|
Arthrodesis triple
|
$28,153.00 |
$28,153.00 |
$28,153.00 |
$12,275.04
|
|
Arthro, loose body + chondro
|
$1,845.83 |
$1,845.83 |
$1,845.83 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$5,863.13 |
$5,863.13 |
$5,863.13 |
$4,240.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$4,179.00 |
$4,179.00 |
$4,179.00 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$15,087.50 |
$15,087.50 |
$15,087.50 |
$4,627.00
|
|
Arthr si jt opn b1grf instrm
|
$27,099.50 |
$27,099.50 |
$27,099.50 |
$5,200.00
|
|
Arthrt rdcrpl/midcarpl jt
|
$3,103.67 |
$3,103.67 |
$3,103.67 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$4,194.13
|
|
Artificial larynx
|
$548.00 |
$548.00 |
$548.00 |
$713.44
|
|
Artiss fibrin sealant
|
$742.26 |
$742.26 |
$742.26 |
$1,583.11
|
|
Ascend aorta graft oth dissect 33859
|
$28,690.50 |
$28,690.50 |
$28,690.50 |
$4,603.20
|
|
Ascend aorta graft w/aortic dissection 33858
|
$23,248.50 |
$23,248.50 |
$23,248.50 |
$6,670.20
|
|
Ascenda two piece catheter
|
$10,953.32 |
$10,953.32 |
$10,953.32 |
$22,951.20
|
|
Ascvd rsk mng clin stf pr mo
|
$115.50 |
$115.50 |
$115.50 |
$109.46
|
|
Aspa gene
|
$25.50 |
$25.50 |
$25.50 |
$133.84
|
|
Asp core fat pad
|
$6,853.67 |
$6,853.67 |
$6,853.67 |
$939.95
|
|
Asp & inj bone cyst
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$11,672.00 |
$11,672.00 |
$11,672.00 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$8,644.50 |
$8,644.50 |
$8,644.50 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$7,178.33 |
$7,178.33 |
$7,178.33 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$625.50 |
$625.50 |
$625.50 |
$850.78
|
|
Asp pq spinal cord cyst/syrinx
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$1,270.92
|
|
Assay dir meas fr estradiol
|
$36.00 |
$36.00 |
$36.00 |
$67.44
|
|
Assay myeloperoxidase
|
$55.00 |
$55.00 |
$55.00 |
$100.98
|
|
Assay of androsterone
|
$195.00 |
$195.00 |
$195.00 |
$194.79
|
|
Assay of corticosterone
|
$176.50 |
$176.50 |
$176.50 |
$56.80
|
|
Assay of feces porphyrins
|
$139.50 |
$139.50 |
$139.50 |
$166.20
|
|
Assay of galactose
|
$238.50 |
$238.50 |
$238.50 |
$49.21
|
|
Assay of glucosidase
|
$390.40 |
$390.40 |
$390.40 |
$161.58
|
|
Assay of glutathione
|
$253.50 |
$253.50 |
$253.50 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$95.00 |
$95.00 |
$95.00 |
$79.97
|
|
Assay of leflunomide
|
$114.00 |
$114.00 |
$114.00 |
$100.65
|
|
Assay of lrh hormone
|
$187.00 |
$187.00 |
$187.00 |
$189.50
|
|
Assay of neonatal thyroxine
|
$9.50 |
$9.50 |
$9.50 |
$19.06
|
|
Assay of osteocalcin
|
$65.00 |
$65.00 |
$65.00 |
$92.50
|
|
Assay of procainamide
|
$23.50 |
$23.50 |
$23.50 |
$114.91
|
|
Assay of procainamide w/metab
|
$40.00 |
$40.00 |
$40.00 |
$70.50
|
|
Assay of prostaglandin
|
$651.00 |
$651.00 |
$651.00 |
$218.50
|
|
Assay of salicylate
|
$210.00 |
$210.00 |
$210.00 |
$95.00
|
|
Assay of sialic acid
|
$234.00 |
$234.00 |
$234.00 |
$92.50
|
|
Assay of silica
|
$143.50 |
$143.50 |
$143.50 |
$74.95
|
|
Assay of somatostatin
|
$228.00 |
$228.00 |
$228.00 |
$165.00
|
|
Assay of thiocyanate
|
$13.00 |
$13.00 |
$13.00 |
$65.00
|
|
Assay of tyrosine
|
$338.00 |
$338.00 |
$338.00 |
$60.00
|
|
Assay of urine sulfate
|
$18.50 |
$18.50 |
$18.50 |
$29.04
|
|
Assay phosphatidylglycerol
|
$66.00 |
$66.00 |
$66.00 |
$134.16
|
|
Assay phosphohexose enzymes
|
$200.00 |
$200.00 |
$200.00 |
$105.00
|
|
Assay toxin or antitoxin
|
$171.00 |
$171.00 |
$171.00 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$577.00 |
$577.00 |
$577.00 |
$292.50
|
|
Assess care plan pt w/cog impair 99483
|
$197.00 |
$197.00 |
