Hospital prices in Williamsport, Pennsylvania

1 hospitals publish price files here.

Cash prices in Williamsport

Procedure	Lowest cash	Median here	Highest	National median
#a/b/c/c/h pnl-candida albicans ab	$115.80	$115.80	$115.80	$133.20
#acylcarnitineprfl	$222.60	$222.60	$222.60	$169.20
#aptt mix-1:1 incubated	$466.20	$466.20	$466.20	$256.80
#bac vag cand-c. albicans naa	$183.00	$183.00	$183.00	$220.80
#cbg+cort-cbg	$246.00	$246.00	$246.00	$186.00
#celiac hla-dq8	$1,687.80	$1,687.80	$1,687.80	$1,607.40
#cf-97variants	$3,263.40	$3,263.40	$3,263.40	$3,216.00
#cmvcul-virus inoculation shell	$8.40	$8.40	$8.40	$55.20
#coxa-coxsackie a serotype a16	$93.00	$93.00	$93.00	$111.60
#creutz-prot.,western blot	$146.40	$146.40	$146.40	$176.80
#fecal-sodium	$83.40	$83.40	$83.40	$86.25
#flow interp 9 - 15 markers	$287.40	$287.40	$287.40	$303.00
#pnh-flow cytometry interp	$656.40	$656.40	$656.40	$281.40
#resp virpnl dfa-adenovirus	$162.00	$162.00	$162.00	$139.80
(both sides) smear without diff wbc count	$121.80	$121.80	$121.80	$127.50
11-desoxycortisol - sendout	$493.80	$493.80	$493.80	$175.20
17-hydroxypregnenolone	$307.20	$307.20	$307.20	$243.00
17-ketosteroids	$343.20	$343.20	$343.20	$249.60
2d tee w or without fol w/con,in	$848.40	$848.40	$848.40	$1,724.25
2d tte w or without fol w/con,co	$848.40	$848.40	$848.40	$1,481.25
2nd order venous cath	$438.00	$438.00	$438.00	$5,583.60
3-d radiotherapy plan	$4,344.00	$4,344.00	$4,344.00	$4,423.20
3d ech img cgen car anomal	$1,419.60	$1,419.60	$1,419.60	$1,164.00
3d recon without postprocess indpndt	$697.20	$697.20	$697.20	$697.20
5' nucleotidase - sendout	$243.00	$243.00	$243.00	$243.00
88334 ap bill cytologic exam each additional site	$91.20	$91.20	$91.20	$91.20
99382 initial comp preventive med 1 to 4 years new	$117.00	$117.00	$117.00	$117.00
99383 initial comp preventive med 5 to 11 years new	$97.20	$97.20	$97.20	$111.00
99391 periodic comp preventive med less than 1 year est	$82.80	$82.80	$82.80	$102.75
99392 periodic comp preventive med 1 to 4 years est	$98.40	$98.40	$98.40	$100.50
99393 periodic comp preventive med 5 to 11 years est	$82.80	$82.80	$82.80	$111.00
99394 periodic comp preventive med 12 to 17 years est	$86.40	$86.40	$86.40	$121.50
99397 periodic comp preventive med 65+ years est	$103.20	$103.20	$103.20	$167.25
Abatacept (with maltose) 250 mg intravenous solution	$258.40	$258.40	$258.40	$361.60
Abd aorta w/runoff s&i	$4,443.00	$4,443.00	$4,443.00	$4,443.00
Abd paracentesis/w/o image guide 49082	$971.40	$971.40	$971.40	$1,505.25
Abd/low ext cath 1st	$1,138.20	$1,138.20	$1,138.20	$3,237.00
Abd/low ext cath 2nd	$948.00	$948.00	$948.00	$4,321.20
Abd/low ext cath 3rd	$1,129.20	$1,129.20	$1,129.20	$3,810.00
Abdominal CT scan (with and without contrast)	$3,476.40	$3,476.40	$3,476.40	$2,049.00
Abdominal CT scan (with contrast)	$2,772.60	$2,772.60	$2,772.60	$1,683.63
Abdominal CT scan (without contrast)	$2,175.00	$2,175.00	$2,175.00	$1,358.76
Abdominal MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$3,061.80
Abdominal MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,096.25
Abdominal MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,902.00
Abdominal Ultrasound (complete)	$916.80	$916.80	$916.80	$755.00
Abdominal Ultrasound (limited)	$690.60	$690.60	$690.60	$629.42
Abdominal paracentesis w/image guidance	$1,689.00	$1,689.00	$1,689.00	$1,689.00
Abl1 gene	$3,217.80	$3,217.80	$3,217.80	$2,004.60
Ablate arrhythmia add on	$5,650.20	$5,650.20	$5,650.20	$6,913.20
Ablate heart dysrhythm focus	$4,569.60	$4,569.60	$4,569.60	$7,078.20
Ablate pulm tumor perq crybl	$24,227.40	$24,227.40	$24,227.40	$10,443.00
Ablation cryo abd perit om	$122.40	$122.40	$122.40	$6,311.40
Ablation of upper extremity nerves rf	$825.60	$825.60	$825.60	$2,332.50
Abobotulinumtoxina	$61.20	$61.20	$61.20	$3,255.66
Abscess drain retroperitoneal surg code	$4,627.80	$4,627.80	$4,627.80	$5,568.60
Acetaminophen 10 mg/ml soln 100 ml glass cont	$2.40	$2.40	$2.40	$47.40
Acetazolamide 500 mg solution for injection	$256.80	$256.80	$256.80	$256.80
Acetone qualitative	$59.40	$59.40	$59.40	$50.40
Acetylcholine receptor modulating antibody	$274.80	$274.80	$274.80	$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 cont gluc mnt phys/qhp eqp 95250aco	$417.00	$417.00	$417.00	$417.00
Aco med nutria tx/group, ea 30 min 97804aco	$20.40	$20.40	$20.40	$52.80
Acute hepatitis panel	$762.60	$762.60	$762.60	$496.20
Acyclovir 400 mg tablet	$13.20	$13.20	$13.20	$100,424.10
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$74.40	$74.40	$74.40	$77.65
Adapter b 8 channel 10cm	$496.20	$496.20	$496.20	$3,454.80
Adenosine 3 mg/250 ml bag for osm	$382.20	$382.20	$382.20	$528.78
Adenovirus antibody,serum - quest	$91.80	$91.80	$91.80	$91.80
Adh-sendout	$311.40	$311.40	$311.40	$360.00
Adj gastric band via subq port	$3,526.20	$3,526.20	$3,526.20	$2,977.20
Adjmt/revj ext fixj sys anes	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$120.00	$120.00	$120.00	$450.00
Administration chemotherapy IV infusion each additional hour	$223.20	$223.20	$223.20	$298.20
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$223.20	$223.20	$223.20	$336.00
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$808.20	$808.20	$808.20	$790.20
Administration chemotherapy IV push single/initial substance/drug	$508.20	$508.20	$508.20	$526.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$223.20	$223.20	$223.20	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$223.20	$223.20	$223.20	$254.40
Administration immunization 1 vaccine	$12.00	$12.00	$12.00	$12.00
Administration immunization each additional component	$48.60	$48.60	$48.60	$48.60
Administration immunization each additional vaccine	$12.00	$12.00	$12.00	$12.00
Administration immunization first component each vaccine	$234.60	$234.60	$234.60	$115.20
Administration immunization intranasal/oral route 1 vaccine	$12.00	$12.00	$12.00	$40.50
Administration rsv monoclonal ab seasonal dose im w/counseling	$24.00	$24.00	$24.00	$24.00
Administration vaccine hepatitis b	$12.00	$12.00	$12.00	$12.00
Administration vaccine influenza virus	$12.00	$12.00	$12.00	$12.00
Administration vaccine pneumococcal	$12.00	$12.00	$12.00	$12.00
Administration vaccine rsv monoclonal ab seasonal dose im	$24.00	$24.00	$24.00	$24.00
Ado-trastuzumab emtansine 100 mg intravenous solution	$139.20	$139.20	$139.20	$139.20
Adrenal cortex & medulla img	$1,703.40	$1,703.40	$1,703.40	$4,242.60
Aep neurodiagnostic i&r	$243.60	$243.60	$243.60	$583.80
Afamelanotide implant, 1 mg	$6,227.40	$6,227.40	$6,227.40	$6,529.20
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	$349.20	$349.20	$349.20	$76.80
Albumin body fluid quantitative each specimen	$63.60	$63.60	$63.60	$40.20
Albumin serum plasma or whole blood	$66.60	$66.60	$66.60	$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
Alemtuzumab 12 mg/1.2 ml intravenous solution	$364.80	$364.80	$364.80	$16,540.80
Alkaline phosphatase	$114.00	$114.00	$114.00	$51.75
Allergen alpha lactalbumin ige	$25.80	$25.80	$25.80	$57.60
Allergen egg white ige	$25.80	$25.80	$25.80	$66.60
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$2,982.60	$2,982.60	$2,982.60	$2,929.80
Allograft dermis 20x25x1mm decell w/matracell arthroflex	$9,287.40	$9,287.40	$9,287.40	$9,702.00
Allograft epieffect 2x3cm-q4186-cost per sq cm	$4,721.40	$4,721.40	$4,721.40	$10,046.28
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$3,954.00	$3,954.00	$3,954.00	$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	$147.00	$147.00	$147.00	$441.00
Alpha-fetoprotein amniotic	$160.20	$160.20	$160.20	$138.60
Alpha-fetoprotein tumor marker	$139.20	$139.20	$139.20	$155.40
Alprostadil for injection	$550.20	$550.20	$550.20	$550.20
Alt/sgpt	$133.80	$133.80	$133.80	$77.25
Alteplase 100 mg infusion from pyxis vial	$543.20	$543.20	$543.20	$31,563.16
Aluminum - quest	$319.20	$319.20	$319.20	$168.00
Alys cplx sp/pn npgt w/prgrm	$1,389.60	$1,389.60	$1,389.60	$1,303.50
Amikacin 4 mg/ml intravitreal injection - cnr	$26.80	$26.80	$26.80	$27.00
Amino acids quant 2-5	$220.80	$220.80	$220.80	$220.80
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$8.00	$8.00	$8.00	$9.15
Aminolevulinic acid delta	$178.80	$178.80	$178.80	$216.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$70.20	$70.20	$70.20	$65.64
Amiodarone 50 mg/ml intravenous solution	$42.80	$42.80	$42.80	$96.80
Ammonia	$126.00	$126.00	$126.00	$141.00
Amp metatarsal w/toe single 28810	$4,707.00	$4,707.00	$4,707.00	$4,707.00
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$136.80	$136.80	$136.80	$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	$27.40	$27.40	$27.40	$110.40
Ampicillin-sulbactam 1.5 gram solution for injection	$45.20	$45.20	$45.20	$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	$2,733.00	$2,733.00	$2,733.00	$3,304.80
Amylase	$113.40	$113.40	$113.40	$120.75
An cholangiogram percutaneous compl	$2,636.40	$2,636.40	$2,636.40	$3,342.00
An fluoro guide for cvp	$1,275.00	$1,275.00	$1,275.00	$789.75
Ana ds-dna	$178.80	$178.80	$178.80	$178.80
Anal/urinary muscle study	$1,258.20	$1,258.20	$1,258.20	$1,258.20
Analysis gene f2 20210g>a variant	$2,479.80	$2,479.80	$2,479.80	$2,361.60
Analysis gene f5 leiden variant	$1,217.40	$1,217.40	$1,217.40	$1,191.60
Analyze neurostimulator simple w/reprogramming 95971	$744.60	$744.60	$744.60	$670.80
Anaplsma phgcytophlm amp prb	$290.40	$290.40	$290.40	$290.40
Anca screen with reflex to titer -quest	$103.20	$103.20	$103.20	$156.00
Angio balloon ctrl dialysis seg add-on	$2,525.40	$2,525.40	$2,525.40	$7,522.20
Angio tib/peroneal/init ves/unila 37228	$4,394.40	$4,394.40	$4,394.40	$29,775.00
Angio trnslmnl balloon same artery ea addl	$4,126.80	$4,126.80	$4,126.80	$4,126.80
Angio trnslmnl balloon same artery ini	$4,416.60	$4,416.60	$4,416.60	$7,883.25
Angio trnslmnl balloon same vein ea addl	$4,126.80	$4,126.80	$4,126.80	$4,999.50
Angio trnslmnl balloon same vein ini	$4,416.60	$4,416.60	$4,416.60	$7,522.20
Angioplasty fem/pop unilat 37224	$4,394.40	$4,394.40	$4,394.40	$21,742.80
Angioplasty tib/pero/unilat/ea add 37232	$4,394.40	$4,394.40	$4,394.40	$16,829.40
Angioplasty/iliac/init ves/unilat 37220	$3,734.40	$3,734.40	$3,734.40	$16,320.60
Angiotensin ii	$276.60	$276.60	$276.60	$276.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$21,829.80	$21,829.80	$21,829.80	$22,037.40
Anidulafungin injection	$8.40	$8.40	$8.40	$116.22
Ankle X-ray	$307.20	$307.20	$307.20	$312.74
Anl sp inf pmp w/mdreprg&fil	$1,135.80	$1,135.80	$1,135.80	$693.75
Annual Physical, Established Patient (age 18-39)	$97.20	$97.20	$97.20	$203.45
Annual Physical, Established Patient (age 40-64)	$96.60	$96.60	$96.60	$198.00
Annual Physical, New Patient (age 18-39)	$115.20	$115.20	$115.20	$218.00
Annual Physical, New Patient (age 40-64)	$121.20	$121.20	$121.20	$229.20
Anoscopy control bleeding 46614	$991.20	$991.20	$991.20	$2,655.60
Anti mog serum - sendout	$132.60	$132.60	$132.60	$192.60
Antibody bacterium, not elsewhere specified	$36.60	$36.60	$36.60	$118.50
Antibody htlv-i	$79.20	$79.20	$79.20	$85.20
Antibody htlv/hiv confirm test	$246.60	$246.60	$246.60	$246.60
Antibody id rbc panel	$205.80	$205.80	$205.80	$235.80
Antibody identification platelet antibodies heparin-pf4 igg	$527.40	$527.40	$527.40	$621.00
Antibody lymphocytic choriomeningitis	$91.80	$91.80	$91.80	$111.20
Antibody screen rbc	$113.40	$113.40	$113.40	$113.40
Antibody tetanus	$332.40	$332.40	$332.40	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$11.40	$11.40	$11.40	$15.20
Antineutrophil cytoplasmic antibody screen each antibody	$103.20	$103.20	$103.20	$140.25
Antineutrophil cytoplasmic antibody titer each antibody	$156.00	$156.00	$156.00	$156.00
Antinuclear antibodies	$71.40	$71.40	$71.40	$97.50
Antinuclear antibodies titer	$91.20	$91.20	$91.20	$102.00
Antiphosphatidylserine antibody	$394.20	$394.20	$394.20	$303.00
Antistreptolysin o screen	$56.40	$56.40	$56.40	$56.40
Antithrombin iii activity	$157.80	$157.80	$157.80	$157.80
Aortic dysfunction/dilation	$7,223.40	$7,223.40	$7,223.40	$7,431.60
Apl(pml-rara) quant - sendout	$741.00	$741.00	$741.00	$1,187.25
App high cost ss t/a/l <100sq cm addl <25sq cm	$261.00	$261.00	$261.00	$384.00
App high cost ss t/a/l >100sq cm 1st 100sq cm	$5,034.60	$5,034.60	$5,034.60	$2,978.25
App high cost ss t/a/l >100sq cm addl 100sq cm	$3,682.80	$3,682.80	$3,682.80	$2,072.25
Appl mltpln uni ext fixj sys	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Appl modality 1/> areas paraffin bath 97018	$76.80	$76.80	$76.80	$80.40
Appl multlay comprs arm/hand	$508.20	$508.20	$508.20	$409.50
Appl unipln uni ext fixj sys	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Application finger splntstatic 29130	$471.00	$471.00	$471.00	$208.50
Application long leg splint 29505	$471.00	$471.00	$471.00	$569.60
Application lower leg splint 29515	$471.00	$471.00	$471.00	$471.00
Application multi layer compression below knee (both sides)	$274.20	$274.20	$274.20	$377.25
Application of forearm cast 29075	$825.60	$825.60	$825.60	$424.20
Application of long arm cast 29065	$1,258.80	$1,258.80	$1,258.80	$440.40
Application of long leg cast 29345	$73.20	$73.20	$73.20	$388.50
Application of paste boot 29580	$307.20	$307.20	$307.20	$390.75
Application short leg cast 29405	$62.40	$62.40	$62.40	$359.25
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm	$1,242.60	$1,242.60	$1,242.60	$2,109.00
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm	$1,242.60	$1,242.60	$1,242.60	$2,109.00
Applicator tag rfid localizer 12gx7cm	$843.00	$843.00	$843.00	$470.25
Apply forearm splintdynamic 29126	$471.00	$471.00	$471.00	$388.80
Apply hand/wrist cast 29085	$839.40	$839.40	$839.40	$520.80
Apply rigid leg cast 29445	$631.20	$631.20	$631.20	$631.20
Apply short leg castambul type 29425	$807.60	$807.60	$807.60	$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	$137.40	$137.40	$137.40	$137.40
Aquaporin-4 antibody cba each	$132.60	$132.60	$132.60	$159.00
Aquaporin-4 antibody elisa	$132.60	$132.60	$132.60	$132.60
Aquatic exercise - group charge	$93.00	$93.00	$93.00	$95.40
Argatroban nonesrd use 1mg	$41.60	$41.60	$41.60	$881.10
Arsenic trioxide 2 mg/ml intravenous solution	$367.20	$367.20	$367.20	$292.80
Arterial blood draw/perc 36620	$1,175.40	$1,175.40	$1,175.40	$622.20
Artery x-rays adrenal gland	$2,556.60	$2,556.60	$2,556.60	$2,823.75
Artery x-rays adrenals	$2,190.00	$2,190.00	$2,190.00	$2,965.50
Artery x-rays arm/leg 75710-26	$2,556.60	$2,556.60	$2,556.60	$3,092.00
Artery x-rays arms/legs 75716-26	$2,446.20	$2,446.20	$2,446.20	$2,958.40
Artery x-rays lung	$1,885.80	$1,885.80	$1,885.80	$2,919.00
Artery x-rays lung	$1,094.40	$1,094.40	$1,094.40	$2,866.20
Artery x-rays lungs	$3,831.60	$3,831.60	$3,831.60	$3,831.60
Artery xray of abdomen 75726-26	$2,556.60	$2,556.60	$2,556.60	$3,805.80
Artery xrays of pelvis 75736 26	$2,556.60	$2,556.60	$2,556.60	$4,369.50
Arthrd si jt perq/min nvas	$2,428.20	$2,428.20	$2,428.20	$2,428.20
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$922.20	$922.20	$922.20	$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)	$943.20	$943.20	$943.20	$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)	$1,194.60	$1,194.60	$1,194.60	$723.60
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$825.60	$825.60	$825.60	$493.50
Arthrodesis subtalar	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Arthrotomy/elbow/exp/drain/rmv fb 24000	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Artiss fibrin sealant	$3,076.20	$3,076.20	$3,076.20	$3,217.53
Ascenda two piece catheter	$25,665.60	$25,665.60	$25,665.60	$28,797.60
Asp core fat pad	$174.00	$174.00	$174.00	$166.20
Aspir/inj thyroid cyst 60300	$971.40	$971.40	$971.40	$873.00
Aspirate bladder/sprapubic cath 51102	$3,936.60	$3,936.60	$3,936.60	$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	$616.80	$616.80	$616.80	$491.25
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$971.40	$971.40	$971.40	$971.40
Aspiration peritonsillar abscess	$120.00	$120.00	$120.00	$283.50
Assay dir meas fr estradiol	$103.20	$103.20	$103.20	$117.00
Assay free hydroxyproline	$216.00	$216.00	$216.00	$97.20
Assay myeloperoxidase	$177.00	$177.00	$177.00	$151.80
Assay neurflmnt light chain	$259.80	$259.80	$259.80	$1,585.20
Assay of feces porphyrins	$227.40	$227.40	$227.40	$204.60
Assay of fluoride	$227.40	$227.40	$227.40	$227.40
Assay of glutathione	$77.40	$77.40	$77.40	$77.40
Assay of interleukin-6 (il-6)	$259.80	$259.80	$259.80	$67.20
Assay of lrh hormone	$247.80	$247.80	$247.80	$299.20
Assay of procainamide w/metab	$280.80	$280.80	$280.80	$129.75
Assay of prostaglandin	$796.80	$796.80	$796.80	$211.80
Assay of sialic acid	$188.40	$188.40	$188.40	$188.40
Assay of somatostatin	$235.20	$235.20	$235.20	$284.00
Assay of tyrosine	$148.20	$148.20	$148.20	$123.00
Assay of urine sulfate	$52.20	$52.20	$52.20	$52.20
Assay toxin or antitoxin	$154.20	$154.20	$154.20	$110.40
Assess cyst contrast inject	$708.00	$708.00	$708.00	$845.40
Assessment leukocyte fecal qualitative/semiquantitative	$39.00	$39.00	$39.00	$47.60
Ast/sgot	$39.60	$39.60	$39.60	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$450.40	$450.40	$450.40	$311.20
Athrectomy fem/pop/unilateral 37225	$11,535.60	$11,535.60	$11,535.60	$34,695.00
Athrectomy tib/pero/unilat/ini ves 37229	$11,535.60	$11,535.60	$11,535.60	$24,161.40
Atropine 0.1 mg/ml injection syringe	$40.20	$40.20	$40.20	$39.35
Augment injectable kit 3.0cc	$7,646.40	$7,646.40	$7,646.40	$8,418.60
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body	$17,598.60	$17,598.60	$17,598.60	$8,849.25
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic	$29,186.40	$29,186.40	$29,186.40	$9,145.50
Autologous blood op salvage	$222.60	$222.60	$222.60	$228.60
Avelumab 20 mg/ml intravenous solution	$172.80	$172.80	$172.80	$231.00
Avul nail plate addl	$114.00	$114.00	$114.00	$318.75
Avulsion nail plate partial/complete simple single nail plate	$471.00	$471.00	$471.00	$417.00
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial	$99.60	$99.60	$99.60	$100.20
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	$112.80	$112.80	$112.80	$136.00
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$1,459.20	$1,459.20	$1,459.20	$3,464.00
Baclofen eval charges	$103.20	$103.20	$103.20	$118.20
Bacterial meningitis antigen	$100.80	$100.80	$100.80	$100.80
Bacterial vaginosis pcr	$336.00	$336.00	$336.00	$390.60
Barrier film 28ml spray no stng cavilon	$18.60	$18.60	$18.60	$18.60
Barrier skin flextend 2.25in floating flang new image	$3.60	$3.60	$3.60	$3.60
Bartonella dna pcr-sendout	$671.40	$671.40	$671.40	$671.40
Belatacept 250 mg intravenous solution	$4,381.80	$4,381.80	$4,381.80	$3,406.85
Belimumab 120 mg intravenous solution	$7,506.00	$7,506.00	$7,506.00	$7,881.60
Bendamustine 25 mg/ml intravenous solution (bendeka)	$114.00	$114.00	$114.00	$87.00
Benign lesion paring 2-4	$230.40	$230.40	$230.40	$300.75
Benign lesion paring 4+	$671.40	$671.40	$671.40	$368.25
Benztropine 1 mg/ml injection solution	$186.40	$186.40	$186.40	$115.80
Beta 2 glycoprotein 1 antibody iga	$61.80	$61.80	$61.80	$133.50
Beta-2 microglobulin	$262.80	$262.80	$262.80	$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	$76.00	$76.00	$76.00	$149.68
Bevacizumab 25 mg/ml intravenous solution	$480.80	$480.80	$480.80	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$320.40	$320.40	$320.40	$3,154.20
Bevacizumab-bvzr 25 mg/ml intravenous solution	$162.60	$162.60	$162.60	$162.60
Bilateral n blobk inj pudendal 64430	$3,548.40	$3,548.40	$3,548.40	$2,632.20
Bilateral n block inj occipital 64405	$568.20	$568.20	$568.20	$951.00
Bilateral n block inj trigeminal 64400	$825.60	$825.60	$825.60	$885.75
Biliary endoscopy thru skin	$1,036.20	$1,036.20	$1,036.20	$10,884.75
Bilicheck	$3.00	$3.00	$3.00	$25.20
Bilirubin direct	$82.80	$82.80	$82.80	$62.25
Bilirubin total	$75.60	$75.60	$75.60	$58.80
Biofeedback, pt	$504.00	$504.00	$504.00	$308.40
Biopsy abdominal mass	$1,119.00	$1,119.00	$1,119.00	$1,704.60
Biopsy bone trocar/needle superficial	$1,119.00	$1,119.00	$1,119.00	$1,629.60
Biopsy cervixsingle/multiple 57500	$424.20	$424.20	$424.20	$7,461.60
Biopsy muscle percutaneous needle	$1,119.00	$1,119.00	$1,119.00	$1,629.60
Biopsy needle liver percutaneous	$1,062.60	$1,062.60	$1,062.60	$1,642.50
Biopsy needle lymph node superficial	$1,119.00	$1,119.00	$1,119.00	$1,352.80
Biopsy renal percutaneous trocar/needle (both sides)	$1,119.00	$1,119.00	$1,119.00	$1,717.20
Biopsy skin incisional single lesion	$529.80	$529.80	$529.80	$640.80
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$1,712.40	$1,712.40	$1,712.40	$1,745.40
Biopsy/soft tissue/neck or thorax 21550	$1,822.80	$1,822.80	$1,822.80	$2,512.20
Bivalirudin	$5,267.40	$5,267.40	$5,267.40	$5,267.40
Bladder irrigate/lavage/instill 51700	$825.60	$825.60	$825.60	$664.20
Bld prd mix	$29.40	$29.40	$29.40	$130.50
Bleomycin 15 unit solution for injection	$306.40	$306.40	$306.40	$306.40
Bln 1.2 mono emrg 15x1.2	$3,807.00	$3,807.00	$3,807.00	$6,582.60
Bln 30frx10mmx12cm renal nephromax	$4,790.40	$4,790.40	$4,790.40	$4,790.40
Bln dil 900ml preperitnl	$646.20	$646.20	$646.20	$2,017.80
Bln inpact admiral 4x150x130cm	$4,915.80	$4,915.80	$4,915.80	$4,954.20
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$1,989.60	$1,989.60	$1,989.60	$5,175.00
Bln ureth 5ml 28f 2wy ltx st	$43.20	$43.20	$43.20	$83.40
Block brachial plexus w/cath plmt w/img	$2,011.80	$2,011.80	$2,011.80	$2,011.80
Block femoral nerve cont infusion cath w/img	$1,747.20	$1,747.20	$1,747.20	$1,381.20
Block plantar digital nerve	$580.20	$580.20	$580.20	$572.25
Block tap inj(s) w/wo img bi	$655.80	$655.80	$655.80	$792.80
Block tap inj(s) w/wo img uni	$530.40	$530.40	$530.40	$1,095.00
Blood Clotting (PT/INR) Test	$77.40	$77.40	$77.40	$45.00
Blood Clotting (PTT) Test	$105.60	$105.60	$105.60	$64.35
Blood Count (CBC) Test	$95.40	$95.40	$95.40	$66.75
Blood Count (CBC) Test (without differential)	$80.40	$80.40	$80.40	$57.50
Blood Culture Test	$399.60	$399.60	$399.60	$112.20
Blood draw capillary 36416	$27.60	$27.60	$27.60	$12.60
Blood gases o2 saturation direct measurement	$121.80	$121.80	$121.80	$225.75
Blood gases ph venous	$114.00	$114.00	$114.00	$60.00
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$27.00	$27.00	$27.00	$45.00
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$20.40	$20.40	$20.40	$21.00
Blood occult feces colorectal neoplasm screening qualitative	$20.40	$20.40	$20.40	$21.00
Blood occult peroxidase activity qualitative gastric	$50.40	$50.40	$50.40	$48.00
Blood split unit	$247.80	$247.80	$247.80	$300.60
Blood typing abo	$8.40	$8.40	$8.40	$41.40
Blood typing ag donor ea ag	$64.80	$64.80	$64.80	$102.00
Blood typing rbc ag non abo/rh ea	$81.00	$81.00	$81.00	$84.60
Blood typing rh (d)	$40.20	$40.20	$40.20	$57.60
Bone Density Scan (DEXA)	$240.00	$240.00	$240.00	$398.56
Bone marrow biopsyneedle/trocar 38221	$861.60	$861.60	$861.60	$1,200.00
Bone marrow imaging body	$2,315.40	$2,315.40	$2,315.40	$2,315.40
Bone marrow interpretation	$251.40	$251.40	$251.40	$251.40
Bone marrow;aspiration only 38220	$758.40	$758.40	$758.40	$1,253.25
Bone survey-lead poisoning	$697.80	$697.80	$697.80	$619.50
Bone/joint imaging ltd area	$857.40	$857.40	$857.40	$857.40
Boot j walker l	$1,417.80	$1,417.80	$1,417.80	$1,417.80
Boot walker genesis full shell 3-strap s	$805.80	$805.80	$805.80	$805.80
Borrelia antibody	$176.40	$176.40	$176.40	$176.40
Borrelia burgdorferi (lyme disease) antibody nonspecific	$70.80	$70.80	$70.80	$94.80
Borrelia miyamotoi amp prb	$290.40	$290.40	$290.40	$349.80
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$283.20	$283.20	$283.20	$3,308.40
Bowel imaging	$1,447.80	$1,447.80	$1,447.80	$1,365.75
Bra surgical elizabeth pink sm	$55.20	$55.20	$55.20	$55.20
Brace ank air stirrup univ	$272.40	$272.40	$272.40	$272.40
Brace ankle stablizing lg	$286.80	$286.80	$286.80	$286.80
Brace knee extender plus 22-30in	$351.60	$351.60	$351.60	$351.60
Brace oths wrist hnd fngr without	$170.40	$170.40	$170.40	$194.40
Brace wrist classic lft sm	$132.60	$132.60	$132.60	$132.60
Brach/thor cath 1st	$1,107.60	$1,107.60	$1,107.60	$4,128.75
Brach/thor cath 2nd	$947.40	$947.40	$947.40	$2,881.20
Brach/thor cath 3rd	$1,133.40	$1,133.40	$1,133.40	$3,175.50
Brach/thor cath addl	$97.20	$97.20	$97.20	$1,083.00
Brachy source yttrium-90	$37,851.00	$37,851.00	$37,851.00	$37,851.00
Brachy src nonstrand hdr ir-192	$1,164.60	$1,164.60	$1,164.60	$1,975.20
Brachytx isodose complex	$1,950.00	$1,950.00	$1,950.00	$984.60
Brachytx isodose intermed	$1,418.40	$1,418.40	$1,418.40	$991.80
Brachytx isodose plan simple	$1,241.40	$1,241.40	$1,241.40	$817.20
Braf gene	$349.20	$349.20	$349.20	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$3,826.20	$3,826.20	$3,826.20	$2,650.00
Brain MRA (blood vessel MRI, with contrast)	$3,207.00	$3,207.00	$3,207.00	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$2,366.40	$2,366.40	$2,366.40	$1,802.40
Brain MRI (with and without contrast)	$3,804.00	$3,804.00	$3,804.00	$2,919.75
Brain MRI (with contrast)	$2,910.60	$2,910.60	$2,910.60	$2,224.96
Brain MRI (without contrast)	$2,398.20	$2,398.20	$2,398.20	$1,830.00
Brain flow imaging only	$1,557.00	$1,557.00	$1,557.00	$627.00
Brain image w/flow 4 + views	$1,873.80	$1,873.80	$1,873.80	$1,574.40
Brca1&2 gen ful dup/del alys	$2,222.40	$2,222.40	$2,222.40	$2,287.20
Brcassure comprehensive panel-sendout	$1,920.00	$1,920.00	$1,920.00	$1,920.00
Breast Biopsy (ultrasound-guided, percutaneous)	$3,828.00	$3,828.00	$3,828.00	$3,069.25
Breast punct aspir cyst, bil	$845.40	$845.40	$845.40	$845.40
Brentuximab vedotin 50 mg intravenous solution	$843.20	$843.20	$843.20	$31,641.60
Bronch ebus ivntj perph les 31654	$2,053.20	$2,053.20	$2,053.20	$2,132.40
Bronch ebus samplng 1/2 node	$3,484.80	$3,484.80	$3,484.80	$3,484.80
Bronch w/debrdmt subgltc & uppr trach	$2,203.80	$2,203.80	$2,203.80	$2,664.80
Bronchial challenge	$761.40	$761.40	$761.40	$761.40
Bronchoscopy clear airways 31645	$3,515.40	$3,515.40	$3,515.40	$2,653.80
Bronchoscopy w/biopsy(s) 31625	$2,926.80	$2,926.80	$2,926.80	$2,256.75
Bronchoscopy w/fb removal 31635	$2,926.80	$2,926.80	$2,926.80	$3,279.00
Bronchoscopy/lung bx each 31628	$3,484.80	$3,484.80	$3,484.80	$3,484.80
Bronchoscopy/needle bx each 31629	$3,484.80	$3,484.80	$3,484.80	$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	$161.40	$161.40	$161.40	$145.80
Bundled special stain group 2	$237.60	$237.60	$237.60	$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
Bur rotalink 2.15mm	$8,485.20	$8,485.20	$8,485.20	$9,807.60
Burr hole implant ventricular cath/other device	$4,290.60	$4,290.60	$4,290.60	$4,087.20
Butorphanol tartrate 1 mg	$90.60	$90.60	$90.60	$90.60
Bx bone trocar/ndl deep	$1,119.00	$1,119.00	$1,119.00	$2,179.80
Bx breast 1st lesion strtctc	$3,700.20	$3,700.20	$3,700.20	$3,700.20
Bx breast add lesion Ultrasound imag	$1,914.60	$1,914.60	$1,914.60	$2,315.20
