|
Aquaporin-4 antibody cba each
|
$160.00 |
$160.00 |
$160.00 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$166.40 |
$166.40 |
$166.40 |
$100.75
|
|
Aquatic exercise - group charge
|
$112.80 |
$112.80 |
$112.80 |
$87.45
|
|
Arformoterol non-comp unit
|
$100.00 |
$100.00 |
$100.00 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$3,121.80 |
$3,121.80 |
$3,121.80 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$692.00 |
$692.00 |
$692.00 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,751.00 |
$2,751.00 |
$2,751.00 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$1,421.60 |
$1,421.60 |
$1,421.60 |
$478.96
|
|
Artery x-rays arm/leg 75710-26
|
$3,092.00 |
$3,092.00 |
$3,092.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,958.40 |
$2,958.40 |
$2,958.40 |
$3,860.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$825.60 |
$825.60 |
$825.60 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$825.60 |
$825.60 |
$825.60 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,760.80 |
$4,760.80 |
$4,760.80 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$228.00 |
$228.00 |
$228.00 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$872.50
|
|
Assay dir meas fr estradiol
|
$124.80 |
$124.80 |
$124.80 |
$68.00
|
|
Assay neurflmnt light chain
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$380.00
|
|
Assay of fluoride
|
$275.20 |
$275.20 |
$275.20 |
$96.85
|
|
Assay of glutathione
|
$93.60 |
$93.60 |
$93.60 |
$76.14
|
|
Assay of lrh hormone
|
$299.20 |
$299.20 |
$299.20 |
$187.00
|
|
Assay of procainamide w/metab
|
$340.00 |
$340.00 |
$340.00 |
$73.80
|
|
Assay of prostaglandin
|
$964.00 |
$964.00 |
$964.00 |
$230.00
|
|
Assay of sialic acid
|
$188.40 |
$188.40 |
$188.40 |
$92.50
|
|
Assay of somatostatin
|
$284.00 |
$284.00 |
$284.00 |
$170.50
|
|
Assay of thiocyanate
|
$273.60 |
$273.60 |
$273.60 |
$73.71
|
|
Assay of urine sulfate
|
$63.20 |
$63.20 |
$63.20 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$587.20 |
$587.20 |
$587.20 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$47.60 |
$47.60 |
$47.60 |
$46.80
|
|
Ast/sgot
|
$47.80 |
$47.80 |
$47.80 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$40,521.60 |
$40,521.60 |
$40,521.60 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$63.60 |
$63.60 |
$63.60 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$9,247.20 |
$9,247.20 |
$9,247.20 |
$6,963.84
|
|
Autologous blood op salvage
|
$268.80 |
$268.80 |
$268.80 |
$943.80
|
|
Autologous blood process
|
$821.60 |
$821.60 |
$821.60 |
$266.75
|
|
Avelumab 20 mg/ml intravenous solution
|
$172.80 |
$172.80 |
$172.80 |
$3,721.71
|
|
Avul nail plate addl
|
$31.20 |
$31.20 |
$31.20 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$471.00 |
$471.00 |
$471.00 |
$326.27
|
|
Azacitidine injection
|
$2,860.20 |
$2,860.20 |
$2,860.20 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$14.40 |
$14.40 |
$14.40 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$186.40 |
$186.40 |
$186.40 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$47.80 |
$47.80 |
$47.80 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$16.80 |
$16.80 |
$16.80 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$337.80 |
$337.80 |
$337.80 |
$158.07
|
|
Baclofen eval charges
|
$157.60 |
$157.60 |
$157.60 |
$87.50
|
|
Bacterial meningitis antigen
|
$121.60 |
$121.60 |
$121.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$406.40 |
$406.40 |
$406.40 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$220.80 |
$220.80 |
$220.80 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$27.40 |
$27.40 |
$27.40 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$157.60 |
$157.60 |
$157.60 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,338.40 |
$1,338.40 |
$1,338.40 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$783.20 |
$783.20 |
$783.20 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$862.40 |
$862.40 |
$862.40 |
$484.80
|
|
Barrier skin flextend 2.25in floating flang new image
|
$4.80 |
$4.80 |
$4.80 |
$2.60
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$10.00 |
$10.00 |
$10.00 |
$8.45
|
|
Bartholin gland cyst/marsupializat 56440
|
$5,744.80 |
$5,744.80 |
$5,744.80 |
$4,479.26
|
|
Bartonella dna pcr-sendout
|
$812.00 |
$812.00 |
$812.00 |
$195.25
|
|
Bausch health Ultrasound surg
|
$800.00 |
$800.00 |
$800.00 |
$768.50
|
|
B cells total count
|
$136.00 |
$136.00 |
$136.00 |
$132.48
|
|
Bebtelovimab injection
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$450.00
|
|
Belatacept 250 mg intravenous solution
|
$4,381.80 |
$4,381.80 |
$4,381.80 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$7,881.60 |
$7,881.60 |
$7,881.60 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$114.00 |
$114.00 |
$114.00 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$40.20 |
$40.20 |
$40.20 |
$264.60
|
|
Benign lesion paring 4+
|
$52.80 |
$52.80 |
$52.80 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$277.80 |
$277.80 |
$277.80 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$74.60 |
$74.60 |
$74.60 |
$82.55
|
|
Beta-2 microglobulin
|
$324.80 |
$324.80 |
$324.80 |
$85.20
|
|
Beta-amyloid 1-40
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$312.00
|
|
Beta-amyloid 1-42
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$287.40 |
$287.40 |
$287.40 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$14,404.80 |
$14,404.80 |
$14,404.80 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$6,055.20 |
$6,055.20 |
$6,055.20 |
$3,496.79
|
|
Bilateral n blobk inj pudendal 64430
|
$4,291.20 |
$4,291.20 |
$4,291.20 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$687.20 |
$687.20 |
$687.20 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$998.40 |
$998.40 |
$998.40 |
$587.60
|
|
Bilirubin direct
|
$100.00 |
$100.00 |
$100.00 |
$51.35
|
|
Bilirubin total
|
$161.60 |
$161.60 |
$161.60 |
$54.60
|
|
Biopsy abdominal mass
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$7,461.60 |
$7,461.60 |
$7,461.60 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,164.80 |
$3,164.80 |
$3,164.80 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,285.60 |
$1,285.60 |
$1,285.60 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$1,890.72
|
|
Biopsy of lip 40490
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$384.00
|
|
Biopsy of prostate
|
$1,818.40 |
$1,818.40 |
$1,818.40 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$2,115.00
|
|
Biopsy skin incisional single lesion
|
$640.80 |
$640.80 |
$640.80 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$2,462.35
|
|
Biovance 1 square cm
|
$9,393.60 |
$9,393.60 |
$9,393.60 |
$6,008.70
|
|
Bivalirudin
|
$5,267.40 |
$5,267.40 |
$5,267.40 |
$1,086.92
|
