|
Assay of phenylketones
|
$16.96 |
$16.96 |
$16.96 |
|
|
Assay of pregnanediol
|
$51.94 |
$51.94 |
$51.94 |
|
|
Assay of procainamide
|
$59.89 |
$59.89 |
$72.00 |
|
|
Assay of procainamide w/metab
|
$27.50 |
$92.40 |
$155.29 |
|
|
Assay of prostaglandin
|
$127.20 |
$355.00 |
$1,291.61 |
|
|
Assay of salicylate
|
$22.23 |
$95.00 |
$210.65 |
|
|
Assay of semen fructose
|
$53.00 |
$56.71 |
$56.71 |
|
|
Assay of sialic acid
|
$70.40 |
$85.00 |
$85.00 |
|
|
Assay of somatostatin
|
$52.22 |
$117.50 |
$834.75 |
|
|
Assay of thiocyanate
|
$51.41 |
$85.00 |
$122.10 |
|
|
Assay of troponin qual
|
$25.44 |
$68.90 |
$68.90 |
|
|
Assay of tyrosine
|
$16.43 |
$60.00 |
$128.36 |
|
|
Assay of urine sulfate
|
$12.10 |
$29.04 |
$44.00 |
|
|
Assay of urine urobilinogen
|
$25.97 |
$25.97 |
$25.97 |
|
|
Assay phosphatidylglycerol
|
$120.84 |
$157.50 |
$350.46 |
|
|
Assay phosphohexose enzymes
|
$73.60 |
$346.50 |
$346.50 |
|
|
Assay rbc glutathione
|
$24.38 |
$24.38 |
$24.38 |
|
|
Assay toxin or antitoxin
|
$44.00 |
$59.40 |
$115.50 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$207.88 |
$292.50 |
$529.91 |
|
|
Assess care plan pt w/cog impair 99483
|
$424.05 |
$424.05 |
$424.05 |
|
|
Assess cyst contrast inject
|
$245.30 |
$580.00 |
$927.50 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$7.42 |
$36.30 |
$60.06 |
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$262.40 |
$262.40 |
$262.40 |
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$2,986.40 |
$2,986.40 |
$2,986.40 |
|
|
Assistive tech assessment, ot
|
$75.79 |
$75.79 |
$132.24 |
|
|
Ast/sgot
|
$13.68 |
$51.94 |
$83.96 |
|
|
Asxl1 full gene sequence
|
$1,473.12 |
$1,473.12 |
$1,932.28 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$136.59 |
$182.00 |
$29,545.00 |
|
|
Athletic trn eval high cmplx
|
$170.00 |
$224.95 |
$258.50 |
|
|
Athletic trn eval low cmplx
|
$78.65 |
$117.50 |
$203.50 |
|
|
Athletic trn eval mod cmplx
|
$145.00 |
$145.00 |
$231.00 |
|
|
Athletic trn re-eval plan cr
|
$76.45 |
$117.50 |
$152.90 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$7,960.00 |
$13,229.15 |
$40,168.27 |
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$6,935.00 |
$12,584.00 |
$40,168.27 |
|
|
Atomic absorption
|
$47.17 |
$47.17 |
$47.17 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.30 |
$0.43 |
$46.69 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$47.30 |
$100.00 |
$466.40 |
|
|
Atxn1 gene detc abnor allele
|
$755.00 |
$755.00 |
$755.00 |
|
|
Atxn2 gene detc abnor allele
|
$810.00 |
$810.00 |
$810.00 |
|
|
Aud brainstem implt programg
|
$326.40 |
$326.40 |
$326.40 |
|
|
Audiometry air + bone
|
$57.77 |
$75.00 |
$102.40 |
|
|
Audit/dast 15-30 min
|
$67.83 |
$86.39 |
$216.60 |
|
|
Audit/dast over 30 min
|
$127.68 |
$354.54 |
$438.31 |
|
|
Auditory function + 15 min
|
$74.40 |
$74.40 |
$74.40 |
|
|
Auditory function 60 min
|
$266.40 |
$266.40 |
$266.40 |
|
|
Augmentation cheek bone
|
$6,900.80 |
$6,900.80 |
$6,900.80 |
|
|
Augmentation of facial bones
|
$4,912.00 |
$4,912.00 |
$4,912.00 |
|
|
Augment injectable kit 3.0cc
|
$3,674.23 |
$3,674.23 |
$13,228.76 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,960.00 |
$4,810.74 |
$9,468.23 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$3,915.00 |
$7,835.00 |
$16,339.28 |
|
|
Autologous blood op salvage
|
$301.57 |
$1,040.00 |
$1,685.28 |
|
|
