FIM Description Price 4059247 14-3-3 PROTEIN CSF $291 700043529 17-HYDROXYPROGESTERONE - ALPHA $350 4059152 25-OH VITAMIN D-3 $391 680051274 3 HALO SCREWS $421 766092314 3-D RADIOTHERAPY PLAN $542 6750051 3-M MICROANASTOMATIC KIT. $793 4059206 5 HIAA URINE 24HR $344 3655118 5-HIAA $106 700043531 5HYDROXYINPOLEACETIC A (24H URIN) $143 710082132 99 MTC MYOVIEW PER DOSE $72 710083209 99MTC PERTECHNETATE PER MCI $91 700043304 A/B TOXIN EIA $256 690039816 "ABD PARACENTESIS, W/O IMAGING" "$1,022 " 653199468 ABDOMINAL DRAIN- "$4,530 " 750080260 ABG $324 710072113 ABI DOPPLER ARTERIAL EXTREMITY LM $482 667061999 ABIOMED IMPELLA HEART PUMP 2.5 "$32,000 " 667069198 ABIOMED IMPELLA HEART PUMP 4.0 "$40,000 " 4059638 ABL1 GENE ANALYSIS "$1,233 " 6751258 ABLATION DEVICE. "$4,982 " 4059469 ABO TYPE $132 4059468 ABSOLUTE CD4 COUNT $189 6751477 ACCUFLEX CANNULA $123 667061995 ACCULINK EMBOLIC PROTECTION DEVIC "$2,400 " 6751425 ACCUTEMP BIPOLAR $34 667069213 ACE BLADE $34 6751478 ACELL PERICARD MATRX IMPL LVL I "$2,559 " 6751479 ACELL PERICARD MATRX IMPL LVL II "$5,118 " 6751487 ACELL PERICARD MATRX IMPL LVL III "$8,267 " 6751488 ACELL PERICARD MATRX IMPL LVL IV "$15,746 " 6751489 ACELL PERICARD MATRX IMPL LVL V "$31,491 " 4059222 ACETYLCHOL. RECEPT BIND. AB RIA $282 4059224 ACETYLCHOL. RECEPT. BLOCK AB RIA $358 4059475 ACETYLCHOLINE RECEP $566 4059225 ACETYLCHOLINE RECEPTOR AB $358 700042121 ACETYLCHOLINE RECEPTOR ANTIBODIES $214 3655028 ACETYLCHOLINESTERASE $393 4059220 ACH RECEPTOR GANGLIONIC AB $269 700046076 "ACID FAST BACILLI, RAPID DRUG" $210 4059137 ACTH $354 3655021 ACTH STIMULATION PANEL ADRENAL $336 700043405 "ACTH,ADRENDCORTICOTROPHIC HORM" $296 4059311 ACTIVATED PROTEIN C RESISTANCE $600 700040218 ACTIVATED PROTEIN RESISTANCE $64 6751498 ACUCIZE CATH "$6,827 " 4059503 ACUTE HEPATITIS PANEL $747 4059474 ADAMTS 13 ACTIVITY $698 4059250 ADAMTS 13 ANTIBODY $763 4059313 ADAMTS 13 INHIBITOR $576 700043348 ADAMTS13 INHIBITOR $80 700043388 ADAMTS13-VWF PROTEASE ACT. $100 6756081 ADAPT/EXT PACING/NEURO LEAD "$1,300 " 750090076 ADD DISABILITY DLCO ONLY $767 705048031 ADDL FROZEN $265 700040222 "ADENOSINE DEAMINASE , BLOOD" $200 700043312 ADENOSINE DEAMINASE PLEURAL DF $200 700042120 ADENOVIRUS ANTIBODIES HORMONE $28 6751464 ADHESION BARRIER LVL 1 "$1,241 " 6751463 ADHESION BARRIER LVL 2 "$2,329 " 6753594 ADHESION BARRIER LVL 3 "$5,339 " 6753491 ADHESIVE TISSUE $116 4031117 ADMIN FLU VACCINE $46 4031119 ADMIN HEPATITIS B VACCINE $46 4031119 ADMIN HEPATITIS B VACCINE $82 69001161 ADMIN IMMUNIZ/ TOXOID SQ OR IM $111 69001159 ADMIN IMMUNIZ/TOXOID SQ OR IM ADD $46 665053229 ADMIN INFLUEN VAC $82 796032031 ADMIN PNEUMOCOCCAL VACCINE $46 796032031 ADMIN PNEUMOCOCCAL VACCINE $82 658092590 ADMINISTRATION OF H.PYLORI TEST $189 730110807 ADVAIR 250-50 DISK INH PER PUFF $24 730110809 ADVAIR 500-50 DISK PER PUFF $24 730102695 ADVAIR MDI 115/21 MCG. $24 730102696 ADVAIR MDI 230/21 MCG $24 730102694 ADVAIR MDI 45/21 MCG. $24 700046056 AEROBIC BACTERIAL ID $49 6751617 AEROFORM TISSUE EXPANDER "$8,073 " 796032034 AEROSOL TREATMENT $194 750080227 AEROSOL TREATMENT 1ST OF DAY $194 750080144 AEROSOL TREATMENT SUBSEQUENT $194 4031075 AEROSOL TX $549 750080228 AEROSOL WITH PENTAMIDINE $695 6751528 AESCULAP SAW BLADE "$1,481 " 700046005 AFB CULTURE $88 700046075 "AFB CULTURE,BLOOD,FOR MAIS" $210 700046018 AFB STAIN ONLY $68 6750713 AFO ANKLE/FOOT STATIC PREFAB $569 680152053 AFO CUSTOM $900 680052054 AFO PREMADE $381 3655035 AFP SERUM $139 4059015 AFP TUMOR MARKER $442 3655036 AFP-L3 FRAC ISOFORM AND TOTAL $334 3655636 "AG DETECTION NOS, EACH ORGANISM" $242 6751529 AGEE BLADE SYSTEM "$1,218 " 700047094 AHIG XM\UNIT $466 6754749 AHMED GLAUCOMA VALVE PLATE "$2,994 " 667061716 "AICD LEADS & GENERATOR EVAL, INIT" "$3,723 " 6753674 AICD OTHER THAN SING/DUAL "$58,200 " 667059015 AICD SUBSEQUENT EVALUATION "$3,957 " 700043006 ALBUMIN $16 3655030 ALBUMIN SERUM/PLASMA/BLD $133 700044011 "ALBUMIN, CSF" $25 700040167 "ALBUMIN, PLEURAL FLUID" $189 730117644 ALBUTEROL 0.5%/0.1 ML-0.5 ML $24 6754703 ALCON KNIFE BLADES $161 6758888 ALCON SILICON OIL 1000 "$2,099 " 4059013 ALDOLASE $128 4059013 ALDOLASE $237 4059140 ALDOSTERONE $597 700043054 ALDOSTERONE SERUM $106 4059141 ALDOSTERONE URINE 24HR $597 670068092 ALEXIS RETRACTOR $119 6751537 ALGRFT HUMAN AMNION IMPLANT LVL 1 "$4,789 " 6751538 ALGRFT HUMAN AMNION IMPLANT LVL 2 "$9,417 " 700043012 ALK PHOS ISOENZYMES $169 4059271 ALKALINE PHOS ISOENZYME $342 4059046 ALKALINE PHOSPHATASE $60 700043002 ALKALINE PHOSPHATASE BONE SPECIFI $119 6754770 ALLODERM IMPLANT LVL I "$2,128 " 6754771 ALLODERM IMPLANT LVL II "$4,133 " 6754772 ALLODERM IMPLANT LVL III "$8,752 " 6754773 ALLODERM IMPLANT LVL IV "$17,929 " 6754774 ALLODERM IMPLANT LVL V "$27,957 " 6754775 ALLODERM IMPLANT LVL VI "$34,035 " 6751539 ALLODERM SKIN SUB LVL I PR SQ CM $108 6751555 ALLODERM SKIN SUB LVL II PR SQ CM $142 6751557 ALLODERM SKIN SUB LVL III PR SQCM $285 6753646 ALLOGEN PER CC "$2,625 " 6753675 ALLOGRAFT ARTERY/VEIN "$24,400 " 6753666 ALLOGRAFT BNE/TISS/TNDN LVL 1 "$3,000 " 6753667 ALLOGRAFT BNE/TISS/TNDN LVL 2 "$9,000 " 6753668 ALLOGRAFT BNE/TISS/TNDN LVL 3 "$14,400 " 6753669 ALLOGRAFT BNE/TISS/TNDN LVL 4 "$18,000 " 6753670 ALLOGRAFT BNE/TISS/TNDN LVL 5 "$20,000 " 6751599 ALLOGRAFT LIQUID HUMAN AMNION "$16,232 " 6754985 ALLOWRAP DS OR DRY PER SQ CM $860 700043050 "ALPHA FETO PROTEIN, TUMOR MARKER" $58 4059518 ALPHA-1 ANTITRYPSIN TOTAL $132 700043295 ALPHA-1-ACID GLYCOPROTEIN $70 700043296 ALPHA-1-ANTITRYPSIN $168 4059594 ALPHA-1-ANTITRYPSIN PHENOTYPE $95 700043297 ALPHA-1-ANTITRYPSIN PHENOTYPING $321 4059209 ALPHA-2-ANTIPLASMIN $45 700043058 ALPHA-FETOPROTEIN AMNIONIC FLUID $35 4059056 ALT/SGPT $64 700043437 ALUMINIUM 24HR URINE $192 730109550 ALUPENT $24 710072117 AMB. 24 HR BP-RECORDING $364 710072118 AMB. 24 HR BP-SCAN & REPORT $307 700040444 AMIKACIN RANDOM LEVEL $532 700043078 AMINO ACID ANALYSIS LC/MS $137 700040057 "AMINO ACID ANALYSIS, URINE" "$1,953 " 700043370 AMINO ACID FRACTIONATION - PLASMA $200 700043372 AMINO ACID SCREEN - PLASMA $208 3655037 AMINO ACID SGL QN $542 4059132 AMIODARONE(PACERONE) LEVEL $302 4059142 AMMONIA $50 4059142 AMMONIA $276 651061109 AMNIOCENTESIS DIAGNOSTIC "$2,436 " 110250924 AMNIOCENTESIS THERAPEUTIC W/WO "$2,436 " 660098868 AMNIOFIX INJECTABLE "$2,232 " 6751609 AMNIOTIC MEMBRANE LEVEL 1 "$1,508 " 6751610 AMNIOTIC MEMBRANE LEVEL 2 "$2,894 " 6751611 AMNIOTIC MEMBRANE LEVEL 3 "$7,958 " 6751612 AMNIOTIC MEMBRANE LEVEL 4 "$18,780 " 6751613 AMNIOTIC MEMBRANE LEVEL 5 "$27,544 " 110250952 AMNISURE TEST $202 700042013 AMOEBIC ANTIBODIES $104 797029120 AMP ADVANCE CARE PLANNING $147 797029045 AMP BLOOD COLLECTION BY STICK $33 797029119 AMP EKG DURING WELCOME VISIT $481 797029121 AMP IMMUNE ADMIN ORAL/NASAL $75 797029126 AMP INFLUENZA A/B BY NUCLEIC A $87 797029123 AMP INR POC $36 797029110 AMP SHAVING SKIN LESIONS =<2 CM $251 797029111 AMP SHAVING SKIN LESIONS >2 CM $378 797029125 "AMP STREP, GROUP A BY NUCLEIC A" $46 797029053 AMP URINALYSIS SCREEN $155 6757442 AMPLATZ DILATOR SET "$1,427 " 667062000 AMPLATZER DELIVERY SYSTEM "$1,065 " 6751526 AMPLATZER SEPTAL OCCLUD 10MM-16MM "$25,599 " 6751607 AMPLATZER SEPTAL OCCLUD 18MM-28MM "$26,278 " 667062003 AMPLATZER SEPTAL OCCLUDER "$9,435 " 667062002 AMPLATZER SIZING BALLON $487 690051592 AMPUTATION OF FINGER/THUMB "$1,930 " 4059147 AMYLASE $232 4059145 AMYLASE 2HR URINE $244 4059148 AMYLASE BODY FLUID $232 4059146 AMYLASE CLEARANCE $473 4059143 AMYLASE FLUID $232 700043214 AMYLASE FRACTIONATED $144 4059144 AMYLASE ISOENZYMES $574 700049165 AMYLASE PERITONEAL FLUID $34 700043015 AMYLASE SERUM $232 700042170 ANA REFLEX $131 3655288 ANA SCREEN $336 3655289 ANA TITER $311 700042053 ANA-ANTI NUCLEAR ANTIBODY $131 700046016 ANAEROBIC WOUND CULTURE $597 700043016 ANA-IMMUNOFLUORESC ASSAY $184 3652021 ANALY GENE BRAF "$1,829 " 3655442 ANALY GENE CYP2C9 COMMON VARIANTS "$1,448 " 4059604 ANALY GENE EGFR "$3,273 " 4059210 ANALY GENE F2 20210G>A VARIANT "$1,121 " 4059211 ANALY GENE F5 LEIDEN VARIANT "$1,121 " 3652030 ANALY GENE FLT3 ITD VARIANT "$2,816 " 4059212 ANALY GENE HFE COMMON VARIANTS "$1,044 " 4059490 ANALY GENE JAK2 V617F VARIANT "$1,114 " 4059213 ANALY GENE MTHFR COMMON VARIANTS "$1,465 " 4059491 ANALY GENE NPM1 EXON 12 VARIANTS "$1,923 " 3652033 ANALY GENE REARRANG IGH AMPLIFIED "$1,516 " 3652096 ANALY GENE REARRANG TRG AMPLIFIED $722 3655462 ANALY GENE REARRNG TRB AMPLIFIED $759 4059214 ANALY GENE UGT1A1 COMMON VARNTS "$2,816 " 3652095 ANALY GENE VKORC1 VARIANT "$2,208 " 705083633 ANALY MICROSAT INSTAB $462 4059539 ANALY VARI REG SOMATIC MUTATN IGH "$6,363 " 674022203 ANALYSIS ANTITACHYCARDIA PACEMAKR $830 705083635 ANALYSIS GENE JAK2 $551 705083639 ANALYSIS GENE REARRANG IGH AMP $578 4059542 ANALYSIS TRANS BCR/ABL1 MAJOR $310 4059542 ANALYSIS TRANS BCR/ABL1 MAJOR $721 3652017 ANALYSIS TRANS BCR/ABL1 MINOR $210 3652017 ANALYSIS TRANS BCR/ABL1 MINOR $721 4059537 ANALYSIS TRANS BCR/ABL1 OTHER "$2,057 " 4059087 ANALYZE 20-25 CELLS "$1,192 " 4059356 "ANALYZER PANEL, RNP" $91 4059360 "ANALYZER PANEL, SCL 70" $91 4059357 "ANALYZER PANEL, SMITH" $91 4059358 "ANALYZER PANEL, SSA" $91 4059359 "ANALYZER PANEL, SSB" $91 705083634 ANAYSIS GENE KRAS 12 & 13 $488 4059229 ANCA TOTAL AUTOANTIBODIES $677 6753126 ANCHOR LEAD NEUROSTIMULATOR $773 6751573 ANCHOR LVL I $314 6751574 ANCHOR LVL II $532 6751575 ANCHOR LVL III $815 6751576 ANCHOR LVL IV "$1,360 " 6751585 ANCHOR LVL IX "$9,390 " 6751577 ANCHOR LVL V "$1,941 " 6751578 ANCHOR LVL VI "$2,942 " 6751579 ANCHOR LVL VII "$4,821 " 6751584 ANCHOR LVL VIII "$6,134 " 6751587 ANCHOR LVL X "$13,773 " 6751588 ANCHOR LVL XI "$18,780 " 6751586 ANCHOR LVL XII "$25,040 " 6751851 ANCHOR OTSC "$1,566 " 6757739 ANCHORPORT MULTI CANNULA $734 6757738 ANCHORPORT SINGLE CANNULA $292 67005000 ANESTH GENERAL L&D "$1,116 " 74001290 ANESTHESIA 1ST 15 MINUTES "$1,075 " 74001291 ANESTHESIA EA ADDITIONAL 15 MIN $384 667059009 ANGIO EXTREMITY UNILATERAL "$8,214 " 667061711 "ANGIO SELECT,EACH , AFTER BASIC E" "$2,818 " 667059539 "ANGIO,EXTREMITY- BILATERAL" "$4,358 " 6751614 ANGIOCATH 8167 $141 667061971 ANGIOGRAPHY RENAL-BIILAT/1ST CATH "$9,486 " 667061970 ANGIOGRAPHY RENAL-UNILAT/1ST CATH "$9,486 " 667059689 ANGIOGRAPHY VISCERAL SELECTIVE "$9,511 " 667059697 ANGIOJET CATHETER "$3,127 " 667061628 ANGIOPLAS TIB/PERONEAL AD IPSILAT "$17,578 " 667069247 ANGIOPLASTY 1ST ART NOT LWR "$6,029 " 667069249 ANGIOPLASTY 1ST VEIN "$6,029 " 667069248 ANGIOPLASTY EACH ADD ART NOT LWR "$3,016 " 667069250 ANGIOPLASTY EACH ADD VEIN "$3,016 " 667061616 "ANGIOPLASTY ILIAC A, INITIAL" "$17,576 " 667061620 "ANGIOPLASTY, FEM/POP A" "$17,576 " 667061618 "ANGIOPLASTY, ILIAC A ADD, IPSILAT" "$17,576 " 667061624 "ANGIOPLASTY, TIB/PERONEAL A INT" "$17,576 " 4059150 ANGIOTENSIN 1 CONVERT ENZYME CSF $416 4059149 ANGIOTENSIN 1 CONVERTING ENZYME $416 700040384 ANGIOTENSIN CONVERTING ENZ CSF $48 700043003 ANGIOTENSIN-1-CONVERTING ENZYME $293 660065561 ANGIOVAC CANNULA AND CIRCUIT "$25,114 " 690052232 ANKLE BIMALLEOLAR FRACT W MANIP B "$1,930 " 690051986 ANKLE BIMALLEOLAR FRACT W MANIP L "$1,930 " 690051621 ANKLE BIMALLEOLAR FRACT W/MANIP R "$1,930 " 6756165 ANKLE CONTRACTURE BOOT $317 6751404 ANKLE CRYO CUFF $240 6751562 ANKLE FOOT ORTHOSIS OTS "$1,574 " 690052231 ANKLE TRIMALLEOLAR FRACT W MANI/1 "$1,930 " 690051984 ANKLE TRIMALLEOLAR FRACT W MANIP "$1,930 " 690051623 ANKLE TRIMALLEOLAR FRACT W/MANI R "$1,930 " 797029063 ANNUAL ALCOHOL SCREEN 15 MIN $173 4031121 ANNUAL WELLNESS VISIT SUBSEQ $269 796032006 "ANNUAL WELLNESS VISIT, INITIAL" $516 797029062 "ANNUAL WELLNESS VISIT, SUBSEQUENT" $345 666098385 ANORECTAL MANOMETRY "$3,270 " 4059233 ANTI ALPHA OMPC ELISA IGA SPEC $291 4059361 ANTI CENTROMERE ANTIBODY $229 700044116 ANTI CENTROMERE B ANTIBODY $131 4059236 ANTI CHIMERIC AB (HACA) $677 700042140 ANTI DNA (SINGLE STRAND) $73 700042172 ANTI DNA REFLEX $37 3655454 ANTI DNASE B TITER $421 700043039 ANTI GLOM BASEMENT MEMBRANE AB $228 4059245 ANTI GLOMERULAR ANTIBODY $510 700044117 ANTI HISTONE AB $80 4059575 ANTI ISLET CELL ANTIBODY $337 700042174 ANTI JO REFLEX $80 4059364 ANTI JO-1 $100 4059387 ANTI MICROSOMAL ANTIBODIES/A $258 700042145 ANTI MITOCHONDRAIL ANTIBODIES $175 4059240 ANTI MULLERIAN HORMONE $572 4059363 ANTI RNP ANTIBODY $213 700042175 ANTI RNP REFLEX $80 4059362 ANTI SCLERODERMA ANTIBODY $464 4059365 ANTI SMITH ANTIBODY $213 700042176 ANTI SMITH REFLEX $80 700042125 ANTI SMOOTH MUSCLE ANTIBODIES $175 700042177 ANTI SSA REFLEX $80 700042178 ANTI SSB REFLEX $80 700042160 ANTI STRIATED MUSCLE ANTIBODIES $46 4059249 ANTI STRIATIONAL ANTIBODY $538 4059420 ANTI THYROGLOBULIN ANTIBODY $359 4059318 ANTI XA $396 4059499 ANTIB RUBELLA $164 667062009 ANTIBACTERIAL ENVELOP "$1,440 " 700047004 ANTIBODY ELUTION (BLOOD BANK) $627 3653149 ANTIBODY HELMINTH $252 700047035 ANTIBODY I.D.(BLOOD BANK PROC) $559 4059583 ANTIBODY IDENTIFICATION $559 4059650 ANTIBODY SARS-COV-2 COVID-19 $219 700047005 ANTIBODY SCRN(INDIR ANTIGLO T) $275 700040275 ANTIBODY TITER $487 3655465 ANTIBODY TITRATION $487 3653148 ANTIBODY WESTERN BLOT $532 700042134 ANTIDIURETIC HORM.VASOPRESSIN $66 3656642 ANTIDIURETIC HORMONE $340 700042141 ANTI-DNASE B $69 685020025 ANTIFUNGAL CREAM $4 700047055 ANTIGEN TESTING DONOR BLOOD $75 700043157 ANTIGLIADIN ANTIBODIES $99 700042144 ANTI-ISLET CELL ABY $134 700042126 ANTI-LIV./KID. MICROSOMAL ABY $333 4059334 ANTINUCLEAR ANTIBODIES $336 4059377 ANTI-PHOSPHATIDYLSERINE ANTIBODY $139 3655290 ANTISTREPTOLYSIN O TITER $134 700040351 ANTITHROMBIN 3 ACTIV $167 700040352 ANTITHROMBIN 3 QUANT $167 4059305 ANTITHROMBIN III ACTIVITY $473 4059306 ANTITHROMBIN III ANTIGEN $441 700040117 ANTI-XA(LMWH) $396 667059822 "AORTOGRAM,ABDOMINAL" "$4,944 " 667059827 "AORTOGRAM,WITH RUNOFF, ONE POINT" "$5,881 " 722095258 APHASIA ASSESSMENT/HR $212 6755077 APLIGRAF IMPLANT LVL I "$6,496 " 6755078 APLIGRAF IMPLANT LVL II "$13,056 " 6751616 APLIGRAF PER SQ CM $163 4059618 "APOLIPOPROTEIN, EACH" $146 690051976 APP LONG LEG SPLINT LT $620 690051652 APP LONG LEG SPLINT-RT $620 777057034 APP MULTILAYER COMP BELOW KNEE LT $219 777057033 APP MULTILAYER COMP BELOW KNEE RT $219 777057035 APP MULTLAYER COMP BELOW KNEE BIL $329 4031145 APP ON-BODY INJ W/CANNULA FOR SQ $215 690052096 APP SHORT ARM SPLINT BIL $620 690051978 APP SHORT ARM SPLINT LT $620 690051644 APP SHORT ARM SPLINT-RT $620 690052093 APP SHORT LEG SPLINT BIL $620 690051974 APP SHORT LEG SPLINT LT $620 690051653 APP SHORT LEG SPLINT-RT $620 690052095 APP SHOULDER STRAPPING BIL $620 690051977 APP SHOULDER STRAPPING LT $620 771086002 APPLICATION HOT OR COLD PACKS O/1 $62 771088002 APPLICATION HOT OR COLD PACKS OT $62 770053353 APPLICATION HOT OR COLD PACKS PT $62 771088403 APPLICATION PARAFFIN OT $120 771086436 APPLICATION PARAFFIN OT/1 $120 771085107 "APPLICATION TRACTION, MECHANICA/1" $175 771089290 "APPLICATION TRACTION, MECHANICAL" $175 771089298 APPLICATION VASOPNEUMATIC DEVICE $134 6751622 APPLIER RAPIDPORT EZ PORT $931 690051646 APPLY FINGER SPLINT RT THUMB $620 766092308 APPLY INTERSTIT RADIAT COMPL $791 690051643 APPLY LONG ARM SPLINT-RT $620 690051648 APPLY SHOULDER STRAPPING RT $620 700041031 APTIOM (ESLICARBAZEPINE) LEVEL $235 667069280 AQUAMANTYS BIPOLAR SEALER $814 722085370 AQUATIC THERAPEUTIC EXERCISE $224 6751628 ARGON LASER PROBE "$1,095 " 6751417 ARGYLE CAROTID SHUNT $101 6751643 ARM ELEVATOR SLING $43 6754691 ARMSTRONG TUBE $130 3655042 ARSENIC $613 700049646 ARSENIC (24 H URINE) $241 4059151 ARSENIC BLOOD $613 4059254 ARSENIC URINE $217 690051815 "ART CATH-SAMPL (SEP PRO), PERQ" $620 6756144 ART LINE KIT AK4021 $118 750080219 "ARTERIAL LINE INSERTT, BLOOD DRAW" $910 740090888 ARTERIAL LINE PLACEMENT $910 667069274 ARTERIAL MECHANICAL THROMBECTOMY "$13,400 " 750090054 ARTERIAL PUNCTURE $139 6751629 ARTHREX ACL KIT "$1,508 " 6751818 ARTHREX KIT RETROFUSION "$1,580 " 797029047 "ARTHROCENTESIS, INTERMEDIATE JOIN" $798 797029048 "ARTHROCENTESIS, MAJOR JOINTS" "$1,786 " 797029046 "ARTHROCENTESIS, SMALL JOINT" $821 6751630 ARTHROFLEX IMPLANT "$13,843 " 6751631 ARTHROFLEX PER SQ CM $314 6751632 ARTHROTEK CANNULA $200 690052454 ARTIC FRACT MET/INTER W/MAMIP RT "$1,930 " 690051044 ARTIC FRACT MET/INTER W/MANIP BIL "$1,930 " 690052453 ARTIC FRACT MET/INTER W/MANIP LT "$1,930 " 6751633 ARTIFICIAL CORNEA "$21,879 " 4059230 ASCA ELISA IGA SPECIFIC $291 4059231 ASCA ELISA IGG SPECIFIC $291 616051240 ASO BRACE ANKLE $189 4059609 ASO STREP TITER $245 6751634 ASPEN CERVICAL COLLAR $226 680052060 ASPEN COLLAR $489 616097048 ASPEN COLLAR L0180 "$1,126 " 700043046 ASPERGILLUS ANTIBODY $140 700040154 "ASPERGILLUS ANTIGEN, EIA, BAL" $354 700040155 "ASPERGILLUS ANTIGEN, EIA, CSF" $79 3655332 ASPERGILLUS FUMIGATUS ANTIBODY $130 796032057 ASPIR&/INJ INTERM JT/BURS $798 796032058 ASPIR/INJ MAJOR JT/BURSA "$1,786 " 6751288 ASPIRATING NEEDLE ENB $372 4031128 ASPIRATION BONE MARROW ONLY "$1,073 " 667069304 ASPIRATION GUIDE CATHETER "$16,000 " 6753407 ASPIRATION NEEDLE BIOPSY $46 4059478 ASSAY OF CITRATE $775 700049227 ASSAY OF ETHOSUXIMIDE $44 4059612 ASSAY OF GLUCOSIDASE BETA $84 4059055 AST/SGOT $64 660066019 ASTIGMATISM CORR FUNCTION IOL $495 6753992 ASTIGMATISM CORRECTING LENS "$2,663 " 667059679 ATHERECTOMY ILIAC/BRACHIOCEPHALIC "$29,694 " 667061621 "ATHERECTOMY, FEM/POP A" "$37,314 " 667061625 "ATHERECTOMY, TIB/PERONEAL A INIT" "$37,314 " 730103494 ATROPINE $24 730117638 ATROVENT $24 780087116 AUDITORY EVOKED POTENTIAL "$1,716 " 660098989 AUDITORY EVOKED POTENTIAL COMP "$1,716 " 4059622 AUTOMATED RPR TITER $321 6751637 AUTOTRANSFUSION SYSTEM ORTHO "$1,503 " 680021029 AV IMPULSE FOOT WRAP $235 797029028 AVULSION OF NAIL PLATE $364 797029112 "AVULSION OF NAIL PLATE, EACH ADD" $274 700040462 AVYCAZ ETEST $60 6757636 AXIOM DRAINS $168 6753645 AXOLOTL AMBIENT/CRYO 0.1 MG $1 730117628 AZMACORT $24 4059261 B TYPE NATRIURETIC PEPTIDE $459 700046200 B.PARAPERTUSSIS SMEAR $32 700042063 BACTERIAL ANTIGEN PANEL $141 700046090 BACTERICIDAL-SCHLICT. $200 4059528 BACTERIUM NOT SPECIFIED ANTIBODY $131 6751268 BACTISEAL EVD CATHETER "$2,567 " 6757202 BAG DRAINAGE BILE $142 685082812 BAG PLEUR-EVAC REPLACEMENT $62 685021075 "BAG, LEG" $15 685028689 "BAG, PEDI URINE" $7 685021155 "BAG, URINARY DRAINAGE" $6 685022176 "BAG,VENTRICULOSTOMY DRAINAGE" $88 670098067 BAKRI BALLON $452 6751273 BALLOON EUS ENDOSCOPIC $72 6751517 BALLOON INTRAGASTRIC $675 6751596 BALLOON INTRAGASTRIC RESHAPE "$7,641 " 6753314 BALLOON NEPHROMAX KIT $980 658092629 BAR ASSESSMEN HEALTH BEHAVEOR $105 658092635 BAR INTER FAM NO PATIE EA ADD 15 $171 658092634 BAR INTER FAM NO PATIENT 30 MIN $171 658092633 BAR INTER FAM W PATIE EA ADD 15 $105 658092632 BAR INTER FAM W PATIENT 30 MIN $210 658092631 BAR INTERVEN INDIVIDUAL EA ADD 15 $105 658092630 BAR INTERVEN INDIVITUAL 30 MIN $105 658092636 BAR PSYCL/NRPSYC PHYS 1ST 30 MIN. $207 658092637 BAR PSYCL/NRPSYC PHYS EA AD 30 M $103 658092626 "BAR- THERAPEUTIC, INJ SC/IM" $168 6751649 BARD UROLOGIST TRAY $974 816092699 BARIATRIC MNT FOLLOW UP 15 MINS $34 816092698 BARIATRIC MNT INITI EVAL PER 15 M $34 658092627 BAR-PSYCL EVAL PSYCH 1ST 60 MIN $408 658092628 BAR-PSYCL EVAL PSYCH EA AD 60 MIN $207 4059554 BARTONELLA ANTIBODY $104 4059001 BASIC METABOLIC TOTAL PANEL $332 6753344 BASKET GEMINI $681 6751650 BASKET MICROVASIVE ZERO TIP "$1,572 " 6753345 BASKET SEGURA HEMISPHERE $681 6753346 BASKET ZERO TIP 120 CM $748 6753347 BASKET ZERO TIP KNOT 3.0X4X90 $653 6750052 BASKET/NET FOREIGN BODY RETREIVAL $466 674022128 BAY NRG TRANSSEPTAL $874 674022131 BAY PROTRACK PIGTAIL WIRE (230CM) $711 700043310 BCR ABL REARRANGEMENT. $295 719042680 BD BONE DENSITY $867 6751651 BECKER EDMS DRAINAGE $755 750010815 BEDSIDE BRONCHOSCOPY DIAG "$1,378 " 750010817 BEDSIDE BRONCHOSCOPY THERAPEUTIC "$1,684 " 750010816 BEDSIDE TRACHEOBRONCHOSCOPY DIAG "$1,464 " 797029067 BEHAVIOR COUNSEL OBESITY 15M $173 700049909 BENZTROPINE $90 4059133 BENZTROPINE(COGENTIN) LEVEL $302 700043259 BETA 2 GLYCOPROTEIN AB IGA $65 700043261 BETA 2 GLYCOPROTEIN AB IGG $201 700043262 BETA 2 GLYCOPROTEIN AB IGM $65 3655293 BETA 2 GLYCOPROTEIN I ANTIBODY EA $201 4059339 BETA 2 GPI AB IGA $201 4059340 BETA 2 GPI AB IGG $201 4059341 BETA 2 GPI AB IGM $201 4059016 BETA 2 MICROGLOBULIN $554 3655638 BETA LACTAMASE ENZYME DETECTION $44 700040305 BETA LACTAMASE TEST $44 700046083 BETA STREP GROUP B CULTURE $149 700040309 BETA STREP TYPE A $36 700040310 BETA STREP TYPE B $36 700040311 BETA STREP TYPE C $36 700040312 BETA STREP TYPE F $36 700040313 BETA STREP TYPE G $36 700043029 BETA-2-MICROGLOB-SERUM $153 4059312 BETHESDA UNITS $101 700043024 BILE ACID PROFILE $64 4059018 BILIRUBIN DIRECT $137 700049162 BILIRUBIN FLUID $96 700043023 BILIRUBIN NEONATAL $131 4059017 BILIRUBIN TOTAL $131 700043404 "BILIRUBIN, TRANSCUTANEOUS (POC)" $35 700043369 BILIRUBIN-AMNIOTIC FLD. $57 6753580 BINATE AMNION PATCH 2 X 3 CM "$10,756 " 6753581 BINATE AMNION PATCH 4 X 6 CM "$18,208 " 685020023 BINDER ABDOMINAL $51 6751653 BIOCARTILAGE MIXING/DELIVERY KIT $169 6751654 BIOCERAMIC ORBITAL IMPLANT "$1,952 " 6751655 BIODFENCE DRYFLEX PER SQ CM "$1,274 " 4031129 BIOPSY BONE MARROW "$3,385 " 797029038 BIOPSY ENDOMETRIAL $563 6751656 BIOPSY NEEDLE $504 6751657 BIOPSY NEEDLE ALWAYS ON TIP $732 6751512 BIOPSY NEEDLE GUIDE SPINPERC KIT "$1,302 " 777057015 BIOPSY SKIN EACH ADDL LESION $399 777057014 BIOPSY SKIN/SUBCU/MUCOUS LESION $458 797029039 BIOPSY VULVA $495 796032067 BIOPSY/EXCISION CERVICAL LESION "$1,461 " 667069197 BIOSEAL POWDER $64 6758851 BIO-TENODESIS KIT $747 6751658 BIOVANCE PER SQ CM $476 750090040 BIPAP VENT INITIATION & MANAGEMEN $785 667059667 BI-VENTRICULAR ICD "$30,482 " 667059666 BI-VENTRICULAR PACEMAKER "$10,412 " 690051827 BLADDER IRRIGATION SIMPLE OR LAVA $620 6751843 BLADE - MICROAIRE ENDOSCOPIC $747 6754420 BLADE 15 DEGREE $53 6751659 BLADE 4.1MM SHORT CUT $124 6751661 BLADE DERMATOME $237 6751662 BLADE DIEGO $492 6750907 BLADE DYONICS FULL RADIUS "$1,661 " 6751867 BLADE EXPLANT "$2,292 " 6757031 BLADE GIGLI SAW $159 6751853 BLADE NON ROTATABLE TUR MEDTRONIC $639 6750918 BLADE OPHTHALMIC CORNEAL $292 6750919 BLADE PRESERVATION UNI SAW $712 6751663 BLADE RAD ADENOID $744 6751664 BLADE REESE DERMATOME $321 6751849 BLADE ROTATABLE TUR METRONIC "$3,447 " 6751858 BLADE SAW OCSILLATING $954 6751854 BLADE SHAVER CONMED $630 6753256 BLADE STRYKER IBO $944 6753255 BLADE STRYKER INTRAORAL $641 6753250 BLADE STRYKER TIPS ELITE $527 6753257 BLADE STRYKER TPS RECIPRICATING $864 6751665 BLADE TRICUT XOMED $632 6751666 BLADE V-LANCE $175 6751667 BLADE VORTEX LINVATEC 6.0 $583 6751668 "BLADE, SAW SYNTHES (DR PIKE)" $259 6751669 "BLADE, SHAVER GREAT WHITE 4.2" $627 6752937 BLAKE DRAIN $277 700046635 BLASTOMYCES $84 3655335 BLASTOMYCES ANTIBODY $154 4059502 BLD TYPING_RBC ANTIGEN NOT AB $321 3655222 BLEEDING TIME $137 6751670 BLOCK PHONOFORM SILICONE WEDGE "$1,611 " 601098304 BLOOD COLLECTION F/IMPLANTABLE DE $211 3655223 BLOOD COUNT AUTOMATED DIFF WBC $79 4059577 BLOOD COUNT RBC AUTOMATED $37 700046015 BLOOD CULTURE $407 4031025 BLOOD DRAW CENTRAL/PICC LINE $75 750090113 BLOOD DRAW ESTABLISHED ART LINE $64 4031024 BLOOD DRAW FROM IMPLANTED VAD $248 750190042 BLOOD GAS ADULT PEDS VENOUS $324 750090611 BLOOD GAS ADULT PRDS VENOUS. $105 750090047 BLOOD GAS COPD $324 750180033 BLOOD GAS CORD ARTERIAL $340 750180035 BLOOD GAS CORD VENOUS $340 750180098 BLOOD GAS NEWBORN ARTERIAL $324 750180039 BLOOD GAS NEWBORN CAPILLARY $324 750190044 BLOOD GAS NEWBORN VENOUS $324 110250950 BLOOD PATCH "$1,241 " 624099485 BLOOD PATCH- MB "$1,241 " 651050933 BLOOD PATCH-HR "$1,241 " 670050931 BLOOD PATCH-LD "$1,241 " 4059064 BLOOD SMEAR W/O MANUAL DIFF WBC $62 690039790 BLOOD TRANSFUSION "$1,329 " 750010814 BLUE RHINO SUPPLY $714 685020026 BODY ALIGNER $62 658092623 BODY COMPOSITION ASSESSMENT $67 700046058 BODY FLUID CULTURE $597 6751671 BOLT FUSION MIDFOOT "$6,509 " 6751672 BONE CEMENT LEVEL I $504 6751673 BONE CEMENT LEVEL II "$1,008 " 6751674 BONE CEMENT LEVEL III "$2,052 " 6751675 BONE CEMENT LEVEL IV "$5,468 " 6757097 BONE HARVESTER "$2,043 " 6751676 BONE MARROW ASPIRATION KIT $666 601098379 BONE MARROW BIOPSY/ASPIRATION "$1,112 " 6751677 BONE MARROW BX KIT $272 4059069 BONE MARROW DIFF "$1,240 " 700040010 BONE MARROW WORKUP $189 601077919 "BONE MARROW, BIOPSY, NEEDLE/TRO/1" "$1,143 " 601098307 "BONE MARROW, BIOPSY, NEEDLE/TROCA" "$1,143 " 6751682 BONE MATRIX LEVEL I "$2,917 " 6751683 BONE MATRIX LEVEL II "$5,774 " 6751684 BONE MATRIX LEVEL III "$10,940 " 6751685 BONE MATRIX LEVEL IV "$21,059 " 6754643 BONE MATRIX LVL V "$34,035 " 6757379 "BONE STIMULATOR,EXTERNAL" "$18,666 " 6758762 BONE TAMP INFLATABLE KYPHON "$2,268 " 6753577 BONE VOID FILLER PUTTY PER 0.5CC $257 6754990 BONE VOID FILLER STRIP PER 0.5CC $214 685082814 BOOT PROTECTOR $57 6751202 BOOT ROOKE $622 6751262 BOOT ROOKE RIGID PROTECTOR "$1,051 " 6750711 BOOT WALKNG NON-PNEUMATIC PREFAB $155 4059586 BORDETELLA PERTUSSIS AB $216 700044059 BORDETELLA PERTUSSIS CULTURE $49 700046031 BORDETELLA PERTUSSIS SMR BY FA $32 741083320 BOTOX INJ EACH ADD EXT 1-4 MUS "$1,043 " 741083318 "BOTOX INJ NECK MUSCLES, BILAT" "$1,568 " 741083317 "BOTOX INJ NECK MUSCLES, UNILAT" $932 741083322 BOTOX INJ TRUNK >6 MUSCLES "$1,317 " 741083321 BOTOX INJ TRUNK 1-5 MUSCLES "$1,043 " 741083319 BOTOX INJECT ONE EXT 1-4 MUSCLES "$1,043 " 6751686 BP ROBOTIC LASER FIBER "$4,221 " 685082790 BRACE ANKLE AIR/GEL UNIVERSAL $34 6750191 BRACE BACK SUPPORT SMALL $272 6753555 BRACE HINGED ARM $155 685082793 BRACE POSTOP KNEE $63 6751281 BRACE TLSO JEWETT "$1,266 " 6751382 BRACE-ASPEN COLLAR "$1,126 " 741052306 BRACHIAL PLEXUS BLOCK IV SEDATION "$2,284 " 764083200 BRACHY I-125 PER SOURCE $18 764011358 BRACHYTHERAP INTERSTIT-SIMP/INERM "$6,790 " 764083055 BRACHYTHERAPY-INTERCAV-COMP "$4,664 " 764083054 BRACHYTHERAPY-INTERCAV-INTER "$3,556 " 764083053 BRACHYTHERAPY-INTERCAV-SIMPLE "$2,861 " 764083049 BRACHYTHERAPY-ISODOSE-COMPLEX "$2,813 " 764083048 BRACHYTHERAPY-ISODOSE-INTERMED "$2,053 " 764083047 BRACHYTHERAPY-ISODOSE-SIMPLE "$1,938 " 764083060 BRACHYTHERAPY-SURF APPLICATION "$1,026 " 764083068 BRACHYTHERAPY-UNLISTED PROC "$6,790 " 764083069 BRACHYTHER-SUPERVISE HAND/LOAD "$1,740 " 766092310 BRACHYTX ISODOSE COMPLEX $471 705183643 BRAF GENE ANALYSIS $683 724074160 BRAIN-SHUNTPUNCTURE/PROC $835 6750838 BRAVO CAPSULE "$1,336 " 666061256 BRAVO PH MONITORING "$3,006 " 3652099 "BRCA1, BRCA 2 FULL GEN ANLYSIS" "$9,300 " 4059073 BREAST CA 2729 AG $110 6751691 BREAST FUNNEL $638 6751687 BREAST IMPLANT 1 "$2,448 " 6751688 BREAST IMPLANT 2 "$5,355 " 6751689 BREAST IMPLANT 3 "$7,242 " 6751690 BREAST IMPLANT 4 "$12,235 " 6754981 BREAST IMPLANT SILICONE "$2,646 " 797029064 BRIEF ALCOHOL MISUSE COUNSEL $173 700046021 BRONCHIAL WASH & BRUSH QUANT $124 700040454 BRONCHOALVEOLAR LAVAGE ANALYSIS $189 6751284 BRONCHOSCOPY ENB EDGE KIT "$4,833 " 6751285 BRONCHOSCOPY ENB LG KIT "$4,413 " 700043176 "BROTH, SHIGA TOXIN" $97 730102769 BROVANA $24 4059587 BRUCELLA AB $95 700042037 BRUCELLA ANTIBODIES $21 674022145 BSC BLAZE PRIM HTD ABL CAT "$1,376 " 674022148 BSC BLAZER II 7F/4MM (HTD) CAT "$1,217 " 674022147 BSC BLAZER II 7F/4MM STANDARD CAT "$1,199 " 674022143 BSC BLAZER PRIM XP ABL CAT 8F "$2,558 " 674022142 BSC EPXT 6F OCTAPOLAR 2/5/2 110CM $389 674022149 BSC POLARIS X DECAPOLAR CATHETER $794 4059059 BUN $64 4059059 BUN $137 6753367 BUTTON ELECTRODE 24-28 FR "$1,668 " 674022163 BWI ACUNAV SIEMENS "$5,412 " 674022153 BWI CELCIU 4MM TC 4P "$1,246 " 674022157 BWI IRRIGTUB SINGLE PACK COOLFLOW $248 674022155 BWI LASSO NAV 20 POLE VARIABLE "$2,637 " 674022160 BWI NAVISTA 8MM 7F NSTC 4P "$3,807 " 674022150 BWI NAVISTA TCOOL SMRTTCH TC "$4,832 " 674022158 BWI NAVISTAR 4MM NS "$3,221 " 674022156 BWI PENTARAY NAV 7F 2-6-2 "$2,922 " 674022162 BWI REFERENCE PATCH $195 674022164 BWI SOUNDSTAR SIEMENS "$5,250 " 700040304 C ALBICANS SCREEN BLOOD CULTURE $403 700043284 C DIFF TOXIN B QUAL PCR $394 4059454 C DIFFICILE TOXIN $256 3656621 C DIFFICILE TOXIN BY RAPID PCR $394 4059295 C PEPTIDE $609 741083271 C/T PARAVERT FACET JNT 1ST LEVE/1 "$5,338 " 741083250 C/T PARAVERT FACET JNT 1ST LEVEL "$3,558 " 741083272 C/T PARAVERT FACET JNT 2ND LEVE/1 "$1,645 " 741083251 C/T PARAVERT FACET JNT 2ND LEVEL "$1,097 " 741083252 C/T PARAVERT FACET JNT 3RD/MOR UN "$1,097 " 741083273 C/T PARAVERT FACET JNT 3RD/MORE B "$1,645 " 700043439 C1 ESTERASE INHIB. FN. $136 4059244 C1 ESTERASE INHIBITOR $510 700040602 C9 COMPLEMENT COMPONENT FUNTION $160 4059074 CA 125 $393 3655305 CA 15-3 (27-29) $110 3655306 CA 19-9 $328 4059378 CA 19-9 PAN HEP $328 797029079 CA SCREEN PELVIC/BREAST EXAM $185 700043237 CA27.29 $40 6757995 CABLE COBALT CHROME "$2,684 " 6751692 CABLE SLEEVE $813 6753676 CABLE STERNAL "$1,007 " 6751693 CABLE TITANIUM "$1,635 " 6751694 CABLE VITALLIUM DALL MILES "$2,181 " 4059647 CADMIUM $609 700049491 CADMIUM - URINE $131 3655050 CALCIFEDIOL (25-OH VITAMIN D-3) $391 3655049 CALCIFEROL (VITAMIN D) $391 4059217 CALCITONIN $192 4059217 CALCITONIN $874 4059022 CALCIUM $64 700043546 CALCIUM - IONIZED $156 700044612 CALCIUM (RANDOM URINE) $102 4059153 CALCIUM IONIZED $156 3655052 CALCIUM TOTAL $64 4059262 CALCIUM URINE QN TIMED $237 700041100 "CALCIUM, TOTAL (24 H URINE)" $99 4059644 CALPROTECTIN $855 4059642 "CALR GENE ANALY, COM VAR EXON 9" "$1,298 " 705083672 CALR GENE COM VARIANTS "$1,298 " 3655461 "CALR, GENE ANALYSIS, COM VARIANTS" $620 779010148 CANALITH REPOSITIONING PROCEDURE $142 700043232 CANCER ANTIGEN 125 (CA125) $89 700040301 CANDIDA ALBICANS SCREEN $336 700042017 CANDIDA ANTIBODIES $63 6753677 CANN ARTERIAL/VENOUS LVL 1 "$1,000 " 6753678 CANN ARTERIAL/VENOUS LVL 2 "$1,875 " 6751696 CANNULA CEMENT $327 6750772 CANNULA ERCP $384 6751697 CANNULA SELF RETAINING $124 6751698 CANNULA SONOLONG $274 6751699 CANNULA STIMULATING $71 6751700 CANNULA SUBRETINAL FLUID $117 6751703 CANNULA W/OBTURATOR "$1,667 " 6751648 CAP HEALING BAHA $422 750090099 CAPILLARY BLOOD COLLECT-HEELSTICK $33 3631002 CAPILLARY STICK $30 6751704 CAPIO BRAIDED POLYDEK SUTURE $130 6751705 CAPSULAR TENSION RING $916 710075345 CAR DUP-SCAN HEMO COMPL BI STD "$1,612 " 710075346 CAR DUP-SCAN HEMO COMPL UNI STD "$1,148 " 710075727 CAR MODERATE SEDAT EA ADD 15 MIN $127 710075726 CAR MODERATE SEDATION 1ST 15 MIN $772 710075344 CAR MYOCRD STRAIN IMG SPCKL TRCK $73 710075343 CAR PERICARDIOCENTESIS W GUIDE "$2,338 " 750010810 CAR SEAT STUDY $43 750010811 CAR SEAT STUDY ADD 30 MINUTES $16 3655007 CARBAMAZEPINE (TEGRETOL) $375 700049929 CARBAMEZEPINE $81 700040465 CARBAPENAMASE PRODUCING GENE $150 700043231 CARBOHYDRATE ANTIGEN 19-9 $87 4059519 CARBOHYDRATE DEFCIENT TRANSFERRIN $182 3655055 CARBON DIOXIDE $62 750080261 CARBOXYHEMOGLOBIN $248 4059264 CARBOXYHEMOGLOBIN QN $177 700043065 CARBOXYHEMOGLOBIN QUANT $215 710072006 CARDIAC DOPPLER $635 715073003 CARDIAC REHAB. MONTHLY CHARGE $42 710075638 CARDIAC VIABILITY STUDY "$8,265 " 700043266 CARDIOLIPIN AB IGA $64 700043267 CARDIOLIPIN AB IGG $64 700043279 CARDIOLIPIN AB IGM $64 4059342 CARDIOLIPIN IGG $270 4031138 CARDIOPULMONARY RESUSCITATION "$1,248 " 6753549 CARDIOVERT DEFIB DUAL CHAMBER "$112,263 " 6753550 CARDIOVERT DEFIB SINGLE CHAMBER "$83,158 " 720078004 C-ARM FOR CENTRAL VENOUS ACCESS "$1,151 " 700049238 CARNITINE $116 4059545 CAROTENE $41 4059545 CAROTENE $232 6751416 CAROTID ARTERY SHUNT EXTERNAL "$1,582 " 667059805 CAROTID STENT W/PROTECT W/S&I "$11,435 " 690051575 CARPETA DISLOC 1-4 W/MAN W/O ANES $620 690051995 CARPMETA DISLOC 1-4 W MAN WO ANES $620 690052241 CARPMETA DISLOC 1-4 WMAN WO ANES $620 690051996 CARPOMETACAR DISLOC THUMB W MANIP $620 690052242 CARPOMETACAR DISLOC THUMB WMANI B $620 690051574 CARPOMETACARP DISLOC W/MANIP RT $620 6751706 CASPAR DISTRACTION PIN "$1,508 " 616050610 CAST/WALKER BOOT $501 685082737 CAST/WALKER BOOT. $305 700040223 CAT SCRATCH ANTIBODY $509 6751707 CATCHER STONE LITHOCLAST $342 700043380 CATECHOLAMINES FRAC(24H URINE) $194 4059155 CATECHOLAMINES FRACT URINE $112 700043375 CATECHOLAMINES FRACTION (PLASMA) $194 4059154 CATECHOLAMINES TOTAL PLASMA $933 6751239 CATH ABLATION NON-CARD ENDOVASC "$2,849 " 6750641 CATH ANGIO GUIDING $271 6758953 CATH ANGIO NON-LASER "$4,455 " 6751708 CATH ANGIOGRAPHIC $413 6751709 CATH ANGIOGRAPHIC HIGH FLOW COOK $79 6754372 CATH ANGIOGRAPHIC LVL I $413 6754377 CATH ANGIOGRAPHIC LVL II $697 6751155 CATH ANORECTAL 4 CHANNEL $414 6750607 CATH ATHERECTOMY DIRECTIONAL "$16,393 " 6754664 CATH ATHERECTOMY ROTATIONAL "$19,499 " 6751476 CATH BALLOON CORONARY SINUS $361 6751710 CATH BALLOON DILATOR NEPHROS KIT $957 6751474 CATH BALLOON ENDOSCOPIC RFA "$8,386 " 6750189 CATH BALLOON SIZING "$1,221 " 685082796 CATH CAMINO FLEX TUNNELED VENTRIC "$2,387 " 6750872 CATH CHRONIC TOTAL OCCLUSION "$5,364 " 685021221 CATH COUDE DISP ALL $58 6751384 CATH CTO CROSSING "$9,687 " 667069257 CATH DIAL ANGIOPLASTY CENTRAL ADD $595 667069255 CATH DIALYSIS ANGIO/THROMB PERIPH "$34,822 " 667069252 CATH DIALYSIS ANGIOPLAS PERIPHRAL "$17,229 " 6751711 CATH DIALYSIS LONG TERM LEVEL I $880 6751712 CATH DIALYSIS LONG TERM LEVEL II "$1,583 " 6751714 CATH DIALYSIS LONG TERM LEVEL III "$2,462 " 667069258 CATH DIALYSIS STENT CENTRAL ADD $595 667069253 CATH DIALYSIS STENT PERIPHRAL "$34,822 " 667069256 CATH DIALYSIS STENT/THROMB PERIPH "$35,188 " 667069254 CATH DIALYSIS THROMBECTOMY PERIPH "$17,229 " 6750454 CATH EP 3D OR MAPPING "$16,778 " 6750397 CATH EP NO MAP $638 6750453 CATH EP NO MAP >OR=20 ELECTRODE "$5,752 " 6750455 CATH EP NO MAP/TEMP LVL I "$3,341 " 6750457 CATH EP NO MAP/TEMP LVL II "$6,227 " 6750848 CATH GLIDECATH $392 6753042 CATH GUIDE SINUS HANDLE $270 667061985 CATH GUIDELINER $678 6751465 CATH INFUSION LVL I $839 6751466 CATH INFUSION LVL II "$4,413 " 6751394 CATH INTRACARDIAC ECHO "$8,424 " 6753679 CATH INTRADISCAL "$4,780 " 6750540 CATH INTRAUTERINE TAMPONADE $564 6751715 CATH ITRACK 250 CANALOPLASTY "$3,810 " 6751092 CATH KIT TRIPLE POWER 7 16 $443 6751093 CATH KIT TRIPLE POWER 7 20 $443 6751509 "CATH KIT, CVP 16G X 12" $130 6751508 "CATH KIT, INTRODUCER 8.5 FR" $152 6757360 "CATH KIT, QUAD LUMEN 7 16" $538 6757358 "CATH KIT, QUAD LUMEN 7 20" $538 6753524 CATH LITHOPLASTY SHOCKWAVE "$9,096 " 667069282 CATH MAIN PULMPONARY ARTERY "$1,152 " 6750642 CATH MICROCATHETER "$1,941 " 6756746 CATH MIDLINE PICC $306 6753224 CATH NEPHROMAX "$1,445 " 6751330 CATH OCCLUSION BALLOON "$2,636 " 6753313 CATH OCCLUSION BALLOON URO $532 6758950 CATH OUTBACK RE-ENTRY "$1,163 " 6754356 CATH PACING BIPOLAR $504 6750762 CATH PH IMPEDANCE $537 6756745 CATH PICC SINGLE(SCN) $305 6758948 CATH PIGTAIL $589 6751385 CATH RE-ENTRY OCCLUSION "$12,642 " 667061709 "CATH RT/LT HEART, NO CORONARIES" "$14,990 " 6750608 CATH SCORING BALLOON "$1,040 " 6750608 CATH SCORING BALLOON "$4,959 " 6750199 CATH SHORT TERM DIALYSIS $793 6753319 CATH SUPRAPUBIC STAMEY SET $261 6751076 CATH SWAN GANZ 5 FR "$1,035 " 6751896 CATH THERMOCOOL "$11,982 " 6757214 CATH THORACIC 36 FR $198 685021444 CATH THORACIC CHEST TUBE $13 6750382 CATH THROM/EMBOLECTOMY LVL I "$4,194 " 6750383 CATH THROM/EMBOLECTOMY LVL II "$7,144 " 6750384 CATH THROM/EMBOLECTOMY LVL III "$10,092 " 6753584 CATH THROM/EMBOLECTOMY LVL IV "$21,000 " 6750248 CATH TROCAR 12 FR $189 6750250 CATH TROCAR 20 FR $189 6750251 CATH TROCAR 28 FR $189 6750252 CATH TROCAR 32 FR $189 6750240 CATH TROCAR 8 FR $65 6756030 CATH VESSEL 20G (FEMORAL) $112 6753388 "CATH, BAL DIL, NON-VAS URETERAL" "$2,688 " 685022032 "CATH, SWAN GANZ 7.5 FR" $151 685028655 "CATH, UMBILICAL ART. (ALL)" $96 6751187 "CATH, WORD" $200 6750831 "CATH,SWAN GANZ 7 FR 110 CM" $274 685021234 CATH. INTRODUCER $233 685021276 CATH./FOLEY/30CC/ALL $55 685021265 CATH./FOLEY/5CC/ALL $32 685082729 CATH/FOLY/5CC/ALL $32 6756744 "CATHER, DUAL LUMEN 4.0 (INFANT)" $84 6750231 CATH-ESOPAGEAL 1 CHANNEL $167 6750688 CATHETER 6 FR DECAPOLAR W EXT "$2,848 " 6750187 CATHETER ABLATION "$5,863 " 6750223 CATHETER ABLATION HALO 90 "$4,157 " 6753680 CATHETER ABLATION. "$7,860 " 6751246 CATHETER ANGIOPLASTY ARMADA $842 6751245 CATHETER ANGIOPLASTY Z-MED "$2,878 " 6756899 CATHETER ARROW CANNON HEMODIALY "$2,032 " 6750773 CATHETER BALLOON DILATOR BILIARY "$1,552 " 6750418 CATHETER BALLOON DILATOR CERVIX $205 6750774 CATHETER BALLOON DILATOR ESOPH "$1,413 " 6751460 CATHETER BALLOON DRUG COATED "$5,935 " 6750775 CATHETER BALLOON STONE REMOVAL $939 6751716 