|
Appl modality 1+lllt po pain
|
$72.80 |
$72.80 |
$72.80 |
$54.61
|
|
Appl multlay comprs arm/hand
|
$289.60 |
$289.60 |
$289.60 |
$289.60
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$597.90 |
$597.90 |
$597.90 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$352.80 |
$352.80 |
$352.80 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$406.40 |
$406.40 |
$406.40 |
$231.66
|
|
Aquatic exercise - group charge
|
$117.60 |
$117.60 |
$117.60 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$2,145.60 |
$2,145.60 |
$2,145.60 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$504.00 |
$504.00 |
$504.00 |
$426.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$671.20 |
$671.20 |
$671.20 |
$910.79
|
|
Aspirate pleura without imaging 32554
|
$937.60 |
$937.60 |
$937.60 |
$1,195.15
|
|
Assay dir meas fr estradiol
|
$68.00 |
$68.00 |
$68.00 |
$68.00
|
|
Assay of feces porphyrins
|
$122.40 |
$122.40 |
$122.40 |
$134.38
|
|
Assay of salicylate
|
$84.00 |
$84.00 |
$84.00 |
$96.50
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$304.00 |
$304.00 |
$304.00 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$39.20 |
$39.20 |
$39.20 |
$46.80
|
|
Ast/sgot
|
$34.40 |
$34.40 |
$34.40 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,471.60 |
$11,471.60 |
$11,471.60 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$62.72 |
$62.72 |
$62.72 |
$53.24
|
|
Automated diff wbc count
|
$27.20 |
$27.20 |
$27.20 |
$36.30
|
|
Avul nail plate addl
|
$151.20 |
$151.20 |
$151.20 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$261.60 |
$261.60 |
$261.60 |
$326.27
|
|
Azacitidine injection
|
$229.64 |
$229.64 |
$229.64 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$1.20 |
$1.20 |
$1.20 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$62.34 |
$62.34 |
$62.34 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$20.60 |
$20.60 |
$20.60 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$80.10 |
$80.10 |
$80.10 |
$157.30
|
|
Baclofen eval charges
|
$114.40 |
$114.40 |
$114.40 |
$87.50
|
|
Bacterial vaginosis pcr
|
$296.80 |
$296.80 |
$296.80 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$123.20 |
$123.20 |
$123.20 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,121.60 |
$1,121.60 |
$1,121.60 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$858.40 |
$858.40 |
$858.40 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$647.20 |
$647.20 |
$647.20 |
$484.80
|
|
B cells total count
|
$104.80 |
$104.80 |
$104.80 |
$132.48
|
|
Behavior counsel obesity 15min medicare g0447
|
$64.00 |
$64.00 |
$64.00 |
$105.00
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,203.49 |
$2,203.49 |
$2,203.49 |
$4,898.13
|
|
Beta 2 glycoprotein 1 antibody iga
|
$73.60 |
$73.60 |
$73.60 |
$82.55
|
|
Beta-2 microglobulin
|
$86.40 |
$86.40 |
$86.40 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$65.83 |
$65.83 |
$65.83 |
$65.00
|
|
Bilateral n block inj trigeminal 64400
|
$290.40 |
$290.40 |
$290.40 |
$587.60
|
|
Bilirubin direct
|
$34.40 |
$34.40 |
$34.40 |
$51.35
|
|
Bilirubin total
|
$34.40 |
$34.40 |
$34.40 |
$54.60
|
|
Binder abdominal lg 12 x 62-74
|
$138.40 |
$138.40 |
$138.40 |
$50.14
|
|
Biotinidase - quest
|
$109.60 |
$109.60 |
$109.60 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$236.80 |
$236.80 |
$236.80 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$391.20 |
$391.20 |
$391.20 |
$412.80
|
|
Bld prd mix
|
$158.40 |
$158.40 |
$158.40 |
$140.25
|
|
Bln 30frx10mmx12cm renal nephromax
|
$107.20 |
$107.20 |
$107.20 |
$5,330.60
|
|
Blood Clotting (PT/INR) Test
|
$35.20 |
