|
Assay of corticosterone
|
$51.00 |
$70.50 |
$92.50 |
|
|
Assay of feces for trypsin
|
$152.00 |
$152.00 |
$152.00 |
|
|
Assay of fluoride
|
$57.00 |
$57.00 |
$57.00 |
|
|
Assay of galactose
|
$64.00 |
$82.50 |
$88.50 |
|
|
Assay of glucosidase
|
$447.00 |
$447.00 |
$447.00 |
|
|
Assay of glutathione
|
$46.20 |
$46.20 |
$46.20 |
|
|
Assay of interleukin-6 (il-6)
|
$52.20 |
$270.00 |
$330.00 |
|
|
Assay of leflunomide
|
$47.50 |
$51.50 |
$329.50 |
|
|
Assay of osteocalcin
|
$30.50 |
$42.00 |
$272.00 |
|
|
Assay of procainamide w/metab
|
$183.00 |
$183.00 |
$183.00 |
|
|
Assay of prostaglandin
|
$740.00 |
$805.00 |
$952.00 |
|
|
Assay of salicylate
|
$59.40 |
$78.50 |
$456.50 |
|
|
Assay of somatostatin
|
$165.75 |
$165.75 |
$165.75 |
|
|
Assay of thiocyanate
|
$63.50 |
$88.00 |
$173.50 |
|
|
Assay of tyrosine
|
$18.00 |
$47.00 |
$190.00 |
|
|
Assay of urine sulfate
|
$16.20 |
$37.50 |
$46.00 |
|
|
Assay phosphatidylglycerol
|
$375.60 |
$375.60 |
$375.60 |
|
|
Assay phosphohexose enzymes
|
$32.40 |
$32.40 |
$32.40 |
|
|
Assay toxin or antitoxin
|
$36.50 |
$200.00 |
$418.00 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$152.00 |
$238.00 |
$639.50 |
|
|
Assess care plan pt w/cog impair 99483
|
$78.00 |
$86.00 |
$87.50 |
|
|
Assess cyst contrast inject
|
$83.00 |
$138.00 |
$726.00 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$10.00 |
$24.50 |
$237.50 |
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$109.00 |
$109.00 |
$109.00 |
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$40,376.98 |
$40,376.98 |
$40,376.98 |
|
|
Assistive tech assessment, ot
|
$34.50 |
$47.00 |
$47.00 |
|
|
Ast/sgot
|
$20.00 |
$63.00 |
$292.50 |
|
|
Asxl1 gene target seq alys
|
$303.00 |
$306.50 |
$486.00 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$57,715.01 |
$57,715.01 |
$66,059.35 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$11,509.00 |
$14,636.50 |
$31,358.00 |
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$11,509.00 |
$14,636.50 |
$31,358.00 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$95.50 |
$132.50 |
$247.80 |
|
|
Atxn1 gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
|
|
Atxn2 gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
|
|
Atxn3 gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
|
|
Atxn7 gene detc abnor allele
|
$411.00 |
$411.00 |
$411.00 |
|
|
Audiometry air + bone
|
$108.00 |
$108.00 |
$108.00 |
|
|
Augment injectable kit 3.0cc
|
$4,381.00 |
$6,758.50 |
$20,816.40 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,206.00 |
$5,710.50 |
$61,816.01 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,072.50 |
$13,877.00 |
$39,813.17 |
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
|
|
Autonomic nrv parasym inervj
|
$238.50 |
$294.50 |
$294.50 |
|
|
Autonomic nrv syst funj test
|
$64.00 |
$79.00 |
$79.00 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$10,428.22 |
$10,428.22 |
$11,935.91 |
|
|
Av fistula revision
|
$17,788.60 |
$17,788.60 |
$17,788.60 |
|
|
Av fuse uppr arm basilic
|
$5,777.50 |
$6,047.50 |
$6,047.50 |
|
|
Av fuse uppr arm cephalic
|
$5,777.50 |
$6,047.50 |
$6,047.50 |
|
|
Av fusion direct any site
|
$8,922.00 |
$8,922.00 |
$16,131.90 |
|
|
Av fusion/forearm vein 36820
|
$5,667.00 |
$5,667.00 |
$5,667.00 |
|
|
Avul nail plate addl
|
$118.50 |
$172.00 |
$755.50 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$180.50 |
$250.00 |
$79,568.61 |
|
|
Azacitidine injection
|
$125.08 |
$125.08 |