CATHETER CHLOLANGIO EDWARDS $156 6759400 CATHETER CHOLANGIO TAUT $148 6750627 CATHETER CORDIS $306 6750687 CATHETER DIAGNOSTIC $151 6750643 CATHETER DIALYSIS LONG TERM $823 6756153 CATHETER DILATOR BILIARY $355 6751137 CATHETER DRAINAGE $515 6750735 CATHETER DUAL LUMEN PTA 6FR $728 6753554 CATHETER DUCTO/SIALOGRAM $122 6751028 CATHETER EDM LUMBAR $876 6751232 CATHETER EP QUAD DYNAMIC XT 6FR "$2,234 " 6757050 CATHETER FOGARTY ART EMBOL $618 6751717 CATHETER GUIDING $839 6753998 CATHETER GUIDING LEVEL III "$3,313 " 6753999 CATHETER GUIDING LEVEL IV "$3,893 " 6753996 CATHETER GUIDING LVL I $839 6753997 CATHETER GUIDING LVL II "$2,545 " 6751718 CATHETER HEMODIALYSIS SHORT TERM $793 6757053 CATHETER HEMTURIA COUVELAIRE $147 6750675 CATHETER IAB 34CC "$6,282 " 6750674 CATHETER IAB 40CC "$6,282 " 6750378 CATHETER IVUS "$4,197 " 6750690 CATHETER LAUNCHER GUIDE 6FR $815 6751719 CATHETER LOCATABLE GUIDE EDGE KIT "$4,149 " 685028043 CATHETER MIDLINE 18G L $196 6751138 CATHETER NEPHROURETERAL $645 6751721 CATHETER NERVE BLOCK LVL 2 "$5,096 " 6751720 CATHETER NERVE BLOCK LVL I "$4,164 " 6751510 CATHETER PERIPHERAL VIEW "$2,769 " 6750141 CATHETER PICC LINE DUAL LUMEN $928 6750084 CATHETER PICC LINE SINGLE LUMEN $719 6750082 CATHETER PICC LINE TRIPLE LUMEN $989 6751067 CATHETER PLEURX PLEURAL "$2,561 " 6750092 CATHETER PRECEPT CENTRAL VENOUS "$1,046 " 6750724 CATHETER PTCA "$1,733 " 6751722 CATHETER PVC THORACIC $40 6750671 CATHETER QUAD CRD 5FR $974 6751597 CATHETER REMOVAL RESHAPE "$1,042 " 6750616 CATHETER SHEATH MANOSHIELD $148 6751194 CATHETER SPYSCOPE DELIVERY "$3,371 " 6751190 CATHETER SUPRAPUBIC $239 6750387 CATHETER SWAN GANZ $655 6753479 CATHETER SWAN NECK CURL $904 700046150 CATHETER TIP CULTURE $370 6757063 CATHETER T-TUBE $88 6751139 CATHETER URETERAL $386 6751723 CATHETER VASCULAR GUIDING "$2,511 " 6752540 "CATHETER, BRACHYTHERAPY SEED ADM" "$14,113 " 685020031 "CATHETER, FEMALE SELF" $144 6750060 "CATHETER, L CATH 24GA" $32 6751724 CAUTERY INSERT MICROBIPOLAR DISP $329 6756700 CAUTERY LOOP TUR BIPOLAR "$1,681 " 6751725 CAUTERY LOW TEMP $50 6751726 CAUTERY TIP BIPOLAR "$2,703 " 4059066 CBC $153 3655227 CBC W/AUTO DIFFERENTIAL $229 4059065 CBC W/DIFFERENTIAL $229 700040026 CBC WITH DIFF $229 667069262 CCA ARTERIAL LINE PLACEMENT "$3,959 " 667069238 CCA ECHO TEE GUID TARVA MITRACLIP "$3,058 " 667069237 CCA MITRACLIP DEVICE "$48,000 " 667069263 CCA NON TUN CENTR INSERT CVC >5 "$4,425 " 667069305 CCA PERICARDIOCENTESIS W GUIDE "$2,338 " 667069290 CCA REPL NON-TUN CEN INSERT CVC "$4,224 " 667069299 CCA RP PUMP SET "$40,000 " 667069298 CCA STENT EA ADD VEIN/GUIDE "$9,650 " 667069297 CCA STENT INITIAL VEIN/GYIDE "$20,677 " 667069310 CCA- TACK ENDOVASCULAR SYSTEM "$2,195 " 667069264 CCA VASCULAR ACCESS US GUIDE $440 4059351 CCP ANTIBODIES $108 705083665 "CD4 AND CD8 COUNT, INC RATIO" $241 700043381 CD4M $71 4059023 CEA $381 700042023 CEA ANTIGEN $381 741052350 CELIAC PLEXUS "$1,834 " 705048623 CELL ANALYSIS $730 705048623 CELL ANALYSIS $781 4059550 CELL COUNT BODY FLD W/DIFF $189 705048627 CELL CULTURE $700 705048627 CELL CULTURE $749 6757997 CEMENT ACCESSORY KIT $302 6752032 CEMENT DELIVERY SYST "$2,329 " 6758056 CEMENT DELIVERY TUBE KIT $234 6752945 CEMENT RESTRICTOR $516 110250940 CENRTAL VENOUS CATH PLACE/REPLACE "$1,222 " 660098984 CENT MOTOE EVOKED UP & LOW LIMBS "$1,271 " 740090889 CENTRAL LINE PLACEMENT "$1,052 " 660098983 CENTRAL MOTOE EVOKED LOWER LIMBS $635 660098982 CENTRAL MOTOE EVOKED UPPER LIMBS $635 670068138 CEPHALIC VERSION "$1,811 " 110250929 CEPHALIC VERSION- "$1,811 " 6751727 CERCLAGE CABLE IMP "$1,868 " 4059275 CERULOPLASMIN $115 4059275 CERULOPLASMIN $300 616066060 CERVIC/THORAC COLLAR "$1,230 " 6751728 CERVICAL DISC PROSTHESIS "$37,465 " 6751729 CERVICAL FOAM COLLAR $27 685082803 CERVICAL RIPENING BALLOON $76 667062127 CESSATION THROMBOLYSIS "$7,035 " 4059350 CH50 TOTAL COMPLEMENT $526 6751822 CHAMBER DELTA "$3,147 " 690051826 CHANGE OF CYSTOSTOMY TUBE $620 4059081 CHARGE CYTOLOGY TECHNICAL $140 700043031 CHEM 7 (BMP) $332 700040429 "CHEM 8 PNL, I-STAT POC LAB" $311 690051800 CHEM CAUT GRANULATION TISSUE $620 4031090 CHEM NON-HORMON ANTINEOP SQ/ IM $415 4059156 CHEMILLUMINESCENT ASSAY $125 3655061 CHEMILUMINESCENT ASSAY $322 4031149 CHEMO ADMIN INTRALESION <=7 LESIO $193 4031150 CHEMO ADMIN INTRALESION >7 LESION $632 627064807 CHEMO EACH ADDI SEQUEN INFUSI- SU $369 4031091 CHEMO HORMONAL ANTINEOP SQ/ IM $412 3631023 CHEMO HORMONAL ANTINEOP SQ/IM $412 4031146 CHEMO INFU >8 HRS PUMP $882 4031097 CHEMO INFUSE ADTL DRUG UP TO 1HR $280 4031096 CHEMO INFUSION >8 HRS PUMP $882 3631054 CHEMO INFUSION >8 HRS PUMP(MC) $882 665052167 CHEMO INFUSION ADDL HR $297 627064806 CHEMO INFUSION ADDL HR- SU $297 4031095 CHEMO INFUSION EA ADTL HR. $280 4031094 CHEMO INFUSION SNGL/ INIT 1 HR $960 665052188 CHEMO INJECTION IM/SQ HORMONAL $354 616066065 CHEMO INJECTION IM/SQ NON HORM-6N $392 665052187 CHEMO INJECTION IM/SQ NON HORMONA $392 627064801 CHEMO INJECTION IM/SQ NON HORM-SU $392 3631029 CHEMO IV ADDL DRUG UP TO 1HR $280 665052194 CHEMO IV INF ADDL SEQ NEW SUB TO $369 601098341 CHEMO IV INFUSION ADD.HR. (>91 MI $297 665052192 CHEMO IV INFUSION ADDTNL HOUR $297 665052191 CHEMO IV INFUSION INITIAL $486 601098340 CHEMO IV INFUSION INITIAL 16-90 M $486 627064805 CHEMO IV INFUSION INITIAL- SU $486 627064804 CHEMO IV PUSH ADD SUBSTANCE- SU $429 665052190 CHEMO IV PUSH ADDTNL NEW SUBSTANC $429 3631025 CHEMO IV PUSH EA ADDL DRUG $561 601098376 CHEMO IV PUSH INITIAL $442 614064802 CHEMO IV PUSH INITIAL- 4N $442 627064803 CHEMO IV PUSH INITIAL- SU $442 3631024 CHEMO IV PUSH SGL OR INITIAL $566 4031093 "CHEMO IV PUSH,EA ADTL DRUG" $561 4031092 "CHEMO IV PUSH,SNGL OR INITIAL" $566 3631026 CHEMO IV SNGL/INIT DRUG 1 HR $960 3631027 CHEMO IV SNGL/INIT DRUG ADDL HR $280 3631022 CHEMO NON-HORMON ANTINEOP SQ/IM $415 4031098 CHEMO PERITONEAL CAVITY VIA PORT $587 4031102 CHEMO SUBARAC/INTRAVNT BY RESRVR $324 665052228 CHEMOTHERAPY ADMIN PERITONEAL CAV $944 750080146 CHEST PERCUSSION POST DRAINAGE SU $119 110250939 CHEST TUBE INSERTION $936 685021566 CHEST TUBE TROCAR $13 6757679 CHIN INPLANT "$1,097 " 3656650 CHLAMYDIA AB $137 3656651 CHLAMYDIA AB IGM $137 700046112 CHLAMYDIA AMPLIFICATION $300 700042019 CHLAMYDIA ANTIBODY $99 700046051 CHLAMYDIA CULTURE $52 700046100 CHLAMYDIA DIRECT FA $68 3656658 CHLAMYDIA DNA BY AMPLIFICATION $300 3656659 CHLAMYDIA DNA PROBE $68 700042018 CHLAMYDIA -IGM ANTIBODIES $95 700043076 CHLORIDE $57 700045050 CHLORIDE - FECES $42 4059599 CHLORIDE SERUM $57 3655712 CHLORIDE URINE $189 700043079 CHLORIDE URINE (RANDOM) $189 700041200 CHLORIDE(24 H URINE) $28 700043080 "CHLORIDE, FLUID" $88 700040432 "CHLORIDE, I-STAT POC LAB" $57 4059134 CHLORPROPAMIDE(DIABINESE) L EVEL $302 4059024 CHOLESTEROL $60 700043075 "CHOLESTEROL, TOTAL" $60 3655429 CHROM ANALYS AMNIOTIC 15/1 CELLS "$1,548 " 4059089 CHROM ANALYSIS ADD CELLS COUNTED $216 4059088 CHROM ANALYSIS ADD KARYOTYPE $318 4059514 CHROM/MS SPCT QUANT SGL & MOBILE $166 700042313 CHROMATIN ANTIBODIES $80 3655063 CHROMATOGRAPHY QN SINGLE COLUMN $166 3655695 CHROMIUM $541 700049560 "CHROMIUM, 24 HOUR URINE" $101 4059649 CHROMOGENIC SUBSTRATE ASSAY $194 3654030 CHROMOGENIC SUBSTRATE ASSAY- $194 700040459 CHROMOSOMAL MICROARRAY EGL "$7,342 " 3655427 CHROMOSOME ANALYSIS 15-20 CELL "$1,784 " 3655428 CHROMOSOME ANALYSIS 20-25 CELLS "$1,192 " 705048625 CHROMOSOME ANALYSIS ADDTL KARYOTY $277 705048624 CHROMOSOME ANLYS ANALYZE 20-25 CE $839 4059086 CHROMOSOME COUNT 5/1 "$1,137 " 3655070 CHROMOTOGRAPHY SPECTOMETRY QN "$1,072 " 779010199 CID ADD NEEDLE EMG ONE EXT >5 MUS $234 779010198 CID ADD NEEDLE EMG ONE EXT LIMIT $234 779020206 CID ASSESSMEN HEALTH BEHAVEOR $105 779010171 CID- ATHLETIC TRN EVAL HIGH CMPLX $72 779010169 CID- ATHLETIC TRN EVAL LOW CMPLX $72 779010170 CID- ATHLETIC TRN EVAL MOD CMPLX $72 779010172 CID- ATHLETIC TRN RE-EVAL PLAN CR $48 779010184 CID DEVEL TST PHYS/QHP 1ST HR $408 779010185 CID DEVEL TST PHYS/QHP EA ADD HR $207 779010176 CID ESTABLISHED PATIENT LEVEL 1 $123 779010177 CID ESTABLISHED PATIENT LEVEL 2 $192 779010178 CID ESTABLISHED PATIENT LEVEL 3 $270 779020214 CID INTER FAM NO PATIE EA ADD 15 $171 779020213 CID INTER FAM NO PATIENT 30 MIN $171 779020212 CID INTER FAM W PATIE EA ADD 15 $105 779020211 CID INTER FAM W PATIENT 30 MIN $210 779020209 CID INTERVEN GROUP 30 MIN $106 77902010 CID INTERVEN GROUP EA ADD 15 $53 779020207 CID INTERVEN INDIVIDUAL 30 MIN $105 779020208 CID INTERVEN INDIVIDUAL EA ADD 15 $105 779010180 CID NERVE BLOCK "$1,572 " 779010196 CID NERVE CONDUCT 11-12 STUDIES "$4,715 " 779010191 CID NERVE CONDUCT 1-2 STUDIES $429 779010197 CID NERVE CONDUCT 13 OR > STUDIES "$5,572 " 779010192 CID NERVE CONDUCT 3-4 STUDIES "$1,285 " 779010193 CID NERVE CONDUCT 5-6 STUDIES "$2,143 " 779010194 CID NERVE CONDUCT 7-8 STUDIES "$3,000 " 779010195 CID NERVE CONDUCT 9-10 STUDIES "$3,858 " 779010200 CID NEUROBEHAVL STATUS EC AD HOUR $207 779010121 CID NEUROBEHAVL STATUS EXAM HOUR $408 779010173 CID NEW PATIENT LEVEL 1 $230 779010174 CID NEW PATIENT LEVEL 2 $252 779010175 CID NEW PATIENT LEVEL 3 $336 779010186 CID NRPSYC TST EVAL PHYS 1ST HR $408 779010187 CID NRPSYC TST EVAL PHYS EA AD HR $207 779010202 CID PSYCL TST EVALUAON EC AD HOUR $207 779010201 CID PSYCL TST EVALUATION 1ST HOUR $408 779010203 CID PSYCL/NRPSYC PHYS 1ST 30 MIN $207 779010204 CID PSYCL/NRPSYC PHYS EA AD 30MIN $103 779010188 CID PSYCL/NRPSYC TECH 1ST 30 MIN $207 779010189 CID PSYCL/NRPSYC TECH EA AD 30MIN $103 779010190 CID PSYCL/NRPSYC TST AUTO RESULT $203 779010167 CID- PT EVAL HIGH COMPLEX 45 MIN $169 779010165 CID- PT EVAL LOW COMPLEX 20 MIN $169 779010166 CID- PT EVAL MOD COMPLEX 30 MIN $169 779010168 CID- PT RE-EVAL EST PLAN CARE $112 779010205 CID SKIN BIOPSY $458 6758230 CIRCULAR STAPLER "$1,593 " 110250916 CIRCUMCISION- $508 700043458 CITRATE 24 H URINE $55 4059170 CKMB $288 4059169 CKMB CATH ONLY $288 690051065 CL TX TIB FX PROXI W/WO MANIP-BIL "$1,930 " 690051813 CL TX TIB FX PROXI W/WO MANIP-LT "$1,930 " 690051064 CL TX TIB FX PROXI W/WO MANIP-RT "$1,930 " 6751732 CLARIX FLO PER MG $110 685020008 CLEANSER RESTORE WOUND $6 3656662 CLINICAL CHEMISTRY TEST "$1,800 " 3652079 "CLINICAL PATH CONSULT, LIMITED" $138 6751734 CLIP ANEURSYM "$1,796 " 6751733 CLIP LIGATING HEMLOCK $88 6757077 CLIP RANEY $56 700040031 CLO TEST $173 700043293 CLOMIPRAMINE $217 690052421 CLOSE TREAT FRACT G TOE W/MAN LT $620 690051804 CLOSED TREAT FRACT G TOE W/MANIP $620 690052449 CLOSED TREAT OF RAD SH FRAC W/MAN "$1,930 " 690051541 CLOSED TREAT RADI SHAFT FRAC MAN "$1,930 " 690052451 CLOSED TREAT RADIA SH FRAC W/MAN- "$1,930 " 690052452 CLOSED TREAT ULNA SHA FRAC W/MA/1 $620 690052450 CLOSED TREAT ULNA SHA FRAC W/MAN- $620 690058837 CLOSED TX MANDIBULAR W/INTERDENL "$1,930 " 690051801 CLOSED ULNAR SHAFT FRACT MANI-RT $620 700046034 CLOSTRIDIUM DIFFICILE CULTURE $173 700046026 CLOSTRIDIUM DIFFICILE TOXIN $256 685082805 CLOSURE DEVICE $134 667069279 CLOT TRIEVER SHEAT "$1,920 " 667069277 CLOT TRIEVER THROMBECTOMY CATH "$7,680 " 4059507 CLOTTING FACTOR XII $891 700043255 CLOZAPINE $71 3655339 CMV ANTIBODY $219 3655340 CMV ANTIBODY IGM $95 4059396 CMV ANTIBODY TESTING $219 4059459 CMV DNA PCR QUANT BRONCHIAL $759 700043462 CMV IGG $134 4059397 CMV IGG AB $609 4059399 CMV IGG AVIDITY $580 4059398 CMV IGG DONOR BMR $172 700043463 CMV IGM $142 4059400 CMV IGM AB $95 700040172 "CMV MOLECULAR PCR, CSF" $92 3655412 CMV PCR AMPLIFIED $909 4059457 CMV PCR BLOOD/URINE $759 4059458 CMV PCR OTHER THAN BLOOD QN $759 3655413 CMV PCR QN $759 4031131 CNS CHEMO INCLUDING PUNCTURE $951 6756207 CNS DRAINAGE BAG $91 6756205 CNS VENTRICULAR CATHETER $529 6756226 CNS VENTRICULOSTOMY KIT "$1,241 " 667069212 CO PILOT HEMOSTATIC VALVE $80 4059598 CO2 $62 6751735 CO2 LASER FIBER "$2,956 " 3655235 COAG FACTOR II "$1,026 " 4059296 COAG FACTOR II ACTIVITY "$1,026 " 3655243 COAG FACTOR IX (PTC OR CHRISTMAS) "$1,026 " 4059302 COAG FACTOR IX ACTIVITY "$1,026 " 3655236 COAG FACTOR V "$1,026 " 4059297 COAG FACTOR V ACTIVITY "$1,026 " 3655237 COAG FACTOR VII $906 4059298 COAG FACTOR VII ACTIVITY $906 3655238 COAG FACTOR VIII "$1,026 " 4059299 COAG FACTOR VIII ACTIVITY "$1,026 " 4059301 COAG FACTOR VIII MULTIMERS "$1,121 " 4059371 COAG FACTOR VIII RELATED ANTIGEN $316 3655244 COAG FACTOR X (STUART-POWER) "$1,026 " 4059303 COAG FACTOR X ACTIVITY "$1,026 " 3655245 COAG FACTOR XI (PTA) "$1,026 " 4059304 COAG FACTOR XI ACTIVITY "$1,026 " 3655246 COAG FACTOR XII (HAGEMAN) $891 3655247 COAG FACTOR XIII FIBRIN STABILIZE "$1,026 " 4059372 COAG FACTOR XIII SOLUBILTY SCREEN $163 700040131 COAG TIME ACTIVATED (ACT) (POC) $44 700040133 COAG TIME ACTIVATED LONG (POC) $44 700040124 COAGULATION FACTOR X $143 3655258 COAGULATION TIME ACTIVATED (ACT) $110 6753360 COAPTITE "$1,182 " 6759713 COAPTITE INJECTIBLE IMPLANT "$1,248 " 6751736 COAPTITE NEEDLE $142 771086115 "COBAN 1"" / ROLL" $8 771088115 "COBAN 1""/ROLL" $8 771088116 "COBAN 2""-3""/ROLL" $23 771086116 "COBAN 2""-3""/ROLL." $23 700046650 COCCIDIODES $38 3655338 COCCIDIODES ANTIBODY $200 6751737 COCHLEAR IMPLANT DEVICE/SYSTEM "$80,453 " 6751738 COCHLEAR IMPLANT MAGNET $393 6751739 CODMAN DISP CATHETER PROSER "$1,156 " 779010125 COGNITIVE TEST BY HC PRO/HOUR $263 4059345 COLD AGGLUTININ TITER $243 700042020 COLD AGGLUTININS $28 700040108 COLLAGEN ADP $189 4059596 COLLAGEN CROSS LINKS $490 6754890 COLLAGEN NRVE WRAP/.5CM IN LENGTH "$1,274 " 685020113 "COLLAR ""ALL""" $48 685082794 COLLAR CERVICAL $48 665052225 COLLECTION BLOOD F/EST VENOUS DEV $211 665052224 COLLECTION OF BLOOD F/IMPLANT DEV $211 6751741 COLLIUS KNIFE $453 4031074 COLOR FLOW DOPPLER $635 6758822 COLORADO MICRO DISSECTING NEEDLE $247 6751742 "COLOSTOMY SET, HOLLISTER" $118 796032022 COLPOSCOPY W BIOPSY "$1,101 " 796032021 COLPOSCOPY W/O BIOPSY $566 705083668 COLUMN CHROMATOGRAPHY $217 667062104 COM C CATH/EXTRACRAN CAR ANGIO "$5,562 " 667062105 "COM C CATH/EXTRACRAN CAR ANGIO, B" "$7,457 " 667062107 "COM C CATH/INTRACRAN CAR ANGIO, B" "$6,501 " 667062106 "COM C CATH/INTRACRAN CAR ANGIO, U" "$6,501 " 730117655 COMBIVENT $24 770053265 COMMUNITY WORK REINTEG-PT/15 $123 685082810 COMPASS VASCULAR ACCESS LOCK $92 3655297 COMPLEMENT ANTIGEN EA COMPONENT $344 4059349 COMPLEMENT C1Q $568 4059601 COMPLEMENT C2 $468 700043445 COMPLEMENT C3 COMPONENT $143 700043450 COMPLEMENT C4 COMPONENT $143 700043456 COMPLEMENT C6 COMPONENT $136 700043460 COMPLEMENT TOTAL CH 50 $180 3655298 COMPLEMENT TOTAL CH50 $526 69001628 COMPLEX PROCEDURE "$1,930 " 771088173 COMPOSITE FINGER FLEXION HOOD $8 700043032 COMPREHENSIVE METABOLIC PA $516 4059003 COMPREHENSIVE METABOLIC PANEL $516 667059560 COMPRESSION SYSTEM $91 3655378 CONCENTRATION INFECTIOUS AGENT $97 6751743 CONCEPT DRAGON $432 6757084 CONCEPT EYE CAUTERY $149 6758072 CONCEPT SMALL JOINT CANNULATION $673 4059508 CONCNTR PARASITES OVA/TUBERCLE $49 6751744 CONNECTIVE TISS NON-HUMAN LVL I "$1,895 " 6751745 CONNECTIVE TISS NON-HUMAN LVL II "$5,110 " 6751746 CONNECTIVE TISS NON-HUMAN LVL III "$8,964 " 6751747 CONNECTIVE TISS NON-HUMAN LVL IV "$19,426 " 6751748 CONNECTIVE TISSUE HUMAN LEVEL 1 "$1,095 " 6751749 CONNECTIVE TISSUE HUMAN LEVEL 2 "$3,338 " 6751750 CONNECTIVE TISSUE HUMAN LEVEL 3 "$6,613 " 750080247 CONT NEB FIRST HOUR $583 750080248 CONT NEBULIZER EACH SUBS HOUR $312 750080135 CONT. OXYGEN/DAY $53 690051013 CONTOL NOSEBLEED ANT SIMPLE- LT $620 690052457 CONTOL NOSEBLEED ANT SIMPLE- RT $620 6758656 CONTOUR PROF. TISSUE EXPANDER "$5,739 " 670068007 CONTRACTION STRESS TEST "$1,521 " 110250927 CONTRACTION STRESS TEST- "$1,521 " 771089303 CONTRAST BATH/15 MIN $67 6751842 CONTRAST MODULATION SYSTEM "$1,216 " 690052091 CONTROL NASAL HEMOR ANT SIMPLE BI $620 690051016 CONTROL OF NOSEBLEED POST - BIL $620 690051014 CONTROL OF NOSEBLEED POST - LT $620 690051666 CONTROL OF NOSEBLEED POST - RT $620 690051851 CONTROL THROAT BLEEDING "$1,022 " 3655373 COOMBS DIRECT $161 3655066 COPPER $336 700049175 COPPER - SERUM $156 700043069 COPPER 24 HOUR URINE $156 4059164 COPPER LIVER TISSUE $321 4059166 COPPER URINE 24HR $337 4059165 "COPPER, SERUM" $336 700044527 "CORD BLOOD H+H, PLT" $153 4059422 CORD SERUM ANTIBODY SCREEN $336 6759985 CORNEAL TISSUE ACQUISITION "$20,591 " 667061710 CORONARY & BYPASS ANGIO ONLY "$13,731 " 667061614 CORONARY ARTERY ANGIO "$12,363 " 667069215 CORONARY ATHERECTOMY CATH "$3,040 " 667061644 CORONARY MECHANICAL THROMBEC "$7,173 " 667061671 "CORONARY THROMBECTOMY, PRIMARY" "$7,173 " 700043086 CORTISOL $328 3655067 CORTISOL FREE $415 700043087 CORTISOL PM $328 4059630 CORTISOL-FREE URINE 24HR $415 6754752 COSEAL EXTENDED APPLICATOR $236 6751752 COSTA VAC DRAINAGE SYSTEM $983 750090600 COUGH ASSIST THERAPY FIRST TREAT $194 750090601 COUGH ASSIST THERAPY SUBSEQUENT $194 3655466 COXSACKIE AB EACH TYPE $479 700047022 "CPAD, PC LEUKORED IRRADIATED" "$1,243 " 750080140 CPAP INITIATION & MANAGEMENT $785 3655219 C-PEPTIDE $609 700043586 C-PEPTIDE 24 HOUR URINE $58 700043585 C-PEPTIDE SERUM $40 3655073 CPK ISOENZYMES $243 4059025 CPK TOTAL $60 4059025 CPK TOTAL $163 700043089 "CPK TOTAL, SUBSEQUENT TEST" $60 750080158 CPR "$1,248 " 715080107 CR SMOKE/TOB COUNSELING 10 MIN+ $70 715080106 CR SMOKE/TOB COUNSELING 3-10 MIN $34 685023950 CRANIAL ACCESS KIT $738 6758899 CRANIAL IMPLANT WITH MODEL "$37,103 " 6751755 CRANIAL LOOP FIXATION DEVICE "$1,036 " 6751756 CRANIAL NERVE ELECTRODE KIT $697 6757085 CRANIO-ANEUROPLASTY KIT "$1,526 " 700042025 C-REACTIVE PROTEIN $232 685020052 CREAM SILICONE PHYTOPLEX $3 4059479 CREATINE $281 4059026 CREATININE $60 4059172 CREATININE BODY FLUID $198 4059175 CREATININE CLEARANCE $123 4059175 CREATININE CLEARANCE $328 700049166 CREATININE PERITONEAL FLUID $62 4059173 CREATININE URINE $198 4059174 CREATININE URINE 24HR $243 4059171 CREATININE WITH 5HIAA RANDOM $43 700040437 "CREATININE, I-STAT POC LAB" $60 715090093 "CRH, 6 MINUTE WALK TEST" $438 6751278 CRICOTHYROTOMY SET "$1,867 " 4031060 CRISIS-IN EA ADD 30 MIN $155 4031059 CRISIS-IN PER 30-74 MIN $387 69003085 CRITICAL CARE "$4,491 " 690030006 CRITICAL CARE 1ST 30-74 MINUTES "$4,491 " 69003096 CRITICAL CARE ADDL 30 MIN "$2,183 " 700047096 CROSSMATCH/UNIT $466 3655292 CRP HIGH SENSITIVITY $289 3655291 CRP QN $232 4059336 CRP QUANT $232 4059338 CRP ULTRAQUANT $289 767084055 CRRT DAILY PROCEDURE "$1,352 " 767084048 CRRT PUREFLOW SUPPLY INITIAL "$2,222 " 767084049 CRRT PUREFLOW SUPPLY SUBSEQUENT "$1,727 " 6754030 CRYO CUFF $438 4059546 CRYOFIBRINOGEN $46 4059546 CRYOFIBRINOGEN $88 4059546 CRYOFIBRINOGEN $114 3655078 CRYOGLOBULIN QL/SQ $47 700047093 CRYOPRECIPITATE $302 796032017 "CRYOSURGERY, 15+ LESIONS" $821 796032016 "CRYOSURGERY, EA ADD LESION TO 14" $32 796032015 "CRYOSURGERY, SINGLE LESION" $250 700046670 "CRYPTOCCOCAL ANTIGEN, SERUM" $47 700046041 CRYPTOCOCCAL AG TEST $254 700043249 CRYPTOCOCCAL ANTIGEN AGGLUTINATIO $148 3656629 CRYPTOSPORIDIUM AG $104 3656661 CRYPTOSPORIDIUM AG IF $35 700045023 CRYPTOSPORIDIUM SPECIFIC ANTIGEN $26 700044012 CSF ANALYSIS $189 700046062 CSF CULTURE $370 6751269 CSF DRAINAGE SYSTEM "$1,536 " 729011653 CT 14 FR THAL QUICK CHEST TUBE $275 729078888 CT 16 FR THAL QUICK CHEST TUBE $305 729078887 CT 18 FR THAL QUICK CHEST TUBE $305 729078890 CT 20 FR THAL QUICK CHEST TUBE $305 729078889 CT 28 FR THAL QUICK CHEST TUBE $305 726176446 CT 3D RECONS PP ON SCANNER $884 726176445 CT 3D RECONS PP ON VITREA "$2,788 " 726178068 CT ABD PELVIS W/O AND W CONT "$6,143 " 726178066 CT ABD PELVIS W/O CONT "$4,700 " 729011247 CT ABD WO CON GASTR SLEEVE W AIR "$3,481 " 726178380 CT ABD/PELVIS W ORAL CONTRAST "$4,700 " 726178067 CT ABD/PELVIS WITH CONTRAST "$5,412 " 726176056 CT ABDOMEN W/ & W/O CONTRAST "$4,585 " 726176055 CT ABDOMEN W/ CONTRAST "$4,265 " 726176054 CT ABDOMEN W/O CONTRAST "$3,481 " 729010309 CT ABLATION LUNG RF RIGHT "$13,027 " 729010318 CT ABLATION RENAL PERC CRYO BILAT "$22,791 " 729010317 CT ABLATION RENAL PERC CRYO RIGHT "$15,192 " 729010314 CT ABLATION RENAL RF BILAT "$22,791 " 729010313 CT ABLATION RENAL RF RIGHT "$15,192 " 729076333 CT ABLATION S&I "$2,561 " 729010301 CT ABSCESS DRAIN APPENDICEAL "$4,410 " 729010300 CT ABSCESS DRAIN SUBDIAPHRAGM "$4,410 " 726176323 CT ANGIO ABDOM AORTA W/&W/O +POST "$3,690 " 726178836 CT ANGIO ABDOM/PELVIC W&W/O CON "$5,590 " 726176108 CT ANGIO ABDOMEN W & W/O CONTRAST "$3,740 " 726176109 CT ANGIO BRAIN "$3,635 " 726176110 CT ANGIO CHEST W & W/O CONTRAST "$4,377 " 726176113 CT ANGIO NECK W-W/O & POST "$3,635 " 726176111 CT ANGIO RENAL W & W/O CONTRAST "$3,740 " 729011565 CT ANGIO UPPER EXT BIL "$5,861 " 726176336 CT ANGIO-LOW- EXT-(L) W+W/O+POST "$3,393 " 726176337 CT ANGIO-LOW EXT-(R) W+W/O+POST "$3,393 " 726176427 CT ANGIO-LOW EXT-BIL W&W/O "$6,785 " 726176320 CT ANGIO-PELVIS-W/&W/O +POST "$3,594 " 726176374 CT ANGIO-UP EXT-(L) W+W/O+POST "$3,562 " 726176375 CT ANGIO-UP EXT-(R) W+W/O+POST "$3,562 " 729011246 CT APRIMA KIT $512 729076551 CT BARIATRIC ABD/PELVIS W CONTRAS "$5,412 " 729076550 CT BARIATRIC ABD/PELVIS WO CONTRA "$4,700 " 729076270 CT BIOPSY - LIVER "$2,033 " 729076274 CT BIOPSY - PANCREAS "$2,490 " 729076275 CT BIOPSY - PROSTATE "$3,921 " 729076277 CT BIOPSY - THYROID "$1,789 " 729076267 CT BIOPSY ABDOMEN/PELVIC MASS "$2,376 " 729076294 CT BIOPSY BONE DEEP "$2,443 " 729076290 CT BIOPSY BONE SUPERFICIAL "$2,443 " 729076201 CT BIOPSY GUN $76 729076361 CT BIOPSY LOWER EXT SOFT TISSU LT "$1,611 " 729076364 CT BIOPSY LOWER EXT SOFT TISSU RT "$1,611 " 729076273 CT BIOPSY LUNG/MEDIASTINUM "$2,443 " 729076272 CT BIOPSY LYMPH NODE SUPERFICIAL "$1,468 " 729076300 CT BIOPSY MUS/SOFT TISS NOT EXT "$1,611 " 729010308 CT BIOPSY MUSCLE "$1,611 " 729076352 CT BIOPSY PLEURA LT "$2,376 " 729076367 CT BIOPSY PLEURA RT "$2,376 " 729076278 "CT BIOPSY RETROPER(ADRENAL,LYMPH)" "$2,376 " 729078835 CT BIOPSY SALIVARY GLAND "$1,037 " 729078871 "CT BIOPSY TESTIS, EPIDIDYMIS" "$1,166 " 729076298 CT BIOPSY UPPER EXT SOFT TISSU LT "$1,611 " 729076373 CT BIOPSY UPPER EXT SOFT TISSU RT "$1,611 " 729076355 CT BIOPSY-KIDNEY-LEFT "$2,033 " 729076358 CT BIOPSY-KIDNEY-RIGHT "$2,033 " 729011638 CT BLOOD PATCH "$1,694 " 726177629 CT BONE LENGTH SCANOGRAM $509 729076474 CT BONE MARROW BIOPSY "$3,385 " 729011452 CT BONE MARROW BIOPSY /ASPIRATION "$1,112 " 729011181 CT BONE MARROW CONCENTRATE THERAP $126 729011367 CT BRAIN W CONTRAST STEALTH "$3,566 " 729078881 CT BRAIN W/O CONTRAST STEALTH "$3,035 " 729078891 CT C SPINE W/O CONTRAST STEALTH "$3,434 " 729076218 CT CATHETER-APD $384 729076224 CT CELIAC GANGLIA BLOCK $286 726176026 CT CERVICAL SPINE W/ CONTRAST "$3,542 " 726176025 CT CERVICAL SPINE W/O CONTRAST "$3,434 " 729011535 CT CERVICAL SPINE W/WO CONTRAST "$3,690 " 729011424 CT CHANGE CYSTOSTOMY TUBE "$2,176 " 726176045 CT CHEST LIMITED "$3,157 " 729078897 CT CHEST LUNG SCREENING WO CONTR $450 726176048 CT CHEST W/ & W/O CONTRAST "$4,069 " 726176047 CT CHEST W/ CONTRAST "$3,875 " 726176046 CT CHEST W/O CONTRAST "$3,157 " 729011611 CT CONTRAST INJ KNEE CT SCAN $949 726178843 CT CORONARY CALCIUM SCREENING. "$1,328 " 729011189 CT CRYO ABLATION BONE W GUIDE "$14,402 " 726176487 CT CTA CONGEN HEART WO W/O+W+PP "$2,736 " 729011175 CT CTA COR &/OR GRAFT W CON+PP "$2,059 " 726176486 CT CTA HEART STRUCTURE W/O+W+PP "$1,197 " 729076200 CT CUT BIOPSY NEEDLE $224 729011121 CT CYS/ABS (PERI) RENAL GUIDE LT "$4,410 " 729011123 CT CYS/ABS LUNG MEDIASTINUM/GUIDE "$4,410 " 729011147 CT CYS/ABS(PERI) RENAL GUIDE RT "$4,410 " 729011115 CT CYST/ABS ABD WALL/CATH/GUIDE $643 729011114 CT CYST/ABS DRA EXTREMIT CATH/GUI $643 729011113 CT CYST/ABS PERISPINAL/CATH/GUIDE $643 729011117 CT CYST/ABSC ABD/PELV CAVIT/GUIDE "$4,410 " 729076124 CT CYST/ABSC DRAIN GUIDANCE S&I "$1,182 " 729011119 CT CYST/ABSC DRAIN LIVER/GUIDE "$4,410 " 729011120 CT CYST/ABSC DRAIN PANCREAS/GUIDE "$4,410 " 729011118 CT CYST/ABSC RETROPERIT CAV/GUIDE "$4,410 " 729011362 CT CYSTOGRAPHY S & I $508 729011361 CT CYSTOGTRAPHY INJECTION $660 729076223 CT DILATOR $49 729011100 CT DRAIN GALLBLADDER /GUIDE "$4,570 " 729010316 CT ENTEROGRAPHY W/ CONTRAST "$5,412 " 729078861 CT EXCHANGE CYST/ABSC CATHET S&I $855 729078859 CT EXCHANGE CYST/ABSCESS CATHETER "$2,705 " 729011422 CT EXCHANGE PLEURAL DRAIN "$1,880 " 729010307 CT FACET J INJ 1ST NERVE LUM/SAC "$3,558 " 729010303 CT FACET J INJ 2ND LEV LUM/SAC "$1,096 " 729010304 CT FACET J INJ 3RD LEV LUM/SAC "$1,096 " 729011245 CT FACET JNT INJ THIRD LEV W GUID "$1,096 " 729011244 CT FACET JOINT INJ SEC LEV W GUID "$1,096 " 729076228 CT FACET JOINT INJ-FIRST NERVE "$3,558 " 726176959 "CT FDG, PER DOSE" $269 729078846 CT FEMORAL NERVE BLOCK LT "$1,924 " 729078845 CT FEMORAL NERVE BLOCK RT "$1,924 " 729011602 CT FNA ANY AREA 1ST LESION "$1,324 " 729011603 CT FNA ANY AREA EACH ADD LESION $331 729010302 CT FOLLOW UP LUNG SCREEN W/CONT "$3,875 " 729011226 CT FOLOW UP LUNG SCREEN WO CONT "$3,157 " 729076305 CT GUIDANCE NEEDLE PLACEMENT "$2,561 " 729076220 CT GUIDEWIRE-50CM $780 726176003 CT HEAD W/ & W/O CONTRAST "$4,092 " 726176002 CT HEAD W/ CONTRAST "$3,566 " 726176001 CT HEAD W/O CONTRAST "$3,035 " 729076432 CT HEAD-STROKE ALERT "$3,035 " 729011223 CT HIGH RESOL CHES W/O "$3,157 " 729011253 CT HYPOGASTRIC NERV BLOCK "$2,828 " 726176440 CT IAC BILAT W CONTRAST "$3,213 " 726176441 CT IAC BILAT W O CONTRAST "$3,017 " 726176442 CT IAC BILAT W&WO CONTRAST "$3,493 " 729011407 CT INJ LUMB/CAUDAL EPI W GUIDANCE "$2,469 " 729011149 CT INJECT TENDON ORIGIN $774 729076543 CT INJECT/ASPIRATE INTERMEDIATE J $520 729076542 CT INJECT/ASPIRATE MAJOR JOINT $520 729078848 CT INSERTION OF SUPRAPUBIC CATH "$2,726 " 729011530 CT JNT/BUR MAJ ARTH/INJ/ASP LT $520 729011529 CT JNT/BUR MAJ ARTH/INJ/ASP RT $520 729011200 CT KYPHOPLASTY ADD LEVEL W GUID "$11,385 " 729011198 CT KYPHOPLASTY LUMBAR W GUIDE "$16,594 " 729011196 CT KYPHOPLASTY THORACIC W GUIDE "$16,594 " 726176447 CT LIMITED FOLLOW UP "$1,553 " 726176439 CT LOWER EXT BILAT W O CONT "$5,529 " 729010311 CT LOWER EXT BILATERAL LIMITED "$1,553 " 726176435 CT LOWER EXT. - LEG LENGTHS "$2,928 " 726176425 CT LOWER EXT-BILAT-W/CONT "$5,879 " 726176400 CT LOWER EXT-LEFT-W/CONTRAST "$3,122 " 726176396 CT LOWER EXT-LEFT-W/O CONT "$2,928 " 726176394 CT LOWER EXT-LEFT-W+W/O CONT "$3,393 " 726176401 CT LOWER EXT-RIGHT-W/CONTRAST "$3,122 " 726176397 CT LOWER EXT-RIGHT-W/O CONT "$2,928 " 729076395 CT LOWER EXT-RIGHT-W+W/O CONT "$3,393 " 729011534 CT LOWER EXT-W+W/O CONT BIL "$6,400 " 729078882 CT L-SPINE W/O CONTRAST STEALTH "$3,366 " 726176038 "CT LUM SPINE,1-3 DISC W/ CONT" "$3,542 " 726176036 "CT LUM SPINE,1-3 DISC W/O CONT" "$3,366 " 726176042 "CT LUM SPINE,4-6 DISC W/ CONT" "$3,542 " 726176040 "CT LUM SPINE,4-6 DISC W/O CONT" "$3,366 " 729078071 CT LUMBAR SPINE W & WO CONTRAST "$3,690 " 726176017 CT MANDIBLE "$2,988 " 729011378 CT MAX/FAC W & WO CONTRAST "$3,461 " 726176019 "CT MAX/FAC/SIN W/O CONT,AXIAL" "$2,988 " 726176207 "CT MAX/FAC/SINUS W/CONT, CORONAL" "$3,183 " 726176008 "CT MAX/FAC/SINUS W/CONT,AXIAL" "$3,183 " 726176208 "CT MAX/FAC/SINUS W/O CON, CORONAL" "$2,988 " 726176022 "CT NECK, SOFT TISS W/ CONT" "$3,183 " 726176021 "CT NECK, SOFT TISS, W/O CONT" "$2,988 " 726176023 "CT NECK, SOFT TISS,W/&W/O CONT" "$3,461 " 729076221 CT NEEDLE CHIBA $81 729076501 CT NEEDLE GUIDE ASPIRATION S&I "$2,561 " 726176009 CT ORBIT W/ & W/O CONTRAST "$3,493 " 726176007 CT ORBIT W/ CONTRAST "$3,213 " 726176006 CT ORBIT W/O CONTRAST "$3,017 " 729076029 CT OSTYCUT BIOPSY NEEDLE $437 729078842 CT PARACENTESIS WITH IMAGING "$2,265 " 726176060 CT PELVIS W/ & W/O CONTRAST "$4,173 " 726176058 CT PELVIS W/ CONTRAST "$3,879 " 726176059 CT PELVIS W/O CONTRAST "$3,457 " 729078379 CT PERC CRYO KIDNEY "$15,192 " 729076497 CT PERC CRYO OTHER THAN KIDNEY "$1,601 " 729076262 CT PERC DISC/PARAVERT TISS ASPIRA "$1,541 " 729011639 CT PERICARDIOCENTESIS W GUIDE "$2,338 " 729078879 CT PLEURAL TUBE DRAN/ IMAGE GUIDA "$4,512 " 729076496 CT PROBE CRYOABALATION 1.7MM EA "$3,220 " 729076495 CT PROBE CRYOABLATION 2.4MM "$4,686 " 729078837 CT PRP INJ W CT GUIDANCE "$1,014 " 729078885 CT PUDENDAL NERVE BLOCK "$1,361 " 726178069 CT RENAL STONE "$4,700 " 729011187 CT RF ABLAT BONE TUMOR W CT GUIDE "$14,813 " 729076326 CT RF ABLATION LIVER "$13,399 " 729076332 CT RF ABLATION LUNG WITH GUIDANCE "$13,027 " 729076329 CT RF ABLATION NEEDLE EA "$2,818 " 729076430 CT RF ABLATION RENAL "$15,192 " 729076328 CT RF/MW ABLATION PROBE EA "$3,792 " 729011203 CT SACROPLASTY BILATERAL W GUIDE "$15,366 " 729011202 CT SACROPLASTY UNILATERAL W GUIDE "$10,244 " 729011586 CT SACROPLASTY W GUIDE RT "$10,244 " 766092300 CT SCAN FOR THERAPY GUIDE $154 729011600 CT SCLEROTX CYST/SEROMA "$3,532 " 726176018 "CT SELLA, AXIAL W/ CONTRAST" "$3,213 " 726176012 "CT SELLA, AXIAL W/O CONTRAST" "$3,017 " 726176011 "CT SELLA, CORONAL W/ CONTRAST" "$3,213 " 726176010 "CT SELLA, CORONAL W/O CONTRAST" "$3,017 " 729011116 CT SEROMA ABSCE BREAST/CATH/GUIDE $643 729078839 CT SI JOINT INJECT BIL W IMAGING "$4,201 " 729076403 CT SI JOINT INJECT W/IMAGING RT "$1,968 " 729076402 CT SI JOINT INJECTION W/IMAGE LT "$1,968 " 729076544 CT SI JOINTS LIMITED "$3,457 " 726176234 CT SINUS - CORONAL ONLY "$2,988 " 726176301 CT SINUS AXIAL + CORONAL "$2,988 " 726176264 CT SINUS AXIAL ONLY "$2,988 " 729076418 CT SINUS W & W/O CONTRAST "$3,461 " 729078883 CT SINUS W/O CONTRAST STEALTH "$2,988 " 729010305 CT SINUSES LIMITED "$2,988 " 726176482 CT SPINAL INJECTION FLUORO GUIDE "$1,035 " 729078892 CT T SPINE W/O CONTRAST STEALTH "$3,366 " 729011536 CT THOR SPINE W/WO CONTRAST "$3,690 " 726176030 "CT THOR SPINE,1-3 DISC W/ CONT" "$3,547 " 726176028 "CT THOR SPINE,1-3DISC W/O CONT" "$3,366 " 726176034 "CT THOR SPINE,4-6 DISC W/ CONT" "$3,547 " 726176032 "CT THOR SPINE,4-6DISC W/O CONT" "$3,366 " 729078880 CT THORACENTESIS/ IMAGE GUIDANCE "$2,120 " 729011150 CT THROMBIN INJ $964 729011238 CT TIGGER POINT INJ 1-2 MUSCLES "$1,626 " 729076417 CT TMJ-BILAT W/CONTRAST "$3,183 " 726176416 CT TMJ-BILAT-W/O CONTRAST "$2,988 " 729076421 CT UPPER EXT BIL W&W/O CONTRAST "$6,400 " 729010312 CT UPPER EXT BILATERAL LIMITED "$1,553 " 729010306 CT UPPER EXT W/CONTRAST BIL "$6,400 " 726176414 CT UPPER EXT-LEFT-W/CONTRAST "$3,122 " 726176412 CT UPPER EXT-LEFT-W/O CONTRAST "$2,928 " 729076410 CT UPPER EXT-LEFT-W+W/O CONT "$3,393 " 729010310 CT UPPER EXTREMITY LIMITED "$1,553 " 729076415 CT UPPER EXT-RIGHT-W/CONTRAST "$3,122 " 726176413 CT UPPER EXT-RIGHT-W/O CONT "$2,928 " 729076411 CT UPPER EXT-RIGHT-W+W/O CONT "$3,393 " 729076419 CT UPPER EXTRM W/O CONT BIL "$5,529 " 729011368 CT VENOGRAM HEAD W CONTRAST "$3,635 " 729011194 CT VERTEBROPLAST ADD LEVEL W GUID "$5,033 " 729011190 CT VERTEBROPLAST CERV/THO W GUIDE "$10,244 " 729011192 CT VERTEBRPLAST LUMBOSACR W GUIDE "$10,244 " 616066063 CTLSO "$3,990 " 667069245 CTO ADVANCE CATHETER $952 667069246 CTO SUPPORT CATHETER "$1,312 " 4059438 CULT GBS PEN ALLERG $166 4059624 CULTURE AEROBC OTHER QN $237 3655382 CULTURE AEROBIC $370 3655386 CULTURE AEROBIC ADDL METHOD $149 3655383 CULTURE AEROBIC OTHER QN $237 4059076 CULTURE AEROBIC. $370 4059635 CULTURE AFB BLOOD MYCOBACTERIA $583 3655385 CULTURE ANAEROBIC $597 3655384 CULTURE ANAEROBIC OTHER QN $156 4059432 CULTURE ANAEROBIC. $597 4059429 CULTURE BLOOD $407 3655443 CULTURE DEFIN ID ANAEROBIC ISOL $62 3655391 CULTURE FUNGUS $336 4059495 CULTURE FUNGUS SKIN/HAIR/NAIL $336 4059439 CULTURE GBS PCN NON ALLERG $166 4059436 CULTURE GC ONLY $232 4059640 CULTURE HERPES $457 3655393 CULTURE ID NUC ACID DIRECT PROBE $487 4059434 CULTURE LEGIONELLA $506 3655392 CULTURE MOLD ID $75 4059435 CULTURE MRSA SCREEN $173 3655387 CULTURE PRESUMPTIVE SCREENING $173 4059431 CULTURE STOOL ADDL PATHOGEN $74 3655380 CULTURE STOOL SALMONELLA/SHIGELLA $423 4059430 "CULTURE STOOL," $423 4059440 CULTURE STREP GROUP A $56 3655637 "CULTURE TYPE IMMUNOLOGIC,PER ANTI" $40 4059441 CULTURE URINE $393 3655389 CULTURE URINE ID EA ISOLATE $155 3655388 CULTURE URINE QN $393 700046631 "CULTURE, MYCOPLASMA PNEUMONIA" $128 724074800 CUSTOM ANGIO KIT $406 616050619 CUSTOM FITTED LSO "$2,196 " 680151255 CUSTOM FITTED TLSO "$2,196 " 772086410 CUSTOM ORTHOTIC/SPLINT SUPPLY-LG $230 722095230 CUSTOM ORTHOTIC/SPLINT SUPPLY-LGR $230 722095231 CUSTOM ORTHOTIC/SPLINT SUPPLY-MED $171 772086413 CUSTOM ORTHOTIC/SPLINT SUPPLY-SM $118 797029109 CUTTING/PARING LESION (ANY NO) $251 710075721 CV ARTERIAL DOPPLER LOWER EXT -LT "$1,303 " 710075722 CV ARTERIAL DOPPLER LOWER EXT -RT "$1,303 " 710075723 CV ARTERIAL DOPPLER UPPER EXT- LT "$1,148 " 710075724 CV ARTERIAL DOPPLER UPPER EXT-RT "$1,148 " 710075676 CV LOWER EXT ARTERIAL DUPLEX - LT "$1,303 " 710075677 CV LOWER EXT ARTERIAL DUPLEX RT "$1,303 " 710075696 CV LOWER EXT BYPAS GRAFT DUPLX-LT "$1,303 " 710075697 CV LOWER EXT BYPAS GRAFT DUPLX-RT "$1,303 " 710075672 CV LOWER EXT VENOUS DUPLEX - LT "$1,021 " 710075673 CV LOWER EXT VENOUS DUPLEX - RT "$1,021 " 710075717 CV LOWER EXT VENOUS W/ REFLUX-RT "$1,021 " 710075703 CV LOWER EXTR VENOUS W/ REFLUX-LT "$1,021 " 710075701 CV LOWER EXTR VENOUS W/REFLUX-BIL "$1,612 " 710075720 CV RAYNAUDS SERIES LOWER EXT "$1,236 " 710075718 CV RAYNAUDS SERIES UPPER EXT "$1,236 " 710075682 CV SEGM PRES (ABI) MULT NO EXER "$1,236 " 710075683 CV SEGM PRES (ABI) SING NO EXER $482 710075678 CV SEGMENT PRES (ABI) MULT EXERE "$1,236 " 710075679 CV SEGMENT PRES (ABI) SING EXER $482 710075680 CV UPPER EXT ARTERIAL DUPLEX - LT "$1,148 " 710075681 CV UPPER EXT ARTERIAL DUPLEX - RT "$1,148 " 710075698 CV UPPER EXT BYPAS GRAFT DUPLX-LT "$1,148 " 710075699 CV UPPER EXT BYPAS GRAFT DUPLX-RT "$1,148 " 710075674 CV UPPER EXT VENOUS DUPLEX - LT "$1,021 " 710075675 CV UPPER EXT VENOUS DUPLEX - RT "$1,021 " 710075691 CV VEIN MAPPING LOWER EXT - BIL "$1,612 " 710075693 CV VEIN MAPPING LOWER EXT - LT "$1,021 " 710075695 CV VEIN MAPPING LOWER EXTR - RT "$1,021 " 710075684 CV VEIN MAPPING UPPER EXT - BIL "$1,612 " 710075685 CV VEIN MAPPING UPPER EXT - LT "$1,021 " 710075687 CV VEIN MAPPING UPPER EXT - RT "$1,021 " 770052675 CVA SLING $69 685020115 CVC CATHETER $175 632085126 CVC ICU "$4,980 " 632085127 CVC INTERMEDIATE "$4,804 " 657089999 CVOR LEVEL 1 EA ADDL 15 MINUTES $626 657089998 CVOR LEVEL 1 FIRST 30 MINUTES "$2,885 " 657089997 CVOR LEVEL 2 EA ADDL 15 MINUTES "$1,305 " 657089996 CVOR LEVEL 2 FIRST 30 MINUTES "$6,241 " 657089995 CVOR LEVEL 3 EA ADDL 15 MINUTES "$1,545 " 657089994 CVOR LEVEL 3 FIRST 30 MINUTES "$7,515 " 657089993 CVOR LEVEL 4 EA ADDL 15 MINUTES "$2,082 " 657089992 CVOR LEVEL 4 FIRST 30 MINUTES "$9,296 " 657089991 CVOR LEVEL 5 EA ADDL 15 MINUTES "$2,616 " 657089990 CVOR LEVEL 5 FIRST 30 MINUTES "$11,072 " 657089989 CVOR LEVEL 6 EA ADDL 15 MINUTES "$3,086 " 657089988 CVOR LEVEL 6 FIRST 30 MINUTES "$13,065 " 700049161 CYANIDE $45 4059494 CYANOCOBALAMIN UNSAT BIND CA $423 6753359 CYBERWAND PROBE SET "$2,528 " 700040600 CYCLIC CITRULLINATED PEPTIDE ANTI $126 700049164 CYCLOSPORINE $205 3655008 CYCLOSPORINE MONOCLONAL $510 6759984 CYGNUS PER SQ CM LVL 1 $223 6751154 CYMETRA-PER 1 CC $779 4059480 CYP2D6 GENE COM VARIANTS $911 660064069 CYRSTALEN-HD $995 3655707 CYSTATIN C $69 3655707 CYSTATIN C $95 4059636 CYSTATN C $69 4059409 CYSTICERCOSIS ANTIBODY $252 700044041 "CYSTICERCUS ANTIBODY, CSF" $123 3655080 CYSTINE & HOMOCYSTINE QL $191 700043480 "CYSTINE, QUANT (24H URINE)" $132 6753583 CYTAL PER SQ CM $58 3656640 "CYTO URN 3-5 PROB EA SPEC, MANUAL" "$3,143 " 4059639 CYTOGENETICS DNA PROBE $415 705048262 CYTOLOGIC EXAM(TOUCH PREP)EA AD S $146 705048261 CYTOLOGIC EXAM(TOUCH PREP)INIT SI $246 705048091 CYTOLOGY FL NON GYN SMEARS $359 705048090 CYTOLOGY PAP $59 700042029 "CYTOMEGALOVIRUS ABS, IGM" $142 700043047 CYTOMEGALOVIRUS CULTURE $69 700049914 CYTOMEGALOVIRUS DNA PCR $388 4059080 CYTOPATH CERV/VAG SLIDES MAN SCRN $101 3655422 CYTOPATH CONCENTRATION $156 4059620 CYTOPATH TECH ENHANCEMENT $399 700044068 CYTOPLASMIC NEUTROPHIL ANTIBODY $76 705083624 CYTOSPIN PROCESS $206 705083628 CYTP FNA EVAL EACH ADDL $187 4059477 CYTP URNE 3-5 PROBES EA SPEC $475 4059316 D DIMER $279 700044533 D DIMER QUANTITATIVE $279 6753229 DART CHONDRAL $441 3655263 D-DIMER QN $279 777058635 DEBR OPEN WD SESSION 1ST 20CM < $637 777057003 DEBR SKI/SUBQS/MUS/BONE TO 20 SQ "$3,429 " 777057004 DEBR SKI/SUNQ/MUS/BONE ADD 20 SQ "$1,541 " 771086430 DEBRI OPEN WD SESSION 1ST 20CM - $637 770085365 DEBRI OPEN WD SESSION ADD 20 SQ C $319 777057000 DEBRI SKIN SUBCU ADD 20 SQ CM $369 