|
Ast/sgot
|
$24.50 |
$24.50 |
$24.50 |
$45.60
|
|
Athletic trn eval high cmplx
|
$228.50 |
$228.50 |
$228.50 |
$224.95
|
|
Athletic trn eval low cmplx
|
$164.00 |
$164.00 |
$164.00 |
$207.00
|
|
Athletic trn eval mod cmplx
|
$207.50 |
$207.50 |
$207.50 |
$207.00
|
|
Athletic trn re-eval plan cr
|
$75.00 |
$75.00 |
$75.00 |
$123.00
|
|
Athrectomy fem/pop/unilateral 37225
|
$17,271.50 |
$17,271.50 |
$17,271.50 |
$16,973.40
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$17,271.50 |
$17,271.50 |
$17,271.50 |
$15,469.73
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$24.00 |
$24.00 |
$24.00 |
$188.16
|
|
Audiometry air + bone
|
$172.50 |
$172.50 |
$172.50 |
$185.15
|
|
Auditory function + 15 min
|
$54.00 |
$54.00 |
$54.00 |
$50.40
|
|
Auditory function 60 min
|
$203.00 |
$203.00 |
$203.00 |
$210.40
|
|
Aud rehab pre-ling hear loss
|
$172.50 |
$172.50 |
$172.50 |
$223.85
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,611.00 |
$1,611.00 |
$1,611.00 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$9,031.00 |
$9,031.00 |
$9,031.00 |
$10,530.57
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$502.00 |
$502.00 |
$502.00 |
$924.72
|
|
Autologous blood process
|
$707.00 |
$707.00 |
$707.00 |
$247.52
|
|
Autonomic nrv adrenrg inervj
|
$246.50 |
$246.50 |
$246.50 |
$228.00
|
|
Autonomic nrv syst funj test
|
$289.00 |
$289.00 |
$289.00 |
$365.04
|
|
Av fusion direct any site
|
$4,286.50 |
$4,286.50 |
$4,286.50 |
$4,804.00
|
|
Avul nail plate addl
|
$349.50 |
$349.50 |
$349.50 |
$230.40
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$213.00 |
$213.00 |
$213.00 |
$321.10
|
|
Baclofen eval charges
|
$40.00 |
$40.00 |
$40.00 |
$86.14
|
|
Bacterial meningitis antigen
|
$44.50 |
$44.50 |
$44.50 |
$65.16
|
|
Bacterial vaginosis pcr
|
$499.00 |
$499.00 |
$499.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$167.00 |
$167.00 |
$167.00 |
$105.00
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$11.90 |
$11.90 |
$11.90 |
$17.18
|
|
Balloon dilate urtrl strix
|
$703.50 |
$703.50 |
$703.50 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$892.69 |
$892.69 |
$892.69 |
$1,535.40
|
|
Bartonella dna pcr-sendout
|
$167.00 |
$167.00 |
$167.00 |
$196.20
|
|
Basic vestibular evaluation
|
$173.50 |
$173.50 |
$173.50 |
$336.00
|
|
B cells total count
|
$168.00 |
$168.00 |
$168.00 |
$131.30
|
|
Bebtelovimab injection
|
$175.00 |
$175.00 |
$175.00 |
$468.05
|
|
Behavior counsel obesity 15min medicare g0447
|
$52.50 |
$52.50 |
$52.50 |
$102.47
|
|
Below knee total contact
|
$278.94 |
$278.94 |
$278.94 |
$483.36
|
|
Belt ostomy lg 34-65in
|
$5.18 |
$5.18 |
$5.18 |
$5.20
|
|
Benign lesion paring 2-4
|
$160.00 |
$160.00 |
$160.00 |
$264.85
|
|
Benign lesion paring 4+
|
$160.00 |
$160.00 |
$160.00 |
$307.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$19.00 |
$19.00 |
$19.00 |
$82.55
|
|
Beta-2 microglobulin
|
$72.50 |
$72.50 |
$72.50 |
$84.75
|
|
Bfb train 1st 15min cntct 90912
|
$84.00 |
$84.00 |
$84.00 |
$176.00
|
|
Bfb train ea addl 15 min 90913
|
$84.00 |
$84.00 |
$84.00 |
$107.50
|
|
B-hexosaminidase ea assay
|
$114.00 |
$114.00 |
$114.00 |
$121.96
|
|
Bilateral n blobk inj pudendal 64430
|
$788.00 |
$788.00 |
$788.00 |
$1,523.81
|
|
Bilateral n block inj occipital 64405
|
$544.00 |
$544.00 |
$544.00 |
$783.90
|
|
Bilateral n block inj trigeminal 64400
|
$560.00 |
$560.00 |
$560.00 |
$583.75
|
|
Bile duct endoscopy add-on 47550
|
$8,362.50 |
$8,362.50 |
$8,362.50 |
$996.45
|
|
Biliary endo perq dx w/speci
|
$8,362.50 |
$8,362.50 |
$8,362.50 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$4,498.20
|
|
Biliary endoscopy thru skin
|
$2,504.50 |
$2,504.50 |
$2,504.50 |
$7,586.80
|
|
Biliary endoscopy thru skin
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$3,057.60
|
|
