|
Attach bladder/urethra comp 51841
|
$1,309.60 |
$1,309.60 |
$1,309.60 |
$1,035.11
|
|
Attach bladder/urethra simple 51840
|
$9,900.80 |
$9,900.80 |
$9,900.80 |
$1,712.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$115.20 |
$115.20 |
$115.20 |
$186.60
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$358.40 |
$358.40 |
$358.40 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$842.40 |
$842.40 |
$842.40 |
$10,384.40
|
|
Avelumab 20 mg/ml intravenous solution
|
$20,102.59 |
$20,102.59 |
$20,102.59 |
$3,683.86
|
|
Av fistula revision
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$1,272.80 |
$1,272.80 |
$1,272.80 |
$7,651.38
|
|
Av fuse uppr arm cephalic
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$6,396.89
|
|
Av fusion direct any site
|
$1,151.20 |
$1,151.20 |
$1,151.20 |
$4,804.00
|
|
Av fusion/forearm vein 36820
|
$1,270.40 |
$1,270.40 |
$1,270.40 |
$6,366.08
|
|
Avul nail plate addl
|
$145.60 |
$145.60 |
$145.60 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$603.20 |
$603.20 |
$603.20 |
$318.75
|
|
Axillary lymphadenect/superficial 38740
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$6,311.00
|
|
Azathioprine 50 mg tablet
|
$1.78 |
$1.78 |
$1.78 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$5.49 |
$5.49 |
$5.49 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$108.98 |
$108.98 |
$108.98 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$567.20 |
$567.20 |
$567.20 |
$1,800.33
|
|
Bacterial vaginosis pcr
|
$528.00 |
$528.00 |
$528.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$128.00 |
$128.00 |
$128.00 |
$105.00
|
|
Balloon dilate urtrl strix
|
$291.20 |
$291.20 |
$291.20 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$2,226.00 |
$2,226.00 |
$2,226.00 |
$1,535.40
|
|
Bartholin gland cyst/marsupializat 56440
|
$300.00 |
$300.00 |
$300.00 |
$4,350.00
|
|
Bartonella dna pcr-sendout
|
$410.40 |
$410.40 |
$410.40 |
$195.66
|
|
Basiliximab
|
$10,770.40 |
$10,770.40 |
$10,770.40 |
$8,045.59
|
|
B cells total count
|
$47.20 |
$47.20 |
$47.20 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$8.80 |
$8.80 |
$8.80 |
$378.28
|
|
Behavior counsel obesity 15min medicare g0447
|
$48.00 |
$48.00 |
$48.00 |
$102.47
|
|
Belimumab 120 mg intravenous solution
|
$129.60 |
$129.60 |
$129.60 |
$4,243.90
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$8,164.32 |
$8,164.32 |
$8,164.32 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$840.00 |
$840.00 |
$840.00 |
$257.50
|
|
Benign lesion paring 4+
|
$315.20 |
$315.20 |
$315.20 |
$287.00
|
|
#_benzodiazconfur
|
$142.40 |
$142.40 |
$142.40 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$64.00 |
$64.00 |
$64.00 |
$78.50
|
|
Beta-2 microglobulin
|
$384.00 |
$384.00 |
$384.00 |
$85.94
|
|
Beta-amyloid 1-40
|
$160.00 |
$160.00 |
$160.00 |
$184.80
|
|
Beta-amyloid 1-42
|
$689.60 |
$689.60 |
$689.60 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$36.62 |
$36.62 |
$36.62 |
$64.15
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$18,517.25 |
$18,517.25 |
$18,517.25 |
$3,291.73
|
|
Bevacizumab injection
|
$4.80 |
$4.80 |
$4.80 |
$202.85
|
|
Bilateral n blobk inj pudendal 64430
|
$89.60 |
$89.60 |
$89.60 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$487.20 |
$487.20 |
$487.20 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$512.80 |
$512.80 |
$512.80 |
$556.40
|
|
Bilicheck
|
$18.40 |
$18.40 |
$18.40 |
$28.80
|
|
Bilirubin direct
|
$10.40 |
$10.40 |
$10.40 |
$50.00
|
|
Bilirubin total
|
$45.60 |
$45.60 |
$45.60 |
$52.57
|
|
Biopsy abdominal mass
|
$3,464.80 |
$3,464.80 |
$3,464.80 |
$1,718.60
|
|
Biopsy arm/elbow soft tissue
|
$744.80 |
$744.80 |
$744.80 |
$3,386.84
|
|
Biopsy, bone open deep
|
$565.60 |
$565.60 |
$565.60 |
$3,684.24
|
|
Biopsy bone trocar/needle superficial
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,770.73