777058999 DEBRI SKIN SUBCU UP TO 20 SQ CM $738 777057002 DEBRI SKIN/SUBQ/MUS ADD 20 SQ CM $701 777057001 DEBRI SKIN/SUBQ/MUS UP-20 SQ CM "$1,404 " 690051955 DEBRID. OPEN WOUND 1ST 20CM OR LE $620 690051432 DEBRIDE INFECTED SKIN "$1,022 " 690051439 DEBRIDE TISSUE/MUSCLE/BONE "$1,930 " 797029107 DEBRIDEMENT =<10% BODY AREA $403 797029108 DEBRIDEMENT EA ADD 10% BODY AREA $274 705048037 DECALCIFICATION $137 4059091 DECALCIFICATION TECHNICAL $132 4031026 DECLOT CENTRAL LINE $929 665052226 DECLOT DEVICE BY THROMBOLYTIC AGE $840 700047091 DEGLYCEROLIZED RBC "$1,569 " 667069291 DELAYED PLAC EXTENSION PROSTHESIS "$9,344 " 670068011 DELIVERY - LDR "$2,703 " 750010812 DELIVERY ATTENDANCE $43 750010813 DELIVERY ATTENDANCE&RESUSCITATION "$1,445 " 670055005 DELIVERY OF PLACENTA "$2,083 " 3655038 DELTA AMINOLEVULINIC ACID $483 6751765 DELTA SHUNT ASSEMBLY "$5,795 " 6751766 DELTA VALVE "$5,249 " 771086135 DEMA SLEEVE / INCH $3 771088135 DEMA SLEEVE/INCH $4 690051695 DENTAL SURGERY PROCEDURE $620 700049373 DEPAKENE (VALPROIC ACID) $393 797029065 DEPRESSION SCREEN ANNUAL $91 6758351 DERMACARRIER MESHGRAFT $130 6753292 DERMACELL 5X7CM PER SQ CM $260 6753380 DERMACELL 8X16CM PER SQ CM $98 6751771 DERMAL FETAL IMPLANT LVL I "$4,527 " 6751772 DERMAL FETAL IMPLANT LVL II "$17,714 " 6751773 DERMAL FETAL IMPLANT LVL III "$36,083 " 6751774 DERMAL FETAL SKN SB .5SQCM LVL I $59 6751775 DERMAL FETAL SKN SB .5SQCM LVL II $251 6751776 DERMAL FETAL SKN SB .5SQCM LVLIII $419 6751777 DERMAL NEONATAL IMPLANT LVL I "$4,527 " 6751778 DERMAL NEONATAL IMPLANT LVL II "$17,714 " 6751779 DERMAL NEONATAL IMPLANT LVL III "$37,887 " 6754891 DERMAL SKN SB .5SQCM LVL I $59 6754892 DERMAL SKN SB .5SQCM LVL II $251 6754893 DERMAL SKN SB .5SQCM LVL III $419 6753641 DERMAPURE PER SQ CM LVL 1 $110 6753642 DERMAPURE PER SQ CM LVL 2 $280 6751780 DERMASPAN IMPLANT LEVEL I "$12,269 " 6751781 DERMASPAN IMPLANT LEVEL II "$15,650 " 6751782 DERMASPAN IMPLANT LEVEL III "$20,031 " 6751783 DERMASPAN PER SQ CM $217 4031080 DESENSITIZATION RAPID EACH HR $343 741083341 DESTRUCT GENICULAR NER W/GUID BIL "$3,347 " 741083340 DESTRUCT GENICULAR NER W/GUID UNI "$2,231 " 741052301 DESTRUCTION BY NEUROLYTIC AGENT "$2,231 " 797029115 DESTRUCTION MALIGNANT =<3 CM $251 797029116 DESTRUCTION MALIGNANT >3 CM $422 797029031 "DESTRUCTION,BENIGN, UP TO 14" $541 797029117 "DESTRUCTION,PREMALIGNANT < 14" $251 797029032 "DESTRUCTIONY, BENIGN, 15 AND MORE" $666 797029118 "DESTRUCTIONY, PREMALIGNANT=>15" $821 3656628 DETECT AGENT MULTI DNA AMPLIFIED $542 6753636 DEV/DRUG MTRX BN/BN TIS/BN LVL 1 "$5,780 " 6753637 DEV/DRUG MTRX BN/BN TIS/BN LVL 2 "$10,660 " 6753592 DEVICE BALLOON DELIVERY "$1,890 " 4059629 DHEA (DEHYDROEPIANDOSTERONE) $633 4059177 DHEA SULFATE $434 700043641 DHEA- UNCONJUGATED $80 700043640 DHEA-SULFATE $189 667059104 DIAGNOSTIC CATHETER SINGLE $48 4031067 DIAGNOSTIC EVALUATION $485 667059113 DIAGNOSTIC GUIDEWIRE $12 690051668 DIAGNOSTIC LARYNGOSCOPY "$1,930 " 690051669 DIAGNOSTIC LARYNGOSCOPY. $620 724077142 DIAGNOSTIC SHEATH $252 685029521 DIALYS. CAP ADAPTER $20 685082807 DIALYSIS CATHETER $192 667069259 DIALYSIS CIRCUIT EMBOLJZATION ADD $595 685022070 DIALYSIS Y-SET $75 700047023 DIATHERIX RESP INF PANEL $225 700040140 DIFFERENTIAL $30 700049212 DIGOXIN $377 3655009 DIGOXIN (LANOXIN) $377 700042068 DIL RUSSELLS VIPER VENOM $57 700049213 DILANTIN $328 6753336 DILATOR NOTTINGHAM $380 6750377 DILATOR VESSEL $40 3655341 DIPHTHERIA ANTIBODY $309 700044070 DIPHTHERIA TITER $221 3656656 DIPROPYLACETIC ACID FREE $45 614063070 DIREC ADMIT TO OBV - 4N $303 4059426 DIRECT ANTIGLOBULIN C3D-C3B $161 4059425 DIRECT ANTIGLOBULIN IGG SERUM $161 4059427 DIRECT ANTIGLOBULIN TEST $161 4059446 DIRECT GRAM STAIN W CULT $128 3655398 DIRECT GRAM/GIEMSA STAIN $128 3655399 DIRECT SMEAR W AFB CULTURE $156 700047304 DIRECTED DONOR (IRRADIATED) "$1,243 " 750080165 DISABILITY SPIR PRE & POST "$1,117 " 6751795 DISC SHIM "$2,703 " 741052357 DISCOGRAPHY LUMBAR INJ EACH LEVEL $520 741052358 DISCOGRAPHY LUMBAR S&I "$3,946 " 700040157 DISOPYRAMIDE LEVEL $42 4059125 DISOPYRAMIDE(NORPACE) LEVEL $302 6751798 DISP ENDOPATH 10/11 BLUNT $824 6754730 DISP. OCCUTOME PROBE "$1,195 " 750010818 DISPOSABLE BRONCHOSCOPE $578 6751267 DISPOSABLE ICP ACCESS KIT "$2,400 " 777059008 DISPOSABLE NPWT DEVICE $365 6757810 DISPOSABLE PURSE STRING DEVICE $551 6751827 DISSECTOR ENDOSCOPIC "$3,260 " 6751808 DISSECTOR LAPAROSCOPIC DISP $807 6753861 DISTAL CATHETER KIT "$1,788 " 816092108 DM SELF MGT TRN GRP/30 MIN. $45 816092521 DM SELF MGT TRN IND/30 MIN. $85 3655299 DNA DOUBLE STRAND ANTIBODY $70 3655300 DNA SINGLE STRAND ANTIBODY $277 710075663 DOBUTAMIN STRESS ECHO W/CONTR ECG "$1,880 " 710072126 DOBUTAMINE MPI "$1,088 " 710075661 DOBUTAMINE STRESS ECHO CONT ECG "$1,970 " 710075669 DOPPL ECHO FETAL SPEC F/U/REPEAT $554 710075668 DOPPLE ECHO FETAL SPECT COMPLETE "$1,009 " 710072112 DOPPLER ART EXTREMITY W/STRESS BI "$1,329 " 667059218 DOPPLER NEEDLE $389 4059592 DPYD GENE COMMON VARIANTS $578 6750532 DRAIN AMBULATORY DRY SEAL CHEST $558 690051445 DRAIN BLOOD FROM UNDER NAIL $620 690051054 DRAIN EXTERNAL EAR LESION- BIL "$1,022 " 690051053 DRAIN EXTERNAL EAR LESION- LT "$1,022 " 690051742 DRAIN EXTERNAL EAR LESION- RT "$1,022 " 690052456 DRAIN FINGER ABCESS COMPLEX "$1,930 " 690052455 DRAIN FINGER ABCESS SIMPLE $620 6757105 DRAIN HEMOVAC LG. MED $151 6757106 DRAIN HEMOVAC SMALL $152 690051056 DRAIN OUTER EAR CANAL LESION-BIL "$1,022 " 690051055 DRAIN OUTER EAR CANAL LESION-LT "$1,022 " 690051905 DRAIN OUTER EAR CANAL LESION-RT "$1,022 " 6751812 DRAIN PLEUR EVAC $145 690051897 DRAIN THIGH/KNEE LESION "$1,930 " 690051508 "DRAIN/INJECT, JOINT/BURS/INTERM J" $620 690051509 "DRAIN/INJECT, JOINT/BURSA/MAJOR J" $620 690051427 DRAINA PILONIDAL CYST COMPLICATED "$1,022 " 690051831 DRAINAGE ABSCESS OR HEMATOMA NASA $620 685024727 DRAINAGE INFANT CHEST CATHETER $243 690051824 "DRAINAGE OF ABSCESS OF PALATE, UV" $620 690051738 DRAINAGE OF EYELID ABSCESS- E1 $620 690051047 DRAINAGE OF EYELID ABSCESS- E2 $620 690051048 DRAINAGE OF EYELID ABSCESS- E3 $620 690051049 DRAINAGE OF EYELID ABSCESS- E4 $620 690051721 DRAINAGE OF GLAND ABSCESS $620 690051693 DRAINAGE OF GUM LESION $620 690051429 DRAINAGE OF HEMATOMA/FLUID "$1,930 " 690051686 DRAINAGE OF MOUTH LESION "$1,022 " 690051426 DRAINAGE OF PILONIDAL CYST "$1,022 " 690051853 DRAINAGE OF RECTAL ABSCESS "$1,022 " 690051814 DRAINAGE OF SCROTAL WALL ABSCESS "$1,930 " 690051424 DRAINAGE OF SKIN ABSCESS $620 690051697 DRAINAGE OF TONSIL ABSCESS $620 797029104 DRAINAGE PILONADAL CYST SIMPLE $390 690051425 DRAINAGE SKIN ABSCESS COMPLICATED $620 685022230 "DRAINAGE, EXTERNAL ""BECKER""" $447 797029027 DRAINE PILONADAL CYST COMPLICATED $631 777058789 DRESS/DEB BURN < 5% TOTAL SMALL $384 6757164 DRESSING ABDOMINAL VAC "$1,611 " 685020074 DRESSING ELASTO GEL $8 6750482 DRESSING KOMPREX SHEET $160 685021223 DRESSING MEDIPORE $2 685029092 DRESSING MEPILEX BORDER $12 768084363 DRESSING SUPPLY/MATERIAL LARGE $58 768084362 DRESSING SUPPLY/MATERIAL MEDIUM $28 6757259 DRESSING SURGICEL 2 X 3 $118 6750881 DRESSING SURGICEL 4 X 8 $487 6751583 DRESSING WOUND CONTACT SILVERLON $44 685024730 "DRESSING, BIOCLUSIVE" $2 685029130 "DRESSING, HEAVY DRAINAGE" $2 6755439 "DRESSING, SURGICEL 1/2 X 2" $80 685029502 "DRESSING, TEGADERM" $1 685029519 "DRESSING, TEGADERM 4*4/OPSITE" $1 685020101 "DRESSING, TEGAFOAM SM" $5 685029983 "DRESSING, TEGASORB/ALLVYN" $2 6751813 DRILL AND SPEAR DISP KIT $739 6751814 DRILL BIT/BUR LVL I $437 6751815 DRILL BIT/BUR LVL II $691 6751819 DRILL BIT/BUR LVL III "$1,652 " 4059645 DRUG ASSAY INFLIXIMAB $116 667069229 DRUG COATED BALLOON "$2,400 " 74107026 "DRUG ES, DEF. 1-7 ANALYES" $395 3655020 DRUG QUANT NOS $302 700040415 DRUG SCREEN URINE TOXIC $285 4059534 "DRUG SCREEN, ANY CLASS A, SGL MTH" $468 4059633 DRUG SCREENING OXYCODONE $137 4059532 DRUG TEST DEF 15-21 CLASSES $520 4059530 DRUG TEST DEF 1-7 CLASSES $402 4059533 DRUG TEST DEF 22+CLASSES $595 4059531 DRUG TEST DEF 8-14 CLASSES $453 3655699 DRUG TEST DEFIN QUL/QUN 1-7 PR DY $402 3655700 DRUG TEST DEFIN QUL/QUN 8-14PR DY $453 4059517 DRUG TEST PRESUMPT DIR OPT OBS $89 4059516 DRUG TEST PRESUMPT INSTRUMENT $114 4059515 DRUG TEST PRESUMPT PR DOS $468 700040423 "DRUG TEST, DEF. 1-7 ANALYTES" $402 700040424 "DRUG TEST, DEF. 8-14 ANALYTES" $402 3655702 DRUG TST DEFIN QUL/QUN =>22 PR DY $595 3655701 DRUG TST DEFIN QUL/QUN 15-21PR DY $520 700049005 DRUGS SCREEN SERUM $402 700044043 DRVVT 1-1 MIX $57 6751551 DSG RIGID NON-WEIGHT BEARING AK "$1,710 " 6751293 DSG RIGID NONWEIGHT BEARING BK "$2,301 " 667059665 DUAL CHAMBER ICD "$21,542 " 6751823 DUOVISC $513 728472070 DUPLE SCAN EXT CRANIA A COMPL BL "$2,069 " 728472069 "DUPLEX SCAN OF AORTA, COMPLETE" "$2,376 " 6750615 DUPLOCATH CATHETER $180 6751824 DURAL REPAIR PATCH 10X16 "$2,464 " 6751832 DURAL REPAIR PATCH 4X4 "$1,105 " 6751833 DURAL REPAIR PATCH 6X8 "$1,802 " 6758374 DURASPHERE NEEDLE $137 6753681 DVC CONTRACEPTIVE INTRAUTERINE "$1,850 " 6753682 DVC OCCLUSION LVL 1 "$7,200 " 6753683 DVC OCCLUSION LVL 2 "$21,000 " 4031147 DX BONE MARROW BX AND ASPIR "$4,458 " 690051908 DX BRONCHOSCOPE/WASH "$1,930 " 6751834 DYONICS INCISION BLADE $488 700040315 E TEST ANTIBIO GRAD STRIP $60 70007265 E TEST EACH STRIP $60 700046011 EAR CULTURE $597 6758829 EBI BONE GROWTH STIMULATOR "$32,379 " 4059401 EBNA $114 4059482 EBV EARLY ANTIGEN ANTIBODY $128 4059402 EBV IGG $110 4059403 EBV IGM $110 4059581 EBV QUANT PCR $988 3655344 EBV VIRAL CAPSID $110 710075622 ECG MONITOR/RECORD UP TO 24 HOURS $354 710072060 ECG MONITOR/RECORD UP TO 48 HOURS $354 710075621 ECG MONITOR/RPRT ANALYS UP TO 24 $919 710072061 ECG MONITOR/RPRT ANALYS UP TO 48 $919 4031072 ECHO COMPLETE "$3,314 " 710075666 ECHO FETAL W/WO M-MODE RECORDING "$1,943 " 710075667 ECHO FETAL W/WO M-MODE REPEAT STD "$1,072 " 4031073 ECHO FOLLOW-UP OR LMTD "$1,741 " 710072065 ECHOCARDIOGRAM 2D ONLY "$1,740 " 710075665 ECHOCARDIOGRAM 2D ONLY W/CONTRAST "$1,441 " 710072417 ECHOCARDIOGRAM LIMITED "$1,741 " 690051951 ECHOCARDIOGRAM PROC. LIMITED STUD "$1,056 " 710072505 ECHOCARDIOGRAM W/CONTRAST LIMITED "$1,660 " 710072433 ECHOCARDIOGRAM W/DOPPLER COMPLE "$3,162 " 710072063 ECHO-DOPPLER COLOR FLOW $635 710072062 ECHO-TRANSESOPHAGEAL-PROCEDURE "$2,414 " 700042289 "ECHOVIRUS 4,9,11,30" $106 6758767 ECS STAPLE "$2,606 " 690051934 ED DRAIN ABSC LYMPH NODE SMP "$1,930 " 750090098 ED INHALATION TREAT SEQUENTIAL $194 6751835 EDELMAN CATHETER $185 6758364 EDM LUMBAR CATHETER $920 6758918 EDM VENTRICULAR CATH $526 780087121 EEG AWAKE & ASLEEP "$1,856 " 780090151 EEG BRAIN DEATH "$1,590 " 780090121 EEG COMA OR SLEEP ONLY "$1,590 " 780090152 EEG CONT REC W/VID EEG TECH "$1,448 " 780087120 "EEG ROUTINE, AWAKE & DROWSY" "$1,463 " 780090155 EEG WO VID 2-12 HR CONT MNTR "$1,448 " 780090154 EEG WO VID 2-12 HR INTMT MNTR "$1,448 " 780090153 EEG WO VID 2-12 HR UNMNTR "$1,448 " 780090158 EEG WO VID EA 12-26 HR CONT MNTR "$3,441 " 780090157 EEG WO VID EA 12-26 HR INTMT MNTR "$3,441 " 780090156 EEG WO VID EA 12-26 HR UNMNTR "$3,441 " 780090129 "EEG, EXTENDED 1-2 HR" "$1,590 " 780087080 "EEG, EXTENDED, UP TO 1 HR" "$1,590 " 705083631 EGFR GENE ANALYSIS COMMON VARI $756 4059588 EHRLICHIA ANTIBODY $331 3631071 EKG (CARDIOLOGY) ROUTINE $405 4031137 EKG SCREEN INITIAL PE TRACING $108 796032036 EKG TRACING $405 710072004 EKG-12 LEAD W/O INTERPRETATION $405 710072010 EKG-18 LEAD W/O INTERPRETATION $405 6751199 EKOSONIC CATHETER "$10,955 " 667069289 EKOSONIC MACH 4 ENDOVASCULAR CATH "$4,472 " 4059227 ELASTASE PANCREATIC "$1,082 " 4059634 "ELASTASE, PANCREATIC, FECAL, QUAL" $282 680052056 ELBOW ORTHOSIS $840 669066003 ELECTIVE CARDIOVERSION "$1,873 " 770053212 ELECTRICAL STIM - MANUAL - OT/15 $192 770053018 ELECTRICAL STIM - MANUAL - PT/15 $192 6756900 ELECTRODE DISPOSABLE $957 6751836 ELECTRODE RESECTOSCOPE 22 FF $425 6751003 ELECTRODE TRANSVENOUS PACING $744 685028523 "ELECTRODE, QUICK-COMBO" $24 4059002 ELECTROLYTES $62 4059002 ELECTROLYTES $249 705048056 ELECTRON MICROSCOPY "$2,305 " 700047009 ELECTRONIC CROSSMATCH $466 6751837 ELH PROBE "$1,035 " 667059294 EMBILIZATIZ ART NOT HEM/TUMOR "$35,838 " 6751844 EMBOL COIL DELIVERY MICROCATHETER "$3,563 " 6751440 EMBOLIZATION COIL LEVEL I $699 6751441 EMBOLIZATION COIL LEVEL II "$1,611 " 6751442 EMBOLIZATION COIL LEVEL III "$3,282 " 6751880 EMBOLIZATION COIL LEVEL IV "$4,863 " 667059613 EMBOLIZATION COILS $197 6751197 EMBOLIZATION MICROSHPERES "$7,609 " 6751789 EMBOLIZATION MICROSPHERE EMBOZENE $802 6753572 EMBOLIZATION PARTICLE $205 6750506 EMBOLIZATION PROTECT SYS LVL I "$2,281 " 6750507 EMBOLIZATION PROTECT SYS LVL II "$6,726 " 6750505 EMBOSHIELD "$6,608 " 6751142 EMBOSPHERE "$1,216 " 6751792 EMBOZENE MICROSPHERES "$10,758 " 690030001 EMERGENCY CLASS 1 $392 690030002 EMERGENCY CLASS 2 $837 690030003 EMERGENCY CLASS 3 "$1,272 " 690030004 EMERGENCY CLASS 4 "$1,964 " 690030005 EMERGENCY CLASS 5 "$2,930 " 660098988 EMG ANAL/URINARY MUSCLE $671 660098992 EMG CRANIAL NERVE BILATERAL "$1,318 " 660098991 EMG CRANIAL NERVE UNILATERAL $730 660098980 EMG FOUR EXTREMITY "$1,710 " 660098981 EMG LIMITED ONE EXTREMITY $584 660098977 EMG ONE EXTREMITY $730 660098979 EMG THREE EXTREMITY "$1,420 " 660098978 EMG TWO EXTREMITY "$1,122 " 616050599 ENCLOSED BED SYSTEM $182 6759633 END CAPS UNIVERSAL $923 666098462 END EST PEG TUBE REMOVAL $192 666098461 END NEW PEG TUBE REMOVAL $252 666098914 "END PROCEDURE, 1ST 15 MIN" "$1,915 " 666098915 "END PROCEDURE, EACH ADD 15 MIN" $874 750010808 END TIDAL CO2 $278 6751847 ENDO 30 RELOAD "$1,051 " 6751856 ENDO CLIP AUTO SUTURE "$1,465 " 66600601 ENDO RECOVERY EA ADD 15 MIN $323 66600600 ENDO RECOVERY INITIAL 15 MIN $432 6751859 ENDOANCHOR GUIDE "$8,800 " 6751863 ENDOANCHORS W/ APPLIER "$24,513 " 6756306 ENDOCARDIAL DRUG ELUTING LEAD "$6,836 " 6752955 ENDOGRASPER $945 6750879 ENDOLOOP LIGATURE $455 796032024 ENDOMETR BIOP W COLPOSCOPY ADD-ON $153 796032023 ENDOMETRIAL BIOPSY $563 700040224 ENDOMYSIAL ANTIBODIES $175 700042315 ENDOMYSIAL ANTIBODIES/1 $228 6751873 ENDOPATH ENDO RELOAD ERU 60 $968 6754879 ENDOPOUCH RETRIEVER $824 6751546 ENDOPROS EXCLUDER LEG CONTRALAT "$16,847 " 6751547 ENDOPROS EXCLUDER TRUNK IPSILAT "$25,527 " 6751878 ENDOSERTER OCULAR $996 6751981 ENDOSTITCH/QUICKLOAD $699 6751881 ENDOTINE FIXATION DEVICE "$1,054 " 6751106 ENDOTRACHAEL TUBE $142 6751884 ENDOTRACHEAL TUBE NIM EMG "$1,295 " 667069273 ENDOVASCULAR AAA REPAIR "$28,033 " 6757741 ENT HEMOSTAT KIT $537 6751899 ENT SILICONE SHEET $788 6750438 ENVELOPE ANTIBACTERIAL PACER/ICD "$8,582 " 3655084 ENZYME ACTIVITY NON-RADIO SUBSTRT "$1,478 " 705083657 ENZYME HISTOCHEMISTRY STAIN $518 700040238 EOSINOPHIL SMEAR $156 4059443 EOSINOPHIL SMEAR URINE $156 674022121 EP & ABLATE SUPRAVENT ARRHYTHMIA "$38,600 " 674022122 EP & ABLATE VENTRIC TACHYCARDIA "$23,869 " 674022123 EP ABLATE ARRHYTHMIA ADD ON "$15,913 " 674022120 EP ABLATE HEART DYSRHYTHM FOCUS "$16,482 " 674022100 EP BUNDLE OF HIS RECORDING "$13,343 " 667061738 EP CATHETER "$1,814 " 674022106 EP ELECTROPHYS MAP 3D ADD-ON "$9,600 " 674022115 EP ELECTROPHYSIOLOGIC STUDY "$10,331 " 674022118 EP ELECTROPHYSIOLOGY EVAL LEADS "$3,723 " 674022110 EP ELECTROPHYSIOLOGY EVALUATION "$17,495 " 674022107 EP ESOPHAGEAL RECORDING "$3,032 " 674022108 EP ESOPHAGEAL RECORDING W PACING "$3,032 " 674022117 EP EVALUATION HEART DEVICE "$3,385 " 674022119 EP EVALUATION LEADS AND GEN "$3,957 " 674022112 EP EVALUATION LEFT ARTIAL PACING "$10,725 " 674022111 EP EVALUATION W ARTHYTHMIA "$19,008 " 674022113 EP EVALUATION W VENT PACING "$2,302 " 674022109 EP HEART RHYTHM PACING "$3,210 " 674022104 EP INTRA-ATRIAL PACING "$13,343 " 674022101 EP INTRA-ATRIAL RECORDING "$13,343 " 674022127 EP INTRACARDIAC ECG (ICE) "$6,017 " 674022193 EP INTRASEPTAL PUNCTURE "$12,680 " 674022105 EP INTRAVENTRICULAR PACING "$13,343 " 674022102 EP RIGHT VENTRICULAR RECORDING "$2,302 " 674022114 EP STIMULATION PACING HEART "$6,742 " 674022126 EP TILT TABLE EVALUATION "$1,990 " 674022124 EP TX ATRIAL FIB PULM VEIN ISOLAT "$22,783 " 674022125 EP TX L/R ATRIAL FIB ADDL "$15,189 " 741052331 EPIDURAL BLOOD PATCH "$1,241 " 67005010 EPIDURAL L&D $601 6751912 EPIFIX AMNIOTIC MEMBRANE PER SQCM $655 6753684 EPIFIX INJ 1MG $73 700046560 EPSTEIN BARR VIRUS ANTIBODIES $170 700040174 EPSTEIN BARR VIRUS DNA QUAL $150 690052462 ER ABD PARACENTESIS WITH IMAGI "$1,022 " 690051019 ER ADMIN HEPATITIS B VACCINE $82 690092567 ER ALVEOLOPLASTY EA QUAD "$1,930 " 690051032 ER AMPUT TOE INTERPHALGEAL- BIL "$1,930 " 690051031 ER AMPUT TOE INTERPHALGEAL- LT "$1,930 " 690092577 ER AMPUT TOE INTERPHALGEAL- RT "$1,930 " 690051959 ER ANOSCOPY $620 690058851 ER ARTHROCENT ASP/INJ JT SMALL $821 690058833 ER ARTHROPLASTY INTERPHALANGEAL J "$1,930 " 690092565 ER ASP BLADDER NEEDLE "$1,022 " 690051004 ER ASP CYST BREAST- BIL "$1,022 " 690051003 ER ASP CYST BREAST- LT "$1,022 " 690051928 ER ASP CYST BREAST- RT "$1,022 " 690051822 ER ASP FINE NDL W/O IMGNG GUID $620 690058854 ER BURR HOLE IMPLANT VENT CATH "$1,930 " 690051537 ER BX OROPHARYNX "$1,930 " 690058848 ER CANTHOTOMY "$1,930 " 690092591 ER CARDIOVERSION ELECTIVE EXTERN "$1,873 " 690051923 ER CATH BLADDER CPLX $620 690058811 ER CAUT CERVIX ELECTR OR THERM "$1,930 " 690058852 ER CHANGE GASTROSTOMY WO REVISION $620 690058849 ER CHEMO INJ IM/SQ NON HORMONAL $392 690051067 ER CLOS TIBIA SHAF F W/O MAN-BIL $620 690051066 ER CLOS TIBIA SHAF F W/O MAN-LT $620 690092595 ER CLOS TIBIA SHAF F W/O MAN-RT $620 690052482 ER CLOSURE OF SPLIT WOUND PAKING $620 690051463 ER CLOSURE OF SPLIT WOUND SIMPLE "$1,022 " 690051483 ER CMP F/C/C/M/N/AX/G/H/F <2.5 $620 690051484 ER CMP F/C/C/M/N/AX/G/H/F <7.5 "$1,022 " 690051485 ER CMP RPR F/C/C/M/N/AX/G/H/F AD $620 690051487 ER CMPLX RPR E/N/E/L 1.1-2.5 CM "$1,022 " 690051488 ER CMPLX RPR E/N/E/L 2.6-7.5 CM "$1,022 " 690058802 ER CMPLX RPR S/A/L 1.1-2.5 CM "$1,022 " 690051481 ER CMPLX RPR S/A/L 2.6-7.5 CM "$1,022 " 690051482 ER CMPLX RPR S/A/L ADDL 5 CM/> "$1,022 " 690051925 ER CMPLX RPR TRUNK 1.1-2.5 CM "$1,022 " 690051912 ER CMPLX RPR TRUNK 2.6-7.5 CM "$1,022 " 690052459 ER CMPLX RPR TRUNK ADDL 5CM/< "$1,022 " 690092593 ER COLPOTOMY W/DRAIN ABSC PELV "$1,930 " 690092568 ER CYSTO W/IRRIG/ EVAC CLOTS "$1,930 " 690051516 ER CYSTOURETHROSCOPY "$1,022 " 690051002 ER DEBRI SKIN SUB/MUS UP-20 SQ CM "$1,022 " 690051000 ER DEBRI SKIN SUBQ UP TO 20 SQ CM $620 690051926 ER DESTRUCT BENIGN LESION < 15 $620 690092589 ER DIALYSIS PERITON O/P 1 EVAL "$1,798 " 690051018 ER DILATION URETHRA $620 690051543 ER ENDO NASAL W/CONTROL BLDNG "$1,930 " 690051960 ER EXC LESN BGN FACE/EAR 3.1-4 "$1,930 " 690091932 ER I&D ABSC SUBMENTAL EXTRAOR "$1,930 " 690051943 ER I&D HEMATOMA VAG NON-OB "$1,930 " 690052458 ER INJ ANES NERVE FEM SGL "$1,022 " 690052476 ER INJ ANES NRV GREAT OCCIPIT $620 690051532 ER INJ CORPORA CAVERNOSA W/VAS $620 690051924 ER INJ GANGLION CYST $620 690051478 ER INTMD RPR FACE/MM 12.6-20 CM $620 690051474 ER INTMD RPR FACE/MM 2.5 CM/< $620 690051475 ER INTMD RPR FACE/MM 2.6-5.0 CM $620 690051479 ER INTMD RPR FACE/MM 20.1-30.0 $620 690051476 ER INTMD RPR FACE/MM 5.1-7.5 CM $620 690051477 ER INTMD RPR FACE/MM 7.6-12.5CM $620 690051470 ER INTMD RPR N-HF/GENIT 2.5CM/< $620 690051473 ER INTMD RPR N-HF/GENIT12.6-20 "$1,022 " 690051471 ER INTMD RPR N-HF/GENIT2.6-7.5 $620 690051472 ER INTMD RPR N-HF/GENIT7.6-12.5 "$1,022 " 690051467 ER INTMD RPR S/A/T/EXT 12.6-20 $620 690051464 ER INTMD RPR S/A/T/EXT 2.5 CM/< $620 690051465 ER INTMD RPR S/A/T/EXT 2.6-7.5 $620 690051468 ER INTMD RPR S/A/T/EXT 20.1-30 "$1,022 " 690051469 ER INTMD RPR S/TR/EXT >30.0 CM "$1,930 " 690051466 ER INTMD RPR S/TR/EXT 7.6-12.5 $620 690051937 ER INTRO STENT TRANSTRACHEAL "$1,930 " 690051069 ER LAPAROTOMY W/EXPLOR "$1,930 " 690052461 ER LARYNGOSCOPY INDIRECT $620 690092572 ER LARYNGOSCOPY OP REM FB "$1,930 " 690051921 "ER LATE CLOSURE OF WOUND, COMPLEX" "$1,930 " 690051535 ER MEASURE POST-VOID URINE $620 690058856 "ER N BLOCK INJ, FACIAL." $620 690058850 ER NOSE PACK ANT COMPLEX- UNI $705 690058855 ER PERICARDIOCENTESIS "$1,022 " 690058853 ER PLAC PICC WO PORT >5YRS W GUID "$1,022 " 690092574 ER PUNCT ASP/INJ SHUNT TUBE "$1,022 " 690058823 ER PUNCT VENTRIC CATH SUBDUR "$1,930 " 690051540 ER REM SKINTAG < OR =15 $620 690092583 ER REM TNLD CV CATH W/O PORT/P "$1,022 " 690052460 ER RPR CV ACCESS W/O PORT/PUMP "$1,022 " 690051896 ER RPR F/E/E/N/L/M >30.0 CM $620 690051458 ER RPR F/E/E/N/L/M 2.5 CM/< $620 690051459 ER RPR F/E/E/N/L/M 2.6-5.0 CM $620 690051460 ER RPR F/E/E/N/L/M 5.1-7.5 CM $620 690051461 ER RPR F/E/E/N/L/M 7.6-12.5 CM $620 690051462 ER RPR FE/E/EN/L/M 12.6-20.0 CM $620 690051918 ER RPR FE/E/EN/L/M 20.1-30.0 CM $620 690058829 ER RPR LAC CPLX EYE ADD 5CM "$1,022 " 690051455 ER RPR S/N/A/GEN/TRK12.6-20.0CM $620 690051456 ER RPR S/N/A/GEN/TRK20.1-30.0CM $620 690051454 ER RPR S/N/AX/GEN/TRK7.6-12.5CM $620 690051457 ER RPR S/N/AX/GEN/TRNK >30.0 CM $620 690051452 ER RPR S/N/AX/GEN/TRNK 2.5CM/< $620 690051453 ER RPR S/N/AX/GEN/TRNK2.6-7.5CM $620 690051957 ER RPR TENDON FNGER EXTEN W/O "$1,930 " 690092566 ER RPR TENDON HAND EXTEN W/O "$1,930 " 690092578 ER TB SKIN TEST INTRADERMAL $19 690051961 ER THER/PRO/DX INJ SQ/IM $168 690051062 ER TIBIAL PLATEAU FX- BIL $620 690051061 ER TIBIAL PLATEAU FX- LT $620 690092594 ER TIBIAL PLATEAU FX- RT $620 690051931 ER TRACHEOSTOMY CRICOTHYROID "$1,022 " 690051512 ER TREAT DENTAL RIDGE FRACTURE "$1,930 " 690052481 ER TX DISL KNEE W/O ANES CLSD-BIL $620 690051063 ER TX DISL KNEE W/O ANES CLSD-LT $620 690051606 ER TX DISL KNEE W/O ANES CLSD-RT $620 690037774 ER TX FX BONE NASAL W/O MAN CL $620 690092571 ER TX FX BONE NASAL W/STABL CL "$1,930 " 690051059 ER TX FX CLAVICL W/MANIP CLOS- LT "$1,930 " 690051538 ER TX FX CLAVICL W/MANIP CLOS- RT "$1,930 " 690051060 ER TX FX CLAVICL W/MANIP CLOS-BIL "$1,930 " 690051938 ER TX FX MANDIB CLSD "$1,022 " 690051542 ER TX FX MANDIB W/MANIP "$1,022 " 690092570 ER TX FX NASAL SEPTAL CLSD "$1,930 " 690030009 ER TX FX TALUS W/MAN CLSD- LT "$1,930 " 690058827 ER TX FX TALUS W/MAN CLSD-BIL "$1,930 " 690058826 ER TX FX TALUS W/MAN CLSD-RT "$1,930 " 705048161 ER/PR/HER2NEU BY IA "$1,004 " 6751913 ERASER WETFIELD 23GA FINE POINT $176 6751914 ERASER WETFIELD ACTIVE ASPIRATOR $176 700040160 "ERTHROPOIETIN, SERUM" $123 767084046 ERYTHROCYTAPHERESIS "$7,562 " 4059028 ERYTHROPOIETIN $583 6753348 ESCAPE BASKET $905 666098433 ESOPHAGEAL MANOMETERY "$2,854 " 6751922 ESSURE MICROCOIL "$9,807 " 741083311 ESTABLISHED PATIENT LEVEL 1 $123 796032004 ESTABLISHED PATIENT LEVEL 2 $192 797029006 ESTABLISHED PATIENT LEVEL 3 $270 742010152 ESTABLISHED PATIENT LEVEL 4 $714 742010153 ESTABLISHED PATIENT LEVEL 5 $857 771086444 E-STIM UNATTENDED NON- WOUND-OT $192 770092192 E-STIM UNATTENDED NON- WOUND-PT $192 771089304 E-STIM UNATTENDED NON-WOUND OT $192 4059029 ESTRADIOL $465 700043323 ESTRADIOL 17-BETA (24 H URINE) $282 700043322 "ESTRADIOL 17-BETA, SERUM" $282 3655089 ESTRIOL $181 700043300 "ESTRIOL,TOTAL(BLOOD)" $111 700043320 ESTROGEN TOTAL (SERUM) $89 700043316 ESTROGENS FRAC (24 H URINE) $457 3655087 ESTROGENS FRACTIONATED $247 4059504 ESTROGENS TOTAL $139 3655090 ESTRONE $206 700043325 "ESTRONE, SERUM" $128 700040466 ETEST EACH STRIP $60 6758828 ETHICON 5MM EUDOCLIP $828 700049111 ETHYLENE GLYCOL $42 4059610 ETHYLENE GLYCOL BLOOD $302 6751923 EUDO SCRUB SHEATH $152 6751924 EUDOCATCH $674 4059521 EUGLOBULIN LYSIS $166 6754971 EUSTACHIAN TUBE BALLOON "$6,649 " 774091415 EV VOICE PROS/AUG/ALT DEVICE-ORL $403 722078013 EVAL BEHAV & QUAL VOICE $400 722078001 EVAL SPEECH FLUENCY $400 770053340 EVAL SPEECH GENERATING DEVICE $530 722078011 EVAL SPEECH SOUND $400 4031076 EVALUATE PT USE OF INHALER $129 790092099 EVALUATION-SWALLOWING-ORAL FUNCTI $215 667069272 EVAR IMPLANT "$30,400 " 3656638 EVEROLIMUS $57 6751925 EVICEL FIBRIN SURGICAL HEMOSTAT "$2,806 " 6750745 EWHFO RIGID W/O JOINTS CUSTOM "$5,190 " 6750727 EWHO RIGID W/O JOINTS CUSTOM "$3,215 " 690051864 EXC TR-EXT B9+MARG 0.53 CM "$1,662 " 6751548 EXCLUDER ILIAC BRANCH COMPONENT "$25,527 " 6751549 EXCLUDER INTERN ILIAC BRANCH COMP "$12,763 " 710075664 EXERC STRESS ECHO W/CONTRAST ECG "$1,880 " 750080268 EXERCISE PULSE OXIMETRY $313 710075662 EXERCISE STRESS ECHO CONT ECG "$1,970 " 667069193 EXERCISE W/ HEMODYNAMIC MEAS "$3,047 " 690051505 "EXPLORE WOUND, EXTREMITY" "$1,022 " 10050100 EXRACORPOREAL PHOTOPHERESIS "$12,446 " 6751926 EXT DRAIN & MONITOR SYST W/ CATH "$1,587 " 680151260 EXTENDER BAR FOR $435 6753608 EXTERNAL FIXATOR LVL 1 $600 6753609 EXTERNAL FIXATOR LVL 2 "$1,300 " 6753610 EXTERNAL FIXATOR LVL 3 "$4,400 " 6753611 EXTERNAL FIXATOR LVL 4 "$18,000 " 640050242 EXTERNAL PACER $130 700042445 EXTRACTABLE NUCLEAR ANTIBODY (ENA $131 3655301 EXTRACTABLE NUCLEAR ANTIGEN AB $213 6750883 EXTRACTOR CATZ $84 6753355 EXTRACTOR STONE NITINOL $840 700046012 EYE CULTURE $370 6754646 EYE LENS "$1,342 " 700040443 EYE PH POC $189 6751928 EYELID SPACER "$1,994 " 6753685 EZ DERM PER CM $11 6751929 EZ45G THORACIC ELC "$2,191 " 700040112 FACTOR II $250 3655257 FACTOR INHIBITOR $101 700040119 FACTOR IX $346 700040113 FACTOR V $83 700040114 FACTOR VII $250 700040116 FACTOR VIII ACTIVITY $250 700040149 FACTOR VIII ANTIGEN $181 700040121 FACTOR XI $346 700040122 FACTOR XII $346 700040123 FACTOR XIII SCREEN $328 6751522 FALLER TROCAR $273 6751932 "FALLOPE RING APPLIER, DISP" "$1,481 " 6757175 FALOPE RING $212 779010144 FAMILY EDUCATION CONSULT EA 30MIN $151 4031062 FAMILY GROUP PSYCHOTHERAPY $244 658092598 FAMILY PSYCHO WITH PATIENT 50 MIN $175 4031061 FAMILY PSYCHOTHERAPY W/O PT $373 4031070 FAMILY PSYCHOTHERAPY W/PT $372 779010159 FAMILY PSYTX W PATIENT 50 MIN $454 658092619 FAMILY THER W/O PATIENT 50 MIN $175 4059486 FANCC GENE ANALYSIS "$1,121 " 6751933 FASCIA CLOSURE IMPLANT "$6,585 " 6755011 FAST TRAC INTRODUCER SHEATH "$2,786 " 700041105 FAT DROP ANALYSIS $87 4059524 "FATS/LIPIDS FECES, QUAL" $72 710072098 FBI DOPPLER ARTERIAL EXTREMITY LM $482 3655261 FDP/FSP PARACOAGULATION $118 3655260 FDP/FSP SQ $328 700045012 FECAL FAT $383 797029098 FECAL OCCULT BLOOD $25 700045011 FECAL REDUCING SUB $135 700046007 FECES CULTURE $423 6750474 "FEEDING TUBE, 30 DAY" $129 690051882 FEM MED/LAT COND FRACT W/MANI RT "$1,930 " 690052085 FEM MED/LAT COND FRACT W/MANIP BI "$1,930 " 690051965 FEM MED/LAT COND FRACT W/MANIP LT "$1,930 " 741083266 "FEMORAL NERVE BLOCK, SINGLE BIL" "$2,884 " 741052362 "FEMORAL NERVE BLOCK,SINGLE UNI" "$1,924 " 4059135 FENTANYL CITRATE(FENTANYL) BLD $302 4059118 FENTANYL CITRATE(FENTANYL) UR $644 4059030 FERRITIN $288 670068136 FETAL BIOPHYSICAL PROFILE W/NST $707 700044513 FETAL FIBRONECTIN "$1,074 " 700047058 FETAL MATERNAL SCREEN $237 670068157 "FETAL MONITORING, EST PATIENT" $192 670068152 "FETAL MONITORING, NEW PATIENT" $252 670098066 FETAL SHUNT PLACEMENT $601 700047216 FFP EMERGENCY RELEASE $286 4059379 FHE4 $629 6753400 FIBER NIAGARA LASER "$5,736 " 670068086 FIBER STRIP $32 690035150 FIBERGLASS SPLINT $408 6751839 FIBERLASE FIBER "$3,282 " 6751936 FIBERWIRE SUTURE $501 3656649 FIBRIN D-DIMER $36 3655262 FIBRIN DEGRADATION D-DIMER QL/SQ $183 700040056 FIBRIN SPLIT PRODUCT $328 4059317 FIBRINOGEN $309 4059589 FIBRINOGEN ANTIGEN $122 4058969 FIBRINOLYTIC PLASMIN ACTIVATOR $307 3655267 FIBRINOLYTIC PLASMINOGEN $443 690052233 FIBULA DISTAL FRACT W MANIP BIL $620 690051987 FIBULA DISTAL FRACT W MANIP LT $620 690051619 FIBULA DISTAL FRACT W/MANIP RT $620 690052089 FIBULA PROX/SHAFT FRACT W/MANIP B "$1,930 " 690051969 FIBULA PROXI/SHAFT FRACT W/ MANIP "$1,930 " 690051812 FIBULA PROXI/SHAFT FRACT W/MANIP "$1,930 " 670098070 FILSHIE CLIPS $174 670098070 FILSHIE CLIPS $278 6751816 FILTER IVC CELECT PLATINUM "$4,468 " 6751796 FILTER IVC GUNTER TULIP "$3,374 " 705048093 FINE NEEDLE ASPIRATE $359 690035560 FINGER SPLINT $3 700040725 FISH ANALYSIS $346 3655713 FISH HYBRIDIZATION 25-99 CELLS "$1,295 " 4059098 FISH INTERP AND REPORT $212 796032077 FITTING/INSERTION PESSARY/DEVICE $403 6751646 FIXTURE FLANGE BAHA 1 "$4,962 " 6751647 FIXTURE FLANGE BAHA 2 "$10,921 " 6751937 FLAP BONE CRANIAL "$43,847 " 667069301 FLASH OSTIAL SYSTEM $800 4059131 FLECAINIDE $302 6751938 FLEXHD IMPL LVL I "$9,579 " 6751939 FLEXHD IMPL LVL II "$13,070 " 6751940 FLEXHD IMPL LVL III "$17,479 " 6751941 FLEXHD IMPL LVL IV "$24,011 " 6751942 FLEXHD IMPL LVL V "$33,624 " 6751943 FLEXHD IMPL LVL VI "$43,458 " 6751944 FLEXHD IMPL LVL VII "$68,231 " 6753639 FLEXHD PER SQ CM LVL 1 $80 6753640 FLEXHD PER SQ CM LVL 2 $110 770053359 FLEXIBLE FIBEROPTIC ENDO EVAL $459 770092189 FLEXIBLE OPEN TRACT TIP $54 685082787 FLO TECH BRACE-PROCARE "$1,103 " 616051251 FLO TECH/AMPUSHIEL "$1,800 " 730117650 FLOVENT $24 705048611 FLOW CYTOMETRY BASIC 1ST MARKER $268 705048616 FLOW CYTOMETRY EACH ADDTIONAL MAR $182 3655424 FLOW CYTOMETRY MARKER 1ST $659 3655425 FLOW CYTOMETRY MARKER EA ADDL $193 4059082 FLOW CYTOMETRY TECH MARKER 1 $659 4059083 FLOW CYTOMETRY TECH MARKER ADD $193 667069278 FLOW TRIEVER PUL THROMBECTOMY CAT "$14,400 " 6753599 FLOWERAMNIO PATCH PER SQ CM $415 6753648 FLOWERAMNIOFLO 0.1CC $787 3655459 "FLT3 GENE ANALY, TKD VARIA" $652 700044503 FLUID ALBUMIN $33 700040060 FLUID ANALYSIS $189 6751860 FLUID BURST .50ML "$10,024 " 6751861 FLUID BURST 2ML "$26,904 " 700043616 FLUID CREATININE $198 705048038 FLUID CRYSTALS $104 700043272 FLUID TRIGLYCERIDES $50 771088392 FLUIDOTHERAPY OT $179 771089282 FLUIDOTHERAPY PT $179 700041030 FLUID-PH $189 700043148 FLUID-PROTEIN ELECTROPHOR(CSF) $61 4059368 FLUORESCENT ANTIBODY SCREEN $387 4059485 FLUORESCENT ANTIBODY TITER $171 667061986 FLUORO GUIDANCE FOR CVC PLACEMENT "$1,151 " 667059308 FLUOROSCOPY $789 705183646 FNA INTERPRETATION AND REPORT $127 6750934 FO PIP/DIP JOINT/SPRING PREFAB $60 6750756 FO W/O JOINT CUSTOM $864 4059031 FOLATE $305 3655093 FOLIC ACID RED CELLS $415 3655092 FOLIC ACID SERUM $305 4059128 FONDPARINUX(ARIXTRA) LEVEL $302 6756116 FORAMEN NEEDLE $272 797029035 "FOREIGN BODY, SKIN, COMPLEX" "$1,450 " 797029034 "FOREIGN BODY, SKIN, SIMPLE" $410 6751945 FORTE PLUS RENAL ACCESS SHEATH "$1,413 " 700043527 FREE FATTY ACIDS $107 700042181 FREE KAPPA & LAMBDA WITH RATIO $108 4059288 FREE T3 $337 700044511 FREE T4 $268 700040289 FREE T4 BY DIALYSIS $100 4059053 FREE T4 THYROXINE $268 700047020 FRESH FROZEN PLASMA $286 705048030 FROZEN SECTION $483 700044107 FRUCTOSAMINE $56 700041040 FRUCTOSE - SEMEN $130 4059035 FSH $542 700043112 FSH SERUM $30 4059314 FSP $328 4059315 FSP/A $328 700042040 FTA-ABS $107 6751947 FULL RADIUS DYONICS $292 700040153 FUNGITELL 1 3 B D GLUCAN ASSAY $345 700040458 FUNGUS BLOOD CULTURE. $403 700046025 FUNGUS CULTURE $336 700046038 FUNGUS IDENTIFICATION $89 720075170 FXR ARTHRO PRE MRI-SHOULDER $550 720074145 FXR ARTHRO PRE-MRI ELBOW $414 720076672 FXR ARTHRO PRE-MRI HIP $440 720075528 FXR ARTHRO PRE-MRI KNEE $568 720074142 FXR ARTHRO PRE-MRI WRIST $895 720074835 "FXR ARTHRO, SHOULDER-INJ PROC" "$1,045 " 729076512 FXR ARTHROGRAM ELBOW INJECTION "$1,045 " 729076511 FXR ARTHROGRAM ELBOW S&I $414 729076533 FXR ARTHROGRAM HIP INJECTION "$1,045 " 720076673 FXR ARTHROGRAM HIP INS "$1,045 " 729076534 FXR ARTHROGRAM HIP S&I $440 729076537 FXR ARTHROGRAM KNEE S&I $568 729076507 FXR ARTHROGRAM SHOULDER INJECTION "$1,045 " 729076509 FXR ARTHROGRAM SHOULDER S&I $550 720074831 "FXR ARTHROGRAM,ANKLE-INJ PROC" "$1,045 " 720074836 "FXR ARTHROGRAM,ELBOW-INJ PROC" "$1,045 " 720074834 "FXR ARTHROGRAM,HIP-INJ PROC" "$1,045 " 720074832 "FXR ARTHROGRAM,TMJ-INJ PROC" "$1,045 " 720074830 "FXR ARTHROGRAM,WRIST-INJ PROC" "$1,148 " 720075704 FXR ARTHROGRAM-ANKLE $434 720075705 FXR ARTHROGRAM-ELBOW $414 720075706 FXR ARTHROGRAM-HIP $440 720075707 FXR ARTHROGRAM-KNEE $568 720075708 FXR ARTHROGRAM-SHOULDER $550 720075709 FXR ARTHROGRAM-TMJ $697 720075710 FXR ARTHROGRAM-WRIST $895 720074148 FXR ARTHRO-PRE MRI SHOULDER $550 720060001 FXR ASPIR/INJECTION SMALL JOINT $776 720078058 FXR BARIATRIC UGI "$1,131 " 720011225 FXR BARIATRIC UGI W FOOD "$1,121 " 720075072 FXR BARIUM ENEMA (ROUTINE) $966 720075073 "FXR BARIUM ENEMA,W/AIR CONTRAST" "$1,411 " 720075066 FXR BARIUM SWALLOW $639 720078023 FXR BARIUM SWALLOW MODIFIED "$1,098 " 720078040 FXR BLOOD PATCH "$1,035 " 720075494 FXR BLOOD PATCH INJECTION "$1,694 " 720078047 FXR C ARM CENTRAL VENOUS ACCESS "$1,151 " 720076801 FXR C-ARM INJECTION /LOCALIZATION "$1,162 " 720075117 "FXR CHEST, FLUOROSCOPY" $789 720074862 FXR CISTERNOGRAM-INJ PROC "$2,469 " 720078010 FXR CONTRAST INJECT OF GI TUBE $555 720075538 FXR CYSTOGRAM(IN XRAY)-PROC $508 720075519 FXR CYSTOGTRAM IN X-RAY(INJ)PHY $660 720075491 FXR ERCP-BILIARY&PANCREAT DUCT "$1,104 " 720075081 FXR ERCP-BILIARY&PANC-S&I "$1,104 " 720075489 FXR ERCP-BILIARY-S&I $895 720075490 FXR ERCP-PANCREATIC-S&I $895 720078016 FXR EVAL CENTRAL VEN CATH $765 720078021 FXR FISTULA/SINUS TRACT S&I $636 720075816 FXR FLUOROGUIDE FOR SPINE OR INJE "$1,035 " 720076490 FXR FLUOROGUIDE-BIOPSY-ASP-INJECT "$1,162 " 720075118 FXR FLUROSCOPY - INDEP. $789 720074181 "FXR HYSTERO CATH, 5 FR" $418 720074203 "FXR HYSTERO TRAY,DISPOSABLE" $314 720074861 FXR HYSTEROSALPING-INJ PROC $585 720074057 "FXR HYSTEROSALPINGOGRAM, SURG" $986 720074058 "FXR HYSTEROSALPINGOGRAM,RAD." $986 720011408 FXR INJ LUMB/CAUDA EPI W GUIDANCE "$2,469 " 720075849 FXR INTRAOPERATIVE CHOLANGIOGRAM "$1,737 " 720075079 FXR INTRODUCE LONG GI TUBE S&I $254 720075542 FXR IVP "$1,419 " 720011532 FXR JNT/BUR MAJ ARTH/INJ/ASP LT $520 720011531 FXR JNT/BUR MAJ ARTH/INJ/ASP RT $520 720074943 "FXR LOOPOGRAM, INJ PROC - PROC" "$1,041 " 720011448 FXR LP INTRATHECAL CHEMO $951 720011642 FXR LUMBAR PUNCTURE DRAIN W GUIDE "$2,038 " 720074066 FXR LUMBAR PUNCTURE FLUORO GUIDE "$1,035 " 720011641 FXR LUMBAR PUNCTURE W GUIDE "$2,038 " 720011215 FXR LUMINAL DILATION GI TRACK-S&I "$1,222 " 720078332 FXR LWR MAJOR JNT THER INJ &/OR $520 720074837 "FXR MYELO,CERV.W/CERV PUNCTURE IN" "$1,385 " 720011209 FXR MYELOGRAM 2 OR 3 AREAS W INJ "$2,490 " 720011206 FXR MYELOGRAM CERVICAL W INJ "$2,233 " 720011208 FXR MYELOGRAM LUMBOSACRAL W INJ "$2,172 " 720011207 FXR MYELOGRAM THORACIC W INJ "$2,172 " 720075688 "FXR MYELOGRAM, CERVICAL" $917 720075129 FXR NASO/GASTIC TUBE PLACE W FLUO $713 720078013 FXR NEPHROSTOGRAM $611 720011174 FXR O ARM $789 720078005 FXR OR AORTIC ARTERIOGRAM "$4,944 " 720078009 FXR OR AORTIC BILAT ILIOFEMORAL "$5,881 " 720075850 FXR OR CHOLANGIO ADDITIONAL IM $731 720078006 FXR OR VENOGRAM UNILAT "$2,290 " 720075191 FXR OR W/C-ARM 1 HOUR $789 720075151 FXR OR-ARTERIOGRAM UNILAT "$8,214 " 720011305 FXR PERC CHOLANGIO EXISTING ACCES "$4,074 " 720075712 FXR PERC LOOPOGRAM $611 720011321 FXR PERC NEPHROSTOGRAM EXIST ACC "$1,494 " 720078019 FXR PERITONEOGRAM INJ $486 720078018 FXR PERITONEOGRAM S&I $894 720078339 FXR PLEURAL TUBE DRAIN/IMAGE GUID "$4,512 " 720078041 FXR PROLO THERAPY $789 720078077 FXR PRP INJ W FLUORO GUIDANCE "$1,014 " 720078007 FXR REPOS FEEDING TUBE DUODEN $427 720075521 FXR RETR.CYSTOURETHROGRAM-PHY $660 720075539 FXR RETRO.CYSTO.