Bx breast add lesion strtctc	$2,079.60	$2,079.60	$2,079.60	$2,515.20
Bx pancreas pq ndl	$971.40	$971.40	$971.40	$1,900.50
Bx pleura pq ndl	$971.40	$971.40	$971.40	$1,672.80
Bx skin punch ea sep/ addl les	$148.80	$148.80	$148.80	$327.00
Bx skin tangential ea sep/ addl les	$148.80	$148.80	$148.80	$291.75
Bx soft tiss pelvis/hip deep 27041	$1,119.00	$1,119.00	$1,119.00	$1,352.80
Bx vulva or perineum/1 lesion 56605	$489.60	$489.60	$489.60	$2,765.25
Bx/curett of cervix w/scope 57454	$218.40	$218.40	$218.40	$785.40
Bypass temp external fem-fem	$1,473.00	$1,473.00	$1,473.00	$2,428.80
C motor evoked lwr limbs	$486.60	$486.60	$486.60	$457.80
C motor evoked uppr limbs	$429.00	$429.00	$429.00	$424.20
C motor evoked upr&lwr limbs	$2,816.40	$2,816.40	$2,816.40	$780.00
C-1 esterase, berinert	$156.00	$156.00	$156.00	$168.60
C-kit mutation liquid tumor - sendout	$3,941.40	$3,941.40	$3,941.40	$4,054.80
C-peptide	$189.00	$189.00	$189.00	$171.00
C-reactive protein	$238.20	$238.20	$238.20	$126.00
C-reactive protein high sensitivity	$452.40	$452.40	$452.40	$137.40
C-reactive protein, quantitative	$441.00	$441.00	$441.00	$147.00
C-section delivery incl p/p care 59515	$1,012.80	$1,012.80	$1,012.80	$1,012.80
C1 esterase inhibitor func - sendout	$118.20	$118.20	$118.20	$143.20
CT 3d report other modality w/workstation	$697.20	$697.20	$697.20	$697.20
CT Angiogram of Abdomen and Pelvis	$7,318.20	$7,318.20	$7,318.20	$2,839.85
CT Angiogram of the Chest (for blood clot)	$3,384.00	$3,384.00	$3,384.00	$2,094.23
CT Angiogram of the Head	$4,092.00	$4,092.00	$4,092.00	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$5,723.40	$5,723.40	$5,723.40	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$4,453.20	$4,453.20	$4,453.20	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$3,320.40	$3,320.40	$3,320.40	$2,418.75
CT angio hrt w/3d image	$2,133.00	$2,133.00	$2,133.00	$2,371.80
CT angio pelvis	$2,494.20	$2,494.20	$2,494.20	$2,494.20
CT guid parench tis ablat	$3,177.00	$3,177.00	$3,177.00	$1,282.50
CT guidance for needle placement	$2,904.60	$2,904.60	$2,904.60	$2,065.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$2,921.40	$2,921.40	$2,921.40	$1,524.60
CT heart w/evaluation of calcium without contrast	$120.00	$120.00	$120.00	$120.00
CT hrt w/3d image	$3,384.00	$3,384.00	$3,384.00	$3,303.75
CT limited or localized follow-up study	$541.20	$541.20	$541.20	$654.40
CT lower extremity w/contrast (both sides)	$2,680.20	$2,680.20	$2,680.20	$2,654.40
CT lower extremity without contrast (both sides)	$2,358.60	$2,358.60	$2,358.60	$1,740.00
CT lwr extremity w/o&w/dye	$2,819.40	$2,819.40	$2,819.40	$2,785.80
CT neck soft tissue w/contrast	$2,511.00	$2,511.00	$2,511.00	$2,511.00
CT neck soft tissue without & w/contrast	$3,145.80	$3,145.80	$3,145.80	$2,953.20
CT neck soft tissue without contrast	$2,061.60	$2,061.60	$2,061.60	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$2,151.00	$2,151.00	$2,151.00	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$1,623.00	$1,623.00	$1,623.00	$1,623.00
CT orbit/sella/fossa w/wo contrast	$2,712.60	$2,712.60	$2,712.60	$2,712.60
CT scan for therapy guide	$592.80	$592.80	$592.80	$843.60
CT t-spine w /wo contrast	$2,602.20	$2,602.20	$2,602.20	$2,602.20
CT thoracic spine w/contrast	$2,555.40	$2,555.40	$2,555.40	$2,555.40
CT thoracic spine without contrast	$2,074.20	$2,074.20	$2,074.20	$1,740.00
CT thorax low dose for lung screening without contrast	$253.20	$253.20	$253.20	$253.20
CT upper extremity w/contrast (both sides)	$2,358.60	$2,358.60	$2,358.60	$2,358.60
CT upper extremity without contrast (both sides)	$1,943.40	$1,943.40	$1,943.40	$1,740.00
CT uppr extremity w/o&w/dye	$3,574.80	$3,574.80	$3,574.80	$2,785.80
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$808.20	$808.20	$808.20	$495.60
Cable cath 22-pin diag	$2,604.00	$2,604.00	$2,604.00	$4,353.60
Caffeine citrate 20 mg/ml inj for po	$109.80	$109.80	$109.80	$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	$78.60	$78.60	$78.60	$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	$107.40	$107.40	$107.40	$107.40
Calcium total	$39.60	$39.60	$39.60	$43.80
Calprotectin fecal	$290.40	$290.40	$290.40	$257.40
Campylobacter antibody	$80.40	$80.40	$80.40	$93.60
Candida dna	$255.60	$255.60	$255.60	$197.40
Cannula ercp contour 5-4-3 tip	$11,907.00	$11,907.00	$11,907.00	$7,828.80
Canthotomy 67715	$3,355.20	$3,355.20	$3,355.20	$2,709.00
Cap nerve 2x15mm	$3,405.60	$3,405.60	$3,405.60	$4,846.80
Cap trach decann 15mm	$1,842.60	$1,842.60	$1,842.60	$1,737.00
Carbamazepine free	$235.20	$235.20	$235.20	$117.00
Carbamazepine free -sendout	$197.40	$197.40	$197.40	$194.25
Carbamazepine total therapeutic drug level	$197.40	$197.40	$197.40	$137.40
Carbohydrate deficient transf - sendout	$71.40	$71.40	$71.40	$111.60
Carbohydrate urine - sendout	$30.60	$30.60	$30.60	$30.60
Carbon dioxide	$39.60	$39.60	$39.60	$47.80
Carboplatin 10 mg/ml desensitization	$420.80	$420.80	$420.80	$500.40
Carboxyhemoglobin quantitative	$226.80	$226.80	$226.80	$102.00
Carcinoembryonic ag (cea)	$334.20	$334.20	$334.20	$162.75
Cardiac MRI w/stress img	$2,657.40	$2,657.40	$2,657.40	$3,422.40
Cardiac perf spect sgl/ef/wm rst/strs	$3,772.20	$3,772.20	$3,772.20	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$180.60	$180.60	$180.60	$218.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$176.40	$176.40	$176.40	$106.20
Cardiolipin antibody iga	$89.40	$89.40	$89.40	$197.40
Cardioversion elective electrical conversion arrhythmia external	$1,245.00	$1,245.00	$1,245.00	$1,505.60
Caregiver training strategies&tq 1st 30 minutes	$103.20	$103.20	$103.20	$105.00
Carfilzomib 10 mg intravenous solution	$232.00	$232.00	$232.00	$1,876.80
Carotene	$209.40	$209.40	$209.40	$85.50
Carotid Artery Ultrasound (Duplex)	$1,433.40	$1,433.40	$1,433.40	$1,059.82
Carpal Tunnel Release Surgery	$4,530.60	$4,530.60	$4,530.60	$3,503.75
Caspofungin acetate	$1,752.00	$1,752.00	$1,752.00	$1,752.00
Catecholamines,fractionated, urine	$234.00	$234.00	$234.00	$226.20
Cath 2lum 14.5frx43cm maxid kt mahurkar	$403.80	$403.80	$403.80	$973.80
Cath ablt clsfast 7fx100cmx	$3,024.00	$3,024.00	$3,024.00	$3,024.00
Cath ablt rx lasr 2.0mm turbo	$6,022.80	$6,022.80	$6,022.80	$7,380.00
Cath access del ds spyscop 2.0	$6,411.60	$6,411.60	$6,411.60	$5,926.20
Cath acuity innr ic130 6f 63cm	$5,743.20	$5,743.20	$5,743.20	$8,586.00
Cath acunav ge 10frx90cm	$3,905.40	$3,905.40	$3,905.40	$7,951.50
Cath adherent clot 10mm 6f 10	$15,737.40	$15,737.40	$15,737.40	$21,679.20
Cath baloon occl urnry 34f 7x2x65	$3,581.40	$3,581.40	$3,581.40	$7,256.82
Cath blazer dx/20 2-10-2 space	$219.00	$219.00	$219.00	$5,062.50
Cath combo lt&rt heart w/inj/s	$4,239.00	$4,239.00	$4,239.00	$8,719.20
Cath council tip 16fr 5cc	$42.00	$42.00	$42.00	$59.40
Cath cv dl inj 7fx16cm	$1,059.00	$1,059.00	$1,059.00	$2,185.20
Cath del ampltz 12f 45d 80cm	$2,232.00	$2,232.00	$2,232.00	$2,232.00
Cath entrl fd nutri 5fr 40cm	$8.40	$8.40	$8.40	$10.80
Cath epdrl brevi-stf 12in .043	$1,297.80	$1,297.80	$1,297.80	$2,295.00
Cath groshong MRI 8fr plstc port	$1,672.20	$1,672.20	$1,672.20	$2,449.80
Cath hawkone s directional	$14,437.80	$14,437.80	$14,437.80	$7,639.20
Cath imag ivus pv 8.5fx90 .035	$3,262.80	$3,262.80	$3,262.80	$6,378.75
Cath infuse micro 150cm rapidtransit	$114.00	$114.00	$114.00	$114.00
Cath left heart transseptal punc	$4,045.80	$4,045.80	$4,045.80	$7,291.50
Cath left heart/lv gram	$3,955.80	$3,955.80	$3,955.80	$7,483.80
Cath lt/rt pulm art	$369.00	$369.00	$369.00	$1,527.00
Cath malecot 28fr 4-wing ltx	$3,807.00	$3,807.00	$3,807.00	$2,099.40
Cath pezzer 34fr drain bardex propor head mushrm ltx	$179.40	$179.40	$179.40	$190.20
Cath place 1st order venous 36011	$307.20	$307.20	$307.20	$3,910.20
Cath plc art ang/grft lt/rt hr	$6,051.00	$6,051.00	$6,051.00	$11,503.20
Cath plc art/angio/rt hrt cath	$7,321.20	$7,321.20	$7,321.20	$12,175.20
Cath plc art/grft/angio right hrt	$4,763.40	$4,763.40	$4,763.40	$8,859.00
Cath ptca pcltxl agent 3x20mm	$10,678.80	$10,678.80	$10,678.80	$12,732.75
Cath right heart w/o2 sat & card	$3,429.60	$3,429.60	$3,429.60	$6,457.80
Cath right hrt mnpul art	$358.20	$358.20	$358.20	$1,847.40
Cath segmntl pulm art	$512.40	$512.40	$512.40	$2,311.80
Cath steerable flex adv 12f	$3,718.20	$3,718.20	$3,718.20	$2,925.00
Cath suction replogle 8fr neonatal esophageal	$2.40	$2.40	$2.40	$13.20
Cath uret open tp 6fx70cm	$977.40	$977.40	$977.40	$671.40
Cath/saline/contrast/sis/hysteosal 58340	$380.40	$380.40	$380.40	$411.60
Catheter declot mechanical	$4,740.60	$4,740.60	$4,740.60	$1,523.25
Catheterization collection of specimen single patient all places of service	$42.60	$42.60	$42.60	$42.60
Cauterization chemical granulation tissue	$408.60	$408.60	$408.60	$408.60
Cdna analysis for variants	$1,934.40	$1,934.40	$1,934.40	$1,934.40
Cebpa gene full sequence	$2,101.20	$2,101.20	$2,101.20	$1,686.00
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$33.60	$33.60	$33.60	$16.40
Cefepime 1 gram solution for injection	$62.80	$62.80	$62.80	$51.00
Cefoxitin 1 gram intravenous solution	$70.00	$70.00	$70.00	$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	$13.80	$13.80	$13.80	$93.60
Ceftazidime and avibactam	$1,516.80	$1,516.80	$1,516.80	$1,248.60
Ceftriaxone 1 gram solution for injection	$50.20	$50.20	$50.20	$123.72
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$12.40	$12.40	$12.40	$30.60
Cell count w differential body fluid	$158.40	$158.40	$158.40	$131.40
Cell cryopreserve/storage	$133.80	$133.80	$133.80	$117.60
Cell function assay w/stim	$898.80	$898.80	$898.80	$898.80
Cell marker study	$137.40	$137.40	$137.40	$212.40
Cemiplimab-rwlc 50 mg/ml intravenous solution	$843.60	$843.60	$843.60	$527.40
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$34.60	$34.60	$34.60	$34.80
Cetuximab 100 mg/50 ml intravenous solution	$280.20	$280.20	$280.20	$2,809.20
Cftr gene intron poly t	$276.00	$276.00	$276.00	$283.80
Cftr gene known fam variants	$327.60	$327.60	$327.60	$327.60
Change cystostomy tube simple	$825.60	$825.60	$825.60	$411.00
Change cystostomy tube; complex 51710	$3,355.20	$3,355.20	$3,355.20	$2,813.40
Change g-tube to g-j perc	$2,179.80	$2,179.80	$2,179.80	$3,534.60
Change of windpipe airway 31502	$472.80	$472.80	$472.80	$472.80
Chemo extend IV infus w/pump	$696.00	$696.00	$696.00	$696.00
Chemo ia infuse each addl hr	$184.80	$184.80	$184.80	$184.80
Chemodenerv 1 extrem 5/> mus 64644	$723.00	$723.00	$723.00	$723.00
Chemodenerv 1 extremity 1-4 64642	$647.40	$647.40	$647.40	$647.40
Chemodenerv musc migraine 64615	$783.00	$783.00	$783.00	$512.25
Chemodenerv musc neck dyston 64616	$2,170.20	$2,170.20	$2,170.20	$825.75
Chemodenerv trunk musc 1-5 64646	$697.20	$697.20	$697.20	$697.20
Chemodenerv trunk musc 6/] 64647	$772.20	$772.20	$772.20	$801.75
Chemodenervation/face muscl/unilat 64612	$1,877.40	$1,877.40	$1,877.40	$891.75
Chest 2 vws w oblique	$499.20	$499.20	$499.20	$450.75
Chest CT scan (with and without contrast)	$3,152.40	$3,152.40	$3,152.40	$2,105.40
Chest CT scan (with contrast)	$2,664.00	$2,664.00	$2,664.00	$1,697.25
Chest CT scan (without contrast)	$2,244.60	$2,244.60	$2,244.60	$1,350.03
Chest X-ray	$580.20	$580.20	$580.20	$303.24
Chest X-ray (single view)	$175.20	$175.20	$175.20	$225.00
Chest apical lordotic proj	$499.20	$499.20	$499.20	$419.40
Chg pr pul rehab for copd patients	$330.60	$330.60	$330.60	$134.25
Chg radiologic exam esophagus double contrast	$712.20	$712.20	$712.20	$713.40
Chlamydia culture	$730.20	$730.20	$730.20	$109.80
Chlamydia trachomatis ag if	$66.60	$66.60	$66.60	$66.60
Chloride	$39.60	$39.60	$39.60	$39.60
Chloride 24 hour urine	$66.60	$66.60	$66.60	$60.75
Chloroprocaine hcl injection	$68.40	$68.40	$68.40	$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	$177.60	$177.60	$177.60	$91.92
Chlorpromazine 100 mg tablet	$0.80	$0.80	$0.80	$1.20
Cholangiogram percutaneous compl	$3,863.40	$3,863.40	$3,863.40	$3,542.40
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$982.80	$982.80	$982.80	$629.25
Cholecystostomy complete w/supervision & interpretation	$3,933.00	$3,933.00	$3,933.00	$3,449.25
Cholesterol	$39.60	$39.60	$39.60	$45.75
Cholesterol (Lipid) Test	$228.00	$228.00	$228.00	$100.00
Cholesterol body fluid	$9,473.40	$9,473.40	$9,473.40	$6,088.80
Cholinesterase	$103.20	$103.20	$103.20	$103.20
Chromatography	$18.60	$18.60	$18.60	$178.80
Chromo high res and frag x - sendout	$3,704.40	$3,704.40	$3,704.40	$770.40
Chromogenic substrate assay	$158.40	$158.40	$158.40	$158.40
Chromosome analysis 15-20 cell count	$1,017.00	$1,017.00	$1,017.00	$1,017.00
Chromosome analysis 45	$943.80	$943.80	$943.80	$1,109.60
Chromosome karyotype study	$140.40	$140.40	$140.40	$181.80
Chronic urticaria - sendout	$133.80	$133.80	$133.80	$133.80
Chylomicron screen, bf - sendout	$334.80	$334.80	$334.80	$336.75
Ciliary transsleral therapy	$4,695.00	$4,695.00	$4,695.00	$4,288.80
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$9.00	$9.00	$9.00	$23.67
Circumcision (newborn)	$1,425.60	$1,425.60	$1,425.60	$1,549.50
Cisplatin 1 mg/ml desensitization	$16.20	$16.20	$16.20	$700.00
Cladribine 10 mg/10 ml intravenous solution	$268.80	$268.80	$268.80	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$4,416.60	$4,416.60	$4,416.60	$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	$925.20	$925.20	$925.20	$925.20
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution	$729.60	$729.60	$729.60	$361.14
Clos txnose fx without stablz 21315	$825.60	$825.60	$825.60	$2,896.50
Close lac/mouth vest/2.5 cm or < 40830	$825.60	$825.60	$825.60	$777.60
Closed treatment of femoral fracture proximal end neck; wi	$3,001.80	$3,001.80	$3,001.80	$3,279.60
Closed tx humerus fx w/manip 24505	$825.60	$825.60	$825.60	$1,198.50
Closed tx humerus fx with manip 23605	$3,135.00	$3,135.00	$3,135.00	$2,460.00
Closed tx humerus fx without manip 23600	$3,355.20	$3,355.20	$3,355.20	$447.60
Closed tx metatarsophalangeal jnt disl without anes	$825.60	$825.60	$825.60	$647.40
Closed tx post hip arthroplasty disloc w/anes 27266	$4,522.80	$4,522.80	$4,522.80	$2,139.60
Closed tx sesamoid fx 28530	$1,258.80	$1,258.80	$1,258.80	$525.75
Closed tx/acetabululm without manip 27220	$5,312.40	$5,312.40	$5,312.40	$464.40
Closed tx/talus fracture without manip 28430	$825.60	$825.60	$825.60	$327.60
Closure paravalvlr leak pq	$1,123.80	$1,123.80	$1,123.80	$5,734.80
Clot factor fletcher fact	$260.40	$260.40	$260.40	$260.40
Clot factor viii reltd antgn	$288.00	$288.00	$288.00	$288.00
Clot factor xii hageman	$163.20	$163.20	$163.20	$197.60
Clot factor xiii fibrin stab	$106.20	$106.20	$106.20	$106.20
Clozapine, 25 mg	$8.40	$8.40	$8.40	$8.40
Clsd tx bimalleol ank fx without manip 27808	$3,355.20	$3,355.20	$3,355.20	$998.40
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$825.60	$825.60	$825.60	$430.80
Clsd tx clavicle fracture w/manip 23505	$3,355.20	$3,355.20	$3,355.20	$2,396.25
Clsd tx dist fib fx w/manip 27788	$718.20	$718.20	$718.20	$868.80
Clsd tx elbow dislocation child 24640	$825.60	$825.60	$825.60	$525.75
Clsd tx fracture of radius 25500	$825.60	$825.60	$825.60	$442.50
Clsd tx fx radius/ulna dist w/manip 25605	$825.60	$825.60	$825.60	$1,912.80
Clsd tx fx radius/ulna dist without manip 25600	$825.60	$825.60	$825.60	$825.60
Clsd tx fx radius/ulna w/manip 25565	$825.60	$825.60	$825.60	$2,055.00
Clsd tx fx radius/ulna without manip 25560	$1,427.40	$1,427.40	$1,427.40	$825.60
Clsd tx hip disloc without anes 27265	$718.20	$718.20	$718.20	$868.80
Clsd tx humeral fract without manip 24530	$3,355.20	$3,355.20	$3,355.20	$759.00
Clsd tx humerus fract without manip 24500	$3,355.20	$3,355.20	$3,355.20	$759.00
Clsd tx iphal jnt disl w/manip req anes	$3,349.80	$3,349.80	$3,349.80	$3,964.20
Clsd tx metacarp fx w/manip&ext fix ea bone 26607	$4,493.40	$4,493.40	$4,493.40	$3,332.25
Clsd tx metatarsal fracture w/manip 28475	$534.60	$534.60	$534.60	$759.00
Clsd tx of ankle fracture w/manip 28435	$4,530.60	$4,530.60	$4,530.60	$2,440.80
Clsd tx patella disloc without anes 27560	$825.60	$825.60	$825.60	$998.40
Clsd tx pelvic ring fx	$465.00	$465.00	$465.00	$465.00
Clsd tx pelvic ring fx	$1,195.80	$1,195.80	$1,195.80	$1,195.80
Clsd tx prox fib/shaft fx w/manip 27781	$825.60	$825.60	$825.60	$1,863.75
Clsd tx radius fracture w/manip 24655	$3,365.40	$3,365.40	$3,365.40	$2,712.00
Clsd tx shoulder dislc/fx 23665	$3,135.00	$3,135.00	$3,135.00	$3,135.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$4,493.40	$4,493.40	$4,493.40	$2,073.00
Clsd tx temporomandibular dislocat 21480	$825.60	$825.60	$825.60	$942.60
Clsd tx toe dislocation without anes28660	$613.80	$613.80	$613.80	$520.80
Clsd tx trimall ankle fx w/manip 27818	$718.20	$718.20	$718.20	$1,362.75
Clsd tx trimall ankle fx without manip 27816	$825.60	$825.60	$825.60	$825.60
Clsd tx vert body fx without manip req &w/csting/bracing	$3,355.20	$3,355.20	$3,355.20	$756.75
Clsd tx wrist carpal fx without manip 25630	$825.60	$825.60	$825.60	$370.80
Clsd tx wrist scaphoid fx without manip 25622	$825.60	$825.60	$825.60	$520.80
Clsd tx wrist ulnar styloid fx 25650	$801.60	$801.60	$801.60	$729.60
Clsd tx/clavicular fx without manip 23500	$3,355.20	$3,355.20	$3,355.20	$819.60
Clsd tx/dis phalan fx without manip/ea 26750	$825.60	$825.60	$825.60	$370.80
Clsd tx/dis tib/wt bear no manip 27824	$3,355.20	$3,355.20	$3,355.20	$766.40
Clsd tx/fem shaft fx/manipulation 27502	$2,926.80	$2,926.80	$2,926.80	$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	$3,355.20	$3,355.20	$3,355.20	$729.60
Clsd tx/metacarpal fx/sg without manip 26600	$825.60	$825.60	$825.60	$470.40
Clsd tx/metacarpal fx/sng/w manip 26605	$825.60	$825.60	$825.60	$825.60
Clsd tx/metatarsal fx without manip 28470	$825.60	$825.60	$825.60	$520.80
Clsd tx/patellar fx without manip 27520	$3,355.20	$3,355.20	$3,355.20	$759.00
Clsd tx/prox/mid phalnx fx/no manp 26720	$825.60	$825.60	$825.60	$366.60
Clsd tx/radial head/neck fx/no manip 24650	$825.60	$825.60	$825.60	$453.00
Clsd tx/scapular fx without manip 23570	$3,435.60	$3,435.60	$3,435.60	$496.20
Clsd tx/shoulder dislo/manip/anest 23655	$3,135.00	$3,135.00	$3,135.00	$2,139.60
Clsd tx/ulnar shaft fx without manip 25530	$825.60	$825.60	$825.60	$445.80
Clsd/shoulder dislo/manip/no anest 23650	$825.60	$825.60	$825.60	$856.20
Clsd/ulnar fx/prox end without manip 24670	$825.60	$825.60	$825.60	$494.40
Cltx carpl scphd fx w/mnpj	$4,493.40	$4,493.40	$4,493.40	$3,769.20
Cltx gr hmrl tbrs fx w/mnpj	$729.60	$729.60	$729.60	$2,055.00
Cltx hum epcndylr fx wo mnpj	$3,355.20	$3,355.20	$3,355.20	$825.60
Cltx humrl cndylr fx wo mnpj	$3,355.20	$3,355.20	$3,355.20	$825.60
Cltx post ankle fx	$2,523.60	$2,523.60	$2,523.60	$333.75
Cltx scap fx w/mnpj +-tractj	$3,435.60	$3,435.60	$3,435.60	$2,450.40
Cmv pcr-sendout	$860.40	$860.40	$860.40	$557.25
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$9.00	$9.00	$9.00	$16,994.46
Coagulation time activated teg	$25.20	$25.20	$25.20	$39.60
Coagulation time otr method	$33.00	$33.00	$33.00	$40.20
Cold agglutinin titer	$100.20	$100.20	$100.20	$100.20
Collar cerv 18.25x3.5in serp firm density sm	$62.40	$62.40	$62.40	$75.60
Collar cerv ascend 172 reg	$135.00	$135.00	$135.00	$318.51
Collar cerv patriot adlt	$60.60	$60.60	$60.60	$227.40
Collection blood specimen from completely implantable venous access device	$162.00	$162.00	$162.00	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$162.00	$162.00	$162.00	$208.50
Collection of venous blood by venipuncture	$27.60	$27.60	$27.60	$22.50
Colonoscopy (diagnostic)	$1,500.00	$1,500.00	$1,500.00	$1,500.00
Colonoscopy (with biopsy)	$3,252.60	$3,252.60	$3,252.60	$1,846.40
Colonoscopy (with polyp removal)	$3,252.60	$3,252.60	$3,252.60	$1,875.00
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)	$3,252.60	$3,252.60	$3,252.60	$3,043.50
Colonoscopy for bleeding 44391	$3,252.60	$3,252.60	$3,252.60	$2,505.60
Colonoscopy stoma w/snare 44394	$3,252.60	$3,252.60	$3,252.60	$2,854.80
Colonoscopy submucous njx	$3,252.60	$3,252.60	$3,252.60	$3,528.00
Colonoscopy thru stoma spx	$3,156.60	$3,156.60	$3,156.60	$2,079.00
Colonoscopy w/ablation	$3,252.60	$3,252.60	$3,252.60	$2,571.00
Colonoscopy w/balloon dilat	$3,252.60	$3,252.60	$3,252.60	$2,890.20
Colonoscopy w/band ligation	$3,252.60	$3,252.60	$3,252.60	$2,495.25
Colonoscopy w/control bleed	$3,252.60	$3,252.60	$3,252.60	$2,501.40
Colonoscopy w/decompression	$3,156.60	$3,156.60	$3,156.60	$2,786.40
Colonoscopy w/endoscope Ultrasound	$3,252.60	$3,252.60	$3,252.60	$3,201.00
Colonoscopy w/endoscopic fnb	$3,252.60	$3,252.60	$3,252.60	$3,201.00
Colonoscopy w/fb removal	$2,010.60	$2,010.60	$2,010.60	$2,431.20
Colonoscopy w/injection	$3,252.60	$3,252.60	$3,252.60	$2,495.25
Colonoscopy w/resection	$3,252.60	$3,252.60	$3,252.60	$2,712.75
Colonoscopy with biopsy	$3,252.60	$3,252.60	$3,252.60	$1,788.60
Colonoscopy/w endoscopic stent 45389	$6,529.80	$6,529.80	$6,529.80	$4,379.25
Colporrhapy/vag injury sut/non ob 57200	$3,435.60	$3,435.60	$3,435.60	$3,435.60
Colposcopy w/biopsy of cervix 57455	$218.40	$218.40	$218.40	$1,147.50
Colposcopy/cervix/bx vagina/cervix 57421	$425.40	$425.40	$425.40	$1,452.00
Colposcopy/cervix/inc up/adjacent vag 57452	$133.80	$133.80	$133.80	$434.40
Compatibility test each unit antiglobulin technique	$433.20	$433.20	$433.20	$203.40
Compatibility test each unit electronic	$82.80	$82.80	$82.80	$119.40
Compatibility test each unit immediate spin technique	$220.80	$220.80	$220.80	$203.40
Complement antigen each component c3	$88.80	$88.80	$88.80	$175.80
Complement fixation each	$100.20	$100.20	$100.20	$100.20
Complex repair trunk 1.1-2.5cm 13120	$825.60	$825.60	$825.60	$1,919.40
Complex repair trunk 2.6-7.5cm 13101	$2,172.00	$2,172.00	$2,172.00	$2,253.00
Complx repair enel 1.1-2.5 cm 13151	$2,172.00	$2,172.00	$2,172.00	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$2,172.00	$2,172.00	$2,172.00	$2,938.80
Complx repair fccmnaxghf 13131	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Complx repair fccmnaxghf 13132	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Complx repair fccmnaxghf 13133	$2,172.00	$2,172.00	$2,172.00	$1,089.00
Complx repair sal addl 5 cm/> 13122	$825.60	$825.60	$825.60	$828.60
Concentration infection agents any type	$76.80	$76.80	$76.80	$42.00
Condylomata destruction 56420	$589.80	$589.80	$589.80	$831.60
Conjugated estrogens 25 mg solution for injection	$762.40	$762.40	$762.40	$1,291.95
Connect omega .5mm	$728.40	$728.40	$728.40	$1,185.42
Consultation pathology during surgery	$159.00	$159.00	$159.00	$141.75
Consultation pathology during surgery cytological exam initial site	$176.40	$176.40	$176.40	$176.40
Consultation pathology during surgery frozen section each additional block	$211.80	$211.80	$211.80	$211.80
Consultation pathology during surgery frozen section first tissue block	$276.00	$276.00	$276.00	$276.00
Consultation/report referred material w/preparation of slides	$737.40	$737.40	$737.40	$737.40
Contrast baths charges	$103.20	$103.20	$103.20	$96.00
Contrast exam abdominl aorta 75625-26	$4,797.60	$4,797.60	$4,797.60	$4,356.00
Contrast exam thoracic aorta 75605-26	$2,557.80	$2,557.80	$2,557.80	$5,378.25
Control nosebleed pack+caut 30905	$471.00	$471.00	$471.00	$569.60
Control of nosebleed ant comp 30903	$471.00	$471.00	$471.00	$569.60
Control of nosebleedantersmpl 30901	$471.00	$471.00	$471.00	$471.00
Control oropharyngeal hemorr/simp 42960	$2,883.00	$2,883.00	$2,883.00	$1,802.40
Controller infinity pt dbs	$4,347.00	$4,347.00	$4,347.00	$4,347.00
Conversion ext bil drg cath	$2,475.00	$2,475.00	$2,475.00	$2,959.50
Convert nephrostomy catheter	$3,489.60	$3,489.60	$3,489.60	$2,643.00
Coombs direct	$70.20	$70.20	$70.20	$80.40
Coombs indirect titer reference	$306.00	$306.00	$306.00	$186.75
Copper cu 64 dotatate diag	$2,125.80	$2,125.80	$2,125.80	$2,125.80
Copper intrauterine device	$2,606.40	$2,606.40	$2,606.40	$2,606.40
Cor hlx vlgs dstl mtar osteo	$5,397.60	$5,397.60	$5,397.60	$5,397.60
Core ndl bx lng/med perq	$2,911.80	$2,911.80	$2,911.80	$3,052.80
Coronary angio/cath placement bypass graft/lv gram/lt heart	$5,770.20	$5,770.20	$5,770.20	$10,920.00
Coronary angio/lv gram/lt heart	$4,899.60	$4,899.60	$4,899.60	$10,991.40
Coronary angio/lv gram/rt&lt heart	$5,181.00	$5,181.00	$5,181.00	$10,049.40
Coronary art/grft angio s&i	$4,763.40	$4,763.40	$4,763.40	$8,006.25
Coronary catheterization w/angiography supervision & interpretation	$3,891.00	$3,891.00	$3,891.00	$7,491.00
Correct rectal prolapse	$8,777.40	$8,777.40	$8,777.40	$8,616.60
Corrj halux rigdus w/implt	$3,042.00	$3,042.00	$3,042.00	$3,042.00
Cortisol total am	$130.80	$130.80	$130.80	$165.00
Cosyntropin 0.25 mg solution for injection	$594.40	$594.40	$594.40	$542.40
Counseling smoke cess interm >10mins	$48.00	$48.00	$48.00	$48.00
Coveredge 32 lead kit 40cm 48	$7,683.00	$7,683.00	$7,683.00	$6,339.60
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Covid-19 administration immunization im inj 1st/only component	$24.00	$24.00	$24.00	$24.00
Crbrospnl fld flw imag cistern	$3,014.40	$3,014.40	$3,014.40	$2,313.75
Creatine - sendout	$45.60	$45.60	$45.60	$45.60
Creatine kinase	$127.20	$127.20	$127.20	$90.00
Creatine kinase isoenzymes	$37.80	$37.80	$37.80	$66.00
Creatine kinase mb	$146.40	$146.40	$146.40	$131.40
Creatinine	$39.60	$39.60	$39.60	$44.25
Creatinine 24 hour urine	$75.00	$75.00	$75.00	$80.40
Creatinine clearance urine	$146.40	$146.40	$146.40	$151.50
Critical care 30-74 minutes	$1,796.40	$1,796.40	$1,796.40	$2,085.75
Critical care each additional 30 minutes	$504.00	$504.00	$504.00	$570.60
Crotalidae poly immune fab	$6,069.00	$6,069.00	$6,069.00	$6,805.20
Cryofibrinogen qualitative - sendout	$55.80	$55.80	$55.80	$61.20
Cryoprecipitate each unit	$235.20	$235.20	$235.20	$235.20
Cryosurgery penis lesion(s) 54056	$118.80	$118.80	$118.80	$192.00
Cryptococcus abs qn - sendout	$216.00	$216.00	$216.00	$184.50
Cryptosporidium antigen	$162.60	$162.60	$162.60	$162.60
Crystal identification light microscopy	$93.00	$93.00	$93.00	$65.25
Cta abdomen without & /or w/contrast	$3,739.20	$3,739.20	$3,739.20	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$4,764.00	$4,764.00	$4,764.00	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$3,098.40	$3,098.40	$3,098.40	$3,067.20
Cta neck without &/or w/contrast	$2,598.60	$2,598.60	$2,598.60	$2,598.60
Cta upper extremity w &/or without contrast left	$3,739.20	$3,739.20	$3,739.20	$3,067.20
Ctrl nosebld postir subsq 30906	$3,691.20	$3,691.20	$3,691.20	$2,487.00
Culture aerobic additional method definitive id each	$67.80	$67.80	$67.80	$77.25
Culture afb any source	$76.80	$76.80	$76.80	$92.80
Culture anaerobic additional method definitive id each	$127.80	$127.80	$127.80	$117.00
Culture anaerobic except blood	$147.00	$147.00	$147.00	$127.50
Culture bact stool aero addl path ea	$86.40	$86.40	$86.40	$52.80
Culture body fluid	$232.20	$232.20	$232.20	$151.50
Culture fungi definitive id mold	$137.40	$137.40	$137.40	$81.75