|
|
Biopsy cervixsingle/multiple 57500
|
$125.60 |
$125.60 |
$125.60 |
$1,266.48
|
|
Biopsy conjunctiva
|
$143.20 |
$143.20 |
$143.20 |
$2,678.00
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$969.60 |
$969.60 |
$969.60 |
$4,350.00
|
|
Biopsy external ear 69100
|
$68.00 |
$68.00 |
$68.00 |
$416.52
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$4,477.60 |
$4,477.60 |
$4,477.60 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$268.80 |
$268.80 |
$268.80 |
$1,905.43
|
|
Biopsy lower leg soft tissue 27610
|
$1,098.40 |
$1,098.40 |
$1,098.40 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$3,464.80 |
$3,464.80 |
$3,464.80 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$3,464.80 |
$3,464.80 |
$3,464.80 |
$1,878.14
|
|
Biopsy of cornea
|
$152.80 |
$152.80 |
$152.80 |
$2,920.65
|
|
Biopsy of foot joint lining
|
$429.60 |
$429.60 |
$429.60 |
$3,839.54
|
|
Biopsy of lip 40490
|
$103.20 |
$103.20 |
$103.20 |
$331.00
|
|
Biopsy of nail unit 11755
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$888.07
|
|
Biopsy of penis 54100
|
$187.20 |
$187.20 |
$187.20 |
$1,917.33
|
|
Biopsy of rectum wall anal approach 45100
|
$540.00 |
$540.00 |
$540.00 |
$3,245.23
|
|
Biopsy of salivary gland 42400
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,145.90
|
|
Biopsy of stomach
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$1,504.80
|
|
Biopsy of testis
|
$349.60 |
$349.60 |
$349.60 |
$4,081.37
|
|
Biopsy/removal lymph nodes
|
$3,303.20 |
$3,303.20 |
$3,303.20 |
$4,196.54
|
|
Biopsy/removal lymph nodes 38520
|
$808.00 |
$808.00 |
$808.00 |
$4,531.42
|
|
Biopsy skin incisional single lesion
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$2,462.35
|
|
Biopsy vestibule of mouth 40808
|
$144.00 |
$144.00 |
$144.00 |
$629.50
|
|
Biotinidase - quest
|
$407.20 |
$407.20 |
$407.20 |
$71.02
|
|
Biovance 1 square cm
|
$191.20 |
$191.20 |
$191.20 |
$7,928.07
|
|
Bladder irrigate/lavage/instill 51700
|
$48.80 |
$48.80 |
$48.80 |
$408.00
|
|
Bleomycin 15 unit solution for injection
|
$63.31 |
$63.31 |
$63.31 |
$215.36
|
|
Blepharoplasty lower 15820
|
$783.20 |
$783.20 |
$783.20 |
$2,835.20
|
|
Blepharoplasty upper 15822
|
$620.00 |
$620.00 |
$620.00 |
$2,265.51
|
|
Blepharoplasty upper eyelid 15823
|
$840.00 |
$840.00 |
$840.00 |
$3,041.60
|
|
Bln 30frx10mmx12cm renal nephromax
|
$747.80 |
$747.80 |
$747.80 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$254.88 |
$254.88 |
$254.88 |
$1,427.17
|
|
Block brachial plexus w/cath plmt w/img
|
$134.40 |
$134.40 |
$134.40 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$125.60 |
$125.60 |
$125.60 |
$1,661.40
|
|
Block plantar digital nerve
|
$889.60 |
$889.60 |
$889.60 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$4,956.80 |
$4,956.80 |
$4,956.80 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$2,126.40 |
$2,126.40 |
$2,126.40 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$19.20 |
$19.20 |
$19.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$102.40 |
$102.40 |
$102.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$65.60 |
$65.60 |
$65.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$16.00 |
$16.00 |
$16.00 |
$61.80
|
|
Blood Culture Test
|
$24.00 |
$24.00 |
$24.00 |
$145.80
|
|
Blood draw capillary 36416
|
$4.80 |
$4.80 |
$4.80 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$157.60 |
$157.60 |
$157.60 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$70.40 |
$70.40 |
$70.40 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$70.40 |
$70.40 |
$70.40 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$11.20 |
$11.20 |
$11.20 |
$34.00
|
|
Blood smear interpretation
|
$34.40 |
$34.40 |
$34.40 |
$71.76
|
|
Blood smear microscopic w manual differential wbc count
|
$9.60 |
$9.60 |
$9.60 |
$38.61
|