Autologous blood process
|
$141.51 |
$372.50 |
$465.30 |
|
|
Autolog prp not diab ulcer
|
$2,325.40 |
$2,325.40 |
$2,325.40 |
|
|
Automated diff wbc count
|
$7.98 |
$27.50 |
$119.32 |
|
|
Autonomic nrv syst funj test
|
$190.27 |
$190.27 |
$190.27 |
|
|
Autopsy (necropsy) complete
|
$1,813.66 |
$1,813.66 |
$1,817.37 |
|
|
Autopsy (necropsy) complete
|
$2,193.14 |
$2,193.14 |
$2,197.38 |
|
|
Autopsy (necropsy) gross
|
$141.60 |
$141.60 |
$141.60 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$138.89 |
$154.65 |
$299.03 |
|
|
Av fistula revision
|
$4,413.20 |
$4,413.20 |
$6,440.94 |
|
|
Av fuse uppr arm basilic
|
$6,310.40 |
$6,310.40 |
$6,310.40 |
|
|
Av fuse uppr arm cephalic
|
$6,183.20 |
$6,183.20 |
$6,183.20 |
|
|
Av fusion direct any site
|
$5,894.46 |
$5,894.46 |
$6,228.00 |
|
|
Av fusion/forearm vein 36820
|
$9,667.20 |
$9,667.20 |
$9,667.20 |
|
|
Avul nail plate addl
|
$112.50 |
$184.44 |
$398.31 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$205.70 |
$252.45 |
$799.04 |
|
|
Axicabtagene ciloleucel car+
|
$1,607,500.00 |
$1,607,500.00 |
$1,607,500.00 |
|
|
Axillary lymphadenect/superficial 38740
|
$2,811.20 |
$2,811.20 |
$2,811.20 |
|
|
Azacitidine injection
|
$0.94 |
$8.33 |
$906.08 |
|
|
Azathioprine 50 mg tablet
|
$1.11 |
$2.55 |
$5.28 |
|
|
Azithromycin 500 mg intravenous solution
|
$12.21 |
$28.51 |
$178.66 |
|
|
Azithromycin dihydrate, oral
|
$16.96 |
$16.96 |
$72.00 |
|
|
Aztreonam 1 gram solution for injection
|
$6.19 |
$13.93 |
$110.68 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$364.85 |
$441.51 |
$657.23 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$160.32 |
$160.32 |
$160.32 |
|
|
Baclofen eval charges
|
$58.30 |
$87.50 |
$182.16 |
|
|
Bacterial meningitis antigen
|
$25.65 |
$50.00 |
$159.76 |
|
|
Bacterial vaginosis pcr
|
$120.27 |
$475.86 |
$1,228.70 |
|
|
Bactericidal level serum
|
$82.50 |
$114.48 |
$236.91 |
|
|
#bac vag cand-c. albicans naa
|
$58.83 |
$105.00 |
$231.00 |
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$5.30 |
$5.30 |
$5.30 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$66.55 |
$87.50 |
$176.43 |
|
|
Balloon dilate urtrl strix
|
$617.10 |
$2,220.00 |
$4,738.67 |
|
|
Bard marquee Ultrasound biopsy device
|
$17.92 |
$360.41 |
$700.91 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$229.14 |
$615.00 |
$1,433.88 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$167.01 |
$472.50 |
$1,079.10 |
|
|
Barium Swallow (Esophagus X-ray)
|
$118.56 |
$505.00 |
$1,079.10 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$5,351.27 |
$5,351.27 |
$5,351.27 |
|
|
Bartonella dna pcr-sendout
|
$80.85 |
$122.50 |
$351.12 |
|
|
Basic vestibular evaluation
|
$340.00 |
$340.00 |
$393.60 |
|
|
Bausch health Ultrasound surg
|
$470.00 |
$515.00 |
$777.28 |
|
|
B cells total count
|
$80.94 |
$135.00 |
$402.00 |
|
|
Bcg live 50 mg intravesical suspension
|
$5.13 |
$5.76 |
$5.95 |
|
|
Bckdhb gene
|
$195.00 |
$195.00 |
$195.00 |
|
|
Bebtelovimab injection
|
$404.58 |
$404.58 |
$554.95 |
|
|
Bedside drainage bag
|
$9.54 |
$9.54 |
$9.54 |
|
|
Behavior counsel obesity 15min medicare g0447
|
$95.76 |
$158.47 |
$280.90 |
|
|
Belatacept 250 mg intravenous solution
|
$6.30 |
$8.18 |
$12.96 |
|
|
Belimumab 120 mg intravenous solution
|
$68.06 |
$111.72 |
$181.91 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$7.96 |
$9.01 |
$28.09 |
|