-PROC $386 720075093 FXR RETROGRADE PYELOGRAM $709 720075087 FXR RETROGRADE URETHROGRAM $709 720075461 FXR SIALOGRAM CATHETER $299 720075719 "FXR SIALOGRAM,UNILATERAL,RAD" $467 720074858 FXR SIALOGRAPHY-INJ PROC $609 720078022 FXR SINOGRAM PROC $763 720075074 FXR SMALL BOWEL ENTEROCLYSIS "$1,673 " 720075071 FXR SMALL BOWEL SERIES "$1,041 " 720011643 FXR SMALL INTESTINE STUDY- ADD ON "$1,121 " 720078335 FXR TIGGER POINT INJ 1-2 MUSCLES "$1,626 " 720075121 FXR TOMOGRAMS 1-5 FILMS $809 720075126 FXR TOMOGRAMS 18-20 FILM $809 743075123 FXR TOMOGRAMS 9-11 FILMS $809 720076680 FXR T-TUBE INJ PROC $555 720078330 FXR UGI / BS W/AIR "$1,121 " 720078331 FXR UPP MAJOR JNT THER INJ &/OR A $520 720075069 FXR UPPER GI SERIES ROUT.W/AIR "$1,121 " 720078046 FXR VENOGRAM INJ PROC "$1,230 " 720075540 FXR VOIDING CYSTO(IN XRAY)PROC $615 700043600 G. CARBOXYGLUTAMIC/24 HR URINE $170 3655101 G6PD $249 4059198 G6PD RBC SCREEN $249 700043332 GABAPENTIN $171 771089296 GAIT TRAINING $123 779010137 GAIT TRAINING THERAPY/15 MIN $123 700043327 GALACTOSEMIA SCREEN $775 4059034 GAMMA GT $104 700043127 GANGLIOSIDE ANTIBODY $583 700040445 GANGLIOSIDE GQ1B IGG $105 690051944 GASTRIC BAND ADJUST SQ PORT INJ/A $620 700046060 GASTRIC CULTURE $370 690051952 "GASTRIC INTUBATION TREATMENT, MD" $620 6755724 GASTRIC LAVAGE SYSTEM $195 700045013 GASTRIC OCCULT BLOOD $22 4059193 GASTRIN $163 4059193 GASTRIN $516 6751949 GATOR BLADE $148 3656657 GC DNA BY AMPLIFICATION $300 700043286 GDH ANTIGEN EIA $242 816087991 GDM-DM PREG MGT TRN GROUP $224 816092597 GDM-DM PREG MGTTRN IND/30 MIN. $81 6757956 GEL PORT "$2,626 " 6751951 GEN NEUROSTIMULATOR HIGH FREQ "$76,485 " 705083645 GENE REARRANGEMENT ANALYSIS $289 705083644 "GENE REARRANGEMENT, AMP METHOD" $289 3631068 GENETIC COUNSEL $223 741083339 GENICULAR NERVE BLOCK W/GUIDE BIL "$5,338 " 741083338 GENICULAR NERVE BLOCK W/GUIDE UNI "$3,558 " 700046008 GENITAL CULTURE $370 700049141 GENTAMICIN TROUGH $381 700049142 GENTAMICIN-PEAK $381 700044530 "GENTAMYCIN,RANDOM" $381 666098435 "GERD TEST, ESOPHAGUS" "$2,388 " 700043236 GGT $104 4059643 GI PATHOGEN 22 TARGETS $650 4059597 GI PCR PANEL $943 66601001 GI PROCEDURE ADDL 15 MIN "$1,486 " 66601000 GI PROCEDURE INITIAL 15 MIN "$4,103 " 6752816 GIA RELOAD UNIT "$1,465 " 4059613 GIARDIA AG $200 700046067 "GIARDIA SPECIFIC ANTIGEN, STOOL" $43 6751953 GLAUCOMA FILTRATION DEVICE "$4,075 " 667069230 GLIDESHEATH $134 700043328 GLUCAGON $86 4059194 GLUCAGON PLASMA $747 700043110 GLUCOSE $73 797029088 GLUCOSE (POC) $75 4059332 GLUCOSE BLOOD QN $73 4059523 GLUCOSE BODY FLUID $189 3655102 GLUCOSE BY DEVICE $72 700049167 GLUCOSE PERICARDIAL FLUID $189 700049168 GLUCOSE PERITONEAL FLUID $189 700043482 GLUCOSE PHOS ISOMERASE $85 700049169 GLUCOSE PLEURAL FLUID $189 4059602 GLUCOSE POST DOSE $79 4059033 GLUCOSE REAGENT STRIP $72 700043128 GLUCOSE TOL NON GESTATIONAL $117 4059196 GLUCOSE TOLERANCE 2HR $258 700043129 GLUCOSE TOLERANCE GESTATIONAL $258 700040141 "GLUCOSE, AMNIOTIC FLUID" $189 700040435 "GLUCOSE, I-STAT POC LAB" $73 700043210 "GLUCOSE, POST-PRANDIAL" $79 700043485 GLUCOSE-6- PHOS DEHYDROGENASE $135 700043239 GLUCOSE-FLUID $189 700043109 GLUCOSE-SCREENING (POC) $73 4059559 GLYCATED PROTEIN (FRUCTOSAMINE) $300 3655111 GLYCOHEMOGLOBIN (A1C) $255 4059202 GLYCOHEMOGLOBIN A1C $255 700043121 "GLYCOHEMOGLOBIN(HGB A,C)" $255 6750785 GOLD PROBE "$1,499 " 6754692 GOODE TUBE $137 6751954 GPROBE "$1,184 " 6751956 GRAFIX CORE MATRIX IMPLANT "$10,451 " 6751957 GRAFIX XC CRYO PLACENTAL MEMBRANE "$30,996 " 6751958 GRAFIX/GRAFIXPL CORE PER SQ CM $426 6754983 GRAFIX/GRAFIXPL PRIME PER SQ CM $118 6751962 GRAFT DURAGEN DURAL 1X1 "$1,230 " 6751963 GRAFT DURAGEN DURAL 1X3 "$2,010 " 6751965 GRAFT DURAGEN DURAL 3X3 "$4,052 " 6751966 GRAFT DURAGEN DURAL 5X7 "$9,522 " 6751481 GRAFT STENT AAA LVL I "$17,222 " 6751482 GRAFT STENT AAA LVL II "$30,310 " 6751483 GRAFT STENT AAA LVL III "$53,732 " 6753671 GRAFT VASCULAR LVL 1 "$1,650 " 6753672 GRAFT VASCULAR LVL 2 "$3,500 " 6753673 GRAFT VASCULAR LVL 3 "$5,500 " 6750151 GRAFTJACKET MAXIMUM PER SQ CM $545 6751308 GRAFTJACKET STANDARD EACH SQ CM $386 6751967 GRAFTJACKET XPRESS INJECT PER 1CC "$4,338 " 700046030 GRAM STAIN $156 6751968 GRANULES BURST 10CC "$10,625 " 6751969 GRANULES BURST 5CC "$4,697 " 797029068 GROUP BEHAVE COUNS 2-10 $173 779010160 GROUP PSYCHOTHERAPY $254 658092620 GROUP PSYCHOTHERAPY. $101 4031063 GROUP PSYHOTHERAPY $207 770053203 GROUP THERAPY - OT $69 771089294 GROUP THERAPY - PT $69 722095275 GROUP THERAPY - SLP $54 3655107 GROWTH HORMONE $392 3656632 "GROWTH HORMONE, HUMAN (HGH), AB" $78 4059195 GTT 1ST 3 SPECIMEN $258 6754977 GUIDE NERVE NEURAGEN "$3,304 " 6750632 GUIDE WIRE ACCESS KIT $315 6750648 GUIDEWIRE LEVEL I $311 6750649 GUIDEWIRE LEVEL II $700 6751894 GUIDEWIRE LEVEL III "$1,234 " 6751895 GUIDEWIRE LEVEL IV "$2,094 " 667061669 GUIDEWIRE PRESTIGE 185CM "$1,040 " 667069216 GUIDEWIRE VIPER CORONARY $272 667061736 GUIDING CATHETER $75 6753031 GYRUS ELECTRODE SUPRA SPATULA "$1,575 " 6753040 H A EYE PROSTHESIS "$4,718 " 3655408 H PYLORI AG $113 3655407 H PYLORI AG STOOL $195 3655347 H PYLORI ANTIBODY $195 4059569 H PYLORI C-13 BREATH $327 4059406 H PYLORI IGA AB $195 4059404 H PYLORI IGG AB $195 4059405 H PYLORI IGM AB $195 4059437 H PYLORI TISSUE SCREEN $173 700049920 HAEMOPHILUS INFLUENZAE ABS $44 6753041 HALL DISP. SAW BLADES $194 680051271 "HALO DEVICE , CROWN" "$2,575 " 680051273 "HALO DEVICE, LINER" $440 680051272 "HALO DEVICE, VEST" "$4,852 " 6757736 HANDLE STAPLER - UNIVERSAL $908 4059200 HAPTOGLOBIN $443 3655108 HAPTOGLOBIN QN $443 6753043 HARMONIC BLADE "$1,117 " 6753046 HARMONIC SCALPEL SHEARS CURVED "$2,938 " 6759981 HARMONIC SHEAR "$2,550 " 796032043 HB A1C $75 3656641 HBA1/HBA2 FULL GENE SEQUENCE "$1,890 " 4059476 HBA1/HBA2 GENE $702 3652034 HBA1/HBA2 GENE ANALYSIS "$1,044 " 4059591 HBB FULL GENE SEQUENCE "$1,074 " 4059241 HCG ALPHA SUBUNIT $510 4059062 HCG QUALITATIVE $322 4059061 HCG QUANTITATIVE $380 4059011 HCG URINE QUALITATIVE $255 700044080 "HCG, BETA SUBUNIT" $184 700040426 "HCG, I-STAT POC LAB" $380 3655131 HDL CHOLESTEROL MEASURED $156 3655451 HEAVY METAL QUANT EA $812 4059510 HEAVY METAL SCREEN $869 700044087 "HEAVY METAL SCREEN, BLOOD" $284 616050249 HEEL OFFLOADING SHOE $210 6757300 HEIMLICH CHEST DRAIN VALVE $117 6754757 HELICAL BLADE "$3,108 " 700049915 HELICOBACTER PYLORI ANTIGEN STOOL $31 4059493 "HELICOBATER PYLORI, STOOL" $195 750090097 HELIOX PER HOUR $33 616066064 HELMET- CUSTOM FIT "$1,380 " 680052100 HELMET- PROTECTIVE $195 616097053 HELMET- PROTECTIVE A8000 $195 700040079 HEMATOCRIT $60 4059578 HEMATOCRIT ONLY $60 700044604 "HEMATOCRIT, FLUID" $35 700049886 HEMATOCRIT/1 $60 767084044 HEMODIALYSIS EMERGENT OUTPATIENT "$1,834 " 767084041 HEMODIALYSIS FRESENI OUTPATIENT "$1,834 " 767084040 HEMODIALYSIS FRESENIUS INPATIENT "$1,834 " 700040078 HEMOGLOBIN $56 797029086 HEMOGLOBIN (POC) $65 700043390 HEMOGLOBIN A1C SEND OUT $56 4059201 HEMOGLOBIN A2 $597 3655110 HEMOGLOBIN CHROMATOGRAPHY $597 3655109 HEMOGLOBIN ELECTROPHORESIS $137 3655226 HEMOGLOBIN ONLY $56 4059203 HEMOGLOBIN PLASMA $198 3655113 HEMOGLOBIN STABILITY SCREEN $100 700040165 "HEMOGLOBIN, PLASMA" $198 700040085 HEMOGLOBULIN ELECTROPHORESIS $82 3655268 HEMOLYSIN ACID $107 4059607 HEMOLYSINS/AGGLUTININS INCUBATION $953 700040077 HEMOQUANT- TOTAL (STOOL) $230 6757851 HEMORRHOID STAPLER $799 4059335 HEMOSIDERIN QL $70 700040185 "HEMOSIDERINE, URINE" $60 6751292 HEMOSTASIS DEVICE FEMORAL $84 6751291 HEMOSTASIS DEVICE RADIAL $128 6751104 HEMOSTAT ABSORBABLE SURGICIL $95 6750414 HEMOSTATIC SEALANT ARISTA AH $815 6750504 HEMOSTATIC SEALANT GEL FLOSEAL "$5,988 " 4059460 HEP B DNA QUANT PCR "$1,153 " 4059470 HEP B PCR AMPLIFIED $961 700044062 HEP B SURFACE ANTIGEN(CONFIRM) $38 3655415 HEP C PCR AMPLIFIED $758 3655416 HEP C PCR QN "$1,153 " 4059463 HEP C RNA QUANT BDNA $830 4059462 HEP C RNA QUANT PCR "$1,153 " 797029089 HEP C SCREEN HIGH RISK/OTHER $58 3655269 HEPARIN ASSAY $396 700043257 HEPARIN INDUCED PLATELET ANTIBODY $209 4059006 HEPATIC FUNCTION PANEL $356 700049931 HEPATITIA B VIRUS DNA $255 4059416 HEPATITIS A AB IGM $328 4059415 HEPATITIS A AB TOTAL $149 3655361 HEPATITIS A ANTIBODY IGM $328 3655360 HEPATITIS A ANTIBODY TOTAL $149 700044105 HEPATITIS A ANTIBODY-IGM $328 700042059 HEPATITIS B - DELTA ANTIBODY $180 700042047 HEPATITIS B ANTIBODY $232 700042048 HEPATITIS B CORE ANTIB (IGG) $232 4059411 HEPATITIS B CORE ANTIBODY TOTAL $232 4059412 HEPATITIS B CORE IGM $330 4059414 HEPATITIS B E AB $237 4059456 HEPATITIS B E AG $232 4059413 HEPATITIS B SURF AB QUAL $232 4059455 HEPATITIS B SURF AG $277 3655358 HEPATITIS B SURFACE AB QL $232 700042046 HEPATITIS B SURFACE ANTIGEN $277 3655410 HEPATITIS BE AG $232 3655359 HEPATITIS BE ANTIBODY $25 3655359 HEPATITIS BE ANTIBODY $237 700042043 HEPATITIS BE ANTIGEN $25 700044077 "HEPATITIS C (NON-A, NON-B)" $72 3655370 HEPATITIS C AB CONFIRM $358 4059461 HEPATITIS C AMPLIFICATION $758 4059421 HEPATITIS C ANTIBODY $83 4059421 HEPATITIS C ANTIBODY $393 700044525 HEPATITIS C CONFIRMATION $63 4059606 HEPATITIS C GENOTYPE $923 700049934 HEPATITIS C GENOTYPE & ULTRAQUAN $551 700049932 HEPATITIS C VIRUS QUANT BY PCP $274 3655349 HEPATITIS DELTA ANTIBODY $532 700049918 HEPATITIS E VIRUS IGG AND IGM $161 700042041 HEPATITIS PROFILE $747 700042044 HEPTATIS A TOTAL ANTIBODIES $50 700043308 HERED HEMOCHROMATOSIS DNA MUTATIO $223 700046044 HERPES CULTURE $79 700042319 HERPES SIMPLES TYPING $33 700042320 HERPES SIMPLES/VARICELLA ZOSTER V $28 4059497 HERPES SIMPLEX 1 $206 700042088 "HERPES SIMPLEX 1,IGG" $20 4059498 HERPES SIMPLEX 2 $206 700042089 "HERPES SIMPLEX 2,IGG" $27 700049946 HERPES SIMPLEX DNA BY PCP $202 700044044 HERPES SIMPLEX IGM $60 4059496 HERPES SIMPLEX NON-SPECIFIC $133 700042087 "HERPES SIMPLEX VIRUS 1,2 IGM" $60 3655308 HETEROPHILE ANTIBODY SCREEN $195 3655309 HETEROPHILE ANTIBODY TITER $57 3653000 HEXAGNAL PHOSPH PLTLT NEUTRL $104 6753369 HF RESECTION 24FR LONG ROLLER "$1,741 " 6753366 HF RESECTION ELECT 24 FR LG LOOP "$1,741 " 6753412 HF RESECTION ELECT 24 FR ROLLER $313 6753411 HF RESECTION ELECT 24-28FR NEEDLE $313 6753410 HF RESECTION ELECT 24FR BI NEEDLE "$1,743 " 6753368 HF RESECTION ELECT 24FR LG LOOP "$1,727 " 6753406 HF RESECTION ELECT 24FR LONG LOOP "$1,741 " 6753350 HF RESECTION ELECTRO LOOP 24 FR "$1,727 " 6753364 HF RESECTION ELECTRO ROLLER 12-30 "$1,825 " 6753414 HF RESECTION ELECTRODE 24FR LOOP $315 6753413 HF RESECTION ELECTRODE 26FR LOOP $315 6753349 HF RESECTION ELECTRODE BUTTON "$1,820 " 6753338 HF RESECTION ROLLER ELECTRO 24-28 "$1,823 " 6750753 HFO W/O JOINTS CUSTOM "$1,096 " 797029087 HGB A1C (POC) $75 4059325 HGB SICKLE CELL SCREEN $166 750090053 HIGH ALTITUDE TESTING $958 750090055 HIGH ALTITUDE TESTING WITH O2 $988 69001675 HIGH COMPLEX PROCEDURE "$10,395 " 750080204 HIGH FLOW CANNULA/DAY $53 616097062 HIGH ROLL CUFF ADD LE L2550 $986 6751452 HIGH ROLL CUFF ADDN LOWER EXTREM $986 680052057 HINGED KNEE BRACE "$1,107 " 616097054 HINGED KNEE BRACE OTS L1833 "$2,894 " 685082738 HINGED KNEE BRACE. $725 616050613 HIP ABDUCTION "$1,752 " 6750168 HIP ABDUCTION BRACE "$7,048 " 685082739 HIP ABDUCTION. "$1,244 " 690051597 HIP ARTHROPLASTY DISLOC W/O ANES $620 690052239 HIP ARTHROPLASTY DISLOC WO ANES B $620 690051993 HIP ARTHROPLASTY DISLOC WO ANES L $620 6753049 HIP IMPLANT LVL I "$22,017 " 6753050 HIP IMPLANT LVL II "$31,907 " 6753051 HIP IMPLANT LVL III "$39,201 " 6753052 HIP IMPLANT LVL IV "$47,318 " 6753053 HIP IMPLANT LVL V "$63,085 " 6753054 HIP IMPLANT LVL VI "$77,125 " 6753055 HIP IMPLANT LVL VII "$98,821 " 6753056 HIP IMPLANT LVL VIII "$117,965 " 690051992 HIP PLASTY DISC W REG GEN ANES LT "$1,930 " 690052238 "HIP PLASTY DISLOC W REG,GEN ANES" "$1,930 " 690051598 "HIP PLASTY DISLOC W/REG,GEN ANES" "$1,930 " 4059343 HISTAMINE $962 700046810 "HISTAMINE, 24 HOUR URINE" $183 700049070 "HISTAMINE, BLOOD" $183 6751514 HISTOLOGY NEEDLE ALWAYS ON TIP "$1,953 " 700046665 HISTOPLASMA $80 4059527 HISTOPLASMA AG $457 4059551 HISTOPLASMA ANTIBODY $179 4059551 HISTOPLASMA ANTIBODY $200 700046655 "HISTOPLASMA,YEAST PH(COMP FIX)" $80 700042002 HIV (HTLV3) $306 4059590 HIV 1 PCR AMPLIFIED "$1,613 " 3655418 HIV 1 PCR QN $624 4059464 HIV 1 RNA QUANT BY PCR $624 4059564 HIV AG/AB COMBO ASSAY $321 3655356 HIV ANTIBODY SCREEN $306 797029085 HIV ANTIGEN W/HIV ANTIBODIES POC) $75 3655348 HIV CONFIRM $229 700043238 HIV DNA BY PCR $130 700040451 HIV RNA QUANT PCR $130 3655354 HIV-1 ANTIBODY $266 4059571 HIV-1 REV TRANS & PROTEASE REGION "$1,513 " 4059465 HIV1 RNA ULTRAQUANT BDNA $572 4059584 HIV-2 ANTIBODY $403 4059560 HLA - B27 ANTIGEN EACH $354 700049916 HLA DR2 AND DQ1 NARCOLEPSY EVAL $299 4059626 HLA TYPING I LOW RES 1 LOCUS "$1,813 " 3655371 HLA TYPING MULTI ANTIGEN A/B/C $967 700043048 HLA-B27 DNA TYPING $326 700040452 HLA-B5701 TYPING $220 6753057 HMATRIX ACELLULAR DERMIS IMPLANT "$5,901 " 6753058 HMATRIX ACELLULAR DERMIS PR SQ CM $122 6750754 HO W/O JOINTS CUSTOM "$1,096 " 6759041 HOLDING PIN "$1,140 " 6753060 HOLMIUM LASER FIBER "$1,426 " 750080141 HOME CPAP/BIPAP DAY $53 750090112 HOME MECH VENT/DAY $230 750090107 HOME VENT 1RST DAY $575 4059204 HOMOCYSTEINE $305 700044504 "HOMOCYSTEINE,TOTAL" $121 3655394 HOMOGENIZATION TISSUE FOR CULTURE $62 700043499 HOMOVANILLIC ACID(24H URINE) $53 6751458 HORIZON CLIP LARGE $42 6751456 HORIZON CLIP MED $26 6751457 HORIZON CLIP MED-LARGE $32 6751455 HORIZON CLIP SMALL $21 4031148 HOSPITAL OUTPT CLINIC VISIT $223 657099013 HRT ECHO TEE GUID TARVA MITRACLIP "$3,058 " 657099012 HRT MITRACLIP DEVICE "$48,000 " 700043227 HSV 1/2 IGM ANTIBODIES $60 4059621 "HSV PCR QUAL, AMPLIFIED PROBE" $173 700043158 HSV1 IGG ANTIBODIES $20 700043226 HSV2 IGG ANTIBODIES $27 710083204 "HT MUSCLE IMAGE SPECT, MULT" "$8,265 " 700042570 HTLV1 ANTIBODY $179 6753061 HUMAN AMNION SK SUB PER SQCM LVL1 $153 6753062 HUMAN AMNION SK SUB PER SQCM LVL2 $480 6753063 HUMAN AMNION SKIN SUB INJ 1CC "$7,841 " 6753863 HUMAN CORNEA HALF W/O SCLERAL RIM "$1,635 " 700040156 HUMAN ERYTH DNA GENOTYPE PNL $425 700043490 HUMAN GROWTH HORMONE $113 4059199 HUMAN GROWTH HORMONE LEVEL $392 680151267 HUMERAL FRACTUR $537 685082741 HUMERAL FRACTURE $322 685082741 HUMERAL FRACTURE $537 6758411 HUMERAL ROD "$9,546 " 6753066 HUMERUS WHOLE ELBOW "$11,086 " 797029099 HYDRATION 31 MIN TO 1 HOUR $369 614063979 HYDRATION INF EA AD- 4N $135 690051046 HYDRATION IV INFUSION EA ADD HOUR $135 658092613 HYDRATION IV INFUSION EA ADDL HOU $135 658092612 HYDRATION IV INFUSION INITIAL $369 690051045 HYDRATION IV INFUSION -INITIAL $369 6751119 HYDRO THERMABLATOR SET "$4,821 " 6750076 HYDROTOME "$2,486 " 700043498 HYDROXYBUTERIC DEHYROGEN $242 3655117 HYDROXYCORTICOSTEROID 17-OHCS $171 700049830 HYDROXYPROLINE-FREE(24 URINE) $581 700049831 HYDROXYPROLINE-TOTAL(24 URINE) $402 700042420 HYPERSENSITIVITY PNEMON.PROF $160 700043253 HYPERTHYROID PROFILE $81 653099475 HYPOTHERMIA PER HOSPITAL STAY "$1,424 " 700043252 HYPOTHYROID PROFILE $81 777057012 I & D ABSCESS-MULTIPLE/COMPLEX $378 777057011 I & D ABSCESS-SINGLE OR SIMPLE $251 667062011 I & D OF POCKET HEMATOMA "$4,558 " 690051720 I & D OF VULVA/PERINEUM $620 690051942 I&D EPIDYMIS/TESTIS/SCROTAL "$1,930 " 777057024 I&D HEMATOMA SEROMA "$1,773 " 796032012 "I&D, ABSCESS COMPLEX" $378 797029024 "I&D, ABSCESS SIMPLE" $251 797029105 "I&D, HEMATOMA SEROMA" "$1,773 " 797029106 "I&D, POSTOP WOUND INFECTION" "$1,773 " 764083097 I-131 ABLATION-CARCINOMA-PROC "$1,968 " 764083094 I-131 ABLATION-NON-CANCER-PROC "$1,968 " 667061742 IABP CATHETER "$1,307 " 667061968 ICD GENERATOR CHANGE DUAL LEAD "$39,979 " 667061969 ICD GENERATOR CHANGE MULT LEAD "$59,011 " 667061967 ICD GENERATOR CHANGE SINGLE LEAD "$39,979 " 667061980 "ICD INITIAL INSERTION, W/FLUORO" "$58,793 " 667059372 ICD REMOVAL GENERATOR "$7,191 " 667059374 ICD REMOVAL OF LEADS "$4,114 " 667069199 ICE - INTRACARDIAC ECHO "$4,480 " 640097039 ICU APP EXTERNAL FIXATION SYSTEM "$2,984 " 640097033 ICU IMPLANT VENTICUL CATH W/DRILL "$3,080 " 640097037 ICU INSERTION SWAN-GANZ CATH "$4,696 " 640097038 ICU INSERTION TEMP PACEMAKER "$5,119 " 640097034 ICU REPLACEMENT VENTRICULAR CAT $835 640097035 ICU TRACHEOSTOMY "$5,411 " 640097036 ICU WOUND DEBRODEMENT $738 705083673 IDH1 COMMON VARIANTS $295 705083674 IDH2 COMMON VARIANTS $295 4059180 IEP/IGA $184 4059182 IEP/IGG $184 4059181 IEP/IGM $184 4059183 IGA $184 4059226 IGA ANTIBODY $282 4059187 IGA PEDIATRIC LOW LEVEL $184 3655094 IGA/IGD/IGG/IGM EACH $184 4059186 IGD $184 4059188 IGE $191 4059285 IGF 1 (SOMATOMEDIN) $232 4059184 IGG $184 4059190 IGG SUBCLASS 1 $189 4059191 IGG SUBCLASS 2 $189 4059192 IGG SUBCLASS 3 $189 4059189 IGG SUBCLASS 4 $189 3655096 IGG SUBCLASSES $189 705083662 IGK REARRANGEABN CLONAL POP $348 4059185 IGM $184 4031087 IM OR SQ INJECTION $215 700040134 IMMEDIATE PT MIX STUDY $34 700040136 IMMEDIATE PTT-LA MIX STUDY $36 685020225 IMMOBILIZER ARM $30 685020454 IMMOBILIZER KNEE $63 6757361 "IMMOBILIZER KNEE UNIV 20""" $208 6750569 IMMOBILIZER UNIV SHOULDER SM $112 797029073 IMMU 1 VAC VACCINE/TOXOID) $113 615063089 IMMU ADMI INJ 1 VAC-5N $113 615063952 IMMU ADMI INJ EA AD-5N $75 700043422 IMMUNDELECTROPH (24 H URINE) $156 3655314 IMMUNE COMPLEX ASSAY $137 700042416 IMMUNE COMPLEX C1Q BINDING $54 700042003 IMMUNE COMPLEX PRO $367 796032033 IMMUNIZATION ADMIN INJ EA ADDITIO $75 601098319 IMMUNIZATION ADMIN INJ ONE VACCIN $113 4059234 IMMUNOASSAY FIBROSPECT EACH $677 3655420 IMMUNOASSAY OPTICAL ORGANISM NOS $43 4059207 IMMUNOASSAY QL/SQ MULTI STEP $177 3655304 IMMUNOASSAY QL/SQ TUMOR ANTIGEN $93 4059529 IMMUNOASSAY QN INFECTIOUS AB $399 3655121 IMMUNOASSAY QN OTHER $677 3655120 IMMUNOASSAY QN RIA $358 4059466 IMMUNOASSAY QN TUMOR AG OTHER $510 4059237 IMMUNOASSAY QNT NOS NONAB $291 4059102 IMMUNOASSAY SCREEN BLOOD FECAL $113 3655313 IMMUNODIFFUSION $421 700043421 IMMUNOELECTROPH SERUM $142 3655312 IMMUNOELECTROPHORESIS SERUM $311 3655316 IMMUNOFIX ELECTRO OTHER $334 4059467 IMMUNOFIX ELECTRO SERUM $334 4059381 IMMUNOFIXATION URINE $334 705083655 IMMUNOFLUORESCENCE EA ADD AB $139 705048061 IMMUNOFLUORESCENCE INITIAL AB $400 3655434 IMMUNOFLUORESCENT DIRECT $204 700043070 IMMUNOGLOBIN G SUBCLASSES $250 700043501 IMMUNOGLOBULIN A $250 700043500 "IMMUNOGLOBULIN A,QUANT" $250 700043505 IMMUNOGLOBULIN D $250 700043510 IMMUNOGLOBULIN E (IGE) $191 700043410 IMMUNOGLOBULIN G $250 700044040 "IMMUNOGLOBULIN G, (SPINAL FLUID)" $250 700043415 IMMUNOGLOBULIN M $250 705083647 IMMUNOHISTO EA AD SINGLE ANTIBODY $133 705048046 IMMUNOHISTO INITIAL SINGLE AB $467 6753067 IMPL COLLAGEN ENDURAGEN 1X4X1MM "$1,309 " 6753068 IMPL COLLAGEN ENDURAGEN 2X5X.5MM "$2,647 " 6753069 IMPL COLLAGEN ENDURAGEN 2X5X1MM "$2,647 " 6753686 IMPL COLLAGEN URINARY 2.5 ML "$1,400 " 6753496 IMPL OCULAR DRAIN ASSIST DEV "$6,804 " 667069292 IMPL PRESSURE SENSOR W/ANGIO. "$61,614 " 6753633 IMPLANT AMNION GRAFT $976 6753653 IMPLANT ANKLE LVL 1 "$9,900 " 6753654 IMPLANT ANKLE LVL 2 "$14,300 " 6753284 IMPLANT BICEP SYSTEM "$4,950 " 6753293 IMPLANT DERMACELL 5X7CM "$9,094 " 6753381 IMPLANT DERMACELL 8X16CM "$12,624 " 6757729 IMPLANT EAR SILICONE $221 6753616 IMPLANT ELBOW COMPONENT LVL 1 "$3,000 " 6753617 IMPLANT ELBOW COMPONENT LVL 2 "$12,000 " 6753071 IMPLANT EYELID WEIGHT "$1,129 " 6750555 IMPLANT FINGER "$5,000 " 4031006 IMPLANT HORMONE PELLET SUBQ $240 6751897 IMPLANT INTERFYL "$7,987 " 6751875 IMPLANT NASAL ABSORBABLE "$3,456 " 6753862 IMPLANT NASAL DORSAL $989 6758826 IMPLANT ORAL "$6,975 " 6753405 IMPLANT ORBITAL FLOOR SHEET SUPOR "$1,458 " 6753404 IMPLANT ORBITAL FLOORSHEET MEDPOR "$2,517 " 6753612 IMPLANT POWER INDWELLING LVL 1 $880 6753613 IMPLANT POWER INDWELLING LVL 2 "$1,700 " 6753614 IMPLANT POWER INDWELLING LVL 3 "$3,980 " 6753655 IMPLANT SHOULDER LVL 1 "$16,800 " 6753656 IMPLANT SHOULDER LVL 2 "$23,625 " 6753657 IMPLANT SHOULDER LVL 3 "$27,000 " 6753658 IMPLANT SPINAL/FUSION LVL 1 "$3,100 " 6753659 IMPLANT SPINAL/FUSION LVL 2 "$6,500 " 6753660 IMPLANT SPINAL/FUSION LVL 3 "$14,500 " 6753661 IMPLANT SPINAL/FUSION LVL 4 "$22,000 " 6753662 IMPLANT SPINAL/FUSION LVL 5 "$32,500 " 6753620 IMPLANT TOE LVL 1 "$3,000 " 6753621 IMPLANT TOE LVL 2 "$6,300 " 6753545 IMPLANT WRIST "$2,700 " 6753073 IMPLANT XCM BIOLOGIC MATRIX "$37,034 " 6753074 IMPLANTABLE CONTACT LENS "$4,197 " 6753075 IMPLANTABLE DOPPLER FLOW PROBE "$1,874 " 705083632 "IN SITU HYBRIDIZATION, FISH" $315 690051707 INCISE EXTERNAL HEMORRHOID $620 690051904 INCISION & DRAINAGE ARM-BURSA "$1,930 " 690051706 INCISION OF ANAL ABSCESS "$1,022 " 690051010 INCISION OF BREAST LESION- BIL "$1,930 " 690051007 INCISION OF BREAST LESION- LT "$1,930 " 690039802 INCISION OF BREAST LESION- RT "$1,930 " 690051705 INCISION OF RECTAL ABSCESS "$1,022 " 4031077 IND O2 UPTAKE @ RST FOR CALORIMET $347 4059423 INDIRECT ANTIBODY SCREEN $177 816088012 INDIV DIAB SELF MGMT TRAIN 30 MIN $85 4031058 INDIVIDUAL PSYCHOTHERAPY >52 MIN $538 4031068 INDIVIDUAL PSYCHOTHERAPY 16-37MIN $180 4031069 INDIVIDUAL PSYCHOTHERAPY 38-52MIN $306 3656664 INFECIOUS AGEN DRUG SUS CMV "$2,175 " 4059380 INFECTIOUS MONO TEST $195 4059235 INFLIXIMAB $677 700046565 INFLUENZA A $35 700044072 INFLUENZA B $35 700046575 INFLUENZA C (COMP FIX) $116 700040402 INFLUENZA TYPE A & B RNA $575 614063982 INFUSION ADDL SEQ H- 4N $240 614063983 INFUSION CONCURENT- 4N $145 614063981 INFUSION EA AD SAM - 4N $203 614063980 INFUSION INITIAL H- 4N $443 6751811 INFUSION PUMP PROG. PROMETRA "$27,957 " 4031144 "INFUSION, SUBQ THERAP ADDL HR" $205 4031143 "INFUSION, SUBQ THERAP UP TO 1 HR" $665 4059501 INHIBIN A $132 4059239 INHIBIN B $291 700040126 INHIBITOR IX SCREEN $346 700040127 INHIBITOR XI SCREEN $346 700040128 INHIBITOR XII SCREEN $346 667061982 "INITIAL INSERT DUAL LEADS, W/FLUO" "$18,507 " 667061981 "INITIAL INSERT SINGLE LEAD, W/FLU" "$18,507 " 690051497 INITIAL TREATMENT OF BURN(S) $620 690051821 INJ ANESTHETIC AGNT TRIGEMINAL NE $620 741083328 INJ CERVICAL/THORACIC W GUIDANCE "$3,574 " 601077923 INJ EPIDURAL OF BLOOD OR CLOT P/1 "$1,241 " 669066036 INJ EPIDURAL OF BLOOD OR CLOT PAT "$1,241 " 741083327 INJ LUMB/CAUDAL EPI W GUIDANCE "$4,152 " 760082139 INJ PROCED-IDENTIF OF SENTINEL NO $786 741083298 "INJ SACROILIAC , UNI W/FLUORO" "$3,140 " 741083297 "INJ SACROILIAC, BIL W/FLUORO" "$4,710 " 690051898 INJ TENDON SHEATH/LIGAMENT $620 690051507 "INJ TRIGGER POINT, 1/2 MUSCL" $620 6753687 INJ VOCAL CORD BULK AGENT 0.1ML "$2,500 " 614063904 INJECT ADMIN IM/SQ- 4N $168 690051907 INJECTION INTO SKIN LESIONS $620 6755802 INJECTION PORT AND APPLIER "$4,036 " 6753076 INNERDYNE STEP TROCAR $421 767085130 INPATIENT PERITONEAL DIALYSIS CAP "$1,798 " 700040142 INR POC. $125 667059292 INS.SWAN-GANZ TO MONITOR "$4,696 " 667069227 INS/REP SUB DEFIBRILLATOR INC DFT "$55,791 " 674069293 INS/RPL LEADLESS PACEMAKER W IMAG "$32,244 " 667061983 INSERT L.VENT L TO EXIST ICD W/FL "$19,692 " 690051680 INSERT NON-TUNNEL CV CATH "$1,022 " 690039814 INSERT PICC CATH WITHOUT GUIDE "$1,022 " 690051716 INSERT TEMP BLADDER CATH $620 6753574 INSERTION DEVICE GERD "$11,261 " 667059283 INSERTION L VENT LEAD AT ICD INSE "$19,692 " 797029042 INSERTION NEXPLANON $292 690092573 INSERTION OF CHEST TUBE OPEN- BIL "$1,022 " 690051017 INSERTION OF CHEST TUBE OPEN- LT "$1,022 " 690051672 "INSERTION OF CHEST TUBE, OPEN- RT" "$1,022 " 741052343 INSERTION PAIN STIMULATOR TRIAL "$12,817 " 6751261 INSORB STAPLER $181 4031030 INST UTERINE TNDM/ VAGINAL OVOID "$3,109 " 4031029 INSTILL ANTICARCINOGENIC BLADDER "$1,000 " 6753077 INSTRATEK EUDOTRAC BLADE $516 700042440 INSULIN ANTIBODIES $317 816092519 INSULIN INJECT TRN IND/30 MIN. $85 4059243 INSULIN LIKE GROWTH FACT. 3 $177 700049935 INSULIN LIKE GROWTH FACTOR I $686 3655122 INSULIN TOTAL $444 4059251 INSULIN(INSULIN) ASSAY $444 700043144 "INSULIN, SERUM" $207 667062109 "INT C CATH/INTRACRAN CAR ANGIO, B" "$10,709 " 667062108 "INT C CATH/INTRACRAN CAR ANGIO, U" "$10,709 " 730117640 INTAL $24 730109545 INTAL CROMOLYN SODIUM $24 6753078 INTEGRA BILAYER MATRIX IMPLANT "$10,317 " 6753079 INTEGRA MATRIX LVL I IMPLANT "$23,478 " 6753080 INTEGRA MATRIX LVL I PER SQ CM $96 6753081 INTEGRA MATRIX LVL II IMPLANT "$9,616 " 6753082 INTEGRA MATRIX LVL II PER SQ CM $392 6753083 INTEGRA MATRIX PER SQCM (5X5) $337 6753084 INTEGRA MATRIX PER SQCM(10X12.5) $103 6753085 INTEGRA SKN SUB FLOW MATRIX 1CC "$5,153 " 6753086 INTEGRA WOUND MATRIX IMPLANT "$8,248 " 797029066 INTENS BEHAVE THER CARDIO DX $91 766092320 INTENSITY MODULATED TREAT DELIVER $723 4031064 INTERACTIVE COMPLEXITY $203 6751059 INTERCEED $568 6751059 INTERCEED $807 741083265 INTERCOSTAL NERVE BLOCK MULTI - B "$2,206 " 741052372 INTERCOSTAL NERVE BLOCK MULTI UNI "$1,471 " 741052335 INTERCOSTAL NERVE BLOCK SINGL UNI "$1,367 " 685082813 INTERDRY SILVER 10X36 $61 6753593 INTERFYL 1MG $5 4059246 INTERLEUKIN-6(IL-6) $926 888870000 INTERMEDIATE "$4,437 " 69001627 INTERMEDIATE PROCEDURE "$1,022 " 693051920 INTERMEDIATE UNIT - PRIVATE ROOM $303 693051970 INTERMEDIATE UNIT PRIVATE ROOM $303 693051975 INTERMEDIATE UNIT SEMI-PRIVAT R $278 693051930 INTERMEDIATE UNIT SEMIPRIVAT ROOM $278 690052427 INTERPHAL DISLOC W/O ANES-2ND LT $620 690052422 INTERPHAL DISLOC W/O ANES-2ND RT $620 6753087 INTERPHALANGEAL JOINT REPL IMP "$6,708 " 6753688 INTERPHALANGEAL JOINT SPACER "$6,600 " 705083626 INTERPHASE INSITU 100-300 CELLS $370 6757991 INTERSPACE "$15,204 " 667059111 INTERVENTIONAL GUIDEWIRE $160 667059125 INTERVENTIONAL SHEATH $105 693051971 INT-LOA-PERSONAL-PVT RM $303 693051976 INT-LOA-PERSONAL-SPVT RM $278 667059022 INTRA-AORTIC BALLOON PROCEDURE "$5,874 " 667061993 INTRACARDIAC ECHO "$6,017 " 6752469 INTRAFIX TIBIAL SHEATH "$1,226 " 660098990 INTRAOP NEUROPHYSIOLOGY MONITOR $152 6750863 INTRAOSSEOUS NDL/ILIAC ASPIRATN $589 6757993 INTRATHECAL CATHETER "$3,101 " 6757994 INTRATHECAL PUMP IMPLANT (PROG) "$42,203 " 6751062 INTRAUTERINE PRESSURE CATH $477 667061656 INTRAVASCUALR US ADDTL CORONARY V "$6,335 " 667061655 INTRAVASCUALR US INIT CORONARY VS "$6,335 " 667061657 INTRAVASCUALR US INIT NON-COR VSS "$5,829 " 667061661 INTRAVASCULAR DOP EACH ADDTNL VES "$4,343 " 667061660 INTRAVASCULAR DOP VEL&/OR PRESS F "$4,824 " 667069296 INTRAVASCULAR LITHOTRIPSY CATH "$4,400 " 4059382 INTRINSIC FACTOR AB $500 700043649 INTRINSIC FACTOR ANTIBODIES $111 667069251 INTRO CATH DIALYSIS CIRCUIT "$2,443 " 667061963 INTRO CATH TO SVS/ IVC "$2,279 " 667061695 INTRO NEEDLE /CAT EXT ART "$2,801 " 3631000 INTRO NEEDLE/INTRACATH VEIN $279 667059538 INTRO OF CATH AORTA "$2,284 " 6753689 INTRO/SHEATH LASER "$11,980 " 6758862 INTRO/SHEATH NO-GUIDE LVL I $413 6758864 INTRO/SHEATH NO-GUIDE LVL II $737 6758865 INTRO/SHEATH NO-GUIDE LVL III "$1,070 " 6758819 INTRO/SHEATH NO-GUIDE LVL IV "$1,768 " 6750439 INTRO/SHTH GUIDE EP FIXED LVL I $978 6753270 INTRO/SHTH GUIDE EP STEER LVL I $323 6753271 INTRO/SHTH GUIDE EP STEER LVL II $491 6753272 INTRO/SHTH GUIDE EP STEER LVL III $839 6753273 INTRO/SHTH GUIDE EP STEER LVL VI "$5,893 " 6751419 INTRO/SHTH GUIDE FIX PEEL LVL I $231 6753548 INTRO/SHTH GUIDE FIX PEEL LVL II $607 6751421 INTRO/SHTH GUIDE FIX PEEL LVL III "$1,271 " 6751422 INTRO/SHTH GUIDE FIX PEEL LVL IV "$2,426 " 6750538 INTRODUCER INTRASITE $465 6753326 INTRODUCER KIT INTERSTIM "$1,021 " 6750539 INTRODUCER MICRO TEARAWAY $210 6751446 "INTRODUCER, MICRO" $118 6751247 INTRODUCER/SHEATH CHECK-FLO "$1,428 " 667061651 INTRODUCER/SHEATH FIXED NON PEEL $20 667061650 INTRODUCER/SHEATH FIXED PEEL AWAY $61 6750624 INTRODUCER/SHEATH GUIDING $322 6753088 INTRODUCR/SHEATH NO-GUIDE LVL I $413 6753089 INTRODUCR/SHEATH NO-GUIDE LVL II $737 6753090 INTRODUCR/SHEATH NO-GUIDE LVL III "$1,070 " 6753091 INTRODUCR/SHEATH NO-GUIDE LVL IV "$1,768 " 4059632 INTRPHASE INSITU HYBRIDIZ 100-300 $587 4059637 INTRPHASE INSTU HYBRIDIZ 100-300 $587 750080226 INTUBATION $708 700043146 "IODINE, TOTAL" $88 6753093 IO-FLEX IPSI PROBE $931 6753094 IO-FLEX MICROBLADE SHAVER BLADE "$6,719 " 6753095 IO-FLEX NEURO CHECK DEVICE "$4,948 " 660099006 IOL ASTIGM TECNIS SYMFONY $985 660098831 IOL CONVENTIONAL ANT CHAMBER $252 660064032 IOL CONVENTIONAL POST CHAMBER $240 700040434 "IONIZED CALCIUM, I-STAT POC LAB" $156 771085100 IONTOPHORESIS - PT/15 $206 771088394 IONTOPHORESIS-OT/ 15 $206 730109551 IPRATROPIUM-ALBUTEROL 0.5-2.5MG $28 750090056 IPV THERAPY FIRST TREATMENT $194 750090057 IPV THERAPY SUBSEQUENT $194 724010405 IR Y90 GASTRICDUOD ARTERY "$35,838 " 4059037 IRON $189 4059038 IRON BINDING $189 700043151 "IRON, SERUM" $189 690051837 IRRIGATION COR CAVERNOSA PRIAPISM $620 665052208 IRRIGATION IMPLANTED VAD $113 4059541 ISH MORPHO MANUAL ADDL STAIN "$1,108 " 4059538 ISH MORPHO MANUAL MULTISTAIN "$1,151 " 3656652 ISLET CELL ANTIBODY $74 6753097 ISOCOOL BIPOLAR TIP "$1,413 " 730111375 ISOVUE 300/ML $6 730111376 ISOVUE 370 /ML $6 730111381 ISOVUE M 200 $6 730111380 ISOVUE M 300 $6 700047015 ISSUE - UNIT - WHOLE BLOOD $739 700040440 ISTAT PED BLOOD GASES $324 797029056 IUD INSERTION $920 797029040 IUD REMOVAL $541 3631014 IV HYDRATION EA ADDL HR $229 3631013 IV HYDRATION INITIAL 31-60 MIN $594 4031082 "IV HYDRATION,EA ADDTL HR" $229 4031081 "IV HYDRATION,INITIAL, 31-60 MIN" $594 665052181 IV INFUSION ADDL SEQUENTIAL HOUR $240 665052180 IV INFUSION EA ADDL HOUR SAME DRU $203 601098325 IV INFUSION INITIAL $443 690051041 IV INFUSION-THERAPEUTIC CONCURREN $145 614063922 IV PUSH EA AD NEW D- 4N $165 614063910 IV PUSH INITIA DRUG- 4N $303 3631020 IV PUSH SINGLE OR INITIAL $446 4031089 "IV PUSH, EA ADTL NEW DRUG" $421 4031088 "IV PUSH, SINGLE OR INITIAL" $446 3631017 IV THER ADDL NEW RX SEQUENT 1ST H $229 4031084 IV THER/PROPH EA ADDTL HR $229 4031083 "IV THER/PROPH INITIAL, UP TO 1 HR" $594 6753114 IVAS SYSTEM KIT "$5,899 " 6755409 IVC FILTER "$11,768 " 667059695 IVUS CATHETER "$2,301 " 667061712 "IVUS, NON CORONARY, EACH ADDITION" "$5,167 " 6750791 J TUBE DIRECT "$1,248 " 6750885 JACKSON PRATT RESERVOIR $129 700043307 JAK2 MUTATION. $290 669098515 JC NEBULIZER TREATMENT $194 700040449 "JC POLYOMA VIRUS RT PCR, BLOOD" $150 700040448 "JC VIRUS DNA ULTRA PCR, CSF" $394 616050617 JEWITT BRACE $825 685082740 JEWITT BRACE. $787 741083279 JOINT INJECTION BILATERAL. "$2,680 " 741052359 JOINT INJECTION UNILATERAL. "$1,786 " 6753115 JUGGERKNOT GUIDE KIT DISP "$1,582 " 6751869 JUVEDERM ULTRA PLUS XC "$1,079 " 6751882 JUVEDERM ULTRA XC "$1,079 " 6753588 KAFO PLAS DOUB FREE KNEE MOL "$5,426 " 700040169 KAPPA LIGHT CHAIN FREE $43 6753116 KELMAN TIP $329 6751395 KERAGEL $66 6753214 KERATOPROSTHESIS BOSTON "$21,879 " 6753600 KERECIS OMEGA3 PER SQ CM $174 3655706 KIRBY BAUER SUSCEPTIBILTY $49 6751645 KIT BAHA FAST SUPPLY "$2,060 " 6751170 KIT CATHETER ARTERIAL $128 6755748 KIT CHEST TUBE INSERTION $383 6751073 KIT CORE BIOPSY $455 6751946 KIT FRONTALIS SUSPENSION $526 6750792 KIT HEMORRHOID BANDING $292 6753127 KIT INSTRUMENT PRO-TOE VO "$1,035 " 6750663 KIT INTRODUCER SHEATH $258 6750793 KIT J-TUBE $781 6754966 KIT LAPAROSCOPIC FIXATION/STAPLE "$1,403 " 6753128 KIT MALE SLING IMPLANT "$15,248 " 6750953 KIT MUCOSECTOMY "$2,168 " 6753129 KIT NERVE MONITOR ET TUBE/PROBE $945 6750794 KIT PEG PULL $426 6751309 KIT PEG PUSH $802 685082811 KIT PERCUTANEOUS $81 6751380 KIT PHOTOPHERESIS "$6,388 " 6750673 KIT RADIAL SHEATH $333 6756020 KIT RADIOFREQUENCY "$3,666 " 6753130 KIT SMALL BONE FIXATION NAIL "$1,496 " 6750795 KIT VARICEAL BANDING "$1,403 " 6753131 "KIT, CARTILAGE REPAIR DISP" "$2,090 " 685029103 "KIT, FEMALE&INFANT CATH" $20 6757390 "KIT, INNERVISION ENDOSCOPIC" "$4,094 " 685028392 "KIT, MONITOR 110-4HMC" $916 6753132 "KIT, RIA SYSTEM" "$3,020 " 700040387 KLEINHAUER BETKE STAIN (FMH) $115 6753590 KNEE DISC/DIAL LOCK/ADJ FLEX $450 6753133 KNEE IMPLANT LVL I "$19,024 " 6753134 KNEE IMPLANT LVL II "$30,693 " 6753135 KNEE IMPLANT LVL III "$37,986 " 6753136 KNEE IMPLANT LVL IV "$46,102 " 6753137 KNEE IMPLANT LVL V "$58,866 " 6753138 KNEE IMPLANT LVL VI "$72,236 " 6753139 KNEE IMPLANT LVL VII "$97,545 " 6753140 KNEE IMPLANT LVL VIII "$116,689 " 680151261 KNEE ORTHOSIS (SOFT) $264 6751561 "KNEE ORTHOSIS, OTS" "$2,894 " 616060239 "KNEE ORTHOSIS, SOFT" $264 6756136 KNIFE CRESCENT ANGLED $111 6753142 KNIFE OPHT MINI CRESCENT ANG BEV $29 6756135 KNIFE ULTRASHARP MICROSURGICAL $747 6750617 KO ADJ KNEE JOINTS RIGID PREFAB $762 797029094 KOH $46 4059104 KOH SKIN/HAIR/NAILS $198 705083658 KRAS GENE ADDL VARIANTS $330 6753143 KTP LASER FIBER "$1,153 " 6753409 K-WIRE $54 6751180 KYPHOPAK "$15,000 " 6751179 KYPHX IMPLANTABLES/CEMENT "$1,058 " 667061611 L& RHC/LV/COR "$18,792 " 67000900 L&D OR 1ST 15 MIN "$1,779 " 67000901 L&D OR ADDL 15 MIN "$1,265 " 667061612 L&RHC/LV/COR/BP GRAFTS "$19,196 " 741083274 L/S PARAVERT FACET JNT 1ST LEVE/1 "$5,338 " 741083253 L/S PARAVERT FACET JNT 1ST LEVEL "$3,558 " 741083275 L/S PARAVERT FACET JNT 2ND LEVE/1 "$1,645 " 741083254 L/S PARAVERT FACET JNT 2ND LEVEL "$1,097 " 741083255 L/S PARAVERT FACET JNT 3RD/MOR UN "$1,097 " 741083276 L/S PARAVERT FACET JNT 3RD/MORE B "$1,645 " 700043045 L/S RATIO (FLUID) $205 700043403 LACOSAMIDE BLOOD LEVEL $177 4059568 LACTATE (LACTIC ACID) $322 700043672 LACTIC ACID - BLOOD $322 700043671 LACTIC ACID - BODY FLUID $87 4059197 LACTOSE TOLERANCE $597 700040168 LAMBDA LIGHT CHAIN FREE $43 700043256 LAMOTRIGINE $158 4059536 "LAMOTRIGINE, SERUM" $302 6753146 LAP BAND "$14,774 " 4059319 LAP STAIN $393 6753147 LAP TISSUE RETRACTOR SYSTEM DISP "$6,330 " 6753148 LAPCAP. $531 6753149 LARGE TISSUE REMOVAL DEVICE "$15,196 " 722095341 LARYNGOSCOPY WITH STROBOSCOPY "$1,892 " 774091413 LARYNGOSCOPY WITH STROBOSCOPY. "$1,892 " 6758007 LASER FIBER CYLINDRICAL DIFFUSER "$3,263 " 6751536 LASER FIBER ELITE CO2 "$8,233 " 6753151 LASER FIBER INDIGO BARE TIP $713 6753351 LASER FIBER MICRON HOLMIUM 1000 "$1,824 " 6753352 LASER FIBER MICRON HOLMIUM 270 $820 6753353 LASER FIBER MICRON HOLMIUM 400 $820 6753354 LASER FIBER MICRON HOLMIUM 600 $972 6755445 LASER FIBER MICRON. "$2,970 " 6753152 LASER PROBE LARYNX "$6,330 " 653199472 LASER T. RETINOPATHY OF PREMATUR "$4,530 " 700044536 LATEX IGE $54 6753153 LCS SHEARS "$2,161 " 67004000 LD RECOVERY 1ST 15 MIN $432 67004010 LD RECOVERY EA ADD 15 MIN $323 3655126 LDH $88 3655126 LDH $135 4059039 LDH BODY FLUID $135 700043620 LDH FLUID $135 4059344 LDH ISOENZYMES $306 700049170 LDH PERICARDIAL FLUID $31 700049172 LDH PERITONEAL FLUID $31 700049173 LDH PLEURAL FLUID $31 700043156 LDH-ISOENZYMES $71 700043169 LDL $150 4059646 LDL CHOLESTEROL MEASURED $150 3655128 LEAD $306 700043161 LEAD (24 H URINE) $56 6753690 LEAD AICD ENDO SINGLE COIL "$14,960 " 4059253 LEAD BLOOD $306 700043160 LEAD BLOOD/1 $56 6750697 LEAD DELIVERY SYSTEM "$5,893 " 6753552 LEAD ICD DUAL COIL "$41,580 " 6756102 LEAD INTRODUCER KIT "$1,891 " 667061685 LEAD LEFT VENTRICULAR "$3,644 " 6753154 LEAD NEUROSTIM TEST KIT LVL 1 $265 6753595 LEAD NEUROSTIM TEST KIT LVL 2 "$2,520 " 6753622 LEAD NEUROSTIMULATOR LVL 1 "$6,500 " 6753623 LEAD NEUROSTIMULATOR LVL 2 "$9,500 " 667059669 LEAD PACEMAKER ATRIAL $776 667061652 LEAD PACEMAKER/CARDIO-DEFIB COMBO "$5,600 " 667059668 LEAD PCMKR RIGHT VENTICULAR $776 4059252 LEAD URINE $218 674069295 LEADLESS PACEMAKER DEVICE "$17,200 " 700049936 LEGIONELLA ANTIGEN DETECT URINE $81 700046028 LEGIONELLA CULT $113 700046032 LEGIONELLA FA SMEAR $74 700046036 LEGIONELLA MICDAD AB $131 700042054 "LEGIONELLA PNEOMOPHLIA 1,6" $131 6754988 LENS IOL ANTERIOR $497 6754989 LENS IOL POSTERIOR $497 700049910 LEUK/LYMPHOMA BLOOD EVALUATION $214 767084045 LEUKOCYTAPHERESIS "$7,562 " 3655270 LEUKOCYTE ALK PHOS W/COUNT $393 4059376 LEUKOCYTE ANTIBODY ID $511 4059593 LEUKOCYTE PHAGOCYTOSIS $35 700043425 LEUTENIZING HORMONE $421 746082136 LEVEEN/SHUNT PATENCY EXAM "$1,253 " 705048071 LEVEL 1 GROSS ONLY $368 705048072 LEVEL 2 PATHOLOGY SPECIMEN $447 705048073 LEVEL 3 PATHOLOGY SPECIMEN $528 705048074 LEVEL 4 PATHOLOGY SPECIMEN $607 705048075 LEVEL 5 PATHOLOGY SPECIMEN $733 705048076 LEVEL 6 PATHOLOGY SPECIMEN $771 69003111 LEVEL I VISIT $392 69003076 LEVEL II VISIT $837 69003077 LEVEL III VISIT "$1,272 " 69003078 LEVEL IV VISIT "$1,964 " 69003079 LEVEL V VISIT "$2,930 " 700040229 LEVETIRACETAM(KEPPRA) $139 4059136 LEVETRIACETAM(KEPRA) $302 710072432 LEXISCAN MPI "$1,088 " 667061987 LHC W LV GRAM ONLY "$12,947 " 667061608 LHC W/LV W/COR "$16,926 " 667061610 LHC/LV/COR/BP GRAFTS "$18,296 " 700049656 LIDOCAINE $36 730103698 LIDOCAINE 4% $95 6753157 LIGASURE COAGLUATOR "$2,776 " 110250951 LIGATION OF EXTRA DIGIT $250 624099487 LIGATION OF EXTRA DIGIT- MB $250 650099493 LIGATION OF EXTRA DIGIT- NU $250 6753158 LIGATOR HEMORRHOID $153 6753159 LIGHT PANEL DIAM VIEW FIBER $432 710075620 LIMITED VENOUS STUDY $82 710072421 LINE PLACEMENT US GUIDANCE $440 6753160 LINVATEC CUDA STERLING $554 4059255 LIPASE $232 700043165 LIPASE-BLOOD $232 4059004 LIPID PANEL $266 700043163 LIPID PROFILE $266 4059512 LIPOPROTEIN (A) $118 3655448 LIPOPROTEIN BLOOD $201 700043170 LITHIUM $232 3655011 LITHIUM CITRATE (LITHIUM) $232 4059111 LITHIUM CITRATE(LITHIUM) LEVEL $232 668069007 LITHOSTAR "$17,081 " 700043175 LIVER PROFILE $356 705048094 LIVER TISSUE FOR QUANTATIVE FE $210 4059385 LIVER/KIDNEY MICROSOMAL AB $113 6753161 LLIF TISSUE RETRACTOR SYSTEM DISP "$15,196 " 670068095 LND-HEMOSTAT $273 6751454 LOCK HIP JOINT ADDN LOW EXTREMITY $833 6753162 LOOP WIRE SUTURE LASSO $845 6753163 "LOOP, TUR" $348 700044086 LOPRESSOR (METOPROLOL) LEVEL $217 777059003 LOW C SKIN SUBS ADD FEET 25 SQ CM $274 777059001 LOW C SKIN SUBS ADD LEG 25 SQ CM $274 777059002 LOW C SKIN SUBS FEET 1ST 25 SQ CM $527 777059000 LOW C SKIN SUBS LEG 1ST 25 SQ CM $527 710072111 LOWER DOPPLER ARTERIAL EXTRMTY CO "$1,236 " 680052067 LS CORSET SEMI RIGID $660 616097050 LS CORSET SEMI RIGID L0642 $660 4059124 LSD QUANT URINE $229 685082784 LSO BRACE- GA B&S "$1,380 " 6751301 LSO BRACE RIGID SHELL/PANEL "$3,396 " 616050614 LSO