|
Ankle arthroscopy/surgery
|
$996.36 |
$996.36 |
$996.36 |
$3,839.54
|
|
Ankle X-ray
|
$165.30 |
$165.30 |
$165.30 |
$350.85
|
|
Annual Physical, Established Patient (age 18-39)
|
$189.81 |
$189.81 |
$189.81 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$197.22 |
$197.22 |
$197.22 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$212.61 |
$212.61 |
$212.61 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$240.54 |
$240.54 |
$240.54 |
$188.15
|
|
Anora (draw only)
|
$12.54 |
$12.54 |
$12.54 |
$36.36
|
|
Antibody bacterium, not elsewhere specified
|
$45.03 |
$45.03 |
$45.03 |
$57.85
|
|
Antibody elution rbc reference
|
$98.61 |
$98.61 |
$98.61 |
$179.62
|
|
Antibody htlv-i
|
$15.39 |
$15.39 |
$15.39 |
$49.53
|
|
Antibody htlv-ii
|
$23.94 |
$23.94 |
$23.94 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$164.73 |
$164.73 |
$164.73 |
$218.30
|
|
Antibody id rbc panel
|
$205.77 |
$205.77 |
$205.77 |
$291.75
|
|
Antibody screen rbc
|
$86.64 |
$86.64 |
$86.64 |
$105.00
|
|
Anti mog serum - sendout
|
$559.17 |
$559.17 |
$559.17 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$43.32 |
$43.32 |
$43.32 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$18.24 |
$18.24 |
$18.24 |
$40.00
|
|
Antinuclear antibodies
|
$66.69 |
$66.69 |
$66.69 |
$91.70
|
|
Antinuclear antibodies titer
|
$40.47 |
$40.47 |
$40.47 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$27.93 |
$27.93 |
$27.93 |
$74.20
|
|
Antistreptolysin o titer
|
$25.65 |
$25.65 |
$25.65 |
$57.85
|
|
Antithrombin iii activity
|
$37.62 |
$37.62 |
$37.62 |
$106.85
|
|
Apl(pml-rara) quant - sendout
|
$458.85 |
$458.85 |
$458.85 |
$465.60
|
|
Appendectomy add-on 44955
|
$182.40 |
$182.40 |
$182.40 |
$206.40
|
|
Appendix Removal (Laparoscopic)
|
$1,072.74 |
$1,072.74 |
$1,072.74 |
$6,376.26
|
|
Application finger splntstatic 29130
|
$156.18 |
$156.18 |
$156.18 |
$226.20
|
|
Application long leg splint 29505
|
$305.52 |
$305.52 |
$305.52 |
$370.00
|
|
Application lower leg splint 29515
|
$305.52 |
$305.52 |
$305.52 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$375.06 |
$375.06 |
$375.06 |
$393.75
|
|
Application of forearm cast 29075
|
$273.03 |
$273.03 |
$273.03 |
$386.10
|
|
Application of long arm cast 29065
|
$291.84 |
$291.84 |
$291.84 |
$414.20
|
|
Application of paste boot 29580
|
$164.73 |
$164.73 |
$164.73 |
$336.00
|
|
Application short leg cast 29405
|
$274.17 |
$274.17 |
$274.17 |
$397.33
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.03 |
$45.03 |
$45.03 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$42.75 |
$42.75 |
$42.75 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$195.51 |
$195.51 |
$195.51 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$156.18 |
$156.18 |
$156.18 |
$263.20
|
|
Apply hand/wrist cast 29085
|
$272.46 |
$272.46 |
$272.46 |
$275.80
|
|
Apply of finger splint 29131
|
$76.38 |
$76.38 |
$76.38 |
$177.45
|
|
Apply short leg castambul type 29425
|
$294.12 |
$294.12 |
$294.12 |
$460.92
|
|
Aquaporin-4 antibody elisa
|
$118.56 |
$118.56 |
$118.56 |
$155.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$90.06 |
$90.06 |
$90.06 |
$100.00
|
|
Aquatic exercise - group charge
|
$46.74 |
$46.74 |
$46.74 |
$91.68
|
|
Arterial blood draw/perc 36620
|
$294.12 |
$294.12 |
$294.12 |
$500.82
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$843.60 |
$843.60 |
$843.60 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$599.07 |
$599.07 |
$599.07 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$650.37 |
$650.37 |
$650.37 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$939.93 |
$939.93 |
$939.93 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$650.37 |
$650.37 |
$650.37 |
$700.80
|
|
Arthrodesis big toe joint 28760
|
$1,293.90 |
