|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$638.22 |
$638.22 |
$638.22 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$342.54 |
$342.54 |
$342.54 |
$498.81
|
|
Application finger splntstatic 29130
|
$337.26 |
$337.26 |
$337.26 |
$208.16
|
|
Application long leg splint 29505
|
$384.78 |
$384.78 |
$384.78 |
$338.25
|
|
Application lower leg splint 29515
|
$384.78 |
$384.78 |
$384.78 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$474.54 |
$474.54 |
$474.54 |
$373.20
|
|
Application of forearm cast 29075
|
$277.20 |
$277.20 |
$277.20 |
$339.30
|
|
Application of long arm cast 29065
|
$306.90 |
$306.90 |
$306.90 |
$395.00
|
|
Application of long leg cast 29345
|
$758.34 |
$758.34 |
$758.34 |
$455.00
|
|
Application of paste boot 29580
|
$454.74 |
$454.74 |
$454.74 |
$331.74
|
|
Application short leg cast 29405
|
$384.78 |
$384.78 |
$384.78 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,112.66 |
$2,112.66 |
$2,112.66 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,837.44 |
$1,837.44 |
$1,837.44 |
$2,164.64
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$62.70 |
$62.70 |
$62.70 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$246.18 |
$246.18 |
$246.18 |
$246.18
|
|
Apply of finger splint 29131
|
$246.18 |
$246.18 |
$246.18 |
$168.00
|
|
Apply rigid leg cast 29445
|
$919.38 |
$919.38 |
$919.38 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$139.92 |
$139.92 |
$139.92 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$320.10 |
$320.10 |
$320.10 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$296.34 |
$296.34 |
$296.34 |
$138.16
|
|
Aquatic exercise - group charge
|
$69.96 |
$69.96 |
$69.96 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$486.42 |
$486.42 |
$486.42 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$697.62 |
$697.62 |
$697.62 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$880.44 |
$880.44 |
$880.44 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$499.62 |
$499.62 |
$499.62 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,416.36 |
$1,416.36 |
$1,416.36 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$850.74 |
$850.74 |
$850.74 |
$699.00
|
|
Asp core fat pad
|
$199.32 |
$199.32 |
$199.32 |
$939.95
|
|
Aspirate pleura without imaging 32554
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,250.04 |
$1,250.04 |
$1,250.04 |
$1,226.87
|
|
Assay acid phosphatase
|
$83.82 |
$83.82 |
$83.82 |
$38.22
|
|
Assay myeloperoxidase
|
$100.98 |
$100.98 |
$100.98 |
$100.98
|
|
Assay of glutathione
|
$208.56 |
$208.56 |
$208.56 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$87.12 |
$87.12 |
$87.12 |
$79.97
|
|
Assay of leflunomide
|
$120.12 |
$120.12 |
$120.12 |
$100.65
|
|
Assay of osteocalcin
|
$59.40 |
$59.40 |
$59.40 |
$92.50
|
|
Assay of procainamide w/metab
|
$92.40 |
$92.40 |
$92.40 |
$70.50
|
|
Assay of prostaglandin
|
$324.72 |
$324.72 |
$324.72 |
$218.50
|
|
Assay of tyrosine
|
$114.18 |
$114.18 |
$114.18 |
$60.00
|
|
Assay phosphatidylglycerol
|
$350.46 |
$350.46 |
$350.46 |
$134.16
|
|
Assay phosphohexose enzymes
|
$346.50 |
$346.50 |
$346.50 |
$105.00
|
|
Assay toxin or antitoxin
|
$115.50 |
$115.50 |
$115.50 |
$75.90
|
|
Assess cyst contrast inject
|
$660.00 |
$660.00 |
$660.00 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$60.06 |
$60.06 |
$60.06 |
$49.80
|
|
Ast/sgot
|
$60.06 |
$60.06 |
$60.06 |
$45.65
|
|
Asxl1 full gene sequence
|
$1,473.12 |
$1,473.12 |
$1,473.12 |
$744.15
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.83 |
$0.83 |
$0.83 |
$51.28
|
|
Autologous blood process
|
$292.38 |
$292.38 |
$292.38 |
$262.50
|