CORSET $234 680150235 LSO CORSET G-FLEX $930 616051257 LSO CUSTOM MOLD "$2,202 " 680151256 LSO CUSTOM MOLDED "$2,202 " 616050236 LSO RIGID "$2,124 " 680052068 LSO RIGID OTS "$1,950 " 616097051 LSO RIGID OTS L0650 "$1,950 " 6751451 LSO S/C BRACE SHELL/PANEL CUSTOM "$3,857 " 6753569 LSO SC R ANT/POS PNL PRE CST "$2,678 " 6756212 LUMBAR DRAINAGE KIT "$1,206 " 6753164 LUMBAR PERITONEAL SHUNT "$6,265 " 601077922 LUMBAR PUNCTURE "$1,022 " 601077922 LUMBAR PUNCTURE "$1,241 " 110250948 LUMBAR PUNCTURE- "$1,241 " 4031130 LUMBAR PUNCTURE DIAGNOSTIC "$1,452 " 624099488 LUMBAR PUNCTURE- MB "$1,241 " 650099494 LUMBAR PUNCTURE- NU "$1,241 " 750090074 LUNG VOLUMES BY NITROGEN WASHOUT $763 4059323 LUPUS AB PLATELET NEUT STACLOT/A $704 4059036 LUTEINIZING HORMONE $421 3655133 LUTEINIZING RELEASING FACTOR $517 6753553 LV CORONARY VEIN LEAD "$13,861 " 667069194 LV LEAD DELIVERY SYSTEM "$1,440 " 768088355 LYM- OT EVAL HIGH COMPLEX 60 MIN. $169 768088353 LYM- OT EVAL LOW COMPLEX 30 MIN. $169 768088354 LYM- OT EVAL MOD COMPLEX 45 MIN. $169 768088356 LYM- OT RE-EVAL EST PLAN CARE. $112 700043071 "LYME DIS WESTERN BLOTT IGG,IGM" $94 3655336 LYME DISEASE AB CONFIRM $70 3655337 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TB COMPLEX DIRECT DETECTION $247 3654029 M/PHMTRC ALYS ISHQUANT/SEMIQ- $477 705083660 M/PHMTRC ALYS ISHQUANT/SEMIQ EA $235 6758900 MACKOOL 30 DEGREE KILMAN $579 4059040 MAGNESIUM $159 700043182 MAGNESIUM - RBC $62 700043179 MAGNESIUM (24 H URINE) $62 700040963 "MAGNESIUM, STOOL" $62 4031100 MAINT/REFILL IMPLANT SYSTEM PUMP $542 700040100 MALARIA SMEAR $64 4059616 MALARIA SMEARS $393 6753165 MALCOT NEPHROSTOMY SET $333 6753311 MALECOT CATH SET 24X35 $254 4059473 MANGANESE $857 700043183 MANGANESE BLOOD $201 700043186 "MANGANESE, URINE" $201 4059063 MANUAL DIFFERENTIAL $79 772092157 MANUAL THERAPY TECHNIQUE OT/15 $248 771089284 MANUAL THERAPY TECHNIQUES-PT/15 $248 6751299 MARKER FIDUCIAL COBRA ENB "$3,111 " 3655135 MASS SPECTOMETRY QN $421 772092155 MASSAGE OT/15 $254 779010151 MASSAGE/15 MIN $254 6753167 MATRISTEM BURN MATRIX PER SQ CM $76 6753168 MATRISTEM MICROMATRIX PER MG $9 6753169 MATRISTEM SURGCL PR SQ CM LVL I $50 6753170 MATRISTEM SURGCL PR SQ CM LVL II $76 6753171 MATRISTEM SURGCL PR SQ CM LVL III $107 6753172 MATRISTEM WOUND PR SQ CM LVL I $6 6753173 MATRISTEM WOUND PR SQ CM LVL II $49 6757265 MATRIX DERMAL PORCINE LEVEL I "$12,763 " 6757266 MATRIX DERMAL PORCINE LEVEL II "$25,527 " 6757267 MATRIX DERMAL PORCINE LEVEL III "$42,543 " 6757270 MATRIX DERMAL PORCINE LEVEL IV "$48,620 " 6757272 MATRIX DERMAL PORCINE LEVEL V "$76,578 " 6753174 MAXILLOFACIAL IMPLANT WITH MODEL "$4,239 " 750080167 MAXIMUM BREATHING CAPACITY $130 705083636 MCG INTERPHASE INSITU 25 $182 750090048 MDI TREATMENT 1ST OF DAY $194 750080221 MDI TREATMENT SUBSEQUENT $194 700049708 MEASLES IGG $53 700046580 MEASLES-RUBELLA ANTIBODIES $82 669098516 MEASURE POST-VOID URINE $112 667061739 MEASURING PIGTAIL $931 750080133 MECH VENT / DAY $520 674022141 MED ACHIEVE MAPPING CATHETER "$1,626 " 674022132 MED ART FRONT ADV CRYOABLA "$7,529 " 674022137 MED COAXIAL UMBILICAL $324 674022138 MED ELECTRL UMBILICAL $575 674022136 MED FLEXCATH ADV 12F STEERABLE SH $171 674022134 MED FREEZOR MAX CAR 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ETEST $60 6753179 MESH LEVEL 1 $517 6753180 MESH LEVEL 10 "$22,962 " 6753181 MESH LEVEL 11 "$32,803 " 6753182 MESH LEVEL 12 "$41,988 " 6753183 MESH LEVEL 2 $941 6753184 MESH LEVEL 3 "$1,575 " 6753185 MESH LEVEL 4 "$3,411 " 6753186 MESH LEVEL 5 "$5,577 " 6753187 MESH LEVEL 6 "$7,544 " 6753188 MESH LEVEL 7 "$9,036 " 6753189 MESH LEVEL 8 "$11,809 " 6753190 MESH LEVEL 9 "$16,402 " 690051997 METACARPAL FRACT W/ MANIP-LT $620 690052243 METACARPAL FRACT W/MANIP BIL $620 690051573 METACARPAL FRACT W/MANIP RT $620 690058840 METACARPAL FX W/O MANIP - BILT $620 690058838 METACARPAL FX W/O MANIP - RT $620 690058839 METACARPAL FX W/O MANIP -LT $620 4059260 "METANEPHRINE, BLOOD" $453 3655137 METANEPHRINES $232 700043580 METANEPHRINES 24HR URINE $102 700040294 METANEPHRINES FRACTIONED $102 4059259 METANEPHRINES RANDOM URINE $232 4059258 METANEPHRINES URINE 24HR $232 690052240 METAPHAL DISLOC W MANIP WO ANES B $620 690051994 METAPHAL DISLOC W MANIP WO ANES L $620 690051576 METAPHAL DISLOC W MANIP WO ANES R $620 690051638 METATARSOPHAL DISLOC W/O ANES RT $620 690052098 METATARSOPHAL DISLOC WO ANES BIL $620 690051981 METATARSOPHAL DISLOC WO ANES LT $620 6751876 METATARSOPHALANGEAL JNT REPR SYS "$4,161 " 750080166 METHACHOLINE CHALLENGE "$1,395 " 4059121 METHAQUALONE $302 750080262 METHEMOGLOBIN $122 4059614 METHEMOGLOBIN QN $91 700043429 METHEMOGLOBIN QUANT $106 700049055 METHOTREXATE $217 4059122 METHOTREXATE LEVEL $302 4059265 METHYLMALONIC ACID SERUM $229 4059266 METHYLMALONIC ACID URINE $229 700044505 "METHYLMALONIC ACID,QUANT" $81 6753191 METRA PF KIT "$5,432 " 701676677 MG BIOPSY TISSUE MARKER $482 723011128 MG BREAST LOC STER EA ADD W/GUIDE $757 701675475 MG BREAST SPECIMEN XRAY "$1,275 " 723011506 MG DGLMG BSLN SCR BILAT W/CAD- $789 723011516 MG DGLMG DX BI IMP W/CAD- $970 723011518 MG DGLMG DX BI IMP W/O CAD- $970 723011510 MG DGLMG DX BI W/CAD- $970 723011511 MG DGLMG DX BI W/O CAD- $970 723011523 MG DGLMG DX CB BILAT W/CAD- $970 723011522 MG DGLMG DX CB UNI W/CAD- $772 723011521 MG DGLMG DX LT IMP W/CAD- $772 723011517 MG DGLMG DX LT IMP W/O CAD- $772 723011514 MG DGLMG DX LT W/CAD- $772 723011515 MG DGLMG DX LT W/O CAD- $772 723011519 MG DGLMG DX RT IMP W/CAD- $772 723011520 MG DGLMG DX RT IMP W/O CAD- $772 723011512 MG DGLMG DX RT W/CAD- $772 723011513 MG DGLMG DX RT W/O CAD- $772 723011507 MG DGLMG SCR BI IMP W/O CAD- $789 723011503 MG DGLMG SCR BI W/O CAD- $789 723011496 MG DGLMG SCR BILAT IMP W/CAD- $789 723011502 MG DGLMG SCR BILAT W/CAD- $789 723011499 MG DGLMG SCR LT IMP W/CAD- $789 723011508 MG DGLMG SCR LT IMP W/O CAD- $789 723011498 MG DGLMG SCR LT W/CAD- $789 723011504 MG DGLMG SCR LT W/O CAD- $789 723011501 MG DGLMG SCR RT IMP W/CAD- $789 723011509 MG DGLMG SCR RT IMP W/O CAD- $789 723011500 MG DGLMG SCR RT W/CAD- $789 723011505 MG DGLMG SCR RT W/O CAD- $789 723011497 MG HPB DGLMG SCR BI IMP W/O CAD- $789 723011495 MG HPB DGLMG SCR BILAT W/CAD- $789 723176775 MG INJ PROC INDENT BREAST SENT NO $786 723010351 MG MAMMO DIGITAL DIAG LT CBACK $772 723175482 MG MAMMO-DUCTO-MULT INJ PROC "$1,259 " 723175480 MG MAMMO-DUCTO-MULTIPLE-PROC $903 723175479 MG MAMMO-DUCTO-ONE - PROCEDURE $737 723175481 MG MAMMO-DUCTO-ONE-INJ PROC "$1,259 " 700078102 MG OR BREAST SPECIMEN XRAY "$1,275 " 723011130 MG PLMT BREAST LOC EA ADD W/GUIDE $604 723011127 MG PLMT BREAST LOC STER W/GUIDE "$1,743 " 723011129 MG PLMT BREAST LOC W/GUIDE "$1,005 " 723011125 MG STEREO BIOP-BREAST W/LOCAL "$4,962 " 723011126 MG STEREO BIOP-BREAST W/LOCAL EA "$2,106 " 723011442 MG STEREO TOMO CORE BX EA ADD "$2,106 " 723011441 MG STEREOTATIC TOMO CORE BX "$4,962 " 723011212 MG TOMOSYNTHESIS SCREENING ADD ON $280 723011211 MG TOMOSYNTHSIS DIAGNOSTIC ADD ON $294 705083651 "MGMT, METHYLATION ANALYSIS" $500 6753192 MIAMI J COLLAR $264 4059573 MIC SUSCEPTIBILITY $219 6751831 MIC-KEY INTRODUCER KIT LOWPRO $854 700040070 MICRO HEMATOCRIT $22 667069244 MICRO SUPPORT CATHETER $244 700043135 MICROALBUMIN 24 HR URINE $390 4059138 MICROALBUMIN URINE 24HR $541 3655031 MICROALBUMIN 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$357 705080944 "MOLEC CYTOGEN, DNA PROBE EA, FISH" $382 705083649 MOLECUL PATH 2-5 EXON DNA SEQ ANA "$1,020 " 3655432 MOLECULAR CYTO 100-300 CELL $587 3655431 MOLECULAR CYTO 10-30 CELLS $377 3655430 MOLECULAR CYTOGENETICS DNA PROBE $49 4059216 MOLECULAR PATH ARPKD MUTATION $259 4059215 MOLECULAR PATH PROCEDURE LVL 1 $989 3656646 MOLECULAR PATH PROCEDURE LVL 2 "$1,244 " 4059631 MOLECULAR PATH PROCEDURE LVL 3 "$1,440 " 4059492 MOLECULAR PATH PROCEDURE LVL 4 "$1,899 " 4059484 MOLECULAR PATH PROCEDURE LVL 5 "$2,095 " 4059489 MOLECULAR PATH PROCEDURE LVL 6 "$2,423 " 3652076 MOLECULAR PATH PROCEDURE LVL 7 "$2,750 " 705083652 "MOLECULAR PATH PROCEDURE, LEVEL 4" $553 6753204 MONARCH IOL INSERTOR $397 6753205 MONARCH SLING "$5,965 " 700042060 MONOSPOT TEST $195 705083663 MOPATH PROCEDURE LEVEL 3 $618 3656647 MOPATH PROCEDURE LEVEL 9 "$6,300 " 6753206 MORCELLATOR BLADE $958 741083286 MORPHINE PUMP DYE STUDY S & I $546 3655435 MORPHO ANLYS COMPUTER ASST $555 705083630 MORPHO ANLYS INSITU HYBRID 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CONT "$5,817 " 727079194 MR ELBOW-RIGHT-W/O CONTRAST "$4,731 " 727079207 MR EXTR LEFT UPPER W/ & W/O CON "$5,817 " 727079208 MR EXTR RIGHT UPPER W/ & W/O CON "$5,817 " 727079218 MR EXTREMITY RIGHT LOW W/GAD "$5,361 " 727079217 MR EXTREM-LEFT LOW W/GAD "$5,361 " 727079195 MR EXTREM-LEFT LOWER-LTD "$4,731 " 727179205 MR EXTREM-LEFT LOWER-W/O CONT "$4,731 " 727079203 MR EXTREM-LEFT LOW-W/&W/O CONT "$5,817 " 727079219 MR EXTREM-LEFT UPPER W/GAD "$5,361 " 727079199 MR EXTREM-LEFT UPPER-LTD "$4,731 " 727079215 MR EXTREM-LEFT UPPER-W/O CONT "$4,731 " 727079196 MR EXTREM-RIGHT LOWER-LTD "$4,731 " 727079206 MR EXTREM-RIGHT LOWER-W/O CONT "$4,731 " 727079204 MR EXTREM-RIGHT LOW-W/&W/O CON "$5,817 " 727079200 MR EXTREM-RIGHT UPPER-LTD "$4,731 " 727079216 MR EXTREM-RIGHT UPPER-W/O CONT "$4,731 " 727179506 MR GUIDANCE FOR NEEDLE PLACEMENT "$3,174 " 727079288 MR HIP-BIL W/O CONT-LTD "$4,731 " 727079290 MR HIP-BIL W/O CONTRAST "$9,466 " 727079293 MR HIP-BIL-W/& W/O CONTR "$11,637 " 727079227 MR HIP-LEFT W/O CONTRAST "$4,731 " 727079221 MR HIP-LEFT-W/ & W/O CONTRAST "$5,817 " 727079228 MR HIP-RIGHT W/O CONTRAST "$4,731 " 727079222 MR HIP-RIGHT-W/ & W/O CONTRAST "$5,817 " 727079226 MR HIP-UNI- W/O CONT-LTD "$4,731 " 727011545 MR KNEE W/&W/O CONTRAST BIL "$11,637 " 727011554 MR KNEE W/O CONTRAST BIL "$9,466 " 727079231 MR KNEE-LEFT W/&W/O CONTRAST "$5,817 " 727179233 MR KNEE-LEFT W/O CONTRAST "$4,731 " 727079232 MR KNEE-RIGHT W/&W/O CONTRAST "$5,817 " 727179234 MR KNEE-RIGHT W/O CONTRAST "$4,731 " 727179869 MR LUMBAR W & W/O CONTRAST "$5,872 " 727179030 MR LUMBAR W/ CONTRAST "$5,361 " 727179046 MR LUMBAR W/ CONTRAST-LIMITED "$5,361 " 727179009 MR LUMBAR W/O CONTRAST "$4,731 " 727179023 "MR LUMBAR, W/O CONTRAST- LIMITED" "$4,731 " 727179829 MR LWR EXT JOINT W CONTRAST BIL "$10,716 " 727179835 MR LWR EXT JOINT W CONTRAST LT "$5,361 " 727179836 MR LWR EXT JOINT W CONTRAST RT "$5,361 " 727179003 MR NECK &/OR FACE/ORBITS W/O CNTR "$4,731 " 727179148 MR NECK W/ & W/O CONTRAST "$5,817 " 727011426 MR ORBITS W & WO CONTRAST "$5,817 " 727011427 MR ORBITS WO CONTRAST "$4,731 " 727079139 MR PELVIS LIMITED "$4,731 " 727179033 MR PELVIS W&W/O CONTRAST "$5,817 " 727079019 MR PELVIS W/O CONTRAST "$4,731 " 727179024 MR PITUITARY FOLLOW-UP W/GAD "$5,361 " 727011430 MR PITUITARY W&W/O CON "$5,817 " 727179020 MR PITUITARY W/GAD "$5,361 " 727011110 MR PLMT BREAST LOC EA ADD W/GUIDE $604 727011109 MR PLMT BREAST LOC W/GUIDE "$1,005 " 727011559 MR SHOLULDER W/O CONTRAST BIL "$9,466 " 727011557 MR SHOULDER W/&W/O CONT BIL "$11,637 " 727079237 MR SHOULDER-LEFT-LIMITED "$4,731 " 727079239 MR SHOULDER-LEFT-W/&W/O CONT. "$5,817 " 727079241 MR SHOULDER-LEFT-W/O CONTRAST "$4,731 " 727079238 MR SHOULDER-RIGHT-LIMITED "$4,731 " 727079240 MR SHOULDER-RIGHT-W/&W/O CONT "$5,817 " 727079242 MR SHOULDER-RIGHT-W/O CONTRAST "$4,731 " 727179170 MR STEALTH BRAIN "$5,361 " 727011388 MR STEALTH BRAIN W/O "$4,731 " 727179868 MR THORACIC W CONTRAST "$5,361 " 727179044 MR THORACIC W/ CONTRAST-LIMITED "$5,361 " 727179505 MR THORACIC W/& W/O CONTRAST "$5,817 " 727179008 MR THORACIC W/O CONTRAST "$4,731 " 727011366 MR THORACIC W/O CONTRAST- LIMITED "$4,731 " 727079169 MR TMJ BILATERAL "$4,686 " 727179828 MR UPPER EXT JOINT W CONTRAST BIL "$10,818 " 727179833 MR UPPER EXT JOINT W CONTRAST LT "$5,412 " 727179845 MR UPPER EXT JOINT W CONTRAST RT "$5,412 " 727011371 MR VENOGRAM HEAD WO & W CONT "$6,222 " 727011372 MR VENOGRAM HEAD WO CONTRAST "$3,264 " 727079249 MR WRIST-LEFT-LIMITED "$4,731 " 727079251 MR WRIST-LEFT-W/&W/O CONTRAST "$5,817 " 727079253 MR WRIST-LEFT-W/O CONTRAST "$4,731 " 727079250 MR WRIST-RIGHT-LIMITED "$4,731 " 727079252 MR WRIST-RIGHT-W/&W/O CONTRAST "$5,817 " 727079254 MR WRIST-RIGHT-W/O CONTRAST "$4,731 " 727011585 MRA AORTA W CONTRAST "$5,734 " 727010352 MRA BRAIN/HEAD W/ + W/O CONTRAST "$6,222 " 727010389 MRA RENAL ARTERY W/CONTRAST "$5,734 " 727010392 MRA RENAL ARTERY W/WO CONTRAST "$6,222 " 727011538 MRI ABDOIMEN WITH CONTRAST "$5,361 " 727011539 MRI ANKLE LEFT W/ & W/O CONTRAST "$5,817 " 727011540 MRI ANKLE RIGHT W/ & W/O CONTRAST "$5,817 " 727011553 MRI ANKLE W/ & W/O CONTRAST BIL "$11,637 " 727010383 MRI ANKLE W/CONTRAST BIL "$10,716 " 727010382 MRI ELBOW W/ CONTRAST BIL "$10,818 " 727010385 MRI ELBOW W/ CONTRAST LEFT "$5,412 " 727010390 MRI ELBOW W/ CONTRAST RIGHT "$5,412 " 727011576 MRI FEMUR W & WO CONTRAST BIL "$11,637 " 727011574 MRI FEMUR W CONTRAST BIL "$10,716 " 727011573 MRI FEMUR W CONTRAST RT "$5,361 " 727010357 MRI FEMUR W/ + W/O CONTRAST LEFT "$5,817 " 727010359 MRI FEMUR W/ + W/O CONTRAST RIGHT "$5,817 " 727011575 MRI FEMUR W/O CONTRAST BIL "$9,466 " 727010361 MRI FEMUR W/O CONTRAST LEFT "$4,731 " 727010363 MRI FEMUR W/O CONTRAST RIGHT "$4,731 " 727011546 MRI FOOT W/ + W/O CONTRAST BIL "$11,637 " 727010356 MRI FOOT W/ + W/O CONTRAST LEFT "$5,817 " 727010358 MRI FOOT W/ + W/O CONTRAST RIGHT "$5,817 " 727011547 MRI FOOT W/ CONTRAST BIL "$10,716 " 727010373 MRI FOOT W/ CONTRAST LEFT "$5,361 " 727010374 MRI FOOT W/ CONTRAST RIGHT "$5,361 " 727011578 MRI FOOT W/O CONTRAST BIL "$9,466 " 727010360 MRI FOOT W/O CONTRAST LEFT "$4,731 " 727010362 MRI FOOT W/O CONTRAST RIGHT "$4,731 " 727011572 MRI FOREARM W & W /O CONTRAST LT "$5,817 " 727011571 MRI FOREARM W & W /O CONTRAST RT "$5,817 " 727011568 MRI FOREARM W CONTRAST LT "$5,361 " 727010377 MRI FOREARM W/CONTRAST RIGHT "$5,361 " 727011569 MRI FOREARM W/O CONTRAST RT "$4,731 " 727011570 MRI FOREARM W/O CONTRAT LT "$4,731 " 727011549 MRI HAND W/ + W/O CONTRAST BIL "$11,637 " 727010364 MRI HAND W/ + W/O CONTRAST LEFT "$5,817 " 727010367 MRI HAND W/ + W/O CONTRAST RIGHT "$5,817 " 727011550 MRI HAND W/ CONTRAST BIL "$10,716 " 727010379 MRI HAND W/ CONTRAST LEFT "$5,361 " 727010378 MRI HAND W/ CONTRAST RIGHT "$5,361 " 727011551 MRI HAND W/O CONTRAST BIL "$9,466 " 727010369 MRI HAND W/O CONTRAST LEFT "$4,731 " 727010371 MRI HAND W/O CONTRAST RIGHT "$4,731 " 727011552 MRI HIP W/CONTRAST BIL "$10,716 " 727010365 MRI HUMERUS W/ + W/O CONTRAST LT "$5,817 " 727010366 MRI HUMERUS W/ + W/O CONTRAST RT "$5,817 " 727010376 MRI HUMERUS W/CONTRAST LEFT "$5,361 " 727010380 MRI HUMERUS W/CONTRAST RIGHT "$5,361 " 727010368 MRI HUMERUS W/O CONTRAST LEFT "$4,731 " 727010370 MRI HUMERUS W/O CONTRAST RIGHT "$4,731 " 727010354 MRI IACS W/O CONTRAST "$4,731 " 727010384 MRI KNEE W/ CONTRAST BIL "$10,716 " 727010387 MRI KNEE W/ CONTRAST LEFT "$5,361 " 727010388 MRI KNEE W/ CONTRAST RIGHT "$5,361 " 727011544 MRI PELVIS WITH CONTRAST "$5,361 " 727010353 MRI POST FOSSA W/+ W/O CONTRAST "$5,817 " 727010355 MRI SELLA TURCICA W/O CONTRAST "$4,731 " 727011558 MRI SHOULDER W/ CONTRAST BIL "$10,818 " 727011582 MRI TIB/FIB W & W/O CONTRAST BIL "$11,637 " 727011584 MRI TIB/FIB W & W/O CONTRAST LT "$5,817 " 727011583 MRI TIB/FIB W & W/O CONTRAST RT "$5,817 " 727011577 MRI TIB/FIB W CONTRAST BIL "$10,716 " 727010372 MRI TIB/FIB W/CONTRAST LEFT "$5,361 " 727010375 MRI TIB/FIB W/CONTRAST RIGHT "$5,361 " 727011579 MRI TIB/FIB W/O CONTRAST BIL "$9,466 " 727011581 MRI TIB/FIB W/O CONTRAST LT "$4,731 " 727011580 MRI TIB/FIB W/O CONTRAST RT "$4,731 " 727011548 MRI WRIST W & W/O CONTRAST BIL "$11,637 " 727010386 MRI WRIST W/ CONTRAST LEFT "$5,412 " 727010391 MRI WRIST W/ CONTRAST RIGHT "$5,412 " 727010381 MRI WRIST W/CONTRAST BIL "$10,818 " 700042562 MTB CPLX RIFAMPIN RESIST SPUTUM $40 730117664 MUCOMYST 10% $50 710082024 MUGA- REST "$2,796 " 6753207 MULTIFIRE STAPLER ER320 "$1,259 " 658092625 MULTIPLE FAMILY GROUP PSYCHOTHERA $101 6753208 MULTIPORT TRANSANAL ACCESS TROCAR "$3,482 " 777059007 MULTISYSTEM COMPRESSION WRAPS $161 700046590 MUMPS ANTIBODY (COMP FIX) $305 700049709 MUMPS IGG $305 4059641 MURAMIDASE $483 710083203 "MUSCLE IMAGE SPECT, SINGULAR" "$6,370 " 700043358 MYCO TB PCR W/RIFAMPIN RES $475 705083650 MYCOBACT TUBERCULOSIS AMP PROBE $177 700046071 MYCOBACTERIAL ID $210 700043187 MYCOBACTERIUM TB BY DNA $247 700046072 MYCOBACTRIUM AVIUM PROBE $43 4059120 MYCOPHENOLATE(CELLCEPT) $246 700046630 MYCOPLASMA PNEUMONIAE ANTIBODIES $109 705083670 MYD88 GENE P.LEU265PRO VRNT $450 3656654 MYD88 GENE P_LEU265PRO VRNT $552 700043194 MYELIN BASIC PROT(CSF) $150 746472071 MYOCARDIAL PET METABOLIC EVAL "$4,383 " 3655138 MYOGLOBIN $200 700043431 MYOGLOBIN - URINE $200 700043386 "MYOGLOBIN LEVEL, SERUM PLASMA" $200 4059582 "MYOGLOBIN, QUANTITATIVE, URINE" $168 6757707 MYRINGOTOMY BLADE $149 690051729 "N BLOCK, OTHER PERIPHERAL" "$1,022 " 4059219 N TYPE CALCIUM CHANNEL AB $269 700046113 N.GONORRHEA AMPLIFICATION PROBE $300 796032013 "NAIL REMOVAL, PARTIAL" $364 700046013 NASAL CULTURE $370 6753209 NASOLACRIMAL DUCT BALLOON CATH "$1,231 " 3655139 NATRIURETIC PEPTIDE $459 6753210 NAVIGATION BIOPSY NEEDLE "$1,878 " 6753211 NAVIGATION FRAMELESS NEEDLE GUIDE "$1,659 " 6753212 NAVIGATIONAL PROBE / NEEDLE "$2,595 " 6751410 N-BCA EMBOLIC SYSTEM EACH "$23,819 " 780087146 NCV NEEDLE EMG EA EXTREMITY COMP $234 780087145 NCV NEEDLE EMG EA EXTREMITY LTD $234 780087147 NCV NEEDLE EMG EA NON-EXTREMITY $123 780087144 NCV-REPETITIVE STIM $376 669064050 NEBULIZER TREATMENT- $194 797029078 NEBULIZER TREATMENT- ENDO $194 6751518 NEEDLE ASP INJ INTRAGASTRIC TOOL $343 6750931 NEEDLE ASPIRATION INJECTION $288 6753408 NEEDLE BIOPSY MAXCORE 18GAX20CM $105 6752240 NEEDLE BREAST LOCALIZATION $171 6751521 NEEDLE ECHO TIP "$1,896 " 6750416 NEEDLE ENDOSCOPIC ULTRASOUND "$1,345 " 6751531 NEEDLE INSUFFLATION $66 6751866 NEEDLE PEDICLE NIM-SPINE "$2,007 " 6758926 NEEDLE PROSTATE SEEDING - EACH $46 6750799 NEEDLE SCLEROTHERAPY $156 6753361 NEEDLE SIDEKICK RIGID $148 6753390 NEEDLE STAMEY $479 6753389 NEEDLE STAMEY PERCUTANEOUS $174 6751393 NEEDLE TRANSSEPTAL $884 685024731 "NEEDLE, HUBER 20G X .75" $7 685024732 "NEEDLE, HUBER 20G X 1" $7 685020117 "NEEDLE, LP MYELO-NATE" $15 777058662 NEG PRESSURE DME TX<50 SQ CM $417 777058664 NEG PRESSURE DME TX>50 SQ CM $923 777059005 NEG PRESSURE NON DME TX<50 SQ CM $417 777059006 NEG PRESSURE NON DME TX>50 SQ CM $923 700040457 "NEISSERIA GONORRHOEAE AB, SERUM" $76 6754984 NEOX 1K PER SQ CM $560 6753222 NEOX100 IMPLANT "$11,138 " 6753223 NEOX100 SKIN SUB PER SQ CM $233 4059263 NEPHELOMETRY EA ANALYTE $375 6753800 NERVE BLOCK "$1,344 " 6753226 NERVE BLOCK NEEDLE GUIDE $128 741052323 NERVE BLOCK OTHER PERIPHERAL UNI "$2,017 " 740090886 NERVE BLOCK PROCEDURE "$2,017 " 741083267 "NERVE BLOCK, OTHER PERIPHERAL BIL" "$3,025 " 780090115 NERVE CONDUCTION 11-12 STUDY "$4,715 " 780090085 NERVE CONDUCTION 1-2 STUDY $429 780090116 NERVE CONDUCTION 13 OR > STUDY "$5,572 " 780090086 NERVE CONDUCTION 3-4 STUDY "$1,285 " 780090087 NERVE CONDUCTION 5-6 STUDY "$2,143 " 780090088 NERVE CONDUCTION 7-8 STUDY "$3,000 " 780090089 NERVE CONDUCTION 9-10 STUDY "$3,858 " 6753227 NERVE GRAFT "$5,437 " 6753228 NERVE MONITORING DISP KIT XLIF "$3,834 " 6753234 NERVE MONITORING ELECTRODE KIT "$3,167 " 6750954 NERVE PROTECTOR "$7,494 " 6753235 NERVE STIMULATOR $273 6753236 NETTERVILLE SILICONE STRIP $744 616097046 NEU APP EXTERNAL FIXATION SYSTEM "$2,984 " 616097040 NEU IMPLANT VENTNEUL CATH W/DRILL "$3,080 " 616097044 NEU INSERTION SWAN-GANZ CATH "$4,696 " 616097045 NEU INSERTION TEMP PACEMAKER "$5,119 " 616097041 NEU REPLACEMENT VENTRNEULAR CAT $835 616097042 NEU TRACHEOSTOMY "$5,411 " 616097043 NEU WOUND DEBRODEMENT $738 772086058 NEUROMASCULAR RE EDU OT/15 $183 4059221 NEURONAL (V-G) K CHANNEL AB $269 4059352 NEURONAL NUCLEAR AB SCREEN (HU) $406 700049942 NEURONAL NUCLEAR ANTOBODIES $123 6753624 NEUROSTIM NON-RECHARG LVL 1 "$22,700 " 6753625 NEUROSTIM NON-RECHARG LVL 2 "$24,400 " 6753626 NEUROSTIM NON-RECHARG LVL 3 "$25,500 " 6753237 NEUROSTIM PASSING ELEVATOR KIT $957 6753113 NEUROSTIM RECHARG "$26,000 " 6756139 NEUROSTIMULATOR EXTERNAL EVAL "$1,531 " 6753239 NEUROSTIMULATOR PASSING ELEVATOR $296 6753241 NEUROSTIMULATOR REMOTE CONTROL "$6,463 " 6753243 NEUROSTIMULATOR TRIAL CABLE $845 6753244 NEUROSTIMULATOR TUNNELING TOOL "$1,204 " 3655326 NEUTRALIZATION TEST VIRAL $243 796032000 NEW PATIENT LEVEL 1 $230 658092581 NEW PATIENT LEVEL 2 $252 796032002 NEW PATIENT LEVEL 3 $336 742010149 NEW PATIENT LEVEL 4 $771 742010150 NEW PATIENT LEVEL 5 $917 650061001 NEWBORN LEVEL I- NUR $817 650089003 NEWBORN LEVEL II- NUR "$1,867 " 700046017 NG SCREEN $142 700049443 NICKEL (24 H URINE) $168 772092193 NICU HALO $28 700040441 NICU ISTAT BLOOD GAS $324 700040442 NICU ISTAT CHEM8 PNL $311 653090001 NICU LEVEL I- CONTINUING CARE "$1,017 " 653089002 NICU LEVEL II- INTERMEDIATE CARE "$3,950 " 653063037 NICU LEVEL III- INTENSIVE CARE "$5,392 " 653063000 NICU LEVEL IV- CRITICAL CARE "$7,394 " 6751516 NITINOL NEEDLE ALWAYS ON TIP "$2,931 " 796032051 NITRAZINE / PH $47 750082421 NITRIC OXIDE PER HOUR $680 700045070 NITROGEN TOTAL - FECES $131 700041180 NITROGEN TOTAL (24 H URINE) $156 746082132 NM 99MTC MYOVIEW PER DOSE $72 760083209 NM 99MTC PERTECHNETATE PER MCI $86 760011648 NM ABCESS LOCALAZIED SINGLE AREA "$1,602 " 760011649 NM ABCESS LOCALIZATION WHOLE BODY "$2,562 " 746082107 NM ADRENAL IMAGING "$4,366 " 760011593 NM AXUMIN DIAGNOSTIC 1MCI $679 746082001 NM BONE SCAN WHOLE BODY "$2,222 " 746082081 "NM BONE SCAN, 3 PHASE" "$1,855 " 746082037 NM BONE SCAN-LIMITED "$1,484 " 760011645 NM BONE SPECT W/CT SCAN "$3,816 " 760011646 NM BONE SPECT W/O CT SCAN "$3,632 " 760011440 NM BRACHY I-125 PER SOURCE WASTE $18 764083058 NM BRACHYTHERAPY INTERSTIT-COMPLE "$11,025 " 746082002 NM BRAIN FLOW AND SCAN "$2,045 " 746082040 NM C.S.F. LEAK STUDY "$1,264 " 760082094 NM CARDIOLITE/SESTAMIBI PER DOSE $72 760011446 NM CERETEC HMPAO PER STUDY DOSE "$1,947 " 760082076 NM CERETEC WBC PER STUDY DOSE "$2,366 " 746082003 NM CISTERNOGRAM "$1,671 " 760083111 NM CT 3D RECONS PP ON VITREA "$3,366 " 746083231 NM CT ABD PELVIS W/CONTRAST "$5,412 " 746083214 NM CT ABD PELVIS W/O CONTRAST "$4,700 " 746083215 NM CT ABD PELVIS WO & W CONTRAST "$6,143 " 746083106 NM CT ABD WITH CONTRAST "$4,265 " 746083103 NM CT ABD WITHOUT CONTRAST "$3,481 " 760083112 NM CT C SPINE W/O CONTRAST "$3,434 " 746083105 NM CT CHEST WITH CONTRAST "$3,875 " 746083102 NM CT CHEST WITHOUT CONTRAST "$3,157 " 760083232 NM CT HEAD W/O CONTRAST "$3,035 " 760083113 NM CT L SPINE W/O CONTRAST- "$3,366 " 760083114 NM CT LWR EXT W/O CONTRACT BILAT "$5,529 " 746083107 NM CT PELVIS WITH CONTRAST "$3,879 " 746083104 NM CT PELVIS WITHOUT CONTRAST "$3,457 " 760083115 NM CT SOFT TISSUE NECK "$2,988 " 760083116 NM CT T SPINE W/O CONTRAST "$3,366 " 760083117 NM CT UPR EXT W/O CONTRAST BILAT "$5,529 " 760011636 NM GA 68 PER 0.1 MCI WASTE $126 760082069 NM GALLIUM GA67 PER MCI $73 746082004 NM GALLIUM SCAN "$1,573 " 746082036 NM GASTRIC EMPTYING "$1,926 " 746083217 NM GI BLEED SPECT "$2,561 " 746082006 NM GI BLEEDING "$1,926 " 746077650 NM HEPATO BILIARY W/PHARM "$1,975 " 746077649 NM HEPATO BILIARY-SCAN ONLY "$1,926 " 746083204 "NM HT MUSCLE IMAGE SPECT, MULTIPL" "$8,265 " 746083203 "NM HT MUSCLE IMAGE SPECT, SINGLE" "$6,370 " 746083206 "NM HT MUSCLE IMAGE, PLANAR, MULTI" "$7,126 " 746083205 "NM HT MUSCLE IMAGE, PLANAR, SINGL" "$6,370 " 760083108 NM I 123 MIBG PER STUDY "$6,224 " 760082123 NM I-111 CAPROMAB PER STUDY "$5,421 " 746082056 NM I-123 PER 100 UCI $61 760083100 NM I123 WHOLE BODY DO PER MCI $758 746083101 NM I123 WHOLE BODY SCAN "$2,251 " 764083210 NM I131 DIAGNOSTIC PER MCI MAX 10 $25 760082100 NM I-131 MIBG PER .5 MCI $2 746082058 NM I-131 THERAPEUTIC PER MCI $23 746082020 NM I-131 THERAPY (GRAVES) "$1,968 " 746082055 NM IN 111-LABELED WBC PER STUDY "$3,074 " 760082053 NM IN-111 DTPA CISTERN PER .5 MCI $977 746082128 NM IN-111 OCTREOSCAN UP TO 6MCI "$6,726 " 746083110 NM INJECTION RADIOISOTOPE $835 760011650 NM LEUK ABCESS SPECT W/ CT SCAN "$3,816 " 746082008 NM LIVER SCAN W/FLOW "$1,429 " 760011644 NM LIVER SPEC W/CT SCAN "$3,816 " 746082009 NM LIVER/SPLEEN SCAN W/FLOW "$1,429 " 746082010 "NM LUNG SCAN, PERFUSION" $897 760010393 NM LUNG VENT/PERF DIFFEREN IMAG "$2,510 " 760083234 NM LYMPH NODE "$2,697 " 746082090 NM MAF-3 RENAL/MERTIATIDE PER DOS $553 746082012 NM MECKLE'S SCAN "$1,572 " 746082120 NM MUGA W/FIRST PASS-REST-CARD "$1,431 " 746082121 NM MUGA W/FIRST PASS-REST-RAD "$1,431 " 746082024 "NM MUGA-REST, CARDIOLOGIST" "$2,796 " 746082025 "NM MUGA-REST, RADIOLOGIST" "$2,796 " 726178900 NM NAF PER STUDY DOSE TO 30 MCI $276 746082013 NM PARATHYROID SCAN "$1,838 " 746083239 "NM PARATHYROID SCAN, W/SPECT" "$1,838 " 746083240 "NM PARATHYROID SCAN, W/SPECT, W/C" "$1,838 " 764011383 NM PUNCT ASP/INJ SHUNT TUBE "$1,338 " 746083235 "NM QUANT LUNG SCAN, PERFUSION" "$2,510 " 746077648 NM QUANT VENT/PERF LUNG SCAN "$2,510 " 746083093 NM QUARDAMET/SMARIUM UP TO 150 MC "$16,202 " 764083061 NM RADIONUCLIDE THERAPY "$1,325 " 746082014 NM RENAL SCAN "$2,751 " 746082078 NM RENAL SCAN W/VASOTEC "$2,751 " 746082015 NM RENAL W/ LASIX "$2,751 " 746082017 NM SALIVARY GLAND SCAN "$1,253 " 760083208 NM SALIVARY GLAND W SER IMAGING "$1,538 " 764011384 NM SHUNTOGRAM NONVASCULAR $326 746082035 NM SPLEEN SCAN W/ FLOW "$1,358 " 760082045 NM TC-99 DTPA/PENTETATE PER STUDY $70 746082065 NM TC99 SULFUR COLLOID PER DOSE $98 760082133 NM TC99M LABELED RED BLD PER STUD $263 746082049 NM TC-99M MAA PER DOSE $70 746082047 NM TC99M MDP/MEDRONATE $37 746082063 NM TC-99M MEBROFENIN/CHOLETEC PER $112 760082127 NM TC99M MIRALUMA/SESTAMBI PER DO $75 760082091 NM TC99M NEUROLITE/BICISATE PER D "$1,167 " 746082043 NM TESTICULAR "$1,210 " 746082116 NM THALLIUM PER MCI $24 760083207 NM THERAPY INTRACAVITARY ADMIN "$2,777 " 746083238 NM THTYROID UPTAKE ONLY $696 760082137 NM THYROGEN DOSE (0.9 MG) "$6,394 " 746082138 NM THYROGEN INJECTION IM $168 746083237 "NM THYROID IMAG, INCLUDING VAS FL" $696 746083236 NM THYROID UPTAKE/SCAN- "$1,332 " 746082108 NM TUMOR LOC.-LIMITED AREA "$1,671 " 746082109 NM TUMOR LOC.-MULTIPLE AREAS "$1,445 " 746082111 NM TUMOR LOC.-SPECT "$2,165 " 746082110 NM TUMOR LOC.-WHOLE BODY "$1,573 " 746082042 NM URETERAL REFLUX "$1,861 " 746082079 NM URETHRAL REFLUX STUDY "$1,861 " 746082080 NM URINARY BLADDER RESIDUAL STUDY $828 760083118 NM US GUIDED INTERSTITIAL THERAPY "$1,507 " 760011587 NM VENOGRAM INJ RT "$1,292 " 746082022 "NM VENOGRAM, BILATERAL" "$1,292 " 746082021 "NM VENOGRAM, UNILATERAL" "$1,292 " 746077647 NM VENT/ PERF LUNG SCAN "$2,510 " 746082034 NM WHOLE BODY I-131 "$2,251 " 746082048 NM XENON.133 PER 10MCI $136 764011151 NM XOFIGO INJECTION PER UCI $398 764083099 NM Y90 SIRSPHERES/THERASPHERE "$28,978 " 700040450 NMO-IGG AQP4 AUTOANTIBODY $585 700040447 "NMO-IGG AQP4, CSF" $195 3655362 NOCARDIA ANTIBODY $67 616051250 NON PNEUMAT WALKER BOOT $399 680151269 NON PNEUMATIC WALKER BOOT $399 690039813 NON-ROUTINE BL DRAW > 3 YRS $193 667061691 NON-SELECT ILEOFEM GRAPH W/CAR CA "$5,895 " 770085359 NON-SELECTIVE DEB/CARE INST $383 777058636 NONSELECTIVE DEBRIDEMENT $383 110250926 NON-STRESS TEST- $958 651069002 NON-STRESS TEST- HR $958 670068006 NON-STRESS TEST-LD $958 730109530 NORMAL SALINE $24 770092190 NORMAL SALINE 3000ML $208 6753246 NOVY CERVICAL CATHETER $390 705083659 NRAS GENE VARIANTS EXON 2&3 $245 6753650 NUSHIELD PER SQ CM $600 6751019 NU-TRAKE "$1,313 " 4059442 O&P CONCENTRATION $313 6753247 OASIS WOUND MATRIX IMPLANT "$6,441 " 6753248 OASIS WOUND MATRIX PER SQ CM $47 888820001 OBSERVATION  $640/$45 690052475 OBV IV PUSH INITIAL DRUG -59 $303 741052351 OCCIPITAL NERVE BLOCK "$1,572 " 6753249 OCCLUDER PIN "$1,552 " 700045018 OCCULT BLOOD FECAL IMMUNOASSAY $72 4059019 OCCULT BLOOD STOOL >1 SPECIMEN $128 4059020 OCCULT BLOOD STOOL 1-3 DETERM $128 3655048 OCCULT BLOOD STOOL 1-3 SIM DETERM $128 4059021 OCCULT BLOOD STOOL IMMUNOLOG $128 3655047 OCCULT BLOOD STOOL SGL DETERM $128 772092196 OCT- OT EVAL HIGH COMPLEX 60 MIN $169 772092194 OCT- OT EVAL LOW COMPLEX 30 MIN $169 772092195 OCT- OT EVAL MOD COMPLEX 45 MIN $169 772092197 OCT- OT RE-EVAL EST PLAN CARE $112 772092213 OCT THER IVNT COGNITIV OT/ 1ST 15 $171 772092214 OCT THER IVNT COGNITIV OT/ AD 15 $171 6753251 OCULAR CONFORMER $132 4031106 OFFICE VISIT EST PATIENT LVL 1 $223 4031108 OFFICE VISIT EST PATIENT LVL 2 $223 4031110 OFFICE VISIT EST PATIENT LVL 3 $223 4031112 OFFICE VISIT EST PATIENT LVL 4 $223 4031114 OFFICE VISIT EST PATIENT LVL 5 $223 4031107 OFFICE VISIT NEW PATIENT LVL 1 $223 4031109 OFFICE VISIT NEW PATIENT LVL 2 $223 4031111 OFFICE VISIT NEW PATIENT LVL 3 $223 4031113 OFFICE VISIT NEW PATIENT LVL 4 $223 4031115 OFFICE VISIT NEW PATIENT LVL 5 $223 680151264 OFFLOADING SHOE $105 6753589 OFFSET KNEE JOINT EACH $320 700043051 OLIGOCLONAL BANDING(CSF+BLOOD) $194 797029080 OMT 1-2 REGIONS $58 797029081 OMT 3-4 REGIONS $58 742010206 "ONC URINE DIPSTICK DRUG TEST, POC" $88 3655160 ONCOPROTEIN HER-2/NEU $369 777058647 OP VISIT EST BRIEF LEV1 $123 777058648 OP VISIT EST BRIEF LEV1 -25 $123 777058653 OP VISIT EST COMPREHENS LEV4 $714 777058654 OP VISIT EST COMPREHENS LEV4 -25 $714 777058651 OP VISIT EST DETAILED LEV3 $270 777058652 OP VISIT EST DETAILED LEV3 -25 $270 777058649 OP VISIT EST EXPANDED LEV2 $192 777058650 OP VISIT EST EXPANDED LEV2 -25 $192 777058637 OP VISIT NEW BRIEFLEV1 $230 777058638 OP VISIT NEW BRIEFLEV1 -25 $230 777058643 OP VISIT NEW COMPREHENS LEV4 $771 777058644 OP VISIT NEW COMPREHENS LEV4 -25 $771 777058641 OP VISIT NEW DETAILED LEV3 $336 777058642 OP VISIT NEW DETAILED LEV3 -25 $336 777058639 OP VISIT NEW EXPANDED LEV2 $252 777058640 OP VISIT NEW EXPANDED LEV2 -25 $252 690051674 OPEN CHEST HEART MASSAGE "$1,930 " 690051020 OPEN TREAT DISTAL FINGER FRAC F1 "$1,930 " 690051021 OPEN TREAT DISTAL FINGER FRAC F2 "$1,930 " 690051022 OPEN TREAT DISTAL FINGER FRAC F3 "$1,930 " 690051023 OPEN TREAT DISTAL FINGER FRAC F4 "$1,930 " 690051024 OPEN TREAT DISTAL FINGER FRAC F5 "$1,930 " 690051025 OPEN TREAT DISTAL FINGER FRAC F6 "$1,930 " 690051026 OPEN TREAT DISTAL FINGER FRAC F7 "$1,930 " 690051027 OPEN TREAT DISTAL FINGER FRAC F8 "$1,930 " 690051028 OPEN TREAT DISTAL FINGER FRAC F9 "$1,930 " 690051586 OPEN TREAT DISTAL FINGER FRAC FA "$1,930 " 6753253 OPHTHALMIC TRABECULATOME "$3,810 " 6753254 OPHTHALMIC VALVED ENTRY SYSTEM $604 6753258 OPHTHALMIC VISCOSURGICAL DEVICE $123 6758842 OPHTHLAMIC LASER PROBE $776 6753259 OPTHALMIC INTREPID FMS CASSETTE $401 6753260 OPTHALMIC VISCOSURGICAL DEVICE $375 66001350 OR LEVEL I 1ST 15 MIN "$2,017 " 66001351 OR LEVEL I ADDL 15 MIN "$1,233 " 66001352 OR LEVEL II 1ST 15 MIN "$2,732 " 66001353 OR LEVEL II ADDL 15 MIN "$1,675 " 66001354 OR LEVEL III 1ST 15 MIN "$3,411 " 66001355 OR LEVEL III ADDL 15 MIN "$2,132 " 66001356 OR LEVEL IV 1ST 15 MIN "$4,234 " 66001357 OR LEVEL IV ADDL 15 MIN "$2,543 " 66005640 OR LEVEL V 1ST 15 MIN "$5,536 " 66005641 OR LEVEL V ADDL 15 MIN "$2,616 " 797029090 ORAL HIV-1/HIV-2 SCREEN $58 6753261 ORATEC VULCAN ELECTTROCAUTERY $551 667061733 ORBITAL ATHERECTOMY CATHETER "$5,266 " 6753262 ORBITAL HYDROXYAPATITE IMPLANT "$3,106 " 6753263 ORBITAL SILICONE IMPLANT $140 700044611 ORGANIC ACID SCRN(RANDOM URIN) $264 3655157 ORGANIC ACID SINGLE QN $229 4059619 ORGANISM ID YEAST 1 $75 6753264 ORGIN BALLOON $900 6753265 ORGIN TROCAR $732 6758904 ORIGIN BALLOON DISSECTOR $815 617051005 ORTH ASPEN COLLAR $489 617051215 ORTHO AFO CUSTOM $900 617051262 ORTHO AFO PREMADE $381 617051214 ORTHO ASO BRACE (ANKLE) $189 617097055 ORTHO ASPEN COLLAR L0180 "$1,126 " 617051009 ORTHO CAST/WALKER BOOT $501 617050222 ORTHO CERVIC/THORAC COLLAR "$1,230 " 685082785 ORTHO CERVICA/THORAC COLLAR "$1,314 " 617051258 ORTHO CTLSO "$3,990 " 617051205 ORTHO CUSTOM FITTED LSO "$2,196 " 617050247 ORTHO ELBOW ORTHOSIS $840 617051210 ORTHO EXTENDER BAR FOR TLSO $435 617051221 ORTHO FLO TECH/AMPUSHIELD "$1,800 " 617051219 ORTHO HEEL OFFLOADING SHOE $210 617097060 ORTHO HELMET- PROTECTIVE A8000 $195 617097059 ORTHO HIGH ROLL CUFF ADD LE L2550 $986 617051011 ORTHO HINGED KNEE BRACE "$1,107 " 617097061 ORTHO HINGED KNEE BRACE OTS L1833 "$2,894 " 617051211 ORTHO HIP ABDUCTION "$1,752 " 617052052 ORTHO HUMERAL FRACTURE $537 617051201 ORTHO JEWITT BRACE $825 617051213 ORTHO KNEE ORTHOSIS (SOFT) $264 617097057 ORTHO LS CORSET SEMI RIGID L0642 $660 617051203 ORTHO LSO CORSET $234 617051204 ORTHO LSO CORSET RIGID $930 617051209 ORTHO LSO CUSTOM MOLDED "$2,202 " 617050237 ORTHO LSO RIGID "$2,124 " 617097058 ORTHO LSO RIGID OTS L0650 "$1,950 " 6751162 ORTHO- MURRAY ARM SLING LARGE $48 6751161 ORTHO- MURRAY ARM SLING MED $48 6751163 ORTHO- MURRAY ARM SLING XLG $48 617051220 ORTHO NON PNEUMA WALKER BOOT $399 617051216 ORTHO OFFLOADING SHOE $105 617050245 ORTHO POST-OP SHOE $105 6751443 ORTHO SACROILIAC BELT PREFAB $96 617051217 ORTHO SLING SWATHE $192 617050229 ORTHO TLSO (CUSTOM FITTED) "$2,316 " 617051015 ORTHO TLSO CUSTOM "$2,490 " 617051202 ORTHO TLSO CUSTOM MOLD ANT "$2,502 " 617063015 ORTHO TLSO PREFAB "$2,220 " 617097056 ORTHO TLSO PREFAB OTS L0457 "$1,728 " 617051212 ORTHO TLSO WITH HIP SPICA "$2,877 " 617051218 ORTHO WRIST HAND ORTHOSIS $129 685020458 "ORTHO, ABDUCTION PILLOW S-M-L" $42 685082783 "ORTHO, ARM SLING" $14 685020350 "ORTHO, BUCKS BOOT" $88 685020451 "ORTHO, CAST SHOE" $23 685020080 "ORTHO, COLLAR CERVICAL ""ALL""" $48 685020457 "ORTHO, TEGTMEIR ARM ELEVATOR" $66 685082726 "ORTHO, TEGTMEIR ARM ELEVATOR." $66 685020178 "ORTHO, WALKING BELT" $8 6750975 ORTHO-ABD PILLOW SHOULDER LARGE $54 6750974 ORTHO-ABD PILLOW SHOULDER MED $54 6750973 ORTHO-ABD PILLOW SHOULDER SM $54 6750972 ORTHO-ABDUCTION PILLOW HIP $76 6751402 ORTHO-AFO PLASTIC PREFAB $874 6751303 ORTHO-AFO POSTERIOR SOLID ANKLE "$5,208 " 6751340 ORTHO-ASPEN COLLAR 2 PIECE W THOR $949 6751305 ORTHO-ASPEN VISTA COLLAR 2 PIECE $666 6750970 ORTHO-BOOT MULTIPODUS REG $543 6751603 ORTHO-BOOT MULTIPODUS XLARGE $543 6750045 ORTHO-BRACE ANKLE AIR STIRRUP $380 6750967 ORTHO-BRACE HINGED KNEE LARGE $501 6750966 ORTHO-BRACE HINGED KNEE MEDIUM $501 6750968 ORTHO-BRACE HINGED KNEE XLARGE. $501 6750969 ORTHO-BRACE HINGED KNEE XXLARGE $501 6750978 ORTHO-BRACE HUMERAL LARGE $270 6750977 ORTHO-BRACE HUMERAL MEDIUM $270 6750976 ORTHO-BRACE HUMERAL SMALL. $270 6750336 ORTHO-BRACE LOW BACK LARGE $288 6751075 ORTHO-BRACE LOW BACK MED $288 6750335 ORTHO-BRACE LOW BACK SM $288 6750337 ORTHO-BRACE LOW BACK XL $288 6750400 ORTHO-BRACE LOW BACK XXL $288 6753747 ORTHO-COLLAR CERV PHILA MED $364 6753751 ORTHO-COLLAR CERV PHILA SM $364 6750272 ORTHO-COLLAR FOAM LARGE $118 6750341 ORTHO-COLLAR FOAM MED $125 6750297 ORTHO-COLLAR FOAM MED LONG $40 6750339 ORTHO-COLLAR FOAM SMALL $125 6751640 ORTHO-CUSHION MOLDED DISTAL BK $361 6750959 ORTHO-DIABETIC WEDGE SHOE LARGE $62 6750958 ORTHO-DIABETIC WEDGE SHOE MEDIUM $62 6750957 ORTHO-DIABETIC WEDGE SHOE SMALL $62 6751265 ORTHO-EO W/O JOINTS CUSTOM $614 6750832 ORTHO-IMMOB UNIV SHOULDER LARGE $112 6750568 ORTHO-IMMOB UNIV SHOULDER MED $112 6750179 ORTHO-IMMOB UNIV SHOULDER XLARGE $112 6753757 ORTHO-IMMOB UNIV SLING/SWATH LG $142 6753758 ORTHO-IMMOB UNIV SLING/SWATH MED $142 6750562 ORTHO-IMMOBILIZER KNEE LARGE $49 6750561 ORTHO-IMMOBILIZER KNEE MED $49 6750560 ORTHO-IMMOBILIZER KNEE SMALL $49 6750563 ORTHO-IMMOBILIZER KNEE XLARGE $49 6750564 ORTHO-IMMOBILIZER KNEE XX-LARGE $49 6751379 ORTHO-KO ELASTIC W/STAYS PREFAB $918 6751378 ORTHO-LO RIGD A/P PNL L1-L5 PREFB "$1,206 " 6751355 ORTHO-LSO BRACE FLEXIBLE PREFAB $845 6751411 "ORTHO-MOLDED ARCH SUPPORT,EA" $635 6751307 ORTHO-MULTI POST COLLAR ADJ BARS "$1,478 " 6751302 ORTHO-NEWPORT ADDITION HIP JOINT "$2,196 " 6751300 ORTHO-NEWPORT HIP BRACE POST-OP "$5,340 " 6751306 ORTHO-PELVIC-SACRAL SUPPORT $551 779010183 ORTHOPTIC/PLEOPTIC TRAINING $112 6750837 ORTHO-SHOE CAST LARGE $141 6750836 ORTHO-SHOE CAST MED $141 6750834 ORTHO-SHOE CAST SMALL $141 6750984 ORTHO-SHORT WALKER BOOT LARGE $207 6750983 ORTHO-SHORT WALKER BOOT MEDIUM $207 6750982 ORTHO-SHORT WALKER BOOT SMALL $207 6750985 ORTHO-SHORT WALKER BOOT XLARGE $207 6750180 ORTHO-SLING ARM LARGE $48 6750211 ORTHO-SLING ARM MEDIUM $48 6750208 ORTHO-SLING ARM SMALL $48 6753761 ORTHO-SLING ARM XLARGE $48 6753765 ORTHO-SPLINT WRIST UNIV LEFT $91 6753779 