Culture fungi definitive id yeast	$75.00	$75.00	$75.00	$75.00
Culture fungi other (except blood)	$170.40	$170.40	$170.40	$137.40
Culture fungi skin/hair/nail	$70.80	$70.80	$70.80	$80.40
Culture mycobacteria definitive id each isolate	$154.20	$154.20	$154.20	$123.00
Culture mycoplasma any source	$289.80	$289.80	$289.80	$162.00
Culture screening strep group a	$75.00	$75.00	$75.00	$108.00
Culture typing immunologic	$14.40	$14.40	$14.40	$45.00
Culture typing nucleic acid probe amplified per culture/isolate each organism	$481.20	$481.20	$481.20	$343.20
Cutter lead	$3,079.80	$3,079.80	$3,079.80	$3,284.40
Cv line/pic reposition	$2,403.00	$2,403.00	$2,403.00	$1,629.75
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$54.00	$54.00	$54.00	$15.00
Cyanocobalamin unsat binding capacity	$108.60	$108.60	$108.60	$93.60
Cyclic citrullinated peptide antibody	$251.40	$251.40	$251.40	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$13.20	$13.20	$13.20	$3.75
Cyclosporine 2 hour	$448.80	$448.80	$448.80	$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	$916.20	$916.20	$916.20	$1,004.00
Cyp2c9 gene com variants	$1,852.80	$1,852.80	$1,852.80	$1,852.80
Cyp2d6 gene com variants	$258.60	$258.60	$258.60	$269.40
Cystatin c	$275.40	$275.40	$275.40	$128.40
Cystic fibrosis cftr	$3,831.00	$3,831.00	$3,831.00	$4,054.80
Cystine urine quantitative	$116.40	$116.40	$116.40	$167.25
Cystogram >= 3 views supervision & interpretation	$795.00	$795.00	$795.00	$896.40
Cystoscopy (Bladder Scope)	$1,287.60	$1,287.60	$1,287.60	$1,636.00
Cystoscopy and treatment	$4,493.40	$4,493.40	$4,493.40	$4,102.20
Cystostomy cystotomy w/drainage 51040	$6,497.40	$6,497.40	$6,497.40	$4,977.60
Cystourethroscop/calib/dilat stric 52281	$4,732.80	$4,732.80	$4,732.80	$3,442.20
Cytarabine 20 mg/ml injection solution	$28.80	$28.80	$28.80	$66.20
Cyto/molecular report	$269.40	$269.40	$269.40	$85.80
Cytomegalovirus (cmv) antibody igg	$146.40	$146.40	$146.40	$146.40
Cytomegalovirus (cmv) antibody igm	$146.40	$146.40	$146.40	$131.25
Cytopath smear other source	$54.60	$54.60	$54.60	$66.40
Cytopathology cellular enhancement technique non-gyn	$142.20	$142.20	$142.20	$240.75
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$78.00	$78.00	$78.00	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$61.20	$61.20	$61.20	$64.20
Cytopathology concentration technique smears & interpretation	$51.00	$51.00	$51.00	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$232.20	$232.20	$232.20	$137.40
Cytopathology fna adequacy evaluation first episode each site	$70.80	$70.80	$70.80	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$372.60	$372.60	$372.60	$195.75
Dacarbazine 100 mg intravenous solution	$51.20	$51.20	$51.20	$67.40
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	$5,376.60	$5,376.60	$5,376.60	$5,546.48
Darbepoetin alfa, esrd use	$2,171.40	$2,171.40	$2,171.40	$2,151.00
Daunorubicin 5 mg/ml intravenous solution	$413.60	$413.60	$413.60	$413.60
Dch glucoscan	$12.00	$12.00	$12.00	$19.80
Dch pulmonary stress test	$660.60	$660.60	$660.60	$660.60
Dch validity tests	$51.00	$51.00	$51.00	$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	$1,317.00	$1,317.00	$1,317.00	$922.50
Debrid/rmv fgn bdy/open fx/skin/sq 11010	$1,470.60	$1,470.60	$1,470.60	$1,778.40
Debride nail1-5 11720	$471.00	$471.00	$471.00	$274.20
Debride nail6 or more 11721	$202.20	$202.20	$202.20	$306.60
Debride skin bone at fx site	$4,947.60	$4,947.60	$4,947.60	$3,785.40
Debride/rmv fb/open fx/skin/sq/musc11011	$4,833.60	$4,833.60	$4,833.60	$4,833.60
Debride/subq tissue/ea add 20sq cm 11045	$728.40	$728.40	$728.40	$811.20
Debridement (>20 cm) charge pt	$429.00	$429.00	$429.00	$321.00
Debridement bone <= 20 sq cm	$1,738.80	$1,738.80	$1,738.80	$2,553.60
Debridement subcutaneous tissue <= 20 sq cm	$825.60	$825.60	$825.60	$1,148.25
Debridement/bone/20 sq cm or less 11046	$728.40	$728.40	$728.40	$817.20
Debridement/bone/ea add 20 sq cm 11047	$1,023.60	$1,023.60	$1,023.60	$2,160.00
Decalcification	$388.20	$388.20	$388.20	$124.80
Decitabine 50 mg intravenous solution	$141.60	$141.60	$141.60	$292.80
Declotting thrombolytic agent implanted vas access device 36	$653.40	$653.40	$653.40	$609.75
Degarelix 120 mg subcutaneous solution	$78.60	$78.60	$78.60	$2,262.60
Delivery of placenta 59414	$3,276.00	$3,276.00	$3,276.00	$2,570.25
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$419.40	$419.40	$419.40	$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	$589.80	$589.80	$589.80	$712.80
Design mlc device for imrt	$5,968.20	$5,968.20	$5,968.20	$1,772.40
Desmopressin 4 mcg/ml injection solution	$2,755.80	$2,755.80	$2,755.80	$172.46
Desoxycorticosterone	$398.40	$398.40	$398.40	$285.60
Dest mal lesion feenlm 0.6-1cm 17281	$258.60	$258.60	$258.60	$861.60
Dest mal lesion feenlm 1.1 - 2.0 cm 17282	$246.00	$246.00	$246.00	$246.00
Dest mal lesion snhfg 1.1-2cm 17272	$134.40	$134.40	$134.40	$935.40
Destroy cervthor facet jnt 64633	$3,434.40	$3,434.40	$3,434.40	$2,841.60
Destroy cth facet jnt addl 64634	$3,434.40	$3,434.40	$3,434.40	$2,099.40
Destroy premlg lesns;1st lesn 17000	$141.00	$141.00	$141.00	$520.80
Destruct ben lesion 15/> 17111	$120.60	$120.60	$120.60	$307.50
Destruction 2-14 lesions 17003	$64.20	$64.20	$64.20	$83.25
Destruction anal lesion(s)	$1,638.00	$1,638.00	$1,638.00	$1,638.00
Destruction benign lesions < 14 lesions	$141.00	$141.00	$141.00	$457.20
Destruction by injection tx of nerve 64630	$4,695.00	$4,695.00	$4,695.00	$3,040.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$3,434.40	$3,434.40	$3,434.40	$2,908.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$3,434.40	$3,434.40	$3,434.40	$2,224.80
Destruction cryosurgery anal lesion(s) simpl 46916	$118.80	$118.80	$118.80	$118.80
Destruction penis lesion(s) chem 54050	$229.20	$229.20	$229.20	$229.20
Destruction premal lesions 15/> 17004	$258.60	$258.60	$258.60	$532.80
Device ablt adv novasure	$9,649.20	$9,649.20	$9,649.20	$9,649.20
Device intraute mirena	$4,133.60	$4,133.60	$4,133.60	$3,052.80
Device sut capio slim opn	$1,350.00	$1,350.00	$1,350.00	$1,454.07
Device tiss remov myosure reach	$2,707.20	$2,707.20	$2,707.20	$2,707.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$121.20	$121.20	$121.20	$127.20
Dexametha opth insert 0.1 mg	$477.60	$477.60	$477.60	$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	$1.80	$1.80	$1.80	$7.60
Dexrazoxane hcl 250 mg intravenous solution	$1,087.80	$1,087.80	$1,087.80	$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	$37.20	$37.20	$37.20	$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)	$184.20	$184.20	$184.20	$210.00
Diab manage trn ind/group	$93.00	$93.00	$93.00	$93.00
Diabetes (HbA1c) Test	$165.60	$165.60	$165.60	$70.00
Diagnostic Mammogram (both breasts)	$483.00	$483.00	$483.00	$424.00
Diagnostic Mammogram (one breast)	$316.80	$316.80	$316.80	$297.05
Diagnostic anoscopy spx 46600	$87.60	$87.60	$87.60	$432.60
Diagnostic laryngoscopy 31575	$256.80	$256.80	$256.80	$615.00
Dialysis circuit perm vascular embolization 36909	$3,309.60	$3,309.60	$3,309.60	$4,614.60
Dialysis one evaluation	$1,270.20	$1,270.20	$1,270.20	$1,098.60
Diatrizoate meglumine 18 % urethral solution	$0.80	$0.80	$0.80	$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	$412.20	$412.20	$412.20	$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	$126.00	$126.00	$126.00	$126.00
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$924.80	$924.80	$924.80	$518.40
Dilate esophagus 1/mult pass	$3,526.20	$3,526.20	$3,526.20	$1,548.00
Dilator fascial 10fx20cm	$127.80	$127.80	$127.80	$795.60
Dimenhydrinate injection	$13.20	$13.20	$13.20	$14.40
Diphenhydramine 12.5 mg/5 ml oral elixir	$9.60	$9.60	$9.60	$9.60
Diphenhydramine 50 mg/ml injection (wrapper)	$16.80	$16.80	$16.80	$13.80
Diphtheria-tetanus toxoids 0.5 ml (peds)	$24.60	$24.60	$24.60	$24.60
Disability dlco	$234.00	$234.00	$234.00	$234.00
Disaccharidases	$88.80	$88.80	$88.80	$181.20
Dna antibody native/double stranded	$249.60	$249.60	$249.60	$159.00
Dna gardnerella	$255.60	$255.60	$255.60	$197.40
Dna trichomonas	$266.40	$266.40	$266.40	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$81.00	$81.00	$81.00	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$88.20	$88.20	$88.20	$94.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$56.40	$56.40	$56.40	$56.40
Doppler intravascular pressure flow initial vessel	$1,881.00	$1,881.00	$1,881.00	$3,046.80
Doppler upper/lower extremity arteries complete bilateral	$1,081.80	$1,081.80	$1,081.80	$946.50
Doppler upper/lower extremity arteries limited bilateral	$759.60	$759.60	$759.60	$564.75
Dornase alfa non-comp unit	$236.00	$236.00	$236.00	$380.80
Dostarlimab-gxly 50 mg/ml intravenous solution	$544.20	$544.20	$544.20	$565.80
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$364.20	$364.20	$364.20	$358.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$2,245.20	$2,245.20	$2,245.20	$2,245.20
Doxycycline hyclate 100 mg intravenous powder for solution	$1.20	$1.20	$1.20	$1.20
Dpyd gene common variants	$2,476.80	$2,476.80	$2,476.80	$2,476.80
Drain blood from under nail 11740	$247.20	$247.20	$247.20	$266.40
Drain cath image guided visceral pq	$4,627.80	$4,627.80	$4,627.80	$4,627.80
Drain cerebro spinal fluid 62272	$1,260.60	$1,260.60	$1,260.60	$1,485.75
Drain finger abscess;simple 26010	$589.80	$589.80	$589.80	$318.00
Drain thigh/knee lesion 27301	$5,397.60	$5,397.60	$5,397.60	$5,469.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$1,440.00	$1,440.00	$1,440.00	$824.40
Drainage ext aud canal abscess 69020	$1,440.00	$1,440.00	$1,440.00	$1,440.00
Drainage external ear complex 69005	$7,126.80	$7,126.80	$7,126.80	$4,074.75
Drainage external ear simple 69000	$591.60	$591.60	$591.60	$709.50
Drainage mouth roof lesion	$4,695.00	$4,695.00	$4,695.00	$1,651.80
Drainage of kidney lesion	$1,119.00	$1,119.00	$1,119.00	$2,056.80
Drainage of mouth lesion	$3,435.60	$3,435.60	$3,435.60	$3,430.80
Drainage of nose lesion int 30000	$10,044.00	$10,044.00	$10,044.00	$3,592.20
Drainage of pelvis lesion 26990	$3,355.20	$3,355.20	$3,355.20	$3,355.20
Drainage of rectal abscess 45020	$5,376.00	$5,376.00	$5,376.00	$5,376.00
Dress/debrid prtl-thick burn l 16030	$825.60	$825.60	$825.60	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$825.60	$825.60	$825.60	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$589.80	$589.80	$589.80	$408.60
Drng of finger abscess comp 26011	$1,875.00	$1,875.00	$1,875.00	$1,875.00
Drng of scrotum abscess 55100	$2,892.60	$2,892.60	$2,892.60	$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	$1,778.40	$1,778.40	$1,778.40	$1,956.48
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$696.00	$696.00	$696.00	$841.60
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm	$10,017.00	$10,017.00	$10,017.00	$11,362.20
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm	$28,128.00	$28,128.00	$28,128.00	$26,932.05
Drug assay rufinamide	$205.80	$205.80	$205.80	$135.75
Drug assay vedolizumab	$431.40	$431.40	$431.40	$298.80
Drug screen quant tiagabine	$188.40	$188.40	$188.40	$188.40
Drug test def 1-7 classes	$437.40	$437.40	$437.40	$437.40
Drug test(s) presumptive any class instrument chemistry analyzers	$316.80	$316.80	$316.80	$441.60
Drvvt confirm - quest	$169.20	$169.20	$169.20	$174.60
Dstrj nulyt agt gnclr nrv	$1,429.20	$1,429.20	$1,429.20	$1,429.20
Dup scan/hemodialysis access 93990	$878.40	$878.40	$878.40	$684.60
Dup scan/lwr xtr vasc stdy bilat 93924	$914.40	$914.40	$914.40	$963.75
Dup scan/ue art/graft/bilat/comp 93930	$974.40	$974.40	$974.40	$903.00
Duplex scan bilateral study 93985	$1,429.20	$1,429.20	$1,429.20	$1,144.80
Duplex scan unilateral study 93986	$714.60	$714.60	$714.60	$643.20
Durvalumab 50 mg/ml intravenous solution	$324.60	$324.60	$324.60	$241.20
Dx bronchoscope/brush 31623	$5,050.20	$5,050.20	$5,050.20	$2,159.25
Dx bronchoscope/lavage 31624	$2,926.80	$2,926.80	$2,926.80	$2,926.80
Dx bronchoscope/wash 31622	$2,322.60	$2,322.60	$2,322.60	$2,168.40
Dxa bone density axl vrt fx	$672.60	$672.60	$672.60	$672.60
E equine encephalitis igg	$91.80	$91.80	$91.80	$122.40
ER Visit (level 1, minor)	$252.60	$252.60	$252.60	$286.51
ER Visit (level 2)	$406.80	$406.80	$406.80	$469.39
ER Visit (level 3)	$744.00	$744.00	$744.00	$827.20
ER Visit (level 4)	$1,243.80	$1,243.80	$1,243.80	$1,330.00
ER Visit (level 5, high severity)	$1,287.60	$1,287.60	$1,287.60	$1,892.80
Ear canal biopsy 69105	$1,353.00	$1,353.00	$1,353.00	$1,353.00
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 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	$75.00	$75.00	$75.00	$74.40
Ecg external >7 days up to 15 days recording	$75.00	$75.00	$75.00	$75.00
Ecg/1-3 leads/tracing only 93041	$128.40	$128.40	$128.40	$49.80
Echo guide for artery repair	$1,009.20	$1,009.20	$1,009.20	$1,009.20
Echo stress	$816.00	$816.00	$816.00	$1,056.00
Echo tee guidance	$1,054.80	$1,054.80	$1,054.80	$2,007.00
Echo tee probe placement image acquisition interpretation & report	$860.40	$860.40	$860.40	$1,875.00
Echo transesophageal intraop	$2,142.60	$2,142.60	$2,142.60	$2,142.60
Echo transthoracic	$904.80	$904.80	$904.80	$1,094.40
Echo transthoracic	$534.60	$534.60	$534.60	$534.60
Echocardiogram (Heart Ultrasound)	$2,265.00	$2,265.00	$2,265.00	$2,021.12
Echocardiography doppler color flow mapping	$480.00	$480.00	$480.00	$485.25
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$2,265.00	$2,265.00	$2,265.00	$2,265.00
Echocardiography transthoracic 2d followup/limited	$399.60	$399.60	$399.60	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$364.20	$364.20	$364.20	$691.20
Echocardiograpy doppler follow up/limited study	$763.20	$763.20	$763.20	$336.00
Eculizumab 300 mg/30 ml intravenous solution	$268.80	$268.80	$268.80	$268.80
Edu/train/pt/nonmd/in person/30 min98960	$670.20	$670.20	$670.20	$640.80
Eeg during surgery	$546.60	$546.60	$546.60	$1,488.75
Eeg monitor/record/awake/drowsy 95816	$1,189.80	$1,189.80	$1,189.80	$1,099.50
Eeg over 1 hour 95813 - 26	$470.40	$470.40	$470.40	$907.80
Eeg recording awake and asleep	$1,189.80	$1,189.80	$1,189.80	$1,173.00
Eeg without vid ea 12-26hr intmt	$1,065.60	$1,065.60	$1,065.60	$1,126.20
Eeg wo vid ea 12-26hr unmntr	$1,014.60	$1,014.60	$1,014.60	$1,126.20
Eeg/cerebral death evaluation only 95824 -26	$1,133.40	$1,133.40	$1,133.40	$1,177.80
Eeg/record in coma or sleep only 95822	$1,189.80	$1,189.80	$1,189.80	$1,095.60
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$79.20	$79.20	$79.20	$85.60
Egd Ultrasound exam duodenum/jejunum	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Egd Ultrasound fine needle bx/aspir	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Egd balloon dil esoph30 mm/>	$3,414.00	$3,414.00	$3,414.00	$1,903.50
Egd control bleeding any	$3,414.00	$3,414.00	$3,414.00	$2,553.75
Egd dilate stricture	$3,414.00	$3,414.00	$3,414.00	$3,148.50
Egd endo mucosal resection	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Egd endoscopic stent place	$6,529.80	$6,529.80	$6,529.80	$4,379.25
Egd guide wire insertion	$3,526.20	$3,526.20	$3,526.20	$2,978.40
Egd lesion ablation	$3,414.00	$3,414.00	$3,414.00	$3,360.75
Egd remove foreign body	$3,526.20	$3,526.20	$3,526.20	$2,501.40
Egd remove lesion snare	$3,414.00	$3,414.00	$3,414.00	$2,597.25
Egd varices ligation	$3,414.00	$3,414.00	$3,414.00	$3,061.20
Egd w/thrml txmnt gerd	$6,529.80	$6,529.80	$6,529.80	$7,006.20
Egd w/transmural drain cyst	$6,103.80	$6,103.80	$6,103.80	$6,103.80
Egd/insert intraluminal tube/cath 43241	$3,414.00	$3,414.00	$3,414.00	$2,978.40
Egd/remov tum/polyp/hot bx forcep 43250	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Egfr gene com variants	$134.40	$134.40	$134.40	$808.80
Ehrlicha chaffeensis amp prb	$290.40	$290.40	$290.40	$290.40
Elect anlys sp inf pmp w/reprg&fill 62369	$1,044.00	$1,044.00	$1,044.00	$861.00
Electroconvulsive therapy 90870	$2,124.00	$2,124.00	$2,124.00	$1,226.40
Electrocorticography durng sx	$955.80	$955.80	$955.80	$881.40
Electrolyte panel	$130.80	$130.80	$130.80	$130.80
Electron microscopy diagnostic	$1,084.80	$1,084.80	$1,084.80	$1,472.40
Electrophys map 3d add-on	$4,986.00	$4,986.00	$4,986.00	$5,610.00
Electrophysiologic study	$4,569.60	$4,569.60	$4,569.60	$5,773.20
Electrophysiology evaluation	$4,569.60	$4,569.60	$4,569.60	$5,244.00
Electrophysiology evaluation	$4,123.20	$4,123.20	$4,123.20	$5,576.40
Electrophysiology evaluation	$4,555.20	$4,555.20	$4,555.20	$6,361.20
Emb w/colposcopy 58110	$189.60	$189.60	$189.60	$706.40
Emb without cervical dilation 58100	$2,178.00	$2,178.00	$2,178.00	$2,115.00
Embo or occlude vascular arterial s&i	$6,596.40	$6,596.40	$6,596.40	$13,812.00
Embo or occlude vascular hemorrhage s&i	$6,596.40	$6,596.40	$6,596.40	$12,721.80
Embo or occlude vascular tumor/organ/infarct s&i	$6,596.40	$6,596.40	$6,596.40	$11,680.50
Embo or occlude vascular venous s&i	$6,596.40	$6,596.40	$6,596.40	$13,485.60
Embolization s&i	$3,495.60	$3,495.60	$3,495.60	$4,390.50
Emg 2 ext w-w/o paraspinal area 95861	$462.60	$462.60	$462.60	$665.40
Emg cranial nerve bilateral	$444.00	$444.00	$444.00	$529.80
Encephalitis, california igg/igm	$91.80	$91.80	$91.80	$122.40
Encephalitis, st louis igg/igm	$91.80	$91.80	$91.80	$122.40
Encephalitis, western equine igg/igm	$91.80	$91.80	$91.80	$122.40
Endo abl/incom vein/ext/laser/#1 36478	$3,715.20	$3,715.20	$3,715.20	$6,948.00
Endo abl/incom vein/ext/rad fre/#1 36475	$3,715.20	$3,715.20	$3,715.20	$15,871.80
Endo cath bile duct s&i	$1,216.80	$1,216.80	$1,216.80	$982.20
Endo cholangiopancreatograph	$6,529.80	$6,529.80	$6,529.80	$3,831.00
Endo cholangiopancreatograph	$6,529.80	$6,529.80	$6,529.80	$3,546.00
Endocerv curettage w/scope 57456	$218.40	$218.40	$218.40	$585.00
Endocervical curettage 57505	$513.60	$513.60	$513.60	$1,119.00
Endoluminl ivus oct c 1st	$806.40	$806.40	$806.40	$3,315.00
Endoluminl ivus oct c ea	$578.40	$578.40	$578.40	$3,046.80
Endoscopic pancreatoscopy	$6,529.80	$6,529.80	$6,529.80	$2,116.20
Endoscopy bowel pouch/biop	$3,156.60	$3,156.60	$3,156.60	$1,896.00
Endoscopy swallow (fees) vid	$162.00	$162.00	$162.00	$551.25
Endoscpy nsl/sns w/cntrl nsl hmrrgh	$2,287.20	$2,287.20	$2,287.20	$2,377.20
Endovasc rpr a-biiliac endogft 34705	$6,193.80	$6,193.80	$6,193.80	$10,363.80
Endovenous laser vein addon 36479	$3,715.20	$3,715.20	$3,715.20	$2,203.50
Endovenous rf abl vein addl	$3,715.20	$3,715.20	$3,715.20	$3,603.00
Enfortumab vedotin-ejfv 20 mg intravenous solution	$64.20	$64.20	$64.20	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$7.60	$7.60	$7.60	$69.60
Enzyme histochemistry	$471.60	$471.60	$471.60	$573.60
Ep & ablate supravent arrhyt	$14,329.20	$14,329.20	$14,329.20	$30,975.00
Ep & ablate ventric tachy	$27,777.00	$27,777.00	$27,777.00	$30,975.00
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution	$100.80	$100.80	$100.80	$102.60
Epidural/lumbar/sacral/ea add level64484	$1,461.00	$1,461.00	$1,461.00	$1,711.50
Epinephrine 1 mg/ml im kit - pediatric	$441.60	$441.60	$441.60	$441.60
Epirubicin 200 mg/100 ml intravenous solution	$8.40	$8.40	$8.40	$161.59
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$160.00	$160.00	$160.00	$255.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$874.20	$874.20	$874.20	$336.66
Epstein barr early antigen antibody	$213.60	$213.60	$213.60	$126.00
Epstein barr nuclear antigen antibody	$292.20	$292.20	$292.20	$124.50
Epstein barr viral capsid antigen antibody igm	$292.20	$292.20	$292.20	$153.75
Eptifibatide 0.75 mg/ml intravenous solution	$268.80	$268.80	$268.80	$350.40
Eptinezumab-jjmr 100 mg/ml intravenous solution	$3,469.20	$3,469.20	$3,469.20	$3,637.20
Ercp bil/panc duct; each stent plcmt 43274	$6,529.80	$6,529.80	$6,529.80	$4,282.20
Ercp biliary & pancreas	$1,070.40	$1,070.40	$1,070.40	$987.60
Ercp ea duct/ampulla dilate	$6,529.80	$6,529.80	$6,529.80	$4,199.25
Ercp lesion ablate w/dilate 43278	$6,529.80	$6,529.80	$6,529.80	$5,574.60
Ercp lithotripsy calculi	$6,529.80	$6,529.80	$6,529.80	$4,379.25
Ercp remove duct calculi 43264	$6,529.80	$6,529.80	$6,529.80	$3,955.50
Ercp remove forgn body duct 43275	$6,529.80	$6,529.80	$6,529.80	$4,282.20
Ercp stent exchange w/dilate	$6,529.80	$6,529.80	$6,529.80	$4,497.75
Ercp w/specimen collection	$6,529.80	$6,529.80	$6,529.80	$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	$396.00	$396.00	$396.00	$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	$3,414.00	$3,414.00	$3,414.00	$2,597.25
Esophageal dilat s&i	$556.20	$556.20	$556.20	$787.50
Esophagoscop ultrasound exam	$3,414.00	$3,414.00	$3,414.00	$3,708.00
Esophagoscopy flex remove fb	$3,414.00	$3,414.00	$3,414.00	$2,361.00
Esophagoscopy w/us needle bx	$3,414.00	$3,414.00	$3,414.00	$3,940.50
Esophagoscopy/flex/diagnostic 43200	$3,526.20	$3,526.20	$3,526.20	$2,978.40
Esophagus motility study	$2,006.40	$2,006.40	$2,006.40	$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	$373.20	$373.20	$373.20	$242.40
Estrogens total-sendout	$310.20	$310.20	$310.20	$270.00
Ethylene glycol -sendout	$202.80	$202.80	$202.80	$114.60
Etonogestrel implant system	$5,044.00	$5,044.00	$5,044.00	$4,715.65
Etoposide 20 mg/ml intravenous solution	$261.60	$261.60	$261.60	$213.17
Etoposide 50 mg cap	$271.80	$271.80	$271.80	$285.60
Euflexxa inj per dose	$752.40	$752.40	$752.40	$1,186.77
Eval/fit voice prosthesis iii, st	$310.20	$310.20	$310.20	$431.25
Evaluation of speech fluency 92521	$457.20	$457.20	$457.20	$393.00
Evaluation psychiatric diagnostic	$105.60	$105.60	$105.60	$351.60
Event monitor	$462.00	$462.00	$462.00	$352.50
Evoked potentials auditory screening automated analysis	$127.80	$127.80	$127.80	$336.60
Evoked potentials upper limbs	$491.40	$491.40	$491.40	$561.00
Exam of vagina w/scope 57420	$189.60	$189.60	$189.60	$615.60
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442	$483.60	$483.60	$483.60	$2,448.00
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443	$501.00	$501.00	$501.00	$2,319.75
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 snhfg 2.1-3cm 11423	$1,052.40	$1,052.40	$1,052.40	$1,967.25
Exc ben+marg excep skin tag tal 0.6-1cm 11401	$258.60	$258.60	$258.60	$1,501.50
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403	$526.20	$526.20	$526.20	$1,743.00
Exc benign feenlm 3.1-4.0cm 11444	$1,105.20	$1,105.20	$1,105.20	$2,979.60
Exc benign tal 0.5 < cm 11400	$490.80	$490.80	$490.80	$1,527.60
Exc feenl mal+mrg 0.6-1 11641	$490.80	$490.80	$490.80	$2,574.60
Exc feenl mal+mrg 2.1-3 11643	$940.20	$940.20	$940.20	$2,185.50
Exc les/mucos/sub/ves mouth/no rpr 40810	$1,965.60	$1,965.60	$1,965.60	$1,965.60
Exc mal+marg tal 1.1-2 cm 11602	$258.60	$258.60	$258.60	$2,151.75
Exc mal+marg tal 2.1-3 cm 11603	$483.60	$483.60	$483.60	$1,521.75
Exc mal+marg tal 3.1-4 cm 11604	$491.40	$491.40	$491.40	$1,891.50
Exc malig feenl 1.1-2 11642	$490.80	$490.80	$490.80	$2,185.50
Exc malig feenl 3.1-4.0 11644	$955.80	$955.80	$955.80	$955.80
Exc malig feenl <0.5cm 11640	$490.80	$490.80	$490.80	$490.80
Exc malig snhfg 0.5cm or less 11620	$1,105.20	$1,105.20	$1,105.20	$315.00
Exc malig snhfg 2.1-3 cm 11623	$1,052.40	$1,052.40	$1,052.40	$2,306.25
Exc malig tal 0.6-1.0cm 11601	$490.80	$490.80	$490.80	$1,407.75
Exc snhfg mal+mrg 1.1-2 11622	$491.40	$491.40	$491.40	$2,185.50
Exc tr-ext mal+marg tal >4 cm 11606	$1,105.20	$1,105.20	$1,105.20	$2,732.25
Exchange biliary drg cath	$2,475.00	$2,475.00	$2,475.00	$2,959.50
Exchange drainage catheter	$971.40	$971.40	$971.40	$2,610.75
Exchange nephrostomy cath	$5,026.20	$5,026.20	$5,026.20	$2,572.20
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm	$490.80	$490.80	$490.80	$2,184.60
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm	$1,105.20	$1,105.20	$1,105.20	$2,427.00
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm	$490.80	$490.80	$490.80	$1,520.25
Excision benign lesion trunk/arms/legs > 4.0 cm	$940.20	$940.20	$940.20	$3,375.75
Expander breast 300cc mod hght extra proj smth natrelle	$2,967.60	$2,967.60	$2,967.60	$2,967.60
Expander tiss 133s-mv-12-t 300ml natrelle smth	$2,872.20	$2,872.20	$2,872.20	$4,135.20
Expl lap celiotomy w/wo bx 49000	$6,630.60	$6,630.60	$6,630.60	$5,776.80
Exploration of knee joint	$6,400.80	$6,400.80	$6,400.80	$5,891.40
Explore penetrating wnd/extremity 20103	$3,349.80	$3,349.80	$3,349.80	$3,349.80
Explore/treat finger joint	$6,347.40	$6,347.40	$6,347.40	$4,131.00
Explore/treat wrist joint	$5,383.80	$5,383.80	$5,383.80	$5,268.60
External chromosome analysis 20-25 cells	$354.60	$354.60	$354.60	$919.20
External tissue culture neoplastic disorders bone marrow/blood cells	$354.60	$354.60	$354.60	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$132.60	$132.60	$132.60	$212.00
F-18 fdg pet diag	$2,058.00	$2,058.00	$2,058.00	$1,257.60
F-18 florbetapir less than or equal to 10 mci	$7,344.60	$7,344.60	$7,344.60	$5,679.38
F-18 fluciclovine per mci	$710.40	$710.40	$710.40	$1,579.20
Facial bones <3	$320.40	$320.40	$320.40	$388.00
Factor ix	$82.20	$82.20	$82.20	$222.60
Factor viii	$239.40	$239.40	$239.40	$213.00
Factor viii recomb novoeight	$3.40	$3.40	$3.40	$3.40
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$52.80	$52.80	$52.80	$55.20
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$0.40	$0.40	$0.40	$0.40
Fat/lipids feces qualitative	$199.80	$199.80	$199.80	$39.60
Fatty acids nonesterified	$153.60	$153.60	$153.60	$139.50
Feeding tube reposition	$1,011.00	$1,011.00	$1,011.00	$447.60
Felbamate (felbatol(r)) - sendout	$226.20	$226.20	$226.20	$133.50
Fem/popl revasc w/stent	$7,915.20	$7,915.20	$7,915.20	$34,620.00
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$82.80	$82.80	$82.80	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$5,580.60	$5,580.60	$5,580.60	$3,736.68
Ferritin	$212.40	$212.40	$212.40	$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 fibronectin	$851.40	$851.40	$851.40	$727.80
Fetal non stress test	$373.20	$373.20	$373.20	$451.20
Fibrin degradation d dimer quantitative	$148.20	$148.20	$148.20	$93.00
Fibrin degradation products	$91.80	$91.80	$91.80	$111.20
Fibrinogen activity	$133.20	$133.20	$133.20	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$61.80	$61.80	$61.80	$72.00
Fibrinolytic plasminogen xcpt antgnc asa	$66.60	$66.60	$66.60	$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	$347.40	$347.40	$347.40	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$2,032.80	$2,032.80	$2,032.80	$1,504.82
Filter spider fx 3mmx320cm	$5,677.80	$5,677.80	$5,677.80	$8,212.50
Filter vena cava fem denali	$4,242.60	$4,242.60	$4,242.60	$5,179.20
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	$1,092.00	$1,092.00	$1,092.00	$857.25
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$726.00	$726.00	$726.00	$738.00
Finger joint sz00 swanson w/grommets	$1,917.00	$1,917.00	$1,917.00	$3,109.80
Fixtn pq skel dstl rad fx/epiphysl sep	$5,510.40	$5,510.40	$5,510.40	$5,510.40
Fl exam g/colon tube w contrast	$1,778.40	$1,778.40	$1,778.40	$780.60
