hair/nail	$85.60	$85.60	$85.60	$80.40
Culture mycobacteria definitive id each isolate	$154.20	$154.20	$154.20	$123.00
Culture mycoplasma any source	$350.40	$350.40	$350.40	$162.00
Culture screening strep group a	$337.60	$337.60	$337.60	$108.00
Culture typing immunologic	$17.40	$17.40	$17.40	$45.00
Culture typing nucleic acid probe amplified per culture/isolate each organism	$65.40	$65.40	$65.40	$343.20
Culture urine each isolate	$92.80	$92.80	$92.80	$74.40
Curette/treat cornea	$2,283.20	$2,283.20	$2,283.20	$1,200.60
Cutter lead	$619.20	$619.20	$619.20	$3,284.40
Cv stress test i&r only 93018	$42.60	$42.60	$42.60	$42.60
Cv stress test/supervision only 93016	$42.60	$42.60	$42.60	$42.60
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$54.00	$54.00	$54.00	$15.00
Cyclic citrullinated peptide antibody	$304.00	$304.00	$304.00	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$13.20	$13.20	$13.20	$3.75
Cyclophosphamide 25 mg capsule	$43.20	$43.20	$43.20	$43.20
Cyclosporine 2 hour	$542.40	$542.40	$542.40	$119.40
Cyclosporine 250 mg/5 ml intravenous solution	$29.00	$29.00	$29.00	$243.99
Cyclosporine modified 25 mg capsule	$8.80	$8.80	$8.80	$10.80
Cyclosporine oral 100 mg	$34.00	$34.00	$34.00	$34.00
Cyp2c19 gene com variants	$1,004.00	$1,004.00	$1,004.00	$1,004.00
Cyp2d6 gene com variants	$240.00	$240.00	$240.00	$269.40
Cystatin c	$332.80	$332.80	$332.80	$128.40
Cystic fibrosis cftr	$4,001.60	$4,001.60	$4,001.60	$4,054.80
Cystogram >= 3 views supervision & interpretation	$961.60	$961.60	$961.60	$896.40
Cystometrogram w/up 51727	$2,776.80	$2,776.80	$2,776.80	$2,776.80
Cystoscopy & ureter catheter	$2,835.20	$2,835.20	$2,835.20	$3,417.00
Cystoscopy (Bladder Scope)	$1,557.60	$1,557.60	$1,557.60	$1,636.00
Cystoscopy and treatment	$5,744.80	$5,744.80	$5,744.80	$4,102.20
Cystoscopy chemodenervation	$1,976.00	$1,976.00	$1,976.00	$902.25
Cytarabine 20 mg/ml injection solution	$70.80	$70.80	$70.80	$66.20
Cyto/molecular report	$326.40	$326.40	$326.40	$85.80
Cytogenetics 25-99	$412.00	$412.00	$412.00	$292.80
Cytomegalovirus (cmv) antibody igg	$176.80	$176.80	$176.80	$146.40
Cytomegalovirus (cmv) antibody igm	$176.80	$176.80	$176.80	$131.25
Cytopath c/v auto in fluid	$334.40	$334.40	$334.40	$334.40
Cytopath fl nongyn filter	$169.60	$169.60	$169.60	$140.40
Cytopath smear oth prep screen & interp	$120.80	$120.80	$120.80	$113.40
Cytopath smear other source	$66.40	$66.40	$66.40	$66.40
Cytopathology cellular enhancement technique non-gyn	$172.00	$172.00	$172.00	$240.75
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$104.00	$104.00	$104.00	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$81.60	$81.60	$81.60	$64.20
Cytopathology concentration technique smears & interpretation	$62.20	$62.20	$62.20	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$280.80	$280.80	$280.80	$137.40
Cytopathology fna adequacy evaluation first episode each site	$85.60	$85.60	$85.60	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$450.40	$450.40	$450.40	$195.75
Dacarbazine 100 mg intravenous solution	$76.80	$76.80	$76.80	$67.40
Dactinomycin 0.5 mg intravenous solution	$2,879.40	$2,879.40	$2,879.40	$2,879.40
Dalbavancin 500 mg intravenous solution	$7,113.00	$7,113.00	$7,113.00	$6,061.91
Daptomycin 500 mg/10 ml intravenous solution	$2,063.40	$2,063.40	$2,063.40	$1,138.20
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$104.40	$104.40	$104.40	$109.20
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$17,923.80	$17,923.80	$17,923.80	$5,546.48
Darbepoetin alfa, esrd use	$2,151.00	$2,151.00	$2,151.00	$2,151.00
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution	$483.00	$483.00	$483.00	$29,942.40
Daunorubicin 5 mg/ml intravenous solution	$622.20	$622.20	$622.20	$413.60
Dch glucoscan	$14.40	$14.40	$14.40	$19.80
Dch pulmonary stress test	$188.80	$188.80	$188.80	$660.60
Dch validity tests	$62.20	$62.20	$62.20	$31.50
Deamidated gliadin antibody iga	$80.40	$80.40	$80.40	$80.40
Debr musc/fascia 20sq cm/< 11043	$728.40	$728.40	$728.40	$1,965.00
Debrid ecz/inf skin up tp 10% body 11000	$1,592.00	$1,592.00	$1,592.00	$922.50
Debrid/rmv fgn bdy/open fx/skin/sq 11010	$1,778.40	$1,778.40	$1,778.40	$1,778.40
Debride nail1-5 11720	$471.00	$471.00	$471.00	$274.20
Debride nail6 or more 11721	$206.40	$206.40	$206.40	$306.60
Debride/subq tissue/ea add 20sq cm 11045	$728.40	$728.40	$728.40	$811.20
Debridement (>20 cm) charge pt	$312.80	$312.80	$312.80	$321.00
Debridement bone <= 20 sq cm	$2,103.20	$2,103.20	$2,103.20	$2,553.60
Debridement subcutaneous tissue <= 20 sq cm	$825.60	$825.60	$825.60	$1,148.25
Decalcification	$469.60	$469.60	$469.60	$124.80
Decitabine 50 mg intravenous solution	$5,326.20	$5,326.20	$5,326.20	$292.80
Declotting thrombolytic agent implanted vas access device 36	$790.40	$790.40	$790.40	$609.75
Deferoxamine 500 mg solution for injection	$43.20	$43.20	$43.20	$102.84
Degarelix 120 mg subcutaneous solution	$2,262.60	$2,262.60	$2,262.60	$2,262.60
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$78.60	$78.60	$78.60	$90.60
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$10,269.00	$10,269.00	$10,269.00	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$712.80	$712.80	$712.80	$712.80
Dermagraft	$2,778.40	$2,778.40	$2,778.40	$100.50
Desmopressin 4 mcg/ml injection solution	$2,755.80	$2,755.80	$2,755.80	$172.46
Desoxycorticosterone	$481.60	$481.60	$481.60	$285.60
Dest mal lesion tal 0.6-1.0cm 17261	$1,489.60	$1,489.60	$1,489.60	$893.40
Dest mal lesion tal <0.5 17260	$1,172.00	$1,172.00	$1,172.00	$754.80
Destroy premlg lesns;1st lesn 17000	$847.20	$847.20	$847.20	$520.80
Destruct ben lesion 15/> 17111	$147.00	$147.00	$147.00	$307.50
Destruction 2-14 lesions 17003	$118.20	$118.20	$118.20	$83.25
Destruction benign lesions < 14 lesions	$847.20	$847.20	$847.20	$457.20
Developmental screen/score/document 96110	$20.40	$20.40	$20.40	$34.20
Device ablt adv novasure	$7,153.60	$7,153.60	$7,153.60	$9,649.20
Device intraute mirena	$4,133.60	$4,133.60	$4,133.60	$3,052.80
Device sut capio slim opn	$1,632.80	$1,632.80	$1,632.80	$1,454.07
Device tiss remov myosure reach	$3,273.60	$3,273.60	$3,273.60	$2,707.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$161.60	$161.60	$161.60	$127.20
Dexametha opth insert 0.1 mg	$1,432.80	$1,432.80	$1,432.80	$505.80
Dexamethasone 4 mg tablet	$5.40	$5.40	$5.40	$5.40
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$6.60	$6.60	$6.60	$7.60
Dexrazoxane hcl 250 mg intravenous solution	$1,196.40	$1,196.40	$1,196.40	$1,087.80
Dextran 40 infusion	$645.60	$645.60	$645.60	$225.55
Dextrose 5 % IV bolus	$26.80	$26.80	$26.80	$26.80
Dextrose 5 % and 0.9 % sodium chloride intravenous solution	$32.40	$32.40	$32.40	$37.20
Dextrose 5 % and lactated ringers intravenous solution	$29.00	$29.00	$29.00	$29.00
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$60.40	$60.40	$60.40	$60.40
Dhea-s (dehydroepiand sulfate)	$222.40	$222.40	$222.40	$210.00
Diabetes (HbA1c) Test	$200.00	$200.00	$200.00	$70.00
Diagnostic Mammogram (both breasts)	$584.00	$584.00	$584.00	$424.00
Diagnostic Mammogram (one breast)	$383.20	$383.20	$383.20	$297.05
Diagnostic anoscopy spx 46600	$3,052.80	$3,052.80	$3,052.80	$432.60
Diagnostic laryngoscopy 31505	$338.40	$338.40	$338.40	$432.60
Dialysis one evaluation	$1,536.00	$1,536.00	$1,536.00	$1,098.60
Diatrizoate meglumine 18 % urethral solution	$79.20	$79.20	$79.20	$58.24
Diazepam 5 mg/ml injection solution (wrapper)	$127.20	$127.20	$127.20	$35.40
Dicyclomine injection	$494.40	$494.40	$494.40	$425.60
Diffusing capacity	$498.40	$498.40	$498.40	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$34.00	$34.00	$34.00	$29.85
Digoxin immune fab 40 mg intravenous solution	$16,441.80	$16,441.80	$16,441.80	$11,176.80
Digoxin total therapeutic drug level	$152.00	$152.00	$152.00	$126.00
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$924.80	$924.80	$924.80	$518.40
Dilate esophagus 1/mult pass	$4,264.00	$4,264.00	$4,264.00	$1,548.00
Dilation of cervical canal 57800	$4,291.20	$4,291.20	$4,291.20	$4,291.20
Dilation of rectal stricture 45910	$3,933.60	$3,933.60	$3,933.60	$1,375.50
Dilator fascial 10fx20cm	$1,022.40	$1,022.40	$1,022.40	$795.60
Dimenhydrinate injection	$13.20	$13.20	$13.20	$14.40
Dimethyl sulfoxide 50% 50 ml	$3,160.80	$3,160.80	$3,160.80	$2,501.55
Diphenhydramine 50 mg/ml injection (wrapper)	$16.80	$16.80	$16.80	$13.80
Diphtheria-tetanus toxoids 0.5 ml (peds)	$25.80	$25.80	$25.80	$24.60
Disability dlco	$282.40	$282.40	$282.40	$234.00
Disaccharidases	$107.20	$107.20	$107.20	$181.20
Discography cerv/thor spine	$2,404.00	$2,404.00	$2,404.00	$2,062.50
Dna antibody native/double stranded	$301.60	$301.60	$301.60	$159.00
Dna gardnerella	$267.20	$267.20	$267.20	$197.40
Dna trichomonas	$279.20	$279.20	$279.20	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$162.00	$162.00	$162.00	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$7,030.80	$7,030.80	$7,030.80	$94.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$89.40	$89.40	$89.40	$56.40
Doppler echo complete	$1,160.00	$1,160.00	$1,160.00	$677.40
Doppler upper/lower extremity arteries complete bilateral	$1,308.00	$1,308.00	$1,308.00	$946.50
Doppler upper/lower extremity arteries limited bilateral	$919.20	$919.20	$919.20	$564.75
Doripenem 50 mg/ml inj 10 ml	$8.40	$8.40	$8.40	$8.40
Dornase alfa non-comp unit	$236.00	$236.00	$236.00	$380.80
Dornhoffer fixed part w/window	$44,163.20	$44,163.20	$44,163.20	$53,356.20
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$162.60	$162.60	$162.60	$358.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$4,487.40	$4,487.40	$4,487.40	$2,245.20
Doxycycline hyclate 100 mg intravenous powder for solution	$1.20	$1.20	$1.20	$1.20
Dpyd gene common variants	$2,358.60	$2,358.60	$2,358.60	$2,476.80
Drain blood from under nail 11740	$298.40	$298.40	$298.40	$266.40
Drain cath image guided visceral pq	$5,596.80	$5,596.80	$5,596.80	$4,627.80
Drain cerebro spinal fluid 62272	$1,524.80	$1,524.80	$1,524.80	$1,485.75
Drain finger abscess;simple 26010	$712.80	$712.80	$712.80	$318.00
Drain thigh/knee lesion 27301	$6,528.00	$6,528.00	$6,528.00	$5,469.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$1,741.60	$1,741.60	$1,741.60	$824.40
Drainage ext aud canal abscess 69020	$1,741.60	$1,741.60	$1,741.60	$1,440.00
Drainage external ear complex 69005	$8,618.40	$8,618.40	$8,618.40	$4,074.75
Drainage external ear simple 69000	$712.80	$712.80	$712.80	$709.50
Drainage of arm bursa 23931	$4,036.80	$4,036.80	$4,036.80	$2,638.50
Drainage of kidney lesion	$1,352.80	$1,352.80	$1,352.80	$2,056.80
Drainage of rectal abscess	$5,976.80	$5,976.80	$5,976.80	$3,520.20
Drainage of rectal abscess 45020	$6,501.60	$6,501.60	$6,501.60	$5,376.00
Dress/debrid prtl-thick burn l 16030	$998.40	$998.40	$998.40	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$998.40	$998.40	$998.40	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$712.80	$712.80	$712.80	$408.60
Drng of eyelid abscess 67700	$8,618.40	$8,618.40	$8,618.40	$3,479.40
Drng of finger abscess comp 26011	$2,267.20	$2,267.20	$2,267.20	$1,875.00
Drng of scrotum abscess 55100	$3,497.60	$3,497.60	$3,497.60	$2,630.40
Droperidol 2.5 mg/ml injection solution	$39.60	$39.60	$39.60	$39.60
Drsg interceed 3x4in adh wnd barr absorb	$2,151.20	$2,151.20	$2,151.20	$1,956.48
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm	$660.00	$660.00	$660.00	$530.83
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$841.60	$841.60	$841.60	$841.60
Drug assay vedolizumab	$431.40	$431.40	$431.40	$298.80
Drug asy hydroxychloroquine	$196.20	$196.20	$196.20	$511.50
Drug test def 1-7 classes	$480.80	$480.80	$480.80	$437.40
Drug test def 8-14 classes	$316.80	$316.80	$316.80	$440.40
Drug test(s) presumptive any class instrument chemistry analyzers	$383.20	$383.20	$383.20	$441.60
Drvvt confirm - quest	$211.20	$211.20	$211.20	$174.60
Ductogram sgl duct	$1,043.20	$1,043.20	$1,043.20	$547.80
Dup scan/hemodialysis access 93990	$1,062.40	$1,062.40	$1,062.40	$684.60
Dup scan/ue art/graft/bilat/comp 93930	$1,179.20	$1,179.20	$1,179.20	$903.00
Duplex scan bilateral study 93985	$1,728.80	$1,728.80	$1,728.80	$1,144.80
Duplex scan unilateral study 93986	$864.00	$864.00	$864.00	$643.20
Duragen 1x1 5ea/bx	$514.40	$514.40	$514.40	$425.40
Durvalumab 50 mg/ml intravenous solution	$324.60	$324.60	$324.60	$241.20
Dx bronchoscope/lavage 31624	$3,540.00	$3,540.00	$3,540.00	$2,926.80
Dx bronchoscope/wash 31622	$3,540.00	$3,540.00	$3,540.00	$2,168.40
Dxa bone density axl vrt fx	$813.60	$813.60	$813.60	$672.60
E equine encephalitis igg	$111.20	$111.20	$111.20	$122.40
ER Visit (level 1, minor)	$352.80	$352.80	$352.80	$286.51
ER Visit (level 2)	$492.00	$492.00	$492.00	$469.39
ER Visit (level 3)	$900.00	$900.00	$900.00	$827.20
ER Visit (level 4)	$1,504.00	$1,504.00	$1,504.00	$1,330.00
ER Visit (level 5, high severity)	$1,557.60	$1,557.60	$1,557.60	$1,892.80
Ear irrigation 69209	$117.00	$117.00	$117.00	$128.25
Ecg 12 lead tracing only	$271.80	$271.80	$271.80	$271.80
Ecg < 30 days transmission & analysis	$312.80	$312.80	$312.80	$720.75
Ecg external < 48 hours recording	$551.40	$551.40	$551.40	$551.40
Ecg external < 48 hours scanning analysis w/report	$671.40	$671.40	$671.40	$642.75
Ecg external > 48 hours up to 7 days recording	$91.20	$91.20	$91.20	$74.40
Ecg external >7 days up to 15 days recording	$75.00	$75.00	$75.00	$75.00
Echo exam uterus 76831-	$840.80	$840.80	$840.80	$695.40
Echo guidance radiotherapy	$2,659.20	$2,659.20	$2,659.20	$2,718.00
Echo guide for amniocentesis	$603.20	$603.20	$603.20	$564.75
Echo guide for artery repair	$1,220.80	$1,220.80	$1,220.80	$1,009.20
Echo stress	$1,056.00	$1,056.00	$1,056.00	$1,056.00
Echo tee probe placement image acquisition interpretation & report	$1,040.80	$1,040.80	$1,040.80	$1,875.00
Echo transesophageal	$472.80	$472.80	$472.80	$391.20
Echo transesophageal intraop	$2,591.20	$2,591.20	$2,591.20	$2,142.60
Echo transthoracic	$1,094.40	$1,094.40	$1,094.40	$1,094.40
Echo transthoracic	$647.20	$647.20	$647.20	$534.60
Echo tte 2d comp wo ctrst wo clr/dplr	$1,026.40	$1,026.40	$1,026.40	$1,137.75
Echocardiogram (Heart Ultrasound)	$2,739.20	$2,739.20	$2,739.20	$2,021.12
Echocardiography doppler color flow mapping	$580.80	$580.80	$580.80	$485.25
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$2,739.20	$2,739.20	$2,739.20	$2,265.00
Echocardiography transthoracic 2d followup/limited	$483.20	$483.20	$483.20	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$440.00	$440.00	$440.00	$691.20
Echocardiograpy doppler follow up/limited study	$922.40	$922.40	$922.40	$336.00
Echograp trans r pros study	$474.40	$474.40	$474.40	$576.60
Eculizumab 300 mg/30 ml intravenous solution	$268.80	$268.80	$268.80	$268.80
Eeg monitor/record/awake/drowsy 95816	$1,439.20	$1,439.20	$1,439.20	$1,099.50
Eeg recording awake and asleep	$1,439.20	$1,439.20	$1,439.20	$1,173.00
Eeg/cerebral death evaluation only 95824 -26	$1,439.20	$1,439.20	$1,439.20	$1,177.80
Eeg/record in coma or sleep only 95822	$1,439.20	$1,439.20	$1,439.20	$1,095.60
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$79.20	$79.20	$79.20	$85.60
Egd Ultrasound exam duodenum/jejunum	$4,128.80	$4,128.80	$4,128.80	$3,414.00
Egd Ultrasound fine needle bx/aspir	$4,128.80	$4,128.80	$4,128.80	$4,013.25
Egd Ultrasound fine needle bx/aspir	$4,128.80	$4,128.80	$4,128.80	$3,414.00
Egd Ultrasound transmural injxn/mark	$4,128.80	$4,128.80	$4,128.80	$4,089.75
Egd balloon dil esoph30 mm/>	$4,128.80	$4,128.80	$4,128.80	$1,903.50
Egd control bleeding any	$4,128.80	$4,128.80	$4,128.80	$2,553.75
Egd dilate stricture	$4,128.80	$4,128.80	$4,128.80	$3,148.50
Egd endo mucosal resection	$4,128.80	$4,128.80	$4,128.80	$3,414.00
Egd endoscopic stent place	$7,896.80	$7,896.80	$7,896.80	$4,379.25
Egd guide wire insertion	$4,264.00	$4,264.00	$4,264.00	$2,978.40
Egd injection varices	$4,128.80	$4,128.80	$4,128.80	$3,241.20
Egd lesion ablation	$4,128.80	$4,128.80	$4,128.80	$3,360.75
Egd remove foreign body	$4,264.00	$4,264.00	$4,264.00	$2,501.40
Egd remove lesion snare	$4,128.80	$4,128.80	$4,128.80	$2,597.25
Egd varices ligation	$4,128.80	$4,128.80	$4,128.80	$3,061.20
Egd w/thrml txmnt gerd	$7,896.80	$7,896.80	$7,896.80	$7,006.20
Egd/insert intraluminal tube/cath 43241	$4,128.80	$4,128.80	$4,128.80	$2,978.40
Egd/remov tum/polyp/hot bx forcep 43250	$4,128.80	$4,128.80	$4,128.80	$3,414.00
Egfr gene com variants	$1,008.00	$1,008.00	$1,008.00	$808.80
Ehrlicha chaffeensis amp prb	$351.20	$351.20	$351.20	$290.40
Electrical stimulation/unattended 97014	$27.00	$27.00	$27.00	$85.50
Electrolyte panel	$158.40	$158.40	$158.40	$130.80
Elotuzumab 300 mg intravenous solution	$28.80	$28.80	$28.80	$1,749.60
Emb w/colposcopy 58110	$706.40	$706.40	$706.40	$706.40
Emb without cervical dilation 58100	$2,633.60	$2,633.60	$2,633.60	$2,115.00
Encephalitis, california igg/igm	$111.20	$111.20	$111.20	$122.40
Encephalitis, st louis igg/igm	$111.20	$111.20	$111.20	$122.40
Encephalitis, western equine igg/igm	$111.20	$111.20	$111.20	$122.40
Endo cath bile duct s&i	$1,471.20	$1,471.20	$1,471.20	$982.20
Endo cath panc duct s&i	$1,471.20	$1,471.20	$1,471.20	$877.20
Endo cholangiopancreatograph	$7,896.80	$7,896.80	$7,896.80	$3,831.00
Endo cholangiopancreatograph	$7,896.80	$7,896.80	$7,896.80	$3,546.00
Endocerv curettage w/scope 57456	$232.00	$232.00	$232.00	$585.00
Endocervical curettage 57505	$1,478.40	$1,478.40	$1,478.40	$1,119.00
Endoscopic Ultrasound exam esoph	$4,128.80	$4,128.80	$4,128.80	$2,517.00
Endoscopic injection/implant	$12,844.00	$12,844.00	$12,844.00	$12,844.00
Endoscopic pancreatoscopy	$7,896.80	$7,896.80	$7,896.80	$2,116.20
Endoscopy bowel pouch/biop	$3,816.80	$3,816.80	$3,816.80	$1,896.00
Endoscopy of bowel pouch 44385	$3,816.80	$3,816.80	$3,816.80	$1,696.20
Endoscopy swallow (fees) vid	$196.00	$196.00	$196.00	$551.25
Endoscpy nsl/sns w/cntrl nsl hmrrgh	$2,765.60	$2,765.60	$2,765.60	$2,377.20
Enfortumab vedotin-ejfv 20 mg intravenous solution	$64.20	$64.20	$64.20	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$69.60	$69.60	$69.60	$69.60
Epinephrine 1 mg/ml im kit - pediatric	$441.60	$441.60	$441.60	$441.60
Epirubicin 200 mg/100 ml intravenous solution	$213.00	$213.00	$213.00	$161.59
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$4,764.60	$4,764.60	$4,764.60	$255.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$229.80	$229.80	$229.80	$336.66
Epstein barr early antigen antibody	$271.20	$271.20	$271.20	$126.00
Epstein barr nuclear antigen antibody	$353.60	$353.60	$353.60	$124.50
Epstein barr viral capsid antigen antibody igm	$353.60	$353.60	$353.60	$153.75