ORTHO-SPLINT WRIST UNIV RIGHT $91 6751641 ORTHO-STRAP FORK BK $154 6750991 ORTHO-STUMP SHRINKER $92 6750988 ORTHO-TALL WALKER BOOT LARGE $207 6750987 ORTHO-TALL WALKER BOOT MEDIUM $207 6750986 ORTHO-TALL WALKER BOOT SMALL. $207 6750989 ORTHO-TALL WALKER BOOT X LARGE $207 768084355 ORTHOTIC FITTING/TRAINING-OT/ 15 $192 770053284 ORTHOTIC FITTING/TRAINING-OT/15 $192 771086429 ORTHOTIC FITTING/TRAINING-OT/15/1 $192 770085023 ORTHOTIC FITTING/TRAINING-PT/15 $192 771085103 ORTHOTIC FITTING/TRAINING-PT/15/1 $192 772092185 ORTHOTIC MGMT AND TRAINING-OT/15 $192 6751642 ORTHO-WEBBING BELT WAIST BK $195 779010182 OSCILLATING TRACKING TEST $274 750090039 OSCILLATOR 1ST DAY "$1,177 " 750090036 OSCILLATOR SUBS DAYS $520 700043188 OSMOLALITY $181 4059267 OSMOLALITY BLOOD $181 4059268 OSMOLALITY URINE $198 700043189 "OSMOLALITY,URINE" $198 700040103 OSMOTIC FRAGILITY $205 4059525 OSMOTIC FRAGILITY RBC INCUBAT $166 3655272 OSMOTIC FRAGILITY RBC INCUBATED $166 3655271 OSMOTIC FRAGILITY RBC UNINCUBATED $201 6751252 OSTEO INTRODUCER SYSTEM "$2,520 " 6756003 OSTEOCOOL 20GA CANNULA "$1,824 " 6756004 OSTEOCOOL BONE ACCESS KIT "$1,458 " 6756002 OSTEOCOOL DUAL PROBE KIT "$16,045 " 6756001 OSTEOCOOL SINGLE PROBE KIT "$10,940 " 796032070 OSTEOPATH MANJ 5-6 REGIONS $58 796032071 OSTEOPATH MANJ 7-8 REGIONS $58 685028006 "OSTOMY, ADHESIVE SPRAY" $39 685029984 "OSTOMY, BANISH DEODORANT" $8 685028040 "OSTOMY, CLAMPS" $7 685028322 "OSTOMY, CONE IRRIGATION" $133 685028680 "OSTOMY, FECAL INCONT." $7 685028050 "OSTOMY, FIRST CHOICE POUCH" $7 685020176 "OSTOMY, NO STING WIPE" $6 685028196 "OSTOMY, PASTE STOMAHESIVE" $25 685028312 "OSTOMY, POUCH" $14 685028217 "OSTOMY, WOUND DRAINAGE MED" $28 685028218 "OSTOMY, WOUND DRAINAGE SM" $28 6756251 OSTOMY-BAG WOUND DRAN W/BARER MED $48 6758941 OSTOMY-CONVEXITY WAFER MEDIUM $29 6758940 OSTOMY-COVEXITY WAFER SMALL $29 6750996 OSTOMY-POUCH FECAL MICROSKN $25 6755219 OSTOMY-POUCH HIOUTPT SURFIT 1 3/4 $29 6755218 OSTOMY-POUCH HIOUTPT SURFIT 2 1/4 $29 6753945 OSTOMY-POUCH PREMIE FECAL $292 6754428 "OSTOMY-POUCH,UROSTOMY PEDIATRIC" $29 6750763 "OSTOMY-SET, IRRIGATION 2 3/4""" $218 6755303 "OSTOMY-WAFER DURAHESIVE 1 3/4""" $28 667061737 OUTBACK SYSTEM "$3,160 " 700044109 OUTPATIENT DRAW FEE $41 767097047 OUTPATIENT PERITONEAL DIALYSIS "$1,798 " 705083648 OUTSIDE CONSULT W/PREP OF SLIDES $220 705048010 OUTSIDE CONSULTATION $714 705048150 OUTSIDE CONSULTATION FEE $714 3655395 OVA & PARASITES SMEARS $313 700045020 OVA AND PARASITES $82 6757409 OVERTUBE $709 6751339 OVERTUBE SPIRAL "$1,990 " 700043560 OXALATE (24H URINE) $36 700040287 OXCARBAZEPHINE $87 4059119 OXCARBAZEPINE(TRILEPTAL) LEVEL $302 6753266 P.S. MEDICAL VENT CATH $423 4059218 P/Q TYPE CALCIUM CHANNEL AB $269 700043130 P2Y12 ASSAY $376 4059320 P2Y12 ASSAY EACH AGENT $376 6753044 PACEMAKER DUAL RATE RESPONSIVE "$7,852 " 6753044 PACEMAKER DUAL RATE RESPONSIVE "$44,546 " 667061965 PACEMAKER GEN CHANGE DUAL LEAD "$12,097 " 667061966 PACEMAKER GEN CHANGE MULT LEAD "$35,323 " 667061964 PACEMAKER GEN CHANGE SINGLE LEAD "$11,028 " 6753267 PACEMAKER LEAD INTRODUCER $384 667059364 PACEMAKER REMOVAL "$7,191 " 667061724 PACEMAKER REMOVAL ONE LEAD "$4,114 " 667061725 PACEMAKER REMOVAL TWO LEADS "$4,114 " 6753551 PACEMAKER SINGLE RATE RESPONSIVE "$38,611 " 6750638 PACING WIRE BIPOLAR $836 700049898 PACKED CELL ADSOL LEUKOREDUCED $993 700040227 PACKED CELL LEUKOREDUCED $993 66405702 PACU PHASE II EA 15MIN. $311 6754986 PALINGEN OR PROMATRX PER 0.25CC "$11,246 " 4059232 PANCA ELISA IGG SPECIFIC $291 110250937 PARACENTESIS $601 700049580 PARALDEHYDE & METAB. $99 700043352 PARANEOPLASTIC SYNDROME $37 3655161 PARATHYROID HORMONE $721 700043667 PARATHYROID HORMONE BASELINE $721 4059270 PARATHYROID HORMONE INTACT $721 4059269 PARATHYROID HORMONE OR $721 700043665 "PARATHYROID HORMONE, INTACT" $721 741052320 PARAVERTEBRAL SYMPATHETIC "$2,007 " 700042074 PARIETAL CELL TOTA $72 777057016 PARING BENIGN LESION - SINGLE $251 777057017 PARING BENIGN LESION 2-4 $413 777057018 PARING BENIGN LESION OVER 4 $621 796032075 PARING CORN/CALLUS $251 110250953 PARTIAL EXCHANGE TRANSFUSION "$1,111 " 624099489 PARTIAL EXCHANGE TRANSFUSION. MB "$1,111 " 3655327 PARTICLE AGGLUTINATION SCREEN $224 700046161 PARVOVIRUS ANTIBODIES $153 3655363 PARVOVIRUS ANTIBODY $419 3656627 PARVOVIRUS B19 PCR "$1,174 " 4059417 "PARVOVIRUS B19, IGG ANTIBODY" $419 4059418 "PARVOVIRUS B19, IGM ANTIBODY" $419 700046040 PAS STAIN $156 6750452 PATCH KIT EP MAPPING "$5,109 " 4059094 PATH CONSULT PREPARED SLIDES $560 3652070 PATH CONSULT W PREP OF SLIDES "$1,260 " 700047010 PATHOGEN REDUCED PLATELETS "$3,272 " 4059095 PATHOLOGY CONSULT SLIDES & BLOCKS "$2,018 " 6753268 PATIENT PROGRAMMER "$7,043 " 700047021 PC ADSOL LEUKOREDUCED IRRADIATED "$1,243 " 667069180 PCI ADD CA ANGIOP "$11,513 " 667062176 PCI ADD CA ATHER STENT ANGIOP W/D "$15,771 " 667062191 PCI ADD CA ATHEREC & STENT & ANGI "$15,771 " 667069182 PCI ADD CA ATHERECTOMY & ANGIOP "$14,754 " 667062178 PCI ADD CA STENT & ANGIOP "$16,652 " 667062129 PCI ADD CA STENT & ANGIOP W/DES "$23,273 " 667062174 PCI ADD CA/G CHRO TOT OCC ANY W/D "$21,158 " 667069189 "PCI ADD CA/G CHRON TOTAL OCCLU, A" "$16,652 " 667069190 "PCI ADD G, ANY" "$16,652 " 667062175 "PCI ADD G, ANY, W/DES" "$21,158 " 667062172 "PCI INI CA ATHER STENT ANGIOP, W/" "$21,720 " 667069187 PCI INI CA ATHEREC & STENT & ANGI "$21,720 " 667062171 "PCI INI CA/G ACUT TOT OCL,ANY W/D" "$25,740 " 667069186 PCI INI CA/G ACUT TOTA\SUB OCLU A "$20,817 " 667062170 PCI INI CA/G CHRO TOT OCC ANY. W/ "$23,164 " 667069185 PCI INI CA/G CHRON TOTAL OCCLU AN "$20,817 " 667069188 "PCI INI G, ANY" "$20,817 " 667062173 "PCI INI G, ANY. W/DES" "$23,164 " 667062179 PCI INIT CA ANGIOP "$14,888 " 667069181 PCI INIT CA ATHERECTOMY & ANGIOP "$18,643 " 667062177 PCI INIT CA STENT & ANGIOP "$22,688 " 667062128 PCI INIT CA STENT & ANGIOP W/DES "$27,026 " 3655419 PCR AMPLIFIED NOS $167 4059563 PCR AMPLIFIED PROBE EACH ORGANISM $455 6755910 PDS FLEXIBLE PLATE "$1,239 " 6753269 PECTUS BAR IMPLANT "$5,823 " 710072067 PED ECHO 2D ONLY "$1,740 " 710075660 PED ECHO CONGENITAL COMPLETE "$3,162 " 710072416 PED ECHO CONGENITAL LIMITED "$1,741 " 710072500 PED ECHO NON CONGENITAL COMPLETE "$3,162 " 6753274 PEDICLE ACCESS KIT "$6,002 " 750090049 PEDS MDI 1ST OF DAY $194 666061149 PEG REPLACEMENT WO REVISION $475 667061662 "PELVIC ANGIOGRAPHY, SELECTIVE" "$10,709 " 700040306 PENICILLIN BIND PROTEIN $44 6753275 PENILE PROSTHESIS NON-INFLATABLE "$21,000 " 6753628 PENILE PROSTHESIS-INFLATE LVL 1 "$7,800 " 6753629 PENILE PROSTHESIS-INFLATE LVL 2 "$20,000 " 667062007 PERC TRANSLUMINAL VALVULOPLASTY C "$3,200 " 6751447 PERCHIK BUTTON $56 667061962 PERCUTANEOUS CONGENITAL ASD REP "$35,522 " 667061991 PERCUTANEOUS CONGENITAL VSD REPAI "$35,522 " 667062006 "PERCUTANEOUS VALVULOPLASTY, MITRA" "$20,429 " 667062005 "PERCUTANEOUS, VALVULOPLASTY, AORT" "$20,878 " 6753277 PERFLUORON "$3,016 " 110250942 PERICARDIOCENTESIS W/GUIDE "$2,338 " 667061735 PERIPHERAL CATHETER $80 667061679 PERIPHERAL STENT "$1,456 " 110250943 PERIVENTRICULATR TAB "$1,222 " 6753278 PERMACOL IMPLANT PER SQ CM $56 700042167 PERNICIOUS ANEMIA CASCADE $163 726111629 PET AXIUM SKULL-THIGH INT TMT "$8,115 " 726111630 PET AXIUM SKULL-THIGH SUB TMT "$8,115 " 726178382 PET BRAIN IMAG META EVAL INT TMT "$4,383 " 726178383 PET BRAIN IMAG META EVAL SUB TMT "$4,383 " 726178385 PET FDG IMAG SKULL-THIGH INT TMT "$8,115 " 726178386 PET FDG IMAG SKULL-THIGH SUB TMT "$8,115 " 726111631 PET GA-68 SKULL-THIGH INT TMT "$8,115 " 726111632 PET GA-68 SKULL-THIGH SUB TMT "$8,115 " 726178898 PET IMAG BONE WHOLE BODY INT TMT "$8,115 " 726178899 PET IMAG BONE WHOLE BODY SUB TMT "$8,115 " 746472076 PET RUBIDIUM 82 $675 726178387 PET TUM IMAG WHOLE BODY INT TMT "$8,115 " 726178838 PET TUM IMAG WHOLE BODY SUB TMT "$8,115 " 690052391 PHAL SH FRAC PRO/MID W/O MAN-2N/1 $620 667061615 PHARMACOLOGIC AGENT ADMIN-NO $311 715073007 PHASE II CARD REHAB W/TELEMET $313 715080102 PHASE II PUL GROUP EACH SESSION $462 715080101 PHASE II PUL ONE TO ONE EA 15 MIN $116 700049383 PHENOBARBITAL $163 3655013 PHENOBARBITAL (PHENOBARBITAL) $328 4059595 PHENOBARBITAL LEVEL $163 700049895 PHENOL (URINE) $200 700046800 "PHENOLPHTHALEIN, STOOL" $32 4059570 PHENOTYPE INFECT AGENT DRUG $895 700049885 PHENYTOIN - FREE $22 3655015 PHENYTOIN (DILANTIN) FREE $259 3655014 PHENYTOIN (DILANTIN) TOTAL $328 4059112 PHENYTOIN(DILANTIN) LEVEL $328 700049901 PHERESIS PLATELET LEUKOREDUCED "$3,364 " 700049896 PHERESIS PLT LEUKOREDUCED IRRADIA "$3,499 " 3655162 PHOSPHATASE ACID PROSTATIC $300 3655163 PHOSPHATASE ALKALINE $60 3655164 PHOSPHATASE ALKALINE ISOENZYME $342 700043265 PHOSPHATIDYL SERINE IGM $86 700043263 PHOSPHATIDYLSERINE AB IGA $86 700043264 PHOSPHATIDYLSERINE AB IGG $86 700042052 PHOSPHOLIPID NEUTRALIZATION PLATE $28 700042056 PHOSPHOLIPID NEUTRALIZATION PLATL $50 4059585 PHOSPHOLIPID NEUTRALIZE PLATELET $704 700043200 PHOSPHOROUS $64 700043650 PHOSPHOROUS (24H URINE) $33 4059611 PHOSPHOROUS URINE 24HR $208 4059047 PHOSPHORUS $64 3655165 PHOSPHORUS INORGANIC $64 110250915 PHOTOTHERAPY/ DAY $617 624099482 PHOTOTHERAPY/ DAY-MB $617 650099490 PHOTOTHERAPY/ DAY-NU $617 768084357 PHYSICAL PER TEST/MEASUREMENT-OT/ $147 771086141 PHYSICAL PERF TEST/MEASUREMENT//1 $147 771088157 PHYSICAL PERF TEST/MEASUREMENT/OT $147 771089052 PHYSICAL PERF TEST/MEASUREMENT/PT $147 771085039 PHYSICAL PERF TEST/MEASUREMENT-PT $147 779010132 PHYSICAL PERFORMANCE TEST/15 MIN $147 6759931 PHYSIOSTIM BONE GROWTH STIMULATOR "$13,266 " 6753281 PI DISPOSABLE INST $907 6753282 PI-30 MED RELOAD CARTRIDGE $580 6754024 PICC DUAL LUMEN SCN $585 6754029 PIGTAIL CHEST TUBE ( FURHMAN ) $405 6750512 PILL CAM DEPLOYMENT DEVICE $744 6750437 PILL CAM SUPPLY "$2,672 " 6753283 PIN DISTRACTION $107 6751829 PIN HOLDING MAKO $507 700045025 PINWORM EXAM $43 667061974 PLACE IVC FILTER W\CATH AND S&I "$14,119 " 667061997 PLACEMENT OF IMPELLA HEART PUMP "$15,087 " 6751188 PLASMABLADE "$1,657 " 6753287 PLASMABLADE NEEDLE "$1,363 " 6753288 PLASMABLADE PLUS "$2,121 " 6753286 PLASMABLADE S "$1,657 " 4059556 PLASMINOGEN ACTIVITY $159 4059556 PLASMINOGEN ACTIVITY $443 700040431 PLASMINOGEN ANTIGEN $134 627012205 PLASTIC RESPITE CARE $800 6753289 PLATE LEVEL 1 $410 6753290 PLATE LEVEL 2 $847 6753291 PLATE LEVEL 3 "$1,531 " 6753294 PLATE LEVEL 4 "$3,410 " 6753295 PLATE LEVEL 5 "$5,203 " 6753296 PLATE LEVEL 6 "$10,327 " 6753297 PLATE LEVEL 7 "$23,002 " 6753298 PLATE LEVEL 8 "$28,967 " 4059331 PLATELET AB IDENTIFICATION $465 700040151 PLATELET AGGREGATION $191 4059322 PLATELET AGGREGATION EA AGENT $376 700040152 PLATELET ANTIBODY $255 3655286 PLATELET ANTIBODY ID $465 4059333 PLATELET ASSOC ANTIBODIES $583 700047045 PLATELET CONC TOTAL $687 4059068 PLATELET COUNT $133 4059321 PLATELET FUNCTION SCREEN $189 700040107 PLATELET FUNCTION STUDY COLLAGEN $189 700047049 PLATELETS-HLA PHERESIS "$1,027 " 6753301 PLEATMAN SAC $249 750090068 PLETHYSMOGRAPHY "$1,583 " 6753302 PLEURAL AIR LEAK SEALANT "$3,959 " 669094509 PLEURAL TUBE DRAIN W/O GUIDANCE $936 690052478 PLEURAL TUBE DRAN W/O GUIDANCE "$1,930 " 6750599 PLEUR-EVAC-PED/ADULT $642 6756231 PLEUREX DRAINAGE LINE $87 6756229 PLEURX DRAINAGE SYSTEM 1000CC $307 6753303 PLEURX KIT SUPPLIES $856 6756232 PLEURX PLEURAL CATHETER "$2,513 " 700047217 PLT PHER EMERGENCY RELEASE "$3,364 " 667061977 "PM INSERTION W/ATRIAL LEAD, W/FLU" "$21,512 " 667061979 "PM INSERTION W/TWO LEAD, W/FLUORO" "$24,209 " 667061978 "PM INSERTION W/VENTL LEAD, W/FLUO" "$21,512 " 3656645 PMP22 GENE FULL SEQUENCE "$2,424 " 741083332 PMT FLUOROSCOPY NON-SPINAL "$1,162 " 741083334 PMT INJ TENSON SHEAT/LIGAMENT $932 741083329 PMT PROCEDURE 1ST 15 MIN $1 741083330 PMT PROCEDURE EACH ADD 15 MIN $1 741083335 PMT US GUIDE $726 4031118 PNEUMOCOCCAL ADMINISTRATION $46 700044089 PNH FIRST MARKER ANALYSIS $72 700044090 PNH SUBSEQUANT MARKER ANALYSIS $32 700043037 POC URINE HCG $255 700047026 POOLED CRYO REDUCED PLASMA $691 4059505 PORPHOBILINOGEN URIN QUAN $347 3655166 PORPHOBILINOGEN URINE QN $347 700040260 PORPHOBILINOGEN-QUAL. (URINE) $50 700041060 PORPHYRINS - RBC $136 700040258 PORPHYRINS 24 H (URINE) $136 3655168 PORPHYRINS FECES QN $240 4059346 PORPHYRINS URINE QN & FRACT $516 700040422 "PORPHYRINS, FRACT. QUANT." $139 3631033 PORT FLUSH $164 4031101 PORT FLUSH VISIT $164 4059126 POSACONAZOLE(NOXAFIL) LEVEL $302 750090062 POSITIVE EXPIRATORY INITIAL $139 750090063 POSITIVE EXPIRATORY SUBSEQ $119 680151263 POST-OP SHOE $105 750090064 POSTURAL DRAIN W/CPT INITIAL $139 700043195 POTASSIUM $71 700044605 POTASSIUM (24 HR URINE) $33 4059048 POTASSIUM SERUM $71 4059347 POTASSIUM URINE $189 700044510 "POTASSIUM, FECES" $200 700040438 "POTASSIUM, I-STAT POC LAB" $71 700043196 "POTASSIUM, RANDOM URINE" $189 6753305 POUCH SYSTEM RETRIEVAL MED/LG "$1,153 " 6753306 POUCH SYSTEM TISSUE RETRIEVAL SM $302 6751263 POWER PULSE SPRAY ANGIOJET KIT $144 6753307 PRASS PROBE $468 4059049 PREALBUMIN $200 796032044 PREG TEST - UA $72 700043281 "PREGABALIN LEVEL, BLOOD" $402 700043041 "PREGNANCY TEST, BLOOD" $380 4059576 PREKALLIKREIN ASSAY (FLETCHER) $321 685020024 PREMIUM POWDER $9 6753308 PREMIUM STAPLE RELOAD "$1,158 " 6759946 PREMIUM STAPLER "$1,653 " 662063933 PREOP ADMIN INFLUENZA VACCINE $82 662050680 PREOP ADMIN PNEUMOCOCCAL VACCINE $82 662098381 PREOP EST PEG TUBE REMOVAL $192 662050024 PREOP NEBULIZER TREATMENT $194 662098380 PREOP NEW PEG TUBE REMOVAL $252 690039818 PREPUTIAL STRETCHING $620 660066018 PRESBYOPIA CORR FUNCTION IOL $895 6752630 PRESBYOPIA CORRECTING LENS "$5,581 " 70009646 PRESURG COVID19 TEST $495 6753309 PRIMATRIX IMPLANT PER SQ CM $132 6753312 PRIMATRIX SKIN SUB PER SQ CM $135 700049388 PRIMIDONE $83 6753225 PRINEO SKIN CLOSURE SYSTEM $559 888850000 PRIVATE ICU "$4,980 " 888810000 PRIVATE ROOM "$1,447 " 888890000 PRIVATE ROOM W/TELEMETRY "$1,884 " 700044056 PRO INSULIN LEVEL $155 6753315 PROBE ABLATOR $686 6750802 PROBE ARGON PLASMA COAGULATOR "$1,248 " 6751524 PROBE BALLOON SHEATH US MINI $444 6755009 PROBE CRYOABLATION LVL 1 "$4,822 " 6753634 PROBE CRYOABLATION LVL 2 "$17,211 " 6753316 PROBE ELECTROSURGICAL CHISEL "$2,203 " 6751606 PROBE ESOPHAGEAL PH $365 700046074 PROBE FOR COMPLEX $43 6754425 PROBE LASER ASPIRATING $599 6753317 PROBE LASER HGM STRAIGHT $384 6752492 PROBE LITHOCLAST "$2,875 " 6757733 PROBE NEUROSTIM BIPOLAR $366 6752934 PROBE NEUROSTIM MONOPOLAR "$1,210 " 6753320 PROBE NEUROVISION "$8,318 " 6753339 PROBE PNEUMATIC LONG $836 6753337 PROBE PNEUMATIC SHORT $836 6753638 PROBE ROBOTIC WATER JET "$7,500 " 6751409 "PROBE, MONOPOLAR COAGULATOR" $460 700043385 PRO-BNP $459 3656667 PROCALCITONIN $270 3656667 PROCALCITONIN $457 6751639 PROCESSOR HEARING BAHA COMPACT "$14,851 " 3655172 PROGESTERONE $34 3655172 PROGESTERONE $400 700092226 PROGRAF $336 6753860 PROGRAMMABLE INLINE VALVE "$19,556 " 4059572 PROINSULIN "$1,007 " 4059273 PROLACTIN $31 4059273 PROLACTIN $459 4059272 "PROLACTIN, SERUM" $459 4031127 PROLONGED IV INFUSION W/PUMP $546 700040262 PROPAFENONE $83 4059123 PROPOXYPHENE QUANT URINE $229 4059101 PROSTATE CANCER SCREEN PSA $168 3655456 PROSTATE NEEDLE BX EXAM $554 700049912 PROSTATE SPECIFIC AG - FREE $88 700049913 PROSTATE SPECIFIC AG TOTAL $88 700043216 PROSTATIC SPECIFIC ANTIGEN SCREEN $107 700043013 PROSTATIC-SP ANTIGEN $221 6758965 PROSTHESIS EAR HA W/SHESKY POP XO "$1,116 " 6753324 PROSTHESIS EAR OSSICULOPLASTY "$1,832 " 6753327 PROSTHESIS EAR PLAT PISTON RICHAR $721 6753328 PROSTHESIS EAR STAPES PISTON ROBI $569 6759915 "PROSTHESIS, EAR" $774 722095362 PROSTHETIC TRAIN SUBI-PT/15 $162 722095361 PROSTHETIC TRAIN SUB-OT/15 $162 771089316 PROSTHETIC TRAIN SUB-PT/15 $162 722095282 PROSTHETIC TRAINING INI-OT/15 $162 770092186 PROSTHETIC TRAINING INI-PT/15 $162 6753329 PROSTH-STAPES PISTON "$1,220 " 6754979 PROTECTOR NERVE NEURAWRAP PER CM "$1,677 " 6753330 PROTECTOR TENOGLIDE PER SQ CM $106 4059276 PROTEIN 24HR URINE $218 4059580 PROTEIN BODY FLUID $105 700043218 PROTEIN C $48 4059373 PROTEIN C ACTIVITY $991 700043211 PROTEIN C ACTIVITY/1 $65 4059307 PROTEIN C ANTIGEN $991 700043222 PROTEIN CONC URINE $75 700043223 PROTEIN ELECTRO FRACT QUANT $61 4059277 PROTEIN ELECTROPH SRM $400 700043145 PROTEIN ELECTROPHES (24H URINE) $61 700043220 PROTEIN ELECTROPHORESIS (SERUM) $61 3655179 PROTEIN ELECTROPHORESIS OTHER $444 3655178 PROTEIN ELECTROPHORESIS SERUM $400 4059278 PROTEIN ELECTROPHORESIS URINE $444 4059309 PROTEIN S ACTIVITY $991 700049906 PROTEIN S ANTIGEN FREE $40 4059308 PROTEIN S ANTIGEN TOTAL $212 4059310 PROTEIN S FREE $281 3655254 PROTEIN S TOTAL $212 700043389 PROTEIN S TOTAL ANTIGEN $38 4059348 PROTEIN TOTAL SERUM $64 3655177 PROTEIN TOTAL URINE $182 4059574 PROTEIN WESTERN BLOT BAND ID $574 700044030 "PROTEIN, TOTAL (CSF)" $200 700043247 "PROTEIN, TOTAL (FLUID)" $105 4059472 PROTHROMBIN ANTIBODIES IGG/IGM $765 4059248 PROTHROMBIN FRAGMENT 1.2 $510 700043306 PROTHROMBIN GENE MUTATION $106 3655274 PROTHROMBIN TIME (PT) $125 3655275 PROTHROMBIN TIME SUBSTITUTION $163 700040110 PROTIME $31 700040109 "PROTIME, SUBSEQUENT" $125 700040257 PROTOPORPHYRIN- RBC $47 3655181 PROTOPORPHYRIN RBC QN $130 690051531 PROX ULNA W/DISLOC RAD HEAD W/MAN "$1,930 " 690052252 PROX ULNA W/DISLOC RAD W/MANI BIL "$1,930 " 690052076 PROX ULNA WDISL RAD HEAD MANIP LT "$1,930 " 700040274 PROZAC LEVEL $47 4059274 PSA FREE $155 4059050 PSA TOTAL $354 710072153 PSEUDO-ANEURYSM COMPRESSION $460 658092601 PSYCH DIAGNOSTIC INTERVIEW EXAM- $151 779010145 PSYCHIATRIC DIAGNOSTIC EVALUAT $151 779010158 PSYCHO 30 MIN WITH PATIENT $102 779010146 PSYCHO 45 MIN WITH PATIENT $139 779010147 PSYCHO 60 MIN WITH PATIENT $152 658092602 "PSYCHOTHERAPY, 30 MIN W PATIENT" $102 658092604 "PSYCHOTHERAPY, 45 MIN W PATIENT" $139 658092606 "PSYCHOTHERAPY, 60 MIN W PATIENT" $152 779010161 PSYTX COMPLEX INTERACTIV (ADD ON) $240 779010163 PSYTX CRISIS EA ADD 30 M (ADD ON) $240 779010162 PSYTX CRISIS INITIAL 60 MIN $454 4059070 PT $125 4059324 PT SUBSTITUTION $163 667059599 PTA BALLOON $360 667061631 PTA EA ADD VL STENT PLCMNT ATHERE "$17,576 " 667061629 PTA TIB/PERON EA ADL VL W/ATHEREC "$37,314 " 667061670 PTCA BALOON $232 4059157 PTH RELATED PROTEIN $175 4059157 PTH RELATED PROTEIN $322 4059072 PTT $48 4059072 PTT $198 700042051 PTT LA SCREEN $48 3655283 PTT SUBSTITUTION $191 4059329 PTT SUBSTITUTION/A $191 700041115 "PTT, SUBSEQUENT TEST" $198 700040135 PTT-LA MIX STUDY $42 770092204 PTY- OT EVAL HIGH COMPLEX 60 MIN $169 770092202 PTY- OT EVAL LOW COMPLEX 30 MIN $169 770092203 PTY- OT EVAL MOD COMPLEX 45 MIN $169 770092200 PTY- PT EVAL HIGH COMPLEX 45 MIN $169 770092198 PTY- PT EVAL LOW COMPLEX 20 MIN $169 770092199 PTY- PT EVAL MOD COMPLEX 30 MIN $169 770092201 PTY- PT RE-EVAL EST PLAN CARE $112 770053292 PTY- SPEECH/HEARING THERAPY $222 770092215 PTY THER IVNT COGNITIV SL/ 1ST 15 $171 770092216 PTY THER IVNT COGNITIV SL/ AD 15 $171 730117662 PULMICORT 0.25 MG $49 730117663 PULMICORT 0.5 MG $58 667069285 PULMONARY ANGIO NONSELECTIVE "$3,257 " 667069288 PULMONARY ANGIO SELECTIVE BIL "$6,281 " 667069287 PULMONARY ANGIO SELECTIVE UNI "$5,625 " 740090890 PULMONARY ART CATH PLACEMENT "$4,696 " 667069223 PULMONARY ARTERY (SWAN-GANZ) CATH $123 6753331 PULMONARY BALLOON DILATOR "$1,075 " 715083270 PULMONARY REHAB 1 HOUR W/EXERCISE $462 715090037 PULMONARY REHAB 1H W/EXERCISE >36 $462 715080103 PULMONARY REHAB MONTHLY CHARGE $42 3631012 PULSE OX SINGLE $172 4031079 "PULSE OX, MULTIPLE" $261 4031078 "PULSE OX, SINGLE" $172 6755671 PULSED LAVAGE GUN $176 6755672 PULSED LAVAGE TIP $102 750080276 PULSEOX OVERNIGHT W/STRIP RECORD $576 6751608 PUMP SET IMPELLA CP "$59,535 " 6751534 PUNCTURE CLOSURE DEVICE $119 690051430 PUNCTURE DRAINAGE OF LESION $620 797029026 PUNCTURE DRAINAGE OF SKIN LESION $422 3631008 PUNCTURE VENTRICULAR W/O INJ "$2,249 " 6753582 PURAPLY AM PER SQ CM $594 6753332 PUTTY FILLER BONE LEVEL I $244 6753333 PUTTY FILLER BONE LEVEL II $389 6753334 PUTTY FILLER BONE LEVEL III $864 6753340 PUTTY FILLER BONE LEVEL IV "$1,596 " 6753356 PUTTY FILLER BONE LEVEL V "$3,344 " 720075183 "PXR CHEST,PED/NICU PA&LAT" $618 700040271 PYRUVATE (PYRUVIC ACID) $101 3655183 PYRUVATE KINASE $259 4059280 PYRUVATE KINASE RBC $259 700040270 PYRUVATE KINASE SCREEN $153 4059617 Q FEVER ANTIBODY $98 4059617 Q FEVER ANTIBODY $444 700040412 QUAL CARISOPRODOL (SOMA) $163 700040413 QUAL H/B IDP6 TEST $163 700040414 QUAL IBUPROPHEN $163 700040418 QUANT COUMADIN (WARFARIN) $92 700040417 QUANT HIPPURIC ACID (URINE) $75 700040421 QUANT SINEMET $195 700040419 QUANT TOCAINIDE $137 6750385 QUICK PRESSURE MONITOR SET $465 3655016 QUINIDINE $337 700049333 QUINIDINE QUANITATIVE $69 667069233 R HRT ART/GRFT ANGIOGRAPH "$25,310 " 3655328 RA FACTOR QL $156 3655329 RA FACTOR QN $242 4059388 RA FACTOR/A $156 700042321 RABIES ANTIBODY TITRE $161 730109540 RACEMIC EPINEPHRINE $24 690051544 RAD & ULMA SHAFT FRACT W/O MANIP $620 690052248 RAD & ULNA SHAFT FRACT W/O MANI/1 $620 690052072 RAD & ULNA SHAFT FRACT W/O MANIP $620 730169239 RAD ISOVUE 300/ML $6 730169240 RAD ISOVUE 370 /ML $6 766092326 RAD PORT IMAGES $23 764083081 RAD THERAPY-ONE AREA "$1,343 " 764083072 RAD THERAPY-THREE AREAS "$2,186 " 764083085 RAD THERAPY-TWO AREAS "$1,330 " 766092319 RAD TREAT DELIVER 3/MOR 11-19 MEV $533 766092325 RAD TREAT DELIVER SINGL11-19 MEV $291 766092327 RAD TREAT DELIVERY 20 MEV OR > $290 766092317 RAD TREAT DELIVERY 3/MOR 20 > MEV $533 766092318 RAD TREAT DELIVERY 3/MOR 6-10 MEV $533 766092321 RAD TREAT DELIVERY 3/MORE UP TO 5 $543 766092328 RAD TREAT DELIVERY 6-10 MEV $291 766092324 RAD TREATMENT MANAGEMENT 5 TREAT $388 730169241 RAD VISIPAQUE/ML $6 690052071 RADIAL & ULNA SHAFT FRACT W MANIP "$1,930 " 690051545 RADIAL & ULNA SHAFTS FRACT W/MAN "$1,930 " 6756557 "RADIAL CATH,ARROW" $44 690052250 RADIAL HEAD/NECK FRAC W MANIP BIL "$1,930 " 690052074 RADIAL HEAD/NECK FRACT W MANIP LT "$1,930 " 690051534 RADIAL HEAD/NECK FRACT W/MANIP RT "$1,930 " 690052247 RADIAL&ULNA SHAFT FRAC W MANIP BI "$1,930 " 766092306 RADIATION PHYSICS CONSULT $163 766092309 RADIATION THERAPY CONSULTATION $254 766092303 RADIATION THERAPY DOSE PLAN $69 766092305 RADIATION TREATMEN AID(S) COMPLEX $138 766092315 RADIATION TREATMENT AID(S) SIMPLE $58 6750949 RADIESSE VOICE GEL "$1,004 " 6750951 RADIESSE VOICE INJECTION NEEDLE $302 766092311 RADIOTHERAPY DOSE PLAN IMRT "$3,101 " 690052245 RADIOULNAR DISTAL DISLOC W MANI/1 $620 690051999 RADIOULNAR DISTAL DISLOC W MANIP $620 690051553 RADIOULNAR DISTAL DISLOC W/MANIP $620 690052246 RADIOULNAR DISTAL FRACT W MANIP B "$1,930 " 6753379 RANEY CLIP CARTRIDGE $92 700042151 RAPAMYCIN(SIROLIMUS) $83 700040307 RAPID ANAEROB ISO $62 4059078 RAPID FLU A TEST $240 4059410 RAPID HIV 1/A $266 700040308 RAPID NEISS HAEM SCREEN $370 700041097 RAPID STREP RNA $117 700042100 RAST INDIVIDUAL ALLERGENS $54 4059628 RAST SINGLE TEST $47 710072100 RAYNAUD-DOPPLER ART EXTREMITY COM "$1,236 " 4059424 RBC ANTIBODY SCREEN $306 700040011 RBC MORPHOLOGY $37 700047095 RBC PHENOTYPE $321 700048115 RECEPTOR ASSAY GROUP "$1,326 " 667069217 RECORDER LOOP INSERTABLE "$8,467 " 66906401 RECOVERY TIME EA ADD 15M $323 66906400 RECOVERY TIME INITIAL 15 MIN $432 6753310 REENTRY MALECOT 24 FR $269 3631032 REFILL & MAINTAIN IMPLANT PUMP $542 4031099 REFILL & MAINTAIN PORTABLE PUMP $762 4031116 REFILL KIT $235 741083294 REFILL/MAINTENANCE PAIN PUMP BY P $630 722059024 REH NDL INSJ W/O NJX 1 OR 2 MUSC $109 722059025 REH NDL INSJ W/O NJX 3+ MUSC $149 722095356 REH- OT EVAL HIGH COMPLEX 60 MIN $169 722095354 REH- OT EVAL LOW COMPLEX 30 MIN $169 722095355 REH- OT EVAL MOD COMPLEX 45 MIN $169 722095357 REH- OT RE-EVAL EST PLAN CARE $112 722095348 REH- PT EVAL HIGH COMPLEX 45 MIN $169 722095346 REH- PT EVAL LOW COMPLEX 20 MIN $169 722095347 REH- PT EVAL MOD COMPLEX 30 MIN $169 722095349 REH- PT RE-EVAL EST PLAN CARE $112 774091006 REH- SPEECH/HEARING THERAPY $222 722095287 REH- SPEECH/HEARING THERAPY. $222 722059019 REH THER IVNT COGNITIV OT/ 1ST 15 $171 722059020 REH THER IVNT COGNITIV OT/ AD 15 $171 722059021 REH THER IVNT COGNITIV SL/ 1ST 15 $171 722059023 REH THER IVNT COGNITIV SL/ AD 15 $171 774059017 REH THER IVNT COGNITIV SL/1ST 15. $171 774059018 REH THER IVNT COGNITIV SL/AD 15. $171 6753462 REINFORCEMENT STAPLE LINE $631 667069221 RELIANT BALLON FOR STENT GRAFT $712 6753391 RELIEVA ILLUMINATOR SINUS "$2,228 " 6757902 RELIEVA SINUS BALLOON CATHETER "$3,185 " 6757901 RELIEVA SINUS GUIDE CATHETER "$1,768 " 6757904 RELIEVA SINUS LAVAGE CATHETER $709 6753393 RELOADABLE LINEAR TL 30 $513 6753394 RELOADABLE LINEAR TL 60 "$1,065 " 6753395 RELOADABLE LINEAR TL 90 "$1,128 " 6753396 RELOADABLE LINEAR TLC 55 "$1,189 " 6753397 RELOADABLE LINEAR TLC 75 "$1,777 " 667059549 RELOCATE POCKET - PMKR "$6,134 " 667061720 RELOCATION POCKET-ICD "$6,134 " 690051034 REMOV FB CONJUNC SUPERFICIAL -BIL $620 690051036 REMOV FB CONJUNCTIVA EMBEDED- BIL $620 690051037 REMOV FB CORNEA W/O SLIT LAMP- LT $620 690051736 REMOV FB CORNEA W/O SLIT LAMP- RT $620 690051038 REMOV FB CORNEA W/O SLIT LAMP-BIL $620 690051040 REMOV FB CORNEA WIT SLIT LAMP-BIL $620 690051039 REMOV FB CORNEA WITH SLIT LAMP-LT $620 690051737 REMOV FB CORNEA WITH SLIT LAMP-RT $620 690039828 "REMOV FOREIGN BODY, COMPLIC" "$1,930 " 3631070 REMOV TUNNELED CENTRAL CATH "$1,790 " 670099477 REMOVAL CERCLAGE W/O ANESTHESIA $192 797029052 REMOVAL FOREIGN BODY EAR $120 690051058 REMOVAL FORIG BODY EAR CANAL- BIL $620 690051057 REMOVAL FORIGN BODY EAR CANAL- LT $620 690051743 REMOVAL FORIGN BODY EAR CANAL- RT $620 667061998 REMOVAL IMPELLA HEART PUMP "$10,596 " 667061976 REMOVAL IVC FILTER W\CATH AND S&I "$9,687 " 674069294 REMOVAL LEADLESS PACEMAKER "$8,321 " 796032028 REMOVAL NEXPLANON $292 690051523 REMOVAL OF ARM FOREIGN BODY "$1,930 " 690058804 "REMOVAL OF ARM FOREIGN BODY, BIL" "$1,930 " 670099476 REMOVAL OF CERCLAGE W ANESTHESIA "$1,539 " 690058809 "REMOVAL OF FOOT FOREIGN BODY, BIL" "$1,022 " 690051068 REMOVAL OF FOOT FOREIGN BODY-LT "$1,022 " 690051630 REMOVAL OF FOOT FOREIGN BODY-RT "$1,022 " 690051709 REMOVAL OF HEMORRHOID CLOT "$1,022 " 796032082 REMOVAL OF NAIL BED $620 796032082 REMOVAL OF NAIL BED $834 690051444 REMOVAL OF NAIL PLATE $620 796032029 REMOVAL REINSERTION NEXPLANON $292 690051657 REMOVAL/REVISION OF CAST $620 690051741 REMOVE EYELID FOREIGN BODY- E1 $620 690051050 REMOVE EYELID FOREIGN BODY- E2 $620 690051051 REMOVE EYELID FOREIGN BODY- E3 $620 690051052 REMOVE EYELID FOREIGN BODY- E4 $620 690051033 REMOVE FB CONJUNC SUPERFICIAL- LT $620 690051734 REMOVE FB CONJUNC SUPERFICIAL- RT $620 690051035 REMOVE FB CONJUNCTIVA EMBEDED- LT $620 690051735 REMOVE FB CONJUNCTIVA EMBEDED- RT $620 690051428 REMOVE FOREIGN BODY $620 777058906 "REMOVE FOREIGN BODY, SIMPLE" $410 797029096 REMOVE IMPACTED EAR WAX BIL $223 690058825 REMOVE IMPACTED EAR WAX INSTR BIL $620 690051526 REMOVE IMPACTED EAR WAX INSTR LT $620 690051744 REMOVE IMPACTED EAR WAX INSTR RT $620 690051519 REMOVE IMPACTED EAR WAX IRRIG BIL $620 690051524 REMOVE IMPACTED EAR WAX IRRIG LT $620 690051517 REMOVE IMPACTED EAR WAX IRRIG RT $620 797029055 REMOVE IMPACTED EAR WAX UNI $148 797029055 REMOVE IMPACTED EAR WAX UNI $176 690051724 REMOVE INTRAUTERINE DEVICE $620 690051662 REMOVE NASAL FOREIGN BODY $620 690051698 REMOVE PHARYNX FOREIGN BODY $620 667069204 REMOVE SUBQ DEFIB ELECTRODE "$4,114 " 667069202 REMOVE SUBQ DEFIB GENERATOR "$7,191 " 4059005 RENAL FUNCTION PANEL $428 700043202 RENAL FUNCTION PROFILE $428 3655184 RENIN $189 3655184 RENIN $542 4059281 RENIN ACTIVITY $542 690051683 REPAIR LIP "$1,022 " 690051685 "REPAIR LIP, OVER ONE HALF" "$1,022 " 690051684 "REPAIR LIP, UP TO ONE HALF" "$1,022 " 667069234 REPAIR LOOSE CONNECT LEAD TO GENE "$1,773 " 690051858 REPAIR MOUTH LACERATION $620 690051861 REPAIR MOUTH LACERATION/1 "$1,022 " 667061727 REPAIR OF 2 LEADS PACEMAKER/ICD "$4,015 " 797029113 REPAIR OF NAIL BED $910 797029113 REPAIR OF NAIL BED "$1,022 " 667061726 "REPAIR OF ONE LEAD, PACEMAKER/ICD" "$2,872 " 690051722 REPAIR OF VAGINA "$1,930 " 667069235 REPAIR TCAT MITRAL VALVE "$37,573 " 667069236 REPAIR TCAT MITRAL VALVE ADD CLIP "$26,977 " 690051689 REPAIR TONGUE LACERATION $620 690051691 REPAIR TONGUE LACERATION/1 "$1,022 " 690051690 REPAIR TONGUE LACERATION/2 $620 667069228 REPOS PREV IMPLTBL SUBQ DFB "$6,859 " 6753099 REPOSE PROCEDURE APPLICATOR "$9,314 " 690051941 REPOSITION GASTRC TUBE THRU DUODE $620 667061975 "REPOSITION IVC FILTER W/ CATH, S" "$9,687 " 667061717 REPOSITIONING OF LEADS "$6,859 " 685082808 REPOSITIONING SLING DISPOSABLE. $96 741083324 REPROGRAM PAIN PUMP $630 741083295 REPROGRAMM & REFILL PAIN PUMP BY $712 4059526 REPTILASE TEST $129 750090605 RES CALCIUM- IONIZED $156 750090612 RES CARDIOPULMONARY EXERCISE TEST "$1,484 " 750090602 RES GLUCOSE $73 750090606 RES HEMATOCRIT $60 750090603 RES POTASSIUM $71 750090604 RES SODIUM $60 750090100 "RES, 6 MINUTE WALK TEST" $438 6757935 RESERVOIR CSF "$1,200 " 690051513 RESET DISLOCATED JAW $620 700042405 RESP SYNCTIAL VIRUS (CF) $88 700046491 RESPIRATORY CULTURE - C & S $370 70002081 RESPIRATORY VIRUS 12-25 TARGETS "$2,273 " 710075640 REST ONLY SPECT "$6,370 " 6753416 RESTORE LEAD REVISION KIT "$2,185 " 6753417 RESTORE TUNNELING TOOL DISP $534 700040125 RETIC COUNT $163 4059370 RETIC COUNT AUTOMATED $166 3655232 RETIC COUNT AUTOMATED DIRECT MEAS $166 3655230 RETIC COUNT MANUAL $163 4059067 "RETIC COUNT, MANUAL" $163 3655234 RETICULATED PLATELET ASSAY $97 700043564 RETICULIN IGG/IGA W/TITER $50 6758052 RETINA CRYO PROBE $203 6753418 RETINAL SILICONE SPONGE $191 6753371 RETRACTION SYS SKW DEEP SCROTAL "$1,323 " 6750901 RETRIEVAL BASKET TWISTER $350 6751331 RETRIEVAL DEVICE LVL I "$1,402 " 6751332 RETRIEVAL DEVICE LVL II "$2,511 " 6751333 RETRIEVAL DEVICE LVL III "$4,201 " 6751334 RETRIEVAL DEVICE LVL IV "$9,259 " 667059441 REVEAL-INITIAL INSERTION "$15,540 " 667059439 REVEAL-REMOVAL "$2,884 " 700040288 REVERSE T3 $87 6753585 REVITA IMPL LVL 1 "$4,200 " 6753586 REVITA IMPL LVL 2 "$9,941 " 6753643 REVITA PER SQ CM LVL 1 $310 6753644 REVITA PER SQ CM LVL 2 $670 741083296 "RF C/T EACH ADD LEVEL, BIL W/FLUO" "$3,281 " 741083293 "RF C/T EACH ADD LEVEL, UNI W/FLUO" "$2,187 " 741083292 "RF C/T SINGLE LEVEL, BIL W/FLUOR" "$7,083 " 741083291 "RF C/T SINGLE LEVEL, UNI W/FLUOR" "$4,722 " 741083290 "RF L/S EACH ADD LEVEL, BIL W/FLUO" "$3,284 " 741083289 "RF L/S EACH ADD LEVEL, UNI W/FLUO" "$2,189 " 741083288 "RF L/S SINGLE LEVEL, BIL W/FLUOR" "$6,569 " 741083287 "RF L/S SINGLE LEVEL, UNI W/FLUOR" "$4,379 " 741083343 RFA SACROILIAC J NERVE W/GUID BIL "$6,569 " 741083342 RFA SACROILIAC J NERVE W/GUID UNI "$4,379 " 700042148 RH IMMUNE GLOBULIN $223 3655376 RH PHENOTYPE $408 4059428 RH TYPE $129 700047068 "RH, DU TESTING" $129 667061613 RHC/PRESS SWAN-GANZ "$11,971 " 700044118 "RHEUMATOID FACTOR, QUANT" $32 4059487 RICKETTSIA (ROCKY MT SPOT FEVER) $314 777057023 RIGID TOTAL CONTACT LEG CAST - LT $782 777057022 RIGID TOTAL CONTACT LEG CAST - RT $782 6753691 RING/BAND ANNULOPLASTY "$8,750 " 700040150 RISTOCETIN COFACTOR $250 730103651 ROBINUL $24 700042233 ROCKY MNT SPOT FEV $93 6757223 ROD COLOSTOMY $32 651161101 ROOM/HIGH RISK UNIT "$4,437 " 620650810 ROOM/LABOR & DELIVERY "$3,132 " 621052001 ROOM/PRIVATE REHAB "$2,069 " 6750392 ROTATING HEMOSTASIS VALVE $190 700046042 ROTAVIRUS AG/STOOL $105 6752655 ROTICULATOR SHEARS $869 4059390 RPR $108 4059390 RPR $113 797029091 RPR F/E/E/N/L/M 2.5 CM/< $482 797029076 RPR S/N/AX/GEN/TRNK 2.5CM/< $432 690051030 RPR TENDON FLEX FOOT- BIL "$1,930 " 690051029 RPR TENDON FLEX FOOT- LT "$1,930 " 690051929 RPR TENDON FLEX FOOT- RT "$1,930 " 690051917 RPR TENDON FNGER EXTEN SEC "$1,930 " 690051919 RPR TENDON PERONEAL W/O OSTEO- RT "$1,930 " 700042079 RPR TITER $321 4059389 RPR W REFLEX RPR TITER AND FTA $108 700040161 RSV VIRAL RNA. $167 667062102 RT HRT W CORONARY ARTERY ANGIO "$22,860 " 700049711 RUBELLA IGG $82 700046953 RUBELLA IGG AND IGM $82 700042076 RUBELLA IGM $82 3655467 RUBEOLA IGM ANTIBODY $108 4059374 RUSSELL VIPER VENOM TIME DILUTED $243 700043073 S AUREUS AGENT AMP PROBE $737 700044042 SACHAROMYCES CEREVISIAE AB $120 741083337 SACROILIAC J NER BLOCK W/GUID BIL "$3,025 " 741083336 SACROILIAC J NER BLOCK W/GUID UNI "$2,017 " 667069268 SAFARI PRE-SHAPED GUIDEWIRE "$1,008 " 6753423 SALIVARY BYPASS TUBE $757 796032041 SAMPLE DRAW $41 70009645 SARS-COV-19 MOLECULAR TESTING $495 70009647 SARS-COV-2 ANTIBODY $219 750080225 SATURATION VALUES FOR CATH LAB $163 680020029 SCD SLEEVE $358 680028727 SCD/ LEGSLEEVES $357 685082721 SCD/LEGSLEEVES $358 601011450 SCELROTX CYST/ABSC WO CATH $422 4059407 SCHISTOSOMA SEROLOGY $541 700042173 SCL 70 REFLEX $80 6753424 SCLERAL BUCKLE STYLE 240 $47 6758023 SCLERAL SLEEVE $51 6758024 SCLERAL STRIP $103 6753425 SCLERAL TIRE $131 6751864 SCP FOOT AND ANKLE KIT "$10,029 " 796032062 "SCREENING, CYTOPATH CERVI/VAGINAL" $116 6753427 SCREW LEVEL 1 $103 6753428 SCREW LEVEL 2 $242 6753429 SCREW LEVEL 3 $477 6753430 SCREW LEVEL 4 $877 6753431 SCREW LEVEL 5 "$1,923 " 6753432 SCREW LEVEL 6 "$4,391 " 6753433 SCREW LEVEL 7 "$7,950 " 6755318 SCREW LEVEL 8 "$14,142 " 6759466 SEAL TROCAR $186 6754751 SEALANT SPRAY ADMINISTRATION SET $272 6754750 SEALER BIPOLAR-AQUAMANTYS "$2,787 " 6753434 SECURE STRAP ABSORBABLE TACKER $382 4059071 SED RATE $133 4059375 SED RATE RBC AUTO $95 3655277 SED RATE RBC NON-AUTO $133 700040050 SEDRATE $102 6757722 SEGURA BASKET "$1,296 " 667061703 "SEL ART, 3RD ORD A/P/L-EXT" "$4,044 " 667061701 "SEL ART,1ST ORD A/P/L-EXT" "$2,394 " 667061702 "SEL ART,2ND ORD A/P/L-EXT" "$3,422 " 667061700 SEL CATH ADDL 3RD ORDER/BRACH VL $715 667061704 SEL CATH ART ADD 2ND OR 3RD A/P/L $666 667061697 SEL CATH ARTERIAL 1ST ORDER/BRACH $960 667061698 SEL CATH ARTERIAL 2ND ORDER/BRACH "$1,894 " 667061693 "SEL CATH VENOUS, 1ST ORDER" "$1,533 " 667061694 "SEL CATH VENOUS, 2ND ORDER" "$2,284 " 667061699 "SEL CATH,ARTERIAL,3RD ORDER/BRACH" "$2,322 " 3631003 SELECT ORGAN SAMPLING "$1,724 " 667069286 SELECTIVE CATH BIL PULMONARY ART "$2,176 " 667069284 SELECTIVE CATH TO SEG PULM ARTERY "$2,485 " 667069283 SELECTIVE CATH UNI PULMONARY ART "$2,176 " 4059567 SELENIUM $473 700040277 SELENIUM (24 H URINE) $107 770085343 SELF CARE/HOME MGT/ SAFETY TRG-PT $123 768084358 SELF CARE/HOME MGT/SAFETY TRG -OT $123 700046022 SENSITIVITIES $219 674022200 SENSOR PATCH $794 779010181 SENSORIMOTOR EXAM OCULAR DEVIAT M $112 722095308 SENSORY INTEGRATIVE TECH-OT/15 $120 6751535 SEPARATOR "$3,043 " 6750870 SEPRA FILM $902 6752085 SEPTAL BUTTON $265 6753437 SERI SURGICAL SCAFFOLD "$13,607 " 4059282 SEROTONIN "$1,211 " 700043360 SEROTONIN (5 HYDROXYTRYPTAMINE) $189 700040090 SEROTONIN RELEASE ASSAY LMWH $285 700040091 SEROTONIN RELEASE ASSAY UFH $285 3655397 SERUM BACTERICIDAL TITER $662 700043095 SERUM CREATININE $58 6753438 SET DISPOSABLE BIOM LENS $345 766092301 SET RADIATION THERAPY COMPLEX $870 766092312 SET RADIATION THERAPY SIMPLE $487 6753439 SET WALL CLOSURE ABDOMINAL "$19,125 " 6750708 SEWHO ABD POSITION AIRPLANE "$1,530 " 700043228 SEX HORM BINDG GLOBN $172 4059558 SEX HORMONE BINDING GLOBULIN $214 796032076 SFM ADMIN HEPATITIS B VACCINE $82 796032081 SFM ADVANCE CARE PLANNING $147 796032089 "SFM ARTHROCENTESIS, SMALL JOINT" $821 796032042 SFM BLOOD COLLECTION BY STICK $33 796032080 SFM EKG DURING WELCOME VISIT $481 796032068 SFM IMMUNE ADMIN ORAL/NASAL $75 796032069 SFM IMMUNE ADMIN ORAL/NASAL ADDL $75 796032092 SFM INFLUENZA A/B BY NUCLEIC A $87 796032083 SFM INR POC $36 796032084 SFM PUNCTURE DRAINAGE SKIN LESION $422 796032087 SFM SHAVING SKIN LESIONS =<2 CM $251 796032088 SFM SHAVING SKIN LESIONS >2 CM $378 796032085 SFM SKIN BIOPSY EACH ADD LESION $399 796032091 "SFM STREP, GROUP A BY NUCLEIC A" $46 796032046 SFM URINALYSIS SCREEN $155 796032086 SFM WRIST STRAPPING $95 6753440 SGL INCISION URINARY SLING SYSTEM "$6,377 " 700043230 SGOT (AST) $64 700043235 SGPT (ALT) $60 6751545 SHEATH DRYSEAL EXCLUDER "$1,035 " 6750737 SHEATH INTRODUCER LONG 7FR 96CM $368 6750725 SHEATH SAFE 7FR. 25CM LENGTH $431 6750726 SHEATH SAFE 9FR. 25CM LENGTH $431 6754693 SHEEHY TUBE $110 6757391 "SHEETING, SILASTIC" $667 4059452 SHELL VIAL ADENOVIRUS $131 4059448 SHELL VIAL FLU A $131 4059449 SHELL VIAL FLU B $131 4059450 SHELL VIAL FLU I $131 4059453 SHELL VIAL FLU II $131 4059451 SHELL VIAL FLU III $131 4059447 SHELL VIAL FLU RSV $131 700043177 SHIGA TOX 1 $43 700043178 SHIGA TOX 2 $43 4059565 