Flecainide (tambocor)-sendout	$205.80	$205.80	$205.80	$129.60
Flexible Sigmoidoscopy	$598.20	$598.20	$598.20	$1,278.72
Flow cytometry interp 16 or more	$374.40	$374.40	$374.40	$699.60
Flow cytometry marker each additional	$276.60	$276.60	$276.60	$181.50
Flow cytometry one marker technical component	$276.60	$276.60	$276.60	$288.60
Flt3 gene	$277.80	$277.80	$277.80	$598.20
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$42.00	$42.00	$42.00	$24.41
Fluid pressure muscle 20950	$801.60	$801.60	$801.60	$445.50
Fluorescent antibody titer dna	$202.20	$202.20	$202.20	$202.20
Fluoroestradiol f 18	$1,413.00	$1,413.00	$1,413.00	$1,491.00
Fluoroguide for spine inject 77003-26	$1,275.00	$1,275.00	$1,275.00	$678.00
Fluoroguide needle placement	$1,275.00	$1,275.00	$1,275.00	$599.25
Fluoroscopy up to 1 hour	$534.60	$534.60	$534.60	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$31.80	$31.80	$31.80	$152.80
Fluphenazine decanoate 25 mg/ml injection solution	$276.00	$276.00	$276.00	$380.85
Fna bx w/ct gdn 1st les	$971.40	$971.40	$971.40	$900.75
Fna bx w/ct gdn ea addl	$726.00	$726.00	$726.00	$738.00
Fna bx w/mr gdn 1st les	$587.40	$587.40	$587.40	$738.00
Folic acid	$130.80	$130.80	$130.80	$130.80
Folic acid 5 mg/ml injection solution	$0.80	$0.80	$0.80	$1.05
Follow-up angiography	$1,141.80	$1,141.80	$1,141.80	$2,403.75
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
Foreskn manip w/lss preputial ads+stretching 54450	$3,435.60	$3,435.60	$3,435.60	$534.00
Fosaprepitant 150 mg intravenous powder for solution	$1,173.00	$1,173.00	$1,173.00	$1,233.17
Foscarnet sodium injection	$526.40	$526.40	$526.40	$1,101.86
Fosphenytoin 50 mg pe/ml injection (wrapper)	$366.60	$366.60	$366.60	$94.85
Frenectomy 41115	$3,435.60	$3,435.60	$3,435.60	$3,435.60
Fresh frozen plasma 8-24 hours collection each unit	$243.00	$243.00	$243.00	$246.75
Fresh frozen plasma frozen within 8 hours of collection each unit	$303.00	$303.00	$303.00	$237.00
Fresh frozen plasma thawing ea un	$75.60	$75.60	$75.60	$106.20
Fructosamine glycated protein	$209.40	$209.40	$209.40	$100.20
Furosemide 10 mg/ml injection solution	$0.60	$0.60	$0.60	$0.60
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr	$6.60	$6.60	$6.60	$12.00
G-esoph reflx tst w/electrod	$4,449.00	$4,449.00	$4,449.00	$1,557.75
G-tube reposition	$721.20	$721.20	$721.20	$978.00
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	$0.60	$0.60	$0.60	$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	$34.20	$34.20	$34.20	$41.40
Galectin-3	$78.00	$78.00	$78.00	$83.40
Gamma globulin 1 cc inj	$189.60	$189.60	$189.60	$189.60
Gamma glutamyltransferase	$111.00	$111.00	$111.00	$88.20
Gammaglobulin iga	$280.80	$280.80	$280.80	$171.60
Gammaglobulin ige	$226.80	$226.80	$226.80	$148.50
Gamunex-c/gammaked	$338.40	$338.40	$338.40	$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	$290.40	$290.40	$290.40	$351.20
Gastric motility studies	$1,578.60	$1,578.60	$1,578.60	$1,578.60
Gel-one	$2,173.80	$2,173.80	$2,173.80	$2,173.80
Gel-syn injection 0.1 mg	$3.00	$3.00	$3.00	$1,330.04
Gemcitabine 1 gram intravenous solution	$364.20	$364.20	$364.20	$365.40
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$844.20	$844.20	$844.20	$37,698.54
Generator barostim neo2 2014	$54,031.20	$54,031.20	$54,031.20	$52,543.20
Generator emblem MRI sicd subq	$62,886.00	$62,886.00	$62,886.00	$61,875.00
Genetic tstg severe inh cond	$11,622.60	$11,622.60	$11,622.60	$11,622.60
Genome sequence analysis	$4,397.40	$4,397.40	$4,397.40	$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	$351.60	$351.60	$351.60	$201.00
Ghs HIV antibody	$200.40	$200.40	$200.40	$129.75
Ghs IV inf sq injection, on-body injector	$147.00	$147.00	$147.00	$145.80
Ghs IV infusion bamlanivimab/etesevimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV infusion sotrovimab	$1,020.00	$1,020.00	$1,020.00	$1,020.00
Ghs IV thrombolytics - cerebral	$513.60	$513.60	$513.60	$620.80
Ghs abscess perianal iandd	$1,512.60	$1,512.60	$1,512.60	$1,829.60
Ghs alcohol, methyl (methanol)-medtox	$110.40	$110.40	$110.40	$147.60
Ghs alpha thalasemia, 7 deletions	$1,593.00	$1,593.00	$1,593.00	$1,687.20
Ghs antibodies (torch) igm	$455.40	$455.40	$455.40	$131.25
Ghs bladder cath - complex-foley	$471.00	$471.00	$471.00	$492.00
Ghs block ilioinguinal/gentitofemoral	$1,332.00	$1,332.00	$1,332.00	$1,332.00
Ghs change cysto/gastrost	$1,759.80	$1,759.80	$1,759.80	$1,265.40
Ghs chemo >8 hrs	$696.00	$696.00	$696.00	$841.60
Ghs chemo IV push, ea addtl	$446.40	$446.40	$446.40	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$54.00	$54.00	$54.00	$360.00
Ghs cl tx knee disl; wo anesth	$2,389.20	$2,389.20	$2,389.20	$2,370.60
Ghs cl tx metacarpophal disloc without anes	$825.60	$825.60	$825.60	$471.75
Ghs closd tx interphalang jt disloc w/ma	$825.60	$825.60	$825.60	$630.00
Ghs closed reduction ankle dislocation	$825.60	$825.60	$825.60	$825.60
Ghs closed tx bimalleolar fracture w/manip	$718.20	$718.20	$718.20	$1,635.60
Ghs closed tx tibial fracture w/manip	$718.20	$718.20	$718.20	$1,547.25
Ghs closure surg wound/dehiscence-13160	$4,530.60	$4,530.60	$4,530.60	$2,182.50
Ghs clsd red med malleolus fx w manip	$2,926.80	$2,926.80	$2,926.80	$2,632.20
Ghs clsd red med malleolus fx without manip	$825.60	$825.60	$825.60	$825.60
Ghs clsd tx frac distal tibia w/manipulation	$2,827.20	$2,827.20	$2,827.20	$2,319.00
Ghs community re-entry 15 minutes	$72.00	$72.00	$72.00	$85.60
Ghs conjunctiva foreign body-superf bil	$408.60	$408.60	$408.60	$351.75
Ghs corneal fb with slit lamp bilat	$408.60	$408.60	$408.60	$408.60
Ghs corneal fb without slit lamp bilat	$408.60	$408.60	$408.60	$422.25
Ghs cutdown placement age 1 and over	$120.00	$120.00	$120.00	$102.60
Ghs diphtheria toxoid ab igg	$304.20	$304.20	$304.20	$165.60
Ghs dislocation elbow closed treatment	$825.60	$825.60	$825.60	$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	$1,360.20	$1,360.20	$1,360.20	$1,439.40
Ghs eeg cont rec w/video by tec min 8 chnls	$547.20	$547.20	$547.20	$586.80
Ghs excision ingrown nail	$589.80	$589.80	$589.80	$484.80
Ghs eyelid foreign body-embedded - bil	$718.20	$718.20	$718.20	$868.80
Ghs fb removal - incisional	$7,126.80	$7,126.80	$7,126.80	$3,182.40
Ghs fb removal - non-incisional	$3,129.60	$3,129.60	$3,129.60	$1,551.00
Ghs fb removal foot - deep - left	$7,126.80	$7,126.80	$7,126.80	$3,771.00
Ghs fish cytogen	$354.60	$354.60	$354.60	$235.80
Ghs fish hybrid in situ 100-300	$354.60	$354.60	$354.60	$354.60
Ghs flow volume loop	$163.80	$163.80	$163.80	$223.20
Ghs gastric intub aspiration lavage	$304.80	$304.80	$304.80	$304.80
Ghs histoplasma antigen	$674.40	$674.40	$674.40	$492.00
Ghs hla-dr/dq, multiple antigens	$458.40	$458.40	$458.40	$462.60
Ghs i and d abscess/hematoma scrotum	$7,126.80	$7,126.80	$7,126.80	$4,134.00
Ghs i and d perirectal abscess 46040	$2,172.00	$2,172.00	$2,172.00	$2,637.00
Ghs i and d pilonidal cyst simple	$589.80	$589.80	$589.80	$589.80
Ghs incision thrombosed ext hemorrhoid	$825.60	$825.60	$825.60	$526.50
Ghs inf midline insertion	$327.00	$327.00	$327.00	$4,051.20
Ghs inhibitor screen	$345.00	$345.00	$345.00	$345.00
Ghs init tx 1st degree burn	$471.00	$471.00	$471.00	$448.50
Ghs inj neurolytic other perph nerve	$1,332.00	$1,332.00	$1,332.00	$1,231.20
Ghs inj tendon origin/insertion	$616.20	$616.20	$616.20	$481.80
Ghs inj transforaminal cerv single bil	$3,816.00	$3,816.00	$3,816.00	$1,957.50
Ghs insertion of needle - bone	$471.00	$471.00	$471.00	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$825.60	$825.60	$825.60	$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 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	$471.00	$471.00	$471.00	$569.60
Ghs layer closure 2.5 cm or less - 12031	$825.60	$825.60	$825.60	$477.00
Ghs layer closure 2.5 cm or less - 12041	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 2.5cm or less - 12051	$825.60	$825.60	$825.60	$520.80
Ghs layer closure 2.6 - 5.0 cm - 12052	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$825.60	$825.60	$825.60	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$825.60	$825.60	$825.60	$998.40
Ghs layer closure 7.6 - 12.5 cm - 12044	$825.60	$825.60	$825.60	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12054	$825.60	$825.60	$825.60	$998.40
Ghs layered repair 12.6 - 20.0 cm -12055	$825.60	$825.60	$825.60	$998.40
Ghs mbp	$209.40	$209.40	$209.40	$171.60
Ghs moderate sedation < 5 yr, 30 min	$147.00	$147.00	$147.00	$429.60
Ghs moderate sedation ea addtl 15 min	$154.20	$154.20	$154.20	$190.20
Ghs myocardial strain img spckl track	$792.60	$792.60	$792.60	$792.60
Ghs nailbed repair/nail removal	$825.60	$825.60	$825.60	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$2,249.40	$2,249.40	$2,249.40	$1,618.50
Ghs nerve blk intercostal, single level	$3,217.20	$3,217.20	$3,217.20	$1,546.50
Ghs nerve block axillary nerve	$2,285.40	$2,285.40	$2,285.40	$1,763.25
Ghs nerve block brachial plexus	$2,285.40	$2,285.40	$2,285.40	$1,815.00
Ghs nerve block celiac plexus	$2,569.20	$2,569.20	$2,569.20	$2,512.80
Ghs nerve block interscaline	$3,548.40	$3,548.40	$3,548.40	$1,926.00
Ghs nerve block lumbar or thoracic symp	$1,499.40	$1,499.40	$1,499.40	$1,907.25
Ghs nerve block sciatic nerve	$2,399.40	$2,399.40	$2,399.40	$2,184.60
Ghs nerve block suprascapular	$2,285.40	$2,285.40	$2,285.40	$1,131.00
Ghs ng placement w fluoro guidance	$2,568.60	$2,568.60	$2,568.60	$589.80
Ghs o2 saturation	$54.00	$54.00	$54.00	$106.50
Ghs opcc repair cvp w subq port	$5,034.60	$5,034.60	$5,034.60	$4,080.00
Ghs osteopathic manipulative tx, 1-2 regions	$39.60	$39.60	$39.60	$47.80
Ghs osteopathic manipulative tx, 3-4 regions	$19.20	$19.20	$19.20	$19.20
Ghs ot group caregiver training	$43.20	$43.20	$43.20	$44.40
Ghs ot prosthetic training/15 min	$124.20	$124.20	$124.20	$121.20
Ghs ot sensory integrative tech/15min	$130.20	$130.20	$130.20	$130.20
Ghs paravert facet/nerve cerv ea add bil	$2,157.60	$2,157.60	$2,157.60	$1,656.60
Ghs paravert facet/nerve lumb ea add bil	$2,481.60	$2,481.60	$2,481.60	$1,386.00
Ghs peritonsillar abscess i andd	$825.60	$825.60	$825.60	$1,080.75
Ghs plngl fx pm cl	$825.60	$825.60	$825.60	$685.80
Ghs ppd (tb intradermal)	$18.60	$18.60	$18.60	$52.50
Ghs pr without cont pulse ox	$347.40	$347.40	$347.40	$134.25
Ghs prostatic acid phosphatase (mayo)	$237.60	$237.60	$237.60	$83.40
Ghs protoporphyrins fract	$139.80	$139.80	$139.80	$99.00
Ghs removal intranasal foreign body	$247.20	$247.20	$247.20	$341.40
Ghs repair tendon ext forearm/wrist ea	$6,497.40	$6,497.40	$6,497.40	$5,693.40
Ghs rsv eia (respir synctial vrs)	$286.20	$286.20	$286.20	$286.20
Ghs sedimentation rate	$62.40	$62.40	$62.40	$62.40
Ghs semen analysis fert	$195.60	$195.60	$195.60	$195.60
Ghs simple repair 12.6 - 20.0 cm - 12005	$589.80	$589.80	$589.80	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$589.80	$589.80	$589.80	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$781.80	$781.80	$781.80	$965.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$589.80	$589.80	$589.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$589.80	$589.80	$589.80	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$589.80	$589.80	$589.80	$589.80
Ghs simple repair over 30 cm - 12007	$589.80	$589.80	$589.80	$660.00
Ghs sleep study unattended	$90.00	$90.00	$90.00	$752.80
Ghs somatosensory testing upper & lower limbs	$687.00	$687.00	$687.00	$855.60
Ghs sp train/fitting sp device - kx	$366.60	$366.60	$366.60	$324.75
Ghs sphenopalatine ganglion block	$568.20	$568.20	$568.20	$928.20
Ghs st - eval for alt comm	$27.00	$27.00	$27.00	$99.75
Ghs st - re-eval for alt comm	$249.60	$249.60	$249.60	$410.25
Ghs strapping shoulder - 29240	$471.00	$471.00	$471.00	$346.20
Ghs superficial wnd dehiscence simp12020	$3,384.00	$3,384.00	$3,384.00	$2,181.60
Ghs tx distal phalangeal fx with manipulation	$825.60	$825.60	$825.60	$660.00
Ghs tx sp hip disloc abd splnt/trac wo	$499.80	$499.80	$499.80	$1,961.40
Ghs urine, porphyrins quant	$518.40	$518.40	$518.40	$288.60
Ghs vaginal delivery only	$9,063.60	$9,063.60	$9,063.60	$4,464.60
Gi inhouse confirmation	$86.40	$86.40	$86.40	$86.25
Gi tract capsule endoscopy (pillcam) 91110	$1,353.00	$1,353.00	$1,353.00	$1,766.25
Glucagon 1 mg solution for injection	$1,053.60	$1,053.60	$1,053.60	$1,053.60
Glucagon plasma - sendout	$202.20	$202.20	$202.20	$144.60
Glucose 1 hr post dose	$37.20	$37.20	$37.20	$54.00
Glucose blood by monitoring device cleared by fda for home use	$29.40	$29.40	$29.40	$30.00
Glucose blood quantitative	$52.20	$52.20	$52.20	$52.20
Glucose body fluid	$52.20	$52.20	$52.20	$63.20
Glucose monitoring continual min 72hr pt	$95.40	$95.40	$95.40	$95.40
Glucose tolerance test (gtt) 3 specimens	$199.80	$199.80	$199.80	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$42.60	$42.60	$42.60	$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)	$280.80	$280.80	$280.80	$187.50
Gonadotropin luteinizing hormone (lh)	$255.60	$255.60	$255.60	$156.00
Goserelin 10.8 mg subcutaneous implant	$2,802.00	$2,802.00	$2,802.00	$1,886.40
Graft apligraf 3in 44sqcm-q4101-cost per sq cm	$62.40	$62.40	$62.40	$3,026.25
Graft axiofill 1000mg	$15,289.20	$15,289.20	$15,289.20	$3,597.00
Graft fish skin 16mm round marigen 2units-cost per sq cm	$256.80	$256.80	$256.80	$17,736.75
Graft impl ult thck 6x12cm -cost per sq cm	$28,077.00	$28,077.00	$28,077.00	$28,358.40
Graft nerve adv 3-4x70mm	$28,969.20	$28,969.20	$28,969.20	$25,992.80
Graft patch felt ptfe 2x2	$16,977.00	$16,977.00	$16,977.00	$7,958.40
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm	$1,233.60	$1,233.60	$1,233.60	$6,187.50
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm	$410.40	$410.40	$410.40	$3,681.60
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$6,183.00	$6,183.00	$6,183.00	$6,241.80
Graft xenmtrx sft rect 15x20cm	$25,379.40	$25,379.40	$25,379.40	$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	$825.60	$825.60	$825.60	$825.60
Growth stimulation gene 2	$234.00	$234.00	$234.00	$1,513.50
Guid loc target vol rad tx	$292.20	$292.20	$292.20	$823.20
Guide endoanchr sg-64 aaa 62cm	$9,511.20	$9,511.20	$9,511.20	$9,038.40
Guide wire threaded 1.4x150mm	$2,825.40	$2,825.40	$2,825.40	$2,825.40
Guide worley csg 9fx50cm std	$1,083.60	$1,083.60	$1,083.60	$1,083.60
Guided cath fluid drainage 10030	$2,183.40	$2,183.40	$2,183.40	$1,600.20
Gw stiffened micro access kit	$3,307.80	$3,307.80	$3,307.80	$3,215.40
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	$294.60	$294.60	$294.60	$315.00
Hand-held pefr meter a4614	$25.20	$25.20	$25.20	$25.80
Haptoglobin quantitative	$155.40	$155.40	$155.40	$155.40
Hbot, full body chamber, 30m	$873.60	$873.60	$873.60	$756.60
Hc i-131 sodium iodide cap dx per mci	$190.20	$190.20	$190.20	$190.20
Hc nm fusion spect CT unlisted	$717.60	$717.60	$717.60	$680.25
Hc pet myocardial imaging metabolic eval single study	$5,647.20	$5,647.20	$5,647.20	$4,680.75
Hcg qualitative	$102.60	$102.60	$102.60	$85.20
Hcg quantitative	$301.80	$301.80	$301.80	$178.20
Hdr rdncl ntrstl/icav brchtx	$3,516.00	$3,516.00	$3,516.00	$2,553.60
Hdr rdncl skn surf brachytx	$1,093.20	$1,093.20	$1,093.20	$1,093.20
Head CT scan (with and without contrast)	$2,704.20	$2,704.20	$2,704.20	$1,914.25
Head CT scan (with contrast)	$2,371.20	$2,371.20	$2,371.20	$1,587.69
Head CT scan (without contrast)	$1,602.60	$1,602.60	$1,602.60	$1,268.90
Hematocrit	$48.00	$48.00	$48.00	$39.75
Hemodialysis one evaluation	$1,935.60	$1,935.60	$1,935.60	$1,389.00
Hemoglobin	$27.60	$27.60	$27.60	$36.75
Hemoglobin f (fetal) chemical	$228.00	$228.00	$228.00	$239.40
Hemoglobin fetal qualitative	$72.00	$72.00	$72.00	$61.80
Hemoglobin methemoglobin quantitative	$226.80	$226.80	$226.80	$132.75
Hemoglobin plasma	$61.20	$61.20	$61.20	$62.40
Hemoglobin urine	$52.20	$52.20	$52.20	$63.20
Hemolysins and agglutinins incubated	$129.60	$129.60	$129.60	$98.40
Hemophilus influenza antibdy	$139.20	$139.20	$139.20	$168.00
Heparin assay	$335.40	$335.40	$335.40	$194.25
Heparin bolus from bag	$6.00	$6.00	$6.00	$39.40
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$4.40	$4.40	$4.40	$5.40
Hepatitis a antibody igm	$168.00	$168.00	$168.00	$126.60
Hepatitis b core antibody igm	$168.00	$168.00	$168.00	$131.25
Hepatitis b core antibody total	$455.40	$455.40	$455.40	$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	$137.40	$137.40	$137.40	$112.50
Hepatitis c antibody	$279.60	$279.60	$279.60	$163.80
Hepatobiliary system imaging	$1,608.00	$1,608.00	$1,608.00	$1,608.00
Hereditary colon ca dsordrs	$13,579.80	$13,579.80	$13,579.80	$3,394.80
Herpes simplex 1 ag if	$158.40	$158.40	$158.40	$158.40
Herpes simplex 2 ag if	$143.40	$143.40	$143.40	$143.40
Herpes simplex type 1 antibody igg	$271.80	$271.80	$271.80	$99.00
Herpes simplex type 2 antibody igg	$91.80	$91.80	$91.80	$111.00
Herpes simplex virus isolation	$447.60	$447.60	$447.60	$189.00
Heterophile antibodies screening	$56.40	$56.40	$56.40	$56.40
Hexa gene	$1,336.80	$1,336.80	$1,336.80	$1,336.80
Hhv-6 dna quant	$551.40	$551.40	$551.40	$469.50
Hip X-ray	$653.40	$653.40	$653.40	$290.35
Histamine	$351.60	$351.60	$351.60	$254.40
Histochemical stains add-on	$193.20	$193.20	$193.20	$122.40
Hiv-1 ag ia	$223.20	$223.20	$223.20	$223.20
Hla class i high defin qual	$556.80	$556.80	$556.80	$551.25
Hla class i phenotype qual	$230.40	$230.40	$230.40	$276.00
Hla class i&ii antibody qual	$234.60	$234.60	$234.60	$234.60
Hla class ii high defin qual	$507.00	$507.00	$507.00	$471.00
Hla class ii phenotype qual	$402.00	$402.00	$402.00	$346.80
Hla i & ii typing hr	$2,407.80	$2,407.80	$2,407.80	$2,453.40
Hla i & ii typing lr	$3,220.20	$3,220.20	$3,220.20	$3,189.60
Hla i low res one antigen equiv ea	$791.40	$791.40	$791.40	$837.60
Hla i typing high res 1 allele grp ea	$1,183.20	$1,183.20	$1,183.20	$688.80
Hla ii typing 1 loc hr	$1,843.80	$1,843.80	$1,843.80	$1,843.80
Hla typing a b or c	$799.20	$799.20	$799.20	$669.60
Hocm 350-399mg/ml iodine,1ml	$0.60	$0.60	$0.60	$0.90
Home sleep test/type 2 porta	$1,572.00	$1,572.00	$1,572.00	$1,572.00
Homocysteine	$301.80	$301.80	$301.80	$102.75
Homogenization tissue	$96.00	$96.00	$96.00	$76.80
Homovanillic acid (hva)	$105.60	$105.60	$105.60	$128.00
Hpa-5 genotyping	$166.20	$166.20	$166.20	$165.00
Hpv types 16 & 18 only	$188.40	$188.40	$188.40	$228.00
Hrdtry cardmypy gene panel	$9,382.20	$9,382.20	$9,382.20	$9,382.20
Htt gene detc abnor alleles	$1,271.40	$1,271.40	$1,271.40	$1,271.40
Human epididymis protein 4 (he4)	$166.20	$166.20	$166.20	$180.60
Hyaluronidase, human recombinant 150 unit/ml injection solution	$259.20	$259.20	$259.20	$316.80
Hydralazine 20 mg/ml injection solution	$92.80	$92.80	$92.80	$92.80
Hydration IV infusion each additional hour	$322.20	$322.20	$322.20	$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	$83.20	$83.20	$83.20	$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	$850.80	$850.80	$850.80	$654.40
Hysterosalpingography s&i	$1,358.40	$1,358.40	$1,358.40	$1,139.25
Hzv zoster vacc recombinant adjuvanted im inj	$150.00	$150.00	$150.00	$150.00
I&d upper arm/elbow deep abscess/hematoma	$3,355.20	$3,355.20	$3,355.20	$3,355.20
I-123 iobenguane diag	$7,549.20	$7,549.20	$7,549.20	$10,866.00
I-123 ioflupane diag	$5,594.40	$5,594.40	$5,594.40	$8,455.20
I-123 sod iodide diag per 100 uci	$103.20	$103.20	$103.20	$139.20
I131 iodide cap, rx	$106.20	$106.20	$106.20	$184.20
I131 iodide sol, rx	$78.60	$78.60	$78.60	$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	$285.60	$285.60	$285.60	$325.20
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$285.60	$285.60	$285.60	$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	$290.40	$290.40	$290.40	$351.20
Ibutilide fumarate 0.1 mg/ml intravenous solution	$2,792.80	$2,792.80	$2,792.80	$1,022.55
Icd cobalt xt dr MRI is1 df1	$61,359.00	$61,359.00	$61,359.00	$48,847.50
Icd crtd cobalt hf MRI is1 df1	$64,147.20	$64,147.20	$64,147.20	$44,003.25
Icd crtp serena MRI	$15,633.60	$15,633.60	$15,633.60	$15,759.00
Icd reliance df4 ib 64cm	$14,973.00	$14,973.00	$14,973.00	$14,973.00
Idarubicin hcl injection	$462.00	$462.00	$462.00	$555.60
Ifosfamide 1 gram intravenous solution	$268.20	$268.20	$268.20	$294.81
Igh@ var region somatic mutation analy	$2,169.00	$2,169.00	$2,169.00	$1,392.00
Igk rearrangeabn clonal pop	$930.00	$930.00	$930.00	$961.60
Ihc/icc per specimen each additional single antibody stain	$293.40	$293.40	$293.40	$286.50
Ihc/icc per specimen each multiplex antibody stain	$273.00	$273.00	$273.00	$318.75
Ihc/icc per specimen initial single antibody stain	$556.80	$556.80	$556.80	$312.00
Iliac revasc add-on 37222	$4,394.40	$4,394.40	$4,394.40	$8,640.60
Imetelstat 188 mg intravenous solution	$98.40	$98.40	$98.40	$99.00
Immobilizer shldr cntor adlt	$362.40	$362.40	$362.40	$198.00
Immobilizer shldr dlx str 24-36in med	$198.00	$198.00	$198.00	$198.00
Immune complex assay	$168.00	$168.00	$168.00	$168.00
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	$174.00	$174.00	$174.00	$141.00
Immunoassay tumor antigen quantitative ca 19-9	$174.60	$174.60	$174.60	$159.00
Immunodiff gel qual ea antigen/ab	$232.20	$232.20	$232.20	$123.00
Immunodiffusion nes	$123.00	$123.00	$123.00	$148.80
Immunofixation electrophoresis serum	$219.60	$219.60	$219.60	$231.00
Immunofluorescence per specimen each additional single antibody stain	$84.60	$84.60	$84.60	$108.00
Immunofluorescence per specimen initial single antibody stain	$84.60	$84.60	$84.60	$168.00
Immunoglobulin assay	$108.00	$108.00	$108.00	$144.00
Immunology procedure	$43.20	$43.20	$43.20	$43.80
Impl neurostim electr perc	$4,750.20	$4,750.20	$4,750.20	$6,302.40
Implant cartilage 10mm synthetic	$12,413.40	$12,413.40	$12,413.40	$18,039.00
Implant neuroelectrodes	$3,355.80	$3,355.80	$3,355.80	$3,355.80
Implant ureth bulk agent	$1,032.60	$1,032.60	$1,032.60	$1,617.00
Imported lipodox inj	$2,244.60	$2,244.60	$2,244.60	$4,018.20
In situ hybridization per specimen each additional single probe stain	$219.00	$219.00	$219.00	$418.50
In situ hybridization per specimen initial single probe stain	$275.40	$275.40	$275.40	$303.75
In-111 oxyquinolin per 0.5 mci	$1,305.60	$1,305.60	$1,305.60	$2,808.00
In-111 pentetate dtpa / 0.5 mci	$544.20	$544.20	$544.20	$1,273.80
In-111 pentetreotide	$3,477.00	$3,477.00	$3,477.00	$11,244.60
Incision & drainage hematoma/seroma/fluid collection	$3,349.80	$3,349.80	$3,349.80	$2,080.80
Incision of breast lesion	$4,599.00	$4,599.00	$4,599.00	$3,825.00
Incision of foot fascia	$5,397.60	$5,397.60	$5,397.60	$4,272.00
Incision of metatarsal	$204.00	$204.00	$204.00	$204.00
Incisn of toe tndn	$1,520.40	$1,520.40	$1,520.40	$1,815.00
Incisn windpipe	$2,216.40	$2,216.40	$2,216.40	$2,460.00
Inf lwr xtr fscl pln blk uni w/wo image	$133.80	$133.80	$133.80	$135.00
Inf thrc fascial pln blk bi w/wo image	$145.80	$145.80	$145.80	$147.00
Inf thrc fascial pln blk uni w/wo image	$138.60	$138.60	$138.60	$139.80
Infect ag drug suscept pheno predict	$1,390.80	$1,390.80	$1,390.80	$724.80
Infect ag eia influenza a or b ea	$141.60	$141.60	$141.60	$62.40
Infect ag genotype na cytomegalovirus	$1,484.40	$1,484.40	$1,484.40	$1,484.40
Infect ag genotype na dna hepatitis b	$368.40	$368.40	$368.40	$500.40
Infect ag genotype na hiv-1 other region	$1,390.80	$1,390.80	$1,390.80	$1,143.60
Infect ag genotype na hiv-1 revr trn/prt	$1,404.00	$1,404.00	$1,404.00	$1,431.00
Infect ag ia optc obs influenza	$13.20	$13.20	$13.20	$102.00
Infect ag if hep delta agent	$199.20	$199.20	$199.20	$199.20
Infect ag if influenza a	$150.60	$150.60	$150.60	$150.60
Infect ag if influenza b	$150.60	$150.60	$150.60	$150.60
Infect ag if pneumocystis carinii	$143.40	$143.40	$143.40	$143.40
Infect ag na herpes simplex quant	$440.40	$440.40	$440.40	$385.80
Infect ag na hpv high-risk types	$312.00	$312.00	$312.00	$282.00
Infect ag na influenza r/amp 1st 2 types	$1,147.80	$1,147.80	$1,147.80	$532.80
Infect ag na resp virus 12-25 targets	$624.00	$624.00	$624.00	$1,414.50
Infectious agent antigen immunoassay direct optical observation sars-cov-2	$26.40	$26.40	$26.40	$26.40
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$103.20	$103.20	$103.20	$117.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$118.80	$118.80	$118.80	$111.60
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$166.80	$166.80	$166.80	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$723.60	$723.60	$723.60	$114.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$67.80	$67.80	$67.80	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$197.40	$197.40	$197.40	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$407.40	$407.40	$407.40	$303.00
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$144.00	$144.00	$144.00	$130.50
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$115.80	$115.80	$115.80	$115.80
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$145.80	$145.80	$145.80	$334.20
Infectious agent nucleic acid amplified probe	$292.80	$292.80	$292.80	$355.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$276.00	$276.00	$276.00	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$286.80	$286.80	$286.80	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$582.60	$582.60	$582.60	$933.00
Infectious agent nucleic acid amplified probe hsv-1	$253.80	$253.80	$253.80	$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	$253.80	$253.80	$253.80	$307.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$276.00	$276.00	$276.00	$257.40
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$75.00	$75.00	$75.00	$75.00
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv	$210.00	$210.00	$210.00	$210.00
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$381.00	$381.00	$381.00	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$438.00	$438.00	$438.00	$529.60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$581.40	$581.40	$581.40	$420.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$968.40	$968.40	$968.40	$742.20
Infectious agent nucleic acid quantification bk virus	$517.80	$517.80	$517.80	$517.80
Infectious agent nucleic acid quantification hepatitis b	$513.60	$513.60	$513.60	$443.40
Infectious agent nucleic acid quantification hepatitis c	$778.80	$778.80	$778.80	$778.80
Infectious agent nucleic acid quantification hiv-1	$1,066.20	$1,066.20	$1,066.20	$754.20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$776.40	$776.40	$776.40	$615.60
Infliximab 100 mg intravenous solution	$720.80	$720.80	$720.80	$700.20
Infliximab-axxq 100 mg intravenous solution	$1,012.80	$1,012.80	$1,012.80	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$4,383.60	$4,383.60	$4,383.60	$1,432.80
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$40.00	$40.00	$40.00	$40.00
Initiation & management bipap/cpap initial day	$172.20	$172.20	$172.20	$510.00
Inj andexxa, 10 mg	$13,400.40	$13,400.40	$13,400.40	$13,381.20
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	$26.40	$26.40	$26.40	$25.20
Inj ceftolozane tazobactam	$487.80	$487.80	$487.80	$286.20