|
Avul nail plate addl
|
$212.52 |
$212.52 |
$212.52 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$404.00 |
$404.00 |
$404.00 |
$318.75
|
|
Azithromycin 500 mg intravenous solution
|
$70.22 |
$70.22 |
$70.22 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$16.31 |
$16.31 |
$16.31 |
$157.30
|
|
Baclofen eval charges
|
$80.52 |
$80.52 |
$80.52 |
$85.00
|
|
Bacterial meningitis antigen
|
$82.50 |
$82.50 |
$82.50 |
$66.30
|
|
Bacterial vaginosis pcr
|
$475.86 |
$475.86 |
$475.86 |
$278.40
|
|
Bartonella dna pcr-sendout
|
$351.12 |
$351.12 |
$351.12 |
$195.66
|
|
B cells total count
|
$256.74 |
$256.74 |
$256.74 |
$131.30
|
|
Bebtelovimab injection
|
$404.58 |
$404.58 |
$404.58 |
$450.48
|
|
Benign lesion paring 2-4
|
$227.04 |
$227.04 |
$227.04 |
$257.50
|
|
#_benzodiazconfur
|
$131.34 |
$131.34 |
$131.34 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$152.22 |
$152.22 |
$152.22 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$74.58 |
$74.58 |
$74.58 |
$78.50
|
|
Beta-2 microglobulin
|
$99.00 |
$99.00 |
$99.00 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$42.54 |
$42.54 |
$42.54 |
$64.15
|
|
Bilateral n blobk inj pudendal 64430
|
$1,235.52 |
$1,235.52 |
$1,235.52 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$919.38 |
$919.38 |
$919.38 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$742.50 |
$742.50 |
$742.50 |
$556.40
|
|
Bilirubin direct
|
$54.12 |
$54.12 |
$54.12 |
$50.00
|
|
Bilirubin total
|
$35.64 |
$35.64 |
$35.64 |
$52.57
|
|
Biopsy abdominal mass
|
$1,627.56 |
$1,627.56 |
$1,627.56 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,874.30 |
$2,874.30 |
$2,874.30 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$1,627.56 |
$1,627.56 |
$1,627.56 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,878.14
|
|
Biopsy of prostate
|
$2,366.10 |
$2,366.10 |
$2,366.10 |
$2,412.45
|
|
Biopsy skin incisional single lesion
|
$706.86 |
$706.86 |
$706.86 |
$657.66
|
|
Biotinidase - quest
|
$102.30 |
$102.30 |
$102.30 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$474.54 |
$474.54 |
$474.54 |
$408.00
|
|
Bld prd mix
|
$198.00 |
$198.00 |
$198.00 |
$139.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$104.28 |
$104.28 |
$104.28 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,655.18 |
$2,655.18 |
$2,655.18 |
$5,169.58
|
|
Block brachial plexus w/cath plmt w/img
|
$2,269.08 |
$2,269.08 |
$2,269.08 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$1,028.28 |
$1,028.28 |
$1,028.28 |
$1,661.40
|
|
Block plantar digital nerve
|
$524.04 |
$524.04 |
$524.04 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$962.94 |
$962.94 |
$962.94 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$869.88 |
$869.88 |
$869.88 |
$847.60
|
|
Blood clot lysis time
|
$68.64 |
$68.64 |
$68.64 |
$47.06
|
|
Blood Clotting (PT/INR) Test
|
$65.34 |
$65.34 |
$65.34 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$91.08 |
$91.08 |
$91.08 |
$73.44
|
|
Blood Count (CBC) Test
|
$64.02 |
$64.02 |
$64.02 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$108.24 |
$108.24 |
$108.24 |
$61.80
|
|
Blood Culture Test
|
$124.74 |
$124.74 |
$124.74 |
$145.80
|
|
Blood draw capillary 36416
|
$27.06 |
$27.06 |
$27.06 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$174.90 |
$174.90 |
$174.90 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$99.00 |
$99.00 |
$99.00 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$31.02 |
$31.02 |
$31.02 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$52.14 |
$52.14 |
$52.14 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.42 |
$24.42 |
$24.42 |
$34.00
|