Eptifibatide 0.75 mg/ml intravenous solution	$2,520.60	$2,520.60	$2,520.60	$350.40
Eptinezumab-jjmr 100 mg/ml intravenous solution	$46.40	$46.40	$46.40	$3,637.20
Ercp bil/panc duct; each stent plcmt 43274	$7,896.80	$7,896.80	$7,896.80	$4,282.20
Ercp biliary & pancreas	$1,294.40	$1,294.40	$1,294.40	$987.60
Ercp ea duct/ampulla dilate	$7,896.80	$7,896.80	$7,896.80	$4,199.25
Ercp lesion ablate w/dilate 43278	$7,896.80	$7,896.80	$7,896.80	$5,574.60
Ercp lithotripsy calculi	$7,896.80	$7,896.80	$7,896.80	$4,379.25
Ercp remove duct calculi 43264	$7,896.80	$7,896.80	$7,896.80	$3,955.50
Ercp remove forgn body duct 43275	$7,896.80	$7,896.80	$7,896.80	$4,282.20
Ercp stent exchange w/dilate	$7,896.80	$7,896.80	$7,896.80	$4,497.75
Ercp w/specimen collection	$7,896.80	$7,896.80	$7,896.80	$4,277.25
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$509.40	$509.40	$509.40	$509.40
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$595.80	$595.80	$595.80	$227.20
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$460.00	$460.00	$460.00	$120.00
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$11.80	$11.80	$11.80	$11.80
Esoph egd dilation <30 mm	$4,128.80	$4,128.80	$4,128.80	$2,597.25
Esoph endoscopy dilation	$4,128.80	$4,128.80	$4,128.80	$3,265.80
Esoph imped function test	$6,467.20	$6,467.20	$6,467.20	$1,108.50
Esophageal dilat s&i	$672.80	$672.80	$672.80	$787.50
Esophagosc flex trnsn biopsy	$4,264.00	$4,264.00	$4,264.00	$2,230.50
Esophagoscop mucosal resect	$4,128.80	$4,128.80	$4,128.80	$3,837.00
Esophagoscop stent placement	$7,896.80	$7,896.80	$7,896.80	$6,977.25
Esophagoscop ultrasound exam	$4,128.80	$4,128.80	$4,128.80	$3,708.00
Esophagoscopy balloon <30mm	$4,128.80	$4,128.80	$4,128.80	$3,139.50
Esophagoscopy control bleed	$4,128.80	$4,128.80	$4,128.80	$2,598.75
Esophagoscopy flex biopsy	$4,128.80	$4,128.80	$4,128.80	$3,038.25
Esophagoscopy flex dx brush	$4,264.00	$4,264.00	$4,264.00	$2,959.80
Esophagoscopy flex remove fb	$4,128.80	$4,128.80	$4,128.80	$2,361.00
Esophagoscopy lesion ablate	$7,896.80	$7,896.80	$7,896.80	$2,951.25
Esophagoscopy snare les remv	$4,128.80	$4,128.80	$4,128.80	$2,680.50
Esophagoscopy w/us needle bx	$4,128.80	$4,128.80	$4,128.80	$3,940.50
Esophagoscopy/flex/diagnostic 43200	$4,264.00	$4,264.00	$4,264.00	$2,978.40
Esophagus endoscopy/ligation	$4,128.80	$4,128.80	$4,128.80	$3,386.25
Esophagus motility study	$2,426.40	$2,426.40	$2,426.40	$1,332.75
Established Patient Office Visit (level 1)	$199.80	$199.80	$199.80	$115.05
Established Patient Office Visit (level 2)	$250.80	$250.80	$250.80	$127.53
Established Patient Office Visit (level 3)	$250.80	$250.80	$250.80	$183.60
Established Patient Office Visit (level 4)	$327.00	$327.00	$327.00	$228.60
Established Patient Office Visit (level 5)	$421.20	$421.20	$421.20	$306.40
Estradiol total	$451.20	$451.20	$451.20	$242.40
Estrogens total-sendout	$375.20	$375.20	$375.20	$270.00
Ethanolamine oleate 100 mg	$1,605.00	$1,605.00	$1,605.00	$1,605.00
Ethylene glycol -sendout	$245.60	$245.60	$245.60	$114.60
Etonogestrel implant system	$5,044.00	$5,044.00	$5,044.00	$4,715.65
Etoposide 20 mg/ml intravenous solution	$52.20	$52.20	$52.20	$213.17
Etoposide 50 mg cap	$285.60	$285.60	$285.60	$285.60
Euflexxa inj per dose	$752.40	$752.40	$752.40	$1,186.77
Eval/fit voice prosthesis iii, st	$375.20	$375.20	$375.20	$431.25
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen	$270.40	$270.40	$270.40	$237.00
Evaluation of speech fluency 92521	$552.80	$552.80	$552.80	$393.00
Evaluation psychiatric diagnostic	$182.40	$182.40	$182.40	$351.60
Event monitor	$558.40	$558.40	$558.40	$352.50
Evok oa screening qual	$140.80	$140.80	$140.80	$263.40
Evoked potentials auditory screening automated analysis	$154.40	$154.40	$154.40	$336.60
Exam of vagina w/scope 57420	$162.60	$162.60	$162.60	$615.60
Exc ben+marg excep skin tag feenlm <0.5cm 11440	$490.80	$490.80	$490.80	$1,703.40
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421	$490.80	$490.80	$490.80	$1,989.75
Exc ben+marg excep skin tag tal 0.6-1cm 11401	$346.40	$346.40	$346.40	$1,501.50
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403	$636.00	$636.00	$636.00	$1,743.00
Exc benign tal 0.5 < cm 11400	$1,741.60	$1,741.60	$1,741.60	$1,527.60
Exc feenl mal+mrg 0.6-1 11641	$1,534.40	$1,534.40	$1,534.40	$2,574.60
Exc mal+marg tal 1.1-2 cm 11602	$2,371.20	$2,371.20	$2,371.20	$2,151.75
Exc malig feenl <0.5cm 11640	$1,534.40	$1,534.40	$1,534.40	$490.80
Exc malig tal 0.6-1.0cm 11601	$1,534.40	$1,534.40	$1,534.40	$1,407.75
Exc thrombosed hemorrhoid 46320	$8,618.40	$8,618.40	$8,618.40	$2,491.20
Exc/pilonidal cyst/sinus/simple 11770	$8,618.40	$8,618.40	$8,618.40	$4,440.60
Exchange drainage catheter	$1,175.20	$1,175.20	$1,175.20	$2,610.75
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm	$346.40	$346.40	$346.40	$1,520.25
Expander breast 300cc mod hght extra proj smth natrelle	$3,588.80	$3,588.80	$3,588.80	$2,967.60
Expander tiss 133s-mv-12-t 300ml natrelle smth	$4,135.20	$4,135.20	$4,135.20	$4,135.20
Explore penetrating wnd/extremity 20103	$4,051.20	$4,051.20	$4,051.20	$3,349.80
Explore/treat wrist joint	$6,511.20	$6,511.20	$6,511.20	$5,268.60
Ext ecg>48hr<7d scan a/r	$341.60	$341.60	$341.60	$238.50
Ext ecg>7d<15d scan a/r	$229.80	$229.80	$229.80	$240.00
External chromosome analysis 20-25 cells	$1,140.00	$1,140.00	$1,140.00	$919.20
External newborn metabolic screening panel	$301.60	$301.60	$301.60	$301.60
External pretreatment of serum for use in antibody identification by dilution	$146.40	$146.40	$146.40	$181.80
External tissue culture neoplastic disorders bone marrow/blood cells	$428.80	$428.80	$428.80	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$212.00	$212.00	$212.00	$212.00
Eye implant band 40	$3,584.00	$3,584.00	$3,584.00	$2,927.40
Facial bones <3	$388.00	$388.00	$388.00	$388.00
Factor ix	$321.60	$321.60	$321.60	$222.60
Factor viii	$289.60	$289.60	$289.60	$213.00
Factor viii recomb novoeight	$3.40	$3.40	$3.40	$3.40
Factor viii recombinant nos	$4.20	$4.20	$4.20	$11.10
Fallopian tube recnl	$972.80	$972.80	$972.80	$2,904.00
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$52.80	$52.80	$52.80	$55.20
Family therapy with patient 50 min 90847	$128.00	$128.00	$128.00	$297.00
Family therapy without pt 50min 90846	$128.00	$128.00	$128.00	$287.40
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$0.40	$0.40	$0.40	$0.40
Fat/lipids feces qualitative	$241.60	$241.60	$241.60	$39.60
Fatty acids nonesterified	$185.60	$185.60	$185.60	$139.50
Felbamate (felbatol(r)) - sendout	$226.20	$226.20	$226.20	$133.50
Feno poc	$273.60	$273.60	$273.60	$153.75
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$218.40	$218.40	$218.40	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$5,580.60	$5,580.60	$5,580.60	$3,736.68
Ferritin	$256.80	$256.80	$256.80	$223.20
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$3,963.60	$3,963.60	$3,963.60	$3,963.60
Fetal biophys profile w/nst 76818	$1,152.00	$1,152.00	$1,152.00	$656.25
Fetal fibronectin	$1,029.60	$1,029.60	$1,029.60	$727.80
Fetal hemoglobin (kleihauer betke)	$431.20	$431.20	$431.20	$121.20
Fetal non stress test	$451.20	$451.20	$451.20	$451.20
Fibrin degradation d dimer quantitative	$179.20	$179.20	$179.20	$93.00
Fibrin degradation products	$111.20	$111.20	$111.20	$111.20
Fibrinogen activity	$160.80	$160.80	$160.80	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$61.80	$61.80	$61.80	$72.00
Fibrinolytic plasminogen xcpt antgnc asa	$80.80	$80.80	$80.80	$83.40
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$2,461.20	$2,461.20	$2,461.20	$1,964.97
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$582.00	$582.00	$582.00	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$2,032.80	$2,032.80	$2,032.80	$1,504.82
Finasteride, 5 mg	$20.60	$20.60	$20.60	$32.20
Fine needle asp without image guide 10021	$722.40	$722.40	$722.40	$722.40
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$1,320.00	$1,320.00	$1,320.00	$857.25
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$877.60	$877.60	$877.60	$738.00
Fl exam g/colon tube w contrast	$2,151.20	$2,151.20	$2,151.20	$780.60
Flecainide (tambocor)-sendout	$228.80	$228.80	$228.80	$129.60
Flexible Sigmoidoscopy	$797.60	$797.60	$797.60	$1,278.72
Flow cytometry interp 16 or more	$452.80	$452.80	$452.80	$699.60
Flow cytometry marker each additional	$334.40	$334.40	$334.40	$181.50
Flow cytometry one marker technical component	$1,882.40	$1,882.40	$1,882.40	$288.60
Floxuridine injection	$555.60	$555.60	$555.60	$8,522.40
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$42.00	$42.00	$42.00	$24.41
Fludarabine 50 mg intravenous solution	$1,258.80	$1,258.80	$1,258.80	$601.96
Fluidotherapy charges pt	$143.20	$143.20	$143.20	$118.20
Fluorescent antibody titer dna	$244.80	$244.80	$244.80	$202.20
Fluoroguide for spine inject 77003-26	$1,542.40	$1,542.40	$1,542.40	$678.00
Fluoroguide needle placement	$1,542.40	$1,542.40	$1,542.40	$599.25
Fluoroscopy up to 1 hour	$647.20	$647.20	$647.20	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$318.60	$318.60	$318.60	$152.80
Fluphenazine decanoate 25 mg/ml injection solution	$718.20	$718.20	$718.20	$380.85
Fna bx w/ct gdn 1st les	$1,175.20	$1,175.20	$1,175.20	$900.75
Fna bx w/ct gdn ea addl	$877.60	$877.60	$877.60	$738.00
Fna bx w/mr gdn 1st les	$710.40	$710.40	$710.40	$738.00
Folic acid	$158.40	$158.40	$158.40	$130.80
Folic acid 5 mg/ml injection solution	$0.80	$0.80	$0.80	$1.05
Fomepizole 1 gram/ml intravenous solution	$5,244.60	$5,244.60	$5,244.60	$5,244.60
Fondaparinux sodium	$595.80	$595.80	$595.80	$490.80
Foot X-ray	$364.80	$364.80	$364.80	$339.50
Fosaprepitant 150 mg intravenous powder for solution	$1,549.20	$1,549.20	$1,549.20	$1,233.17
Foscarnet sodium injection	$1,974.60	$1,974.60	$1,974.60	$1,101.86
Fosphenytoin 50 mg pe/ml injection (wrapper)	$366.60	$366.60	$366.60	$94.85
Fracture assessment via dxa	$679.20	$679.20	$679.20	$530.25
Fresh frozen plasma 8-24 hours collection each unit	$294.40	$294.40	$294.40	$246.75
Fresh frozen plasma frozen within 8 hours of collection each unit	$366.40	$366.40	$366.40	$237.00
Fresh frozen plasma thawing ea un	$86.40	$86.40	$86.40	$106.20
Fructosamine glycated protein	$280.80	$280.80	$280.80	$100.20
Furosemide 10 mg/ml injection solution	$0.40	$0.40	$0.40	$0.60
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr	$26.40	$26.40	$26.40	$12.00
G-esoph reflx tst w/electrod	$5,380.80	$5,380.80	$5,380.80	$1,557.75
G-tube reposition	$2,128.00	$2,128.00	$2,128.00	$978.00
G0180 home health certification	$93.60	$93.60	$93.60	$93.60
Ga-67 gallium 0.1 mci	$52.00	$52.00	$52.00	$190.20
Gadobutrol 1 mmol/ml intravenous solution (wrapper)	$2.40	$2.40	$2.40	$4.80
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)	$14.40	$14.40	$14.40	$15.00
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution	$65.40	$65.40	$65.40	$65.40
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$22.20	$22.20	$22.20	$62.40
Galac-1-phosphate uridyltran - sendout	$41.40	$41.40	$41.40	$41.40
Galectin-3	$94.40	$94.40	$94.40	$83.40
Gamma globulin 1 cc inj	$381.00	$381.00	$381.00	$189.60
Gamma glutamyltransferase	$134.40	$134.40	$134.40	$88.20
Gammaglobulin iga	$340.00	$340.00	$340.00	$171.60
Gammaglobulin ige	$274.40	$274.40	$274.40	$148.50
Gamunex-c/gammaked	$20,308.80	$20,308.80	$20,308.80	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$735.20	$735.20	$735.20	$415.20
Gardner vag dna quant	$351.20	$351.20	$351.20	$351.20
Gastroesophageal reflux study	$1,960.80	$1,960.80	$1,960.80	$1,228.80
Gastroesophageal reflux test	$2,960.00	$2,960.00	$2,960.00	$1,531.20
Gated heart multiple	$2,779.20	$2,779.20	$2,779.20	$1,228.80
Gel-syn injection 0.1 mg	$8.40	$8.40	$8.40	$1,330.04
Gemcitabine 1 gram intravenous solution	$365.40	$365.40	$365.40	$365.40
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$37,978.20	$37,978.20	$37,978.20	$37,698.54
Generator barostim neo2 2014	$29,759.20	$29,759.20	$29,759.20	$52,543.20
Genetic tstg severe inh cond	$13,264.80	$13,264.80	$13,264.80	$11,622.60
Genome sequence analysis	$4,188.00	$4,188.00	$4,188.00	$4,439.40
Gentamicin 10 mg/ml liquid compound - enteral use only	$49.60	$49.60	$49.60	$49.60
Gentamicin peak therapeutic drug level	$424.80	$424.80	$424.80	$201.00
Ghs IV inf sq injection, on-body injector	$177.60	$177.60	$177.60	$145.80
Ghs IV infusion bamlanivimab/etesevimab	$1,360.00	$1,360.00	$1,360.00	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$1,360.00	$1,360.00	$1,360.00	$1,020.00
Ghs IV infusion sotrovimab	$1,360.00	$1,360.00	$1,360.00	$1,020.00
Ghs IV thrombolytics - cerebral	$620.80	$620.80	$620.80	$620.80
Ghs abscess perianal iandd	$1,829.60	$1,829.60	$1,829.60	$1,829.60
Ghs alcohol, methyl (methanol)-medtox	$133.60	$133.60	$133.60	$147.60
Ghs antibodies (torch) igm	$551.20	$551.20	$551.20	$131.25
Ghs aspiration bladder - needle	$688.20	$688.20	$688.20	$616.80
Ghs bladder cath - complex-foley	$492.00	$492.00	$492.00	$492.00
Ghs change cysto/gastrost	$2,128.00	$2,128.00	$2,128.00	$1,265.40
Ghs chemo >8 hrs	$841.60	$841.60	$841.60	$841.60
Ghs chemo IV push, ea addtl	$540.00	$540.00	$540.00	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$65.40	$65.40	$65.40	$360.00
Ghs cl tx metacarpophal disloc without anes	$998.40	$998.40	$998.40	$471.75
Ghs closd tx interphalang jt disloc w/ma	$998.40	$998.40	$998.40	$630.00
Ghs closed reduction ankle dislocation	$998.40	$998.40	$998.40	$825.60
Ghs closed tx bimalleolar fracture w/manip	$868.80	$868.80	$868.80	$1,635.60
Ghs closed tx radiocarpal disloc w manip	$998.40	$998.40	$998.40	$466.80
Ghs closed tx tibial fracture w/manip	$868.80	$868.80	$868.80	$1,547.25
Ghs clsd red med malleolus fx w manip	$3,540.00	$3,540.00	$3,540.00	$2,632.20
Ghs clsd red med malleolus fx without manip	$998.40	$998.40	$998.40	$825.60
Ghs clsd tx frac distal tibia w/manipulation	$3,419.20	$3,419.20	$3,419.20	$2,319.00
Ghs community re-entry 15 minutes	$85.60	$85.60	$85.60	$85.60
Ghs conjunctiva foreign body-embed bil	$494.40	$494.40	$494.40	$494.40
Ghs conjunctiva foreign body-superf bil	$494.40	$494.40	$494.40	$351.75
Ghs corneal fb with slit lamp bilat	$494.40	$494.40	$494.40	$408.60
Ghs corneal fb without slit lamp bilat	$494.40	$494.40	$494.40	$422.25
Ghs diphtheria toxoid ab igg	$368.00	$368.00	$368.00	$165.60
Ghs dislocation elbow closed treatment	$998.40	$998.40	$998.40	$856.20
Ghs ed peritoneal lavage w guidance if performed	$5,277.60	$5,277.60	$5,277.60	$3,175.50
Ghs ed rmvl or bivalving cast	$471.00	$471.00	$471.00	$471.00
Ghs ed therapeutic lp, drain csf w fluoro	$1,644.80	$1,644.80	$1,644.80	$1,439.40
Ghs excision ingrown nail	$589.80	$589.80	$589.80	$484.80
Ghs eyelid foreign body-embedded - bil	$868.80	$868.80	$868.80	$868.80
Ghs fb removal - incisional	$7,126.80	$7,126.80	$7,126.80	$3,182.40
Ghs fb removal - non-incisional	$3,784.80	$3,784.80	$3,784.80	$1,551.00
Ghs fb removal foot - deep - left	$7,126.80	$7,126.80	$7,126.80	$3,771.00
Ghs fish cytogen	$428.80	$428.80	$428.80	$235.80
Ghs fish hybrid in situ 100-300	$428.80	$428.80	$428.80	$354.60
Ghs flow volume loop	$198.40	$198.40	$198.40	$223.20
Ghs gastric intub aspiration lavage	$1,759.80	$1,759.80	$1,759.80	$304.80
Ghs hcv amplificaiton	$482.40	$482.40	$482.40	$254.25
Ghs histoplasma antigen	$815.20	$815.20	$815.20	$492.00
Ghs hla-dr/dq, multiple antigens	$746.40	$746.40	$746.40	$462.60
Ghs i and d abscess/hematoma scrotum	$8,618.40	$8,618.40	$8,618.40	$4,134.00
Ghs i and d perirectal abscess 46040	$2,627.20	$2,627.20	$2,627.20	$2,637.00
Ghs i and d pilonidal cyst complex	$4,051.20	$4,051.20	$4,051.20	$1,572.00
Ghs i and d pilonidal cyst simple	$712.80	$712.80	$712.80	$589.80
Ghs incision thrombosed ext hemorrhoid	$998.40	$998.40	$998.40	$526.50
Ghs inf midline insertion	$395.20	$395.20	$395.20	$4,051.20
Ghs inhibitor screen	$417.60	$417.60	$417.60	$345.00
Ghs init tx 1st degree burn	$569.60	$569.60	$569.60	$448.50
Ghs inj tendon origin/insertion	$616.20	$616.20	$616.20	$481.80
Ghs insertion of needle - bone	$569.60	$569.60	$569.60	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$998.40	$998.40	$998.40	$1,829.40
Ghs intermed repair 20.1 - 30.0 cm-12036	$4,494.00	$4,494.00	$4,494.00	$3,520.20
Ghs intermed repair over 30 cm - 12037	$8,088.00	$8,088.00	$8,088.00	$4,080.00
Ghs intro needle/intracath vein - 36000	$143.20	$143.20	$143.20	$240.00
Ghs irrigate corpora cavernosa for priapism	$2,619.00	$2,619.00	$2,619.00	$2,619.00
Ghs lac repair mouth.ant tong 2.5cm/less	$569.60	$569.60	$569.60	$569.60
Ghs layer closure 2.5 cm or less - 12031	$998.40	$998.40	$998.40	$477.00
Ghs layer closure 2.5 cm or less - 12041	$998.40	$998.40	$998.40	$825.60
Ghs layer closure 2.5cm or less - 12051	$998.40	$998.40	$998.40	$520.80
Ghs layer closure 2.6 - 5.0 cm - 12052	$998.40	$998.40	$998.40	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$998.40	$998.40	$998.40	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$998.40	$998.40	$998.40	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$998.40	$998.40	$998.40	$998.40
Ghs layer closure 7.6 - 12.5 cm - 12044	$998.40	$998.40	$998.40	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12054	$998.40	$998.40	$998.40	$998.40
Ghs layered repair 12.6 - 20.0 cm -12045	$1,372.00	$1,372.00	$1,372.00	$1,372.00
Ghs layered repair 12.6 - 20.0 cm -12055	$998.40	$998.40	$998.40	$998.40
Ghs leukocyte alkaline phos (mayo)	$352.80	$352.80	$352.80	$291.60
Ghs mbp	$252.80	$252.80	$252.80	$171.60
Ghs moderate sedation < 5 yr, 30 min	$177.60	$177.60	$177.60	$429.60
Ghs moderate sedation ea addtl 15 min	$177.60	$177.60	$177.60	$190.20
Ghs myocardial strain img spckl track	$958.40	$958.40	$958.40	$792.60
Ghs nailbed repair/nail removal	$998.40	$998.40	$998.40	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$1,886.40	$1,886.40	$1,886.40	$1,618.50
Ghs nerve block axillary nerve	$2,764.00	$2,764.00	$2,764.00	$1,763.25
Ghs nerve block brachial plexus	$2,764.00	$2,764.00	$2,764.00	$1,815.00
Ghs nerve block sciatic nerve	$2,902.40	$2,902.40	$2,902.40	$2,184.60
Ghs ng placement w fluoro guidance	$712.80	$712.80	$712.80	$589.80
Ghs o2 saturation	$128.80	$128.80	$128.80	$106.50
Ghs o2 uptake rest & exercise	$799.20	$799.20	$799.20	$799.20
Ghs osteopathic manipulative tx, 1-2 regions	$47.80	$47.80	$47.80	$47.80
Ghs ot prosthetic training/15 min	$157.60	$157.60	$157.60	$121.20
Ghs ot sensory integrative tech/15min	$157.60	$157.60	$157.60	$130.20
Ghs pacing - transcutaneous	$1,735.20	$1,735.20	$1,735.20	$940.50
Ghs peritonsillar abscess i andd	$998.40	$998.40	$998.40	$1,080.75