Inj cntr knee arthro incl ct/mri	$969.00	$969.00	$969.00	$459.75
Inj cyclophosphamd (ingenus)	$13.20	$13.20	$13.20	$3.75
Inj dx for sinogram	$1,942.20	$1,942.20	$1,942.20	$1,089.00
Inj epidural sgl cerv-thor without img	$1,627.80	$1,627.80	$1,627.80	$1,656.60
Inj epidural sgl lumb-sacral without img	$1,260.60	$1,260.60	$1,260.60	$1,524.80
Inj for ext venography	$438.00	$438.00	$438.00	$602.40
Inj hrt cath w/s&i sel hrt ang	$943.20	$943.20	$943.20	$1,038.00
Inj hrt cath w/s&i sel left vent	$871.20	$871.20	$871.20	$693.75
Inj imip 4 cilas 4 releb 2mg	$7.20	$7.20	$7.20	$7.35
Inj intralesional <= 7 lsn(s)	$387.00	$387.00	$387.00	$286.80
Inj levocarnitine per 1 gm	$205.60	$205.60	$205.60	$205.60
Inj lwr xtr fscl pln blk uni w/wo image	$107.40	$107.40	$107.40	$108.00
Inj mepivacaine hcl/10 ml	$8.60	$8.60	$8.60	$28.41
Inj mogamulizumab-kpkc, 1 mg	$558.40	$558.40	$558.40	$691.20
Inj multihance	$40.80	$40.80	$40.80	$126.60
Inj nephrosto/ureterogram w/img exstng access	$845.40	$845.40	$845.40	$1,266.00
Inj ogivri 10 mg	$234.00	$234.00	$234.00	$1,344.00
Inj pegfilgrastim-bmez 0.5mg	$1,264.80	$1,264.80	$1,264.80	$3,925.20
Inj peritoneal venous shunt	$553.80	$553.80	$553.80	$553.80
Inj proc elbow arthro	$969.00	$969.00	$969.00	$461.40
Inj proc for lymphang	$475.20	$475.20	$475.20	$2,552.40
Inj retro urethrocysto	$3,691.20	$3,691.20	$3,691.20	$2,981.40
Inj secukinumab intrav 1mg	$31.80	$31.80	$31.80	$43.50
Inj teclistamab cqyv 0.5 mg	$58.20	$58.20	$58.20	$85.20
Inj tedizolid phosphate	$1,282.20	$1,282.20	$1,282.20	$1,081.80
Inj testosterone cypionate	$0.80	$0.80	$0.80	$72.60
Inj thrc fascial pln blk bi w/wo image	$133.80	$133.80	$133.80	$135.00
Inj thrc fascial pln blk uni w/wo image	$118.80	$118.80	$118.80	$120.00
Inj w/fluor eval cv device	$1,012.20	$1,012.20	$1,012.20	$711.00
Inj, abilify maintena, 1 mg	$7,107.60	$7,107.60	$7,107.60	$7,107.60
Inj, aponvie, 1 mg	$3.00	$3.00	$3.00	$3.00
Inj, aspara, rylaze, 0.1 mg	$96.60	$96.60	$96.60	$96.60
Inj, bezlotoxumab, 10 mg	$11,130.60	$11,130.60	$11,130.60	$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, donanemab-azbt, 2 mg	$7.20	$7.20	$7.20	$7.20
Inj, durolane 1 mg	$22.80	$22.80	$22.80	$106.40
Inj, factor x, (human), 1iu	$32.40	$32.40	$32.40	$33.28
Inj, focinvez, 1mg	$5.40	$5.40	$5.40	$5.40
Inj, nithiodote, 3mg / 125mg	$3.60	$3.60	$3.60	$3.60
Inj, tislelizumab-jsgr	$102.00	$102.00	$102.00	$103.20
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	$413.40	$413.40	$413.40	$561.00
Inj. inebilizumab-cdon, 1 mg	$864.00	$864.00	$864.00	$871.80
Inj. pemetrexed, 10 mg	$152.40	$152.40	$152.40	$156.60
Inj. tagraxofusp-erzs 10 mcg	$540.00	$540.00	$540.00	$560.40
Inj. teprotumumab-trbw 10 mg	$726.00	$726.00	$726.00	$38,425.20
Inj., benralizumab, 1 mg	$568.00	$568.00	$568.00	$5,853.00
Inj., evomela, 1 mg	$105.60	$105.60	$105.60	$105.60
Inj., meropenem, vaborbactam	$991.20	$991.20	$991.20	$991.20
Inj., tildrakizumab, 1 mg	$424.00	$424.00	$424.00	$424.00
Inject sacroiliac joint	$2,370.00	$2,370.00	$2,370.00	$492.00
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)	$750.00	$750.00	$750.00	$678.75
Injection arthrography hip without anesthesia (both sides)	$969.00	$969.00	$969.00	$780.60
Injection carpal tunnel therapeutic (both sides)	$293.40	$293.40	$293.40	$741.00
Injection during cath supravalvular aortography	$436.80	$436.80	$436.80	$1,728.00
Injection epidural blood patch or clot	$1,470.60	$1,470.60	$1,470.60	$1,470.60
Injection for arthrography wrist (both sides)	$969.00	$969.00	$969.00	$666.60
Injection for bladder x-ray	$2,905.80	$2,905.80	$2,905.80	$1,726.80
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$969.00	$969.00	$969.00	$771.60
Injection of sinus tract	$343.20	$343.20	$343.20	$1,670.25
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$1,242.00	$1,242.00	$1,242.00	$2,521.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$165.60	$165.60	$165.60	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$147.00	$147.00	$147.00	$203.40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$147.00	$147.00	$147.00	$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	$871.80	$871.80	$871.80	$1,021.50
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$1,470.60	$1,470.60	$1,470.60	$911.25
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)	$1,461.00	$1,461.00	$1,461.00	$1,671.75
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$2,481.60	$2,481.60	$2,481.60	$1,320.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$2,481.60	$2,481.60	$2,481.60	$1,777.50
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$2,481.60	$2,481.60	$2,481.60	$1,334.25
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$2,481.60	$2,481.60	$2,481.60	$1,713.00
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance	$1,020.00	$1,020.00	$1,020.00	$2,164.80
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance	$2,094.60	$2,094.60	$2,094.60	$2,047.80
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)	$825.60	$825.60	$825.60	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$654.00	$654.00	$654.00	$654.00
Injection, cangrelor	$41,627.40	$41,627.40	$41,627.40	$2,314.80
Injection, daratumumab 10 mg	$314.40	$314.40	$314.40	$198.60
Injection, fulvestrant	$589.60	$589.60	$589.60	$3,584.82
Injection, inclisiran, 1 mg	$39.20	$39.20	$39.20	$39.20
Injection, isavuconazonium	$4.80	$4.80	$4.80	$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
Ins cath ren art 1st bi	$4,600.80	$4,600.80	$4,600.80	$6,300.60
Ins cath ren art 1st uni	$2,781.00	$2,781.00	$2,781.00	$5,074.50
Ins cath ren art 2nd+ bi	$4,097.40	$4,097.40	$4,097.40	$6,376.50
Ins cath ren art 2nd+ uni	$3,054.00	$3,054.00	$3,054.00	$5,184.00
Ins cerv dilator (sep proc)	$2,562.00	$2,562.00	$2,562.00	$1,127.25
Ins icd gen exist sgl lead	$4,971.60	$4,971.60	$4,971.60	$33,033.60
Ins lv lead exist pm/icd	$4,608.60	$4,608.60	$4,608.60	$8,825.25
Ins picad w subq port 5yr>	$1,624.80	$1,624.80	$1,624.80	$3,510.75
Ins pm gen w/exist mlt leads	$3,785.40	$3,785.40	$3,785.40	$15,600.75
Ins pq tunnld ip cath w/img	$7,670.40	$7,670.40	$7,670.40	$8,416.80
Ins tun cv cath wo subq prt/pm	$2,739.00	$2,739.00	$2,739.00	$3,582.00
Ins tun cvad 2 cath w/subq port(s)	$5,640.60	$5,640.60	$5,640.60	$5,640.60
Ins tun intraperit dia cath	$3,691.20	$3,691.20	$3,691.20	$4,187.40
Ins vag brachytx device	$561.60	$561.60	$561.60	$1,102.80
Ins/rpl ldless pm right vent w img & eval	$14,857.20	$14,857.20	$14,857.20	$16,670.40
Ins/rpl pm gen exist dual lead	$3,922.80	$3,922.80	$3,922.80	$10,852.20
Ins/rpl pm gen exist sgl lead	$3,785.40	$3,785.40	$3,785.40	$14,386.80
Insert and remove bone pin	$5,275.20	$5,275.20	$5,275.20	$5,275.20
Insert cath pleura with image	$2,040.00	$2,040.00	$2,040.00	$2,320.80
Insert cath pleura without image	$2,977.80	$2,977.80	$2,977.80	$2,019.00
Insert drug delivery implant	$255.60	$255.60	$255.60	$1,418.25
Insert hepatic shunt (tips)	$9,621.60	$9,621.60	$9,621.60	$9,741.00
Insert intrauterine device iud	$280.80	$280.80	$280.80	$513.00
Insert pessary/other device	$859.20	$859.20	$859.20	$332.25
Insert pm/icd lead dual	$5,231.40	$5,231.40	$5,231.40	$6,880.50
Insert vad art access left hrt arterial access	$48,647.40	$48,647.40	$48,647.40	$2,497.20
Insert/repl sq defib w/eltrd	$6,004.80	$6,004.80	$6,004.80	$30,741.60
Insertion catheter bladder non indwelling	$247.20	$247.20	$247.20	$309.00
Insertion catheter bladder temporary simple	$247.20	$247.20	$247.20	$495.00
Insertion catheter pleural indwelling tunneled with cuff	$2,846.40	$2,846.40	$2,846.40	$6,840.00
Insertion intra aortic balloon assist device percutaneous	$2,809.20	$2,809.20	$2,809.20	$2,809.20
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$8,073.60	$8,073.60	$8,073.60	$6,646.50
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$3,349.80	$3,349.80	$3,349.80	$2,618.40
Insertion of catheter vein	$512.40	$512.40	$512.40	$1,761.75
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular	$5,231.40	$5,231.40	$5,231.40	$11,024.25
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular	$4,956.60	$4,956.60	$4,956.60	$12,188.40
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator	$5,125.80	$5,125.80	$5,125.80	$9,855.00
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$1,823.40	$1,823.40	$1,823.40	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$1,267.20	$1,267.20	$1,267.20	$1,532.00
Insertion single tranvenous electrode/ppm/implantable defibrillator	$5,097.00	$5,097.00	$5,097.00	$6,820.50
Insertion subcutaneous cardiac rhythm monitor	$2,804.40	$2,804.40	$2,804.40	$7,037.25
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$2,205.60	$2,205.60	$2,205.60	$4,450.80
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber	$6,004.80	$6,004.80	$6,004.80	$41,292.60
Insertion/replacement temporary single chamber electrode/pacemaker catheter	$3,844.20	$3,844.20	$3,844.20	$6,820.50
Insitu hybridization (fish)	$255.60	$255.60	$255.60	$872.25
Insitu hybridization manual	$512.40	$512.40	$512.40	$585.75
Insulin total	$165.60	$165.60	$165.60	$114.60
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm	$7,989.60	$7,989.60	$7,989.60	$9,970.16
Integra meshed bil wound mat	$35,932.20	$35,932.20	$35,932.20	$35,280.97
Interdental fixation	$4,494.00	$4,494.00	$4,494.00	$1,733.25
Interferon alfa-2b inj	$111.00	$111.00	$111.00	$1,111.20
Interrog dev eval scrms ip	$234.00	$234.00	$234.00	$176.25
Interrog device eval heart	$234.00	$234.00	$234.00	$234.00
Interrog evl pm/ldls pm ip	$234.00	$234.00	$234.00	$202.50
Interrogate subq defib	$117.00	$117.00	$117.00	$226.20
Intracard echo interv w/s&i	$4,616.40	$4,616.40	$4,616.40	$4,080.60
Intrapul surf admin endo tube	$60.60	$60.60	$60.60	$73.60
Intraventricular pacing	$2,392.80	$2,392.80	$2,392.80	$3,647.40
Intrinsic factor antibody	$203.40	$203.40	$203.40	$150.00
Intro cath dialysis circuit	$2,582.40	$2,582.40	$2,582.40	$3,121.20
Intro cath dialysis circuit w/pta	$2,851.80	$2,851.80	$2,851.80	$7,787.25
Intro cath dialysis circuit w/stent plcmnt	$3,122.40	$3,122.40	$3,122.40	$4,612.80
Intro cath svc/ivc	$2,478.60	$2,478.60	$2,478.60	$2,478.60
Intro catheter aorta	$580.80	$580.80	$580.80	$2,623.50
Intro long gi tube	$559.20	$559.20	$559.20	$663.60
Intro long gi tube w/mult fluo	$384.60	$384.60	$384.60	$464.80
Intrvasc Ultrasound noncoronary 1st vessel	$4,370.40	$4,370.40	$4,370.40	$3,510.75
Intrvasc Ultrasound noncoronary addl vessel	$4,237.80	$4,237.80	$4,237.80	$3,632.40
Intubation endotracheal emergency procedure	$718.20	$718.20	$718.20	$868.80
Iodine i-123 sod iodide mil	$1,636.80	$1,636.80	$1,636.80	$1,636.80
Ionm in operatng room 15 min	$177.60	$177.60	$177.60	$191.40
Ionm remote/>1 pt or per hr	$1,008.00	$1,008.00	$1,008.00	$1,336.50
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$121.20	$121.20	$121.20	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$6.80	$6.80	$6.80	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$664.80	$664.80	$664.80	$495.00
Ipratropium bromide non-comp	$4.40	$4.40	$4.40	$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	$48.00	$48.00	$48.00	$80.40
Iron binding capacity	$100.80	$100.80	$100.80	$100.80
Iron dextran 50 mg/ml injection solution	$72.00	$72.00	$72.00	$99.00
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	$142.20	$142.20	$142.20	$147.60
Isatuximab-irfc 20 mg/ml intravenous solution	$149.40	$149.40	$149.40	$156.60
Ivc venogram s&i	$1,510.20	$1,510.20	$1,510.20	$3,258.00
Ivp w/wo kub w/wo tomography	$1,283.40	$1,283.40	$1,283.40	$1,283.40
Ixabepilone 15 mg intravenous solution	$361.20	$361.20	$361.20	$680.40
Jak2 targeted sequence analysis	$1,170.00	$1,170.00	$1,170.00	$1,227.60
John cunningham antibody	$3,164.40	$3,164.40	$3,164.40	$78.60
Ketone body(s) beta-hydroxybutyrate quantitative	$174.60	$174.60	$174.60	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$24.60	$24.60	$24.60	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$732.60	$732.60	$732.60	$683.50
Kidney imag w/bld flow multi	$1,161.00	$1,161.00	$1,161.00	$1,574.40
Kidney img w/bldflw sgl without rx	$1,552.20	$1,552.20	$1,552.20	$1,552.20
Kit cast tcc 3in w/2reg boots total contact cast	$382.20	$382.20	$382.20	$382.20
Kit cath ivl 2.5x40mm 135cm shockwave s4	$10,797.00	$10,797.00	$10,797.00	$10,575.00
Kit gene analys d816 variant	$1,111.20	$1,111.20	$1,111.20	$1,111.20
Kit lead specify 5-6-5	$12,081.00	$12,081.00	$12,081.00	$13,784.80
Knee MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$3,008.26
Knee MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,394.58
Knee MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,209.22
Knee X-ray	$477.00	$477.00	$477.00	$387.20
Knee arthroscopy/surgery	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Kras gene addl variants	$429.00	$429.00	$429.00	$454.20
Kras gene variants exon 2	$325.80	$325.80	$325.80	$389.40
Kyleena, 19.5 mg	$3,100.20	$3,100.20	$3,100.20	$2,489.60
Lacosamide 200 mg/20 ml intravenous solution	$327.00	$327.00	$327.00	$237.75
Lactate dehydrogenase (ldh)	$42.60	$42.60	$42.60	$52.50
Lactated ringers intravenous solution	$32.40	$32.40	$32.40	$32.40
Lactic acid	$121.80	$121.80	$121.80	$121.80
Lactoferrin fecal qualitative	$351.60	$351.60	$351.60	$127.20
Lactoferrin fecal quant	$175.20	$175.20	$175.20	$194.40
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$372.00	$372.00	$372.00	$33,573.60
Laparoscopy remove adnexa	$7,589.40	$7,589.40	$7,589.40	$7,589.40
Largsc w/rmvl foreign bdy(s)	$4,599.00	$4,599.00	$4,599.00	$3,769.20
Laryngoscopy direct w/wo tracheoscopy dx exc newborn	$4,228.80	$4,228.80	$4,228.80	$2,632.20
Lead acuity x4 spiral l 86cm	$4,649.40	$4,649.40	$4,649.40	$4,863.24
Lead capillary	$165.60	$165.60	$165.60	$93.00
Lead ingevity 45cm pfret MRI	$5,084.40	$5,084.40	$5,084.40	$4,174.20
Leg Vein Ultrasound (DVT study, both legs)	$1,227.60	$1,227.60	$1,227.60	$1,090.23
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$16.60	$16.60	$16.60	$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	$2,789.60	$2,789.60	$2,789.60	$6,209.40
Levalbuterol non-comp unit	$12.00	$12.00	$12.00	$5.40
Levetiracetam 500 mg/5 ml intravenous solution	$276.00	$276.00	$276.00	$276.00
Levetiracetam therapeutic drug level	$330.60	$330.60	$330.60	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$37.00	$37.00	$37.00	$47.70
Levothyroxine 100 mcg intravenous powder for solution	$24.60	$24.60	$24.60	$24.00
Liberta rc ipg	$39,513.60	$39,513.60	$39,513.60	$52,306.80
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$0.16	$0.16	$0.16	$0.20
Lidocaine therapeutic drug level	$164.40	$164.40	$164.40	$142.20
Ligation/major artery/extremity 37618	$3,848.40	$3,848.40	$3,848.40	$3,848.40
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$164.00	$164.00	$164.00	$253.60
Lip surgery procedure	$114.60	$114.60	$114.60	$121.80
Lipase	$139.80	$139.80	$139.80	$139.80
Lipoprotein blood high res frac & quant	$325.20	$325.20	$325.20	$325.20
Lipoprotein blood quant	$375.60	$375.60	$375.60	$280.20
Lipoprotein direct measurement hdl	$60.60	$60.60	$60.60	$63.75
Lipoprotein direct measurement ldl	$164.40	$164.40	$164.40	$104.25
Lithium therapeutic drug level	$82.80	$82.80	$82.80	$84.00
Lithotripsy transluminal coronary percutaneous	$315.00	$315.00	$315.00	$3,650.25
Liver Function Test	$232.20	$232.20	$232.20	$93.60
Liver ds alys 3 bmrk srm alg	$944.40	$944.40	$944.40	$944.40
Liver elastography 91200	$480.60	$480.60	$480.60	$552.75
Liver imag w/vasclr flow	$1,510.20	$1,510.20	$1,510.20	$1,510.20
Liver/spleen imag static only	$1,308.60	$1,308.60	$1,308.60	$1,308.60
Loncastuximab tesirine-lpyl 10 mg intravenous solution	$394.80	$394.80	$394.80	$15,780.00
Loop ostmy bridg ster	$64.80	$64.80	$64.80	$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)	$3,574.80	$3,574.80	$3,574.80	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$2,555.40	$2,555.40	$2,555.40	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$2,051.40	$2,051.40	$2,051.40	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$417.00	$417.00	$417.00	$341.64
Lung Function Test (Spirometry)	$228.00	$228.00	$228.00	$296.91
Lung function test (mbc/mvv)	$133.20	$133.20	$133.20	$109.80
Lung perfusion imaging	$479.40	$479.40	$479.40	$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
Lutetium lu 177 dotatat ther	$607.20	$607.20	$607.20	$616.20
Lutetium lu 177 vipivotide	$600.00	$600.00	$600.00	$600.00
Lymph vessel x-ray trunk	$2,704.20	$2,704.20	$2,704.20	$2,179.50
Lymphatics/lymph node imaging	$1,172.40	$1,172.40	$1,172.40	$1,417.60
Lymphocyte transformation mitogen	$630.00	$630.00	$630.00	$537.60
M/phmtrc alys ishquant/semiq	$404.40	$404.40	$404.40	$435.00
MRA chest wwo IV cont	$2,479.80	$2,479.80	$2,479.80	$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	$1,954.80	$1,954.80	$1,954.80	$2,713.80
MRA without fol w/cont, pelvis	$2,734.20	$2,734.20	$2,734.20	$4,528.80
MRI breast without cont bi	$3,482.40	$3,482.40	$3,482.40	$2,913.60
MRI cardiac morph & func wo IV cont	$2,562.00	$2,562.00	$2,562.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI chest w IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI chest without & w/contrast	$3,985.80	$3,985.80	$3,985.80	$3,985.80
MRI chest without contrast	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI loex nonjt w IV cont	$3,051.00	$3,051.00	$3,051.00	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$4,010.40	$4,010.40	$4,010.40	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI orbit/face/neck without & w/contrast	$3,804.00	$3,804.00	$3,804.00	$3,804.00
MRI orbit/face/neck without contrast	$2,398.20	$2,398.20	$2,398.20	$2,398.20
MRI tmj	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$4,010.40	$4,010.40	$4,010.40	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$2,514.00	$2,514.00	$2,514.00	$2,514.00
MRI upper extremity w/dye	$3,051.00	$3,051.00	$3,051.00	$3,126.75
MRI without fol w/cont, breast	$3,543.00	$3,543.00	$3,543.00	$3,543.00
MRI without fol w/cont, brst, un	$4,459.80	$4,459.80	$4,459.80	$3,261.00
Macroscopic exam arthropod	$75.00	$75.00	$75.00	$54.00
Macroscopic exam parasite	$51.60	$51.60	$51.60	$51.60
Magnesium	$54.00	$54.00	$54.00	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$74.40	$74.40	$74.40	$74.40
Manipulat palm cord post inj	$735.60	$735.60	$735.60	$532.50
Manipulate wrist w/anesthes	$4,104.60	$4,104.60	$4,104.60	$4,104.60
Manipulation chest wall demonstration/evaluation subsequent	$193.20	$193.20	$193.20	$193.20
Manipulation chest wall initial demonstration/evaluation	$237.60	$237.60	$237.60	$237.60
Mannitol 12.5 gm/50 ml inj	$88.80	$88.80	$88.80	$88.80
Mapping functional cort/subcort ea add'l hr	$499.80	$499.80	$499.80	$1,137.75
Margetuximab-cmkb 25 mg/ml intravenous solution	$91.20	$91.20	$91.20	$138.00
Marker biop eviva buckle ss	$2,182.80	$2,182.80	$2,182.80	$819.00
Mastoids complete	$479.40	$479.40	$479.40	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$316.80	$316.80	$316.80	$108.60
Mayo aathr protein s free	$149.40	$149.40	$149.40	$159.60
Mayo activated protein c resistance assay	$253.20	$253.20	$253.20	$170.25
Mayo adalimumab (humira) therapeutic drug level	$205.80	$205.80	$205.80	$205.80
Mayo alkaline phosphatase isoenzyme	$130.80	$130.80	$130.80	$154.80
Mayo alpha 1 antitrypsin	$197.40	$197.40	$197.40	$205.80
Mayo amikacin trough therapeutic drug level	$113.40	$113.40	$113.40	$153.00
Mayo analysis gene calr common variants exon 9	$1,160.40	$1,160.40	$1,160.40	$1,160.40
Mayo analysis gene jak2 p.val617phe variant	$1,608.60	$1,608.60	$1,608.60	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$1,192.80	$1,192.80	$1,192.80	$1,135.80
Mayo analysis microarray cytogenomic copy number/snp variants	$12,834.00	$12,834.00	$12,834.00	$11,640.60
Mayo androstenedione	$154.20	$154.20	$154.20	$195.75
Mayo angiotensin 1 converting enzyme (ace) csf	$139.20	$139.20	$139.20	$85.20
Mayo antithrombin iii antigen	$582.60	$582.60	$582.60	$108.60
Mayo aspergillus fumigatus antibody	$118.80	$118.80	$118.80	$111.60
Mayo avwpr vw factor activity	$322.80	$322.80	$322.80	$322.80
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$290.40	$290.40	$290.40	$290.40
Mayo bart bartonella henselae antibody igg	$16.80	$16.80	$16.80	$100.20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$364.20	$364.20	$364.20	$837.60
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative	$843.00	$843.00	$843.00	$843.00
Mayo blastomyces antibody immunodiffusion	$175.20	$175.20	$175.20	$189.75
Mayo bordetella pertussis antibody igg	$100.80	$100.80	$100.80	$100.80
Mayo brcmg brucella antibody igm	$118.80	$118.80	$118.80	$118.80
Mayo c1 esterase inhibitor	$130.80	$130.80	$130.80	$133.20
Mayo carnitine total and free quantitative each specimen plasma	$331.20	$331.20	$331.20	$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	$1,609.80	$1,609.80	$1,609.80	$706.80
Mayo ceruloplasmin	$97.80	$97.80	$97.80	$97.80
Mayo chemiluminescent parathyroid related peptide	$158.40	$158.40	$158.40	$294.60
Mayo chikv chikungunya antibodies igg	$360.60	$360.60	$360.60	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$166.80	$166.80	$166.80	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$38.40	$38.40	$38.40	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$1,097.40	$1,097.40	$1,097.40	$833.40
Mayo chromium	$232.20	$232.20	$232.20	$129.75
Mayo coccidioides antibody	$229.80	$229.80	$229.80	$131.40
Mayo cocou cortisone urine	$305.40	$305.40	$305.40	$305.40
Mayo cortisol free	$166.80	$166.80	$166.80	$133.20
Mayo covid-19 antibody nucleocapsid total	$123.00	$123.00	$123.00	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$171.00	$171.00	$171.00	$123.75
Mayo cyanide	$265.80	$265.80	$265.80	$170.25
Mayo deoxyribonuclease antibody titer	$102.60	$102.60	$102.60	$96.00
Mayo dhea (dehydroepiandrosterone)	$479.40	$479.40	$479.40	$333.00
Mayo dihydrotestosterone	$301.80	$301.80	$301.80	$301.80
Mayo efpo chloride stool	$267.60	$267.60	$267.60	$102.00
Mayo estriol	$123.00	$123.00	$123.00	$147.20
Mayo estrone	$177.60	$177.60	$177.60	$165.00
Mayo ethosuximide therapeutic drug level	$318.60	$318.60	$318.60	$153.00
Mayo everolimus therapeutic drug level	$359.40	$359.40	$359.40	$210.00
Mayo factor ii	$54.00	$54.00	$54.00	$97.20
Mayo factor vii	$185.40	$185.40	$185.40	$185.40
Mayo factor viii vw factor antigen	$239.40	$239.40	$239.40	$176.40
Mayo factor viii vw factor multimetric analysis	$239.40	$239.40	$239.40	$243.60
Mayo factor viii vw factor ristocetin cofactor	$239.40	$239.40	$239.40	$289.60
Mayo factor x	$356.40	$356.40	$356.40	$243.75
Mayo factor xi	$162.60	$162.60	$162.60	$196.80
Mayo fat/lipids feces quantitative	$198.00	$198.00	$198.00	$197.40
Mayo fbl culture fungi blood	$471.60	$471.60	$471.60	$126.00
Mayo ffspg allergen clam igg	$147.00	$147.00	$147.00	$53.40
Mayo fibrinogen antigen	$120.00	$120.00	$120.00	$120.00
Mayo gabapentin bld/srm/plasma therapeutic drug level	$432.00	$432.00	$432.00	$141.00
Mayo gamma-globin full gene sequencing	$8,576.40	$8,576.40	$8,576.40	$8,992.20
Mayo hemosiderin qualitative urine	$92.40	$92.40	$92.40	$58.50
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$357.60	$357.60	$357.60	$288.60
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2	$508.20	$508.20	$508.20	$417.00
Mayo hiser histoplasma antibodies immunodiffusion	$205.80	$205.80	$205.80	$161.25
Mayo hla typing a/b/c single antigen	$293.40	$293.40	$293.40	$293.40
Mayo hvdip HIV 1 antibody	$149.40	$149.40	$149.40	$131.40
Mayo hvdip HIV 2 antibody	$149.40	$149.40	$149.40	$97.20
Mayo hydroxyprogesterone 17-d	$466.20	$466.20	$466.20	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$259.80	$259.80	$259.80	$273.00
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$491.40	$491.40	$491.40	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$197.40	$197.40	$197.40	$141.00
Mayo immunoassay tumor antigen quantitative chromogranin a	$364.20	$364.20	$364.20	$186.75
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance	$978.60	$978.60	$978.60	$987.60
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$187.80	$187.80	$187.80	$153.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$427.20	$427.20	$427.20	$252.75
Mayo infectious agent nucleic acid amplified probe enterovirus	$660.60	$660.60	$660.60	$500.25
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine	$457.20	$457.20	$457.20	$189.00
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$54.00	$54.00	$54.00	$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	$505.20	$505.20	$505.20	$366.60
Mayo infectious disease hepatitis c chronic six biochemical assays	$669.00	$669.00	$669.00	$516.60
Mayo infliximab therapeutic drug level	$196.20	$196.20	$196.20	$523.20
Mayo inhab inhibin a	$127.80	$127.80	$127.80	$309.75
Mayo insft insulin free	$117.00	$117.00	$117.00	$117.00
Mayo insulin antibodies	$197.40	$197.40	$197.40	$121.20
Mayo iodine	$202.20	$202.20	$202.20	$202.20
Mayo itraconazole therapeutic drug level	$208.20	$208.20	$208.20	$159.00
Mayo lacosamide therapeutic drug level	$205.80	$205.80	$205.80	$199.50
Mayo lamotrigine therapeutic drug level	$330.60	$330.60	$330.60	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$37.20	$37.20	$37.20	$93.75
Mayo legionella antibody	$394.20	$394.20	$394.20	$104.40
Mayo lipoprotein electrophoresis	$261.00	$261.00	$261.00	$106.20
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$234.00	$234.00	$234.00	$181.50
Mayo manganese	$83.40	$83.40	$83.40	$110.40
Mayo metanephrines plasma	$316.80	$316.80	$316.80	$384.00
Mayo mgle voltage-gated calcium channel antibody each	$235.20	$235.20	$235.20	$235.20
Mayo mgrm acetylcholine receptor binding antibody	$235.20	$235.20	$235.20	$235.20
Mayo microsomal antibody liver-kidney	$219.60	$219.60	$219.60	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$205.80	$205.80	$205.80	$210.00
Mayo molecular pathology procedure level 2 apoe genotype	$3,829.20	$3,829.20	$3,829.20	$1,528.80
Mayo mpl sequence analysis exon 10	$710.40	$710.40	$710.40	$752.40
Mayo muramidase	$248.40	$248.40	$248.40	$96.75
Mayo muscle-specific kinase (musk) antibody	$235.20	$235.20	$235.20	$235.20
Mayo mycophenolic acid therapeutic drug level	$202.20	$202.20	$202.20	$202.20
Mayo myoglobin	$364.20	$364.20	$364.20	$144.60
Mayo nickel	$269.40	$269.40	$269.40	$178.20
Mayo organic acid methylmalonic single quantitative	$606.00	$606.00	$606.00	$361.50
Mayo oxalate 24 hour urine	$52.20	$52.20	$52.20	$170.40
Mayo pancreatic elastase fecal qualitative or semi quantitative	$130.80	$130.80	$130.80	$130.80
Mayo parvs parvovirus b19 antibody igg	$365.40	$365.40	$365.40	$136.50
Mayo paval fluorescent antibody screen agna type 1	$132.60	$132.60	$132.60	$192.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$177.60	$177.60	$177.60	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$232.20	$232.20	$232.20	$232.20
Mayo pntft phenytoin free therapeutic drug level	$77.40	$77.40	$77.40	$92.25
