|
Anti-inhibitor
|
$5.68 |
$5.68 |
$5.68 |
$8.33
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$7.20 |
$7.20 |
$7.20 |
$37.05
|
|
Antinuclear antibodies
|
$10.50 |
$10.50 |
$10.50 |
$89.40
|
|
Antinuclear antibodies titer
|
$9.60 |
$9.60 |
$9.60 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$111.90 |
$111.90 |
$111.90 |
$65.97
|
|
Antistreptolysin o titer
|
$17.70 |
$17.70 |
$17.70 |
$51.45
|
|
Antithrombin iii activity
|
$35.70 |
$35.70 |
$35.70 |
$114.00
|
|
Antithrombin iii injection
|
$9.65 |
$9.65 |
$9.65 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,174.68 |
$5,174.68 |
$5,174.68 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$1,144.55 |
$1,144.55 |
$1,144.55 |
$2,111.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,283.70 |
$1,283.70 |
$1,283.70 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$421.50 |
$421.50 |
$421.50 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,647.30 |
$1,647.30 |
$1,647.30 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$421.50 |
$421.50 |
$421.50 |
$498.81
|
|
Application finger splntstatic 29130
|
$61.80 |
$61.80 |
$61.80 |
$208.16
|
|
Application long leg splint 29505
|
$74.70 |
$74.70 |
$74.70 |
$338.25
|
|
Application lower leg splint 29515
|
$74.70 |
$74.70 |
$74.70 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$149.40 |
$149.40 |
$149.40 |
$373.20
|
|
Application of cylinder cast 29365
|
$128.70 |
$128.70 |
$128.70 |
$420.00
|
|
Application of long leg cast 29345
|
$128.70 |
$128.70 |
$128.70 |
$455.00
|
|
Application of paste boot 29580
|
$149.40 |
$149.40 |
$149.40 |
$331.74
|
|
Application short leg cast 29405
|
$128.70 |
$128.70 |
$128.70 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$823.20 |
$823.20 |
$823.20 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$823.20 |
$823.20 |
$823.20 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$692.43 |
$692.43 |
$692.43 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$10.80 |
$10.80 |
$10.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$10.80 |
$10.80 |
$10.80 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$61.80 |
$61.80 |
$61.80 |
$246.18
|
|
Apply of finger splint 29131
|
$61.80 |
$61.80 |
$61.80 |
$168.00
|
|
Apply rigid leg cast 29445
|
$128.70 |
$128.70 |
$128.70 |
$555.00
|
|
Apply short leg castambul type 29425
|
$128.70 |
$128.70 |
$128.70 |
$381.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$792.06 |
$792.06 |
$792.06 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$96.90 |
$96.90 |
$96.90 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$15.00 |
$15.00 |
$15.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$10.80 |
$10.80 |
$10.80 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$521.42 |
$521.42 |
$521.42 |
$866.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,304.87 |
$1,304.87 |
$1,304.87 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$515.70 |
$515.70 |
$515.70 |
$485.69
|
|
Artery xray each vessel 7577426
|
$228.60 |
$228.60 |
$228.60 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$1,451.70 |
$1,451.70 |
$1,451.70 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,451.70 |
$1,451.70 |
$1,451.70 |
$3,729.00
|
|
Artery xrays of pelvis 75736 26
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$740.40 |
$740.40 |
$740.40 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$324.60 |
$324.60 |
$324.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$173.70 |
$173.70 |
$173.70 |
$889.20
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$740.40 |
$740.40 |
$740.40 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$141.00 |
$141.00 |
$141.00 |
$699.00
|
|
Ascenda two piece catheter