$35.20 |
$35.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$50.40 |
$50.40 |
$50.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$56.80 |
$56.80 |
$56.80 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$46.40 |
$46.40 |
$46.40 |
$62.28
|
|
Blood Culture Test
|
$98.40 |
$98.40 |
$98.40 |
$146.16
|
|
Blood draw capillary 36416
|
$11.20 |
$11.20 |
$11.20 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$19.20 |
$19.20 |
$19.20 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$244.00 |
$244.00 |
$244.00 |
$226.50
|
|
Blood gases ph venous
|
$48.00 |
$48.00 |
$48.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$30.40 |
$30.40 |
$30.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$38.40 |
$38.40 |
$38.40 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$23.20 |
$23.20 |
$23.20 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$27.20 |
$27.20 |
$27.20 |
$38.35
|
|
Blood Transfusion
|
$989.60 |
$989.60 |
$989.60 |
$989.60
|
|
Blood typing abo
|
$38.40 |
$38.40 |
$38.40 |
$86.45
|
|
Blood typing ag donor ea ag
|
$112.00 |
$112.00 |
$112.00 |
$207.60
|
|
Blood typing rbc ag non abo/rh ea
|
$74.40 |
$74.40 |
$74.40 |
$211.90
|
|
Blood typing rh (d)
|
$38.40 |
$38.40 |
$38.40 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$284.80 |
$284.80 |
$284.80 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$503.20 |
$503.20 |
$503.20 |
$407.94
|
|
Bone imaging multiple areas
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$1,037.40
|
|
Bone survey-lead poisoning
|
$512.80 |
$512.80 |
$512.80 |
$387.00
|
|
Boot j walker l
|
$132.00 |
$132.00 |
$132.00 |
$234.00
|
|
Boot walker genesis mid-calf full shell s
|
$112.00 |
$112.00 |
$112.00 |
$175.89
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$94.40 |
$94.40 |
$94.40 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,639.20 |
$2,639.20 |
$2,639.20 |
$2,915.40
|
|
Bowel imaging
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,074.00
|
|
Brace ank aftr bioskn med lg
|
$131.20 |
$131.20 |
$131.20 |
$194.42
|
|
Brace ank air stirrup univ
|
$92.80 |
$92.80 |
$92.80 |
$108.67
|
|
Brace m arm board
|
$72.80 |
$72.80 |
$72.80 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$140.80 |
$140.80 |
$140.80 |
$105.30
|
|
Brace oths wrist hnd fngr without
|
$83.20 |
$83.20 |
$83.20 |
$257.45
|
|
Brace wrist classic lft sm
|
$76.00 |
$76.00 |
$76.00 |
$89.04
|
|
Brain image w/flow 4 + views
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$1,330.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,612.00 |
$2,612.00 |
$2,612.00 |
$1,897.53
|
|
Brain MRI (with and without contrast)
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,165.60 |
$3,165.60 |
$3,165.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$1,948.00
|
|
Breastbone (Sternum) X-ray
|
$332.00 |
$332.00 |
$332.00 |
$274.65
|
|
Bronchial challenge
|
$916.00 |
$916.00 |
$916.00 |
$820.05
|
|
Budesonide non-comp unit
|
$6.52 |
$6.52 |
$6.52 |
$20.52
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$65.80 |
$65.80 |
$65.80 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$217.60 |
$217.60 |
$217.60 |
$159.00
|
|
Bundled special stain group 2
|
$206.40 |
$206.40 |
$206.40 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$62.55 |
$62.55 |
$62.55 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$168.80 |
$168.80 |
$168.80 |
$80.64
|
|
Bx thyroid/percutan core needle 60100
|
$1,436.80 |
$1,436.80 |
$1,436.80 |
$963.80
|
|
Cabergoline, oral 0.25mg
|
$4.04 |
$4.04 |
$4.04 |
$66.09
|
|
Cadd pump refill
|
$417.60 |
$417.60 |
$417.60 |
$386.60
|