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$250.20	$250.20	$250.20	$131.25
Mayo pregnenolone	$352.20	$352.20	$352.20	$222.00
Mayo prmb primidone therapeutic drug level	$107.40	$107.40	$107.40	$129.60
Mayo proinsulin	$435.60	$435.60	$435.60	$262.50
Mayo psaft prostate specific antigen free	$421.20	$421.20	$421.20	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$323.40	$323.40	$323.40	$323.40
Mayo receptor assay transferrin soluble	$579.00	$579.00	$579.00	$193.50
Mayo renin	$184.20	$184.20	$184.20	$168.60
Mayo repu protein electrophoresis urine	$219.60	$219.60	$219.60	$194.40
Mayo selenium	$150.60	$150.60	$150.60	$177.00
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria	$168.00	$168.00	$168.00	$91.20
Mayo serotonin	$631.20	$631.20	$631.20	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$85.20	$85.20	$85.20	$114.60
Mayo sirolimus therapeutic drug level	$280.80	$280.80	$280.80	$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	$40.80	$40.80	$40.80	$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	$1,216.80	$1,216.80	$1,216.80	$859.80
Mayo tgrp testosterone free	$72.00	$72.00	$72.00	$128.40
Mayo tgrp testosterone total	$184.20	$184.20	$184.20	$193.50
Mayo thyroglobulin	$184.20	$184.20	$184.20	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$97.80	$97.80	$97.80	$102.60
Mayo ticks babesia microti antibody igg	$121.80	$121.80	$121.80	$126.00
Mayo tulab francisella tularensis antibody igg	$147.60	$147.60	$147.60	$96.60
Mayo valpg valproic acid free therapeutic drug level	$183.60	$183.60	$183.60	$126.00
Mayo vasoactive intestinal peptide	$375.60	$375.60	$375.60	$375.60
Mayo vitamin b-2 (riboflavin)	$251.40	$251.40	$251.40	$138.60
Mayo vitamin b3 (niacin)	$234.00	$234.00	$234.00	$147.00
Mayo vitamin k	$320.40	$320.40	$320.40	$317.25
Mayo zonisamide therapeutic drug level	$307.80	$307.80	$307.80	$210.00
Measurement post void urine by ultrasound	$130.20	$130.20	$130.20	$176.40
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$3,637.80	$3,637.80	$3,637.80	$252.10
Megestrol 20 mg tabs 100 each bottle	$4.20	$4.20	$4.20	$6.20
Membrane collgn porcine maci w/autologous cult chondrocytes	$114,657.00	$114,657.00	$114,657.00	$235,134.00
Meperidine (pf) 25 mg/ml injection (wrapper)	$28.20	$28.20	$28.20	$16.40
Mepolizumab 100 mg/ml subcutaneous auto-injector	$102.40	$102.40	$102.40	$8,127.60
Meropenem 1 gram intravenous solution	$27.40	$27.40	$27.40	$77.20
Mesna 100 mg/ml intravenous solution	$40.80	$40.80	$40.80	$153.60
Metabolic Blood Panel (Basic)	$186.60	$186.60	$186.60	$97.60
Metabolic Blood Panel (Comprehensive)	$215.40	$215.40	$215.40	$130.97
Methacholine chloride 0.0625 mg/ml nebulization soln	$230.40	$230.40	$230.40	$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	$12.00	$12.00	$12.00	$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
Mgmt promoter methylation analysis	$980.40	$980.40	$980.40	$227.40
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
Microsurg tehniq require use oper micro (add-on)69990	$1,822.80	$1,822.80	$1,822.80	$5,445.60
Midazolam 1 mg/ml injection solution	$11.00	$11.00	$11.00	$36.60
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$15.20	$15.20	$15.20	$73.20
Minocycline hydrochloride	$403.80	$403.80	$403.80	$403.80
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution	$129.00	$129.00	$129.00	$131.40
Mitomycin 40 mg intravenous solution	$1,680.80	$1,680.80	$1,680.80	$1,714.80
Mitomycin instillation	$818.40	$818.40	$818.40	$858.00
Mitoxantrone 2 mg/ml concentrate,intravenous	$390.40	$390.40	$390.40	$1,254.00
Mlh1 gene	$1,549.80	$1,549.80	$1,549.80	$1,123.80
Mlh1 gene dup/delete variant	$1,438.80	$1,438.80	$1,438.80	$1,502.40
Mlh1 gene full seq	$399.00	$399.00	$399.00	$399.00
Mnpj elbow under anes	$4,107.00	$4,107.00	$4,107.00	$4,107.00
Mog-igg1 antb flo cytmtry ea	$25.20	$25.20	$25.20	$213.00
Monitor reveal linq ii cardiac	$12,083.40	$12,083.40	$12,083.40	$12,083.40
Monovisc inj per dose	$2,835.00	$2,835.00	$2,835.00	$2,155.28
Mopath procedure level 1	$1,434.60	$1,434.60	$1,434.60	$873.75
Mopath procedure level 3	$1,314.60	$1,314.60	$1,314.60	$2,046.60
Mopath procedure level 5	$3,033.60	$3,033.60	$3,033.60	$2,734.80
Mopath procedure level 6	$5,054.40	$5,054.40	$5,054.40	$5,054.40
Mopath procedure level 7	$8,008.80	$8,008.80	$8,008.80	$8,366.40
Mopath procedure level 8	$1,672.20	$1,672.20	$1,672.20	$1,687.80
Mopath procedure level 9	$4,017.00	$4,017.00	$4,017.00	$2,250.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$61.40	$61.40	$61.40	$102.60
Morphine 4 mg/ml injection (wrapper)	$41.60	$41.60	$41.60	$27.20
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$322.80	$322.80	$322.80	$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	$868.80	$868.80	$868.80	$338.40
Mpl gene analysis common variants	$1,170.00	$1,170.00	$1,170.00	$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	$1,824.00	$1,824.00	$1,824.00	$1,522.80
Msh2 gene full seq	$1,824.00	$1,824.00	$1,824.00	$1,502.40
Msh6 gene dup/delete variant	$1,971.00	$1,971.00	$1,971.00	$1,523.40
Msh6 gene full seq	$1,971.00	$1,971.00	$1,971.00	$1,522.80
Msh6 gene known variants	$235.80	$235.80	$235.80	$235.80
Mthfr gene analy common variants	$334.80	$334.80	$334.80	$357.60
Mucopolysaccharides	$280.80	$280.80	$280.80	$280.80
Multiple sleep latency test	$4,393.20	$4,393.20	$4,393.20	$4,164.75
Mumps antibody igg	$285.60	$285.60	$285.60	$168.75
Muscle test cran nerv unilat	$235.20	$235.20	$235.20	$751.50
Muscle test larynx	$324.60	$324.60	$324.60	$768.00
Mycobacteria dna amp probe	$468.00	$468.00	$468.00	$444.75
Mycophenolate mofetil 250 mg capsule	$79.60	$79.60	$79.60	$79.60
Mycoplasma antibody igm	$581.40	$581.40	$581.40	$129.75
Myd88 gene p.leu265pro vrnt	$888.60	$888.60	$888.60	$888.60
Myelography via inj w/s&i 2+ regions	$4,064.40	$4,064.40	$4,064.40	$2,289.60
Myelography via inj w/s&i cervical	$3,476.40	$3,476.40	$3,476.40	$2,289.60
Myelography via inj w/s&i lumbosacral	$3,447.00	$3,447.00	$3,447.00	$2,289.60
Myelography via inj w/s&i thoracic	$2,874.60	$2,874.60	$2,874.60	$2,572.50
Myeloperoxidase ab multi step qualitative/semiquantitative	$126.00	$126.00	$126.00	$126.00
N block inj hypogas plxs	$2,191.80	$2,191.80	$2,191.80	$2,031.75
Nafcillin 2 gram solution for injection	$1.80	$1.80	$1.80	$2.00
Nalbuphine 10 mg/ml injection solution	$14.40	$14.40	$14.40	$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 dx uni/bi separate proc	$3,435.60	$3,435.60	$3,435.60	$2,450.40
Nasal endoscopy with removal of nasal foreign body	$135.00	$135.00	$135.00	$135.00
Nasopharyngoscopy w/endoscope	$365.40	$365.40	$365.40	$365.40
Natalizumab 300 mg/15 ml intravenous solution	$28,621.80	$28,621.80	$28,621.80	$28,621.80
Natriuretic peptide	$342.00	$342.00	$342.00	$287.40
Natural killer cells total count	$112.80	$112.80	$112.80	$262.50
Navigational bronchoscopy 31627	$5,596.80	$5,596.80	$5,596.80	$5,596.80
Ndl emg musc 1 xtr/non-limb	$359.40	$359.40	$359.40	$241.20
Neck (Cervical Spine) CT scan (with and without contrast)	$3,574.80	$3,574.80	$3,574.80	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$3,176.40	$3,176.40	$3,176.40	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$2,108.40	$2,108.40	$2,108.40	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$3,867.60	$3,867.60	$3,867.60	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$2,941.20	$2,941.20	$2,941.20	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$2,424.00	$2,424.00	$2,424.00	$1,947.58
Neck MRA (blood vessel MRI, with and without contrast)	$3,826.20	$3,826.20	$3,826.20	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$3,207.00	$3,207.00	$3,207.00	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$2,366.40	$2,366.40	$2,366.40	$1,790.58
Neisseria meningitidis	$139.80	$139.80	$139.80	$223.80
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$213.00	$213.00	$213.00	$99.51
Neurolysis celiac plexus	$4,170.00	$4,170.00	$4,170.00	$3,501.75
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)	$162.40	$162.40	$162.40	$104.40
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution	$375.60	$375.60	$375.60	$375.60
Njx aa&/strd lmbr plex nfs	$1,816.80	$1,816.80	$1,816.80	$1,816.80
Njx aa&/strd nrv nrvtg si jt	$727.20	$727.20	$727.20	$668.25
Njx aa&/strd sc nrv nfs img	$1,963.80	$1,963.80	$1,963.80	$1,990.20
Njx interlaminar crv/thrc	$3,015.60	$3,015.60	$3,015.60	$2,476.80
Njx interlaminar lmbr/sac	$913.80	$913.80	$913.80	$2,149.80
Njx interlaminar lmbr/sac	$637.80	$637.80	$637.80	$1,953.00
Njx px nfrosgrm &/urtrgrm	$845.40	$845.40	$845.40	$1,266.00
Nm imaging bone/joint 3 phase study	$1,684.80	$1,684.80	$1,684.80	$2,037.60
Nm imaging bone/joint whole body	$1,474.20	$1,474.20	$1,474.20	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$1,651.20	$1,651.20	$1,651.20	$1,651.20
Nm imaging gastric emptying study	$1,510.20	$1,510.20	$1,510.20	$1,510.20
Nm imaging gastrointestinal acute blood loss	$1,691.40	$1,691.40	$1,691.40	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$1,956.60	$1,956.60	$1,956.60	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$1,658.40	$1,658.40	$1,658.40	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$2,217.00	$2,217.00	$2,217.00	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,494.00	$1,494.00	$1,494.00	$1,335.00
Nm radiopharmaceutical therapy oral administration	$944.40	$944.40	$944.40	$944.40
Npm1 gene	$2,101.20	$2,101.20	$2,101.20	$1,905.60
Nr lnr acclrtr tx max 5 sessions	$6,205.80	$6,205.80	$6,205.80	$9,337.20
Ntsty modul rad tx dlvr cplx	$2,570.40	$2,570.40	$2,570.40	$2,407.80
Ntsty modul rad tx dlvr smpl	$2,393.40	$2,393.40	$2,393.40	$2,092.80
Nuclear Stress Test (Heart)	$4,206.60	$4,206.60	$4,206.60	$3,799.90
Nuclear rx IV admin	$2,610.00	$2,610.00	$2,610.00	$1,408.20
Nuclear rx intra-arterial	$666.00	$666.00	$666.00	$666.00
Nudt15 gene common variants	$472.80	$472.80	$472.80	$477.00
Nushield 1 square cm	$312.00	$312.00	$312.00	$501.00
Obinutuzumab 1,000 mg/40 ml intravenous solution	$300.60	$300.60	$300.60	$236.00
Observation direct referral from physician office for admission	$117.00	$117.00	$117.00	$138.00
Observation per hour	$176.40	$176.40	$176.40	$793.20
Obstetrical care 59410	$1,012.80	$1,012.80	$1,012.80	$1,012.80
Obtaining screen pap smear	$13.80	$13.80	$13.80	$24.60
Octreotide acetate 100 mcg/ml injection (wrapper)	$220.80	$220.80	$220.80	$558.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$1,886.40	$1,886.40	$1,886.40	$23,098.20
Oil silicone ophth 8.5ml silikon 1000	$1,824.80	$1,824.80	$1,824.80	$1,824.80
Olanzapine 10 mg intramuscular solution	$12.80	$12.80	$12.80	$30.00
Oncoprotein dcp	$861.60	$861.60	$861.60	$537.00
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
Optx clavicular fx w/int fix	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx gr hmrl tbrs fx int fix	$7,589.40	$7,589.40	$7,589.40	$7,589.40
Optx medial ankle fx	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx post ankle fx	$6,855.00	$6,855.00	$6,855.00	$6,855.00
Optx prox humrl fx w/int fix	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Optx rad/uln dislc aqt/chrnc	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Optx radial shaft fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx rdl shft fx&cltx rad/ul	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Optx rdl&uln shft fx rds&uln	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx rdl&uln shft fx rds/uln	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx scapular fx w/int fixj	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx ulnar shft fx int fixj	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Optx ulnar styloid fracture	$6,492.00	$6,492.00	$6,492.00	$6,492.00
Oral aprepitant	$1,012.80	$1,012.80	$1,012.80	$1,012.80
Oral everolimus	$1,152.00	$1,152.00	$1,152.00	$1,208.40
Organic acids total quant ea spec	$277.20	$277.20	$277.20	$277.20
Oritavancin 400 mg intravenous solution	$447.20	$447.20	$447.20	$105.60
Oropharyngeal biopsy 42800	$836.40	$836.40	$836.40	$836.40
Orphenadrine citrate 30 mg/ml injection solution	$61.00	$61.00	$61.00	$61.00
Orthovisc inj per dose	$903.60	$903.60	$903.60	$443.85
Oscillation chest wall mechanical per session	$128.40	$128.40	$128.40	$235.20
Osmolality blood	$111.00	$111.00	$111.00	$77.25
Osmolality urine	$108.00	$108.00	$108.00	$90.60
Osteopath manip tx/5-6 body region 98927	$19.20	$19.20	$19.20	$19.20
Osteopath manip tx/7-8 body region 98928	$19.20	$19.20	$19.20	$19.20
Osteopath manip tx/9-10 body region98929	$19.20	$19.20	$19.20	$19.20
Ot evaluation high complexity patient/family	$197.40	$197.40	$197.40	$285.75
Ot evaluation low complexity patient/family	$197.40	$197.40	$197.40	$272.25
Ot evaluation moderate complexity patient/family	$197.40	$197.40	$197.40	$285.75
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$150.60	$150.60	$150.60	$122.25
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$103.20	$103.20	$103.20	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$130.20	$130.20	$130.20	$130.20
Ot re-evaluation patient/family	$97.20	$97.20	$97.20	$138.60
Ot therapeutic activities direct patient contact each 15 minutes	$130.20	$130.20	$130.20	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$106.20	$106.20	$106.20	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$106.20	$106.20	$106.20	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$130.20	$130.20	$130.20	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$130.20	$130.20	$130.20	$117.00
Ot training self care/home management direct contact each 15 minutes	$103.20	$103.20	$103.20	$115.80
Oth resp proc, group	$391.80	$391.80	$391.80	$144.00
Oxaliplatin 5 mg/ml desensitization	$13.20	$13.20	$13.20	$97.20
Oxytocin 10 unit/ml injection solution	$29.00	$29.00	$29.00	$29.00
PSA (Prostate) Test	$198.00	$198.00	$198.00	$103.85
Paclitaxel 6 mg/ml concentrate,intravenous	$2.40	$2.40	$2.40	$47.20
Paclitaxel protein-bound 100 mg intravenous suspension	$61.80	$61.80	$61.80	$963.60
Paliperidone 117 mg/0.75 ml inj	$54.40	$54.40	$54.40	$6,272.41
Palonosetron hcl	$378.60	$378.60	$378.60	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$450.00	$450.00	$450.00	$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	$188.40	$188.40	$188.40	$228.00
Parathyrd planar w/spect&ct	$2,233.80	$2,233.80	$2,233.80	$2,145.00
Parathyroid planar imaging	$1,859.40	$1,859.40	$1,859.40	$1,436.25
Paricalcitol	$26.40	$26.40	$26.40	$35.52
Paring/cutting benign hyperkeratotic lesion single	$230.40	$230.40	$230.40	$288.60
Part removal of metatarsal	$5,397.60	$5,397.60	$5,397.60	$5,397.60
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)	$5,397.60	$5,397.60	$5,397.60	$5,397.60
Partial removal finger bone	$5,465.40	$5,465.40	$5,465.40	$4,321.20
Partial removal of foot bone	$5,397.60	$5,397.60	$5,397.60	$5,397.60
Partial removal of toe	$5,397.60	$5,397.60	$5,397.60	$5,397.60
Passy muir valve metal trach	$289.80	$289.80	$289.80	$350.40
Path clin consltj mod 21-40	$431.40	$431.40	$431.40	$447.60
Path clin consltj sf 5-20	$190.20	$190.20	$190.20	$198.60
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$12,717.60	$12,717.60	$12,717.60	$6,417.60
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$2,015.20	$2,015.20	$2,015.20	$10,699.80
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe	$645.60	$645.60	$645.60	$645.60
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$2,014.80	$2,014.80	$2,014.80	$2,112.00
Pegloticase 8 mg/ml intravenous solution	$11,823.60	$11,823.60	$11,823.60	$94,586.40
Pegunigalsidase alfa-iwxj	$548.00	$548.00	$548.00	$526.20
Pelvic CT scan (with and without contrast)	$2,533.80	$2,533.80	$2,533.80	$1,992.00
Pelvic CT scan (with contrast)	$1,902.00	$1,902.00	$1,902.00	$1,706.25
Pelvic CT scan (without contrast)	$1,313.40	$1,313.40	$1,313.40	$1,366.50
Pelvic MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,713.80
Pelvic MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$1,966.42
Pelvic MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,810.38
Pelvic Ultrasound (complete)	$732.00	$732.00	$732.00	$647.87
Pelvic Ultrasound (limited)	$718.80	$718.80	$718.80	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$287.20	$287.20	$287.20	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$3,134.40	$3,134.40	$3,134.40	$3,134.40
Peng benzathine/procaine inj	$48.00	$48.00	$48.00	$251.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$1,422.60	$1,422.60	$1,422.60	$1,422.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$222.60	$222.60	$222.60	$192.60
Pentobarbital sodium inj	$8.00	$8.00	$8.00	$63.60
Perc cryo ablate renal tum	$51,594.60	$51,594.60	$51,594.60	$8,862.75
Perc d-e cor revasc chro add	$2,265.60	$2,265.60	$2,265.60	$2,265.60
Perc d-e cor revasc chro sin	$12,224.40	$12,224.40	$12,224.40	$17,506.20
Perc d-e cor revasc t cabg b	$2,265.60	$2,265.60	$2,265.60	$23,011.50
Perc d-e cor revasc t cabg s	$12,224.40	$12,224.40	$12,224.40	$15,411.00
Perc d-e cor stent ather br	$2,265.60	$2,265.60	$2,265.60	$16,909.50
Perc d-e cor stent ather s	$12,224.40	$12,224.40	$12,224.40	$23,085.00
Perc drug-el cor stent bran	$1,388.40	$1,388.40	$1,388.40	$11,088.60
Perc drug-el cor stent sing	$7,905.00	$7,905.00	$7,905.00	$15,411.00
Perc rf ablate renal tumor	$64,293.00	$64,293.00	$64,293.00	$5,871.75
Percut ablate liver rf	$9,892.80	$9,892.80	$9,892.80	$7,327.20
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$1,066.20	$1,066.20	$1,066.20	$1,066.20
Peri-proc device eval pm	$243.60	$243.60	$243.60	$202.50
Pericardiocentesis wwo imaging	$2,461.80	$2,461.80	$2,461.80	$2,472.75
Perq dev breast 1st strtctc	$1,793.40	$1,793.40	$1,793.40	$1,793.40
Perq plmt bile duct stent	$24,524.40	$24,524.40	$24,524.40	$8,839.80
Perq plmt bile duct stent	$20,625.60	$20,625.60	$20,625.60	$12,221.25
Perq skel fix rad/uln dislc	$3,519.00	$3,519.00	$3,519.00	$3,519.00
Perq tx big toe fracture w/manip 28496	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Pertuzu, trastuzu, 10 mg	$324.60	$324.60	$324.60	$523.20
Pertuzumab 30 mg/ml desensitization	$55.20	$55.20	$55.20	$22,539.60
Pessary 3.5 in 7 vag sil rng fold	$87.00	$87.00	$87.00	$105.00
Pet CT skull-mid thgh initial	$6,981.60	$6,981.60	$6,981.60	$5,639.40
Pet CT whole body initial	$6,981.60	$6,981.60	$6,981.60	$5,639.40
Pet image skull-thigh	$7,438.80	$7,438.80	$7,438.80	$7,438.80
Pet image w/ct lmtd	$6,981.60	$6,981.60	$6,981.60	$4,680.75
Pfc sigma fem post aug sz3 8mm	$23,848.80	$23,848.80	$23,848.80	$26,256.60
Ph body fluid	$39.60	$39.60	$39.60	$45.00
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$193.20	$193.20	$193.20	$42.15
Phenobarbital therapeutic drug level	$163.80	$163.80	$163.80	$153.00
Phentolaine mesylate inj	$1,124.00	$1,124.00	$1,124.00	$1,028.40
Phenylephrine 10 mg/ml injection solution	$0.05	$0.05	$0.05	$0.14
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$300.00	$300.00	$300.00	$417.00
Phenytoin total therapeutic drug level	$114.00	$114.00	$114.00	$114.00
Phlebotomy therapeutic	$193.20	$193.20	$193.20	$292.80
Phosphorus	$70.80	$70.80	$70.80	$57.75
Phosphorus 24 hour urine	$75.00	$75.00	$75.00	$91.20
Phys blood bank serv reactj	$398.40	$398.40	$398.40	$398.40
Phytonadione (vitamin k1) 10 mg/ml injection solution	$111.20	$111.20	$111.20	$52.80
Piflu f-18, dia 1 millicurie	$1,119.00	$1,119.00	$1,119.00	$1,252.20
Pin caspar distraction 12mm	$33,127.20	$33,127.20	$33,127.20	$33,127.20
Piperacillin-tazobactam 3.375 gram intravenous solution	$108.60	$108.60	$108.60	$115.20
Place cecostomy tube perc	$11,644.80	$11,644.80	$11,644.80	$11,644.80
Place gastrostomy tube perc	$402.60	$402.60	$402.60	$3,587.40
Place slctv cath carotd art uni	$8,365.80	$8,365.80	$8,365.80	$10,950.75
Place slctv cath carotid/inom art excrn uni	$7,552.20	$7,552.20	$7,552.20	$7,552.20
Place slctv cath carotid/inom art intcrn uni	$8,367.00	$8,367.00	$8,367.00	$12,801.00
Place slctv cath subclavian art	$7,476.00	$7,476.00	$7,476.00	$7,476.75
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$1,141.20	$1,141.20	$1,141.20	$1,562.25
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$1,141.20	$1,141.20	$1,141.20	$1,380.00
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$946.80	$946.80	$946.80	$1,564.20
Placement nephrostomy catheter (both sides)	$4,370.40	$4,370.40	$4,370.40	$2,483.40
Placement occlusive device venous/arterial access site post procedure	$2,893.80	$2,893.80	$2,893.80	$1,051.50
Placement stent(s) intravascular transcatheter artery initial	$4,478.40	$4,478.40	$4,478.40	$13,400.40
Platelet aggregation each agent teg	$385.80	$385.80	$385.80	$223.50
Platelet automated	$35.40	$35.40	$35.40	$42.80
Platelet pheresis each unit	$1,141.20	$1,141.20	$1,141.20	$1,141.20
Platelets each unit	$110.40	$110.40	$110.40	$477.00
Platelets pheresis leukocytes reduced each unit	$2,713.80	$2,713.80	$2,713.80	$2,713.80
Platelets pheresis leukocytes reduced irradiated each unit	$2,893.20	$2,893.20	$2,893.20	$2,893.20
Platelets pheresis pathogen-reduced each unit	$1,791.00	$1,791.00	$1,791.00	$1,791.00
Plc pq device breast ea addl lesion Ultrasound guide	$946.80	$946.80	$946.80	$969.00
Plc pq device breast ea addl lesion stereo guide	$1,619.40	$1,619.40	$1,619.40	$1,619.40
Plcmnt biliary drainage cath w/img ext	$2,475.00	$2,475.00	$2,475.00	$4,655.40
Plcmnt stent transcath ctrl dialysis seg add-on	$2,525.40	$2,525.40	$2,525.40	$10,059.75
Plcmnt ureteral stent pq w/img exstng trct	$4,370.40	$4,370.40	$4,370.40	$4,913.40
Plcmnt ureteral stent pq w/img new w/cath	$4,370.40	$4,370.40	$4,370.40	$7,729.80
Plethysmography lung volumes/airway resistance	$234.00	$234.00	$234.00	$368.25
Plmt access bil tree sm bwl	$6,321.60	$6,321.60	$6,321.60	$6,321.60
Plmt biliary drainage cath	$2,475.00	$2,475.00	$2,475.00	$4,655.40
Plmt nephroureteral catheter	$4,370.40	$4,370.40	$4,370.40	$4,763.40
Pm device progr eval dual	$176.40	$176.40	$176.40	$241.50
Pm device progr eval multi	$176.40	$176.40	$176.40	$245.25
Pm phone r-strip device eval	$229.80	$229.80	$229.80	$181.50
Pms2 gene dup/delet variants	$1,452.60	$1,452.60	$1,452.60	$1,522.80
Pms2 gene full seq analysis	$3,158.40	$3,158.40	$3,158.40	$1,522.80
Pms2 known familial variants	$235.80	$235.80	$235.80	$235.80
Poct blood gases ph pco2 po2 arterial calculated o2	$268.20	$268.20	$268.20	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$348.80	$348.80	$348.80	$36,544.20
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap	$6,491.40	$6,491.40	$6,491.40	$6,491.40
Positioner proc acufex leg acs	$42.60	$42.60	$42.60	$51.40
Postpartum Care Only	$67.80	$67.80	$67.80	$501.60
Potassium 24 hour urine	$52.20	$52.20	$52.20	$63.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$11.40	$11.40	$11.40	$70.80
Potassium serum/plasma/whole blood	$39.60	$39.60	$39.60	$47.80
Pouch high output 2pc 50mm red	$2.40	$2.40	$2.40	$2.40
Pq biliary strict dil s&i	$3,042.00	$3,042.00	$3,042.00	$1,547.40
Pq dr cath chg w cont s&i	$1,347.00	$1,347.00	$1,347.00	$1,347.00
Pq kyphplsty 1 bdy lumb w/img	$29,025.00	$29,025.00	$29,025.00	$8,849.25
Pq thr inj ext pse	$730.80	$730.80	$730.80	$918.00
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini	$7,009.80	$7,009.80	$7,009.80	$2,961.00
Pr application of long arm splint	$471.00	$471.00	$471.00	$471.00
Pr application splint static short arm	$471.00	$471.00	$471.00	$307.50
Pr biopsy skin punch single lesion	$300.00	$300.00	$300.00	$639.00
Pr correction hammertoe	$205.20	$205.20	$205.20	$205.20
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$30.00	$30.00	$30.00	$30.00
Pr cystourethroscopy with insertion indwelling ureteral stent	$4,764.60	$4,764.60	$4,764.60	$3,769.20
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$429.00	$429.00	$429.00	$428.25
Pr e&m preventive medicine initial comprehensive new patient 12-17 years	$103.20	$103.20	$103.20	$122.25
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$3,414.00	$3,414.00	$3,414.00	$2,795.25
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm	$1,105.20	$1,105.20	$1,105.20	$2,080.80
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm	$3,505.20	$3,505.20	$3,505.20	$2,709.00
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	$589.80	$589.80	$589.80	$712.80
Pr incision & drainage abscess simple/single	$589.80	$589.80	$589.80	$484.20
Pr incision & drainage abscess vulva/perineal	$825.60	$825.60	$825.60	$831.60
Pr incision & removal foreign body subcutaneous tissues simple	$589.80	$589.80	$589.80	$589.80
Pr management transitional care moderate w/in 14 days of discharge	$93.00	$93.00	$93.00	$255.00
Pr moderate sedation same physician >= 5 years initial 15 minutes	$164.40	$164.40	$164.40	$330.00
Pr removal drug delivery implant	$1,602.00	$1,602.00	$1,602.00	$1,448.25
Pr removal foreign body external auditory canal without anesthesia	$247.20	$247.20	$247.20	$298.40
Pr removal intrauterine device	$589.80	$589.80	$589.80	$589.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$825.60	$825.60	$825.60	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$589.80	$589.80	$589.80	$477.00
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$589.80	$589.80	$589.80	$477.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$589.80	$589.80	$589.80	$477.00
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$589.80	$589.80	$589.80	$520.80
Pr tube thoracostomy w/connection to drainage open	$2,172.00	$2,172.00	$2,172.00	$2,412.60
Prealbumin	$114.00	$114.00	$114.00	$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)	$690.60	$690.60	$690.60	$607.12
Pregnancy Ultrasound (first trimester)	$690.60	$690.60	$690.60	$592.15
Pregnancy associated plasma protein-a	$158.40	$158.40	$158.40	$144.60
Prenatal Care Only (4-6 visits)	$528.60	$528.60	$528.60	$1,136.00
Prenatal Care Only (7+ visits)	$528.60	$528.60	$528.60	$1,672.80
Prep skin to 100cm2 other	$5,034.60	$5,034.60	$5,034.60	$1,401.75
Prep skin to 100cm2 trk/ext	$5,034.60	$5,034.60	$5,034.60	$1,174.50
Pressure max expiratory/inspiratory	$154.20	$154.20	$154.20	$187.20
Pressure velocity wire add ves	$1,746.00	$1,746.00	$1,746.00	$1,746.00
Pretreat rbc absorption reference	$98.40	$98.40	$98.40	$128.25
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$187.80	$187.80	$187.80	$139.80
Prgr stim/pace a/iv drug	$3,905.40	$3,905.40	$3,905.40	$3,905.40
Prgrmg dev eval pm/ldls pm	$176.40	$176.40	$176.40	$191.40
Prgrmg dev eval scrms ip	$225.00	$225.00	$225.00	$225.00
Prgrmg eval implantable dfb	$176.40	$176.40	$176.40	$231.60
Prgrmg eval implantable dfb	$225.00	$225.00	$225.00	$279.00
Prgrmg eval implantable dfb	$225.00	$225.00	$225.00	$316.80
Prim art mech thrmbc non-intracranial	$5,352.00	$5,352.00	$5,352.00	$17,281.80
Prim art mech thrmbc non-intracranial add-on	$5,352.00	$5,352.00	$5,352.00	$5,235.00
Probe cryo 1150mm endo flex ster disp	$5,730.60	$5,730.60	$5,730.60	$5,175.00
Procainamide 100 mg/ml injection (wrapper)	$533.60	$533.60	$533.60	$225.00