SHIGELLA-LIKE TOXIN AG $105 6751862 SHIM FIXATION IMPLANTS "$8,424 " 690051522 SHLDER DISLOC FX G TUBER W/MANIP "$1,930 " 690052080 SHLDR DISLOC FX G TUBER W MANIP L "$1,930 " 777059016 SHORT LEG CAST FIBERGLASS $164 690052256 SHOULDER DISLOC FX G TUBER W/MAN- "$1,930 " 690052081 SHOULDER DISLOC W MANIP WO ANES L $620 690051520 SHOULDER DISLOC W/MANIP W/O ANES $620 690052257 SHOULDER DISLOC W/MANIP W/O ANES- $620 6757531 SHOULDER P.A.D. IMMOBILIZATION $218 6751553 SHRINKER ABOVE KNEE $218 6757232 SHUNT CONNECTOR $159 6753692 SHUNT CORONARY/INTRALUMIN/VASC $295 6751635 SHUNT CSF PROGRAMMABLE HAKIM "$17,847 " 3655188 SIALIC ACID $123 690051916 SIALOLITHOTOMY INTRAORAL "$1,930 " 4059326 SICKLE CELL SCREEN $166 6753444 SILASTIC-INCISION DRAIN $176 6758847 SILICONE OIL "$2,746 " 771086382 SILICONE/1/4 SHEET $41 771088382 SILICONE-1/4 SHEET $41 601098313 SIMPLE/INSERT OF TEMP BLADDER CAT $190 6753362 SINGLE ACTION PUMPING SYSTEM $168 667059664 SINGLE CHAMBER ICD "$18,496 " 667061604 SINGLE CHAMBER PACEMAKER RATE RES "$6,912 " 6753445 SINUS BALLOON CATH W/ LIGHT FIBER "$7,193 " 6753446 SINUS LIGHT FIBER "$1,250 " 4059113 SIROLIMUS(RAPAMUNE) LEVEL $373 667059390 SKIN ADHESIVE $120 797029041 SKIN BIOPSY $458 796032054 SKIN KOH $46 777057026 "SKIN SUBS APP, EA ADD LEG, 25 SQ" $245 777057027 "SKIN SUBS APP, FEET, 1ST 25 SQ CM" "$1,702 " 777057025 "SKIN SUBS APP, LEG, 1ST 25 SQ CM" "$1,702 " 777057028 "SKIN SUBSAPP, EA ADD FEET, 25 SQ" $245 797029037 SKIN TAG >15 ADDITIONAL $61 796032020 "SKIN TAG, 1-15" $250 685082788 SLEEVE SCD KNEE HIGH LARGE $36 685082722 SLEEVE SCD KNEE HIGH MEDIUM $22 685082789 SLEEVE SCD KNEE HIGH XLARGE $47 685082815 SLING DISPOSABLE HIGH II L/XL $54 6750363 SLING LEG $112 680151265 SLING SWATHE $192 690051857 SLITTING OF PREPUCE "$1,930 " 771086215 SLOFOAM EXERCISER $4 771088215 SLO-FOAM EXERCISER $4 6753448 SMALL TISSUE REMOVAL DEVICE "$4,870 " 4059566 SMEAR COMPLEX SPECIAL STAIN $180 4059509 SMEAR PRIM W/INTRPT FLUOR/ACI $156 4031141 SMOK/TOB CESSATION >10 MIN $176 4031139 SMOK/TOB CESSATION 3-10 MIN $87 797029058 SMOKE/TOB ASYMP COUNSEL 10 MIN $34 797029059 SMOKE/TOB ASYMP COUNSEL 10 MIN+ $70 750090071 SMOKE/TOB COUNSELING 10 MIN+ $70 750090070 SMOKE/TOB COUNSELING 3-10 MIN $34 771089317 SMR NDL INSJ W/O NJX 1 OR 2 MUSC $109 771089318 SMR NDL INSJ W/O NJX 3+ MUSC $149 771089314 SMR- OT EVAL HIGH COMPLEX 60 MIN $169 771089312 SMR- OT EVAL LOW COMPLEX 30 MIN $169 771089313 SMR- OT EVAL MOD COMPLEX 45 MIN $169 771089315 SMR- OT RE-EVAL EST PLAN CARE $112 771089310 SMR- PT EVAL HIGH COMPLEX 45 MIN $169 771089308 SMR- PT EVAL LOW COMPLEX 20 MIN $169 771089309 SMR- PT EVAL MOD COMPLEX 30 MIN $169 771089311 SMR- PT RE-EVAL EST PLAN CARE $112 6750804 SNARE $189 6750817 SNARE HEXAGONAL $433 667059607 SNARE KIT "$1,859 " 6750805 SNARE PEDIATRIC $198 6753373 SNARE SURE $32 6753693 SO 8 AB RSTR CAN/WEB PRE OTS $221 6751294 SOCK PROS MULT PLY BELOW KNEE $139 6751296 SOCK PROS SNGL PLY BELOW KNEE $38 6751554 SOCK SINGLE PLY ABOVE KNEE $28 6751552 SOCKS MULTI PLY ABOVE KNEE $84 730102800 SOD BIC NEUT 4% 5ML $24 685024625 SOD CHLORIDE 1000ML $208 685024635 SOD CHLORIDE 3000ML $208 685024620 SOD CHLORIDE 500ML $208 700043240 SODIUM $60 700043241 SODIUM RANDOM URINE $189 4059600 SODIUM SERUM $60 4059283 SODIUM URINE $189 4059284 SODIUM URINE 24HR $214 700044509 "SODIUM, FECES" $30 700040430 "SODIUM, I-STAT POC LAB" $60 6751453 SOFT INTERFACE AK ADDN LOW EXTREM $334 6753591 SOFT INTERFACE BELOW KNEE SE $254 6751423 SOFT JAW SPRING CLIP $51 700043351 "SOMASTATIN LEVEL,PLASMA" "$1,159 " 3655191 SOMATOMEDIN $232 660098986 SOMATOSENSORY EVOKED LOWER LIMBS "$1,583 " 660098987 SOMATOSENSORY EVOKED UP&LOW LIMBS "$3,104 " 660098985 SOMATOSENSORYR EVOKED UPPER LIMBS "$1,583 " 3655192 SOMATOSTATIN "$1,159 " 724011186 SP 3D DYNA SCAN "$2,788 " 724077621 SP ABLAT VEIN LASER 1ST "$8,262 " 724077622 SP ABLAT VEIN LASER EA ADD "$8,013 " 724011177 SP ABLATION UNLISTED "$1,000 " 724077390 SP ACCUSTIK INTRODUCER $548 724011180 SP ACETABULOPLASTY $547 724074925 SP ADRENAL ANGIO - UNILATERIAL "$3,966 " 724077382 SP AMPLATZ SUPER STIFF GW $323 724077626 SP AMPLATZE VASCULAR PLUG "$1,704 " 724074974 "SP ANGIO, EA ADD.SEL.VESSEL" "$2,818 " 724074968 "SP ANGIO, EXTREMITY -BIL" "$4,358 " 724074967 "SP ANGIO, EXTREMITY -UNI" "$8,214 " 724074966 "SP ANGIO, SPINAL VESSEL, EA." "$10,709 " 724074101 "SP ANGIOGRAM, PULMONARY, BILAT" "$6,281 " 724074100 "SP ANGIOGRAM, PULMONARY, UNI" "$5,625 " 724077640 SP ANGIOGRAPHY RENAL-BIILAT/1ST C "$9,486 " 724077642 SP ANGIOGRAPHY RENAL-BILAT/2ND CA "$9,486 " 724077639 SP ANGIOGRAPHY RENAL-UNILAT/1ST C "$9,486 " 724077641 SP ANGIOGRAPHY RENAL-UNILAT/2ND C "$9,486 " 724011409 SP ANGIOPLASTY 1ST ART NOT LWR "$6,029 " 724011411 SP ANGIOPLASTY 1ST VEIN "$6,029 " 724011410 SP ANGIOPLASTY ADD ART NOT LWR "$3,016 " 724011412 SP ANGIOPLASTY EACH ADD VEIN "$3,016 " 724074085 "SP AORTAGRAM, ABDOMINAL" "$4,944 " 724074099 "SP AORTAGRAM, THORACIC" "$4,732 " 724077388 SP APD DRAIN CATH $249 724074302 SP ART CATH SAMP/MONITOR "$3,959 " 724077559 SP ARTERIAL MECH THROMBECTOMY "$13,400 " 724077725 SP ASP/INJ CYST BONE $867 724077563 SP ASP/INJ RENAL CYST "$2,443 " 724011528 SP ATHEREC TIBL/PRNL W PTA EA ADD "$37,314 " 724011447 SP ATHERECTOMY TIB/PERONEAL INIT "$37,314 " 724011329 SP BALLOON DILATE URTRL STRICTURE "$2,625 " 724077491 SP BARD CONQUEST PTA BALLOON $338 724077620 SP BARD FILTER RECOVERY CONE "$1,266 " 724077365 SP BARD NIAGARA CATHETER $345 724011216 SP BIOPSY GUN $76 724074041 "SP BIOPSY, BONE, NEEDLE, DEEP" "$2,443 " 724074038 "SP BIOPSY,BONE,NEEDLE,SUPERFICIAL" "$2,443 " 724077700 SP BLOOD PATCH INJECTION "$1,694 " 724077379 SP BLUE MAX "$1,320 " 724011382 SP BONE ABLATION PROBE "$7,543 " 724011173 SP BONE CEMENT "$1,546 " 724077574 SP BS FATHOM GUIDEWIRE "$1,215 " 724077573 SP BS RENEGADE HI-FLO CATHETER "$2,095 " 724011176 SP C1-C2 PUNCTURE WO INJ $835 724011417 SP CATH DIAL ANGIO/THROMB PERIPH "$34,822 " 724011419 SP CATH DIAL ANGIOPLAST CENTR ADD $595 724011418 SP CATH DIAL STENT/THROMB PERIPH "$35,188 " 724011414 SP CATH DIALYSIS ANGIOPLAS PERIPH "$17,229 " 724011420 SP CATH DIALYSIS STENT CENTRA ADD $595 724011415 SP CATH DIALYSIS STENT PERIPHRAL "$34,822 " 724011416 SP CATH DIALYSIS THROMBECT PERIPH "$17,229 " 724074300 SP CATH FLEX BIL DRAIN $458 724011364 SP CATH GUIDING SUREFIRE "$5,335 " 724011533 SP CATH PTA DRUG COATED BALLOON "$2,628 " 724074317 SP CATH PTA ULTRA THIN DIAMOND "$1,196 " 724074316 SP CATH PTA ULTRA-THIN SDS "$1,196 " 724074787 SP CATHETER - BLACK $454 724074781 SP CATHETER - DK. BLUE $75 724074782 SP CATHETER - GREEN $96 724074212 SP CATHETER - GREY "$2,208 " 724074206 SP CATHETER - LT GREEN "$2,373 " 724074788 SP CATHETER - LT. BLUE $884 724074784 SP CATHETER - ORANGE $275 724074205 SP CATHETER - PINK "$1,977 " 724074785 SP CATHETER - PURPLE $307 724074779 SP CATHETER - RAD. GREEN $34 724074789 SP CATHETER - RAD. RED $679 724074780 SP CATHETER - RED $48 724074214 SP CATHETER - SLASH ORANGE "$3,180 " 724074215 SP CATHETER - SLASH YELLOW "$3,534 " 724074786 SP CATHETER - TAN "$1,062 " 724074204 SP CATHETER - WHITE "$1,580 " 724074783 SP CATHETER - YELLOW $151 724077591 SP CECOSTOMY TUBE PL "$1,757 " 724011390 SP CEMENTOPLASTY PELVIS $547 724077452 SP CENT TUNN CENT VEN ACC DEV "$9,021 " 724074915 "SP CENT VENOUS CATH, REPOSITION" "$1,709 " 724077749 "SP CESSATION THROMBOLYSIS, W/S&I" "$7,035 " 724077730 SP CHANGE CYSTOSTOMY TUBE "$2,176 " 724077597 SP CHEMICAL PLEURODESIS $601 724077734 SP COM C CATH/EXTRACRAN C ANGIO "$7,457 " 724077733 "SP COM C CATH/EXTRACRAN C ANGIO," "$5,562 " 724077736 SP COM C CATH/INTRACRAN C ANGIO "$6,501 " 724077735 "SP COM C CATH/INTRACRAN C ANGIO," "$6,501 " 724011239 SP COMPRESSION DEVICE $328 724077477 SP CONTRAST INJ ABSCESS/CYST $500 724011309 SP CONVERSION EXT BIL TO INT-EXT "$8,166 " 724077599 SP CONVERT G TO G-J TUBE "$2,795 " 724011324 SP CONVRT NEPHRO TO NEPHROURETR C "$1,967 " 724074311 SP COOK EMBOLIZ COIL $868 724074993 SP COOK NESTER COIL $237 724077347 SP COOK PICC "$1,078 " 724077723 SP COOK TORNADO EMBO COIL $869 724011185 SP CT GUIDE NEEDLE PLACEMENT "$2,561 " 724077495 SP CUTTING BALLOON "$4,372 " 724011122 SP CYS/ABS (PERI) RENAL GUIDE "$4,410 " 724011142 SP CYS/ABS LUNG MEDIASTINUM/GUIDE "$4,410 " 724011227 SP CYST/ABS ALCOHOL ABLATION "$1,000 " 724011145 SP CYST/ABS DRAIN TRANSRECT/GUIDE "$3,886 " 724011143 SP CYST/ABSC DRAIN LIVER/GUIDE "$4,410 " 724011144 SP CYST/ABSC DRAIN PANCREAS/GUIDE "$4,410 " 724011124 SP CYST/ABSC RETROPERIT CAV/GUIDE "$4,410 " 724074032 SP CYSTOSTOMY TUBE CHANGE S & I $855 724077564 SP CYSTOSTOMY WITH DRAINAGE "$2,726 " 724077335 SP DECLOT OF IMP VASC ASSC DEV $929 724011421 SP DIALYSIS CIRCUIT EMBOLJZAT ADD $595 724011316 SP DILATE BILIARY DUCT/AMPULLA "$4,082 " 724011616 SP DILATION REN EXISTING TRACK "$4,628 " 724011617 SP DILATN REN TRACK W NEW ACCESS "$4,628 " 724074811 SP DILATORS/INTROD-DK. BLUE $453 724074818 SP DILATORS/INTROD-LT. BLUE $504 724074809 SP DILATORS/INTROD-RAD. GREEN $453 724074819 SP DILATORS/INTROD-RAD. RED "$1,121 " 724074817 SP DILATORS/INTRODUCERS-BLACK $449 724074812 SP DILATORS/INTRODUCERS-GREEN $95 724074814 SP DILATORS/INTRODUCERS-ORANGE $330 724074815 SP DILATORS/INTRODUCERS-PURPLE $512 724074810 SP DILATORS/INTRODUCERS-RED $453 724074816 SP DILATORS/INTRODUCERS-TAN $453 724074813 SP DILATORS/INTRODUCERS-YELLOW $453 724074022 SP DISKOGRAPHY LUMBAR - RAD "$2,400 " 724074841 "SP DISKOGRAPHY,LUMBAR-INJ PROC" "$1,548 " 724011105 SP EMBILIZATION VEIN NOT HEMORR "$35,838 " 724011106 SP EMBILIZATIZ ART NOT HEM/TUMOR "$35,838 " 724011626 SP EMBOL PROTEC DEVIC 6MM "$2,344 " 724011108 SP EMBOLIZATION FOR HEMORRHAGE "$35,838 " 724011107 SP EMBOLIZATION FOR TUMOR "$35,838 " 724074869 SP EMBOLIZATION-EXTRACRANIAL "$5,297 " 724074985 SP EMBOLIZATION-EXTRACRANIAL/1 "$21,112 " 724074868 SP EMBOLIZATION-INTRACRANIAL "$5,297 " 724074984 SP EMBOLIZATION-INTRACRANIAL/1 "$8,699 " 724011317 SP ENDOLUMINAL BX BILIARY TREE "$4,082 " 724011330 SP ENDOLUMINAL BX URETER RNL PLVS "$3,369 " 724077727 SP EVLT 1ST LEG SPECIAL PROGRAM "$12,047 " 724077726 SP EVLT 2ND LEG SPECIAL PROGRAM "$12,047 " 724077406 SP EXCH ABSCESS DRAINAGE CATH "$2,705 " 724011310 SP EXCHANGE BILIARY DRG CATH "$8,166 " 724011325 SP EXCHANGE NEPHROSTOMY CATH "$3,030 " 724011423 SP EXCHANGE PLEURAL DRAIN "$1,880 " 724077480 SP EXPRESS STENT "$2,111 " 724077744 "SP EXT C CATH/EXT CAROTID ANGO,BI" "$5,933 " 724077743 "SP EXT C CATH/EXT CAROTID ANGO,UN" "$4,061 " 724011438 SP FACIAL BONES LESS THAN 3 V $225 724074992 SP FALLOP.TUBE CANN-EA $882 724074991 SP FALLOP.TUBE CANN-EA-PROC "$4,631 " 724011389 SP FEM/POP W PTA & ARTH "$37,314 " 724077411 SP FIBRIN SHEATH CV CATHETER "$6,259 " 724077607 SP FISTULA/SINUS TRACT S&I $636 724074112 SP FLUORO - UNDER 1 HR $789 724077309 SP FLUOROGUIDE CENT VENOUS ACCES "$1,151 " 724077349 SP FLUOROGUIDE FOR SPINE OR INJ "$1,035 " 724074928 SP FLUOROGUIDE-BIOPSY-ASP-INJECT "$1,162 " 724011608 SP FNA W/FLUORO 1ST LESION "$1,324 " 724011609 SP FNA W/FLUORO EACH ADD LESION $331 724077366 "SP FOGARTY CATHETER (4,5,6FR)" $437 724074161 SP FOLLOW UP ANGIO EMBOLI/INFUSIO "$2,469 " 724011222 SP FOREIGN BODY REMOVAL NON VASCU $410 724074012 "SP GASTRO.TUBE,REPOSITION-PROC" $427 724077380 SP GLIDEWIRE $486 724077342 SP GLIDEWIRE GOLD "$1,065 " 724077571 SP GORE VIABIL STENT "$6,172 " 724077481 SP GORE VIATORR ENDOPROSTHESIS "$6,980 " 724077450 SP GUIDANT MICROGLIDE WIRES "$1,239 " 724077433 SP GUIDANT STENT "$7,928 " 724074207 SP GUIDEWIRE - BLACK $838 724074210 SP GUIDEWIRE - WHITE "$1,495 " 724074792 SP GUIDEWIRES - DK. BLUE $208 724074793 SP GUIDEWIRES - GREEN $233 724074795 SP GUIDEWIRES - ORANGE $540 724074796 SP GUIDEWIRES - PURPLE $846 724074790 SP GUIDEWIRES - RAD. GREEN $260 724074791 SP GUIDEWIRES - RED $150 724074797 SP GUIDEWIRES - TAN $937 724074794 SP GUIDEWIRES - YELLOW $416 724077570 SP HELICAL COILS "$1,313 " 601077429 SP HEMOSTASIS DEVICE $317 724074981 SP HEPATIC W/ HEMODYN EVAL "$3,279 " 724074982 SP HEPATIC W/O HEMODYN EVAL "$3,834 " 724074308 SP INDEPENDENT FLUORO $789 724077567 SP INDWELLING TUNN PLEUR CATH "$9,928 " 724077581 SP INJ EVAL CEN VEN ACC ACC DEVIC $765 724011451 SP INJ ILEAL CONDUIT "$1,041 " 724077408 SP INJ PROC PERC PSEUDOANEURYSM $964 724011235 SP INJ SPIDER VEIN SINGLE OR MULT $544 724077588 SP INJECT GASTRO TUBE $555 724077738 SP INT C CATH/INTRACRAN C ANGIO "$10,709 " 724077737 "SP INT C CATH/INTRACRAN C ANGIO," "$10,709 " 724077412 SP INTERNAL MAMMARY ANGIO "$3,373 " 724077703 SP INTRA ART BRACHTHERAPY "$1,723 " 724077565 SP INTRAPERITONEAL CATH-PERM "$7,520 " 724077395 SP INTRASTENT DBL STNT PARA MNT "$2,162 " 724011413 SP INTRO CATH DIALYSIS CIRCUIT "$2,443 " 724074892 SP INTRO CATH TO IVC "$2,279 " 724074891 SP INTRO CATH TO SVC "$2,279 " 724074900 SP INTRO NEEDLE/CATH EXT ART "$2,801 " 724074901 SP INTRO OF CATH-AORTA "$2,284 " 724011637 SP INTRO/SHEATH/DILATOR GRAY "$1,014 " 724077455 SP INTRODUCE LONG GI TUBE S&I $254 724077441 SP INTRODUCTION LONG GI TUBE $813 724074866 SP IVC FILTER IMPLANT "$4,200 " 724011625 SP IVUS ADD EA "$5,167 " 724011624 SP IVUS INIT "$5,829 " 724077590 SP J-TUBE REPLACEMENT "$1,192 " 724011201 SP KYPHOPLASTY ADD LEVEL W GUID "$11,385 " 724011199 SP KYPHOPLASTY LUMBAR W GUIDE "$16,594 " 724011197 SP KYPHOPLASTY THORACIC W GUIDE "$16,594 " 724077618 SP LC BEAD BLUE "$6,138 " 724077619 SP LC BEAD RED "$6,138 " 724011184 SP LIVER BIOPSY "$2,033 " 724077419 SP MECH REM CEN VENOUS DEV PRO $764 724011360 SP MECH THROMBEC KIT "$6,670 " 724077341 "SP MEDITECH WALLGRAFT 20,30,50MM" "$7,790 " 724077340 SP MEDITECH WALLGRAFT 70MM "$7,790 " 724077413 SP MICROSPHERE/EMBOSPHERE "$1,419 " 724074313 SP MT DIAMOND COIL $868 724077371 SP MT NEPHROURETERAL STENT $630 724074314 SP MT PLAT COIL $691 724077372 SP MT URETERAL STENT $769 724011217 SP NEEDLE CHIBA $80 724079600 SP NEPHRO STONE REMOVAL <2CM "$11,782 " 724077553 SP NEPHRO TUBE REMOVAL W/FLUORO "$2,217 " 724077405 SP NG TUBE PLACEMENT W/FLUORO $713 724077458 SP NON TUN CENTR INSERT CVC >5 "$4,425 " 724077393 SP OCCLUSION BALLOON CATH $433 724011588 SP ORBITAL ATHRECTOMY CATH "$5,767 " 724077724 SP PARACENTESIS INCLUDES IMAGING "$2,265 " 724074927 SP PELV ANGIO-SEL OR SUPER SE "$10,709 " 724011355 SP PENUMBRA COILS SLASH GREEN "$2,390 " 724011356 SP PENUMBRA COILS SLASH YELLOW "$1,822 " 724011304 SP PERC CHOLANGIO EXISTING ACCESS "$4,074 " 724011306 SP PERC CHOLANGIO NEW ACCESS "$8,166 " 724077451 SP PERC CHOLECYSTOSTOMY "$4,570 " 724077586 SP PERC GASTROSTOMY TUBE "$2,795 " 724075711 SP PERC INJ RENAL $611 724077587 SP PERC J-TUBE PL "$2,934 " 724011319 SP PERC NEPHROSGRM NEW ACCESS "$1,967 " 724011320 SP PERC NEPHROSTOGRAM EXIST ACC "$1,494 " 724077466 SP PERC PANCREAS BIOPSY "$2,376 " 724077745 "SP PERC RETRIEV FOREIGN BODY , W/" "$4,838 " 724074051 SP PERC TRANS-HEPATIC PORTO HEMOD "$3,621 " 724074011 SP PERIPH TUNN CENT VEN ACC DEV "$4,263 " 724074079 SP PERIPHERAL NERVE/BRANCH INJ "$1,478 " 724077460 SP PERITONEOGRAM $486 724077625 SP PHLEBECTOMY > 20 INCISIONS "$8,527 " 724077624 SP PHLEBECTOMY 10-20 INCISIONS "$5,540 " 724077377 SP PINNACLE SHEATHS $107 724074905 SP PL CATH ADDL THORA/BRACH VESSE $715 724074978 SP PL OF CHOLEDOCHAL STENT-PROC "$1,717 " 724011614 SP PLAC PICC WO PORT >5YR W GUIDE "$3,445 " 724077643 "SP PLACE IVC FILTER W/ CATH, S &" "$14,119 " 724011322 SP PLACENENT NEPHROSTOMY CATH "$5,650 " 724077343 SP PLATINUM PLUS "$1,572 " 724077731 SP PLEURAL TUBE DRAN/ IMAGE GUIDA "$4,512 " 724077569 SP PLEURX PERITONEAL CATH KIT $722 724011308 SP PLM BILIARY INT-EXT DRAINAGE C "$8,166 " 724011327 SP PLM URETE NEW ACC NO NEPHROST "$8,415 " 724011312 SP PLMT BILE STENT EXIST ACCESS "$15,448 " 724011313 SP PLMT BILE STENT NEW ACCESS "$15,448 " 724011307 SP PLMT BILIARY EXT DRAINAGE CATH "$8,166 " 724011323 SP PLMT NEPHROURETERAL CATHETER "$5,650 " 724011328 SP PLMT URETER NEW ACC W NEPHROS "$8,415 " 724011326 SP PLMT URETERAL STENT EXIST ACCE "$8,415 " 724077493 SP POLARCATH DILATION CATHETER "$2,003 " 724074914 "SP PORTAL VEIN CATH., PERCUT" "$5,385 " 724077484 SP POSSIS AVX CATHETER "$1,580 " 724077487 SP POSSIS POWER PULSE KIT $144 724077486 SP POSSIS PUMPSET $922 724077485 SP POSSIS XSPEEDIOR/DVX CATHETER "$2,156 " 724077483 SP POSSIS XVG CATHETER "$2,615 " 724077572 SP POWER PICC KIT $911 724074307 SP PREC TRANSHEPATIC PORTOGRAPH "$2,280 " 724077459 SP PROGREAT MICROCATHETERS "$3,719 " 724077616 SP PROWLER PLUS MICROCATHETER "$2,441 " 724011314 SP PTA FEM/POP W STENT & ARTH "$64,623 " 724011601 SP PTA TIB/PER EACH ADD'L "$17,578 " 724077718 SP PTA TIB/PERONEAL ADDL STENT PL "$17,576 " 724077714 SP PTA-FEM/POP OPEN/PERC INIT VES "$17,576 " 724077715 SP PTA-FEM/POP STENT PLACEMENT "$37,314 " 724077713 SP PTA-ILIAC ADDL VESSEL STENT PL "$17,576 " 724077712 SP PTA-ILIAC INITIAL VESSEL STENT "$23,630 " 724077711 SP PTA-ILIAC OPEN/PERC INIT VESSE "$17,576 " 724077717 SP PTA-TIB/PERONEAL INIT VL STENT "$37,314 " 724077716 SP PTA-TIB/PERONEAL OPEN/PERC INT "$17,576 " 724077454 SP RAD GUIDANCE-PERC DRAINAGE "$1,182 " 724077410 SP REM FIB SHEAH CV DEVICE S&I "$1,114 " 724077566 SP REM PERM PERITONEAL CATH "$5,865 " 724077554 SP REM&REP NEPHROURET STENT W/S&I "$5,033 " 724077555 SP REM&REPL URET STENT W/S&I/1 "$6,740 " 724011318 SP REMOVAL DUCT GLBLDR CALCULI "$5,819 " 724077645 "SP REMOVAL IVC FILTER W/ CATH, S" "$9,687 " 724011311 SP REMOVE BILIARY CATH W GUID "$1,810 " 724077556 SP REMOVE INT URET STENT W/S&I "$6,740 " 724077596 SP REMOVE OBSTRUCTION GI $919 724077448 SP REMOVE TUN CV ACC DEV WPORT "$2,746 " 724077447 SP REMOVE TUN CVC WO PORT/PUMP "$1,790 " 724074107 SP RENAL VEIN VENOGRAM - UNI "$3,676 " 724074108 SP RENAL VEIN VENOGRAM-BILAT "$4,201 " 724077391 SP RENEGADE CATHETER "$5,040 " 724077436 SP REPAIR TUN/NON TUNN CVC "$1,628 " 724077437 SP REPL NON-TUN CENT INSERT CVC "$4,224 " 724077442 SP REPL TUN CEN INSERT CVC WO P "$4,224 " 724077443 SP REPL TUN CENT INSERT CV DEV "$9,021 " 724077589 SP REPLACE GASTROSTOMY TUBE "$1,192 " 724077592 SP REPLACE G-J TUBE "$1,343 " 724011615 SP REPLACE PICC WO PORT W GUIDE "$4,224 " 724077644 "SP REPOS IVC FILTER W/ CATH, S &" "$9,687 " 724011188 SP RF ABLAT BONE TUMOR W GUIDE "$14,813 " 724011168 SP RF ABLATION LIVER "$13,399 " 724011169 SP RF ABLATION LUNG "$13,027 " 724011167 "SP RF ABLATION, RENAL" "$15,192 " 724077707 SP RMVL INDEWWLING TUN PLEURAL CA "$1,538 " 724011205 SP SACROPLASTY BILATERAL W GUIDE "$15,366 " 724011204 SP SACROPLASTY UNILATERAL W GUIDE "$10,244 " 724074078 SP SCIATIC NERVE INJECTION "$1,895 " 724011232 SP SCLERO SAME LEG MUL VEINS "$1,047 " 724011231 SP SCLEROTHER UNILAT 1 VEIN $939 724074910 "SP SEL ART, 3RD ORD A/P/L-EXT" "$4,044 " 724074909 "SP SEL ART,2ND ORD A/P/L-EXT" "$3,422 " 724074911 SP SEL CATH ART ADD 2ND OR 3RD $666 724074906 "SP SEL CATH ART, 1ST ORD-ABD" "$2,394 " 724074902 SP SEL CATH ARTERIAL 1ST ORDER $960 724074903 SP SEL CATH ARTERIAL 2ND ORDER "$1,894 " 724074896 SP SEL CATH TO L OR R PULM ART "$2,176 " 724074897 SP SEL CATH TO SEG PULM ARTERY "$2,485 " 724074893 "SP SEL CATH VENOUS, 1ST ORDER" "$1,533 " 724074894 "SP SEL CATH VENOUS, 2ND ORDER" "$2,284 " 724074904 "SP SEL CATH,ARTERIAL,3RD ORDER" "$2,322 " 724077608 SP SINOGRAM PRO $763 724075702 SP SINOGRAM-RAD $636 724011437 SP SPG BILATERAL "$2,403 " 724011436 SP SPG UNILATERAL "$1,603 " 724011640 SP SPINAL PUNCTURE LUMBAR W GUIDE "$2,038 " 724011101 SP STENT AD ART NO CAR\LWR GUIDE "$9,650 " 724011103 SP STENT ADD VEIN /GUIDE "$9,650 " 724074330 SP STENT CORDIS NITINOL SMART "$3,534 " 724011102 SP STENT INI ART NO CAR\LWR GUIDE "$20,677 " 724011104 SP STENT INITIAL VEIN /GUIDE "$20,677 " 724077740 SP SUBCLAV CATH/VERTEBRAL ANGIO "$8,812 " 724077739 "SP SUBCLAV CATH/VERTEBRAL ANGIO," "$6,501 " 724077595 SP SUPRAPUBIC CATH INSERTION "$2,726 " 724077344 SP SYMMETRY "$1,129 " 724011387 SP THORACENTESIS W GUIDANCE "$2,120 " 724077732 SP THORACIC/ ARCH ANGIOGRAPHY "$5,161 " 724077746 "SP THROMBOLYSIS ART, 1ST DAY, W/S" "$7,036 " 724077748 "SP THROMBOLYSIS SUBSEQ DAY, W/S&I" "$7,036 " 724077747 "SP THROMBOLYSIS VEIN, 1ST DAY, W/" "$7,036 " 724077428 SP TIPS INSERTION "$5,374 " 724077427 SP TIPS REVISION "$13,127 " 724074303 SP TRANSCATH BIOPSY IP "$9,396 " 724074336 SP TRANSCATH BIOPSY S&I "$3,348 " 724074977 SP TRANSLUMBAR AORTIC STICK "$3,309 " 724077710 SP TRELLIS DEVICE "$4,437 " 724011435 SP TRIGEMINAL NERVE BLOCK LT "$1,016 " 724011434 SP TRIGEMINAL NERVE BLOCK RT "$1,016 " 724077617 SP TRUFILL LIQUID EMBOLIC SYSTEM "$8,064 " 724074153 "SP TUBE EXCHANGE, ABSCESS DRAINAG" $855 724077434 SP TUN CEN INSERT CVC WO PORT "$5,430 " 724077368 SP UNIFUSE INFUSION CATH $994 724077327 SP US GUIDANCE-BIOPSY-ASP-INJECT $726 724077453 SP US GUIDANCE-VASC ACCESS $440 724077631 SP US PRE/POST PROCEDURE BIL $734 724077630 SP US PRE/POST PROCEDURE UNI $734 724011234 SP VASCULAR CLOSURE DEVICE $828 724077337 SP VAXCEL DIALYSIS CATH "$1,242 " 724077336 SP VAXCEL IMP VASC ACC SYSTEM "$3,173 " 724077383 SP VAXCEL MICROPORT "$2,875 " 724074219 SP VEN ADRENAL BIL "$1,015 " 724074218 SP VEN ADRENAL UNI $676 724074220 SP VEN SINUS/JUGULAR "$6,600 " 724077423 SP VENOGRAM EXT UNI SEP PROC "$2,290 " 724075714 "SP VENOGRAM,EXT-BILAT" "$2,804 " 724075715 "SP VENOGRAM,EXT-UNILAT" "$2,290 " 724074105 "SP VENOGRAPHY, IVC" "$3,458 " 724074104 "SP VENOGRAPHY, SVC" "$2,893 " 724075713 "SP VENOGRAPHY,INJ PROC" "$1,230 " 724074916 SP VENOUS CATH-SEL-ORG-SAMPLE "$1,724 " 724074221 SP VENOUS EPIDURAL "$2,606 " 724077557 SP VENOUS MECHAN THROMBECTOMY "$13,400 " 724077415 SP VENOUS PRESSURE $719 724074109 SP VENOUS SAMPLING "$10,709 " 724077558 SP VENOUS THROMBECT-SUBSEQUENT "$13,400 " 724077742 SP VERTEBRA CATH/VERTEBRA ANGIO "$10,709 " 724011195 SP VERTEBROPLAST ADD LEVEL W GUID "$5,033 " 724011191 SP VERTEBROPLAST CERV/THO W GUIDE "$10,244 " 724011193 SP VERTEBRPLAST LUMBOSACR W GUIDE "$10,244 " 724074971 SP VISCERAL(+/- FLUSH) "$9,511 " 724077389 SP VTC NEPHROSTOMY CATH $486 724074864 SP WALLSTENT "$5,311 " 724074324 SP WALLSTENT BILIARY UNI DEL SY "$8,426 " 724074323 SP WALLSTENT BILIARY UNISTEP PL "$5,988 " 724074329 SP WALLSTENT ENDO UNI 90 94 "$6,970 " 724074325 SP WALLSTENT ENDO UNIPLUS 60MM "$6,388 " 724074318 SP WALLSTENT TB UNISTEP "$6,356 " 724077426 SP WOUND CLOSURE BY ADHESIVE SUPP $92 724077482 SP XMI CATHETER-POSSIS "$3,008 " 724077345 SP XXL PTA CATH "$1,055 " 724011240 SP Y 90 DOSI CALCULATION BASIC "$1,248 " 724011379 SP ZELANTE THROMBECTOMY CATH "$5,179 " 724077414 SP ZILVER STENT "$5,634 " 6753573 SPACER IMPL BIODEGRADABLE "$8,584 " 6753392 SPACER MICROFLOW RELIEVA STRATUS "$3,629 " 766092304 SPECIAL RADIATION DOSIMETRY $39 766092316 SPECIAL RADIATION TREATMENT $52 4059093 SPECIAL STAIN $257 705048033 SPECIAL STAIN I $284 705048035 SPECIAL STAIN II $344 4059092 SPECIAL STAIN ORGANISM $328 700040965 "SPECIFIC GRAVITY, FLUID" $43 3655193 SPECTROPHOTOMETRY $408 741083323 SPHENOPALATINE GANGLION BLOCK "$1,603 " 6753402 SPHERE EYE ORBITAL MEDPOR "$1,991 " 6753403 SPHERE EYE ORBITAL MEDPOR EZ "$2,567 " 6754756 SPHERES REFLECTIVE MARKER $102 6756152 SPHINCTEROTOME $899 6751701 SPIDER NET $478 700044020 SPINAL FLUID - GLUCOSE $189 700044025 SPINAL FLUID - LDH $73 6753451 SPINAL SYSTEM KIT "$4,557 " 797029075 SPIROMETRY $590 796032039 SPIROMETRY (PEAK FLOW) $258 750080162 SPIROMETRY PRE AND POST "$1,117 " 6755732 SPLINT ALUM FINGER $68 771086160 SPLINT EO $201 771089306 SPLINT FO $42 771089305 "SPLINT FO, LMB" $83 771086447 "SPLINT FO, LMB." $83 771086448 SPLINT FO. $42 6750566 SPLINT FOOT DROP LARGE $338 6750567 SPLINT FOOT DROP MEDIUM $338 770053362 SPLINT FOOT DROP RE POSITION DEVI $134 771089300 SPLINT FOR MURPHY RING $131 771089301 SPLINT HFO SHORT OPPONENS $79 771088161 SPLINT WHFO DYNAMIC $468 772086409 "SPLINT WHFO RESTING HAND, PRE-FAB" $183 771086163 "SPLINT WHFO, RESTING HAND SPLIN." $148 771089302 SPLINT WHO THUMB SPICA $134 722095229 SPLINT WHO WRIST EXT. COCK UP $142 685082791 "SPLINT, ANKLE" $43 685082792 "SPLINT, WRIST/FOREARM" $135 6751349 SPLINTING TUBE FOR ENTEROSCOPE $877 790091042 SPT- SPEECH/HEARING THERAPY $222 790092167 SPT THER IVNT COGNITIV SL/ 1ST 15 $171 790092168 SPT THER IVNT COGNITIV SL/ AD 15 $171 750090052 SPUTUM COLLECTION BAL CATHETER $129 6751448 SPYDS CHOLANGIOSCOPE DISP "$11,487 " 667069214 SQ-RX PULSE GENERATOR "$39,200 " 4059367 SSA SJOGRENS ANTIBODIES/A $213 4059366 SSA/RO SJOGRENS ANTIBODIES $213 780087136 SSEP LOWER LIMBS "$1,583 " 780090083 SSEP UPPER & LOWER LIMBS "$3,104 " 780087137 SSEP UPPER LIMBS "$1,583 " 667069271 ST JUDE/ABBOTT PFO OCCLUDER "$15,992 " 6751353 STABILIZER INTRAOSSEOUS NEEDLE $42 6753452 STABILIZER PECTUS BAR ELONGATED "$2,179 " 705083656 STAINS ON FROZEN SECTION ADD-ON $313 680051275 STANDARD HALO SCREWS $918 700046070 STAPH SCREEN $142 6753453 STAPLE ENDO ETS-FLEX ATB 35 STAND "$1,336 " 6753454 STAPLE ENDO ETS-FLEX ATW 35 VASCU "$1,336 " 6755444 STAPLE ENDO GIA LINEAR. "$1,395 " 6753455 STAPLE ENDOCUTTER ARTICULATING LO "$3,596 " 6753457 STAPLE ENDOCUTTER COMPACT "$1,465 " 6753458 STAPLE ENDOCUTTER FLEX "$1,902 " 6757475 STAPLE FASCIA DFS $609 6759933 STAPLE FIXATION WITHOUT SPIKES "$1,042 " 6753459 STAPLE HEMOLOK 10 MM $125 6759641 STAPLE HEMOLOK XL $208 6751828 STAPLE KIT METRIC "$9,116 " 6753463 STAPLE RELOAD ENDOCUTTER $646 6757815 STAPLE RELOAD GIA THICK TISSUE TR $851 6753464 STAPLE RELOAD LINEAR $616 670068077 STAPLER - SKIN $113 6757268 STAPLER AUTO LDS "$1,342 " 6750929 STAPLER LINEAR CUT SELECT DEPTH $278 6753465 STAPLER RELOAD TCR $758 6753466 STAPLER SEPTAL PRE-LOADED $732 6753467 STAPLER SHEATH $80 6751841 STAPLES TENDON KIT "$3,528 " 685082816 STAYSAFE ORGANIZER $50 6758889 STEALTH NAVIGUS DISP BX DEVICE "$5,645 " 741052318 STELLATE GANGLION BLOCK "$1,603 " 667061627 STENT & ATHERECT TIB/PERONEA INIT "$64,623 " 667061623 STENT & ATHERECTOMY FEM/POP A "$64,623 " 667061757 STENT ACCULINK SYST "$3,520 " 667069201 STENT ADD ART NOT CAR\LWR GUIDE "$9,650 " 667061648 STENT BARE METAL "$1,040 " 6753468 STENT CAROTID RX ACCULINK "$7,293 " 6751165 STENT COAT/COV W/DELV LVL I "$5,257 " 6751166 STENT COAT/COV W/DELV LVL II "$8,013 " 6751167 STENT COAT/COV W/DELV LVL III "$10,016 " 6751168 STENT COAT/COV W/DELV LVL IV "$11,893 " 6751785 STENT COAT/COV W/DELV LVL V "$14,085 " 6751786 STENT COAT/COV W/DELV LVL VI "$16,276 " 6751787 STENT COAT/COV W/DELV LVL VII "$19,093 " 6751788 STENT COAT/COV W/DELV LVL VIII "$22,223 " 6751235 STENT COAT/COV W/O DELV LVL I "$5,257 " 6751236 STENT COAT/COV W/O DELV LVL II "$8,013 " 6751237 STENT COAT/COV W/O DELV LVL III "$10,016 " 6751238 STENT COAT/COV W/O DELV LVL IV "$11,893 " 6751802 STENT COAT/COV W/O DELV LVL V "$14,085 " 6751803 STENT COAT/COV W/O DELV LVL VI "$16,276 " 6751804 STENT COAT/COV W/O DELV LVL VII "$19,093 " 6751805 STENT COAT/COV W/O DELV LVL VIII "$22,223 " 667061647 STENT COAT/COVER W/DEL SYS (DES) "$2,328 " 724077329 STENT CORDIS CORINTHIAN IQ "$2,184 " 6751883 STENT EYE CYPASS "$5,557 " 667061740 STENT GRAFT JOSTENT SYS "$4,024 " 667061681 STENT GRAFT VIABAHN "$4,099 " 667069200 STENT INIT ART NOT CAR\LWR GUIDE "$20,677 " 6751181 STENT N/CORO TEMP W/DELV LVL I $604 6751182 STENT N/CORO TEMP W/DELV LVL II $878 6751183 STENT N/CORO TEMP W/DELV LVL III "$2,067 " 6751184 STENT N/CORO TEMP W/DELV LVL IV "$4,026 " 6751175 STENT N/CORO TEMP WO DELV LVL I $604 6751176 STENT N/CORO TEMP WO DELV LVL II $878 6751177 STENT N/CORO TEMP WO DELV LVL III "$2,067 " 6751178 STENT N/CORO TEMP WO DELV LVL IV "$4,026 " 6751241 STENT NO-COAT/COV W/O DEL LVL I "$3,616 " 6751242 STENT NO-COAT/COV W/O DEL LVL II "$7,438 " 6751243 STENT NO-COAT/COV W/O DEL LVL III "$8,543 " 6751244 STENT NO-COAT/COV W/O DEL LVL IV "$13,227 " 6751171 STENT NON-COAT/COV W/DELV LVL I "$3,617 " 6751172 STENT NON-COAT/COV W/DELV LVL II "$7,439 " 6751173 STENT NON-COAT/COV W/DELV LVL III "$8,543 " 6751174 STENT NON-COAT/COV W/DELV LVL IV "$13,227 " 667061626 STENT PLACE TIB/PERONEAL INITIAL "$37,314 " 667061630 "STENT PLACE,TIB/PERONEAL ADD IPSI" "$17,576 " 667061622 "STENT PLACEMENT, FEM/POP A" "$37,314 " 667061617 "STENT PLACEMENT, ILIAC A, INITIAL" "$23,630 " 667061619 "STENT PLACEMENT, ILIAC A,ADD,IPSI" "$17,576 " 6756162 STENT PUSHER $218 6756154 STENT RETRIEVER $664 6753663 STENT/TUBE EYE LVL 1 $975 6753664 STENT/TUBE EYE LVL 2 "$3,000 " 6753665 STENT/TUBE EYE LVL 3 "$4,600 " 766092302 STEREOSCOPIC X-RAY GUIDANCE $115 766092322 STEREOTACTIC RADIATION DELIVERY "$2,838 " 6758010 STEREOTATIC BX NEEDLE $446 674022172 STJ AGILI 8.5 FR STEER 71CM "$1,632 " 674022183 STJ CABLE DUO DECA REFLECTION $728 674022198 STJ COOL PATH DUO "$4,368 " 674022195 STJ COOL PATH THERAPY ABLATION "$2,470 " 674022171 STJ COOL POINT TUBING $232 674022169 STJ ENSITE ARRAY CATHETER "$5,733 " 674022170 STJ ENSITE VELOCITY NAVX PATCH $182 674022202 STJ EP DUODECAPOLAR LIVEWIRE "$1,512 " 674022174 STJ EPICARDIAL ACCESS KIT "$1,940 " 674022179 STJ EPS 5F QUAD 5MM $160 674022184 STJ FASTCATH INTRO $38 674022199 STJ MEDIGUIDE LIVEWIRE CATH "$1,260 " 674022194 STJ NON IRRIGATED ABLATION CATH "$1,147 " 674022182 STJ REFLECTION HD 7F "$2,205 " 674022197 STJ SAFIRE DUO "$4,368 " 674022175 STJ SWAR BRD INTR $265 674022196 STJ TACTICATH QUARTZ CATHETER "$4,536 " 674022165 STJ TRNSPTL NDL $728 674022178 STJ VIEWFLEX XTRA ICE CATHETER "$3,704 " 700041093 STONE ANALYSIS $290 6753341 STONE CATCHER "$1,344 " 6750139 STONE CONTROL DEVICE "$1,685 " 6750943 STONE REMOVAL BASKET-LITHOTRIPTER "$1,685 " 700043229 STOOL FOR APT TEST $82 700043248 STOOL FOR OSMOLALITY $32 700045015 STOOL GUAIAC $128 700041096 STOOL-PH $34 6754697 STOTZ EYE CAUTERY $159 797029033 STRAIGHT URINARY CATHETERIZATION $190 685082795 STRAP CLAVICLE $29 685028384 "STRAP, LEG URINARY" $5 771088235 STRAP-PIP/DIP $11 771086235 STRAP-PIP/DIP. $11 771088236 STRAP-SOFT BUDDY $5 6754042 STRATTICE IMPLANT LVL I "$12,008 " 6754043 STRATTICE IMPLANT LVL II "$26,440 " 6754040 STRATTICE SKN SUB PR SQ CM LVL I $66 6754041 STRATTICE SKN SUB PR SQ CM LVL II $123 6753461 STRAVIX PLACENTAL TISSUE 2X4 "$6,199 " 6753460 STRAVIX PLACENTAL TISSUE 3X6 "$9,846 " 4059077 STREP A AG SCREEN $128 700043134 STREP PNEUMONIAE AG URINE $49 4059079 STREP SCREEN $133 700042010 STREPTOZYME (ASO) $80 710075639 STRESS ONLY SPECT "$6,370 " 4031133 STRESS TEST TREADMILL OR PHARM "$1,088 " 700040385 STRONGYLOIDES STERCORALIS ABS $131 6753470 STRYKER HAND DRILL DISP $465 6753471 STRYKER PULSE LAVAGE $414 699051940 SUBACUTE ROOM/PRIVATE $430 699051950 SUBACUTE ROOM/SEMI PRIVATE $405 699051980 "SUBACUTE, ROOM/PRIVATE" $430 699051985 "SUBACUTE, ROOM/SEMI-PRIVATE" $405 667062111 "SUBCLAV CATH/VERTEBRAL ANGIO, BIL" "$8,812 " 667062110 "SUBCLAV CATH/VERTEBRAL ANGIO, UNI" "$6,501 " 699051981 SUB-LOA-PERSONAL-PVT RM $303 699051986 SUB-LOA-PERSONAL-SPVT RM $278 700046014 SUBSEQUENT BLOOD CULTURE $407 700045016 SUBSEQUENT STOOL GUAIC $128 796032014 SUBUNGUAL HEMATOMA EVAC $145 770092188 SUCTION DIVERTER TIP $54 3655194 SUGARS SINGLE QN $162 700043242 SULFATIDE $165 4059615 SULFHEMOGLOBIN $33 700049340 SULFONAMIDES QUANT $41 690051968 SUPR/TRANSCON HUMER FRACT W MANIP "$1,930 " 690051825 SUPR/TRANSCOND HUMER FRACT W/MANI "$1,930 " 110250945 SUPRAPUBIC BLADDER TAP $630 6758995 SUPRAPUBIC SLING SYSTEM "$4,632 " 741052354 SUPRASCAPULAR BLOCK UNILATERAL "$1,757 " 741083257 "SUPRASCAPULAR BLOCK, BILATERAL" "$1,322 " 667061609 SUPRAVALVULAR AORTOGRAPHY $460 690052088 SUPRTRANSCON HUMER FRACT WMANP BI "$1,930 " 6750214 SURE SHOT NEEDLE $256 750090080 SURFACTANT ADMIN BY ENDOTRAC TUBE $97 6757746 SURGICAL HEMOSTAT APPL FLEXI TIP $131 6751467 SURGICAL HEMOSTAT LEVEL I $307 6751403 SURGICAL HEMOSTAT LEVEL II "$1,027 " 6751461 SURGICAL HEMOSTAT LEVEL III "$3,422 " 6751462 SURGICAL HEMOSTAT LEVEL IV "$5,988 " 670068094 SURGICEL $113 670068094 SURGICEL $126 6753632 SURGICORD PER SQ CM $201 6753635 SURGIGRAFT DUAL PER SQ CM $294 6753631 SURGIGRAFT PER SQ CM $147 6750553 SURGIWRAP BIORESORBABLE SHEET LG "$1,456 " 6750552 SURGIWRAP BIORESORBABLE SHEET MD "$1,166 " 6750549 SURGIWRAP BIORESORBABLE SHEET SM $876 6757287 SUTURE (SPEC. SIZE) $29 6757283 SUTURE 2 $224 685028210 SUTURE 2-0 & 4-0 $6 6753474 SUTURE 3 $155 6753475 SUTURE 4 $96 6757278 SUTURE 7278 $330 6757279 SUTURE 7279 $56 6750926 SUTURE ANCHOR BRIDGE "$5,477 " 6757269 SUTURE AUTO SM25 $392 6754881 SUTURE TK-5 TI KNOT $928 6751525 SUTURE VASCULAR $59 6750613 SUTURE V-LOC $102 6751134 SUTURES - MULTIPACK $149 6751133 SUTURE-SINGLE PACK $34 690051756 SVD WITH AND WITHOUT EPIS "$1,930 " 770053342 SWALLOWING EVAL- CLINICAL $215 770053343 SWALLOWING EVAL- FLUORO $413 774091112 SWALLOWING EVAL-CLINICAL $215 722095328 SWALLOWING EVAL-FLUORO $413 790091127 SWALLOWING EVAL-FLUORO/1 $413 774091414 SWALLOWING EVAL-FLURO $413 722095291 SWALLOWING TX $110 790092094 SWALLOWING-ORAL FUNCTION-TX $110 730102787 SYMBICORT 160/4.5 $24 730102788 SYMBICORT 80/4.5 $24 700040064 SYNOVIAL FLUID ANALYSIS $189 700040065 SYNOVIAL FLUID CRYSTAL ANALYSIS $104 3655330 SYPHILIS VDRL/RPR QL $108 3655331 SYPHILIS VDRL/RPR QN $321 667061665 SYST FILTERWIRE EZ "$2,512 " 6750588 SYSTEM FEMORAL COMPRESSION $539 6751850 SYSTEM OTSC CLIP SET "$2,144 " 6753480 SYSTEM REFLUX MANAGEMENT LINX "$12,763 " 705083664 "T CELLS, TOTAL COUNT" $241 4059623 T PALLIDUM IGG AB $328 3655210 T3 FREE $278 3655210 T3 FREE $337 3655208 T3 OR T4 UPTAKE/THBR $232 4059557 T3 REVERSE $337 4059354 T3 TOTAL $276 4059058 T3 UPTAKE $232 4059052 T4 THYROXINE $232 700043250 T4 TOTAL $232 6753481 TA 55 POLYSORB "$2,134 " 6753482 TACHOSIL FIBRIN SEALANT PATCH "$2,417 " 6753483 TACKER RELOAD 10PK $512 6759461 TACKER RESORBABLE "$3,072 " 3655017 TACROLIMUS (PROGRAF) $416 4059648 TACROLIMUS LEVEL $416 690052090 TALOTARASAL DISLOC WO ANES BIL $620 690051971 TALOTARASAL DISLOC WO ANES LT $620 690051811 TALOTARSAL DISLOC W/O ANES RT $620 705083675 TARGETED GENOMIC SEQ ANALYS "$2,512 " 705083676 TARGETED GENOMIC SEQ ANALYS >51 "$4,434 " 4059540 TARGETED GENOMIC SEQUENCE PANEL "$2,512 " 690051860 TARSOMETATAR DISLO W/O ANES RT $620 690052087 TARSOMETATAR DISLOC WO ANES BIL $620 690051967 TARSOMETATAR DISLOC WO ANES LT $620 667069226 TAVR TRANSAPICAL APPROACH "$35,784 " 667069225 TAVR TRANSFEMORAL APPROACH "$28,088 " 4059561 TB INTERFERON AG RESPONSE $370 4059075 TB SKIN TEST $64 796032066 TB SKIN TEST INTRADERMAL $19 3655201 TBG $500 710082133 TC 99M WITH ULTRATAG $329 700043309 TCR - T CELL RECEPTOR $275 710083211 TEE WITH CONTRAST "$2,090 " 685020009 TEGADERM $7 700049515 TEGRETOL-CARBAMAZIPINE $375 79702020 TELEHEALTH CLINIC VISIT $223 766092313 TELETHX ISODOSE PLAN CPLX $280 685082806 TEMP PACEMAKER CATHETER $333 690051890 TEMP PACING LEAD $223 690051890 TEMP PACING LEAD $245 690051962 TEMP. CUTAN'PACER $620 667059029 TEMPORARY PACER INSERTION "$1,930 " 667059029 TEMPORARY PACER INSERTION "$18,507 " 777059004 "TEMPORARY URIN CATH, FOLEY" $190 6754734 TENSION BANDS XCLOSE "$8,529 " 6751902 TESTICULAR IMPLANT "$6,951 " 700043345 TESTOSTERONE $102 4059353 TESTOSTERONE FREE $526 700043347 TESTOSTERONE FREE/ WEEKLY BOUND $312 3655196 TESTOSTERONE TOTAL $597 4059051 TESTOSTERONE TOTAL ADULT $597 3653146 TETANUS TOXOID IGG ANTIBODY $252 710082116 THALLIUM PER MCI $24 4059129 THC QUANT URINE $229 3655018 THEOPHYLLINE $400 4059114 THEOPHYLLINE(THEOPHYLLINE) LEVEL $400 772092146 THEPAPEUTIC EXERCISE OT/15 $186 601077910 THER/PROPH/DIAG INJECTION SUBQ/IM $168 722095298 THERAPEUTIC ACTIVITIES- OT/15 $109 779010138 THERAPEUTIC ACTIVITIES PT/15 $109 768084360 THERAPEUTIC EXERCISE-OT/ 15 $186 771089289 THERAPEUTIC EXERCISE-PT/15 $186 4059100 THERAPEUTIC PHLEBOTOMY $438 4059100 THERAPEUTIC PHLEBOTOMY $524 700047075 THERAPEUTIC PHLEBOTOMY-LAB ONLY $438 766092323 THERAPEUTIC PLANNING COMPLEX $346 767084042 THERAPEUTIC PLASMA EXCH FRESENIUS "$7,031 " 770092158 THERAPEUTIC PROCEDURES (GROUP) $69 772092159 THERAPEUTIC PROCEDURES(GROUP)-OT $69 771088347 THERAPUTTY $43 771086347 THERAPUTTY. $43 6758823 THERMACHOICE BALLOON "$3,997 " 6757762 THERMAL SEALER "$3,422 " 700040295 THIOCYANATE $47 6751414 THOPAZ DOUBLE TUBING $156 6751413 THOPAZ SINGLE TUBING $144 110250938 THORACENTESIS $690 690052477 THORACENTESIS W/O GUIDANCE "$1,022 " 601098300 THORACENTESIS W/O IMAGE GUIDANCE $690 667059802 THORACIC AORTOGRAM "$4,732 " 710072154 THORACIC