Ghs phenylketonurid	$123.20	$123.20	$123.20	$128.25
Ghs plngl fx pm cl	$998.40	$998.40	$998.40	$685.80
Ghs plt ct-manual	$84.80	$84.80	$84.80	$70.20
Ghs polysom <6 yrs 4/> parameters	$4,187.20	$4,187.20	$4,187.20	$4,187.20
Ghs ppd (tb intradermal)	$26.20	$26.20	$26.20	$52.50
Ghs prostatic acid phosphatase (mayo)	$287.20	$287.20	$287.20	$83.40
Ghs protoporphyrins fract	$168.80	$168.80	$168.80	$99.00
Ghs removal intranasal foreign body	$298.40	$298.40	$298.40	$341.40
Ghs removal pharyngeal foreign body	$852.00	$852.00	$852.00	$397.50
Ghs reticulocyte count	$42.80	$42.80	$42.80	$42.80
Ghs rsv eia (respir synctial vrs)	$345.60	$345.60	$345.60	$286.20
Ghs sedimentation rate	$73.60	$73.60	$73.60	$62.40
Ghs semen analysis fert	$236.00	$236.00	$236.00	$195.60
Ghs sensitivity (per antimicro)	$135.20	$135.20	$135.20	$74.40
Ghs simple repair 12.6 - 20.0 cm - 12005	$712.80	$712.80	$712.80	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$712.80	$712.80	$712.80	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$945.60	$945.60	$945.60	$965.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$712.80	$712.80	$712.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$712.80	$712.80	$712.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$712.80	$712.80	$712.80	$589.80
Ghs simple repair over 30 cm - 12007	$712.80	$712.80	$712.80	$660.00
Ghs sleep study unattended	$752.80	$752.80	$752.80	$752.80
Ghs sp train/fitting sp device - kx	$216.80	$216.80	$216.80	$324.75
Ghs speech-gen aug dev eval iii, st	$188.80	$188.80	$188.80	$189.00
Ghs sphenopalatine ganglion block	$687.20	$687.20	$687.20	$928.20
Ghs st - re-eval for alt comm	$301.60	$301.60	$301.60	$410.25
Ghs strapping shoulder - 29240	$569.60	$569.60	$569.60	$346.20
Ghs subcutaneous infus. for therapy init 1 hr	$558.40	$558.40	$558.40	$522.00
Ghs superficial wnd dehis w packing12021	$945.60	$945.60	$945.60	$1,272.60
Ghs superficial wnd dehiscence simp12020	$2,181.60	$2,181.60	$2,181.60	$2,181.60
Ghs tx distal phalangeal fx with manipulation	$998.40	$998.40	$998.40	$660.00
Ghs tx sp hip disloc abd splnt/trac wo	$604.00	$604.00	$604.00	$1,961.40
Ghs vaginal delivery only	$1,224.80	$1,224.80	$1,224.80	$4,464.60
Gi inhouse confirmation	$104.00	$104.00	$104.00	$86.25
Glassia injection	$34.80	$34.80	$34.80	$384.00
Glucagon 1 mg solution for injection	$1,053.60	$1,053.60	$1,053.60	$1,053.60
Glucagon plasma - sendout	$244.80	$244.80	$244.80	$144.60
Glucose 1 hr post dose	$45.00	$45.00	$45.00	$54.00
Glucose blood by monitoring device cleared by fda for home use	$37.80	$37.80	$37.80	$30.00
Glucose blood quantitative	$63.20	$63.20	$63.20	$52.20
Glucose body fluid	$63.20	$63.20	$63.20	$63.20
Glucose tolerance test (gtt) 3 specimens	$241.60	$241.60	$241.60	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$52.00	$52.00	$52.00	$42.60
Glycopyrrolate 0.2 mg/ml injection solution	$35.40	$35.40	$35.40	$11.70
Golimumab 12.5 mg/ml intravenous solution	$104.80	$104.80	$104.80	$104.80
Gonadotropin follicle stimulating hormone (fsh)	$340.00	$340.00	$340.00	$187.50
Gonadotropin luteinizing hormone (lh)	$309.60	$309.60	$309.60	$156.00
Goserelin 10.8 mg subcutaneous implant	$4,524.00	$4,524.00	$4,524.00	$1,886.40
Graft apligraf 3in 44sqcm-q4101-cost per sq cm	$3,426.40	$3,426.40	$3,426.40	$3,026.25
Graft axiofill 1000mg	$8,212.20	$8,212.20	$8,212.20	$3,597.00
Graft impl ult thck 6x12cm -cost per sq cm	$15,834.40	$15,834.40	$15,834.40	$28,358.40
Graft nerve adv 3-4x70mm	$25,992.80	$25,992.80	$25,992.80	$25,992.80
Graft patch felt ptfe 2x2	$5,246.40	$5,246.40	$5,246.40	$7,958.40
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm	$3,241.60	$3,241.60	$3,241.60	$6,187.50
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$7,673.60	$7,673.60	$7,673.60	$6,241.80
Graft xenmtrx sft rect 15x20cm	$4,445.60	$4,445.60	$4,445.60	$30,786.60
Graft xenmtrx sft rect 19x28cm	$2,112.60	$2,112.60	$2,112.60	$3,076.20
Granisetron hcl injection	$27.00	$27.00	$27.00	$181.80
Great toe with reduction 28495	$998.40	$998.40	$998.40	$825.60
Guide endoanchr sg-64 aaa 62cm	$9,038.40	$9,038.40	$9,038.40	$9,038.40
Guide wire threaded 1.4x150mm	$1,221.60	$1,221.60	$1,221.60	$2,825.40
Guide worley csg 9fx50cm std	$228.00	$228.00	$228.00	$1,083.60
Guided cath fluid drainage 10030	$2,640.80	$2,640.80	$2,640.80	$1,600.20
Gw stiffened micro access kit	$1,028.80	$1,028.80	$1,028.80	$3,215.40
H pylori (c-13) breath	$458.40	$458.40	$458.40	$346.80
Haloperidol decanoate 50 mg/ml intramuscular solution	$160.00	$160.00	$160.00	$160.00
Haloperidol lactate 5 mg/ml injection solution	$9.00	$9.00	$9.00	$9.00
Hand X-ray	$356.80	$356.80	$356.80	$315.00
Hand-held pefr meter a4614	$30.40	$30.40	$30.40	$25.80
Haptoglobin quantitative	$188.00	$188.00	$188.00	$155.40
Hc fl sm bowel enteroclss tube w kub double contrast	$1,539.20	$1,539.20	$1,539.20	$1,539.20
Hc i-131 sodium iodide cap dx per mci	$230.40	$230.40	$230.40	$190.20
Hc nm fusion spect CT unlisted	$452.80	$452.80	$452.80	$680.25
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$2,367.20	$2,367.20	$2,367.20	$1,006.50
Hcg qualitative	$124.00	$124.00	$124.00	$85.20
Hcg quantitative	$364.80	$364.80	$364.80	$178.20
Head CT scan (with and without contrast)	$3,270.40	$3,270.40	$3,270.40	$1,914.25
Head CT scan (with contrast)	$2,868.00	$2,868.00	$2,868.00	$1,587.69
Head CT scan (without contrast)	$1,938.40	$1,938.40	$1,938.40	$1,268.90
Heart image spect	$1,996.80	$1,996.80	$1,996.80	$1,996.80
Heart infarct image	$1,323.20	$1,323.20	$1,323.20	$1,228.80
Hematocrit	$95.20	$95.20	$95.20	$39.75
Hematopoietic nuclear tx	$746.40	$746.40	$746.40	$746.40
Hemodialysis one evaluation	$2,340.80	$2,340.80	$2,340.80	$1,389.00
Hemoglobin	$45.60	$45.60	$45.60	$36.75
Hemoglobin f (fetal) chemical	$289.60	$289.60	$289.60	$239.40
Hemoglobin fetal qualitative	$276.00	$276.00	$276.00	$61.80
Hemoglobin methemoglobin quantitative	$274.40	$274.40	$274.40	$132.75
Hemoglobin plasma	$74.00	$74.00	$74.00	$62.40
Hemoglobin urine	$63.20	$63.20	$63.20	$63.20
Hemophilus influenza antibdy	$168.00	$168.00	$168.00	$168.00
Hemorrhoidectomy intrnl lig rbbr band ligations	$5,744.80	$5,744.80	$5,744.80	$2,925.00
Heparin assay	$405.60	$405.60	$405.60	$194.25
Heparin bolus from bag	$46.20	$46.20	$46.20	$39.40
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$4.40	$4.40	$4.40	$5.40
Hepatitis a antibody igm	$203.20	$203.20	$203.20	$126.60
Hepatitis b core antibody igm	$203.20	$203.20	$203.20	$131.25
Hepatitis b core antibody total	$551.20	$551.20	$551.20	$121.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$1,109.60	$1,109.60	$1,109.60	$1,109.60
Hepatitis b surface antibody	$166.40	$166.40	$166.40	$112.50
Hepatitis c antibody	$338.40	$338.40	$338.40	$163.80
Hepatobiliary system imaging	$1,944.00	$1,944.00	$1,944.00	$1,608.00
Hereditary colon ca dsordrs	$3,202.80	$3,202.80	$3,202.80	$3,394.80
Herpes simplex 2 ag if	$173.60	$173.60	$173.60	$143.40
Herpes simplex type 1 antibody igg	$328.00	$328.00	$328.00	$99.00
Herpes simplex type 2 antibody igg	$111.20	$111.20	$111.20	$111.00
Herpes simplex virus isolation	$540.80	$540.80	$540.80	$189.00
Heterophile antibodies screening	$68.40	$68.40	$68.40	$56.40
Hexa gene	$1,396.80	$1,396.80	$1,396.80	$1,336.80
Hip X-ray	$790.40	$790.40	$790.40	$290.35
Histamine	$424.80	$424.80	$424.80	$254.40
Hla i low res one antigen equiv ea	$956.80	$956.80	$956.80	$837.60
Hla i typing high res 1 allele grp ea	$1,363.20	$1,363.20	$1,363.20	$688.80
Hla ii typing ag equiv lr	$912.00	$912.00	$912.00	$912.00
Hla typing a b or c	$967.20	$967.20	$967.20	$669.60
Hocm 350-399mg/ml iodine,1ml	$9.00	$9.00	$9.00	$0.90
Home sleep test/type 4 porta	$2,075.20	$2,075.20	$2,075.20	$2,075.20
Homocysteine	$364.80	$364.80	$364.80	$102.75
Homogenization tissue	$116.00	$116.00	$116.00	$76.80
Homovanillic acid (hva)	$128.00	$128.00	$128.00	$128.00
Hpv types 16 & 18 only	$228.00	$228.00	$228.00	$228.00
Hrdtry cardmypy gene panel	$9,300.80	$9,300.80	$9,300.80	$9,382.20
Hrdtry perph neurphy panel	$7,200.00	$7,200.00	$7,200.00	$22,852.20
Htt gene detc abnor alleles	$1,394.40	$1,394.40	$1,394.40	$1,271.40
Human epididymis protein 4 (he4)	$200.80	$200.80	$200.80	$180.60
Hyaluronidase 150 unit/ml injection solution	$259.20	$259.20	$259.20	$60.00
Hyaluronidase, human recombinant 150 unit/ml injection solution	$2.80	$2.80	$2.80	$316.80
Hydralazine 20 mg/ml injection solution	$92.80	$92.80	$92.80	$92.80
Hydration IV infusion each additional hour	$389.60	$389.60	$389.60	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$1,143.00	$1,143.00	$1,143.00	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$583.20	$583.20	$583.20	$121.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$8.00	$8.00	$8.00	$12.75
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$630.40	$630.40	$630.40	$654.40
Hydrxycorticsterds 17- (17-ohcs)	$204.00	$204.00	$204.00	$168.60
Hymovis injection 1 mg	$70.20	$70.20	$70.20	$2,459.97
Hysterosalpingography s&i	$1,642.40	$1,642.40	$1,642.40	$1,139.25
Hzv zoster vacc recombinant adjuvanted im inj	$157.80	$157.80	$157.80	$150.00
I&d frarm&/wrst deep absc/hematoma	$7,427.20	$7,427.20	$7,427.20	$3,350.40
I&d lacrimal sac	$7,494.40	$7,494.40	$7,494.40	$3,177.00
I-123 iobenguane diag	$9,129.60	$9,129.60	$9,129.60	$10,866.00
I-123 ioflupane diag	$6,765.60	$6,765.60	$6,765.60	$8,455.20
I-123 sod iodide diag per 100 uci	$124.80	$124.80	$124.80	$139.20
I131 iodide cap, rx	$128.80	$128.80	$128.80	$184.20
I131 iodide sol, rx	$95.20	$95.20	$95.20	$78.60
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$285.60	$285.60	$285.60	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$344.80	$344.80	$344.80	$325.20
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$344.80	$344.80	$344.80	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$1,143.00	$1,143.00	$1,143.00	$611.25
Iadna legionella pneumophila amplified probe tq	$351.20	$351.20	$351.20	$351.20
Ibutilide fumarate 0.1 mg/ml intravenous solution	$2,792.80	$2,792.80	$2,792.80	$1,022.55
Idarubicin hcl injection	$555.60	$555.60	$555.60	$555.60
Ifosfamide 1 gram intravenous solution	$268.20	$268.20	$268.20	$294.81
Igh gene rearrange amp meth	$961.60	$961.60	$961.60	$757.20
Igh@ var region somatic mutation analy	$2,004.60	$2,004.60	$2,004.60	$1,392.00
Igk rearrangeabn clonal pop	$961.60	$961.60	$961.60	$961.60
Ihc/icc per specimen each additional single antibody stain	$355.20	$355.20	$355.20	$286.50
Ihc/icc per specimen each multiplex antibody stain	$329.60	$329.60	$329.60	$318.75
Ihc/icc per specimen initial single antibody stain	$673.60	$673.60	$673.60	$312.00
Immobilizer shldr cntor adlt	$43.00	$43.00	$43.00	$198.00
Immobilizer shldr dlx str 24-36in med	$239.20	$239.20	$239.20	$198.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$623.20	$623.20	$623.20	$629.40
Immunoassay tumor antigen quantitative ca 125	$210.40	$210.40	$210.40	$141.00
Immunoassay tumor antigen quantitative ca 19-9	$211.20	$211.20	$211.20	$159.00
Immunoassay tumor qual	$190.20	$190.20	$190.20	$190.20
Immunodiff gel qual ea antigen/ab	$280.80	$280.80	$280.80	$123.00
Immunodiffusion nes	$148.80	$148.80	$148.80	$148.80
Immunofixation electrophoresis serum	$265.60	$265.60	$265.60	$231.00
Immunofluorescence per specimen each additional single antibody stain	$102.40	$102.40	$102.40	$108.00
Immunofluorescence per specimen initial single antibody stain	$102.40	$102.40	$102.40	$168.00
Implant cartilage 10mm synthetic	$8,470.40	$8,470.40	$8,470.40	$18,039.00
Implant neuroelectrodes	$19,225.60	$19,225.60	$19,225.60	$6,447.00
Implant ureth bulk agent	$1,323.20	$1,323.20	$1,323.20	$1,617.00
Imported lipodox inj	$11,220.60	$11,220.60	$11,220.60	$4,018.20
In situ hybridization per specimen initial single probe stain	$619.20	$619.20	$619.20	$303.75
In-111 ibritumomab tiux dx	$14,710.40	$14,710.40	$14,710.40	$14,202.00
In-111 pentetate dtpa / 0.5 mci	$658.40	$658.40	$658.40	$1,273.80
In-111 pentetreotide	$4,204.80	$4,204.80	$4,204.80	$11,244.60
In-111 satumomab pend	$1,095.20	$1,095.20	$1,095.20	$905.40
Incision & drainage hematoma/seroma/fluid collection	$3,349.80	$3,349.80	$3,349.80	$2,080.80
Incision of burn scab initi	$998.40	$998.40	$998.40	$825.60
Incision of metatarsal	$669.00	$669.00	$669.00	$204.00
Incision of metatarsal	$712.80	$712.80	$712.80	$712.80
Incisn of toe tndn	$366.00	$366.00	$366.00	$1,815.00
Infect ag drug suscept pheno predict	$1,682.40	$1,682.40	$1,682.40	$724.80
Infect ag eia influenza a or b ea	$171.20	$171.20	$171.20	$62.40
Infect ag genotype na cytomegalovirus	$1,795.20	$1,795.20	$1,795.20	$1,484.40
Infect ag genotype na dna hepatitis b	$445.60	$445.60	$445.60	$500.40
Infect ag genotype na hiv-1 other region	$1,682.40	$1,682.40	$1,682.40	$1,143.60
Infect ag genotype na hiv-1 revr trn/prt	$1,682.40	$1,682.40	$1,682.40	$1,431.00
Infect ag ia optc obs influenza	$458.40	$458.40	$458.40	$102.00
Infect ag if nos ea	$256.00	$256.00	$256.00	$211.80
Infect ag na herpes simplex quant	$532.80	$532.80	$532.80	$385.80
Infect ag na hpv high-risk types	$392.80	$392.80	$392.80	$282.00
Infect ag na influenza r/amp 1st 2 types	$1,388.00	$1,388.00	$1,388.00	$532.80
Infect ag na resp virus 12-25 targets	$754.40	$754.40	$754.40	$1,414.50
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$124.80	$124.80	$124.80	$117.00
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$597.60	$597.60	$597.60	$96.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$241.60	$241.60	$241.60	$111.60
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$201.60	$201.60	$201.60	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$875.20	$875.20	$875.20	$114.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$82.40	$82.40	$82.40	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$273.60	$273.60	$273.60	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$636.80	$636.80	$636.80	$303.00
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$174.40	$174.40	$174.40	$130.50
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$140.00	$140.00	$140.00	$115.80
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$336.00	$336.00	$336.00	$334.20
Infectious agent nucleic acid amplified probe	$1,081.60	$1,081.60	$1,081.60	$355.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$333.60	$333.60	$333.60	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$346.40	$346.40	$346.40	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$704.80	$704.80	$704.80	$933.00
Infectious agent nucleic acid amplified probe hsv-1	$307.20	$307.20	$307.20	$306.75
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$453.60	$453.60	$453.60	$398.40
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$307.20	$307.20	$307.20	$307.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$460.80	$460.80	$460.80	$257.40
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$100.00	$100.00	$100.00	$75.00
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$460.80	$460.80	$460.80	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$529.60	$529.60	$529.60	$529.60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$104.00	$104.00	$104.00	$420.00
Infectious agent nucleic acid quantification bk virus	$1,043.20	$1,043.20	$1,043.20	$517.80
Infectious agent nucleic acid quantification hepatitis b	$620.80	$620.80	$620.80	$443.40
Infectious agent nucleic acid quantification hepatitis c	$941.60	$941.60	$941.60	$778.80
Infectious agent nucleic acid quantification hiv-1	$1,288.80	$1,288.80	$1,288.80	$754.20
Infliximab 100 mg intravenous solution	$5,408.40	$5,408.40	$5,408.40	$700.20
Infliximab-axxq 100 mg intravenous solution	$135.20	$135.20	$135.20	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$4,383.60	$4,383.60	$4,383.60	$1,432.80
Influenza dna amp prob addl	$337.60	$337.60	$337.60	$299.40
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$40.00	$40.00	$40.00	$40.00
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis	$501.60	$501.60	$501.60	$386.25
Initiation & management bipap/cpap initial day	$208.00	$208.00	$208.00	$510.00
Inj anifrolumab-fnia 1mg	$10,166.40	$10,166.40	$10,166.40	$11,192.40
Inj aval alfa-nqpt 4mg	$5,052.80	$5,052.80	$5,052.80	$5,052.80
Inj calcitriol per 0.1 mcg	$27.60	$27.60	$27.60	$25.20
Inj ceftolozane tazobactam	$487.80	$487.80	$487.80	$286.20
Inj cntr knee arthro incl ct/mri	$1,172.00	$1,172.00	$1,172.00	$459.75
Inj dx for sinogram	$2,348.80	$2,348.80	$2,348.80	$1,089.00
Inj epidural sgl lumb-sacral without img	$1,524.80	$1,524.80	$1,524.80	$1,524.80
Inj for ext venography	$1,056.80	$1,056.80	$1,056.80	$602.40
Inj givosiran 0.5 mg	$237.60	$237.60	$237.60	$119,349.60
Inj imip 4 cilas 4 releb 2mg	$652.80	$652.80	$652.80	$7.35
Inj levocarnitine per 1 gm	$205.60	$205.60	$205.60	$205.60
Inj mepivacaine hcl/10 ml	$31.80	$31.80	$31.80	$28.41
Inj mogamulizumab-kpkc, 1 mg	$558.40	$558.40	$558.40	$691.20
Inj multihance	$612.60	$612.60	$612.60	$126.60
Inj pegfilgrastim-bmez 0.5mg	$1,264.80	$1,264.80	$1,264.80	$3,925.20
Inj proc ankle arthr	$1,172.00	$1,172.00	$1,172.00	$685.80
Inj proc elbow arthro	$1,172.00	$1,172.00	$1,172.00	$461.40
Inj proc for lymphang	$574.40	$574.40	$574.40	$2,552.40
Inj proc myelogram lumbar	$1,323.20	$1,323.20	$1,323.20	$1,300.50
Inj proc sialogram	$1,172.00	$1,172.00	$1,172.00	$612.60
Inj prohance multipack	$46.20	$46.20	$46.20	$39.00
Inj retro urethrocysto	$4,464.00	$4,464.00	$4,464.00	$2,981.40
Inj tedizolid phosphate	$1,282.20	$1,282.20	$1,282.20	$1,081.80
Inj testosterone cypionate	$40.80	$40.80	$40.80	$72.60
Inj, abilify maintena, 1 mg	$7,107.60	$7,107.60	$7,107.60	$7,107.60
Inj, bezlotoxumab, 10 mg	$17,599.20	$17,599.20	$17,599.20	$11,671.20
Inj, bupivacaine liposome	$7.60	$7.60	$7.60	$7.20
Inj, cefiderocol, 10 mg	$5.80	$5.80	$5.80	$596.40
Inj, clevidipine butyrate	$839.40	$839.40	$839.40	$697.20
Inj, tyenne, 1 mg	$12.60	$12.60	$12.60	$12.75
Inj. fe derisomaltose 10 mg	$141.60	$141.60	$141.60	$181.20
Inj. herceptin hylecta, 10mg	$37.20	$37.20	$37.20	$561.00
Inj. pemetrexed, 10 mg	$152.40	$152.40	$152.40	$156.60
Inj. teprotumumab-trbw 10 mg	$36,300.60	$36,300.60	$36,300.60	$38,425.20
Inj., benralizumab, 1 mg	$568.00	$568.00	$568.00	$5,853.00
Inj., emapalumab-lzsg, 1 mg	$1,790.40	$1,790.40	$1,790.40	$1,929.00
Inj., lumoxiti, 0.01 mg	$52.80	$52.80	$52.80	$52.80
Inj., meropenem, vaborbactam	$991.20	$991.20	$991.20	$991.20
Inj., tildrakizumab, 1 mg	$424.00	$424.00	$424.00	$424.00
Injection arthrography hip without anesthesia (both sides)	$1,172.00	$1,172.00	$1,172.00	$780.60
Injection carpal tunnel therapeutic (both sides)	$355.20	$355.20	$355.20	$741.00
