|
Antineutrophil cytoplasmic antibody titer each antibody
|
$6.65 |
$6.65 |
$6.65 |
$45.82
|
|
Antinuclear antibodies
|
$36.02 |
$36.02 |
$36.02 |
$91.70
|
|
Antinuclear antibodies titer
|
$15.86 |
$15.86 |
$15.86 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$23.29 |
$23.29 |
$23.29 |
$74.20
|
|
Antistreptolysin o titer
|
$21.35 |
$21.35 |
$21.35 |
$57.96
|
|
Antithrombin iii activity
|
$38.50 |
$38.50 |
$38.50 |
$115.23
|
|
Apc gene dup/delet variants
|
$229.95 |
$229.95 |
$229.95 |
$400.00
|
|
Apc gene full sequence
|
$229.95 |
$229.95 |
$229.95 |
$1,076.40
|
|
Apheresis plasma
|
$3,293.01 |
$3,293.01 |
$3,293.01 |
$3,411.50
|
|
Apheresis platelets
|
$1,203.62 |
$1,203.62 |
$1,203.62 |
$2,345.00
|
|
Apheresis rbc
|
$1,364.58 |
$1,364.58 |
$1,364.58 |
$3,348.50
|
|
Apheresis wbc
|
$1,024.45 |
$1,024.45 |
$1,024.45 |
$3,342.71
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$485.10 |
$485.10 |
$485.10 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$390.60 |
$390.60 |
$390.60 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$357.00 |
$357.00 |
$357.00 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$498.40 |
$498.40 |
$498.40 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$390.60 |
$390.60 |
$390.60 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$357.00 |
$357.00 |
$357.00 |
$508.18
|
|
Appl halo type body cast
|
$181.13 |
$181.13 |
$181.13 |
$314.28
|
|
Application finger splntstatic 29130
|
$106.75 |
$106.75 |
$106.75 |
$216.80
|
|
Application lower leg splint 29515
|
$193.90 |
$193.90 |
$193.90 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$322.35 |
$322.35 |
$322.35 |
$397.00
|
|
Application of paste boot 29580
|
$132.65 |
$132.65 |
$132.65 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$673.40 |
$673.40 |
$673.40 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$505.05 |
$505.05 |
$505.05 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$39.69 |
$39.69 |
$39.69 |
$69.55
|
|
Appl multlay comprs arm/hand
|
$138.60 |
$138.60 |
$138.60 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$106.75 |
$106.75 |
$106.75 |
$263.10
|
|
Apply of finger splint 29131
|
$51.10 |
$51.10 |
$51.10 |
$177.45
|
|
Apply rigid leg cast 29445
|
$214.90 |
$214.90 |
$214.90 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$369.64 |
$369.64 |
$369.64 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$90.65 |
$90.65 |
$90.65 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$444.11 |
$444.11 |
$444.11 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$241.62 |
$241.62 |
$241.62 |
$114.20
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$35.91 |
$35.91 |
$35.91 |
$98.90
|
|
Aquatic exercise - group charge
|
$35.60 |
$35.60 |
$35.60 |
$87.60
|
|
Argatroban nonesrd use 1mg
|
$1,327.93 |
$1,327.93 |
$1,327.93 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$515.08 |
$515.08 |
$515.08 |
$1,303.25
|
|
Artery xray each vessel 7577426
|
$653.31 |
$653.31 |
$653.31 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$3,320.35
|
|
Artery x-rays adrenals
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$3,844.10
|
|
Artery x-rays chest
|
$739.62 |
$739.62 |
$739.62 |
$2,587.20
|
|
Artery x-rays lung
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$2,921.88
|
|
Artery x-rays lung
|
$717.89 |
$717.89 |
$717.89 |
$2,332.57
|
|
Artery x-rays lungs
|
$1,007.37 |
$1,007.37 |
$1,007.37 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$430.15 |
$430.15 |
$430.15 |
$567.78
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$423.50 |
$423.50 |
$423.50 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$436.10 |