DOPPLER ART EXT COMPLETE "$1,236 " 6753486 THORACIC ENDOPROSTHESIS "$39,753 " 667062103 THORACIC/ ARCH ANGIOGRAPHY "$5,161 " 690051673 THORACOTOMY WITH EXPLORATION "$1,930 " 700046002 THROAT CULTURE $370 667061667 THROMBECTOMY CATHETER "$1,142 " 4059327 THROMBIN TIME $65 4059327 THROMBIN TIME $83 4059328 THROMBIN TIME PLASMA $83 767084047 THROMBOCYTAPHERESIS "$7,562 " 667069281 "THROMBOLYSIS ARTERY, 1ST DAY BIL" "$7,036 " 667062115 "THROMBOLYSIS ARTERY, 1ST DAY UNI" "$7,036 " 667061659 THROMBOLYSIS CORONARY BY IV INFUS $740 667062126 THROMBOLYSIS SUBSEQUENT DAY "$7,036 " 667062125 "THROMBOLYSIS VEIN, 1ST DAY, W/S&I" "$7,036 " 667059026 "THROMBOLYSIS,CORONARY BY INTRACOR" "$3,491 " 4059483 THROMBOPLASTIN INHIBITION TISSUE $538 6750716 THUMB LOOP PREFAB $44 3655198 THYROGLOBULIN $246 3655198 THYROGLOBULIN $377 3655368 THYROGLOBULIN ANTIBODY $59 3655368 THYROGLOBULIN ANTIBODY $359 4059287 THYROGLOBULIN FNA $944 4059286 THYROGLOBULIN TUMOR MARKER $377 4059384 THYROID MICROSOMAL (TPO) AB $72 700043269 THYROID PEROXIDASE AUTOANTIBODIES $333 4059208 THYROID STIMMULATING IMMUNOGLOB $249 700040370 THYROID STIMULATING IMMUNOGLOBULI $81 4059386 THYROPEROXIDASE (MICROSOMAL) AB $258 6751660 THYROPLASTY IMPLANT SYSTEM "$1,904 " 4059228 THYROTROPIN RECEPTOR ANTIBODY $358 4059513 THYROXINE BINDING GLOB $500 700040291 THYROXINE BINDING GLOBULIN $50 3655200 THYROXINE FREE $268 3655199 THYROXINE TOTAL $232 690051989 TIB SH FRAC W/WO FIB FRAC W MANIP "$1,930 " 690052235 TIB SH FRAC WWO FIB FRAC WMANIP B "$1,930 " 690051613 "TIB SH FRACT W,W/O FIB FRAC W/MAN" "$1,930 " 690051983 TIBIA DIST W ARTICU FRACT W MANIP "$1,930 " 690051625 TIBIA DIST W/ARTICU FRACT W/MANIP "$1,930 " 690052230 TIBIA DIST WARTICU FRACT W MANIP "$1,930 " 6753489 TIGHTROPE DELIVERY SYSTEM "$1,941 " 667059309 TILT TABLE STUDY "$1,990 " 730109555 TIOTROPIUM 18 MCG PER PUFF $24 6757000 TIP ARTHROCARE COBLATION EVAC 71 "$1,079 " 6753490 "TIP ASSEMBLY, CATH INTRODUCER" "$1,733 " 6757754 TIP LIPOLASER SLIM $734 6754759 TIP MINI-FLARED OPHTHALMIC $232 670068088 TISSUE ADHESIVE $25 4059084 TISSUE CULT CHROMOSOME ANAL LYMPH "$1,037 " 705048626 TISSUE CULT NON NEO DISORDERS SKN "$1,239 " 4059085 TISSUE CULTURE NEOPLASTIC BLD BM "$1,271 " 4059090 TISSUE EXAM LEVEL IV TECH $554 6754970 TISSUE EXPANDER BREAST "$6,880 " 6753492 TISSUE EXPANDER CRANIAL "$2,050 " 700040314 TISSUE GRIND PROC MICRO $62 700040293 TISSUE TRANSGLUTAMINASE IGG $99 6757477 TITANIUM CONN. "$1,542 " 680152064 TLSO (CUSTOM FITTED) "$2,316 " 6750431 TLSO BRACE "$5,894 " 680052063 TLSO CUSTOM "$2,490 " 685082786 TLSO CUSTOM BRACE-HANGER "$1,361 " 680151254 TLSO CUSTOM MOLDED ANT OPEN "$2,502 " 616050230 "TLSO CUSTOM MOLDED ANT, OPEN" "$2,502 " 685082742 TLSO CUSTON PRE FAB "$1,361 " 616050228 TLSO PREFAB "$2,220 " 680052066 TLSO PREFAB OTS "$1,728 " 616097049 TLSO PREFAB OTS L0457 "$1,728 " 6753587 TLSO TRIPL RGD 1PC W/LNR CSTM "$2,770 " 680152062 TLSO WITH HIP SPICA "$2,877 " 616066061 TLSO(CUSTOM FITTED) "$2,316 " 6753494 TLV 30 $740 700049353 TOBRAMYCIN TROUGH $375 700044531 "TOBRAMYCIN,RANDOM" $375 700049354 TOBRAMYCIN-PEAK $375 4059506 TOCOPHEROL ALPHA $423 4059553 TOPIRAMATE $302 6753323 TOROSA PROSTHESIS LARGE "$6,742 " 6753322 TOROSA PROSTHESIS MEDIUM "$6,742 " 6753321 TOROSA PROSTHESIS SMALL "$6,742 " 6751527 TORQVUE DELIVERY SYSTEM "$2,986 " 6757025 TORSO BELT SMALL $205 700043260 TOT PROTEIN SERUM $24 700049176 TOT. PROTEIN PERICARDIAL FLUID $32 700049177 TOT. PROTEIN PERITONEAL FLUID $32 700049174 TOT. PROTEIN PLEURAL FLUID $32 700043423 "TOTAL BILIRUBIN, CORD BLOOD" $182 700043288 "TOTAL BILIRUBIN, FLUID" $131 700040433 "TOTAL CO2, I-STAT POC LAB" $62 4059179 TOTAL IGA W/CELIAC EVAL $184 700045060 TOTAL LIPIDS - FECES $119 700043555 TOTAL PROTEIN (24H URINE) $218 700043246 TOTAL T3 $276 700044058 TOXIC SHOCK ANTIBODIES $219 3655401 TOXIN OR ANTITOXIN ASSAY $180 700044078 TOXOCARA CANIS $123 4059408 TOXOCARA SEROLOGY $541 700044079 TOXOPLASMA ANTIBODIES $60 4059555 TOXOPLASMA ANTIBODY $358 700042082 TOXOPLASMA ANTIBODY (IGM) $52 3655366 TOXOPLASMA ANTIBODY IGM $95 700044052 TOXOPLASMA IGG ANTIBODIES $60 4059544 TOXOPLASMA IGM AB $95 6750823 TR BAND $135 660083523 TRACH TUBE EXCHANGE $857 666098453 TRACHEOSTOMY PLANNED "$5,411 " 722059028 TRACHEOSTOMY SPEAKING VALVE $171 6750527 TRACTION BUCKS BOOT ADULT $171 6750528 TRACTION BUCKS BOOT PED $205 6754766 TRAJECTORY GUIDE KIT "$4,864 " 6751065 TRANSBRONCHIAL NEEDLE $422 667062114 "TRANSCAT RETRIEV FOREIGN BODY, W/" "$4,838 " 667069222 TRANSCATHETER HEART VALVE SYSTEM "$52,000 " 685022154 TRANSDUCER DISPOSABLE $26 740090895 TRANSESOPHAGEAL ECHO "$2,414 " 4059543 TRANSFERRIN $381 741083269 TRANSFORAMINAL INJECTION EA ADD B "$2,198 " 741052369 TRANSFORAMINAL INJECTION EA ADDL "$1,466 " 741083268 TRANSFORAMINAL INJECTION INITIA/1 "$2,970 " 741052308 TRANSFORAMINAL INJECTION INITIAL "$1,980 " 669098382 "TRANSFUSION, BLOOD/BLOOD PRODUCTS" "$1,329 " 667061696 TRANSLUMBAR AORTIC CATH "$3,309 " 6753497 TRANSPORT CANNULA $380 710072504 TRANSTHOR ECHO W/CONTRAST COMPLET "$2,894 " 6753498 TRANSURETHRAL INJECTION NEEDLE $207 667069243 TRAP BALLOON "$1,920 " 690051875 TRAUMA ACTIV FEE NO SURGEON <30 M "$5,864 " 690051876 TRAUMA ACTIV FEE NO SURGEON 30+ M "$5,842 " 690051877 TRAUMA ACTIV FEE W/SURGEON <30 MI "$8,625 " 690051878 TRAUMA ACTIV FEE W/SURGEON 30+ MI "$8,625 " 888830000 TRAUMA ICU "$6,174 " 690058835 TRAUMA TEAM DELTA "$3,623 " 690058836 TRAUMA TEAM DELTA NPHN "$3,623 " 690092588 TRAUMA TEAM NPHN - FULL "$8,625 " 690092584 TRAUMA TEAM NPHN - PARTIAL "$5,864 " 685023951 TRAUMACATH VENTRICULAR $415 6753375 TRAY OBSTRUCTED URETHRA $816 685082804 TRAY WAYNE PNEUMOTHORAX $327 700040369 TRAZODONE QUANT $82 710072002 "TREADMILL, EXERCISE TEST" "$1,088 " 710072015 "TREADMILL, STRESS MPI" "$1,088 " 710072406 TREADMILL-EXERCISE-PEDIATRIC "$1,088 " 665052211 "TREAMENT ROOM, EST PT, LEVEL 1" $123 690051627 TREAT ANKLE DISLO W/ANES-RT $620 690052099 TREAT ANKLE DISLOC WO ANES BIL $620 690051982 TREAT ANKLE DISLOC WO ANES LT $620 690052259 TREAT CLAVICLE FRACT W/O MANIP-BI $620 690052083 TREAT CLAVICLE FRACT WO MANIP LT $620 690051515 TREAT CLAVICLE FRACTURE W/O MANIP $620 690052253 TREAT ELBOW DISLOC W/O ANESTH BIL $620 690051529 TREAT ELBOW DISLOC W/O ANESTHESIA $620 690052077 TREAT ELBOW DISLOC WO ANES LT $620 690051727 TREAT EPIDURAL SPINE LESION "$1,022 " 690052237 TREAT FEM SHAFT FRACT WMANIP BIL "$1,930 " 690051991 TREAT FEMORAL SHAFT FRACT W MANIP "$1,930 " 690051604 TREAT FEMORAL SHAFT FRACT W/MANIP "$1,930 " 690051549 TREAT FRACTURE RADIUS/ULNA "$1,930 " 690058808 TREAT HIP DISLOCATION- BIL $620 690058807 TREAT HIP DISLOCATION- LT $620 690039806 TREAT HIP DISLOCATION- RT $620 690052078 TREAT HUMER CONDYL FRACT W/MANI/1 "$1,930 " 690051528 TREAT HUMER CONDYL FRACT W/MANIP "$1,930 " 690052079 TREAT HUMER SHAFT FRACT W MANIP L "$1,930 " 690051525 TREAT HUMER SHAFT FRACT W/MANIP R "$1,930 " 690052255 TREAT HUMER SHAFT FRACT W/MANIP-B "$1,930 " 690052254 TREAT HUMMER CONDYL FRACT W/MANI "$1,930 " 690052092 TREAT KNEE STRAPPING BIL $620 690051973 TREAT KNEE STRAPPING LT $620 690052244 TREAT LUNATE DISLOC W MANIP BIL "$1,930 " 690051998 TREAT LUNATE DISLOC W MANIP LT "$1,930 " 690051554 TREAT LUNATE DISLOC W/MANIP RT "$1,930 " 690052086 TREAT METATARSAL FRACT W MANIP BI $620 690051966 TREAT METATARSAL FRACT W MANIP LT $620 690051862 TREAT METATARSAL FRACT W/MANIP RT $620 690052251 TREAT NURSEMAID ELBOW W MANIP BIL $620 690052075 TREAT NURSEMAID ELBOW W MANIP LT $620 690051533 TREAT NURSEMAID ELBOW W/MANIP RT $620 690052249 TREAT OLECRANON PROCESS W MANIP B "$1,930 " 690052073 TREAT OLECRANON PROCESS W MANIP L "$1,930 " 690051536 TREAT OLECRANON PROCESS W/MANIP R "$1,930 " 690051608 TREAT PATELLA DISLOC W/O ANES RT $620 690052236 TREAT PATELLAR DISLOC WO ANES BIL $620 690051990 TREAT PATELLAR DISLOC WO ANES LT $620 690052082 TREAT PROX HUMER FRACT W MANIP LT "$1,930 " 690051518 TREAT PROX HUMER FRACT W/MANIP RT "$1,930 " 690052258 TREAT PROX HUMER FRACT W/MANIP-BI "$1,930 " 690051945 TREAT RAD DISTAL FRACT W/O MANIP $620 690052084 TREAT RAD DISTAL FRACT WO MANIP B $620 690051964 TREAT RAD DISTAL FRACT WO MANIP L $620 690052070 TREAT RADIAL DISTAL FRACT W MANIP "$1,930 " 690051892 TREAT VAGINAL BLEEDING $620 690051498 TREATMENT OF BURN(S) $620 690051500 TREATMENT OF BURN(S)/1 $620 690051501 TREATMENT OF BURN(S)/2 $620 690051895 TREATMENT OF NOSE FRACTURE "$1,022 " 601098355 "TREATMENT ROOM, EST PT, LEVEL 1" $123 601077904 "TREATMENT ROOM, EST PT, LEVEL 1/1" $123 601098356 "TREATMENT ROOM, EST PT, LEVEL 2" $192 601098357 "TREATMENT ROOM, EST PT, LEVEL 3" $270 665052201 "TREATMENT ROOM, NEW PT, LEVEL 1" $230 601098361 "TREATMENT ROOM, NEW PT, LEVEL 2" $252 665052203 "TREATMENT ROOM, NEW PT, LEVEL 3" $336 601098362 "TREATMENT ROOM,NEW PT,LEVEL 3" $336 6753499 TREPHINE $272 770053341 TRG SPEECH GENERATING DEVICE $180 705083671 TRGT GEN SEQ DNA 324 GENES "$3,600 " 6753502 TRIAL/ NO COST IMPLANT PRODUCT $1 3656660 TRICHOMONAS VAGINALIS AMPLIF $105 741052356 TRIGGER POINT INJECTION 1-2 MUSCL $932 741083278 TRIGGER POINT INJECTION 3+ MUSCLE "$1,482 " 796032059 TRIGGER POINT INJECTIONS $932 700043273 TRIGLYCERIDE $64 4059057 TRIGLYCERIDES $64 6751898 TRILAYER MATRIX OASIS PER SQ CM $41 6755734 TRIPLE LUMEN $580 6756182 TRIPLE LUMEN CATH MAHURKER 12X20 $751 6756181 TRIPLE LUMEN CATH MAHURKER 12X24 $751 6753503 TROCAR 355 $462 6753504 TROCAR 511-512-512X $528 6758866 TROCAR 5MM 355 NS/LNS $111 6754967 TROCAR APPLE 5 MM $167 6754484 TROCAR DILATING TIP 5MM $224 6753505 TROCAR DISP. (ALL SIZES) $779 6753506 TROCAR FLEX $152 6751855 TROCAR FLEX THORACIC $295 6757752 "TROCAR PORT, MULTI PORT" "$2,014 " 6753507 TROCAR SHORT TAUT $116 6754902 TROCAR XCEL BLADELESS 12MM $422 6754901 TROCAR XCEL BLADELESS 5MM $317 6754903 TROCAR XCEL BLADELESS SLEEVE 12MM $240 6754904 TROCAR XCEL BLADELESS SLEEVE 5MM $184 6754900 TROCAR XCEL HASSON 12MM $435 6754895 TROCHANTERIC ENTRY NAIL "$12,527 " 4059290 TROPONIN $274 3655211 TROPONIN QN $274 4059289 TROPONIN T $274 700040088 TROPONIN T 2 HR $274 700043379 TROPONIN T 90 MINUTE $274 700040428 "TROPONIN, I-STAT POC LAB" $274 700043384 TROPONION T $274 6753508 TRU-CUT BIOPSY NEEDLE $172 4059238 TRYPTASE TOTAL $279 700040368 TRYPTOPHAN $208 4059054 TSH $368 700043270 TSH MONITORING. $368 700043274 TSH-THYROID STIM.HORMONE $81 6753509 TUBE BAKER JEJUNOSTOMY "$1,712 " 6750946 TUBE COLON DECOMPRESSION $781 6753510 TUBE EAR MYRINGOTOMY $124 6757302 TUBE EAR REUTER BOBBIN $168 6758982 TUBE EAR TOUMA T $71 6758979 TUBE EAR VENT PER LIE $225 6753931 TUBE FEED DOBHOFF WEIGHTED 10 FR $193 6755777 TUBE FEED NON WEIGHTED 10 FR $83 6756729 TUBE FEED NON WEIGHTED 8 FR $84 685021874 TUBE FEEDING FLEXIFLO 12FR $34 6751817 TUBE FEEDING GAST LOW-PRO $373 6750143 TUBE FEEDING GASTROSTOMY $195 6750142 TUBE FEEDING WITH STYLET $84 6751948 TUBE GASTRIC CALIBRATION $554 685021871 TUBE INFANT FEED ALL $4 6757078 TUBE N/G 20FR (BLAKEMORE) "$1,336 " 6750432 TUBE NG 10 FR $175 6750433 TUBE NG 12 FR $50 6751007 TUBE NG 14 FR $50 6750434 TUBE NG 16 FR $62 6750435 TUBE NG 18 FR $62 6750948 TUBE PEG REPLACEMENT $218 6750047 TUBE TRACHEOSTOMY $302 6752343 "TUBE, GASTROSTOMY MOSS" "$1,538 " 685021926 "TUBE, SALEM SUMP 12,14,16,18" $6 6757072 TUBING ENTERAL FEEDING $35 6753512 TUBING FETAL DEMISE $87 6751830 TUBING WITH TROCAR $344 6756624 "TUBING,CARDIAC OUTPUT(CRITIKIT)" $83 3655346 TULAREMIA ANTIBODY $71 3655346 TULAREMIA ANTIBODY $373 705083669 TUMOR IMMUNOHISTOCHEM/MANUAL $440 6751390 TUNNELER $27 700043245 T-UPTAKE $95 777058562 TURBIGRIP TUBULAR $54 6750925 TURBO VAC WAND $931 6758937 TURBOWHISKAR DYONICS $278 6753513 TVT DEVICE "$5,468 " 6753514 TVT DEVICE OBTURATOR APPROACH "$5,473 " 6753515 TWISTER LASER FIBER "$3,355 " 6758763 TX 60 $615 690058806 TX FX NAVICULAR W/MAN CLSD-BIL "$1,930 " 690058805 TX FX NAVICULAR W/MAN CLSD-LT "$1,930 " 690052479 TX FX NAVICULAR W/MAN CLSD-RT "$1,930 " 700040461 TYGACIL ETEST $60 4059008 UA AUTO W MICRO $149 4059010 UA AUTO W/O MICRO $155 4059007 UA NONAUTO W MICRO $131 4059009 UA NONAUTO W/O MICRO $80 3653302 UA QL/SEMI-QN $70 110250941 UAC/PAL PLACEMENT $910 6750709 UE ORTHOSIS PREFAB NOS LVL I $163 6750710 UE ORTHOSIS PREFAB NOS LVL II $359 771088348 ULNAR DEVIATION STRAP $30 771086348 ULNAR DEVIATION STRAP. $30 771089291 ULTRASOUND ELECTRICAL STIM $192 771088401 ULTRASOUND- OT/15 $183 771085108 ULTRASOUND/ELECTRICAL STIM-15 $192 772092142 ULTRASOUND-OT/15 $183 770085005 ULTRASOUND-PT/15 $183 779010153 ULTRASOUND-PT/15 MIN $183 771085109 ULTRASOUND-PT/15/1 $183 667069219 UNDER BLANKET WARMER $60 700043313 UNFRACTIONA HEPARIN LEVEL ASSAY $396 6753516 UNIVERAL CLIP APPLIER $555 705083653 UNLISTED MOLECULAR PATH PROCEDURE $520 690051703 UNLISTED PROCEDURE INTESTINE "$1,022 " 667061984 UPGRADE PACEMAKER TO DUAL W/FLUOR "$16,467 " 710072114 UPPER DOPPLER ARTERIAL EXTRMTY CO "$1,236 " 700040371 UREA NITROGEN CLEARANCE $37 700043277 UREA NITROGEN URINE $189 700044517 "UREA NITRUGEN, URINE (24H)" $189 6753517 URETERAL CATHETER-OPEN END $47 4059060 URIC ACID $39 4059060 URIC ACID $64 700043565 URIC ACID (24 HR URINE) $40 3655213 URIC ACID BLOOD $64 700043625 URIC ACID FLUID $40 3655214 URIC ACID OTHER $200 700044036 URIC ACID RANDOM URINE $46 4059291 URIC ACID URINE 24 HOUR $200 700041070 URINALYSIS AUTO W/MICRO $149 700041071 URINALYSIS AUTO W/O MICRO $155 3652015 URINALYSIS MICROSCOPIC ONLY $23 6753518 URINARY BULK AGENT SYNTH PER 1ML $878 690051816 URINARY CATHETER $620 796032064 URINARY CATHETERIZATION $190 6757677 URINARY PROSTHESIS ACCESSORY KIT "$2,815 " 6757663 URINARY PROSTHESIS SYSTEM "$29,857 " 700041077 URINE ALBUMIN $80 700043096 URINE CREATININE $62 700046050 URINE CULTURE $393 741083316 URINE DIPSTICK DRUG TEST (POC) $88 700041076 URINE KETONE $80 700043173 URINE MICROALBUMIN $390 700041075 URINE PH $72 797029054 URINE PREGNANCY TEST $255 700044601 URINE SODIUM-24 HOUR $20 700041074 URINE SPECIFIC GRAVITY $70 700043224 URINE TOTAL PROTEIN $75 685021955 URINEMETER/DRAIN-BAG $13 6753335 UROLIFT PROSTH IMPLANT "$2,917 " 6753519 UROLIFT PROSTHETIC IMPLANT "$3,057 " 6753384 UROMAX 12FRX4CM "$1,014 " 6753386 UROMAX 18FRX4CM $931 6753385 UROMAX 30FRX4CM $853 6753383 UROMAX KIT 10CM "$1,008 " 6753382 UROMAX KIT 4CM "$1,008 " 728011524 US ABD AORTA SCRN AAA $368 728077232 US ABDOMEN COMPLETE "$1,323 " 728077027 US ABDOMEN PEDIATRIC "$1,323 " 728077045 "US ABDOMEN, DOPPLER" "$1,612 " 728077024 "US ABDOMEN, LIMITED EXAM" "$1,088 " 728077039 US AMNIO W/O F.A.OBS+PROC CODE $864 728011385 US AMPLATZ GUIDWIRE $742 728077010 US AORTA $565 728011135 US ASPIRATION BREAST CYST- EACH A $415 700077315 US ASPIRATION-PUNCTURE OF CYST $832 728077041 US BIOPHYSICAL PROFILE-SINGLE "$1,069 " 728077201 US BIOPSY GUN $116 728011359 US BIOPSY RENAL LEFT "$2,033 " 728011357 US BIOPSY RENAL RIGHT "$2,033 " 728082150 US BIOPSY SOFT TISSUE "$1,611 " 700082144 US BIOPSY TISSUE MARKER $482 728077268 "US BIOPSY, LIVER" "$2,033 " 723077270 "US BIOPSY, LYMPH NODE" "$1,468 " 728077273 "US BIOPSY, PROSTATE" "$3,921 " 728077275 "US BIOPSY, THYROID" "$1,789 " 728011140 US BIOPSY-BREAST W/LOCAL "$4,962 " 728011141 US BIOPSY-BREAST W/LOCAL EA AD "$2,106 " 728077011 "US BLADDER, URINARY" $867 728070335 US BPP W/O NST "$1,069 " 723011250 US BREAST COMLETE BILATERAL "$1,573 " 723011218 US BREAST COMPLETE- LT "$1,048 " 723011219 US BREAST COMPLETE- RT "$1,048 " 723011251 US BREAST LIMITED BILATERAL "$1,258 " 723011220 US BREAST LIMITED- LT $839 723011221 US BREAST LIMITED- RT $839 728077047 "US CAROTID DOPPLER, BILATERAL" "$2,069 " 728011237 US CATHETER- APD $365 728077029 "US CHEST, TWO LUNG" $722 728077523 US CHEST-ONE LUNG-LEFT $722 728077524 US CHEST-ONE LUNG-RIGHT $722 728077200 US CUT BIOPSY NEEDLE $144 728011146 US CYST/ABS ASP THERAP/CATH GUIDE $643 728011230 US DUPLEX ABD LIMITED "$1,065 " 710072152 US DUPLEX LOW EXT BYPASS GRAFT-UN "$1,303 " 710072150 US DUPLEX UP EXT BYPASS GRAFT UNI "$1,148 " 710072123 US DUPLEX-ART-LOWER-LTD-SURG "$1,303 " 710072124 US DUPLEX-ART-UPPER-LTD-SURG "$1,148 " 728077230 US DUPLEX-VEN-LOW EX "$1,612 " 710072075 US DUPLEX-VEN-LOW EXT-BI-SURG "$1,612 " 710072074 US DUPLEX-VEN-LOW EXT-UNI-SURG "$1,021 " 728077238 US DUPLEX-VEN-UP EXT-BIL-RAD "$1,612 " 710072122 US DUPLEX-VEN-UPPER-BI-SURG "$1,612 " 710072016 US DUPLEX-VEN-UPPER-UNI-SURG "$1,021 " 728077525 US DUPL-VEN-LOW EXT-UNI-LT-RAD "$1,021 " 728077526 US DUPL-VEN-LOW EXT-UNI-RT-RAD "$1,021 " 728077527 US DUPL-VEN-UP EXT-UNI-LT-RAD "$1,021 " 728077528 US DUPL-VEN-UP EXT-UNI-RT-RAD "$1,021 " 728098974 US ELASTOGRAPHY EA ADDL TAGET L. $629 728098973 US ELASTOGRAPHY FIRST TARGET L. "$1,258 " 728098972 US ELASTOGRAPHY PARENCHYMA "$1,258 " 728011425 US EXCHANGE PLEURAL DRAIN "$1,880 " 728077635 US EXTREMITY NONVASCULAR COMPLE/1 $991 728077634 US EXTREMITY NONVASCULAR COMPLETE $991 728077633 US EXTREMITY NONVASCULAR LIMITE/1 $690 728077632 US EXTREMITY NONVASCULAR LIMITED $690 728011153 US FAST ALERT "$1,088 " 723011604 US FNA BREAST 1ST LESION "$1,324 " 723011605 US FNA BREAST EACH ADD LESION $331 728011606 US FNA DIAG ANY AREA 1ST LESION "$1,324 " 728011607 US FNA DIAG ANY AREA EACH ADD LES $331 728077097 US GROIN BILATERAL "$1,088 " 728077531 US GROIN-LEFT "$1,088 " 728077532 US GROIN-RIGHT "$1,088 " 723077034 US GUIDANCE $726 740090887 US GUIDANCE FOR NERVE BLOCK $726 710072420 US GUIDANCE INTRAOPERATIVE "$1,000 " 4031134 US GUIDANCE NEEDLE PLACEMENT $726 728011152 US GUIDED VASCULAR ACCESS $440 700082141 US INJ PROC INDENT BREAST $786 728011229 US KIDNEY TRANSPLANT W/DOP UNI $516 728083156 US LIMITED - CARDIAC MOTION "$1,741 " 728077289 US LIMITED SURVEY FOLLOW-UP $734 728011563 US LOWER EXT ARTERIAL DUPLEX LT "$1,303 " 728011564 US LOWER EXT ARTERIAL DUPLEX RT "$1,303 " 728011562 US LOWER EXT ATREIAL DUPLEX BIL "$1,772 " 728010402 US LOWER EXT NONVASCU COMP BILAT $991 728010400 US LOWER EXT NONVASCU COMP LEFT "$1,015 " 728010401 US LOWER EXT NONVASCU COMP RIGHT "$1,015 " 728010397 US LOWER EXT NONVASCU LTD BILAT $690 728010398 US LOWER EXT NONVASCU LTD RIGHT $690 728010399 US LOWER EXT NONVASCULAR LTD LEFT $690 700077293 US LYMPH NODES HEAD-NECK $874 728077036 US NEEDLE-CHIBA $129 728077014 US NEONATAL HEAD "$1,115 " 728077287 US NON-OB TRANSVAGINAL $817 728077223 US OB < 14 WEEKS "$1,088 " 728077224 US OB < 14 WEEKS ADDED FETUS $390 728077231 US OB 14 PLUS WEEKS "$1,088 " 728077227 US OB 14 PLUS WEEKS ADD FETUS $390 728077221 US OB FOLLOW UP EFW $874 728077222 US OB FOLLOW UP EFW ADD FETUS $874 728077100 US OB PELVIS LIMITED "$1,088 " 728077548 US OB TRANSVAGINAL $760 728082152 US PARACENTESIS WITH IMAGING "$2,265 " 728010394 US PARATHYROID $874 728083153 US PAROTID GLAND BIOPSY "$1,037 " 728070336 US PELVIC GYN-COMPLETE "$1,088 " 728070337 US PELVIC GYN-LIMITED $867 728077286 "US PELVIS, INTRAOPERATIVE" "$1,000 " 728077026 "US PELVIS, LIMITED" $867 728077019 "US PELVIS, NON-OB" "$1,088 " 728077094 "US PELVIS, TRANSVAGINAL ONLY" $817 728011300 US PERQ DEV SOFT TISS 1ST IMAG "$1,809 " 728011301 US PERQ DEV SOFT TISS ADD IMAG "$1,258 " 728082154 US PLEURAL TUBE DRAN/ IMAGE GUIDA "$4,512 " 728011132 US PLMT BREAST LOC EA ADD W/GUIDE $604 728011131 US PLMT BREAST LOC W/GUIDE "$1,005 " 728077220 US PORTABLE NEONATE HEAD "$1,115 " 728077549 US POST VOID RESIDUAL URINE $707 728011243 US PRE/POST PROCEDURE BIL $734 728011589 US PRE/POST PROCEDURE RT $734 728011242 US PRE/POST PROCEDURE UNI $734 728077092 "US PROSTATE, TRANS-RECTAL" "$1,115 " 728082151 US PRP INJ W US GUIDANCE "$1,014 " 728077547 US RENAL-BILATERAL "$1,365 " 728077539 US RENAL-LEFT $565 728077540 US RENAL-RIGHT $565 728070331 US REPEAT-F/UP MULTI-OB $874 728011134 US SEROMA ABSCE BREAST/CATH/GUIDE $643 728077320 US SONOHYSTEROGRAPHY $986 728077321 US SONOHYSTEROGRAPHY PROCEDURE $585 728077101 US SPINAL CANAL $510 728077035 US TESTICULAR $793 728082153 US THORACENTESIS/ IMAGE GUIDANCE "$2,120 " 728011179 "US THROMBIN INJ, PSEUDOANEURYSM" $964 728077012 US THYROID $874 728077257 US UMBILICAL CORD DOPPLER $797 728011560 US UPPER EXT ATRERIAL DUPLEX LT "$1,148 " 728011561 US UPPER EXT ATRERIAL DUPLEX RT "$1,148 " 728010403 US UPPER EXT NONVASCU COMP BILAT $991 728010404 US UPPER EXT NONVASCU COMP RIGHT "$1,015 " 728010395 US UPPER EXT NONVASCU LTD BILAT $690 6757431 UTERINE MANIPULATOR CUP & BALLOON $365 6753521 UTERINE MANIPULATOR TIP $195 6753522 UTERINE MANIPULATOR W/O CUP $69 770085360 VAC ASSIST CLOSE 50 SQ CM OR LESS $417 770085361 VAC ASSIST CLOSE GREATER 50 SQ CM $923 670068096 VAGINAL REPAIR AFTER DELIVER ONLY "$1,187 " 670068012 VAGINAL/PLACENTA RECOVERY EA HOUR $811 700040377 "VALPROIC ACID (DEPAKENE), FREE" $74 3655010 VALPROIC ACID (DEPAKOTE) $393 4059110 VALPROIC ACID(DEPAKOTE) LEVEL $393 6753647 VALVE ENDOBRONCHIAL "$7,200 " 6753523 VALVE HAKIM ASCITES "$5,034 " 6753694 VALVE HEART LVL 1 "$21,600 " 6753695 VALVE HEART LVL 2 "$33,600 " 685020315 VALVE HEIMLICH $54 6753442 VALVE SHUNT STRATA REGULAR "$16,811 " 6751475 VALVULOTOME "$5,028 " 730117643 VANCERIL $24 3655019 VANCOMYCIN (VANCOCIN) $355 700040464 VARBOMERE ETEST $60 770092187 VARICARE GUN $82 700040225 VARICELLA ZOSTER $78 4059419 VARICELLA ZOSTER IGG ANTIBODY $264 700040173 VARICELLA ZOSTER VIRUS AB IGG CSF $78 740090891 VASCULAR ACCESS US GUIDANCE $440 667059811 VASCULAR CLOSURE DEVICE $320 6751087 VASCULAR CLOSURE DEVICE LEVEL I "$1,237 " 6751088 VASCULAR CLOSURE DEVICE LEVEL II "$1,367 " 6754982 VASCULAR GRAFT SYNTHETIC "$3,344 " 6751277 VASCULAR OCCLUDER "$1,694 " 667069220 VASCULAR OCCLUSIVE BALLON $667 6751266 VASCULAR PLUG "$3,618 " 6753537 VASCULAR PUNCH $132 4059292 VASOACTIVE INTESTINAL PEPTIDE "$1,014 " 700040373 VASOACTIVE INTESTIONAL POLYPEPTID $270 4059391 VDRL CSF $242 700044035 "VDRL, CSF" $66 780090161 VEEG 2-12 HR CONT MNTR "$3,441 " 780090160 VEEG 2-12 HR INTMT MNTR "$1,448 " 780090159 VEEG 2-12 HR UNMNTR "$1,448 " 780090163 VEEG EA 12-26 HR INTMT MNTR "$3,441 " 780090162 VEEG EA 12-26 HR UNMNTR "$3,441 " 780090164 VEEG EA 12-26HR CONT MNTR "$3,911 " 710072147 VEIN MAPPING-BI-SURG "$1,612 " 710072146 VEIN-MAPPING-UNI-SURG "$1,021 " 667059564 VENA CAVA FILTER "$4,348 " 4059000 VENIPUNCTURE $41 710072424 VENIPUNCTURE FOR LAB $41 70001291 VENIPUNCTURE. $41 667059540 VENOGRAPHY INJECTION PROCEDURE "$1,230 " 667061688 VENOGRAPHY IVC "$3,458 " 667059541 VENOGRAPHY SVC "$2,893 " 667061687 "VENOGRAPHY, EXT, BILATERAL" "$2,804 " 667061686 "VENOGRAPHY, EXT, UNILATERAL" "$2,290 " 667069275 VENOUS MECHAN THROMBECTOMY "$13,400 " 700044114 VENOUS PH $240 667069276 VENOUS THROMBECT-SUBSEQUENT "$13,400 " 750090041 VENT 1ST DAY "$1,177 " 6753538 VENTRICULAR CATHETER $715 6751825 VENTRICULAR IMPREG ANITBIO CATH "$1,194 " 690058841 VENTRICULAR PUNCTR PREV BURR HOLE "$1,022 " 6754980 VERITAS COLLAGEN MATRIX PER SQ CM $5 6753539 VERSATAC $618 667062113 "VERTEBRA CATH/VERTEBRAL ANGIO, BI" "$10,709 " 667062112 "VERTEBRA CATH/VERTEBRAL ANGIO, UN" "$10,709 " 6753540 VESSEL GUARD "$1,802 " 685082809 VEST RAPR ROUND $81 4059433 VIBRIO CULTURE $466 700046029 VIBRIO SPECIES CULTURE $55 700046048 "VIRUS CULTURE, COMPREHENSIVE" $158 3655404 VIRUS ID BY NON-IMMUNOLOGIC $457 3655403 VIRUS ID SHELL VIAL TECHNIQUE $131 4059625 VIRUS ID TISSUE CULT INOCULATION $586 4059520 VIRUS NOT ELSEWHERE SPECIFIED $219 700040379 VISCOSITY - SERUM $91 4059330 VISCOSITY SERUM $74 730111377 VISIPAQUE/ML $6 780087142 VISUAL EVOKED POTENTIAL "$1,613 " 700043661 "VIT D 1,25-DIHYDROXY" $83 700043663 VIT.B12 UNSATURATED $53 4059355 VITAMIN A $41 4059355 VITAMIN A $483 4059027 VITAMIN B 12 $305 3655197 VITAMIN B1 $414 4059535 VITAMIN B-1 $414 700040381 VITAMIN B1 - THIAMINE $60 700043019 VITAMIN B12 $305 3655079 VITAMIN B-12 $305 3655185 VITAMIN B-2 (RIBOFLAVIN) $215 700040380 VITAMIN B2 RIBOFLAVIN $99 4059488 VITAMIN B3 (NIACIN) $148 3655182 VITAMIN B6 $828 700043053 VITAMIN B6 - PYRIDOXAL PHOSPHATE $167 4059279 "VITAMIN B6, PLASMA" $828 700040375 VITAMIN C - ASCORBIC ACID $59 3655043 VITAMIN C BLOOD $444 700040362 VITAMIN D TOTAL (25-OH) $391 4059552 "VITAMIN D,1,25 DIHYD" $734 3655203 VITAMIN E $47 3655203 VITAMIN E $423 4059369 VITAMIN K $264 700040453 "VITAMIN K LEVEL, BLOOD" $79 3655216 VITAMIN OTHER $148 700043280 VMA (24 H URINE) $76 700049434 VOLATILES (BLOOD) $42 700043324 VOLTAGE-GATED CALCIUM CHANNEL AB $214 3655026 VOLUME MEASUREMENT TIMED URINE $38 4059242 VON WILLEBRAND COLLAGEN BINDING $335 700044523 VON WILLEBRAND MULTIMER ANALYSIS $129 4059579 VONWILLEBRAND FACTOR ANTIGEN $216 3655242 VONWILLEBRAND FACTOR MULTIMETRIC "$1,121 " 4059300 VONWILLEBRAND(RISTOCETIN) FACTOR $181 4059127 VORICONAZOLE(VFEND) LEVEL $302 700040086 VRE $123 6753541 VULCAN PROBE ORATEC TAC "$1,414 " 690039774 W/C BLOOD ALCOHOL WITH MRO SVC $402 690031180 W/C BREATH ALCOHOL $65 690039775 W/C DOT WITH MRO SERVICE $187 690039779 W/C IDP6 W/MRO SERVICE $187 770053351 W/C MGT/PROPULSION- PT/ 15 $101 690051900 W/C SAP7 W/O MRO SERVICES $285 6753542 WAND ABLATION / SUCTION "$1,088 " 4059130 WARFARIN(COUMADIN) LEVEL $302 700047090 WASHED RBCLS "$1,152 " 674022207 WATCHMAN PROCEDURE "$35,784 " 674022208 WATCHMEN LAAC DEVICE "$18,400 " 685024600 WATER 500ML $208 723242541 WB BONE DENSITY $867 720011213 WB DXA W VERTEBRAL FRACT ASSESS $828 720011214 WB VERTEBRAL FRACT ASSESS VIA DXA $854 700045035 WBC & YEAST STAIN (FECES) $200 4059603 WBC COUNT AUTO $129 4059471 WBC FECES QL/SQ $64 4059445 WBC STOOL $200 6751871 WEDGE ENOPHTHALMOS LARGE LEFT "$2,146 " 6751872 WEDGE ENOPHTHALMOS LARGE RIGHT "$2,146 " 6751870 WEDGE ENOPHTHALMOS REG LEFT "$2,146 " 6751874 WEDGE ENOPHTHALMOS REG RIGHT "$2,146 " 797029030 WEDGE EXCISION NAIL BED $460 6753543 WEEK EUDOCLIP MULTI INSERT ECHO $487 797029057 WELCOME TO MEDICARE EXAM $323 816092671 WELL 180PEDS MNGMT FOLOW UP 15 M $34 816092670 WELL 180PEDS MNGMT INI EVAL 15 M $34 700042413 WESTERN BLOT - HIV CONFIRMATION $82 700042410 WESTERN EQUINE ENCEPHALITIS $105 796032047 WET MOUNT $46 4059103 WET PREP $46 4059103 WET PREP $198 772092175 WHEELCHAIR MANAGEMENT TRAIN OT/15 $101 6750747 WHFO RIGID W/O JOINTS CUSTOM "$1,355 " 6750707 WHFO W/NONTORSION JOINT PREFAB $80 6750746 WHFO W/NONTORSION JOINTS CUSTOM "$1,838 " 771088402 WHIRLPOOL THERAPY OT $179 771086435 WHIRLPOOL THERAPY OT/1 $179 771089016 WHIRLPOOL THERAPY PT $179 700040199 WHITE BLOOD COUNT $129 6750706 WHO COCKUP EXTNSN CONTROL PREFAB $118 6750748 WHO W/NONTORSION JOINTS CUSTOM "$4,014 " 6750749 WHO W/O JOINTS CUSTOM "$1,709 " 667069232 WIRELESS PRESSURE SENSOR "$32,000 " 771089053 WORK CONDITIONING-PT FIRST 2 HRS $501 700046006 WOUND AEROBIC CULTURE $597 777057013 WOUND CAUTERY-CHEMICAL $407 6753544 WOUND CLOSURE DEVICE-TISSUE XPNDR "$3,615 " 6751415 WOUND CLOSURE KIT $673 6750156 WOUND-AQUACEL RIBBON $40 6758924 "WOUND-GEL,MULTIDEX 3 FL OZ" $117 680151266 WRIST HAND ORTHOSIS $129 6750717 WRIST SUPPORT DORSAL PREFAB $171 6753546 XCM BIOLOGIC MATRIX PER SQ CM $223 6751868 XEN GEL EYE STENT "$7,120 " 730117659 XOPENEX 0.63 MG $29 730117658 XOPENEX 1.25 MG $35 730102671 XOPENEX MDI $24 6751532 XPS LASER FIBER "$4,116 " 6758764 XR 60 B $327 720075099 "XR ABDOM FLAT & UPRIGHT, W/CHEST" $543 720078340 XR ABDOM OBSTRUCT SERIES W/CHEST $543 720011459 "XR ABDOMEN, 2 VIEWS" $554 720011460 "XR ABDOMEN, 3 OR MORE VIEWS" $634 720011455 "XR ABDOMEN, DECUBITUS." $473 720011456 "XR ABDOMEN, LATERAL ONLY." $473 720075052 XR AC JOINTS BIL W OR W/O WEIGHTS $492 720075839 XR ANKLE BILATERAL 2 VIEWS $684 720075837 XR ANKLE LEFT 2 VIEWS $440 720075838 XR ANKLE RIGHT 2 VIEWS $440 720076661 XR ANKLE SERIES BILAT 3 + VIEWS $742 720075046 XR ANKLE SERIES LEFT 3 + VIEWS $573 720075764 XR ANKLE SERIES RIGHT 3 + VIEWS $573 720010341 XR ARTHROGRAM ANKLE SI RIGHT $434 720010342 XR ARTHROGRAM ELBOW SI RIGHT $414 720010343 XR ARTHROGRAM HIP SI RIGHT $440 720010334 XR ARTHROGRAM INJECT ELBOW RT "$1,045 " 720010333 XR ARTHROGRAM INJECT SHOULDER LT "$1,045 " 720010330 XR ARTHROGRAM INJECTION ANKLE RT "$1,045 " 720010332 XR ARTHROGRAM INJECTION HIP RIGHT "$1,045 " 720010329 XR ARTHROGRAM INJECTION WRIST LT "$1,148 " 720010344 XR ARTHROGRAM KNEE SI RIGHT $568 720010345 XR ARTHROGRAM SHOULDER SI RIGHT $550 720010346 XR ARTHROGRAM WRIST SI RIGHT $895 720075977 XR BIOPSY TISSUE MARKER $482 720075128 XR BONE AGE $360 720075050 XR BONE LENGTH SCANOGRAM $509 720078055 "XR C SPINE AP,LAT,FLEX & EXT" $813 720075024 "XR CERVICAL SPINE, 1VIEW" $440 720075019 "XR CERVICAL SPINE, AP&LATERAL" $578 720075021 "XR CERVICAL SPINE, FLEX & EXT ONL" $578 720075020 "XR CERVICAL SPINE, W/OBL (ROUTINE" $813 720011595 XR CHEST DECUBITUS BIL NSY PORT $618 720011598 XR CHEST DECUBITUS BILATERAL $618 720011599 XR CHEST DECUBITUS LEFT $486 720011596 XR CHEST DECUBITUS LEFT NSY PORT $486 720011597 XR CHEST DECUBITUS RIGHT NSY PORT $486 720011468 XR CHEST PA&LAT(ROUTIN)631 ONLY- $618 720011466 XR CHEST PA/LAT HEALTH DEPT- $618 720010328 XR CHEST PORTABLE 1 VIEW $486 720075824 XR CHEST W/RIBS BILATERAL 3 VIEWS $574 720075112 XR CHEST W/RIBS BILATERAL MIN 4 V $668 720075822 XR CHEST W/RIBS UNI LT 2 VIEWS $506 720075111 XR CHEST W/RIBS UNI LT MINIMUM 3 $574 720075823 XR CHEST W/RIBS UNI RT 2 VIEWS $506 720075975 XR CHEST W/RIBS UNI RT MINIMUM 3 $574 720011464 "XR CHEST, AP OR PA 631 ONLY." $486 720011461 "XR CHEST, AP OR PA ONLY." $486 720011467 "XR CHEST, CAP ALERT PA&LAT-" $618 720011526 "XR CHEST, DECUBITUS - BOTH." $618 720011525 "XR CHEST, DECUBITUS." $486 720011470 "XR CHEST, FOUR OR MORE VIEWS" $755 720011465 "XR CHEST, PA & LAT (ROUTINE)-" $618 720011469 "XR CHEST, THREE VIEWS" $689 720075995 XR CLAVICLE BILAT $684 720075051 XR CLAVICLE LEFT $376 720075752 XR CLAVICLE RIGHT $376 720011612 XR CONTRAST INJ KNEE ARTHROGRAM $949 720078344 XR C-SPINE COMPLETE W FLEX & EXT $602 720075841 XR ELBOW BILATERAL 2 VIEWS $700 720075840 XR ELBOW BILATERAL 3 VIEWS $742 720075844 XR ELBOW LEFT 2 VIEWS $440 720075058 XR ELBOW LEFT MINIMUM 3 VIEWS $573 720075843 XR ELBOW RIGHT 2 VIEWS $440 720075744 XR ELBOW RIGHT MINIMUM 3 VIEWS $573 720075202 XR ESOPHAGRAM (ER ONLY) $639 720075003 XR FACIAL BONES COMPLETE MIN 3 VI $644 720011352 XR FEMUR BILAT 1 VIEW $825 720011353 XR FEMUR BILAT MIN 2 VIEW $907 720011348 XR FEMUR LEFT 1 VIEW $550 720011350 XR FEMUR LEFT MIN 2 VIEWS $605 720011349 XR FEMUR RIGHT 1 VIEW $550 720011351 XR FEMUR RIGHT MIN 2 VIEWS $605 720076653 XR FINGER BILATERAL $567 720075062 XR FINGER LEFT $378 720075732 XR FINGER RIGHT $378 720010340 XR FLUORO FB REMOVAL $789 720011592 XR FLUOROSCOPY MISC $789 720076662 XR FOOT AP & LAT ONLY BIL $547 720076663 XR FOOT SERIES BILATERAL 3 + VIEW $742 720075047 XR FOOT SERIES LEFT 3 + VIEWS $496 720075758 XR FOOT SERIES RIGHT 3 + VIEWS $496 720075048 "XR FOOT, AP & LAT ONLY LEFT" $412 720075760 "XR FOOT, AP & LAT ONLY RIGHT" $412 720076647 XR FOREARM BILATERAL $637 720075057 XR FOREARM LEFT $454 720075742 XR FOREARM RIGHT $454 720076651 XR HAND AP & LAT ONLY BIL $608 720076652 XR HAND SERIES (ROUT)BIL $684 720075063 XR HAND SERIES (ROUTINE) LEFT $528 720075734 XR HAND SERIES (ROUTINE) RIGHT $528 720075064 "XR HAND, PA & LATERAL ONLY LEFT" $412 720075736 "XR HAND, PA & LATERAL ONLY RIGHT" $412 720011463 XR HEALTH DEPT. CHEST PA. $486 720076664 XR HEEL OS CALCIS BILATERAL 2+VIE $696 720075045 "XR HEEL, OS CALCIS LEFT 2 VIEWS" $345 720075762 "XR HEEL, OS CALCIS RIGHT 2 VIEWS" $345 720010320 XR HIP 1 VIEW LEFT $454 720010319 XR HIP 1 VIEW RIGHT $454 720010321 XR HIP 2-3 VIEWS LEFT $518 720010322 XR HIP 2-3 VIEWS RIGHT $518 720010323 XR HIP 4+ VIEWS LEFT $570 720010324 XR HIP 4+ VIEWS RIGHT $570 720011345 XR HIP BILAT W PELVIS 1 VIEW $570 720011344 XR HIP BILAT W PELVIS 2 VWS EA+AP $570 720011346 XR HIP BILAT W PELVIS 3-4 VIEWS $604 720011347 XR HIP BILAT W PELVIS MIN 5 VIEW $754 720011336 XR HIP W PELVIS IN OR LT $454 720011337 XR HIP W PELVIS IN OR RT $454 720011339 XR HIP W PELVIS LEFT 1 VIEW $454 720011340 XR HIP W PELVIS LEFT 2-3 VIEW $518 720011342 XR HIP W PELVIS LEFT MIN 4 VIEW $570 720011338 XR HIP W PELVIS RIGHT 1 VIEW $454 720011341 XR HIP W PELVIS RIGHT 2-3 VIEW $518 720011343 XR HIP W PELVIS RIGHT MIN 4 VIEW $570 720010325 XR HIPS 2 VIEWS BILAT $570 720010326 XR HIPS 3-4 VIEWS BILAT $604 720010327 XR HIPS 5+ VIEWS W/AP PELVIS BIL $754 720075999 XR HUMERUS BILAT $637 720075056 XR HUMERUS LEFT $485 720075746 XR HUMERUS RIGHT $485 720076676 XR INSERTION OF FOLEY CATHETER $484 720075065 "XR JOINT SURVEY 1 VIEW, 2 + JOINT" $374 720011590 XR JOINT/BURSA SMALL ASP/INJ RT $776 720010349 XR KNEE 3 VIEWS BILATERAL $988 720010347 XR KNEE 3 VIEWS LEFT $636 720010348 XR KNEE 3 VIEWS RIGHT $636 720076656 XR KNEE BILAT AP AND LAT ONLY $700 720075853 XR KNEE W/OBLIQUES BILATERAL 4+VI "$1,138 " 720075041 XR KNEE W/OBLIQUES LEFT 4 + VIEWS $695 720075770 XR KNEE W/OBLIQUES RIGHT 4 + VIEW $695 720075040 "XR KNEE, AP & LATERAL ONLY LEFT" $475 720075768 "XR KNEE, AP AND LATERAL ONLY RIG" $475 720075836 "XR KNEES BOTH STANDING,AP WT BEAR" $235 720011457 "XR KUB, TUBE PLACEMENT." $473 720011454 XR KUB. $473 720078336 XR LUMBAR SPINE MINIMUM 4 VIEWS $674 720075025 "XR LUMBAR SPINE, 1 VIEW" $440 720075026 "XR LUMBAR SPINE, AP & LATERAL" $526 720075028 "XR LUMBAR SPINE, BENDING VIEWS ON" $674 720075027 "XR LUMBAR SPINE, W/BENDING VIEWS" $777 720075008 XR MANDIBLE $568 720075012 XR MASTOIDS CMPLETE MIN 3 VWS PER $705 720075147 XR METASTATIC SURVEY $826 720075007 XR NASAL BONES $507 720075159 XR ORBIT FOR MRI CLEARANCE $234 720075845 XR ORBITS COMPLETE 4 VIEWS $644 720075010 XR PANOREX MANDIBLE/FACIAL $252 720075835 XR PATELLA BILATERAL 3 VIEWS $988 720075833 XR PATELLA LEFT 3 VIEWS $636 720075834 XR PATELLA RIGHT 3 VIEWS $636 72002914 XR PEDIOGRAM FOR FB $470 720078003 XR PELVIS 3+VIEWS $585 720075036 XR PELVIS A.P. $449 720010337 XR PELVIS AP PORTABLE $449 720075994 XR SACRO-ILIAC JOINTS BIL 3 + VIE $502 720075826 XR SACROILLIAC JOINTS < 3 VIEWS $372 720075032 XR SACRUM AND/OR COCCYX $520 720075996 XR SCAPULA BILAT $742 720075053 XR SCAPULA LEFT $376 720075754 XR SCAPULA RIGHT $376 720011332 "XR SCOLIOSIS SERIES, 1 VW" $378 720011333 "XR SCOLIOSIS SERIES, 2/3 VW" $446 720075997 XR SHOULDER AP ONLY BILAT $547 720075827 XR SHOULDER BILATERAL 2 OR MORE V $742 720075054 XR SHOULDER LEFT 2 OR MORE VIEWS $610 720075748 XR SHOULDER RIGHT 2 OR MORE VIEWS $610 720075750 "XR SHOULDER, AP ONLY RIGHT" $419 720075055 "XR SHOULDER, AP ONLY, LEFT" $419 720011458 XR SHUNT-1 FILM-AP ABD/PELVIS. $473 720011462 XR SHUNT-1 FILM-AP CHEST/ABD. $486 720075247 XR SHUNT-1 FILM-AP HEAD & NECK $566 720075006 XR SINUS SERIES COMPLETE MIN 3 VI $585 720075150 XR SKELETAL SURVEY LESS THAN 1 YR $380 720060002 XR SKELETAL SURVEY MORE THAN 1 YR $826 720075001 XR SKULL - 2 VIEWS $566 720075000 XR SKULL SERIES (ROUTINE) $772 720010338 XR SMALL BOWEL W/GASTROGRAFIN "$1,041 " 720075015 XR SOFT TISSUE NECK $315 720075148 XR SPECIMEN (NON-BREAST) "$1,275 " 720076491 XR SPINE 1 VIEW $440 720075120 XR STERNO-CLAVICULAR JOINTS $425 720075119 XR STERNUM $376 720075011 XR TEMP-MANDIBLE-JOINT-LEFT $551 720075022 XR THORACIC SPINE 2 VIEWS $530 720075023 XR THORACIC SPINE 3 VIEWS $637 720075825 XR THORACIC SPINE 4 VIEWS $742 720011354 XR THORACOLUMBAR JUNCTION 2 VIEWS $639 720076660 XR TIBIA AND FIBULA BILAT $742 720075044 XR TIBIA AND FIBULA LEFT $485 720075766 XR TIBIA AND FIBULA RIGHT $485 720010335 XR TMJ OPEN AND CLOSED RIGHT $551 720076665 XR TOE(S) BILATERAL 2 + VIEWS $301 720075756 XR TOE(S) RIGHT 2 + VIEWS $301 720075049 XR TOE(S)LEFT 2 + VIEWS $301 720010350 XR UPPER GI "$1,131 " 720075002 XR WATERS & CALDWELL LESS THAN 3 $488 720076648 XR WRIST AP & LAT ONLY BIL $608 720076650 XR WRIST W/OBLIQS(ROUT-BIL $684 720075060 "XR WRIST, AP & LATERAL ONLY LEFT" $412 720075737 "XR WRIST, AP & LATERAL ONLY RIGHT" $412 720075059 "XR WRIST, W/OBLIQUES (ROUTINE) LE" $518 720075740 "XR WRIST, W/OBLIQUES (ROUTINE) RI" $518 720075004 XR ZYGOMATIC ARCH $644 720075570 XR-TMJ OPEN & CLOSED MOUTH BILAT $582 6753547 XSTOP DECOMPRESSION IMP "$30,466 " 700043102 XYLOSE ABSORPTION $85 6757659 YAG BARE FIBER "$1,596 " 6757656 YAG ROUND PROBE "$1,413 " 700044037 YEAST INDENTIFICATION $89 700040460 ZERBAXA ETEST $60 3655218 ZINC $359 700040383 ZINC (24 H URINE) $147 4059293 ZINC URINE 24HR $336 4059294 "ZINC, SERUM" $359 700040382 ZINC-SERUM $147 6753372 ZIPWIRE 150 X .25 $201 700040089 ZONISAMIDE $44