Injection epidural blood patch or clot	$1,470.60	$1,470.60	$1,470.60	$1,470.60
Injection for arthrography wrist (both sides)	$1,172.00	$1,172.00	$1,172.00	$666.60
Injection for bladder x-ray	$3,513.60	$3,513.60	$3,513.60	$1,726.80
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$1,172.00	$1,172.00	$1,172.00	$771.60
Injection into brain canal	$1,323.20	$1,323.20	$1,323.20	$1,094.40
Injection radioactive tracer sentinel node (both sides)	$614.40	$614.40	$614.40	$614.40
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$1,501.60	$1,501.60	$1,501.60	$2,521.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$200.00	$200.00	$200.00	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$177.60	$177.60	$177.60	$203.40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$168.80	$168.80	$168.80	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$147.00	$147.00	$147.00	$141.00
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$1,054.40	$1,054.40	$1,054.40	$1,021.50
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$1,778.40	$1,778.40	$1,778.40	$911.25
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$616.20	$616.20	$616.20	$616.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$998.40	$998.40	$998.40	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$791.20	$791.20	$791.20	$654.00
Injection, belinostat, 10mg	$95.40	$95.40	$95.40	$9,355.72
Injection, cangrelor	$41,627.40	$41,627.40	$41,627.40	$2,314.80
Injection, daratumumab 10 mg	$9,445.80	$9,445.80	$9,445.80	$198.60
Injection, fulvestrant	$4,423.20	$4,423.20	$4,423.20	$3,584.82
Injection, inclisiran, 1 mg	$39.20	$39.20	$39.20	$39.20
Injection, isavuconazonium	$1,378.20	$1,378.20	$1,378.20	$1,350.22
Injection, renflexis	$1,624.80	$1,624.80	$1,624.80	$1,624.80
Injection,onabotulinumtoxina	$2,783.40	$2,783.40	$2,783.40	$2,876.40
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln	$3.00	$3.00	$3.00	$8,027.40
Ins mark abd/pel for right perq	$4,976.80	$4,976.80	$4,976.80	$2,523.00
Ins picad w subq port 5yr>	$2,063.20	$2,063.20	$2,063.20	$3,510.75
Ins tun cv cath wo subq prt/pm	$5,788.20	$5,788.20	$5,788.20	$3,582.00
Ins tun cvad 2 cath w/subq port(s)	$5,640.60	$5,640.60	$5,640.60	$5,640.60
Insert cath pleura with image	$2,467.20	$2,467.20	$2,467.20	$2,320.80
Insert cath pleura without image	$1,020.00	$1,020.00	$1,020.00	$2,019.00
Insert drug delivery implant	$1,437.00	$1,437.00	$1,437.00	$1,418.25
Insert intrauterine device iud	$733.60	$733.60	$733.60	$513.00
Insert pessary/other device	$907.20	$907.20	$907.20	$332.25
Insertion catheter bladder non indwelling	$298.40	$298.40	$298.40	$309.00
Insertion catheter bladder temporary simple	$1,009.80	$1,009.80	$1,009.80	$495.00
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$3,349.80	$3,349.80	$3,349.80	$2,618.40
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$3,204.80	$3,204.80	$3,204.80	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$1,532.00	$1,532.00	$1,532.00	$1,532.00
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$4,508.00	$4,508.00	$4,508.00	$4,450.80
Insitu hybridization manual	$412.80	$412.80	$412.80	$585.75
Inst fibrinolysis agent ini day	$1,327.20	$1,327.20	$1,327.20	$1,097.40
Insulin total	$200.00	$200.00	$200.00	$114.60
Int hrhc lig 1 hroid without img	$4,520.00	$4,520.00	$4,520.00	$2,572.50
Interferon alfa-2b inj	$1,111.20	$1,111.20	$1,111.20	$1,111.20
Intraoral i+d tongue/floor lingual 41000	$1,291.20	$1,291.20	$1,291.20	$1,663.80
Intrapul surf admin endo tube	$73.60	$73.60	$73.60	$73.60
Intrinsic factor antibody	$246.40	$246.40	$246.40	$150.00
Intro long gi tube	$3,526.20	$3,526.20	$3,526.20	$663.60
Intro long gi tube w/mult fluo	$464.80	$464.80	$464.80	$464.80
Intubation endotracheal emergency procedure	$868.80	$868.80	$868.80	$868.80
Iodine i-123 sod iodide mil	$1,979.20	$1,979.20	$1,979.20	$1,636.80
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$41.40	$41.40	$41.40	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$78.60	$78.60	$78.60	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$33,224.40	$33,224.40	$33,224.40	$495.00
Ipratropium bromide non-comp	$7.20	$7.20	$7.20	$7.20
Irinotecan 20 mg/ml intravenous solution (wrapper)	$1,091.20	$1,091.20	$1,091.20	$1,091.20
Irinotecan liposomal 4.3 mg/ml intravenous	$210.60	$210.60	$210.60	$210.60
Iron	$58.20	$58.20	$58.20	$80.40
Iron binding capacity	$121.60	$121.60	$121.60	$100.80
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$555.60	$555.60	$555.60	$315.00
Irradiation of blood product each unit reference	$98.40	$98.40	$98.40	$135.00
Irrigation implantable venous access device for drug delivery systems	$201.60	$201.60	$201.60	$147.60
Irrigation vagina and/or appl medicament tx disease	$891.20	$891.20	$891.20	$891.20
Isatuximab-irfc 20 mg/ml intravenous solution	$149.40	$149.40	$149.40	$156.60
Ivp w/wo kub w/wo tomography	$1,552.00	$1,552.00	$1,552.00	$1,283.40
Ixabepilone 15 mg intravenous solution	$16,246.20	$16,246.20	$16,246.20	$680.40
Jak2 targeted sequence analysis	$1,223.20	$1,223.20	$1,223.20	$1,227.60
Jejunstmy tube plcmt	$4,128.80	$4,128.80	$4,128.80	$3,895.50
John cunningham antibody	$3,827.20	$3,827.20	$3,827.20	$78.60
Ketone body(s) beta-hydroxybutyrate quantitative	$211.20	$211.20	$211.20	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$24.60	$24.60	$24.60	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$886.40	$886.40	$886.40	$683.50
Kidney function study	$1,426.40	$1,426.40	$1,426.40	$1,133.25
Kidney imag w/bld flow multi	$1,404.00	$1,404.00	$1,404.00	$1,574.40
Kidney imaging morphology	$2,058.40	$2,058.40	$2,058.40	$1,238.25
Kidney img w/bldflw sgl without rx	$1,877.60	$1,877.60	$1,877.60	$1,552.20
Kit cast tcc 3in w/2reg boots total contact cast	$489.60	$489.60	$489.60	$382.20
Kit gene analys d816 variant	$1,144.80	$1,144.80	$1,144.80	$1,111.20
Kit lead specify 5-6-5	$13,784.80	$13,784.80	$13,784.80	$13,784.80
Knee MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$3,008.26
Knee MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$2,394.58
Knee MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$2,209.22
Knee X-ray	$576.80	$576.80	$576.80	$387.20
Kyleena, 19.5 mg	$2,489.60	$2,489.60	$2,489.60	$2,489.60
L/s ratio fetal lung	$489.60	$489.60	$489.60	$194.40
Lacosamide 200 mg/20 ml intravenous solution	$327.00	$327.00	$327.00	$237.75
Lactate dehydrogenase (ldh)	$52.00	$52.00	$52.00	$52.50
Lactated ringers intravenous solution	$32.40	$32.40	$32.40	$32.40
Lactic acid	$147.20	$147.20	$147.20	$121.80
Lactoferrin fecal qualitative	$424.80	$424.80	$424.80	$127.20
Lactoferrin fecal quant	$212.00	$212.00	$212.00	$194.40
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$33,573.60	$33,573.60	$33,573.60	$33,573.60
Laryngoscopy direct w/wo tracheoscopy dx exc newborn	$5,113.60	$5,113.60	$5,113.60	$2,632.20
Lead capillary	$404.80	$404.80	$404.80	$93.00
Lead ingevity 45cm pfret MRI	$1,635.20	$1,635.20	$1,635.20	$4,174.20
Leg Vein Ultrasound (DVT study, both legs)	$1,449.60	$1,449.60	$1,449.60	$1,090.23
Lens iol 23.0 d 1.5 cyl eyhance toric	$360.00	$360.00	$360.00	$609.00
Lens iol ant bicnvx 24.0 multi	$606.40	$606.40	$606.40	$1,429.20
Lens iol ant chamb 10.5	$350.40	$350.40	$350.40	$322.20
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$87.60	$87.60	$87.60	$83.13
Leuprolide 3.75 mg intramuscular syringe kit	$1,045.80	$1,045.80	$1,045.80	$4,568.40
Leuprolide 30 mg (4 month) intramuscular syringe kit	$6,275.40	$6,275.40	$6,275.40	$6,209.40
Levetiracetam 500 mg/5 ml intravenous solution	$276.00	$276.00	$276.00	$276.00
Levetiracetam therapeutic drug level	$400.00	$400.00	$400.00	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$37.00	$37.00	$37.00	$47.70
Liberta rc ipg	$7,270.40	$7,270.40	$7,270.40	$52,306.80
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$0.16	$0.16	$0.16	$0.20
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$370.20	$370.20	$370.20	$253.60
Lip surgery procedure	$121.80	$121.80	$121.80	$121.80
Lipase	$168.80	$168.80	$168.80	$139.80
Lipoprotein blood quant	$476.80	$476.80	$476.80	$280.20
Lipoprotein direct measurement hdl	$76.60	$76.60	$76.60	$63.75
Lipoprotein direct measurement ldl	$199.20	$199.20	$199.20	$104.25
Lithium therapeutic drug level	$100.00	$100.00	$100.00	$84.00
Liver Function Test	$280.80	$280.80	$280.80	$93.60
Liver elastography 91200	$581.60	$581.60	$581.60	$552.75
Liver imag w/vasclr flow	$1,826.40	$1,826.40	$1,826.40	$1,510.20
Liver/spleen imag static only	$1,582.40	$1,582.40	$1,582.40	$1,308.60
Liver/spleen imag w/vasclr flow	$1,882.40	$1,882.40	$1,882.40	$1,557.00
Loop ostmy bridg ster	$78.60	$78.60	$78.60	$74.40
Lorazepam 2 mg/ml injection (wrapper)	$31.20	$31.20	$31.20	$49.14
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$4,323.20	$4,323.20	$4,323.20	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$3,090.40	$3,090.40	$3,090.40	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$2,480.80	$2,480.80	$2,480.80	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$504.00	$504.00	$504.00	$341.64
Lumbar diskogram s&i	$2,380.80	$2,380.80	$2,380.80	$2,409.75
Lung Function Test (Spirometry)	$276.00	$276.00	$276.00	$296.91
Lung function test (mbc/mvv)	$109.60	$109.60	$109.60	$109.80
Lung perfusion imaging	$580.00	$580.00	$580.00	$1,087.20
Lurbinectedin 4 mg intravenous solution	$380.40	$380.40	$380.40	$380.40
Luspatercept-aamt 25 mg subcutaneous solution	$83.40	$83.40	$83.40	$87.60
Lymphatics/lymph node imaging	$1,417.60	$1,417.60	$1,417.60	$1,417.60
Lymphocyte transformation mitogen	$761.60	$761.60	$761.60	$537.60
M.avium-intra dna amp prob	$570.40	$570.40	$570.40	$471.60
M/phmtrc alys ishquant/semiq	$488.80	$488.80	$488.80	$435.00
MRA abdomen post contrast	$3,306.40	$3,306.40	$3,306.40	$2,429.25
MRA ext low(run-off)pst cntrst	$4,049.60	$4,049.60	$4,049.60	$2,526.75
MRA pelvis	$1,811.20	$1,811.20	$1,811.20	$2,229.00
MRA pelvis w IV cont	$1,497.60	$1,497.60	$1,497.60	$1,597.20
MRA upper extremity post contrast-bil	$2,369.60	$2,369.60	$2,369.60	$1,929.00
MRA w/cont, abd	$1,653.60	$1,653.60	$1,653.60	$2,713.80
MRA without fol w/cont, abd	$2,734.20	$2,734.20	$2,734.20	$2,734.20
MRA without fol w/cont, lwr ext	$3,348.60	$3,348.60	$3,348.60	$2,713.80
MRI cardiac morph & func wo IV cont	$3,040.00	$3,040.00	$3,040.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$3,689.60	$3,689.60	$3,689.60	$3,051.00
MRI chest w IV cont	$3,689.60	$3,689.60	$3,689.60	$3,051.00
MRI chest without & w/contrast	$4,820.80	$4,820.80	$4,820.80	$3,985.80
MRI chest without contrast	$3,040.00	$3,040.00	$3,040.00	$2,514.00
MRI loex nonjt w IV cont	$3,689.60	$3,689.60	$3,689.60	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$4,850.40	$4,850.40	$4,850.40	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$3,040.00	$3,040.00	$3,040.00	$2,514.00
MRI orbit fac&nck w IV cont	$3,520.00	$3,520.00	$3,520.00	$2,910.60
MRI orbit/face/neck without & w/contrast	$4,600.00	$4,600.00	$4,600.00	$3,804.00
MRI orbit/face/neck without contrast	$2,900.80	$2,900.80	$2,900.80	$2,398.20
MRI tmj	$3,040.00	$3,040.00	$3,040.00	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$4,850.40	$4,850.40	$4,850.40	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$3,040.00	$3,040.00	$3,040.00	$2,514.00
MRI upper extremity w/dye	$3,689.60	$3,689.60	$3,689.60	$3,126.75
Macroscopic exam arthropod	$90.40	$90.40	$90.40	$54.00
Macroscopic exam parasite	$62.20	$62.20	$62.20	$51.60
Magnesium	$151.20	$151.20	$151.20	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$74.40	$74.40	$74.40	$74.40
Mammosite ced	$13,311.20	$13,311.20	$13,311.20	$2,988.00
Manipulation chest wall demonstration/evaluation subsequent	$233.60	$233.60	$233.60	$193.20
Manipulation chest wall initial demonstration/evaluation	$287.20	$287.20	$287.20	$237.60
Mannitol 12.5 gm/50 ml inj	$88.80	$88.80	$88.80	$88.80
Marker biop eviva buckle ss	$404.80	$404.80	$404.80	$819.00
Mastoids complete	$580.00	$580.00	$580.00	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$383.20	$383.20	$383.20	$108.60
Mayo aathr protein s free	$443.20	$443.20	$443.20	$159.60
Mayo activated protein c resistance assay	$306.40	$306.40	$306.40	$170.25
Mayo adalimumab (humira) therapeutic drug level	$248.80	$248.80	$248.80	$205.80
Mayo alkaline phosphatase isoenzyme	$158.40	$158.40	$158.40	$154.80
Mayo alpha 1 antitrypsin	$238.40	$238.40	$238.40	$205.80
Mayo analysis gene calr common variants exon 9	$864.00	$864.00	$864.00	$1,160.40
Mayo analysis gene jak2 p.val617phe variant	$1,680.00	$1,680.00	$1,680.00	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$2,514.40	$2,514.40	$2,514.40	$1,135.80
Mayo analysis microarray cytogenomic copy number/snp variants	$11,640.60	$11,640.60	$11,640.60	$11,640.60
Mayo androstenedione	$186.40	$186.40	$186.40	$195.75
Mayo angiotensin 1 converting enzyme (ace) csf	$168.00	$168.00	$168.00	$85.20
Mayo antithrombin iii antigen	$704.80	$704.80	$704.80	$108.60
Mayo aspergillus fumigatus antibody	$280.80	$280.80	$280.80	$111.60
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$351.20	$351.20	$351.20	$290.40
Mayo bart bartonella henselae antibody igg	$20.40	$20.40	$20.40	$100.20
Mayo blastomyces antibody immunodiffusion	$212.00	$212.00	$212.00	$189.75
Mayo bordetella pertussis antibody igg	$121.60	$121.60	$121.60	$100.80
Mayo brcmg brucella antibody igm	$144.00	$144.00	$144.00	$118.80
Mayo c1 esterase inhibitor	$158.40	$158.40	$158.40	$133.20
Mayo carnitine total and free quantitative each specimen plasma	$400.80	$400.80	$400.80	$166.20
Mayo cd20b mononuclear cell antigen nos quantitative each	$351.00	$351.00	$351.00	$351.00
Mayo cdcom hla class ii typing low resolution one locus each	$463.20	$463.20	$463.20	$706.80
Mayo ceruloplasmin	$118.40	$118.40	$118.40	$97.80
Mayo chemiluminescent parathyroid related peptide	$356.80	$356.80	$356.80	$294.60
Mayo chikv chikungunya antibodies igg	$436.00	$436.00	$436.00	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$47.00	$47.00	$47.00	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$47.00	$47.00	$47.00	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$1,327.20	$1,327.20	$1,327.20	$833.40
Mayo chromium	$280.80	$280.80	$280.80	$129.75
Mayo coccidioides antibody	$278.40	$278.40	$278.40	$131.40
Mayo cocou cortisone urine	$369.60	$369.60	$369.60	$305.40
Mayo cortisol free	$329.60	$329.60	$329.60	$133.20
Mayo covid-19 antibody nucleocapsid total	$164.00	$164.00	$164.00	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$206.40	$206.40	$206.40	$123.75
Mayo deoxyribonuclease antibody titer	$124.00	$124.00	$124.00	$96.00
Mayo dhea (dehydroepiandrosterone)	$580.00	$580.00	$580.00	$333.00
Mayo dihydrotestosterone	$364.80	$364.80	$364.80	$301.80
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid	$171.20	$171.20	$171.20	$141.60
Mayo efpo chloride stool	$324.00	$324.00	$324.00	$102.00
Mayo estriol	$147.20	$147.20	$147.20	$147.20
Mayo estrone	$215.20	$215.20	$215.20	$165.00
Mayo ethosuximide therapeutic drug level	$385.60	$385.60	$385.60	$153.00
Mayo everolimus therapeutic drug level	$434.40	$434.40	$434.40	$210.00
Mayo factor ii	$65.80	$65.80	$65.80	$97.20
Mayo factor v	$408.80	$408.80	$408.80	$189.00
Mayo factor vii	$224.00	$224.00	$224.00	$185.40
Mayo factor viii vw factor antigen	$289.60	$289.60	$289.60	$176.40
Mayo factor viii vw factor multimetric analysis	$289.60	$289.60	$289.60	$243.60
Mayo factor viii vw factor ristocetin cofactor	$289.60	$289.60	$289.60	$289.60
Mayo factor x	$431.20	$431.20	$431.20	$243.75
Mayo factor xi	$196.80	$196.80	$196.80	$196.80
Mayo fat/lipids feces quantitative	$239.20	$239.20	$239.20	$197.40
Mayo fbl culture fungi blood	$471.60	$471.60	$471.60	$126.00
Mayo ffspg allergen clam igg	$183.20	$183.20	$183.20	$53.40
Mayo fibrinogen antigen	$144.80	$144.80	$144.80	$120.00
Mayo gabapentin bld/srm/plasma therapeutic drug level	$522.40	$522.40	$522.40	$141.00
Mayo gamma-globin full gene sequencing	$9,836.80	$9,836.80	$9,836.80	$8,992.20
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$432.80	$432.80	$432.80	$288.60
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2	$609.60	$609.60	$609.60	$417.00
Mayo hiser histoplasma antibodies immunodiffusion	$248.80	$248.80	$248.80	$161.25
Mayo hla typing a/b/c single antigen	$355.20	$355.20	$355.20	$293.40
Mayo hvdip HIV 1 antibody	$180.80	$180.80	$180.80	$131.40
Mayo hvdip HIV 2 antibody	$180.80	$180.80	$180.80	$97.20
Mayo hydroxyprogesterone 17-d	$564.00	$564.00	$564.00	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$1,267.20	$1,267.20	$1,267.20	$273.00
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$594.40	$594.40	$594.40	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$238.40	$238.40	$238.40	$141.00
Mayo immunoassay tumor antigen quantitative chromogranin a	$440.00	$440.00	$440.00	$186.75
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$227.20	$227.20	$227.20	$153.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$516.80	$516.80	$516.80	$252.75
Mayo infectious agent nucleic acid amplified probe enterovirus	$693.60	$693.60	$693.60	$500.25
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$65.40	$65.40	$65.40	$349.80
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii	$290.40	$290.40	$290.40	$292.50
Mayo infectious agent nucleic acid quantification cytomegalovirus	$611.20	$611.20	$611.20	$366.60
Mayo infectious disease hepatitis c chronic six biochemical assays	$669.00	$669.00	$669.00	$516.60
Mayo infliximab therapeutic drug level	$236.80	$236.80	$236.80	$523.20
Mayo inhab inhibin a	$154.40	$154.40	$154.40	$309.75
Mayo insft insulin free	$148.80	$148.80	$148.80	$117.00
Mayo insulin antibodies	$238.40	$238.40	$238.40	$121.20
Mayo iodine	$244.80	$244.80	$244.80	$202.20
Mayo lacosamide therapeutic drug level	$248.80	$248.80	$248.80	$199.50
Mayo lamotrigine therapeutic drug level	$400.00	$400.00	$400.00	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$37.80	$37.80	$37.80	$93.75
Mayo legionella antibody	$472.80	$472.80	$472.80	$104.40
Mayo lipoprotein electrophoresis	$315.20	$315.20	$315.20	$106.20
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$282.40	$282.40	$282.40	$181.50
Mayo manganese	$100.80	$100.80	$100.80	$110.40
Mayo metanephrines plasma	$496.80	$496.80	$496.80	$384.00
Mayo mgle voltage-gated calcium channel antibody each	$284.00	$284.00	$284.00	$235.20
Mayo microsomal antibody liver-kidney	$390.40	$390.40	$390.40	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$530.40	$530.40	$530.40	$210.00
Mayo molecular pathology procedure level 2 apoe genotype	$1,528.80	$1,528.80	$1,528.80	$1,528.80