$436.10 |
$436.10 |
$698.58
|
|
Aspirate pleura without imaging 32554
|
$524.30 |
$524.30 |
$524.30 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$680.40 |
$680.40 |
$680.40 |
$1,273.63
|
|
Assay of interleukin-6 (il-6)
|
$57.65 |
$57.65 |
$57.65 |
$77.35
|
|
Assay of procainamide w/metab
|
$30.56 |
$30.56 |
$30.56 |
$61.20
|
|
Assay of salicylate
|
$44.80 |
$44.80 |
$44.80 |
$105.95
|
|
Assay of urine sulfate
|
$7.81 |
$7.81 |
$7.81 |
$31.35
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$152.95 |
$152.95 |
$152.95 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$63.70 |
$63.70 |
$63.70 |
$49.80
|
|
Assistive tech assessment, ot
|
$37.80 |
$37.80 |
$37.80 |
$76.93
|
|
Ast/sgot
|
$25.90 |
$25.90 |
$25.90 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$8,701.80 |
$8,701.80 |
$8,701.80 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$14,634.20 |
$14,634.20 |
$14,634.20 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$14,634.20 |
$14,634.20 |
$14,634.20 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$7.35 |
$7.35 |
$7.35 |
$43.01
|
|
Autologous blood process
|
$112.14 |
$112.14 |
$112.14 |
$234.27
|
|
Avelumab 20 mg/ml intravenous solution
|
$1,554.83 |
$1,554.83 |
$1,554.83 |
$677.61
|
|
Avul nail plate addl
|
$39.69 |
$39.69 |
$39.69 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$54.18 |
$54.18 |
$54.18 |
$342.55
|
|
Azacitidine injection
|
$223.72 |
$223.72 |
$223.72 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$2.76 |
$2.76 |
$2.76 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$43.26 |
$43.26 |
$43.26 |
$52.69
|
|
Baclofen eval charges
|
$37.80 |
$37.80 |
$37.80 |
$86.14
|
|
Bacterial meningitis antigen
|
$84.32 |
$84.32 |
$84.32 |
$68.40
|
|
Bacterial vaginosis pcr
|
$107.96 |
$107.96 |
$107.96 |
$298.04
|
|
Bausch health Ultrasound surg
|
$421.12 |
$421.12 |
$421.12 |
$1,158.25
|
|
Bendamustine 100 mg intravenous powder for solution
|
$130.80 |
$130.80 |
$130.80 |
$3,101.94
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,132.71 |
$2,132.71 |
$2,132.71 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$220.50 |
$220.50 |
$220.50 |
$275.49
|
|
Benign lesion paring 4+
|
$133.70 |
$133.70 |
$133.70 |
$287.00
|
|
#_benzodiazconfur
|
$0.63 |
$0.63 |
$0.63 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$67.99 |
$67.99 |
$67.99 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$52.15 |
$52.15 |
$52.15 |
$97.21
|
|
Beta-2 microglobulin
|
$50.05 |
$50.05 |
$50.05 |
$84.66
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,207.18 |
$2,207.18 |
$2,207.18 |
$2,567.61
|
|
Bilirubin direct
|
$35.70 |
$35.70 |
$35.70 |
$49.29
|
|
Bilirubin total
|
$34.30 |
$34.30 |
$34.30 |
$51.39
|
|
Binder abdominal lg 12 x 62-74
|
$43.75 |
$43.75 |
$43.75 |
$38.52
|
|
Biofeedback, pt
|
$22.05 |
$22.05 |
$22.05 |
$148.66
|
|
Biopsy abdominal mass
|
$595.98 |
$595.98 |
$595.98 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$673.16 |
$673.16 |
$673.16 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,365.70 |
$1,365.70 |
$1,365.70 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$634.10 |
$634.10 |
$634.10 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$781.20 |
$781.20 |
$781.20 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$1,075.55 |
$1,075.55 |
$1,075.55 |
$1,878.88
|
|
Biopsy of heart lining
|
$1,746.99 |
$1,746.99 |
$1,746.99 |
$3,868.50
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$823.90 |
$823.90 |
$823.90 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$524.30 |
$524.30 |
$524.30 |
$668.98
|
|
Bivalirudin
|
$1,038.91 |
$1,038.91 |
$1,038.91 |
$1,246.70
|