$1,293.90 |
$1,293.90 |
$5,886.74
|
|
Arthrodesis subtalar
|
$1,322.97 |
$1,322.97 |
$1,322.97 |
$5,560.13
|
|
Arthrodesis triple
|
$1,603.41 |
$1,603.41 |
$1,603.41 |
$10,629.07
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,022.58 |
$1,022.58 |
$1,022.58 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$1,261.98 |
$1,261.98 |
$1,261.98 |
$4,086.40
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$1,353.18 |
$1,353.18 |
$1,353.18 |
$1,742.40
|
|
Artiss fibrin sealant
|
$668.30 |
$668.30 |
$668.30 |
$1,145.23
|
|
Aspirate/inj ganglion cyst 20612
|
$473.67 |
$473.67 |
$473.67 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,509.36 |
$1,509.36 |
$1,509.36 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,818.87 |
$1,818.87 |
$1,818.87 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$1,549.83 |
$1,549.83 |
$1,549.83 |
$850.78
|
|
Assay of breath ethanol
|
$47.31 |
$47.31 |
$47.31 |
$45.76
|
|
Assay of interleukin-6 (il-6)
|
$37.62 |
$37.62 |
$37.62 |
$77.35
|
|
Assay of prostaglandin
|
$258.78 |
$258.78 |
$258.78 |
$220.00
|
|
Assay of salicylate
|
$33.06 |
$33.06 |
$33.06 |
$104.00
|
|
Assay of urine sulfate
|
$22.80 |
$22.80 |
$22.80 |
$31.35
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$246.81 |
$246.81 |
$246.81 |
$312.00
|
|
Assistive tech assessment, ot
|
$132.24 |
$132.24 |
$132.24 |
$94.50
|
|
Ast/sgot
|
$19.95 |
$19.95 |
$19.95 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$146.89 |
$146.89 |
$146.89 |
$31,198.64
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.38 |
$0.38 |
$0.38 |
$43.85
|
|
Audiometry air + bone
|
$70.68 |
$70.68 |
$70.68 |
$181.65
|
|
Autologous blood process
|
$258.78 |
$258.78 |
$258.78 |
$240.35
|
|
Automated diff wbc count
|
$11.40 |
$11.40 |
$11.40 |
$35.10
|
|
Avelumab 20 mg/ml intravenous solution
|
$154.65 |
$154.65 |
$154.65 |
$710.46
|
|
Avul nail plate addl
|
$123.69 |
$123.69 |
$123.69 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$305.52 |
$305.52 |
$305.52 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$2.95 |
$2.95 |
$2.95 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$15.12 |
$15.12 |
$15.12 |
$55.63
|
|
Baclofen eval charges
|
$76.38 |
$76.38 |
$76.38 |
$85.00
|
|
Bacterial meningitis antigen
|
$53.01 |
$53.01 |
$53.01 |
$66.76
|
|
Bacterial vaginosis pcr
|
$120.27 |
$120.27 |
$120.27 |
$284.00
|
|
B cells total count
|
$119.70 |
$119.70 |
$119.70 |
$128.13
|
|
Bcg live 50 mg intravesical suspension
|
$5.13 |
$5.13 |
$5.13 |
$517.26
|
|
Behavior counsel obesity 15min medicare g0447
|
$95.76 |
$95.76 |
$95.76 |
$102.47
|
|
Benign lesion paring 2-4
|
$116.85 |
$116.85 |
$116.85 |
$280.20
|
|
Benign lesion paring 4+
|
$132.24 |
$132.24 |
$132.24 |
$307.50
|
|
#_benzodiazconfur
|
$70.11 |
$70.11 |
$70.11 |
$100.75
|
|
Beta 2 glycoprotein 1 antibody iga
|
$67.83 |
$67.83 |
$67.83 |
$92.82
|
|
Beta-2 microglobulin
|
$57.57 |
$57.57 |
$57.57 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$25.34 |
$25.34 |
$25.34 |
$70.37
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$104.88 |
$104.88 |
$104.88 |
$5,250.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$127.42 |
$127.42 |
$127.42 |
$4,868.42
|
|
Bfb train 1st 15min cntct 90912
|
$143.07 |
$143.07 |
$143.07 |
$176.00
|
|
Bfb train ea addl 15 min 90913
|
$71.25 |
$71.25 |
$71.25 |
$132.00
|
|
Bilateral n blobk inj pudendal 64430
|
$459.99 |
$459.99 |
$459.99 |
$1,584.16
|
|
Bilateral n block inj occipital 64405
|
$420.66 |
$420.66 |
$420.66 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$462.84 |
$462.84 |
$462.84 |
$667.26
|
|
Bilicheck
|
$18.24 |
$18.24 |
$18.24 |
$22.75
|
|
Bilirubin direct
|
$19.38 |
$19.38 |
$19.38 |
$49.31
|
|
Bilirubin total
|
$19.38 |
$19.38 |
$19.38 |
$51.50
|