Biliary endoscopy thru skin
|
$2,504.50 |
$2,504.50 |
$2,504.50 |
$5,671.20
|
|
Bilicheck
|
$28.00 |
$28.00 |
$28.00 |
$26.40
|
|
Bilirubin direct
|
$24.00 |
$24.00 |
$24.00 |
$50.00
|
|
Bilirubin total
|
$24.00 |
$24.00 |
$24.00 |
$50.92
|
|
Binder abdominal lg 12 x 62-74
|
$49.68 |
$49.68 |
$49.68 |
$49.68
|
|
Biopsy abdominal mass
|
$1,092.50 |
$1,092.50 |
$1,092.50 |
$1,793.38
|
|
Biopsy bone trocar/needle superficial
|
$2,773.00 |
$2,773.00 |
$2,773.00 |
$1,803.75
|
|
Biopsy cervixsingle/multiple 57500
|
$1,556.50 |
$1,556.50 |
$1,556.50 |
$1,268.54
|
|
Biopsy external ear 69100
|
$246.00 |
$246.00 |
$246.00 |
$541.20
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,118.00 |
$3,118.00 |
$3,118.00 |
$2,821.72
|
|
Biopsy lower leg soft tissue
|
$2,379.50 |
$2,379.50 |
$2,379.50 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,701.90
|
|
Biopsy needle liver percutaneous
|
$1,092.50 |
$1,092.50 |
$1,092.50 |
$1,917.33
|
|
Biopsy needle lymph node superficial
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$1,879.09
|
|
Biopsy of heart lining
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$3,724.63
|
|
Biopsy of lip 40490
|
$236.50 |
$236.50 |
$236.50 |
$399.75
|
|
Biopsy of penis 54100
|
$2,027.50 |
$2,027.50 |
$2,027.50 |
$2,156.80
|
|
Biopsy of prostate
|
$1,301.50 |
$1,301.50 |
$1,301.50 |
$2,419.00
|
|
Biopsy of rectum wall anal approach 45100
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$3,245.23
|
|
Biopsy of salivary gland 42400
|
$417.50 |
$417.50 |
$417.50 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$2,175.51
|
|
Biopsy roof of mouth
|
$1,099.50 |
$1,099.50 |
$1,099.50 |
$1,752.89
|
|
Biopsy skin incisional single lesion
|
$404.00 |
$404.00 |
$404.00 |
$675.60
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,909.00 |
$1,909.00 |
$1,909.00 |
$2,494.20
|
|
Biopsy thigh soft tissues
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$3,854.40
|
|
Biopsy tongue anterior two-thirds
|
$804.00 |
$804.00 |
$804.00 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$581.50 |
$581.50 |
$581.50 |
$644.67
|
|
Biospy of bladder
|
$447.00 |
$447.00 |
$447.00 |
$835.00
|
|
Bk fork strap
|
$41.92 |
$41.92 |
$41.92 |
$105.70
|
|
Bk molded distal cushion
|
$85.90 |
$85.90 |
$85.90 |
$159.64
|
|
Bk waist belt webbing
|
$53.30 |
$53.30 |
$53.30 |
$134.18
|
|
Bladder irrigate/lavage/instill 51700
|
$394.00 |
$394.00 |
$394.00 |
$420.80
|
|
Bld prd mix
|
$293.00 |
$293.00 |
$293.00 |
$139.21
|
|
Blind cor sinus reducer impl
|
$12,930.00 |
$12,930.00 |
$12,930.00 |
$13,419.98
|
|
Blind interatrial shunt ide
|
$25,036.50 |
$25,036.50 |
$25,036.50 |
$20,709.39
|
|
Blink reflex test
|
$190.00 |
$190.00 |
$190.00 |
$218.92
|
|
Bln 1.2 mono emrg 15x1.2
|
$1,850.06 |
$1,850.06 |
$1,850.06 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$550.10 |
$550.10 |
$550.10 |
$1,450.17
|
|
Bln inpact admiral 4x150x130cm
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
$4,816.50
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$589.44 |
$589.44 |
$589.44 |
$5,175.00
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$18.63 |
$18.63 |
$18.63 |
$32.65
|
|
Block brachial plexus w/cath plmt w/img
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$1,523.76
|
|
Block femoral nerve cont infusion cath w/img
|
$1,203.00 |
$1,203.00 |
$1,203.00 |
$1,595.00
|
|
Block paracervical nrv
|
$421.00 |
$421.00 |
$421.00 |
$970.61
|
|
Block plantar digital nerve
|
$141.00 |
$141.00 |
$141.00 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$1,254.60
|
|
Block tap inj(s) w/wo img uni
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$897.95
|
|
Blood Clotting (PT/INR) Test
|
$25.50 |
$25.50 |
$25.50 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$36.00 |
$36.00 |
$36.00 |
$71.85
|