$143.17 |
|
|
Azathioprine 50 mg tablet
|
$27.00 |
$27.00 |
$27.00 |
|
|
Azithromycin 500 mg intravenous solution
|
$40.36 |
$45.00 |
$564.00 |
|
|
Azithromycin dihydrate, oral
|
$35.00 |
$35.00 |
$35.00 |
|
|
Aztreonam 1 gram solution for injection
|
$475.33 |
$475.33 |
$531.96 |
|
|
Baclofen eval charges
|
$56.50 |
$77.00 |
$176.00 |
|
|
Bacterial meningitis antigen
|
$143.00 |
$143.00 |
$143.00 |
|
|
Bacterial vaginosis pcr
|
$131.50 |
$482.00 |
$609.00 |
|
|
#bac vag cand-c. albicans naa
|
$91.00 |
$201.50 |
$221.50 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$51.50 |
$104.40 |
$319.50 |
|
|
Balloon dilate urtrl strix
|
$951.50 |
$1,292.00 |
$2,154.50 |
|
|
Bard marquee Ultrasound biopsy device
|
$10,740.00 |
$10,740.00 |
$10,740.00 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$420.50 |
$698.00 |
$3,511.00 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$347.50 |
$902.40 |
$2,897.00 |
|
|
Barium Swallow (Esophagus X-ray)
|
$272.50 |
$452.50 |
$1,705.00 |
|
|
Barrier skin flat ctf 2.75in
|
$62.00 |
$62.00 |
$62.00 |
|
|
Barrier skin flextend 2.25in floating flang new image
|
$1.00 |
$1.00 |
$1.50 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$2,410.00 |
$3,332.50 |
$10,770.26 |
|
|
Bartonella dna pcr-sendout
|
$173.40 |
$173.40 |
$401.70 |
|
|
Basic vestibular evaluation
|
$209.00 |
$209.00 |
$209.00 |
|
|
Basiliximab
|
$38,644.41 |
$38,644.41 |
$43,248.26 |
|
|
Battery elec/combo vad, rep
|
$153.50 |
$227.00 |
$265.00 |
|
|
Bausch health Ultrasound surg
|
$672.75 |
$2,154.00 |
$3,067.00 |
|
|
B cells total count
|
$28.00 |
$67.00 |
$328.00 |
|
|
Bebtelovimab injection
|
$327.00 |
$433.50 |
$677.50 |
|
|
Belatacept 250 mg intravenous solution
|
$4,073.50 |
$4,073.50 |
$4,655.42 |
|
|
Below knee sus/seal sleeve
|
$250.00 |
$250.00 |
$250.00 |
|
|
Below knee total contact
|
$1,786.33 |
$1,786.33 |
$1,786.33 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,030.25 |
$3,030.25 |
$3,468.35 |
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$12,935.51 |
$12,935.51 |
$14,805.71 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$151.00 |
$151.00 |
$14,100.66 |
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$16,303.19 |
$16,303.19 |
$18,660.28 |
|
|
Benign lesion paring 2-4
|
$147.50 |
$204.50 |
$1,972.50 |
|
|
Benign lesion paring 4+
|
$343.00 |
$474.50 |
$2,036.00 |
|
|
#_benzodiazconfur
|
$96.50 |
$113.00 |
$516.00 |
|
|
Benztropine 1 mg/ml injection solution
|
$97.64 |
$247.00 |
$265.78 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$74.50 |
$141.00 |
$248.00 |
|
|
Beta-2 microglobulin
|
$48.50 |
$130.20 |
$902.50 |
|
|
Beta-amyloid 1-42
|
$160.00 |
$544.20 |
$844.00 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$66.90 |
$74.87 |
$220.00 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$15,875.05 |
$15,875.05 |
$18,170.23 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$13,898.66 |
$13,898.66 |
$15,908.11 |
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$12,218.93 |
$12,218.93 |
$13,985.52 |
|
|
Bfb train 1st 15min cntct 90912
|
$69.50 |
$77.50 |
$96.00 |
|
|
Bfb train ea addl 15 min 90913
|
$34.50 |
$39.00 |
$48.50 |
|
|
B-hexosaminidase ea assay
|
$274.20 |
$274.20 |
$562.00 |
|
|
Bilateral n blobk inj pudendal 64430
|
$803.00 |
$1,110.00 |
$1,110.00 |
|
|
Bilateral n block inj occipital 64405
|
$356.50 |
$493.00 |
$1,703.50 |
|
|
Bilateral n block inj trigeminal 64400
|
$311.50 |
$481.20 |
$661.50 |
|