Mayo muscle-specific kinase (musk) antibody	$235.20	$235.20	$235.20	$235.20
Mayo mycophenolic acid therapeutic drug level	$244.80	$244.80	$244.80	$202.20
Mayo myoglobin	$556.80	$556.80	$556.80	$144.60
Mayo nickel	$326.40	$326.40	$326.40	$178.20
Mayo organic acid methylmalonic single quantitative	$732.80	$732.80	$732.80	$361.50
Mayo oxalate 24 hour urine	$205.60	$205.60	$205.60	$170.40
Mayo parvs parvovirus b19 antibody igg	$441.60	$441.60	$441.60	$136.50
Mayo paval fluorescent antibody screen agna type 1	$523.20	$523.20	$523.20	$192.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$215.20	$215.20	$215.20	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$232.20	$232.20	$232.20	$232.20
Mayo pntft phenytoin free therapeutic drug level	$93.60	$93.60	$93.60	$92.25
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$317.60	$317.60	$317.60	$131.25
Mayo pregnenolone	$422.40	$422.40	$422.40	$222.00
Mayo prmb primidone therapeutic drug level	$129.60	$129.60	$129.60	$129.60
Mayo proinsulin	$526.40	$526.40	$526.40	$262.50
Mayo psaft prostate specific antigen free	$509.60	$509.60	$509.60	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$700.00	$700.00	$700.00	$323.40
Mayo rbcme osmotic fragility rbc incubated	$99.20	$99.20	$99.20	$238.80
Mayo receptor assay transferrin soluble	$700.00	$700.00	$700.00	$193.50
Mayo renin	$222.40	$222.40	$222.40	$168.60
Mayo repu protein electrophoresis urine	$265.60	$265.60	$265.60	$194.40
Mayo selenium	$182.40	$182.40	$182.40	$177.00
Mayo serotonin	$763.20	$763.20	$763.20	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$103.20	$103.20	$103.20	$114.60
Mayo sirolimus therapeutic drug level	$340.00	$340.00	$340.00	$173.25
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative	$491.40	$491.40	$491.40	$137.25
Mayo syphilis test non-treponemal antibody qualitative vdrl	$176.80	$176.80	$176.80	$43.80
Mayo tau phosphorylated 217 each	$259.80	$259.80	$259.80	$259.80
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$413.60	$413.60	$413.60	$859.80
Mayo tgrp testosterone free	$87.20	$87.20	$87.20	$128.40
Mayo tgrp testosterone total	$222.40	$222.40	$222.40	$193.50
Mayo thyroglobulin	$514.40	$514.40	$514.40	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$118.40	$118.40	$118.40	$102.60
Mayo ticks babesia microti antibody igg	$147.20	$147.20	$147.20	$126.00
Mayo tulab francisella tularensis antibody igg	$178.40	$178.40	$178.40	$96.60
Mayo vasoactive intestinal peptide	$454.40	$454.40	$454.40	$375.60
Mayo vitamin b-2 (riboflavin)	$304.00	$304.00	$304.00	$138.60
Mayo vitamin b3 (niacin)	$282.40	$282.40	$282.40	$147.00
Mayo vitamin k	$388.00	$388.00	$388.00	$317.25
Mayo zonisamide therapeutic drug level	$372.80	$372.80	$372.80	$210.00
Measurement post void urine by ultrasound	$157.60	$157.60	$157.60	$176.40
Mechlorethamine hcl inj	$690.00	$690.00	$690.00	$690.00
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$533.40	$533.40	$533.40	$252.10
Megestrol 20 mg tabs 100 each bottle	$4.20	$4.20	$4.20	$6.20
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm	$8,335.20	$8,335.20	$8,335.20	$3,037.50
Meperidine (pf) 25 mg/ml injection (wrapper)	$28.20	$28.20	$28.20	$16.40
Mepolizumab 100 mg/ml subcutaneous auto-injector	$7,678.20	$7,678.20	$7,678.20	$8,127.60
Meropenem 1 gram intravenous solution	$55.20	$55.20	$55.20	$77.20
Mesna 100 mg/ml intravenous solution	$153.60	$153.60	$153.60	$153.60
Metabolic Blood Panel (Basic)	$225.60	$225.60	$225.60	$97.60
Metabolic Blood Panel (Comprehensive)	$260.80	$260.80	$260.80	$130.97
Methacholine chloride 0.0625 mg/ml nebulization soln	$463.20	$463.20	$463.20	$463.20
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)	$78.20	$78.20	$78.20	$78.20
Methotrexate sodium (pf) 1 gram solution for injection	$332.00	$332.00	$332.00	$284.80
Methotrexate sodium 2.5 mg tablet	$38.60	$38.60	$38.60	$28.65
Methotrexate therapeutic drug level	$438.60	$438.60	$438.60	$129.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$1,135.20	$1,135.20	$1,135.20	$1,620.00
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$53.00	$53.00	$53.00	$42.45
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$504.60	$504.60	$504.60	$504.60
Methylprednisolone 4 mg tablet	$9.00	$9.00	$9.00	$10.80
Methylprednisolone acetate 40 mg/ml suspension for injection	$1.60	$1.60	$1.60	$1.20
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$4.60	$4.60	$4.60	$6.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$5.40	$5.40	$5.40	$10.35
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)	$1.20	$1.20	$1.20	$4.80
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$0.20	$0.20	$0.20	$3.15
Micafungin 100 mg intravenous solution	$5.80	$5.80	$5.80	$26.20
Microdissection manual	$1,058.40	$1,058.40	$1,058.40	$538.20
Microwave bronch, 3d, ebus	$3,523.20	$3,523.20	$3,523.20	$3,523.20
Midazolam 1 mg/ml injection solution	$97.20	$97.20	$97.20	$36.60
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$73.20	$73.20	$73.20	$73.20
Minocycline hydrochloride	$5.20	$5.20	$5.20	$403.80
Mitomycin 40 mg intravenous solution	$3,278.40	$3,278.40	$3,278.40	$1,714.80
Mitomycin instillation	$818.40	$818.40	$818.40	$858.00
Mitoxantrone 2 mg/ml concentrate,intravenous	$1,254.00	$1,254.00	$1,254.00	$1,254.00
Mlh1 gene	$1,619.20	$1,619.20	$1,619.20	$1,123.80
Mlh1 gene dup/delete variant	$1,502.40	$1,502.40	$1,502.40	$1,502.40
Mlh1 gene full seq	$1,502.40	$1,502.40	$1,502.40	$399.00
Mopath procedure level 1	$303.20	$303.20	$303.20	$873.75
Mopath procedure level 3	$1,211.20	$1,211.20	$1,211.20	$2,046.60
Mopath procedure level 5	$6,400.00	$6,400.00	$6,400.00	$2,734.80
Mopath procedure level 6	$2,934.00	$2,934.00	$2,934.00	$5,054.40
Mopath procedure level 7	$8,366.40	$8,366.40	$8,366.40	$8,366.40
Mopath procedure level 8	$2,276.80	$2,276.80	$2,276.80	$1,687.80
Mopath procedure level 9	$4,626.40	$4,626.40	$4,626.40	$2,250.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$918.00	$918.00	$918.00	$102.60
Morphine 4 mg/ml injection (wrapper)	$1,561.20	$1,561.20	$1,561.20	$27.20
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$337.60	$337.60	$337.60	$349.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$599.40	$599.40	$599.40	$599.40
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$1,050.40	$1,050.40	$1,050.40	$338.40
Mpl gene analysis common variants	$1,223.20	$1,223.20	$1,223.20	$1,227.60
Mr safety determination physician/other qhp	$160.20	$160.20	$160.20	$160.20
Mr safety implant elec prepj	$166.80	$166.80	$166.80	$166.80
Mr sfty implt&/fb asmt stf 1	$44.40	$44.40	$44.40	$44.40
Mr sfty med physics xm cstmz	$439.80	$439.80	$439.80	$439.80
Msh2 gene dup/delete variant	$1,502.40	$1,502.40	$1,502.40	$1,522.80
Msh2 gene full seq	$1,502.40	$1,502.40	$1,502.40	$1,502.40
Msh6 gene dup/delete variant	$1,502.40	$1,502.40	$1,502.40	$1,523.40
Msh6 gene full seq	$1,502.40	$1,502.40	$1,502.40	$1,522.80
Mthfr gene analy common variants	$349.60	$349.60	$349.60	$357.60
Mucopolysaccharides	$340.00	$340.00	$340.00	$280.80
Multiple sleep latency test	$5,312.80	$5,312.80	$5,312.80	$4,164.75
Mumps antibody igg	$344.80	$344.80	$344.80	$168.75
Mycophenolate mofetil 250 mg capsule	$120.00	$120.00	$120.00	$79.60
Mycoplasma antibody igm	$703.20	$703.20	$703.20	$129.75
Myd88 gene p.leu265pro vrnt	$358.40	$358.40	$358.40	$888.60
Myelogphy 2/> spine regions	$4,915.20	$4,915.20	$4,915.20	$4,064.40
Myelography l-s spine	$4,168.00	$4,168.00	$4,168.00	$3,447.00
Myelography neck spine	$4,204.00	$4,204.00	$4,204.00	$3,476.40
Myelography thoracic spine	$3,476.80	$3,476.80	$3,476.80	$2,874.60
Myelography via inj w/s&i 2+ regions	$4,915.20	$4,915.20	$4,915.20	$2,289.60
Myelography via inj w/s&i cervical	$4,204.00	$4,204.00	$4,204.00	$2,289.60
Myelography via inj w/s&i lumbosacral	$4,168.00	$4,168.00	$4,168.00	$2,289.60
Myelography via inj w/s&i thoracic	$3,476.80	$3,476.80	$3,476.80	$2,572.50
Myeloperoxidase ab multi step qualitative/semiquantitative	$152.00	$152.00	$152.00	$126.00
Nafcillin 2 gram solution for injection	$1.80	$1.80	$1.80	$2.00
Nalbuphine 10 mg/ml injection solution	$16.20	$16.20	$16.20	$22.20
Naloxone 0.4 mg/ml injection (wrapper)	$1.20	$1.20	$1.20	$1.20
Naltrexone, depot form	$7,275.00	$7,275.00	$7,275.00	$5,794.40
Nasal endoscopy with removal of nasal foreign body	$135.00	$135.00	$135.00	$135.00
Nasopharyngoscopy w/endoscope	$441.60	$441.60	$441.60	$365.40
Natalizumab 300 mg/15 ml intravenous solution	$28,621.80	$28,621.80	$28,621.80	$28,621.80
Natriuretic peptide	$413.60	$413.60	$413.60	$287.40
Natural killer cells total count	$136.00	$136.00	$136.00	$262.50
Navigational bronchoscopy 31627	$6,768.80	$6,768.80	$6,768.80	$5,596.80
Neck (Cervical Spine) CT scan (with and without contrast)	$4,323.20	$4,323.20	$4,323.20	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$3,841.60	$3,841.60	$3,841.60	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$2,550.40	$2,550.40	$2,550.40	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$4,677.60	$4,677.60	$4,677.60	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$3,557.60	$3,557.60	$3,557.60	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$2,932.00	$2,932.00	$2,932.00	$1,947.58
Neck MRA (blood vessel MRI, with and without contrast)	$4,627.20	$4,627.20	$4,627.20	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$3,878.40	$3,878.40	$3,878.40	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$2,861.60	$2,861.60	$2,861.60	$1,790.58
Neisseria meningitidis	$168.80	$168.80	$168.80	$223.80
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$166.80	$166.80	$166.80	$99.51
Nerve teasing preparations	$1,171.20	$1,171.20	$1,171.20	$356.40
Neuroeltrd stim post tibial	$1,827.20	$1,827.20	$1,827.20	$710.25
New Patient Office Visit (level 2)	$250.80	$250.80	$250.80	$178.00
New Patient Office Visit (level 3)	$327.00	$327.00	$327.00	$229.20
New Patient Office Visit (level 4)	$421.20	$421.20	$421.20	$307.00
New Patient Office Visit (level 5)	$589.80	$589.80	$589.80	$401.50
Nicardipine 25 mg/10 ml intravenous solution	$3.00	$3.00	$3.00	$3.80
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$4.00	$4.00	$4.00	$4.00
Nivolumab 10 mg/ml intravenous solution (wrapper)	$12,144.00	$12,144.00	$12,144.00	$104.40
Njx interlaminar crv/thrc	$3,647.20	$3,647.20	$3,647.20	$2,476.80
Nm imaging bone/joint 3 phase study	$2,037.60	$2,037.60	$2,037.60	$2,037.60
Nm imaging bone/joint whole body	$1,783.20	$1,783.20	$1,783.20	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$1,996.80	$1,996.80	$1,996.80	$1,651.20
Nm imaging gastric emptying study	$1,826.40	$1,826.40	$1,826.40	$1,510.20
Nm imaging gastrointestinal acute blood loss	$2,045.60	$2,045.60	$2,045.60	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$2,366.40	$2,366.40	$2,366.40	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$2,005.60	$2,005.60	$2,005.60	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$2,680.80	$2,680.80	$2,680.80	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,806.40	$1,806.40	$1,806.40	$1,335.00
Nm radiopharmaceutical therapy oral administration	$1,142.40	$1,142.40	$1,142.40	$944.40
Non-card vasc flow imaging	$504.80	$504.80	$504.80	$504.80
Npm1 gene	$2,643.20	$2,643.20	$2,643.20	$1,905.60
Nuclear Stress Test (Heart)	$5,087.20	$5,087.20	$5,087.20	$3,799.90
Nuclear exam of tear flow	$770.40	$770.40	$770.40	$770.40
Nuclear rx IV admin	$3,156.80	$3,156.80	$3,156.80	$1,408.20
Nuclear rx intracav admin	$3,796.80	$3,796.80	$3,796.80	$1,755.00
Nudt15 gene common variants	$450.00	$450.00	$450.00	$477.00
Nushield 1 square cm	$3,704.80	$3,704.80	$3,704.80	$501.00
Ob Ultrasound nuchal meas 1 gest	$628.80	$628.80	$628.80	$519.60
Obinutuzumab 1,000 mg/40 ml intravenous solution	$898.20	$898.20	$898.20	$236.00
Observation direct referral from physician office for admission	$141.60	$141.60	$141.60	$138.00
Observation per hour	$213.60	$213.60	$213.60	$793.20
Obstetrics panel	$276.00	$276.00	$276.00	$320.40
Obtaining screen pap smear	$64.00	$64.00	$64.00	$24.60
Ocrelizumab 30 mg/ml intravenous solution	$146.40	$146.40	$146.40	$52,712.40
Octreotide acetate 100 mcg/ml injection (wrapper)	$220.80	$220.80	$220.80	$558.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$28,302.00	$28,302.00	$28,302.00	$23,098.20
Ofatumumab 20 mg/ml intravenous solution (wrapper)	$109.80	$109.80	$109.80	$201.60
Oil silicone ophth 8.5ml silikon 1000	$2,772.80	$2,772.80	$2,772.80	$1,824.80
Olanzapine 10 mg intramuscular solution	$12.80	$12.80	$12.80	$30.00
Onco (ovar) two proteins	$127.20	$127.20	$127.20	$127.20
Ondansetron 4 mg s0119	$136.80	$136.80	$136.80	$228.80
Ondansetron 8 mg disintegrating tablet	$25.20	$25.20	$25.20	$25.20
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$27.40	$27.40	$27.40	$34.32
Ophthalmic mitomycin	$1,663.20	$1,663.20	$1,663.20	$1,663.20
Oral aprepitant	$1,583.40	$1,583.40	$1,583.40	$1,012.80
Oral busulfan	$24.60	$24.60	$24.60	$24.60
Oral everolimus	$115.20	$115.20	$115.20	$1,208.40
Organic acids total quant ea spec	$335.20	$335.20	$335.20	$277.20
Oritavancin 400 mg intravenous solution	$13,431.00	$13,431.00	$13,431.00	$105.60
Orphenadrine citrate 30 mg/ml injection solution	$61.00	$61.00	$61.00	$61.00
Oscillation chest wall mechanical per session	$155.20	$155.20	$155.20	$235.20
Osmolality blood	$134.40	$134.40	$134.40	$77.25
Osmolality urine	$436.80	$436.80	$436.80	$90.60
Ot evaluation high complexity patient/family	$238.40	$238.40	$238.40	$285.75
Ot evaluation low complexity patient/family	$238.40	$238.40	$238.40	$272.25
Ot evaluation moderate complexity patient/family	$238.40	$238.40	$238.40	$285.75
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$157.60	$157.60	$157.60	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$157.60	$157.60	$157.60	$130.20
Ot re-evaluation patient/family	$117.60	$117.60	$117.60	$138.60
Ot therapeutic activities direct patient contact each 15 minutes	$157.60	$157.60	$157.60	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$128.80	$128.80	$128.80	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$128.80	$128.80	$128.80	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$157.60	$157.60	$157.60	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$157.60	$157.60	$157.60	$117.00
Ot training self care/home management direct contact each 15 minutes	$157.60	$157.60	$157.60	$115.80
Oth resp proc, group	$473.60	$473.60	$473.60	$144.00
Oxaliplatin 5 mg/ml desensitization	$1,965.00	$1,965.00	$1,965.00	$97.20
Oxytocin 10 unit/ml injection solution	$29.00	$29.00	$29.00	$29.00
P-32 chromic phos ther per mci	$1,311.20	$1,311.20	$1,311.20	$1,084.20
P-32 sod phosphate ther per mci	$268.80	$268.80	$268.80	$268.80
PSA (Prostate) Test	$239.20	$239.20	$239.20	$103.85
Paclitaxel 6 mg/ml concentrate,intravenous	$300.60	$300.60	$300.60	$47.20
Paclitaxel protein-bound 100 mg intravenous suspension	$6,166.20	$6,166.20	$6,166.20	$963.60
Paliperidone 117 mg/0.75 ml inj	$9,557.40	$9,557.40	$9,557.40	$6,272.41
Palivizumab 50 mg/0.5 ml inj	$6,940.20	$6,940.20	$6,940.20	$6,940.20
Palonosetron hcl	$378.60	$378.60	$378.60	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$200.00	$200.00	$200.00	$200.00
Panitumumab 20 mg/ml intravenous solution (wrapper)	$550.80	$550.80	$550.80	$364.20
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr	$30.80	$30.80	$30.80	$30.80
Papaverin hcl injection	$264.80	$264.80	$264.80	$123.60
Parathormone (pth) intact	$228.00	$228.00	$228.00	$228.00
Parathyrd planar w/spect&ct	$2,701.60	$2,701.60	$2,701.60	$2,145.00
Parathyroid planar imaging	$2,248.00	$2,248.00	$2,248.00	$1,436.25
Parathyroid planar img w/tomo spect	$2,248.00	$2,248.00	$2,248.00	$1,859.40
Paricalcitol	$28.20	$28.20	$28.20	$35.52
Paring/cutting benign hyperkeratotic lesion single	$29.20	$29.20	$29.20	$288.60
Partial removal finger bone	$6,609.60	$6,609.60	$6,609.60	$4,321.20
Particle matristem matrix 1000mg micron-q4118-cost per mg	$6,781.60	$6,781.60	$6,781.60	$7,136.40
Passy muir valve metal trach	$350.40	$350.40	$350.40	$350.40
Path clin consltj sf 5-20	$228.00	$228.00	$228.00	$198.60
Pegaspargase injection	$62,371.80	$62,371.80	$62,371.80	$62,371.80
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$1,069.80	$1,069.80	$1,069.80	$6,417.60
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$18,128.40	$18,128.40	$18,128.40	$10,699.80
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$7,964.40	$7,964.40	$7,964.40	$2,112.00
Pegloticase 8 mg/ml intravenous solution	$94,586.40	$94,586.40	$94,586.40	$94,586.40
Pegunigalsidase alfa-iwxj	$548.00	$548.00	$548.00	$526.20
Pelvic CT scan (with and without contrast)	$3,064.00	$3,064.00	$3,064.00	$1,992.00
Pelvic CT scan (with contrast)	$2,300.00	$2,300.00	$2,300.00	$1,706.25
Pelvic CT scan (without contrast)	$1,588.80	$1,588.80	$1,588.80	$1,366.50
Pelvic MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$2,713.80
Pelvic MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$1,966.42
Pelvic MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$1,810.38
Pelvic Ultrasound (complete)	$885.60	$885.60	$885.60	$647.87
Pelvic Ultrasound (limited)	$869.60	$869.60	$869.60	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$21,534.00	$21,534.00	$21,534.00	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$15,666.00	$15,666.00	$15,666.00	$3,134.40
Peng benzathine/procaine inj	$581.40	$581.40	$581.40	$251.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$1,494.00	$1,494.00	$1,494.00	$1,422.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$136.80	$136.80	$136.80	$192.60
Penile rear tip xtnd 0.5cm	$31,936.00	$31,936.00	$31,936.00	$26,765.44
Penile vascular study	$809.60	$809.60	$809.60	$948.75
Pentobarbital sodium inj	$115.20	$115.20	$115.20	$63.60
Pentostatin 10 mg intravenous solution	$10,218.00	$10,218.00	$10,218.00	$8,715.64
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$1,066.20	$1,066.20	$1,066.20	$1,066.20
Pericardiocentesis wwo imaging	$2,977.60	$2,977.60	$2,977.60	$2,472.75
Perq dev breast 1st strtctc	$2,168.80	$2,168.80	$2,168.80	$1,793.40
Perq rplcmt g-tube req revsn gstrst trk	$2,128.00	$2,128.00	$2,128.00	$1,550.40
Pertuzu, trastuzu, 10 mg	$324.60	$324.60	$324.60	$523.20
Pertuzumab 30 mg/ml desensitization	$22,539.60	$22,539.60	$22,539.60	$22,539.60
Pessary 3.5 in 7 vag sil rng fold	$903.20	$903.20	$903.20	$105.00
Pfc sigma fem post aug sz3 8mm	$22,916.00	$22,916.00	$22,916.00	$26,256.60
Ph body fluid	$63.20	$63.20	$63.20	$45.00
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$128.80	$128.80	$128.80	$42.15