|
$19,884.00 |
$19,884.00 |
$19,884.00 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$617.40 |
$617.40 |
$617.40 |
$3,162.72
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$588.00 |
$588.00 |
$588.00 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$325.50 |
$325.50 |
$325.50 |
$850.78
|
|
Assay neurflmnt light chain
|
$386.70 |
$386.70 |
$386.70 |
$380.00
|
|
Assay of galactose
|
$9.60 |
$9.60 |
$9.60 |
$49.21
|
|
Assay of procainamide
|
$13.80 |
$13.80 |
$13.80 |
$114.91
|
|
Assay of procainamide w/metab
|
$40.50 |
$40.50 |
$40.50 |
$70.50
|
|
Assay of salicylate
|
$21.60 |
$21.60 |
$21.60 |
$95.00
|
|
Assay of urine sulfate
|
$4.20 |
$4.20 |
$4.20 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$54.60 |
$54.60 |
$54.60 |
$292.50
|
|
Assess cyst contrast inject
|
$40.20 |
$40.20 |
$40.20 |
$447.33
|
|
Assistive tech assessment, ot
|
$12.90 |
$12.90 |
$12.90 |
$96.08
|
|
Ast/sgot
|
$15.00 |
$15.00 |
$15.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,503.85 |
$11,503.85 |
$11,503.85 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$41.00 |
$41.00 |
$41.00 |
$51.28
|
|
Augment injectable kit 3.0cc
|
$4,954.50 |
$4,954.50 |
$4,954.50 |
$7,469.28
|
|
Autologous blood process
|
$175.80 |
$175.80 |
$175.80 |
$262.50
|
|
Automated diff wbc count
|
$19.50 |
$19.50 |
$19.50 |
$38.28
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,205.16 |
$2,205.16 |
$2,205.16 |
$3,683.86
|
|
Avul nail plate addl
|
$261.90 |
$261.90 |
$261.90 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$227.70 |
$227.70 |
$227.70 |
$318.75
|
|
Azacitidine injection
|
$1,861.55 |
$1,861.55 |
$1,861.55 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$0.26 |
$0.26 |
$0.26 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$10.51 |
$10.51 |
$10.51 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$89.65 |
$89.65 |
$89.65 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,930.70 |
$1,930.70 |
$1,930.70 |
$1,800.33
|
|
Baclofen eval charges
|
$18.90 |
$18.90 |
$18.90 |
$85.00
|
|
Bacterial vaginosis pcr
|
$51.90 |
$51.90 |
$51.90 |
$278.40
|
|
Balloon dilate urtrl strix
|
$90.90 |
$90.90 |
$90.90 |
$2,118.00
|
|
Bausch health Ultrasound surg
|
$300.00 |
$300.00 |
$300.00 |
$744.25
|
|
B cells total count
|
$32.40 |
$32.40 |
$32.40 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$180.62 |
$180.62 |
$180.62 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$991.61 |
$991.61 |
$991.61 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,206.35 |
$2,206.35 |
$2,206.35 |
$4,243.90
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,038.37 |
$3,038.37 |
$3,038.37 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,529.21 |
$2,529.21 |
$2,529.21 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$227.70 |
$227.70 |
$227.70 |
$257.50
|
|
Benign lesion paring 4+
|
$227.70 |
$227.70 |
$227.70 |
$287.00
|
|
Benztropine 1 mg/ml injection solution
|
$108.90 |
$108.90 |
$108.90 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$12.90 |
$12.90 |
$12.90 |
$78.50
|
|
Beta-2 microglobulin
|
$9.00 |
$9.00 |
$9.00 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$19.70 |
$19.70 |
$19.70 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,259.16 |
$3,259.16 |
$3,259.16 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$2,853.41 |
$2,853.41 |
$2,853.41 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,508.56 |
$2,508.56 |
$2,508.56 |
$2,508.56
|
|
Bfb train 1st 15min cntct 90912
|
$47.70 |
$47.70 |
$47.70 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$47.70 |
$47.70 |
$47.70 |
$92.82
|
|
Bilicheck
|
$11.10 |
$11.10 |
$11.10 |
$28.80
|
|
Bilirubin direct
|
$5.40 |
$5.40 |
$5.40 |
$50.00
|