|
Assay of neonatal thyroxine
|
$8.50 |
$8.50 |
$8.50 |
$19.06
|
|
Assay of osteocalcin
|
$22.00 |
$22.00 |
$22.00 |
$92.50
|
|
Assay of prostaglandin
|
$320.00 |
$320.00 |
$320.00 |
$218.50
|
|
Assay of salicylate
|
$37.00 |
$37.00 |
$37.00 |
$95.00
|
|
Assay of sialic acid
|
$221.00 |
$221.00 |
$221.00 |
$92.50
|
|
Assay of somatostatin
|
$89.00 |
$89.00 |
$89.00 |
$165.00
|
|
Assay of tyrosine
|
$338.00 |
$338.00 |
$338.00 |
$60.00
|
|
Assay of urine sulfate
|
$11.00 |
$11.00 |
$11.00 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$112.50 |
$112.50 |
$112.50 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$26.50 |
$26.50 |
$26.50 |
$49.80
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$249.50 |
$249.50 |
$249.50 |
$920.00
|
|
Ast/sgot
|
$26.00 |
$26.00 |
$26.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$22,940.57 |
$22,940.57 |
$22,940.57 |
$23,166.53
|
|
Atomic absorption
|
$226.00 |
$226.00 |
$226.00 |
$71.50
|
|
Atropine 0.1 mg/ml injection syringe
|
$42.98 |
$42.98 |
$42.98 |
$51.28
|
|
Attach bladder/urethra comp 51841
|
$818.50 |
$818.50 |
$818.50 |
$1,035.11
|
|
Attach bladder/urethra simple 51840
|
$709.00 |
$709.00 |
$709.00 |
$1,712.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$72.00 |
$72.00 |
$72.00 |
$186.60
|
|
Audiometry air + bone
|
$157.50 |
$157.50 |
$157.50 |
$185.15
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$2,239.00 |
$2,239.00 |
$2,239.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$4,937.00 |
$4,937.00 |
$4,937.00 |
$10,384.40
|
|
Autolog prp diab wound ulcer
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$2,164.64
|
|
Autolog prp not diab ulcer
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$2,164.64
|
|
Av fistula revision
|
$880.50 |
$880.50 |
$880.50 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$795.50 |
$795.50 |
$795.50 |
$7,651.38
|
|
Av fuse uppr arm cephalic
|
$752.00 |
$752.00 |
$752.00 |
$6,396.89
|
|
Av fusion direct any site
|
$719.50 |
$719.50 |
$719.50 |
$4,804.00
|
|
Av fusion/forearm vein 36820
|
$794.00 |
$794.00 |
$794.00 |
$6,366.08
|
|
Avul nail plate addl
|
$121.00 |
$121.00 |
$121.00 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$2,041.00 |
$2,041.00 |
$2,041.00 |
$318.75
|
|
Axillary lymphadenect/superficial 38740
|
$780.00 |
$780.00 |
$780.00 |
$6,311.00
|
|
Azacitidine injection
|
$397.43 |
$397.43 |
$397.43 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$1.50 |
$1.50 |
$1.50 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$7.11 |
$7.11 |
$7.11 |
$35.06
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$354.50 |
$354.50 |
$354.50 |
$1,800.33
|
|
Bacterial meningitis antigen
|
$32.00 |
$32.00 |
$32.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$40.00 |
$40.00 |
$40.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$144.50 |
$144.50 |
$144.50 |
$105.00
|
|
Balloon dilate urtrl strix
|
$182.00 |
$182.00 |
$182.00 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$32.00 |
$32.00 |
$32.00 |
$1,535.40
|
|
Bartholin gland cyst/marsupializat 56440
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$4,350.00
|
|
Bartonella dna pcr-sendout
|
$175.00 |
$175.00 |
$175.00 |
$195.66
|
|
Basiliximab
|
$6,731.50 |
$6,731.50 |
$6,731.50 |
$8,045.59
|
|
Bcg live 50 mg intravesical suspension
|
$5.50 |
$5.50 |
$5.50 |
$378.28
|
|
Behavior counsel obesity 15min medicare g0447
|
$30.00 |
$30.00 |
$30.00 |
$102.47
|
|
Belatacept 250 mg intravenous solution
|
$2,487.76 |
$2,487.76 |
$2,487.76 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$9,271.77 |
$9,271.77 |
$9,271.77 |
$4,243.90
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$5,442.88 |
$5,442.88 |
$5,442.88 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$365.50 |