Phenobarbital therapeutic drug level	$198.40	$198.40	$198.40	$153.00
Phentolaine mesylate inj	$1,968.60	$1,968.60	$1,968.60	$1,028.40
Phenylephrine 10 mg/ml injection solution	$0.60	$0.60	$0.60	$0.14
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$15.00	$15.00	$15.00	$417.00
Phenytoin total therapeutic drug level	$137.60	$137.60	$137.60	$114.00
Phlebotomy therapeutic	$233.60	$233.60	$233.60	$292.80
Phosphorus	$85.60	$85.60	$85.60	$57.75
Phosphorus 24 hour urine	$90.40	$90.40	$90.40	$91.20
Phys blood bank serv reactj	$481.60	$481.60	$481.60	$398.40
Phytonadione (vitamin k1) 10 mg/ml injection solution	$220.80	$220.80	$220.80	$52.80
Pinworm exam	$54.60	$54.60	$54.60	$49.20
Piperacillin-tazobactam 3.375 gram intravenous solution	$114.00	$114.00	$114.00	$115.20
Place po breast cath for rad	$720.80	$720.80	$720.80	$595.80
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$1,380.00	$1,380.00	$1,380.00	$1,562.25
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$1,380.00	$1,380.00	$1,380.00	$1,380.00
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$1,144.80	$1,144.80	$1,144.80	$1,564.20
Platelet aggregation each agent teg	$466.40	$466.40	$466.40	$223.50
Platelet automated	$42.80	$42.80	$42.80	$42.80
Platelets hla matched leukocytes reduced apheresis/pheresis each unit	$4,912.80	$4,912.80	$4,912.80	$4,159.50
Platelets pheresis leukocytes reduced each unit	$3,282.40	$3,282.40	$3,282.40	$2,713.80
Platelets pheresis leukocytes reduced irradiated each unit	$3,498.40	$3,498.40	$3,498.40	$2,893.20
Platelets pheresis pathogen-reduced each unit	$2,166.40	$2,166.40	$2,166.40	$1,791.00
Plc pq device breast ea addl lesion Ultrasound guide	$1,144.80	$1,144.80	$1,144.80	$969.00
Plc pq device breast ea addl lesion stereo guide	$1,958.40	$1,958.40	$1,958.40	$1,619.40
Plethysmography lung volumes/airway resistance	$282.40	$282.40	$282.40	$368.25
Pms2 gene dup/delet variants	$1,502.40	$1,502.40	$1,502.40	$1,522.80
Pms2 gene full seq analysis	$1,502.40	$1,502.40	$1,502.40	$1,522.80
Poct blood gases ph pco2 po2 arterial calculated o2	$324.80	$324.80	$324.80	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$36,544.20	$36,544.20	$36,544.20	$36,544.20
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap	$7,850.40	$7,850.40	$7,850.40	$6,491.40
Positioner proc acufex leg acs	$51.40	$51.40	$51.40	$51.40
Post op service lvrs min 6	$598.40	$598.40	$598.40	$598.40
Potassium 24 hour urine	$63.20	$63.20	$63.20	$63.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$61.80	$61.80	$61.80	$70.80
Potassium serum/plasma/whole blood	$47.80	$47.80	$47.80	$47.80
Pq dr cath chg w cont s&i	$1,628.80	$1,628.80	$1,628.80	$1,347.00
Pq thr inj ext pse	$884.00	$884.00	$884.00	$918.00
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr	$7,427.20	$7,427.20	$7,427.20	$4,150.20
Pr application of long arm splint	$569.60	$569.60	$569.60	$471.00
Pr application splint static short arm	$569.60	$569.60	$569.60	$307.50
Pr assessment emotional/behavioral per instrument brief	$84.80	$84.80	$84.80	$39.75
Pr biopsy skin punch single lesion	$362.40	$362.40	$362.40	$639.00
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method	$1,059.00	$1,059.00	$1,059.00	$1,059.00
Pr correction hammertoe	$669.00	$669.00	$669.00	$205.20
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$40.20	$40.20	$40.20	$30.00
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$589.80	$589.80	$589.80	$428.25
Pr e&m preventive medicine initial comprehensive new patient 12-17 years	$178.80	$178.80	$178.80	$122.25
Pr ecg 12 lead report only	$42.60	$42.60	$42.60	$22.20
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp	$111.60	$111.60	$111.60	$111.60
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$4,078.80	$4,078.80	$4,078.80	$2,795.25
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment	$208.20	$208.20	$208.20	$130.50
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm	$4,352.80	$4,352.80	$4,352.80	$2,080.80
Pr excision nail/nail matrix partial/complete permanent removal	$1,470.60	$1,470.60	$1,470.60	$1,233.00
Pr incision & drainage abscess complicated/multiple	$712.80	$712.80	$712.80	$712.80
Pr incision & drainage abscess simple/single	$589.80	$589.80	$589.80	$484.20
Pr incision & drainage abscess vulva/perineal	$998.40	$998.40	$998.40	$831.60
Pr incision & removal foreign body subcutaneous tissues simple	$589.80	$589.80	$589.80	$589.80
Pr management transitional care high w/in 7 days of discharge	$278.40	$278.40	$278.40	$1,831.20
Pr management transitional care moderate w/in 14 days of discharge	$307.20	$307.20	$307.20	$255.00
Pr moderate sedation same physician >= 5 years initial 15 minutes	$177.60	$177.60	$177.60	$330.00
Pr planning advance care 1st 30 minutes	$95.40	$95.40	$95.40	$143.25
Pr removal drug delivery implant	$2,048.80	$2,048.80	$2,048.80	$1,448.25
Pr removal foreign body external auditory canal without anesthesia	$298.40	$298.40	$298.40	$298.40
Pr removal intrauterine device	$712.80	$712.80	$712.80	$589.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$998.40	$998.40	$998.40	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$712.80	$712.80	$712.80	$477.00
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$712.80	$712.80	$712.80	$477.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$712.80	$712.80	$712.80	$477.00
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$712.80	$712.80	$712.80	$520.80
Pr tube thoracostomy w/connection to drainage open	$2,627.20	$2,627.20	$2,627.20	$2,412.60
Pralidoxime 1 gram solution for injection	$399.60	$399.60	$399.60	$297.18
Prealbumin	$137.60	$137.60	$137.60	$114.00
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution	$13.80	$13.80	$13.80	$13.80
Prednisone 1 mg tablet	$14.80	$14.80	$14.80	$3.00
Pregnancy Ultrasound (complete, after first trimester)	$835.20	$835.20	$835.20	$607.12
Pregnancy Ultrasound (first trimester)	$835.20	$835.20	$835.20	$592.15
Pregnancy associated plasma protein-a	$191.20	$191.20	$191.20	$144.60
Prep skin to 100cm2 other	$475.20	$475.20	$475.20	$1,401.75
Pressure max expiratory/inspiratory	$187.20	$187.20	$187.20	$187.20
Pretreat rbc absorption reference	$118.40	$118.40	$118.40	$128.25
Pretreat rbc w chem/drugs reference	$295.20	$295.20	$295.20	$225.60
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$227.20	$227.20	$227.20	$139.80
Procainamide 100 mg/ml injection (wrapper)	$533.60	$533.60	$533.60	$225.00
Procalcitonin	$161.60	$161.60	$161.60	$161.60
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$115.20	$115.20	$115.20	$63.42
Prochlorperazine maleate 5 mg tablet	$3.00	$3.00	$3.00	$3.00
Proctosigmoidoscopy dilate 45303	$3,933.60	$3,933.60	$3,933.60	$3,933.60
Proctosigmoidoscopy dx 45300	$3,816.80	$3,816.80	$3,816.80	$1,857.60
Proctosigmoidoscopy w/bx 45305	$3,933.60	$3,933.60	$3,933.60	$3,316.20
Progesterone	$324.80	$324.80	$324.80	$181.20
Prolactin	$372.00	$372.00	$372.00	$191.25
Promethazine hcl injection	$8.40	$8.40	$8.40	$10.99
Propofol infusion 10 mg/ml	$174.00	$174.00	$174.00	$21.45
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$4.80	$4.80	$4.80	$16.46
Prostate biopsy, any mthd	$118.40	$118.40	$118.40	$308.40
Protamine 10 mg/ml intravenous solution	$115.20	$115.20	$115.20	$112.23
Protein c activity	$375.20	$375.20	$375.20	$121.20
Protein electrophoretic fractionation & quantitation serum	$207.20	$207.20	$207.20	$171.60
Protein s total	$666.40	$666.40	$666.40	$181.50
Protein total 24 hour urine	$45.00	$45.00	$45.00	$45.00
Protein total body fluid	$100.00	$100.00	$100.00	$81.75
Protein total serum plasma whole blood	$104.00	$104.00	$104.00	$46.50
Prothrombin complex kcentra	$13.80	$13.80	$13.80	$8.25
Prothrombin time substitution plasma fractions each	$230.40	$230.40	$230.40	$66.00
Psychotherapy patient individual therapy 30 minutes	$128.00	$128.00	$128.00	$168.00
Psychotherapy patient individual therapy 45 minutes	$128.00	$128.00	$128.00	$235.20
Psychotherapy patient individual therapy 60 minutes	$128.00	$128.00	$128.00	$263.40
Pt application of modality >=1 area electrical stimulation each 15 minutes	$124.80	$124.80	$124.80	$103.20
Pt application of modality >=1 area hot/cold packs	$47.00	$47.00	$47.00	$47.00
Pt application of modality >=1 area iontophoresis each 15 minutes	$124.80	$124.80	$124.80	$103.20
Pt application of modality >=1 area ultrasound each 15 minutes	$122.40	$122.40	$122.40	$101.40
Pt application of modality traction mechanical	$124.80	$124.80	$124.80	$119.25
Pt evaluation high complexity patient/family	$238.40	$238.40	$238.40	$297.00
Pt evaluation low complexity patient/family	$238.40	$238.40	$238.40	$264.00
Pt evaluation moderate complexity patient/family	$238.40	$238.40	$238.40	$276.00
Pt re-evaluation patient/family	$117.60	$117.60	$117.60	$129.60
Pt repositioning canalith procedure(s) per day	$269.60	$269.60	$269.60	$223.20
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$137.60	$137.60	$137.60	$114.00
Pt therapeutic procedure >=1 area gait training each 15 minutes	$157.60	$157.60	$157.60	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$157.60	$157.60	$157.60	$110.40
Pt wheelchair management each 15 minutes	$200.00	$200.00	$200.00	$81.75
Pulmonary vent imaging	$1,697.60	$1,697.60	$1,697.60	$705.60
Pulse ox continuous overnight monitoring	$365.60	$365.60	$365.60	$350.40
Pulse ox multiple	$469.60	$469.60	$469.60	$251.40
Pulse ox single	$75.80	$75.80	$75.80	$91.20
Puncture arterial withdrawal blood for diagnosis	$105.60	$105.60	$105.60	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$1,352.80	$1,352.80	$1,352.80	$496.20
Puncture spinal lumbar diagnostic	$1,470.60	$1,470.60	$1,470.60	$1,230.60
Pyridoxine hcl 100 mg	$70.20	$70.20	$70.20	$29.11
Pyruvate	$328.00	$328.00	$328.00	$114.00
Quant diff pulm perf and vent w/imaging	$3,736.00	$3,736.00	$3,736.00	$2,655.60
Quant diff pulm perf w/imaging	$1,362.40	$1,362.40	$1,362.40	$1,362.40
Quest t3 uptake	$357.60	$357.60	$357.60	$96.75
Rabies ig heat-treated human im/subq 90376	$3,289.80	$3,289.80	$3,289.80	$3,103.43
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$15,010.80	$15,010.80	$15,010.80	$880.00
Radium ra223 dichl ther/uci	$464.80	$464.80	$464.80	$389.40
Radphm lcl tmr plnr bdy sgl day img	$1,645.60	$1,645.60	$1,645.60	$2,283.00
Radphm lcl tmr plnr bdy two day img	$2,886.40	$2,886.40	$2,886.40	$2,386.20
Radphm lcl tmr spect/ct 2+ areas/2+ days	$3,347.20	$3,347.20	$3,347.20	$3,347.20
Radphm lcl tomogr sgl area sgl day	$3,347.20	$3,347.20	$3,347.20	$2,929.80
Radphm lcl tumor plr sgl day	$930.40	$930.40	$930.40	$1,070.40
Radphm quant measure sgl area add-on	$3,347.20	$3,347.20	$3,347.20	$2,764.20
Ramucirumab 10 mg/ml intravenous solution	$5,140.20	$5,140.20	$5,140.20	$187.20
Rapid Strep Test	$36.00	$36.00	$36.00	$72.00
Rasburicase 1.5 mg intravenous solution	$3,833.40	$3,833.40	$3,833.40	$9,544.20
Ravulizumab-cwvz 100 mg/ml intravenous solution	$14,859.00	$14,859.00	$14,859.00	$71,857.80
Rbc count only automated	$21.40	$21.40	$21.40	$22.80
Rbc serum pretx incubj drugs	$229.60	$229.60	$229.60	$192.60
Red blood cells each unit	$919.20	$919.20	$919.20	$759.60
Red blood cells leukocytes reduced each unit	$1,242.40	$1,242.40	$1,242.40	$830.25
Red blood cells leukocytes reduced irradiated each unit	$1,438.40	$1,438.40	$1,438.40	$837.00
Red cell sequestration	$3,163.20	$3,163.20	$3,163.20	$2,616.00
Rem/biv cast full arm/leg	$569.60	$569.60	$569.60	$450.00
Remdesivir 100 mg intravenous powder for solution	$16.00	$16.00	$16.00	$16.80
Remote 30 day ecg tech supp	$1,580.00	$1,580.00	$1,580.00	$1,472.40
Removal central venous catheter tunneled without port/pump	$2,627.20	$2,627.20	$2,627.20	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$3,725.60	$3,725.60	$3,725.60	$3,081.00
Removal cerumen impacted (both sides)	$247.20	$247.20	$247.20	$168.00
Removal devitalized tissue non-selective debridement without anesthesia per session	$712.80	$712.80	$712.80	$343.50
Removal embedded foreign body vestibule mouth smpl	$2,137.60	$2,137.60	$2,137.60	$1,051.50
Removal foreign body foot subcutaneous right	$1,778.40	$1,778.40	$1,778.40	$873.00
Removal of foot lesion	$644.40	$644.40	$644.40	$199.20
Removal of implant deep	$744.60	$744.60	$744.60	$5,152.80
Removal of skin tags each add'l 10	$396.00	$396.00	$396.00	$384.00
Removal of tendon lesion	$639.60	$639.60	$639.60	$639.60
Removal of toe lesions	$476.40	$476.40	$476.40	$476.40
Removal skin tags fibrocutaneous any area <= 15 lesions	$471.00	$471.00	$471.00	$628.20
Removal sutr and stapl no anes	$39.00	$39.00	$39.00	$39.00
Removal sutr or stapl no anes	$3,927.20	$3,927.20	$3,927.20	$27.60
Removal w/reinsrt nonbiogrdble	$2,071.20	$2,071.20	$2,071.20	$2,805.00
Remove foreign body from eye	$4,494.00	$4,494.00	$4,494.00	$3,769.20
Renal function panel	$188.80	$188.80	$188.80	$156.00
Repair blood vessel dir lower extr	$1,582.20	$1,582.20	$1,582.20	$1,582.20
Repair blood vessel direct hand finger	$7,133.40	$7,133.40	$7,133.40	$7,133.40
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$2,627.20	$2,627.20	$2,627.20	$2,172.00
Repair deformity of toe	$624.60	$624.60	$624.60	$624.60
Repair dental ellis ii fx	$278.40	$278.40	$278.40	$278.40
Repair of eye wound	$8,442.40	$8,442.40	$8,442.40	$5,322.00
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$5,218.40	$5,218.40	$5,218.40	$2,260.20
Repair rpr lip full thickness vermilion only	$4,051.20	$4,051.20	$4,051.20	$2,916.60
Repair tendon/muscle forearm/wrist prime sngl ea	$6,096.00	$6,096.00	$6,096.00	$5,322.00
Replace duod/jej tube perc	$2,260.00	$2,260.00	$2,260.00	$2,618.40
Replace g/c tube perc	$3,755.20	$3,755.20	$3,755.20	$2,695.80
Reptilase test	$105.60	$105.60	$105.60	$97.20
Rerepair ing hernia reduce	$8,618.40	$8,618.40	$8,618.40	$7,126.80
Resp virus 6-11 targets	$1,237.80	$1,237.80	$1,237.80	$1,212.60
Resuscitation cardiopulmonary	$729.60	$729.60	$729.60	$843.00
Reticulocyte automated	$91.20	$91.20	$91.20	$54.75
Revise vag graft via vagina	$6,759.20	$6,759.20	$6,759.20	$6,759.20
Rheumatoid factor qualitative	$90.40	$90.40	$90.40	$75.00
Rheumatoid factor quantitative	$171.20	$171.20	$171.20	$98.25
Rho d immune globulin inj	$728.80	$728.80	$728.80	$622.40
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe	$163.20	$163.20	$163.20	$172.80
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$0.20	$0.20	$0.20	$4.20
Risankizumab-rzaa 60 mg/ml intravenous solution	$26.40	$26.40	$26.40	$26.40
Risperidone microspheres 12.5 mg/2 ml inj	$4,199.40	$4,199.40	$4,199.40	$4,199.40
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln	$218.40	$218.40	$218.40	$337.20
Rituximab 10 mg/ml concentrate,intravenous	$4,351.20	$4,351.20	$4,351.20	$433.20
Rituximab-abbs 10 mg/ml intravenous solution	$265.80	$265.80	$265.80	$372.60
Rituximab-pvvr 10 mg/ml intravenous solution	$199.80	$199.80	$199.80	$7,826.40
Rmv implant contraceptive capsule 11976	$2,633.60	$2,633.60	$2,633.60	$1,478.25
Rmvl foreign body upper arm/elbow subcutaneous	$1,778.40	$1,778.40	$1,778.40	$1,470.60
Romidepsin 10 mg/2 ml intravenous powder for solution	$197.60	$197.60	$197.60	$197.60
Romiplostim 125 mcg subcutaneous solution	$44.60	$44.60	$44.60	$34.60
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)	$8,542.20	$8,542.20	$8,542.20	$8,372.44
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$178.80	$178.80	$178.80	$178.80
Rp loclzj tum 2+area 1+d img	$2,779.20	$2,779.20	$2,779.20	$2,070.60
Rp loclzj tum spect w/ct 1	$3,347.20	$3,347.20	$3,347.20	$2,767.80
Rp loclzj tum spect w/ct 2	$3,796.80	$3,796.80	$3,796.80	$3,322.20
Rpl non-tun cvc wo sbq prt/pmp	$2,759.20	$2,759.20	$2,759.20	$2,703.00
Rsv assay w/optic	$13.60	$13.60	$13.60	$13.60
Rubella antibody igg	$157.60	$157.60	$157.60	$103.50
Rubeola antibody igg	$265.60	$265.60	$265.60	$166.50
Russell viper venom diluted	$751.20	$751.20	$751.20	$119.40
Sacituzumab govitecan-hziy 180 mg intravenous solution	$67.20	$67.20	$67.20	$5,043.00
Salivary glnd img serial img	$1,960.80	$1,960.80	$1,960.80	$1,621.80
Sarscov coronavirus ag ia	$46.40	$46.40	$46.40	$34.80
Scan duplex abd/pelvis/retroperitoneal complete	$1,530.40	$1,530.40	$1,530.40	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$1,262.40	$1,262.40	$1,262.40	$880.20
Scan duplex aorta/ivc/iliac unilateral/limited	$1,127.20	$1,127.20	$1,127.20	$724.50
Scan duplex extracranial arteries unilateral/limited study	$1,041.60	$1,041.60	$1,041.60	$672.00
Scan duplex extremity veins unilateral/limited study	$1,002.40	$1,002.40	$1,002.40	$829.20
Scan duplex lower extremity arteries complete bilateral	$2,029.60	$2,029.60	$2,029.60	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$1,192.80	$1,192.80	$1,192.80	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$1,127.20	$1,127.20	$1,127.20	$855.75
Scr c/v cyto,thinlayer,rescr	$104.00	$104.00	$104.00	$78.00
Screen cerv/vag thin layer	$81.60	$81.60	$81.60	$61.20
Screening Colonoscopy (high risk)	$2,000.00	$2,000.00	$2,000.00	$1,864.80
Screening Mammogram	$273.60	$273.60	$273.60	$331.50
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations	$292.00	$292.00	$292.00	$241.20
Screening hepatitis b non-obstetric high risk	$172.00	$172.00	$172.00	$63.00
Screening hepatitis c antibody high risk	$251.20	$251.20	$251.20	$46.80
Screening prostate cancer PSA	$120.00	$120.00	$120.00	$96.00
Screw cortex 2.0 x 10mm	$9,627.20	$9,627.20	$9,627.20	$15,714.60
Sedimentation rate erythrocyte automated	$69.60	$69.60	$69.60	$57.00
Semen analysis presence/motility	$143.20	$143.20	$143.20	$118.20
Semen analysis w/count	$213.60	$213.60	$213.60	$64.20
Serpina1 gene	$351.20	$351.20	$351.20	$345.60
Sgmdsc w/band ligation	$3,933.60	$3,933.60	$3,933.60	$2,717.40
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<	$83.40	$83.40	$83.40	$520.80
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm	$1,024.80	$1,024.80	$1,024.80	$722.40
Shave sgl skin lsn s/n/h/f/g 0.5cm/<	$494.40	$494.40	$494.40	$494.40
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm	$494.40	$494.40	$494.40	$535.80
Shave sgl skin lsn t/a/l 0.5cm/<	$1,024.80	$1,024.80	$1,024.80	$520.80
Shave sgl skin lsn t/a/l 0.6-1.0cm	$1,024.80	$1,024.80	$1,024.80	$206.25
Shave sgl skin lsn t/a/l 1.1-2.0cm	$1,444.00	$1,444.00	$1,444.00	$660.00
Shoe post-op mens m	$75.60	$75.60	$75.60	$29.76
Shoulder MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$2,650.10
Shoulder MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$2,822.25
Shoulder MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$1,938.28
Shoulder X-ray	$372.00	$372.00	$372.00	$307.20
Shunt glaucoma baerveldt 350mm	$6,739.20	$6,739.20	$6,739.20	$4,636.80