$197.00 |
$165.30
|
|
Assess cyst contrast inject
|
$646.00 |
$646.00 |
$646.00 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$39.00 |
$39.00 |
$39.00 |
$49.80
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$595.50 |
$595.50 |
$595.50 |
$185.15
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$8,841.67 |
$8,841.67 |
$8,841.67 |
$920.00
|
|
Ast/sgot
|
$28.50 |
$28.50 |
$28.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$30,587.43 |
$30,587.43 |
$30,587.43 |
$23,166.53
|
|
Athrectomy fem/pop/unilateral 37225
|
$75,056.00 |
$75,056.00 |
$75,056.00 |
$16,409.51
|
|
Atomic absorption
|
$226.00 |
$226.00 |
$226.00 |
$71.50
|
|
Atropine 0.1 mg/ml injection syringe
|
$38.12 |
$38.12 |
$38.12 |
$51.28
|
|
Attach ocular implant
|
$6,067.34 |
$6,067.34 |
$6,067.34 |
$5,110.00
|
|
Audiometry air + bone
|
$221.50 |
$221.50 |
$221.50 |
$185.15
|
|
Auditory function + 15 min
|
$35.00 |
$35.00 |
$35.00 |
$74.40
|
|
Auditory function 60 min
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$234.00
|
|
Augmentation of facial bones
|
$12,611.26 |
$12,611.26 |
$12,611.26 |
$6,547.81
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,528.00 |
$4,528.00 |
$4,528.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,893.50 |
$14,893.50 |
$14,893.50 |
$10,384.40
|
|
Autochondrocyte implant knee
|
$2,736.75 |
$2,736.75 |
$2,736.75 |
$8,123.20
|
|
Autologous blood op salvage
|
$623.50 |
$623.50 |
$623.50 |
$910.70
|
|
Autologous blood process
|
$264.50 |
$264.50 |
$264.50 |
$262.50
|
|
Autolog prp diab wound ulcer
|
$2,477.00 |
$2,477.00 |
$2,477.00 |
$2,164.64
|
|
Autolog prp not diab ulcer
|
$2,635.00 |
$2,635.00 |
$2,635.00 |
$2,164.64
|
|
Autonomic nrv parasym inervj
|
$441.00 |
$441.00 |
$441.00 |
$299.72
|
|
Autonomic nrv syst funj test
|
$404.50 |
$404.50 |
$404.50 |
$365.04
|
|
Avelumab 20 mg/ml intravenous solution
|
$15,488.32 |
$15,488.32 |
$15,488.32 |
$3,683.86
|
|
Av fistula revision
|
$11,128.00 |
$11,128.00 |
$11,128.00 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$14,476.50 |
$14,476.50 |
$14,476.50 |
$7,651.38
|
|
Av fuse uppr arm cephalic
|
$11,180.00 |
$11,180.00 |
$11,180.00 |
$6,396.89
|
|
Av fusion direct any site
|
$9,113.00 |
$9,113.00 |
$9,113.00 |
$4,804.00
|
|
Avul nail plate addl
|
$652.67 |
$652.67 |
$652.67 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$318.75
|
|
Axicabtagene ciloleucel car+
|
$377,685.00 |
$377,685.00 |
$377,685.00 |
$1,510,740.00
|
|
Azacitidine injection
|
$111.21 |
$111.21 |
$111.21 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$4.35 |
$4.35 |
$4.35 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$9.61 |
$9.61 |
$9.61 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$101.29 |
$101.29 |
$101.29 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$4,256.00 |
$4,256.00 |
$4,256.00 |
$1,800.33
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$111.28 |
$111.28 |
$111.28 |
$161.17
|
|
Baclofen eval charges
|
$920.00 |
$920.00 |
$920.00 |
$85.00
|
|
Bacterial meningitis antigen
|
$140.50 |
$140.50 |
$140.50 |
$66.30
|
|
Bacterial vaginosis pcr
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$95.50 |
$95.50 |
$95.50 |
$105.00
|
|
Balloon dilate urtrl strix
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$1,933.35 |
$1,933.35 |
$1,933.35 |
$1,535.40
|
|
Bartholin gland cyst/marsupializat 56440
|
$5,253.00 |
$5,253.00 |
$5,253.00 |
$4,350.00
|
|
Bartonella dna pcr-sendout
|
$175.00 |
$175.00 |
$175.00 |
$195.66
|
|
Basic vestibular evaluation
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$328.00
|