$365.50 |
$365.50 |
$257.50
|
|
Benign lesion paring 4+
|
$192.00 |
$192.00 |
$192.00 |
$287.00
|
|
#_benzodiazconfur
|
$89.00 |
$89.00 |
$89.00 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$34.44 |
$34.44 |
$34.44 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$92.00 |
$92.00 |
$92.00 |
$78.50
|
|
Beta-2 microglobulin
|
$240.00 |
$240.00 |
$240.00 |
$85.94
|
|
Beta-amyloid 1-40
|
$100.00 |
$100.00 |
$100.00 |
$184.80
|
|
Beta-amyloid 1-42
|
$431.00 |
$431.00 |
$431.00 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$40.90 |
$40.90 |
$40.90 |
$64.15
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$7,715.52 |
$7,715.52 |
$7,715.52 |
$3,291.73
|
|
Bevacizumab injection
|
$30.00 |
$30.00 |
$30.00 |
$202.85
|
|
Bilateral n blobk inj pudendal 64430
|
$56.00 |
$56.00 |
$56.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$438.00 |
$438.00 |
$438.00 |
$556.40
|
|
Bilicheck
|
$20.50 |
$20.50 |
$20.50 |
$28.80
|
|
Bilirubin direct
|
$24.50 |
$24.50 |
$24.50 |
$50.00
|
|
Bilirubin total
|
$26.00 |
$26.00 |
$26.00 |
$52.57
|
|
Biopsy arm/elbow soft tissue
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$3,386.84
|
|
Biopsy, bone open deep
|
$353.50 |
$353.50 |
$353.50 |
$3,684.24
|
|
Biopsy bone trocar/needle superficial
|
$88.00 |
$88.00 |
$88.00 |
$1,770.73
|
|
Biopsy cervixsingle/multiple 57500
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$1,266.48
|
|
Biopsy conjunctiva
|
$89.50 |
$89.50 |
$89.50 |
$2,678.00
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$606.00 |
$606.00 |
$606.00 |
$4,350.00
|
|
Biopsy external ear 69100
|
$227.00 |
$227.00 |
$227.00 |
$416.52
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$72.00 |
$72.00 |
$72.00 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$168.00 |
$168.00 |
$168.00 |
$1,905.43
|
|
Biopsy lower leg soft tissue 27610
|
$686.50 |
$686.50 |
$686.50 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$58.00 |
$58.00 |
$58.00 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$88.00 |
$88.00 |
$88.00 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$1,878.14
|
|
Biopsy of cornea
|
$95.50 |
$95.50 |
$95.50 |
$2,920.65
|
|
Biopsy of foot joint lining
|
$268.50 |
$268.50 |
$268.50 |
$3,839.54
|
|
Biopsy of lip 40490
|
$64.50 |
$64.50 |
$64.50 |
$331.00
|
|
Biopsy of nail unit 11755
|
$692.50 |
$692.50 |
$692.50 |
$888.07
|
|
Biopsy of penis 54100
|
$117.00 |
$117.00 |
$117.00 |
$1,917.33
|
|
Biopsy of prostate
|
$135.00 |
$135.00 |
$135.00 |
$2,412.45
|
|
Biopsy of rectum wall anal approach 45100
|
$523.34 |
$523.34 |
$523.34 |
$3,245.23
|
|
Biopsy of stomach
|
$940.50 |
$940.50 |
$940.50 |
$1,504.80
|
|
Biopsy of testis
|
$218.50 |
$218.50 |
$218.50 |
$4,081.37
|
|
Biopsy/removal lymph nodes
|
$1,438.83 |
$1,438.83 |
$1,438.83 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$505.00 |
$505.00 |
$505.00 |
$4,531.42
|
|
Biopsy skin incisional single lesion
|
$3,118.50 |
$3,118.50 |
$3,118.50 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$159.50 |
$159.50 |
$159.50 |
$2,462.35
|
|
Biopsy vestibule of mouth 40808
|
$90.00 |
$90.00 |
$90.00 |
$629.50
|
|
Biospy of bladder
|
$321.50 |
$321.50 |
$321.50 |
$813.15
|
|
Biotinidase - quest
|
$254.50 |
$254.50 |
$254.50 |
$71.02
|
|
Biovance 1 square cm
|
$119.50 |
$119.50 |
$119.50 |
$7,928.07
|
|
Bladder irrigate/lavage/instill 51700
|
$393.00 |
$393.00 |
$393.00 |
$408.00
|
|
Bleomycin 15 unit solution for injection
|
$69.83 |
$69.83 |
$69.83 |
$215.36
|
|
Blepharoplasty lower 15820
|
$3,661.88 |
$3,661.88 |
$3,661.88 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$387.50 |
$387.50 |
$387.50 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$4,742.00 |
$4,742.00 |
$4,742.00 |
$3,041.60
|