Sialography s&i	$1,552.00	$1,552.00	$1,552.00	$1,283.40
Sickling rbc	$98.40	$98.40	$98.40	$81.00
Sig w/tndsc balloon dilation	$3,933.60	$3,933.60	$3,933.60	$3,097.80
Sigmoid/rmv tumor/polyp/hot bx for 45333	$3,816.80	$3,816.80	$3,816.80	$1,976.25
Sigmoidoscopy and biopsy	$3,816.80	$3,816.80	$3,816.80	$1,864.80
Sigmoidoscopy flex decompression 45337	$3,933.60	$3,933.60	$3,933.60	$2,571.60
Sigmoidoscopy for bleeding	$3,933.60	$3,933.60	$3,933.60	$1,885.20
Sigmoidoscopy w/ablation	$3,933.60	$3,933.60	$3,933.60	$2,959.80
Sigmoidoscopy w/fb removal 45332	$3,933.60	$3,933.60	$3,933.60	$1,885.20
Sigmoidoscopy w/plcmt stent	$7,896.80	$7,896.80	$7,896.80	$2,919.00
Sigmoidoscopy w/tumr remove	$3,933.60	$3,933.60	$3,933.60	$2,314.50
Sigmoidoscopy w/ultrasound	$3,933.60	$3,933.60	$3,933.60	$1,746.00
Sigmoidoscopy w/us guide bx	$3,933.60	$3,933.60	$3,933.60	$2,314.50
Signal avg ecg w or without ecg 93278	$536.00	$536.00	$536.00	$408.60
Simple cystometrogram 51725	$4,291.20	$4,291.20	$4,291.20	$1,056.00
Sincalide 5 mcg solution for injection	$516.00	$516.00	$516.00	$475.20
Sinus CT scan (with and without contrast)	$3,280.80	$3,280.80	$3,280.80	$1,871.00
Sinus CT scan (with contrast)	$2,612.80	$2,612.80	$2,612.80	$1,566.40
Sinus CT scan (without contrast)	$1,924.00	$1,924.00	$1,924.00	$1,275.30
Sirolimus, oral	$180.00	$180.00	$180.00	$180.00
Skin Biopsy	$362.40	$362.40	$362.40	$381.60
Skyla, 13.5 mg	$2,325.00	$2,325.00	$2,325.00	$2,343.60
Sleep Study (Polysomnography)	$6,611.20	$6,611.20	$6,611.20	$4,141.16
Sleep study attended	$6,004.00	$6,004.00	$6,004.00	$316.50
Sleep study unattended	$653.60	$653.60	$653.60	$653.60
Sling arm deluxe w/pad xs	$244.00	$244.00	$244.00	$197.40
Sling suprapubic suburetheral	$4,885.60	$4,885.60	$4,885.60	$7,586.40
Slitting of prepuce	$4,708.80	$4,708.80	$4,708.80	$4,029.00
Slp eval non-spch gen comm dev	$375.20	$375.20	$375.20	$310.20
Slp pure tone screening	$22.80	$22.80	$22.80	$64.50
Sm-153 lexidron ther	$15,008.80	$15,008.80	$15,008.80	$12,410.40
Small bowel endoscopy	$4,128.80	$4,128.80	$4,128.80	$3,414.00
Small bowel endoscopy	$4,128.80	$4,128.80	$4,128.80	$3,175.50
Small bowel endoscopy	$4,128.80	$4,128.80	$4,128.80	$2,466.00
Small bowel endoscopy	$4,264.00	$4,264.00	$4,264.00	$2,467.50
Small bowel endoscopy	$4,128.80	$4,128.80	$4,128.80	$2,597.25
Small bowel endoscopy >2nd w/remove 44363	$4,128.80	$4,128.80	$4,128.80	$3,096.75
Small bowel endoscopy br/wa	$4,128.80	$4,128.80	$4,128.80	$2,218.50
Small bowel endoscopy br/wa	$4,264.00	$4,264.00	$4,264.00	$1,895.40
Small bowel endoscopy/stent 44370	$7,896.80	$7,896.80	$7,896.80	$7,896.80
Smear fluorescent and/or acid fast stain	$111.20	$111.20	$111.20	$83.25
Smear gram stain	$111.20	$111.20	$111.20	$55.80
Smear nasal eosinophil	$122.40	$122.40	$122.40	$89.40
Smear special stain inclusion bodies/parasites	$235.20	$235.20	$235.20	$46.20
Smear wet mount	$135.20	$135.20	$135.20	$78.75
Sodium 24 hour urine	$74.20	$74.20	$74.20	$52.20
Sodium chloride 0.9 % IV bolus	$32.40	$32.40	$32.40	$32.40
Sodium chloride 0.9 % IV bolus	$22.20	$22.20	$22.20	$22.20
Sodium chloride 0.9 % intravenous solution	$26.00	$26.00	$26.00	$33.28
Sodium chloride 3 % ivpb	$26.40	$26.40	$26.40	$21.60
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$147.60	$147.60	$147.60	$43.20
Sodium serum/plasma/whole blood	$47.80	$47.80	$47.80	$44.25
Specific gravity body fluid	$52.00	$52.00	$52.00	$25.80
Speech evaluation complex	$1,175.20	$1,175.20	$1,175.20	$971.40
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,644.80	$1,644.80	$1,644.80	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$636.80	$636.80	$636.80	$543.75
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii	$656.00	$656.00	$656.00	$542.40
Splint extn xsm w sof-stretch rolyan	$130.40	$130.40	$130.40	$93.00
Splint fing stax assort 1-7in	$24.80	$24.80	$24.80	$18.00
Splint func pos polyflex ii med	$169.60	$169.60	$169.60	$149.40
Splint rstrc wrst/cmc right med	$148.00	$148.00	$148.00	$122.40
Sr-89 stront chlor ther / mci	$2,773.60	$2,773.60	$2,773.60	$2,773.60
St analysis behavior qualitative voice/resonance	$375.20	$375.20	$375.20	$326.25
St cognitve performance testing healthcare professional each hour	$474.40	$474.40	$474.40	$330.75
St evaluate speech sound production	$375.20	$375.20	$375.20	$310.20
St evaluate speech sound production comprehensive/expressive	$375.20	$375.20	$375.20	$351.00
St evaluation motion fluoroscopic swallow function cine/video	$301.60	$301.60	$301.60	$455.40
St evaluation swallow function	$301.60	$301.60	$301.60	$416.40
St treatment speech individual	$217.60	$217.60	$217.60	$217.60
St treatment swallow dysfunction/oral	$216.80	$216.80	$216.80	$288.00
Stent axios caut enh 15x10mm electrocaut	$11,702.40	$11,702.40	$11,702.40	$32,602.80
Stent bili dbl pgtl 10fx5cm	$577.60	$577.60	$577.60	$810.00
Stent bili rx wallflx 10x80 uncvr	$7,876.80	$7,876.80	$7,876.80	$33,109.80
Strapping of ankle and/or ft 29540	$315.60	$315.60	$315.60	$315.60
Strapping of elbow or wrist 29260	$569.60	$569.60	$569.60	$453.00
Strapping of knee	$295.20	$295.20	$295.20	$243.60
Strapping of toes 29550	$28.20	$28.20	$28.20	$151.50
Strep a ag ia	$92.80	$92.80	$92.80	$76.80
Strep b dna amp probe	$129.60	$129.60	$129.60	$194.40
Stress test pulmonary	$789.60	$789.60	$789.60	$399.00
Stress tte complete	$2,406.40	$2,406.40	$2,406.40	$1,989.60
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$69.60	$69.60	$69.60	$22.19
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution	$0.40	$0.40	$0.40	$0.40
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$148.00	$148.00	$148.00	$167.98
Support clav 29.6-40.5in med	$218.40	$218.40	$218.40	$131.40
Surgical pathology level 1 gross examination only	$58.20	$58.20	$58.20	$62.40
Surgical pathology level 2 gross & microscopic examination	$228.80	$228.80	$228.80	$189.00
Surgical pathology level 3 gross & microscopic examination	$256.80	$256.80	$256.80	$236.40
Surgical pathology level 4 gross & microscopic examination	$302.40	$302.40	$302.40	$302.40
Surgical pathology level 5 gross & microscopic examination	$493.60	$493.60	$493.60	$493.60
Surgical pathology level 6 gross & microscopic examination	$748.80	$748.80	$748.80	$691.20
Suscept studies macrobroth dilution ea	$104.80	$104.80	$104.80	$87.00
Susceptibility agar dilution per agent	$111.20	$111.20	$111.20	$91.80
Susceptibility enzyme detection per enzyme	$20.40	$20.40	$20.40	$25.80
Susceptibility mic per plate	$224.80	$224.80	$224.80	$96.00
Synvisc or synvisc-one	$72.00	$72.00	$72.00	$198.00
Syphilis test non-treponemal antibody quantitative rpr	$92.80	$92.80	$92.80	$70.50
System pcmkr dual chamber leadless micra av2 intrdcr cath	$8,429.60	$8,429.60	$8,429.60	$11,441.25
T cells absolute cd 4 count	$174.40	$174.40	$174.40	$174.40
T cells absolute cd4/cd8 including ratio	$136.00	$136.00	$136.00	$261.60
T cells total count	$136.00	$136.00	$136.00	$112.80
T3 (triiodothyronine) free	$166.40	$166.40	$166.40	$137.40
T3 (triiodothyronine) total	$268.80	$268.80	$268.80	$155.40
T4 (thyroxine) free	$362.40	$362.40	$362.40	$103.20
T4 (thyroxine) total	$100.00	$100.00	$100.00	$82.80
Tacrol envarsus ex rel oral	$3.40	$3.40	$3.40	$3.40
Tacrolimus 1 mg capsule, immediate-release	$27.60	$27.60	$27.60	$29.40
Tacrolimus 5 mg/ml intravenous solution	$1,588.00	$1,588.00	$1,588.00	$1,588.00
Tacrolimus therapeutic drug level	$333.60	$333.60	$333.60	$174.75
Tamoxifen 10 mg tabs 60 each bottle	$14.80	$14.80	$14.80	$14.80
Target gsa panel hmtlmph neop	$3,743.20	$3,743.20	$3,743.20	$2,947.80
Target gsa panel organ/hmtlmph neop	$5,631.60	$5,631.60	$5,631.60	$5,739.00
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$797.40	$797.40	$797.40	$697.80
Tb test cell mediated immunity antigen response gamma interferon	$252.80	$252.80	$252.80	$345.00
Tc-99m apcitide diag	$2,130.40	$2,130.40	$2,130.40	$1,761.60
Tc-99m arcitumomab	$3,364.00	$3,364.00	$3,364.00	$2,781.60
Tc-99m bicisate	$844.00	$844.00	$844.00	$844.00
Tc-99m depreotide	$252.80	$252.80	$252.80	$209.40
Tc-99m disofenin	$72.40	$72.40	$72.40	$59.40
Tc-99m exametazime diag	$867.20	$867.20	$867.20	$1,461.00
Tc-99m fanolesomab diag	$4,710.40	$4,710.40	$4,710.40	$3,894.60
Tc-99m labeled rbc	$177.60	$177.60	$177.60	$282.00
Tc-99m maa	$161.60	$161.60	$161.60	$161.60
Tc-99m mebrofenin	$353.60	$353.60	$353.60	$303.00
Tc-99m medronate	$47.80	$47.80	$47.80	$183.60
Tc-99m mertiatide	$857.60	$857.60	$857.60	$1,978.20
Tc-99m non-heu per study dose	$20.00	$20.00	$20.00	$15.00
Tc-99m oxidronate	$54.20	$54.20	$54.20	$54.20
Tc-99m pentetate dtpa	$67.40	$67.40	$67.40	$122.40
Tc-99m pentetate dtpa aerosol	$236.80	$236.80	$236.80	$231.60
Tc-99m pertechnetate per mci	$72.40	$72.40	$72.40	$43.20
Tc-99m pyroph diag per dose up to 25 mci	$152.00	$152.00	$152.00	$152.00
Tc-99m sestamibi p study dose	$287.20	$287.20	$287.20	$725.40
Tc-99m succimer (dmsa)	$672.80	$672.80	$672.80	$672.80
Tc-99m sulfur colloid	$191.20	$191.20	$191.20	$191.20
Tc-99m tetrofosmin p study dose	$617.60	$617.60	$617.60	$511.20
Telehealth original site facility fee	$120.00	$120.00	$120.00	$120.00
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$8,196.60	$8,196.60	$8,196.60	$539.40
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$27,148.20	$27,148.20	$27,148.20	$14,427.60
Terbutaline 1 mg/ml subcutaneous solution	$111.20	$111.20	$111.20	$102.00
Test stress cardiovascular tracing only	$1,957.60	$1,957.60	$1,957.60	$1,618.20
Testicular imaging w/vasc flow	$1,443.20	$1,443.20	$1,443.20	$1,193.40
Tetanus immune globulin inj	$2,306.40	$2,306.40	$2,306.40	$1,524.00
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe	$48.80	$48.80	$48.80	$48.80
Theophylline therapeutic drug level	$198.40	$198.40	$198.40	$163.80
Ther nma rdctj intus/obstrcj	$1,674.40	$1,674.40	$1,674.40	$208.50
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$42.60	$42.60	$42.60	$38.20
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,542.40	$1,542.40	$1,542.40	$1,542.40
Thrombin time	$98.40	$98.40	$98.40	$87.00
Thromboplastin time partial (ptt) substitution fractions each	$128.00	$128.00	$128.00	$96.60
Thyroglobulin antibody	$253.60	$253.60	$253.60	$168.75
Thyroid (TSH) Test	$542.40	$542.40	$542.40	$110.00
Thyroid Ultrasound	$781.60	$781.60	$781.60	$603.90
Thyroid imaging	$1,510.40	$1,510.40	$1,510.40	$1,228.80
Thyroid met imaging	$1,051.20	$1,051.20	$1,051.20	$1,051.20
Thyroid mets imag whole body	$3,900.80	$3,900.80	$3,900.80	$2,013.75
Thyroid uptake measurement	$1,076.00	$1,076.00	$1,076.00	$856.50
Thyroxine binding globulin (tbg)	$251.20	$251.20	$251.20	$129.60
Tigecycline injection	$724.80	$724.80	$724.80	$58.20
Tisotumab vedotin-tftv 40 mg intravenous solution	$306.00	$306.00	$306.00	$334.80
Tissue culture skin/biopsy	$1,571.20	$1,571.20	$1,571.20	$1,358.25
Tissue culture tumor	$2,394.40	$2,394.40	$2,394.40	$945.00
Tissue exam koh skin/hair/nails	$85.60	$85.60	$85.60	$70.80
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm	$4,244.40	$4,244.40	$4,244.40	$3,150.60
Tissue transglutaminase iga	$329.60	$329.60	$329.60	$100.20
Tl-201 thallium diag per mci	$61.40	$61.40	$61.40	$169.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$1,094.40	$1,094.40	$1,094.40	$97.60
Tobramycin peak therapeutic drug level	$217.60	$217.60	$217.60	$180.00
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$9,652.20	$9,652.20	$9,652.20	$5,861.40
Tomosynthesis breast diagnostic left	$136.80	$136.80	$136.80	$123.00
Tomosynthesis breast screen bilateral	$69.60	$69.60	$69.60	$65.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$17.40	$17.40	$17.40	$130.80
Total Hip Replacement	$19,440.80	$19,440.80	$19,440.80	$6,675.20
Toxoplasma antibody igg	$292.00	$292.00	$292.00	$188.25
Toxoplasma antibody igm	$292.00	$292.00	$292.00	$106.50
Tpmt gene com vrnts	$450.00	$450.00	$450.00	$477.00
Trabectedin 1 mg intravenous solution	$13,269.60	$13,269.60	$13,269.60	$2,068.20
Transcutaneous hgb 88738	$80.80	$80.80	$80.80	$80.80
Transferrin	$130.40	$130.40	$130.40	$108.00
Transfusion blood/blood component(s)	$2,201.60	$2,201.60	$2,201.60	$1,166.25
Trastuzumab 150 mg intravenous solution	$7,007.40	$7,007.40	$7,007.40	$5,762.28
Trastuzumab-anns 150 mg intravenous solution	$448.80	$448.80	$448.80	$1,410.00
Trastuzumab-qyyp 150 mg intravenous solution	$5,910.00	$5,910.00	$5,910.00	$198.00
Trauma partial team response w/critical care services level 4	$7,799.20	$7,799.20	$7,799.20	$6,448.80
Treat ankle dislocation	$3,791.20	$3,791.20	$3,791.20	$2,574.60
Treat clavicle dislocation 23545	$998.40	$998.40	$998.40	$998.40
Treat elbow dislocation	$3,791.20	$3,791.20	$3,791.20	$2,074.80
Treat elbow fracture	$3,791.20	$3,791.20	$3,791.20	$3,135.00
Treat finger fracture each	$3,791.20	$3,791.20	$3,791.20	$2,055.00
Treat fracture of radius	$998.40	$998.40	$998.40	$1,514.25
Treat fracture of ulna	$604.00	$604.00	$604.00	$2,006.25
Treat hip dislocation	$3,688.80	$3,688.80	$3,688.80	$3,448.20
Treat hip dislocation	$4,051.20	$4,051.20	$4,051.20	$4,357.80
Treat humerus fracture	$4,070.40	$4,070.40	$4,070.40	$3,242.40
Treat humerus fracture	$3,931.20	$3,931.20	$3,931.20	$2,848.80
Treat knee dislocation	$3,791.20	$3,791.20	$3,791.20	$2,767.80
Treat knee fracture 27530	$998.40	$998.40	$998.40	$825.60
Treat kneecap dislocation	$2,336.00	$2,336.00	$2,336.00	$2,554.80
Treat midfoot fracture each	$7,873.60	$7,873.60	$7,873.60	$5,502.00
Treat thigh fracture	$4,291.20	$4,291.20	$4,291.20	$3,355.20
Treat thigh fracture	$647.20	$647.20	$647.20	$647.20
Treat toe fracture	$6,191.20	$6,191.20	$6,191.20	$6,191.20
Treat ulnar fracture	$4,070.40	$4,070.40	$4,070.40	$2,979.60
Treat wrist bone fracture	$2,793.60	$2,793.60	$2,793.60	$2,184.60
Treat wrist dislocation	$998.40	$998.40	$998.40	$921.60
Treatment incomplete abortion completed surgically any trimester	$8,618.40	$8,618.40	$8,618.40	$5,405.40
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$297.60	$297.60	$297.60	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$282.40	$282.40	$282.40	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$346.40	$346.40	$346.40	$286.80
Treatment missed abortion completed surgically 1st trimester	$10,578.40	$10,578.40	$10,578.40	$7,085.25
Treatment of ankle fracture	$1,622.40	$1,622.40	$1,622.40	$1,622.40
Treatment of ankle fracture 27786	$825.60	$825.60	$825.60	$825.60
Treatment of fibula fracture 27780	$998.40	$998.40	$998.40	$769.80
Treatment of heel fracture 28400	$998.40	$998.40	$998.40	$759.00
Treatment of thigh fracture	$3,791.20	$3,791.20	$3,791.20	$2,479.80
Treatment of thigh fracture	$766.40	$766.40	$766.40	$677.25
Treatment of thigh fracture	$998.40	$998.40	$998.40	$825.60
Treatment of thigh fracture	$6,511.20	$6,511.20	$6,511.20	$3,597.00
Treatment of toe fracture 28510	$825.60	$825.60	$825.60	$371.40
Tremelimumab-actl 20 mg/ml intravenous solution	$246.00	$246.00	$246.00	$263.40
Treponema pallidum antibody	$176.80	$176.80	$176.80	$150.60
Trg gene rearrangement anal	$636.00	$636.00	$636.00	$781.20
Triamcinolone a inj prs-free	$696.00	$696.00	$696.00	$696.00
Triamcinolone acetonide 40 mg/ml suspension for injection	$43.20	$43.20	$43.20	$45.00
Triglycerides	$147.20	$147.20	$147.20	$80.40
Trim nondyst nails	$157.60	$157.60	$157.60	$138.60
Trimethobenzamide hcl inj	$162.60	$162.60	$162.60	$99.20
Trmt of fracture (femoral shaft) 27500	$882.40	$882.40	$882.40	$759.00
Trnscath tx thromblytc vein ini day	$5,236.20	$5,236.20	$5,236.20	$5,236.20
Troponin quantitative	$110.40	$110.40	$110.40	$137.40
Tte w or without fol w/con,stres	$1,171.20	$1,171.20	$1,171.20	$1,171.20
Tte w or without fol w/cont, com	$904.80	$904.80	$904.80	$1,098.00
Tte w or without fol w/cont, f/u	$647.20	$647.20	$647.20	$666.75
Tube trach disp innr can 5 xlt	$266.40	$266.40	$266.40	$394.80
Tx closed distal humerus fx	$153.60	$153.60	$153.60	$153.60
Tx closed hip disl traumatic without anes	$998.40	$998.40	$998.40	$998.40
Tx closed tib fx proximal w/w/o manip w/skel trac	$4,518.40	$4,518.40	$4,518.40	$3,483.00
Tx closed tib shaft fx without manip	$718.20	$718.20	$718.20	$718.20
Tx open dstl phlngl fx f/t internal fixation ea	$7,873.60	$7,873.60	$7,873.60	$5,734.80
Tx open nsl fx uncomp	$6,492.00	$6,492.00	$6,492.00	$5,368.20
Tx phalangeal shaft fx open prox/middle ea	$6,348.00	$6,348.00	$6,348.00	$6,170.40
Tx tarsal bone fx without manip 28450	$825.60	$825.60	$825.60	$509.40
Ultrasound abdomen aorta screening study aaa	$331.20	$331.20	$331.20	$288.00
Ultrasound breast complete	$888.80	$888.80	$888.80	$546.60
Ultrasound breast unilateral limited (both sides)	$630.40	$630.40	$630.40	$478.50
Ultrasound chest	$557.60	$557.60	$557.60	$543.60
Ultrasound encephalogram	$738.40	$738.40	$738.40	$520.80
Ultrasound exam k transpl w/doppler	$869.60	$869.60	$869.60	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$652.80	$652.80	$652.80	$540.00
Ultrasound guidance for vascular access	$484.00	$484.00	$484.00	$400.20
Ultrasound guide intraoperative	$760.00	$760.00	$760.00	$628.80
Ultrasound guided needle placement supervision & interpretation	$1,221.60	$1,221.60	$1,221.60	$1,009.80
Ultrasound hips infant dynamic	$1,209.60	$1,209.60	$1,209.60	$516.60
Ultrasound infant hips ltd without stress	$796.80	$796.80	$796.80	$311.25
Ultrasound joint complete left	$1,025.60	$1,025.60	$1,025.60	$808.50
Ultrasound joint/nonvascular extremity limited left	$692.00	$692.00	$692.00	$571.80
Ultrasound ob >=14wks ea addl gest	$373.60	$373.60	$373.60	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$373.60	$373.60	$373.60	$373.60
Ultrasound pregnant uterus follow up per fetus	$835.20	$835.20	$835.20	$597.75
Ultrasound pregnant uterus limited >= 1 fetuses	$796.80	$796.80	$796.80	$630.00
Ultrasound pregnant uterus transvaginal	$820.80	$820.80	$820.80	$703.50
Ultrasound prostate/transrectal	$840.80	$840.80	$840.80	$695.40
Ultrasound retroperitoneal limited	$844.00	$844.00	$844.00	$606.00
Ultrasound scrotum and contents	$781.60	$781.60	$781.60	$735.75
Ultrasound spinal canal and contents	$692.00	$692.00	$692.00	$571.80
Ultrasound transvaginal non obstetric	$820.80	$820.80	$820.80	$820.80
Unlisted CT procedure	$917.60	$917.60	$917.60	$758.40
Unlisted cv px dx nuc med	$2,254.40	$2,254.40	$2,254.40	$1,864.20
Unlisted gi px dx nuc med	$944.00	$944.00	$944.00	$780.60
Unlisted misc path test	$112.80	$112.80	$112.80	$299.40
Unlisted muscskel px dx nuc	$660.00	$660.00	$660.00	$545.40
Unlisted procedure microbiology	$151.20	$151.20	$151.20	$277.50
Unlisted procedure rectum	$3,816.80	$3,816.80	$3,816.80	$849.00
Unlisted px casting/strpg	$152.00	$152.00	$152.00	$152.00