Procalcitonin	$133.80	$133.80	$133.80	$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 dx 45300	$3,156.60	$3,156.60	$3,156.60	$1,857.60
Proctosigmoidoscopy w/fb remove 45307	$3,355.80	$3,355.80	$3,355.80	$3,197.40
Progesterone	$268.20	$268.20	$268.20	$181.20
Prolactin	$307.20	$307.20	$307.20	$191.25
Promethazine hcl injection	$8.40	$8.40	$8.40	$10.99
Propofol infusion 10 mg/ml	$1.80	$1.80	$1.80	$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	$97.80	$97.80	$97.80	$308.40
Protamine 10 mg/ml intravenous solution	$115.20	$115.20	$115.20	$112.23
Protein c activity	$262.20	$262.20	$262.20	$121.20
Protein electrophoretic fractionation & quantitation serum	$171.60	$171.60	$171.60	$171.60
Protein s total	$551.40	$551.40	$551.40	$181.50
Protein total 24 hour urine	$37.20	$37.20	$37.20	$45.00
Protein total body fluid	$82.80	$82.80	$82.80	$81.75
Protein total serum plasma whole blood	$86.40	$86.40	$86.40	$46.50
Prothrombin complex kcentra	$13.80	$13.80	$13.80	$8.25
Prothrombin time substitution plasma fractions each	$190.20	$190.20	$190.20	$66.00
Prq card revasc mi 1 vsl drug-eluting	$12,955.20	$12,955.20	$12,955.20	$15,411.00
Prq card stent w/angio addl	$1,388.40	$1,388.40	$1,388.40	$9,768.60
Prq cardiac angio addl art	$693.60	$693.60	$693.60	$5,071.20
Prq revasc byp graft 1 art and/or branches	$12,224.40	$12,224.40	$12,224.40	$20,522.25
Prq skel fix talus fx w/mnpj	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Prq tcat plmt ntrac st 1 les	$7,905.00	$7,905.00	$7,905.00	$12,034.50
Prq trluml c angiop 1art&/br	$3,954.00	$3,954.00	$3,954.00	$9,413.25
Psy/npsy phys/qhp 2> tst 1st 30 min	$203.40	$203.40	$203.40	$225.60
Psychotherapy group therapy	$742.80	$742.80	$742.80	$58.20
Psychotherapy patient individual therapy 45 minutes	$105.60	$105.60	$105.60	$235.20
Pt application of modality >=1 area electrical stimulation each 15 minutes	$103.20	$103.20	$103.20	$103.20
Pt application of modality >=1 area hot/cold packs	$38.40	$38.40	$38.40	$47.00
Pt application of modality >=1 area iontophoresis each 15 minutes	$103.20	$103.20	$103.20	$103.20
Pt application of modality >=1 area ultrasound each 15 minutes	$101.40	$101.40	$101.40	$101.40
Pt application of modality traction mechanical	$103.20	$103.20	$103.20	$119.25
Pt evaluation high complexity patient/family	$197.40	$197.40	$197.40	$297.00
Pt evaluation low complexity patient/family	$197.40	$197.40	$197.40	$264.00
Pt evaluation moderate complexity patient/family	$197.40	$197.40	$197.40	$276.00
Pt re-evaluation patient/family	$97.20	$97.20	$97.20	$129.60
Pt repositioning canalith procedure(s) per day	$223.20	$223.20	$223.20	$223.20
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$114.00	$114.00	$114.00	$114.00
Pt therapeutic procedure >=1 area gait training each 15 minutes	$130.20	$130.20	$130.20	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$130.20	$130.20	$130.20	$110.40
Pt wheelchair management each 15 minutes	$165.60	$165.60	$165.60	$81.75
Pten gene dup/delet variant	$564.60	$564.60	$564.60	$336.60
Pten gene full sequence	$564.60	$564.60	$564.60	$400.80
Pten gene known fam variant	$42.00	$42.00	$42.00	$42.00
Pulse ox continuous overnight monitoring	$302.40	$302.40	$302.40	$350.40
Pulse ox multiple	$388.20	$388.20	$388.20	$251.40
Pulse ox single	$62.40	$62.40	$62.40	$91.20
Puncture arterial withdrawal blood for diagnosis	$87.60	$87.60	$87.60	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$1,119.00	$1,119.00	$1,119.00	$496.20
Puncture spinal lumbar diagnostic	$1,470.60	$1,470.60	$1,470.60	$1,230.60
Pvb thoracic 2nd+ inj site	$357.60	$357.60	$357.60	$543.75
Pvb thoracic single inj site	$660.60	$660.60	$660.60	$668.25
Pyridoxine hcl 100 mg	$18.40	$18.40	$18.40	$29.11
Pyruvate	$271.80	$271.80	$271.80	$114.00
Quant diff pulm perf and vent w/imaging	$3,089.40	$3,089.40	$3,089.40	$2,655.60
Quant diff pulm perf w/imaging	$1,126.20	$1,126.20	$1,126.20	$1,362.40
Quest t3 uptake	$295.20	$295.20	$295.20	$96.75
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$871.20	$871.20	$871.20	$880.00
Radiation physics consult	$568.80	$568.80	$568.80	$568.80
Radiation therapy dose plan	$571.20	$571.20	$571.20	$571.20
Radiation treatment aid(s)	$1,244.40	$1,244.40	$1,244.40	$1,244.40
Radiation treatment aid(s)	$642.60	$642.60	$642.60	$489.00
Radiation treatment delivery	$698.40	$698.40	$698.40	$698.40
Radiation treatment delivery	$1,321.20	$1,321.20	$1,321.20	$1,321.20
Radiology port images(s)	$215.40	$215.40	$215.40	$178.20
Radiotherapy dose plan imrt	$6,649.20	$6,649.20	$6,649.20	$6,649.20
Radium ra223 dichl ther/uci	$384.60	$384.60	$384.60	$389.40
Radphm lcl tmr plnr bdy sgl day img	$1,360.80	$1,360.80	$1,360.80	$2,283.00
Radphm lcl tmr plnr bdy two day img	$2,386.20	$2,386.20	$2,386.20	$2,386.20
Radphm lcl tomogr sgl area sgl day	$2,767.80	$2,767.80	$2,767.80	$2,929.80
Radphm lcl tumor plr sgl day	$769.20	$769.20	$769.20	$1,070.40
Radphm quant measure sgl area add-on	$2,767.80	$2,767.80	$2,767.80	$2,764.20
Ramucirumab 10 mg/ml intravenous solution	$258.60	$258.60	$258.60	$187.20
Rapid Strep Test	$13.20	$13.20	$13.20	$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	$660.00	$660.00	$660.00	$71,857.80
Rbc count only automated	$17.40	$17.40	$17.40	$22.80
Red blood cells each unit	$759.60	$759.60	$759.60	$759.60
Red blood cells leukocytes reduced each unit	$1,027.80	$1,027.80	$1,027.80	$830.25
Red blood cells leukocytes reduced irradiated each unit	$1,189.20	$1,189.20	$1,189.20	$837.00
Reinforce thigh	$12,198.00	$12,198.00	$12,198.00	$12,198.00
Relocation skin pocket aicd	$3,513.00	$3,513.00	$3,513.00	$3,607.80
Relocation skin pocket pm	$3,513.00	$3,513.00	$3,513.00	$2,504.40
Rem endovas vena cava filter	$7,915.20	$7,915.20	$7,915.20	$5,661.75
Rem interrog dev eval icpms	$103.20	$103.20	$103.20	$109.50
Rem interrog dev eval scrms	$103.20	$103.20	$103.20	$109.50
Rem interrog evl pm/ids	$229.80	$229.80	$229.80	$204.00
Rem/biv cast full arm/leg	$571.80	$571.80	$571.80	$450.00
Remdesivir 100 mg intravenous powder for solution	$16.00	$16.00	$16.00	$16.80
Removal biliary drg cath	$1,703.40	$1,703.40	$1,703.40	$1,663.20
Removal central venous catheter tunneled without port/pump	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$3,081.00	$3,081.00	$3,081.00	$3,081.00
Removal cerclage without anes	$3,022.20	$3,022.20	$3,022.20	$778.50
Removal cerumen impacted (both sides)	$247.20	$247.20	$247.20	$168.00
Removal devitalized tissue non-selective debridement without anesthesia per session	$589.80	$589.80	$589.80	$343.50
Removal embedded foreign body vestibule mouth smpl	$1,767.60	$1,767.60	$1,767.60	$1,051.50
Removal foreign body foot subcutaneous right	$1,470.60	$1,470.60	$1,470.60	$873.00
Removal implant superficial separate procedure	$3,355.20	$3,355.20	$3,355.20	$3,387.00
Removal mamma implant mat 19330	$3,355.20	$3,355.20	$3,355.20	$3,046.80
Removal of foot lesion	$199.20	$199.20	$199.20	$199.20
Removal of heel spur	$6,648.60	$6,648.60	$6,648.60	$6,648.60
Removal of hip foreign body 27087	$5,152.80	$5,152.80	$5,152.80	$4,678.80
Removal of implant deep	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Removal of knee cartilage	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Removal of skin tags each add'l 10	$64.20	$64.20	$64.20	$384.00
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	$27.60	$27.60	$27.60	$27.60
Removal tunnled intprtnl cath	$1,119.00	$1,119.00	$1,119.00	$3,859.50
Removal w/reinsrt nonbiogrdble	$278.40	$278.40	$278.40	$2,805.00
Removal/replacement ppm generator dual lead system	$5,997.00	$5,997.00	$5,997.00	$9,527.25
Remove cva lumen obstruct	$1,428.00	$1,428.00	$1,428.00	$1,428.00
Remove renal tube w/fluoro	$621.60	$621.60	$621.60	$1,830.00
Renal function panel	$156.00	$156.00	$156.00	$156.00
Renal venogram bil s&i	$2,600.40	$2,600.40	$2,600.40	$2,794.20
Repair blood vessel dir lower extr	$1,582.20	$1,582.20	$1,582.20	$1,582.20
Repair blood vessel dir upper extr	$5,738.40	$5,738.40	$5,738.40	$3,682.50
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	$2,172.00	$2,172.00	$2,172.00	$2,172.00
Repair dental ellis ii fx	$229.80	$229.80	$229.80	$278.40
Repair finger/hand tendon	$3,505.20	$3,505.20	$3,505.20	$3,505.20
Repair foot dislocation	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Repair foot dislocation	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Repair humerus with graft	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Repair lip full thkns >one-half vert height/cmplx	$3,487.80	$3,487.80	$3,487.80	$3,486.60
Repair of ankle ligament	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Repair of humerus	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Repair of tibia	$9,541.80	$9,541.80	$9,541.80	$9,541.80
Repair pm/icd lead sgl	$3,316.20	$3,316.20	$3,316.20	$4,257.75
Repair radius or ulna	$5,667.60	$5,667.60	$5,667.60	$5,667.60
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$4,530.60	$4,530.60	$4,530.60	$2,260.20
Repair rpr lip full thickness vermilion only	$3,349.80	$3,349.80	$3,349.80	$2,916.60
Repair upper arm/elbow tendon/muscle ea	$5,527.80	$5,527.80	$5,527.80	$6,880.20
Repair/graft of thigh	$13,765.80	$13,765.80	$13,765.80	$13,765.80
Repair/graft of tibia	$13,881.60	$13,881.60	$13,881.60	$13,881.60
Replace duod/jej tube perc	$3,105.00	$3,105.00	$3,105.00	$2,618.40
Replace g-j tube perc	$3,105.00	$3,105.00	$3,105.00	$3,246.60
Replace g/c tube perc	$3,105.00	$3,105.00	$3,105.00	$2,695.80
Repos lv lead pm/icd	$4,350.00	$4,350.00	$4,350.00	$3,322.50
Reposition pm/icd lead	$4,818.00	$4,818.00	$4,818.00	$3,780.00
Reptilase test	$87.60	$87.60	$87.60	$97.20
Resp virus 6-11 targets	$1,237.80	$1,237.80	$1,237.80	$1,212.60
Respirator motion mgmt simul	$367.20	$367.20	$367.20	$1,189.20
Resuscitation cardiopulmonary	$603.60	$603.60	$603.60	$843.00
Reticulocyte automated	$75.60	$75.60	$75.60	$54.75
Revasc intra lithotrip-ather	$20,533.20	$20,533.20	$20,533.20	$22,821.00
Revasc intra lithotrip-stent	$20,533.20	$20,533.20	$20,533.20	$22,821.00
Revasc intravasc lithotripsy	$10,266.00	$10,266.00	$10,266.00	$11,449.20
Revasc lithotrip-stent-ather	$33,032.40	$33,032.40	$33,032.40	$30,547.80
Revision tips	$23,630.40	$23,630.40	$23,630.40	$7,508.40
Rf abltj nrv nrvtg si jt	$3,768.60	$3,768.60	$3,768.60	$3,768.60
Rheumatoid factor qualitative	$75.00	$75.00	$75.00	$75.00
Rheumatoid factor quantitative	$98.40	$98.40	$98.40	$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	$580.00	$580.00	$580.00	$433.20
Rituximab-abbs 10 mg/ml intravenous solution	$265.80	$265.80	$265.80	$372.60
Rituximab-arrx 10 mg/ml intravenous solution	$196.20	$196.20	$196.20	$207.60
Rituximab-pvvr 10 mg/ml intravenous solution	$7,463.40	$7,463.40	$7,463.40	$7,826.40
Rmvl ext fixj sys under anes	$3,355.20	$3,355.20	$3,355.20	$3,355.20
Rmvl fecal impaction/fb spx under anes	$3,435.60	$3,435.60	$3,435.60	$3,435.60
Rmvl foreign body upper arm/elbow subcutaneous	$1,470.60	$1,470.60	$1,470.60	$1,470.60
Rmvl icd by tv extr	$4,125.60	$4,125.60	$4,125.60	$4,482.75
Rmvl icd gen w/rplc icd gen dual lead sys	$6,921.60	$6,921.60	$6,921.60	$34,564.20
Rmvl icd gen w/rplc icd gen mlt lead sys	$6,921.60	$6,921.60	$6,921.60	$31,260.00
Rmvl icd gen w/rplc icd gen sgl lead sys	$6,921.60	$6,921.60	$6,921.60	$21,319.50
Rmvl icd pulse gen only	$1,950.60	$1,950.60	$1,950.60	$3,655.80
Rmvl ndwellg tun pleural cath	$1,119.00	$1,119.00	$1,119.00	$1,826.40
Rmvl perm pm pulse gen	$2,074.20	$2,074.20	$2,074.20	$3,655.80
Rmvl pm gen w/rplc pm gen mlt lead sys	$5,997.00	$5,997.00	$5,997.00	$27,759.00
Rmvl pm gen w/rplc pm gen sgl lead sys	$5,859.60	$5,859.60	$5,859.60	$17,467.80
Rmvl pq vad left hrt vein sep session	$64,606.80	$64,606.80	$64,606.80	$1,467.60
Rmvl subq card rhythm mntr	$2,436.00	$2,436.00	$2,436.00	$2,304.60
Rmvl tv pm lead dual	$4,986.00	$4,986.00	$4,986.00	$3,687.00
Rmvl tv pm lead sgl	$4,620.60	$4,620.60	$4,620.60	$3,303.75
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
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$178.80	$178.80	$178.80	$178.80
Rp loclzj tum spect w/ct 1	$2,767.80	$2,767.80	$2,767.80	$2,767.80
Rp loclzj tum spect w/ct 2	$3,139.20	$3,139.20	$3,139.20	$3,322.20
Rpl non-tun cvc wo sbq prt/pmp	$2,866.80	$2,866.80	$2,866.80	$2,703.00
Rpl picc wo subq port/pump incl image guidnc w/s&i	$2,106.00	$2,106.00	$2,106.00	$2,534.25
Rpl tun cvc wo subq port	$2,739.00	$2,739.00	$2,739.00	$2,957.25
Rpl tun-cvad w subq port	$5,510.40	$5,510.40	$5,510.40	$5,510.40
Rpr aa hrn 1st 3-10 ncr/strn	$1,793.40	$1,793.40	$1,793.40	$1,793.40
Rpr aa hrn 1st < 3 cm rdc	$821.40	$821.40	$821.40	$6,856.20
Rsv assay w/optic	$10.80	$10.80	$10.80	$13.60
Rubella antibody igg	$130.20	$130.20	$130.20	$103.50
Rubeola antibody igg	$219.60	$219.60	$219.60	$166.50
Russell viper venom diluted	$424.20	$424.20	$424.20	$119.40
Sacituzumab govitecan-hziy 180 mg intravenous solution	$4,810.20	$4,810.20	$4,810.20	$5,043.00
Salmonella antibody	$25.20	$25.20	$25.20	$29.25
Sarscov coronavirus ag ia	$34.80	$34.80	$34.80	$34.80
Scan duplex abd/pelvis/retroperitoneal complete	$1,265.40	$1,265.40	$1,265.40	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$1,044.00	$1,044.00	$1,044.00	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$1,054.80	$1,054.80	$1,054.80	$819.60
Scan duplex aorta/ivc/iliac unilateral/limited	$931.80	$931.80	$931.80	$724.50
Scan duplex extracranial arteries unilateral/limited study	$861.00	$861.00	$861.00	$672.00
Scan duplex extremity veins unilateral/limited study	$829.20	$829.20	$829.20	$829.20
Scan duplex lower extremity arteries complete bilateral	$1,678.20	$1,678.20	$1,678.20	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$986.40	$986.40	$986.40	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$931.80	$931.80	$931.80	$855.75
Scr c/v cyto,thinlayer,rescr	$78.00	$78.00	$78.00	$78.00
Screen cerv/vag thin layer	$61.20	$61.20	$61.20	$61.20
Screening Mammogram	$205.20	$205.20	$205.20	$331.50
Screening hepatitis b non-obstetric high risk	$142.20	$142.20	$142.20	$63.00
Screening prostate cancer PSA	$96.00	$96.00	$96.00	$96.00
Screw cortex 2.0 x 10mm	$9,834.60	$9,834.60	$9,834.60	$15,714.60
Sec art mech thrmbc non-intracranial add-on	$5,352.00	$5,352.00	$5,352.00	$8,416.80
Sedimentation rate erythrocyte automated	$57.00	$57.00	$57.00	$57.00
Semen analysis presence/motility	$118.20	$118.20	$118.20	$118.20
Serpina1 gene	$332.40	$332.40	$332.40	$345.60
Set radiation therapy field	$1,653.00	$1,653.00	$1,653.00	$1,485.60
Set radiation therapy field	$1,137.60	$1,137.60	$1,137.60	$1,029.00
Set radiation therapy field	$945.00	$945.00	$945.00	$794.40
Sgmdsc w/band ligation	$3,252.60	$3,252.60	$3,252.60	$2,717.40
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<	$141.00	$141.00	$141.00	$520.80
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm	$243.00	$243.00	$243.00	$880.20
Shave sgl skin lsn f/e/e/n/l/m >2cm	$229.20	$229.20	$229.20	$582.75
Shave sgl skin lsn s/n/h/f/g 0.5cm/<	$141.00	$141.00	$141.00	$494.40
Shave sgl skin lsn s/n/h/f/g 1.1-2cm	$120.60	$120.60	$120.60	$575.40
Shave sgl skin lsn t/a/l 0.5cm/<	$141.00	$141.00	$141.00	$520.80
Shave sgl skin lsn t/a/l 0.6-1.0cm	$141.00	$141.00	$141.00	$206.25
Shave sgl skin lsn t/a/l 1.1-2.0cm	$120.60	$120.60	$120.60	$660.00
Shoulder MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,650.10
Shoulder MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,822.25
Shoulder MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$1,938.28
Shoulder X-ray	$307.20	$307.20	$307.20	$307.20
Shuntogram nonvascular supervision & interpretation	$382.20	$382.20	$382.20	$354.60
Sickling rbc	$81.00	$81.00	$81.00	$81.00
Sig w/tndsc balloon dilation	$3,097.80	$3,097.80	$3,097.80	$3,097.80
Sigmoidoscopy and biopsy	$3,156.60	$3,156.60	$3,156.60	$1,864.80
Sigmoidoscopy for bleeding	$3,252.60	$3,252.60	$3,252.60	$1,885.20
Sigmoidoscopy w/tumr remove	$3,252.60	$3,252.60	$3,252.60	$2,314.50
Sigmoidoscopy/submucosal injection 45335	$3,156.60	$3,156.60	$3,156.60	$1,650.75
Signal avg ecg w or without ecg 93278	$448.20	$448.20	$448.20	$408.60
Sincalide 5 mcg solution for injection	$516.00	$516.00	$516.00	$475.20
Sinus CT scan (with and without contrast)	$2,712.60	$2,712.60	$2,712.60	$1,871.00
Sinus CT scan (with contrast)	$2,160.00	$2,160.00	$2,160.00	$1,566.40
Sinus CT scan (without contrast)	$1,590.60	$1,590.60	$1,590.60	$1,275.30
Sinus/juglr venogram s&i	$1,438.80	$1,438.80	$1,438.80	$1,979.25
Sirolimus, oral	$180.00	$180.00	$180.00	$180.00
Skin Biopsy	$300.00	$300.00	$300.00	$381.60
Skyla, 13.5 mg	$532.80	$532.80	$532.80	$2,343.60
Sleep Study (Polysomnography)	$5,466.60	$5,466.60	$5,466.60	$4,141.16
Sling arm deluxe w/pad xs	$201.60	$201.60	$201.60	$197.40
Sling suprapubic suburetheral	$3,847.20	$3,847.20	$3,847.20	$7,586.40
Slitting of prepuce	$4,530.60	$4,530.60	$4,530.60	$4,029.00
Slp pure tone screening	$70.20	$70.20	$70.20	$64.50
Small bowel endoscopy	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Small bowel endoscopy	$3,414.00	$3,414.00	$3,414.00	$3,175.50
Small bowel endoscopy	$3,526.20	$3,526.20	$3,526.20	$2,467.50
Small bowel endoscopy	$3,414.00	$3,414.00	$3,414.00	$2,597.25
Small bowel endoscopy br/wa	$3,526.20	$3,526.20	$3,526.20	$1,895.40
Small bowel endoscopy/biopsy	$3,414.00	$3,414.00	$3,414.00	$3,414.00
Smear fluorescent and/or acid fast stain	$91.80	$91.80	$91.80	$83.25
Smear gram stain	$60.60	$60.60	$60.60	$55.80
Smear nasal eosinophil	$101.40	$101.40	$101.40	$89.40
Smear special stain inclusion bodies/parasites	$194.40	$194.40	$194.40	$46.20
Smear wet mount	$111.60	$111.60	$111.60	$78.75
Sodium 24 hour urine	$52.20	$52.20	$52.20	$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	$39.40	$39.40	$39.40	$43.20
Sodium hyaluronate 20 mg/2 ml syringe	$480.00	$480.00	$480.00	$651.32
Sodium serum/plasma/whole blood	$39.60	$39.60	$39.60	$44.25
Somatropin injection	$1,512.00	$1,512.00	$1,512.00	$2,111.40
Special physics consult	$732.00	$732.00	$732.00	$732.00
Special radiation dosimetry	$471.00	$471.00	$471.00	$471.00
Special radiation treatment	$1,801.80	$1,801.80	$1,801.80	$1,986.00
Special teletx port plan	$975.60	$975.60	$975.60	$1,078.80
Specific gravity body fluid	$42.60	$42.60	$42.60	$25.80
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,360.20	$1,360.20	$1,360.20	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$526.80	$526.80	$526.80	$543.75
Splint finger 4 prong foam sm	$2.40	$2.40	$2.40	$222.60
Splint rstrc wrst/cmc right med	$106.20	$106.20	$106.20	$122.40
Srs linear based	$19,502.40	$19,502.40	$19,502.40	$8,479.20
St analysis behavior qualitative voice/resonance	$310.20	$310.20	$310.20	$326.25
St evaluate speech sound production	$310.20	$310.20	$310.20	$310.20
St evaluate speech sound production comprehensive/expressive	$310.20	$310.20	$310.20	$351.00
St evaluation motion fluoroscopic swallow function cine/video	$249.60	$249.60	$249.60	$455.40
St evaluation swallow function	$249.60	$249.60	$249.60	$416.40
St treatment speech individual	$180.00	$180.00	$180.00	$217.60
St treatment swallow dysfunction/oral	$179.40	$179.40	$179.40	$288.00
Stent axios caut enh 15x10mm electrocaut	$32,602.80	$32,602.80	$32,602.80	$32,602.80
Stent bili dbl pgtl 10fx5cm	$1,894.80	$1,894.80	$1,894.80	$810.00
Stent bili rx wallflx 10x80 uncvr	$33,391.20	$33,391.20	$33,391.20	$33,109.80
Stent bronch dumon sil 10x40mm	$5,938.80	$5,938.80	$5,938.80	$10,323.00
Stent iliac/open or perc/uni/init 37221	$6,724.80	$6,724.80	$6,724.80	$17,448.00
Stent iliac/open/perc/ea ad/ipsila 37223	$7,915.20	$7,915.20	$7,915.20	$16,307.40
Stent/athrectomy/fem/pop/unilat 37227	$15,054.60	$15,054.60	$15,054.60	$54,766.80
Str markers specimen anal	$258.60	$258.60	$258.60	$1,270.50
Strapping of knee	$243.60	$243.60	$243.60	$243.60
Strep a ag ia	$76.80	$76.80	$76.80	$76.80
Strep b dna amp probe	$107.40	$107.40	$107.40	$194.40
Streptozocin injection	$1,285.80	$1,285.80	$1,285.80	$1,286.99
Stress test pulmonary	$652.80	$652.80	$652.80	$399.00
Stress tte complete	$1,989.60	$1,989.60	$1,989.60	$1,989.60
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$16.20	$16.20	$16.20	$22.19
Sugars single quant	$150.00	$150.00	$150.00	$114.60
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution	$0.40	$0.40	$0.40	$0.40
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$148.00	$148.00	$148.00	$167.98
Support clav 29.6-40.5in med	$180.60	$180.60	$180.60	$131.40
Surgical pathology level 1 gross examination only	$48.00	$48.00	$48.00	$62.40
Surgical pathology level 2 gross & microscopic examination	$189.00	$189.00	$189.00	$189.00
Surgical pathology level 3 gross & microscopic examination	$212.40	$212.40	$212.40	$236.40
Surgical pathology level 4 gross & microscopic examination	$250.20	$250.20	$250.20	$302.40
Surgical pathology level 5 gross & microscopic examination	$408.00	$408.00	$408.00	$493.60
Surgical pathology level 6 gross & microscopic examination	$619.20	$619.20	$619.20	$691.20
Suscept studies macrobroth dilution ea	$87.00	$87.00	$87.00	$87.00
Susceptibility agar dilution per agent	$91.80	$91.80	$91.80	$91.80
Susceptibility enzyme detection per enzyme	$16.80	$16.80	$16.80	$25.80
Susceptibility mic per plate	$186.00	$186.00	$186.00	$96.00
Svc venogram s&i	$1,510.20	$1,510.20	$1,510.20	$2,331.00
Sweat collection by iontophoresis	$73.80	$73.80	$73.80	$80.40
Synvisc or synvisc-one	$73.20	$73.20	$73.20	$198.00
Syphilis test non-treponemal antibody quantitative rpr	$76.80	$76.80	$76.80	$70.50
System pacing micra av	$22,146.00	$22,146.00	$22,146.00	$28,759.80
System pcmkr dual chamber leadless micra av2 intrdcr cath	$24,240.00	$24,240.00	$24,240.00	$11,441.25
T cells absolute cd 4 count	$144.00	$144.00	$144.00	$174.40
T cells absolute cd4/cd8 including ratio	$112.80	$112.80	$112.80	$261.60
T cells total count	$112.80	$112.80	$112.80	$112.80
T3 (triiodothyronine) free	$137.40	$137.40	$137.40	$137.40
T3 (triiodothyronine) total	$222.60	$222.60	$222.60	$155.40
T4 (thyroxine) free	$103.20	$103.20	$103.20	$103.20
T4 (thyroxine) total	$82.80	$82.80	$82.80	$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	$276.00	$276.00	$276.00	$174.75
Tafasitamab-cxix 200 mg intravenous solution	$27.60	$27.60	$27.60	$28.80
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection	$101.40	$101.40	$101.40	$25,827.38
Tamoxifen 10 mg tabs 60 each bottle	$14.80	$14.80	$14.80	$14.80
Tap block bilat cont infusion 64489	$891.60	$891.60	$891.60	$1,381.20
Target gsa panel hmtlmph neop	$1,302.00	$1,302.00	$1,302.00	$2,947.80
Target gsa panel organ neop	$3,073.80	$3,073.80	$3,073.80	$3,073.80
Target gsa panel organ/hmtlmph neop	$5,526.00	$5,526.00	$5,526.00	$5,739.00
Tarlatamab-dlle 10 mg intravenous solution	$2,801.40	$2,801.40	$2,801.40	$2,828.40
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	$209.40	$209.40	$209.40	$345.00
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe	$3.60	$3.60	$3.60	$357.60
Tc-99m bicisate	$697.80	$697.80	$697.80	$844.00
Tc-99m depreotide	$209.40	$209.40	$209.40	$209.40
Tc-99m exametazime diag	$717.00	$717.00	$717.00	$1,461.00
Tc-99m labeled rbc	$147.00	$147.00	$147.00	$282.00
Tc-99m maa	$133.80	$133.80	$133.80	$161.60
Tc-99m mebrofenin	$292.20	$292.20	$292.20	$303.00
Tc-99m mertiatide	$709.20	$709.20	$709.20	$1,978.20
Tc-99m non-heu per study dose	$15.00	$15.00	$15.00	$15.00
Tc-99m oxidronate	$44.40	$44.40	$44.40	$54.20
Tc-99m pentetate dtpa aerosol	$196.20	$196.20	$196.20	$231.60
Tc-99m pertechnetate per mci	$59.40	$59.40	$59.40	$43.20
Tc-99m pyroph diag per dose up to 25 mci	$126.00	$126.00	$126.00	$152.00
Tc-99m sestamibi p study dose	$237.60	$237.60	$237.60	$725.40
Tc-99m sulfur colloid	$158.40	$158.40	$158.40	$191.20
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution	$418.80	$418.80	$418.80	$457.20
Telethx isodose plan cplx	$3,457.20	$3,457.20	$3,457.20	$2,941.80
Telethx isodose plan simple	$2,039.40	$2,039.40	$2,039.40	$2,039.40
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$436.80	$436.80	$436.80	$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	$1,618.20	$1,618.20	$1,618.20	$1,618.20
Tetanus immune globulin inj	$1,304.80	$1,304.80	$1,304.80	$1,524.00
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe	$48.80	$48.80	$48.80	$48.80
Tgsap so/hl 51/< rna alys	$2,116.80	$2,116.80	$2,116.80	$2,157.60
Theophylline therapeutic drug level	$163.80	$163.80	$163.80	$163.80
Therapy nutrition individual initial f2f w/patient each 15 minutes	$27.00	$27.00	$27.00	$28.80
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes	$20.40	$20.40	$20.40	$25.80
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$42.60	$42.60	$42.60	$38.20
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,275.00	$1,275.00	$1,275.00	$1,542.40
Thrombectmy crnry perq mechanical	$730.80	$730.80	$730.80	$3,855.60
Thrombectomy/inf pq dialysis circuit	$3,631.80	$3,631.80	$3,631.80	$4,995.00
Thrombectomy/inf pq dialysis circuit w/pta	$3,903.00	$3,903.00	$3,903.00	$8,026.20
Thrombectomy/inf pq dialysis circuit w/stent plcmnt	$4,168.80	$4,168.80	$4,168.80	$4,405.80
Thrombin time	$81.00	$81.00	$81.00	$87.00
Thromboplastin time partial (ptt) substitution fractions each	$105.60	$105.60	$105.60	$96.60
Thyroglobulin antibody	$210.00	$210.00	$210.00	$168.75
Thyroid (TSH) Test	$226.80	$226.80	$226.80	$110.00
Thyroid Ultrasound	$646.20	$646.20	$646.20	$603.90
Thyroid mets imag whole body	$3,225.60	$3,225.60	$3,225.60	$2,013.75
Thyroxine binding globulin (tbg)	$208.20	$208.20	$208.20	$129.60
Tigecycline injection	$19.40	$19.40	$19.40	$58.20
Tilt table study	$2,985.00	$2,985.00	$2,985.00	$1,428.00
Tisotumab vedotin-tftv 40 mg intravenous solution	$322.20	$322.20	$322.20	$334.80
Tissue culture skin/biopsy	$1,299.00	$1,299.00	$1,299.00	$1,358.25
Tissue exam koh skin/hair/nails	$70.80	$70.80	$70.80	$70.80
Tissue transglutaminase iga	$273.00	$273.00	$273.00	$100.20
Tl-201 thallium diag per mci	$50.40	$50.40	$50.40	$169.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$97.60	$97.60	$97.60	$97.60
Tobramycin peak therapeutic drug level	$180.00	$180.00	$180.00	$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	$123.00	$123.00	$123.00	$123.00
Tomosynthesis breast screen bilateral	$45.00	$45.00	$45.00	$65.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$17.40	$17.40	$17.40	$130.80
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution	$70.20	$70.20	$70.20	$70.80
Total tau	$259.80	$259.80	$259.80	$282.60
Toxoplasma antibody igg	$241.20	$241.20	$241.20	$188.25
Toxoplasma antibody igm	$241.20	$241.20	$241.20	$106.50
Tp53 gene trgt sequence alys	$2,041.20	$2,041.20	$2,041.20	$2,041.20
Tpmt gene com vrnts	$472.80	$472.80	$472.80	$477.00
Trabectedin 1 mg intravenous solution	$1,769.60	$1,769.60	$1,769.60	$2,068.20
Training self management diabetes individual outpatient department per 30 minutes	$121.20	$121.20	$121.20	$121.20