Unlisted px hands/fingers	$5,143.20	$5,143.20	$5,143.20	$5,143.20
Unlisted px mediastinum	$114.40	$114.40	$114.40	$114.40
Unlisted px small intestine	$4,264.00	$4,264.00	$4,264.00	$2,744.40
Unlisted ultrasound procedure	$146.40	$146.40	$146.40	$306.00
Unlstd hematop ret/endo lymp	$734.40	$734.40	$734.40	$607.20
Unsched dialysis esrd pt hos	$2,013.60	$2,013.60	$2,013.60	$1,560.60
Upper Back (Thoracic Spine) MRI (with and without contrast)	$4,850.40	$4,850.40	$4,850.40	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$3,689.60	$3,689.60	$3,689.60	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$3,040.00	$3,040.00	$3,040.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$4,264.00	$4,264.00	$4,264.00	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$4,264.00	$4,264.00	$4,264.00	$1,675.80
Uppr gi scope w/submuc inj	$4,264.00	$4,264.00	$4,264.00	$2,978.40
Urea nitrogen	$47.80	$47.80	$47.80	$39.60
Urea nitrogen 24 hour urine	$76.60	$76.60	$76.60	$63.00
Ureteral reflux study	$2,251.20	$2,251.20	$2,251.20	$1,353.75
Urethrcystgrphy rtrgrde s&i	$776.80	$776.80	$776.80	$642.60
Urethrocystography void s&i	$1,539.20	$1,539.20	$1,539.20	$880.50
Uric acid blood	$59.20	$59.20	$59.20	$58.50
Uric acid urine	$99.20	$99.20	$99.20	$52.20
Urinalysis (with microscopy)	$84.80	$84.80	$84.80	$36.52
Urinalysis (without microscopy)	$45.80	$45.80	$45.80	$32.50
Urinalysis qual/semiquant excpt ia	$62.20	$62.20	$62.20	$51.00
Urinary bldr retent nuc study	$1,801.60	$1,801.60	$1,801.60	$1,489.80
Urine Culture Test	$264.00	$264.00	$264.00	$65.25
Urine pregnancy test	$137.40	$137.40	$137.40	$69.75
Urography, antegrade	$1,369.60	$1,369.60	$1,369.60	$1,132.80
Ustekinumab 130 mg/26 ml intravenous solution	$76.00	$76.00	$76.00	$55.80
Ustekinumab 45 mg/0.5 ml subcutaneous solution	$57.00	$57.00	$57.00	$16,705.20
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml	$209.40	$209.40	$209.40	$209.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$340.00	$340.00	$340.00	$340.00
Vaccine dtap < 7 years im	$33.60	$33.60	$33.60	$34.20
Vaccine dtap-hep b-ipv im	$39.60	$39.60	$39.60	$233.91
Vaccine dtap-ipv 4-6 years im	$31.20	$31.20	$31.20	$36.60
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im	$31.20	$31.20	$31.20	$99.92
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$32.40	$32.40	$32.40	$31.20
Vaccine hepatitis a (hepa) adult im	$108.00	$108.00	$108.00	$108.00
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im	$67.80	$67.80	$67.80	$86.40
Vaccine hepatitis b (hepb) adult 3 dose im	$86.40	$86.40	$86.40	$86.40
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im	$168.80	$168.80	$168.80	$168.80
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im	$63.20	$63.20	$63.20	$63.20
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im	$195.60	$195.60	$195.60	$186.00
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im	$157.80	$157.80	$157.80	$186.00
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im	$12.60	$12.60	$12.60	$12.60
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im	$12.00	$12.00	$12.00	$12.60
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$14.40	$14.40	$14.40	$12.00
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im	$54.00	$54.00	$54.00	$54.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$24.00	$24.00	$24.00	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$111.60	$111.60	$111.60	$109.60
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im	$86.40	$86.40	$86.40	$86.40
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$108.80	$108.80	$108.80	$108.80
Vaccine mmr live subcutaneous	$64.80	$64.80	$64.80	$64.80
Vaccine mmrv live subcutaneous	$112.20	$112.20	$112.20	$957.30
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im	$75.00	$75.00	$75.00	$75.00
Vaccine pneumococcal conjugate 13 valent (pcv13) im	$144.00	$144.00	$144.00	$144.00
Vaccine pneumonococcal conjugate 20 valent (pcv20) im	$192.00	$192.00	$192.00	$192.00
Vaccine polio (ipv) subcutaneous/im	$40.20	$40.20	$40.20	$40.20
Vaccine rabies im	$800.00	$800.00	$800.00	$800.00
Vaccine respiratory syncytial virus bivalent subunit/preservative free im	$672.00	$672.00	$672.00	$504.00
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im	$1,184.80	$1,184.80	$1,184.80	$1,195.80
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im	$885.00	$885.00	$885.00	$885.00
Vaccine rotavirus attenuated (rv1) live 2 dose oral	$63.00	$63.00	$63.00	$372.30
Vaccine rotavirus pentavalent (rv5) live 3 dose oral	$60.60	$60.60	$60.60	$291.89
Vaccine td preservative free >= 7 years im	$74.40	$74.40	$74.40	$74.40
Vaccine tdap >=7 years im	$42.40	$42.40	$42.40	$42.40
Vaccine typhoid vicps im	$39.00	$39.00	$39.00	$39.00
Vaccine varicella live subcutaneous	$748.80	$748.80	$748.80	$642.96
Valproic acid total therapeutic drug level	$219.20	$219.20	$219.20	$181.20
Vancomycin 1,000 mg intravenous injection	$0.60	$0.60	$0.60	$0.60
Vancomycin hcl injection	$74.40	$74.40	$74.40	$42.00
Vancomycin peak therapeutic drug level	$257.60	$257.60	$257.60	$155.40
Varicella zoster antibody igg	$241.60	$241.60	$241.60	$117.00
Vasectomy	$4,608.00	$4,608.00	$4,608.00	$2,361.00
Vasopressin 20 unit/ml intravenous solution	$42.00	$42.00	$42.00	$42.00
Vedolizumab 300 mg intravenous solution	$27,154.80	$27,154.80	$27,154.80	$27,154.80
Ven thrombosis images bilat	$2,406.40	$2,406.40	$2,406.40	$1,103.25
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$617.60	$617.60	$617.60	$122.40
Venogram ext bil s&i	$4,780.80	$4,780.80	$4,780.80	$3,476.40
Venogram extremity supervision & interpretation unilateral	$3,993.60	$3,993.60	$3,993.60	$1,528.50
Venous thrombosis imaging	$1,417.60	$1,417.60	$1,417.60	$1,417.60
Ventilator each subsequent day	$2,078.40	$2,078.40	$2,078.40	$1,417.20
Ventilator initial day	$2,098.40	$2,098.40	$2,098.40	$1,585.80
Version cephalic external	$111.20	$111.20	$111.20	$1,444.80
Vinblastine 1 mg/ml intravenous solution	$199.20	$199.20	$199.20	$159.60
Vincristine 1 mg/ml intravenous solution	$48.60	$48.60	$48.60	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$417.00	$417.00	$417.00	$417.00
Vitamin D Test	$274.40	$274.40	$274.40	$145.80
Vitamin b-12	$161.60	$161.60	$161.60	$133.80
Voiding pressure study/intra-abd 51797	$666.40	$666.40	$666.40	$605.25
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$690.60	$690.60	$690.60	$690.60
Warde 1003990 aldosterone	$688.80	$688.80	$688.80	$299.40
Warde 1005020 citrate 24 hour urine	$294.40	$294.40	$294.40	$210.60
Warde 1005055 5-hiaa 24 hour urine	$451.20	$451.20	$451.20	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$504.80	$504.80	$504.80	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$252.80	$252.80	$252.80	$146.25
Warde 1015200 kappa light chain free	$158.40	$158.40	$158.40	$130.80
Warde 3004000 immunoglobulin subclass 1	$55.20	$55.20	$55.20	$141.00
Warde 3008005 oligoclonal bands	$287.20	$287.20	$287.20	$213.00
Warde 3016000 west nile virus antibody	$111.20	$111.20	$111.20	$111.20
Warde 3016000 west nile virus antibody igg	$111.20	$111.20	$111.20	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$121.60	$121.60	$121.60	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$50.00	$50.00	$50.00	$50.00
Warde 3400652 smear complex special stain ova/parasites	$107.20	$107.20	$107.20	$100.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$650.40	$650.40	$650.40	$447.60
Warde 3400852 arsenic	$404.80	$404.80	$404.80	$170.25
Warde 3708165 mercury urine	$404.80	$404.80	$404.80	$122.40
Warde acetylcholine receptor blocking antibody	$388.20	$388.20	$388.20	$357.75
Warde actin (smooth muscle) antibody each	$160.00	$160.00	$160.00	$132.60
Warde adenosine deaminase pleural fluid	$105.60	$105.60	$105.60	$87.60
Warde adrenocorticotropic hormone (acth)	$745.60	$745.60	$745.60	$241.20
Warde aldolase	$168.00	$168.00	$168.00	$139.20
Warde amino acids 6 or more quantitative each specimen	$872.00	$872.00	$872.00	$552.75
Warde amiodarone therapeutic drug level	$212.00	$212.00	$212.00	$141.00
Warde analysis gene hfe common variants	$1,331.20	$1,331.20	$1,331.20	$1,048.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$788.00	$788.00	$788.00	$788.00
Warde anti-mullerian hormone	$294.60	$294.60	$294.60	$198.75
Warde apolipoprotein b	$161.60	$161.60	$161.60	$133.80
Warde bile acids	$294.40	$294.40	$294.40	$143.25
Warde cadmium blood	$298.40	$298.40	$298.40	$119.40
Warde calcitonin	$585.60	$585.60	$585.60	$200.40
Warde calculus (stone) infrared	$422.40	$422.40	$422.40	$116.25
Warde clozapine therapeutic drug level	$417.60	$417.60	$417.60	$129.60
Warde cobalt heavy metal quantitative each nes	$374.40	$374.40	$374.40	$248.25
Warde collagen cross links c-telopeptide	$580.00	$580.00	$580.00	$207.00
Warde complement total hemolytic	$199.20	$199.20	$199.20	$171.75
Warde copper	$328.00	$328.00	$328.00	$174.75
Warde cryoglobulin	$91.20	$91.20	$91.20	$91.20
Warde erythropoietin	$216.00	$216.00	$216.00	$162.00
Warde estrogen fractionated	$353.60	$353.60	$353.60	$298.80
Warde fluorescent antibody screen endomysial iga	$100.80	$100.80	$100.80	$102.00
Warde folic acid rbc	$230.40	$230.40	$230.40	$90.60
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$312.00	$312.00	$312.00	$252.75
Warde gastrin	$252.80	$252.80	$252.80	$154.50
Warde growth hormone (hgh)	$340.00	$340.00	$340.00	$127.50
Warde helminth antibody strongyloides igg	$252.80	$252.80	$252.80	$150.60
Warde hepatitis a antibody	$301.60	$301.60	$301.60	$123.00
Warde hepatitis be antibody	$120.80	$120.80	$120.80	$100.20
Warde immunofixation electrophoresis urine	$279.20	$279.20	$279.20	$279.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$124.80	$124.80	$124.80	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$1,911.20	$1,911.20	$1,911.20	$1,579.80
Warde islet cell antibody zinc transporter 8	$284.00	$284.00	$284.00	$210.00
Warde lipoprotein (a)	$112.80	$112.80	$112.80	$93.00
Warde lipoprotein-associated phospholipase a2	$322.40	$322.40	$322.40	$266.40
Warde mitochondrial antibody each	$132.60	$132.60	$132.60	$114.00
Warde oxcarbazepine therapeutic drug level	$241.60	$241.60	$241.60	$141.00
Warde pancreatic elastase fecal quantitative	$552.00	$552.00	$552.00	$144.75
Warde protein c antigen	$230.40	$230.40	$230.40	$122.25
Warde sex hormone binding globulin	$206.40	$206.40	$206.40	$155.40
Warde somatomedin	$617.60	$617.60	$617.60	$119.40
Warde t3 (triiodothyronine) reverse	$887.20	$887.20	$887.20	$154.80
Warde thyroid stimulating immunoglobulins	$1,051.20	$1,051.20	$1,051.20	$407.25
Warde topiramate therapeutic drug level	$157.60	$157.60	$157.60	$157.60
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$894.40	$894.40	$894.40	$216.60
Warde viscosity	$250.40	$250.40	$250.40	$153.00
Warde vitamin a	$509.60	$509.60	$509.60	$97.20
Warde vitamin b-1 (thiamine)	$235.20	$235.20	$235.20	$194.40
Warde vitamin b6 (pyridoxine)	$274.40	$274.40	$274.40	$226.80
Warde vitamin c (ascorbic acid)	$374.40	$374.40	$374.40	$104.40
Warde vitamin d (1 25 dihydroxy)	$700.00	$700.00	$700.00	$426.00
Warde vitamin e (alpha-tocopherol)	$451.20	$451.20	$451.20	$102.00
Warde zinc	$312.00	$312.00	$312.00	$114.60
Wbc automated	$42.80	$42.80	$42.80	$36.60
Western blot test	$219.20	$219.20	$219.20	$181.20
Wet mounts/ w preparations	$78.80	$78.80	$78.80	$68.40
Whole blood for transfusion	$919.20	$919.20	$919.20	$759.60
Wound therapy negative pressure per session <= 50 sq cm dme	$230.40	$230.40	$230.40	$230.40
Wrist X-ray	$374.40	$374.40	$374.40	$311.20
X-ray abdomen 1 view	$650.40	$650.40	$650.40	$405.00
X-ray abdomen 2 views	$395.20	$395.20	$395.20	$395.20
X-ray abdomen >=3 views	$406.40	$406.40	$406.40	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$609.60	$609.60	$609.60	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$480.80	$480.80	$480.80	$405.00
X-ray ankle 2 views (both sides)	$697.60	$697.60	$697.60	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$868.80	$868.80	$868.80	$868.80
X-ray bone age studies	$350.40	$350.40	$350.40	$327.00
X-ray bone length studies	$584.00	$584.00	$584.00	$405.00
X-ray bone survey complete	$2,025.60	$2,025.60	$2,025.60	$743.25
X-ray bone survey infant	$843.20	$843.20	$843.20	$303.60
X-ray cervical spine 2-3 views	$770.40	$770.40	$770.40	$419.40
X-ray cervical spine 4-5 views	$636.00	$636.00	$636.00	$590.25
X-ray cervical spine >= 6 views	$821.60	$821.60	$821.60	$679.20
X-ray clavicle complete (both sides)	$312.00	$312.00	$312.00	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$783.20	$783.20	$783.20	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$1,338.40	$1,338.40	$1,338.40	$1,107.00
X-ray elbow 2 views (both sides)	$659.20	$659.20	$659.20	$405.00
X-ray elbow >= 3 views (both sides)	$452.00	$452.00	$452.00	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$862.40	$862.40	$862.40	$713.40
X-ray exam entire spi 4/5 vw	$868.80	$868.80	$868.80	$666.60
X-ray exam entire spi 6/> vw	$1,174.40	$1,174.40	$1,174.40	$666.60
X-ray exam of arm infant	$617.60	$617.60	$617.60	$318.75
X-ray exam of eye sockets	$482.40	$482.40	$482.40	$405.00
X-ray exam of femur 1	$287.20	$287.20	$287.20	$287.20
X-ray exam of jaw joint	$656.00	$656.00	$656.00	$547.80
X-ray exam of jaw joint	$804.80	$804.80	$804.80	$405.00
X-ray exam of mastoids	$480.80	$480.80	$480.80	$333.00
X-ray exam of middle ear	$574.40	$574.40	$574.40	$475.20
X-ray exam of salivary gland	$606.40	$606.40	$606.40	$501.60
X-ray exam of sinuses	$385.60	$385.60	$385.60	$343.50
X-ray exam si joints	$257.60	$257.60	$257.60	$218.40
X-ray exam thorac spine4/>vw	$821.60	$821.60	$821.60	$456.60
X-ray eye detection foreign body (both sides)	$652.80	$652.80	$652.80	$419.40
X-ray facial bones complete > 3 views	$536.80	$536.80	$536.80	$444.00
X-ray femur >=2 views (both sides)	$724.80	$724.80	$724.80	$414.00
X-ray finger(s) >= 2 views (both sides)	$356.80	$356.80	$356.80	$310.50
X-ray foot 2 views (both sides)	$759.20	$759.20	$759.20	$405.00
X-ray forearm 2 views (both sides)	$660.00	$660.00	$660.00	$405.00
X-ray hand 2 views (both sides)	$682.40	$682.40	$682.40	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$354.40	$354.40	$354.40	$354.40
X-ray hip uni w/wo pelvis min 4 views	$500.80	$500.80	$500.80	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$452.80	$452.80	$452.80	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$500.80	$500.80	$500.80	$419.40
X-ray hip with pelvis when performed bilateral >= 5 views	$951.20	$951.20	$951.20	$507.75
X-ray hip with pelvis when performed unilateral 1 view left	$751.20	$751.20	$751.20	$405.00
X-ray humerus >= 2 views left	$685.60	$685.60	$685.60	$405.00
X-ray joint survey 1 view	$417.60	$417.60	$417.60	$345.00
X-ray knee 1-2 views (both sides)	$736.00	$736.00	$736.00	$405.00
X-ray knee 3 views (both sides)	$482.40	$482.40	$482.40	$399.00
X-ray knee ap standing bilateral	$287.20	$287.20	$287.20	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$504.00	$504.00	$504.00	$408.00
X-ray lower extremities infant > 2 views (both sides)	$617.60	$617.60	$617.60	$405.00
X-ray lumbosacral spine >= 4 views	$859.20	$859.20	$859.20	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$1,000.80	$1,000.80	$1,000.80	$682.20
X-ray mandible complete > 4 views	$499.20	$499.20	$499.20	$412.80
X-ray mandible ltd <4 views	$454.40	$454.40	$454.40	$375.60
X-ray nasal bones complete > 3 views	$316.80	$316.80	$316.80	$316.80
X-ray neck soft tissue	$344.80	$344.80	$344.80	$314.25
X-ray nose to rectum for foreign body child	$294.40	$294.40	$294.40	$246.00
X-ray optic foramina	$354.40	$354.40	$354.40	$338.25
X-ray pelvis 1-2 views	$617.60	$617.60	$617.60	$405.00
X-ray pelvis complete > 3 views	$616.00	$616.00	$616.00	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$875.20	$875.20	$875.20	$839.25
X-ray ribs 2 views left	$368.80	$368.80	$368.80	$304.80
X-ray ribs 3 views bilateral	$561.60	$561.60	$561.60	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$482.40	$482.40	$482.40	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$779.20	$779.20	$779.20	$644.40
X-ray sacroiliac joints >= 3 views	$480.80	$480.80	$480.80	$405.00
X-ray sacrum/coccyx >= 2 views	$468.80	$468.80	$468.80	$387.60
X-ray scapula complete (both sides)	$368.00	$368.00	$368.00	$304.20
X-ray sella turcica	$598.40	$598.40	$598.40	$405.00
X-ray shoulder 1 view (both sides)	$704.80	$704.80	$704.80	$405.00
X-ray sinus tract/fistula/abscess	$1,411.20	$1,411.20	$1,411.20	$1,167.00
X-ray sinuses paranasal complete > 3 views	$542.40	$542.40	$542.40	$419.40
X-ray skull < 4 views	$440.00	$440.00	$440.00	$377.25
X-ray skull > 4 views complete	$532.80	$532.80	$532.80	$532.80
X-ray slg plne bdy sect without urogr	$1,143.20	$1,143.20	$1,143.20	$945.00
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$809.60	$809.60	$809.60	$669.60
X-ray small intestine follow-through study	$480.00	$480.00	$480.00	$419.40
X-ray spine single view	$374.40	$374.40	$374.40	$327.00
X-ray sternoclavicular joint(s) > 3 views	$466.40	$466.40	$466.40	$393.00
X-ray sternum > 2 views	$401.60	$401.60	$401.60	$382.50
X-ray surgical specimen	$216.00	$216.00	$216.00	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$1,000.80	$1,000.80	$1,000.80	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$816.80	$816.80	$816.80	$456.60
X-ray thoracic spine 2 views	$776.00	$776.00	$776.00	$405.00
X-ray thoracic spine 3 views	$666.40	$666.40	$666.40	$456.60
X-ray thoracolumbar spine >=2 views	$405.60	$405.60	$405.60	$348.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$479.20	$479.20	$479.20	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$868.80	$868.80	$868.80	$666.60
X-ray tibia/fibula 2 views (both sides)	$782.40	$782.40	$782.40	$419.40
X-ray toe(s) > 2 views (both sides)	$440.80	$440.80	$440.80	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$701.60	$701.60	$701.60	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$701.60	$701.60	$701.60	$580.20
X-ray wrist 2 views (both sides)	$710.40	$710.40	$710.40	$405.00
Yttrium y-90 ibritumomab ther	$114,488.00	$114,488.00	$114,488.00	$114,488.00
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$135.00	$135.00	$135.00	$100.06
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$229.80	$229.80	$229.80	$229.80
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)	$74.40	$74.40	$74.40	$74.40
Zoledronic acid 4 mg/5 ml intravenous solution	$4,651.80	$4,651.80	$4,651.80	$3,207.00
_afb id by dna probe rflx ast	$170.40	$170.40	$170.40	$141.00
_afb org id by sequencing rflx ast-sendout	$1,823.20	$1,823.20	$1,823.20	$1,327.80