Transcath biopsy	$816.60	$816.60	$816.60	$3,482.25
Transcath rmvl perm ldss pmkr rv	$2,428.20	$2,428.20	$2,428.20	$2,724.00
Transcatheter bx s&i	$2,803.80	$2,803.80	$2,803.80	$2,886.75
Transferrin	$108.00	$108.00	$108.00	$108.00
Transfusion blood/blood component(s)	$1,821.00	$1,821.00	$1,821.00	$1,166.25
Trastuzumab 150 mg intravenous solution	$480.60	$480.60	$480.60	$5,762.28
Trastuzumab-anns 150 mg intravenous solution	$448.80	$448.80	$448.80	$1,410.00
Trastuzumab-qyyp 150 mg intravenous solution	$194.40	$194.40	$194.40	$198.00
Trauma partial team response w/critical care services level 4	$6,448.80	$6,448.80	$6,448.80	$6,448.80
Treat ankle dislocation	$3,135.00	$3,135.00	$3,135.00	$2,574.60
Treat ankle dislocation	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat ankle fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat elbow dislocation	$3,135.00	$3,135.00	$3,135.00	$2,074.80
Treat elbow fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat elbow fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat elbow fracture	$3,135.00	$3,135.00	$3,135.00	$3,135.00
Treat finger fracture each	$3,135.00	$3,135.00	$3,135.00	$2,055.00
Treat foot dislocation	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Treat foot dislocation	$801.60	$801.60	$801.60	$625.80
Treat fracture of radius	$825.60	$825.60	$825.60	$1,514.25
Treat fracture of ulna	$499.80	$499.80	$499.80	$2,006.25
Treat heel fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat hip dislocation	$4,493.40	$4,493.40	$4,493.40	$3,448.20
Treat hip dislocation	$3,349.80	$3,349.80	$3,349.80	$4,357.80
Treat hip socket fracture	$7,571.40	$7,571.40	$7,571.40	$7,751.40
Treat humerus fracture	$7,589.40	$7,589.40	$7,589.40	$7,589.40
Treat humerus fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat humerus fracture	$3,250.80	$3,250.80	$3,250.80	$2,848.80
Treat humerus fracture	$6,347.40	$6,347.40	$6,347.40	$5,715.60
Treat humerus fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat knee dislocation	$3,135.00	$3,135.00	$3,135.00	$2,767.80
Treat knee fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat knee fracture	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Treat knee fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat knee fracture 27530	$3,355.20	$3,355.20	$3,355.20	$825.60
Treat knee fracture(s)	$3,355.20	$3,355.20	$3,355.20	$642.00
Treat kneecap dislocation	$1,931.40	$1,931.40	$1,931.40	$2,554.80
Treat kneecap dislocation	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Treat kneecap fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat knuckle dislocation	$6,497.40	$6,497.40	$6,497.40	$6,497.40
Treat knuckle dislocation	$4,695.00	$4,695.00	$4,695.00	$3,960.00
Treat lower leg fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat lower leg fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat lower leg fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat lower leg joint	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Treat metatarsal fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat metatarsal fracture	$4,493.40	$4,493.40	$4,493.40	$4,493.40
Treat pelvic ring fracture	$10,960.80	$10,960.80	$10,960.80	$10,960.80
Treat pelvic ring fracture	$11,319.00	$11,319.00	$11,319.00	$11,319.00
Treat radius fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treat thigh fracture	$3,355.20	$3,355.20	$3,355.20	$3,355.20
Treat thigh fracture	$15,467.40	$15,467.40	$15,467.40	$15,467.40
Treat thigh fracture	$12,076.20	$12,076.20	$12,076.20	$12,076.20
Treat thigh fracture	$3,355.20	$3,355.20	$3,355.20	$261.75
Treat thigh fracture	$3,355.20	$3,355.20	$3,355.20	$647.20
Treat thigh fracture	$8,407.20	$8,407.20	$8,407.20	$8,407.20
Treat toe dislocation	$3,505.20	$3,505.20	$3,505.20	$3,505.20
Treat ulnar fracture	$3,365.40	$3,365.40	$3,365.40	$2,979.60
Treat ulnar fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treat vaginal bleeding	$3,505.20	$3,505.20	$3,505.20	$235.50
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20	$7,747.20
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20	$7,747.20
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20	$7,747.20
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$246.60	$246.60	$246.60	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$234.00	$234.00	$234.00	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$286.80	$286.80	$286.80	$286.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80	$1,622.40
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture 27786	$825.60	$825.60	$825.60	$825.60
Treatment of fibula fracture	$5,152.80	$5,152.80	$5,152.80	$5,152.80
Treatment of fibula fracture 27780	$825.60	$825.60	$825.60	$769.80
Treatment of heel fracture 28400	$3,355.20	$3,355.20	$3,355.20	$759.00
Treatment of thigh fracture	$3,135.00	$3,135.00	$3,135.00	$2,479.80
Treatment of thigh fracture	$3,355.20	$3,355.20	$3,355.20	$825.60
Treatment of thigh fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treatment of thigh fracture	$13,663.20	$13,663.20	$13,663.20	$13,663.20
Treatment of tibia fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treatment of tibia fracture	$6,347.40	$6,347.40	$6,347.40	$6,347.40
Treatment of toe fracture 28510	$825.60	$825.60	$825.60	$371.40
Treatment radiation delivery level 2	$787.80	$787.80	$787.80	$787.80
Tremelimumab-actl 20 mg/ml intravenous solution	$258.60	$258.60	$258.60	$263.40
Treponema pallidum antibody	$36.60	$36.60	$36.60	$150.60
Trg gene rearrangement anal	$781.20	$781.20	$781.20	$781.20
Triamcinolone a inj prs-free	$351.00	$351.00	$351.00	$696.00
Triamcinolone acetonide 40 mg/ml suspension for injection	$15.00	$15.00	$15.00	$45.00
Trichinella antibody	$316.80	$316.80	$316.80	$140.25
Triglycerides	$121.80	$121.80	$121.80	$80.40
Trim nail(s)	$117.60	$117.60	$117.60	$105.60
Trim nondyst nails	$129.00	$129.00	$129.00	$138.60
Trimethobenzamide hcl inj	$94.40	$94.40	$94.40	$99.20
Trnscath plc stent crv crtd w/prtct	$5,782.20	$5,782.20	$5,782.20	$9,767.25
Trnscath plc stent crv crtd without prtct	$5,782.20	$5,782.20	$5,782.20	$7,944.75
Trnscath plc vas stent w/s&i ea addl vein	$2,719.80	$2,719.80	$2,719.80	$9,800.25
Trnscath plc vas stent w/s&i ini vein	$4,478.40	$4,478.40	$4,478.40	$13,370.25
Trnscath tx thromblytc art/ven sbsq day	$2,325.60	$2,325.60	$2,325.60	$5,324.40
Trnscath tx thromblytc artery non-intracrn ini day	$6,156.00	$6,156.00	$6,156.00	$6,966.60
Trnscath tx thromblytc cath rmv sbsq day	$4,843.20	$4,843.20	$4,843.20	$5,623.50
Trnscath tx thromblytc vein ini day	$5,236.20	$5,236.20	$5,236.20	$5,236.20
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm	$11,606.40	$11,606.40	$11,606.40	$9,424.80
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<	$5,275.20	$5,275.20	$5,275.20	$5,214.00
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<	$4,493.40	$4,493.40	$4,493.40	$4,080.00
Troponin quantitative	$91.20	$91.20	$91.20	$137.40
Tte w or without fol w/con,stres	$968.40	$968.40	$968.40	$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	$534.60	$534.60	$534.60	$666.75
Tube trach disp innr can 5 xlt	$220.80	$220.80	$220.80	$394.80
Tube trach disp innr can 6 xlt	$77.40	$77.40	$77.40	$72.60
Tx atrial fib pulm vein isol	$19,314.00	$19,314.00	$19,314.00	$29,199.75
Tx closed hip disl traumatic without anes	$825.60	$825.60	$825.60	$998.40
Tx closed tib fx proximal w/w/o manip w/skel trac	$3,355.20	$3,355.20	$3,355.20	$3,483.00
Tx closed tib shaft fx without manip	$3,355.20	$3,355.20	$3,355.20	$718.20
Tx l/r atrial fib addl	$5,650.20	$5,650.20	$5,650.20	$10,523.25
Tx open dstl phlngl fx f/t internal fixation ea	$6,510.60	$6,510.60	$6,510.60	$5,734.80
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
Ua w/micro/comp poc	$4.80	$4.80	$4.80	$25.80
Ugt1a1 gene analy common variants	$1,194.60	$1,194.60	$1,194.60	$1,194.60
Ultrasound abdomen aorta screening study aaa	$248.40	$248.40	$248.40	$288.00
Ultrasound breast complete	$546.60	$546.60	$546.60	$546.60
Ultrasound breast unilateral limited (both sides)	$479.40	$479.40	$479.40	$478.50
Ultrasound chest	$461.40	$461.40	$461.40	$543.60
Ultrasound dx ophth b-scan	$634.20	$634.20	$634.20	$500.40
Ultrasound encephalogram	$610.20	$610.20	$610.20	$520.80
Ultrasound exam k transpl w/doppler	$718.80	$718.80	$718.80	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$540.00	$540.00	$540.00	$540.00
Ultrasound guidance for vascular access	$400.20	$400.20	$400.20	$400.20
Ultrasound guide intraoperative	$628.80	$628.80	$628.80	$628.80
Ultrasound guide tissue ablation	$1,161.00	$1,161.00	$1,161.00	$1,032.75
Ultrasound guided needle placement supervision & interpretation	$1,009.80	$1,009.80	$1,009.80	$1,009.80
Ultrasound hips infant dynamic	$1,000.20	$1,000.20	$1,000.20	$516.60
Ultrasound joint complete left	$847.80	$847.80	$847.80	$808.50
Ultrasound joint/nonvascular extremity limited left	$571.80	$571.80	$571.80	$571.80
Ultrasound ob >=14wks ea addl gest	$309.00	$309.00	$309.00	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$309.00	$309.00	$309.00	$373.60
Ultrasound pregnant uterus follow up per fetus	$690.60	$690.60	$690.60	$597.75
Ultrasound pregnant uterus limited >= 1 fetuses	$658.80	$658.80	$658.80	$630.00
Ultrasound pregnant uterus transvaginal	$678.60	$678.60	$678.60	$703.50
Ultrasound prostate/transrectal	$695.40	$695.40	$695.40	$695.40
Ultrasound retroperitoneal limited	$697.80	$697.80	$697.80	$606.00
Ultrasound scrotum and contents	$646.20	$646.20	$646.20	$735.75
Ultrasound spinal canal and contents	$571.80	$571.80	$571.80	$571.80
Ultrasound transvaginal non obstetric	$678.60	$678.60	$678.60	$820.80
Unlisted CT procedure	$624.00	$624.00	$624.00	$758.40
Unlisted cv px dx nuc med	$1,864.20	$1,864.20	$1,864.20	$1,864.20
Unlisted misc path test	$93.00	$93.00	$93.00	$299.40
Unlisted procedure colon	$1,566.60	$1,566.60	$1,566.60	$2,595.60
Unlisted procedure microbiology	$124.80	$124.80	$124.80	$277.50
Unlisted procedure rectum	$3,156.60	$3,156.60	$3,156.60	$849.00
Unlisted px casting/strpg	$126.00	$126.00	$126.00	$152.00
Unlisted px external ear	$126.00	$126.00	$126.00	$126.00
Unlisted px leg/ankle	$114.60	$114.60	$114.60	$118.20
Unlisted px posterior segmnt	$3,997.80	$3,997.80	$3,997.80	$4,036.20
Unsched dialysis esrd pt hos	$1,665.00	$1,665.00	$1,665.00	$1,560.60
Upgrade pm system	$5,231.40	$5,231.40	$5,231.40	$7,818.75
Upper Back (Thoracic Spine) MRI (with and without contrast)	$4,010.40	$4,010.40	$4,010.40	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$3,051.00	$3,051.00	$3,051.00	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$2,514.00	$2,514.00	$2,514.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$3,526.20	$3,526.20	$3,526.20	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$3,526.20	$3,526.20	$3,526.20	$1,675.80
Uppr gi scope w/submuc inj	$3,526.20	$3,526.20	$3,526.20	$2,978.40
Urea nitrogen	$39.60	$39.60	$39.60	$39.60
Urea nitrogen 24 hour urine	$63.00	$63.00	$63.00	$63.00
Urethrcystgrphy rtrgrde s&i	$642.60	$642.60	$642.60	$642.60
Uric acid blood	$48.60	$48.60	$48.60	$58.50
Uric acid urine	$52.20	$52.20	$52.20	$52.20
Urinalysis (with microscopy)	$102.60	$102.60	$102.60	$36.52
Urinalysis (without microscopy)	$37.80	$37.80	$37.80	$32.50
Urine Culture Test	$218.40	$218.40	$218.40	$65.25
Urine pregnancy test	$93.00	$93.00	$93.00	$69.75
Urography, antegrade	$1,132.80	$1,132.80	$1,132.80	$1,132.80
Ustekinumab 130 mg/26 ml intravenous solution	$76.00	$76.00	$76.00	$55.80
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml	$199.20	$199.20	$199.20	$209.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$340.00	$340.00	$340.00	$340.00
Vaccine dtap < 7 years im	$32.40	$32.40	$32.40	$34.20
Vaccine dtap-hep b-ipv im	$37.80	$37.80	$37.80	$233.91
Vaccine dtap-ipv 4-6 years im	$36.60	$36.60	$36.60	$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	$31.20	$31.20	$31.20	$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	$39.60	$39.60	$39.60	$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	$186.00	$186.00	$186.00	$186.00
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im	$186.00	$186.00	$186.00	$186.00
Vaccine influenza nos 0.5ml dose im	$12.00	$12.00	$12.00	$12.00
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im	$13.20	$13.20	$13.20	$12.60
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$12.00	$12.00	$12.00	$12.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$24.00	$24.00	$24.00	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$109.60	$109.60	$109.60	$109.60
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$108.80	$108.80	$108.80	$108.80
Vaccine mmr live subcutaneous	$90.60	$90.60	$90.60	$64.80
Vaccine mmrv live subcutaneous	$136.80	$136.80	$136.80	$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	$38.40	$38.40	$38.40	$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	$846.00	$846.00	$846.00	$885.00
Vaccine rotavirus attenuated (rv1) live 2 dose oral	$63.00	$63.00	$63.00	$372.30
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 varicella live subcutaneous	$748.80	$748.80	$748.80	$642.96
Vaginal bx	$114.60	$114.60	$114.60	$184.50
Valproic acid total therapeutic drug level	$181.20	$181.20	$181.20	$181.20
Valvuloplasty aortic	$3,814.80	$3,814.80	$3,814.80	$6,420.60
Vancomycin 1,000 mg intravenous injection	$0.60	$0.60	$0.60	$0.60
Vancomycin hcl injection	$37.20	$37.20	$37.20	$42.00
Vancomycin peak therapeutic drug level	$213.00	$213.00	$213.00	$155.40
Varicella zoster antibody igg	$146.40	$146.40	$146.40	$117.00
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
Vein x-ray kidney	$1,510.20	$1,510.20	$1,510.20	$2,587.20
Vein x-ray liver	$3,328.80	$3,328.80	$3,328.80	$3,135.75
Vein x-ray liver w/hemodynam	$4,614.60	$4,614.60	$4,614.60	$3,413.25
Vein x-ray liver w/hemodynam	$3,298.20	$3,298.20	$3,298.20	$3,125.25
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$511.20	$511.20	$511.20	$122.40
Venogram ext bil s&i	$3,953.40	$3,953.40	$3,953.40	$3,476.40
Venogram extremity supervision & interpretation unilateral	$3,303.00	$3,303.00	$3,303.00	$1,528.50
Venous m-thrombectomy add-on	$5,352.00	$5,352.00	$5,352.00	$6,159.75
Venous mech thrombectomy	$5,352.00	$5,352.00	$5,352.00	$12,268.80
Ventilator each subsequent day	$1,718.40	$1,718.40	$1,718.40	$1,417.20
Ventilator initial day	$1,735.20	$1,735.20	$1,735.20	$1,585.80
Version cephalic external	$91.80	$91.80	$91.80	$1,444.80
Vinblastine 1 mg/ml intravenous solution	$19.80	$19.80	$19.80	$159.60
Vincristine 1 mg/ml intravenous solution	$48.60	$48.60	$48.60	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$115.80	$115.80	$115.80	$417.00
Vitamin D Test	$226.80	$226.80	$226.80	$145.80
Vitamin b-12	$133.80	$133.80	$133.80	$133.80
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$690.60	$690.60	$690.60	$690.60
Warde 1003990 aldosterone	$569.40	$569.40	$569.40	$299.40
Warde 1005020 citrate 24 hour urine	$52.20	$52.20	$52.20	$210.60
Warde 1005055 5-hiaa 24 hour urine	$373.20	$373.20	$373.20	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$246.00	$246.00	$246.00	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$209.40	$209.40	$209.40	$146.25
Warde 1015200 kappa light chain free	$130.80	$130.80	$130.80	$130.80
Warde 3004000 immunoglobulin subclass 1	$45.60	$45.60	$45.60	$141.00
Warde 3008005 oligoclonal bands	$237.60	$237.60	$237.60	$213.00
Warde 3016000 west nile virus antibody	$91.80	$91.80	$91.80	$111.20
Warde 3016000 west nile virus antibody igg	$92.40	$92.40	$92.40	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$100.80	$100.80	$100.80	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$41.40	$41.40	$41.40	$50.00
Warde 3400652 smear complex special stain ova/parasites	$88.80	$88.80	$88.80	$100.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$538.20	$538.20	$538.20	$447.60
Warde 3400852 arsenic	$209.40	$209.40	$209.40	$170.25
Warde 3708165 mercury urine	$334.80	$334.80	$334.80	$122.40
Warde acetylcholine receptor blocking antibody	$274.80	$274.80	$274.80	$357.75
Warde actin (smooth muscle) antibody each	$132.60	$132.60	$132.60	$132.60
Warde adenosine deaminase pleural fluid	$87.60	$87.60	$87.60	$87.60
Warde adrenocorticotropic hormone (acth)	$616.80	$616.80	$616.80	$241.20
Warde aldolase	$139.20	$139.20	$139.20	$139.20
Warde amino acids 6 or more quantitative each specimen	$721.20	$721.20	$721.20	$552.75
Warde amiodarone therapeutic drug level	$175.20	$175.20	$175.20	$141.00
Warde analysis gene hfe common variants	$324.60	$324.60	$324.60	$1,048.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$718.20	$718.20	$718.20	$788.00
Warde anti-mullerian hormone	$294.60	$294.60	$294.60	$198.75
Warde apolipoprotein b	$133.80	$133.80	$133.80	$133.80
Warde bile acids	$243.00	$243.00	$243.00	$143.25
Warde cadmium blood	$247.20	$247.20	$247.20	$119.40
Warde calcitonin	$484.20	$484.20	$484.20	$200.40
Warde calculus (stone) infrared	$349.20	$349.20	$349.20	$116.25
Warde clozapine therapeutic drug level	$345.00	$345.00	$345.00	$129.60
Warde cobalt heavy metal quantitative each nes	$309.60	$309.60	$309.60	$248.25
Warde collagen cross links c-telopeptide	$479.40	$479.40	$479.40	$207.00
Warde complement total hemolytic	$164.40	$164.40	$164.40	$171.75
Warde copper	$271.80	$271.80	$271.80	$174.75
Warde cryoglobulin	$54.00	$54.00	$54.00	$91.20
Warde erythropoietin	$178.80	$178.80	$178.80	$162.00
Warde estrogen fractionated	$292.20	$292.20	$292.20	$298.80
Warde fluorescent antibody screen endomysial iga	$83.40	$83.40	$83.40	$102.00
Warde folic acid rbc	$190.20	$190.20	$190.20	$90.60
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$258.60	$258.60	$258.60	$252.75
Warde gastrin	$209.40	$209.40	$209.40	$154.50
Warde growth hormone (hgh)	$280.80	$280.80	$280.80	$127.50
Warde helminth antibody strongyloides igg	$150.60	$150.60	$150.60	$150.60
Warde hemoglobin fractionation/quantitation electrophoresis	$112.80	$112.80	$112.80	$112.80
Warde hepatitis a antibody	$249.60	$249.60	$249.60	$123.00
Warde hepatitis be antibody	$100.20	$100.20	$100.20	$100.20
Warde hepatitis delta agent antibody	$142.20	$142.20	$142.20	$142.20
Warde immunofixation electrophoresis urine	$230.40	$230.40	$230.40	$279.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$103.20	$103.20	$103.20	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$1,579.80	$1,579.80	$1,579.80	$1,579.80
Warde islet cell antibody zinc transporter 8	$133.20	$133.20	$133.20	$210.00
Warde lipoprotein (a)	$93.00	$93.00	$93.00	$93.00
Warde lipoprotein-associated phospholipase a2	$266.40	$266.40	$266.40	$266.40
Warde mitochondrial antibody each	$75.60	$75.60	$75.60	$114.00
Warde oxcarbazepine therapeutic drug level	$199.80	$199.80	$199.80	$141.00
Warde pancreatic elastase fecal quantitative	$456.60	$456.60	$456.60	$144.75
Warde protein c antigen	$190.20	$190.20	$190.20	$122.25
Warde sex hormone binding globulin	$171.00	$171.00	$171.00	$155.40
Warde somatomedin	$511.20	$511.20	$511.20	$119.40
Warde t3 (triiodothyronine) reverse	$733.20	$733.20	$733.20	$154.80
Warde thyroid stimulating immunoglobulins	$869.40	$869.40	$869.40	$407.25
Warde topiramate therapeutic drug level	$130.20	$130.20	$130.20	$157.60
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$739.80	$739.80	$739.80	$216.60
Warde viscosity	$207.00	$207.00	$207.00	$153.00
Warde vitamin a	$421.20	$421.20	$421.20	$97.20
Warde vitamin b-1 (thiamine)	$194.40	$194.40	$194.40	$194.40
Warde vitamin b6 (pyridoxine)	$226.80	$226.80	$226.80	$226.80
Warde vitamin c (ascorbic acid)	$309.60	$309.60	$309.60	$104.40
Warde vitamin d (1 25 dihydroxy)	$579.00	$579.00	$579.00	$426.00
Warde vitamin e (alpha-tocopherol)	$373.20	$373.20	$373.20	$102.00
Warde zinc	$258.60	$258.60	$258.60	$114.60
Wbc automated	$35.40	$35.40	$35.40	$36.60
Western blot test	$181.20	$181.20	$181.20	$181.20
Wet mounts/ w preparations	$12.00	$12.00	$12.00	$68.40
Whole blood for transfusion	$759.60	$759.60	$759.60	$759.60
Wound therapy negative pressure per session <= 50 sq cm	$230.40	$230.40	$230.40	$211.20
Wound therapy negative pressure per session <= 50 sq cm dme	$230.40	$230.40	$230.40	$230.40
Wound therapy negative pressure per session > 50 sq cm	$230.40	$230.40	$230.40	$230.40
Wound therapy negative pressure per session > 50 sq cm dme	$240.60	$240.60	$240.60	$336.60
Wrist X-ray	$309.60	$309.60	$309.60	$311.20
X-ray abdomen 1 view	$538.20	$538.20	$538.20	$405.00
X-ray abdomen 2 views	$327.00	$327.00	$327.00	$395.20
X-ray abdomen >=3 views	$336.00	$336.00	$336.00	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$504.00	$504.00	$504.00	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$397.80	$397.80	$397.80	$405.00
X-ray ankle 2 views (both sides)	$577.20	$577.20	$577.20	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$718.20	$718.20	$718.20	$868.80
X-ray bone age studies	$289.80	$289.80	$289.80	$327.00
X-ray bone length studies	$483.00	$483.00	$483.00	$405.00
X-ray bone survey complete	$1,675.20	$1,675.20	$1,675.20	$743.25
X-ray bone survey infant	$697.20	$697.20	$697.20	$303.60
X-ray cervical spine 2-3 views	$637.20	$637.20	$637.20	$419.40
X-ray cervical spine 4-5 views	$526.20	$526.20	$526.20	$590.25
X-ray cervical spine >= 6 views	$679.20	$679.20	$679.20	$679.20
X-ray clavicle complete (both sides)	$258.60	$258.60	$258.60	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$647.40	$647.40	$647.40	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$1,107.00	$1,107.00	$1,107.00	$1,107.00
X-ray elbow 2 views (both sides)	$544.80	$544.80	$544.80	$405.00
X-ray elbow >= 3 views (both sides)	$373.80	$373.80	$373.80	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$713.40	$713.40	$713.40	$713.40
X-ray exam entire spi 4/5 vw	$718.20	$718.20	$718.20	$666.60
X-ray exam entire spi 6/> vw	$970.80	$970.80	$970.80	$666.60
X-ray exam of arm infant	$511.20	$511.20	$511.20	$318.75
X-ray exam of eye sockets	$399.00	$399.00	$399.00	$405.00
X-ray exam of femur 1	$237.60	$237.60	$237.60	$287.20
X-ray exam of jaw joint	$665.40	$665.40	$665.40	$405.00
X-ray exam of sinuses	$318.60	$318.60	$318.60	$343.50
X-ray exam si joints	$213.00	$213.00	$213.00	$218.40
X-ray exam thorac spine4/>vw	$679.20	$679.20	$679.20	$456.60
X-ray eye detection foreign body (both sides)	$540.00	$540.00	$540.00	$419.40
X-ray facial bones complete > 3 views	$444.00	$444.00	$444.00	$444.00
X-ray femur >=2 views (both sides)	$599.40	$599.40	$599.40	$414.00
X-ray finger(s) >= 2 views (both sides)	$294.60	$294.60	$294.60	$310.50
X-ray foot 2 views (both sides)	$627.60	$627.60	$627.60	$405.00
X-ray forearm 2 views (both sides)	$545.40	$545.40	$545.40	$405.00
X-ray hand 2 views (both sides)	$564.60	$564.60	$564.60	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$292.80	$292.80	$292.80	$354.40
X-ray hip uni w/wo pelvis min 4 views	$414.00	$414.00	$414.00	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$374.40	$374.40	$374.40	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$414.00	$414.00	$414.00	$419.40
X-ray hip with pelvis when performed bilateral >= 5 views	$786.00	$786.00	$786.00	$507.75
X-ray hip with pelvis when performed unilateral 1 view left	$621.00	$621.00	$621.00	$405.00
X-ray humerus >= 2 views left	$567.00	$567.00	$567.00	$405.00
X-ray joint survey 1 view	$345.00	$345.00	$345.00	$345.00
X-ray knee 1-2 views (both sides)	$608.40	$608.40	$608.40	$405.00
X-ray knee 3 views (both sides)	$399.00	$399.00	$399.00	$399.00
X-ray knee ap standing bilateral	$237.60	$237.60	$237.60	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$417.00	$417.00	$417.00	$408.00
X-ray lower extremities infant > 2 views (both sides)	$511.20	$511.20	$511.20	$405.00
X-ray lumbosacral spine >= 4 views	$710.40	$710.40	$710.40	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$828.00	$828.00	$828.00	$682.20
X-ray mandible complete > 4 views	$412.80	$412.80	$412.80	$412.80
X-ray mandible ltd <4 views	$375.60	$375.60	$375.60	$375.60
X-ray nasal bones complete > 3 views	$262.20	$262.20	$262.20	$316.80
X-ray neck soft tissue	$285.60	$285.60	$285.60	$314.25
X-ray nose to rectum for foreign body child	$243.00	$243.00	$243.00	$246.00
X-ray pelvis 1-2 views	$511.20	$511.20	$511.20	$405.00
X-ray pelvis complete > 3 views	$509.40	$509.40	$509.40	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$723.60	$723.60	$723.60	$839.25
X-ray ribs 2 views left	$304.80	$304.80	$304.80	$304.80
X-ray ribs 3 views bilateral	$464.40	$464.40	$464.40	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$399.00	$399.00	$399.00	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$644.40	$644.40	$644.40	$644.40
X-ray sacroiliac joints >= 3 views	$397.80	$397.80	$397.80	$405.00
X-ray sacrum/coccyx >= 2 views	$387.60	$387.60	$387.60	$387.60
X-ray scapula complete (both sides)	$304.20	$304.20	$304.20	$304.20
X-ray sella turcica	$494.40	$494.40	$494.40	$405.00
X-ray shoulder 1 view (both sides)	$582.60	$582.60	$582.60	$405.00
X-ray sinus tract/fistula/abscess	$1,167.00	$1,167.00	$1,167.00	$1,167.00
X-ray sinuses paranasal complete > 3 views	$448.80	$448.80	$448.80	$419.40
X-ray skull < 4 views	$364.20	$364.20	$364.20	$377.25
X-ray skull > 4 views complete	$440.40	$440.40	$440.40	$532.80
X-ray slg plne bdy sect without urogr	$945.00	$945.00	$945.00	$945.00
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$669.60	$669.60	$669.60	$669.60
X-ray small intestine follow-through study	$397.20	$397.20	$397.20	$419.40
X-ray spine single view	$309.60	$309.60	$309.60	$327.00
X-ray sternoclavicular joint(s) > 3 views	$385.80	$385.80	$385.80	$393.00
X-ray sternum > 2 views	$331.80	$331.80	$331.80	$382.50
X-ray surgical specimen	$178.80	$178.80	$178.80	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$828.00	$828.00	$828.00	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$675.60	$675.60	$675.60	$456.60
X-ray thoracic spine 2 views	$642.00	$642.00	$642.00	$405.00
X-ray thoracic spine 3 views	$551.40	$551.40	$551.40	$456.60
X-ray thoracolumbar spine >=2 views	$335.40	$335.40	$335.40	$348.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$396.00	$396.00	$396.00	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$718.20	$718.20	$718.20	$666.60
X-ray tibia/fibula 2 views (both sides)	$646.80	$646.80	$646.80	$419.40
X-ray toe(s) > 2 views (both sides)	$364.80	$364.80	$364.80	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$580.20	$580.20	$580.20	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$580.20	$580.20	$580.20	$580.20
X-ray wrist 2 views (both sides)	$587.40	$587.40	$587.40	$405.00
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$6.60	$6.60	$6.60	$100.06
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$229.80	$229.80	$229.80	$229.80
Zolbetuximab-clzb 100 mg intravenous solution	$45.60	$45.60	$45.60	$46.20
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	$141.00	$141.00	$141.00	$141.00
_afb org id by sequencing rflx ast-sendout	$1,507.80	$1,507.80	$1,507.80	$1,327.80