Northside Hospital Price Transparency File FY20 Charge Code Charge Description Charge 4059247 14-3-3 PROTEIN CSF $291 6580548 17 G 4.5 TOUHY NEEDLE $134 7025144 17OH PROGESTERONE $524 4059152 25-OH VITAMIN D-3 $391 10720076 3D DX MAMMO BILATERAL $294 10720078 3D DX MAMMO UNI OR BIL $294 7256037 3-DIMENSIONAL SIMULATION "$13,794 " 7025604 5 HIAA URINE 24HR $344 3655118 5-HIAA $106 4059205 5HIAA URINE RANDOM $106 6245021 624 EXTENDED RECOVERY $737 6480703 648 EXTENDED RECOVERY $737 8223000 A/AMNIO PNDX "$1,046 " 8223001 A/AMNIO PNDX U/S GUIDANCE $907 8222599 A/CAPILLARY STICK $30 8223003 A/CHORIONIC VILLUS SAMP U/S GUID $699 8223002 A/CHORIONIC VILLUS SAMPLING. "$1,784 " 8222061 A/CP OB U/S 2ND FETUS(1ST TRIMEST $813 8222062 A/CP OB U/S 3RD FETUS(1ST TRIMEST $813 8222063 A/CP OB U/S 4TH FETUS(1ST TRIMEST $813 8222026 A/CP OB U/S SINGLE(1ST TRIMESTER) "$1,086 " 8222114 A/DETAILED OB U/S 2ND FETUS "$1,059 " 8222040 A/DETAILED OB US-SINGLE "$1,423 " 8222046 A/DOPPLER ECHO FETAL-FOLLOW-UP $554 8222030 A/DOPPLER ECHO FETAL-NEW "$1,009 " 8222612 A/DUCTUS VENOSIS/ARTERIOSUS "$1,301 " 8222029 A/FETAL BIOPHY /NST-SINGLE "$1,242 " 8222081 A/FETAL BIOPHY SINGLE "$1,096 " 8222094 A/FETAL BIOPHY W/NST-2ND FETUS "$1,000 " 8222080 A/FETAL BIOPHY-2ND FETUS $854 8222083 A/FETAL BIOPHY-3RD FETUS $854 8222614 A/FETAL COLOR FLOW MAPPING $919 8222616 A/FETAL ECHO - FOLLOW-UP "$1,072 " 8222615 A/FETAL ECHO - NEW "$1,943 " 8222610 A/FETAL UMB ARTERY US $797 8222149 A/INJECTION SQ OR IM $215 8222043 A/LIMITED OB U/S ONE OR MORE $910 8222613 A/MIDDLE CEREBRAL ARTERY $755 8222039 A/NON STRESS TEST PDC $660 8221034 A/NUCHAL TRANS/ADD'L FETUS $611 8221033 A/NUCHAL TRANS/SINGLE $797 8222041 A/PELVIC ULTRASOUND "$1,259 " 8222133 A/TFA F/U US - 3RD FETUS $894 8222130 A/TFA F/U US- 2ND FETUS $894 8222044 A/TFA F/U US- SINGLE "$1,140 " 8222048 A/TFA OB U/S 2ND FETUS - NEW "$1,178 " 8222025 A/TFA OB U/S SINGLE - NEW "$1,303 " 8222146 A/TRANSVAGINAL SCAN- OB "$1,106 " 8222611 A/UTERINE ARTERY WITH DOP "$1,301 " 10724401 ABD PARACENTESIS W GUIDE "$2,265 " 7361099 ABG ANALYSIS PH ONLY $240 7361036 ABG-ARTERIAL BLOOD GAS $324 4059638 ABL1 GENE ANALYSIS "$1,233 " 7133262 ABLATE ADDL ARRHYTHMIA "$15,913 " 7133264 ABLATE ADDL R OR L A-FIB "$15,189 " 10725556 ABLATION BONE TUMOR W/CRYO "$14,402 " 10726177 ABLATION BONE TUMOR W/RF "$14,813 " 10725182 ABLATION CRYO PERC LIVER "$13,027 " 6751258 ABLATION DEVICE "$5,231 " 10720037 ABLATION MICROWAVE LIVER "$1,000 " 10725187 ABLATION PROBE "$5,904 " 10725185 ABLATION RF PERC LIVER "$13,399 " 3655374 ABO TYPE $132 7564619 ABR FULL HEARING DIAG "$1,571 " 6994619 ABR FULL HEARING DIAGNOSTIC "$1,571 " 7174621 ABR SCREEN UNIVERSAL $478 7080842 "ABS THER APHERESIS, LEUKOCYTE" "$6,455 " 7080844 "ABS THER APHERESIS, PLATELET" "$6,455 " 7080843 "ABS THER APHERESIS, RED CELL" "$6,455 " 7080773 "ABS THER APHERESIS, TPX PLASMA" "$6,455 " 3655323 ABSOLUTE CD4 COUNT $189 7020637 ABSORPTION STUDY $554 6609718 ACCUFLEX CANNULA $123 6751425 ACCUTEMP BIPOLAR $34 6751488 ACELL PERICARD MATRX IMPL LVL IV "$15,746 " 7021801 ACETYLCHOL. RECEPT BIND. AB RIA $282 7021802 ACETYLCHOL. RECEPT MODUL. AB RIA $282 7021803 ACETYLCHOL. RECEPT. BLOCK AB RIA $358 3653145 ACETYLCHOLINE RECEP $566 7025293 ACETYLCHOLINE RECEPTOR AB $358 3655028 ACETYLCHOLINESTERASE $393 7021490 ACH RECEPTOR GANGLIONIC AB $269 6751497 ACHILLES TENDON/LIGAMENT "$11,506 " 6994652 ACOUSTIC REFLEX DECAY & THRESHOLD $320 4059137 ACTH $354 3655021 ACTH STIMULATION PANEL ADRENAL $336 3655256 ACTIVATED PROTEIN C RESISTANCE $600 6751498 ACUCIZE CATH "$6,827 " 4059503 ACUTE HEPATITIS PANEL $747 3655005 ACUTE HEPATITIS PROFILE $747 7025940 ACYLCARNITINE QUANT $354 7021868 ADALIMUMAB DRUG LEVEL $942 3658024 ADAMTS 13 ACTIVITY $698 4059250 ADAMTS 13 ANTIBODY $763 7028025 ADAMTS 13 INHIBITOR $576 6756081 ADAPT/EXT PACING/NEURO LEAD "$1,300 " 7025163 ADENOVIRUS PCR QUANT "$1,174 " 6751464 ADHESION BARRIER LVL 1 "$1,241 " 6751463 ADHESION BARRIER LVL 2 "$2,329 " 6753594 ADHESION BARRIER LVL 3 "$5,339 " 10720124 ADJ LAP BAND VIA SQ PORT "$1,190 " 3631046 ADMIN FLU VACCINE $46 4031119 ADMIN HEPATITIS B VACCINE $46 6781161 ADMIN IMMUNIZ/ TOXOID SQ OR IM $111 3631010 ADMIN IMMUNIZ/TOXOID SQ OR IM $111 4031066 ADMIN IMMUNIZ/TOXOID SQ OR IM ADD $46 3631047 ADMIN PNEUMOCOCCAL VACCINE $46 6751617 AEROFORM TISSUE EXPANDER "$8,073 " 7361018 AEROSOL TX $549 7021739 AFB ID BY NUCLEIC ACID PROBE $487 7021740 AFB ID BY OTHER METHODS $487 7027186 AFB M TB PCR WITH CULTURE REFLEX $539 6750713 AFO ANKLE/FOOT STATIC PREFAB $569 7021000 AFP $139 7026256 AFP MATERNAL SERUM $506 3655035 AFP SERUM $139 4059015 AFP TUMOR MARKER $442 3655036 AFP-L3 FRAC ISOFORM AND TOTAL $334 3655636 "AG DETECTION NOS, EACH ORGANISM" $242 7022276 AG TYPING DONOR EA ANTIGEN $75 6751529 AGEE BLADE SYSTEM "$1,218 " 6754749 AHMED GLAUCOMA VALVE PLATE "$2,994 " 6753674 AICD OTHER THAN SING/DUAL "$58,200 " 7110233 "AICD, SINGLE CHAMBER SUBQ" "$77,792 " 7284624 AIR CONDUCTION $151 7025951 ALBUMIN BODY FLUID $189 4059012 ALBUMIN SERUM $133 3655030 ALBUMIN SERUM/PLASMA/BLD $133 6754703 ALCON KNIFE BLADES $161 6758888 ALCON SILICON OIL 1000 "$2,099 " 4059013 ALDOLASE $237 4059140 ALDOSTERONE $597 4059141 ALDOSTERONE URINE 24HR $597 6751538 ALGRFT HUMAN AMNION IMPLANT LVL 2 "$9,417 " 7020808 ALIQUOT PREPARATION $153 4059271 ALKALINE PHOS ISOENZYME $342 4059046 ALKALINE PHOSPHATASE $60 7026809 ALLERGEN IGG QUANT OR SEMIQUANT $171 7080845 ALLO/MUD PBSC PLASMA DEPLETE "$5,996 " 7080782 ALLO/MUD PBSC/BM PROC W/O CRYO "$12,448 " 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 " 7080825 ALLOGENEIC PBSC COLLECTION "$9,370 " 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 " 6753602 ALLOGRAFT BONE LVL 1 "$2,000 " 6753603 ALLOGRAFT BONE LVL 2 "$5,000 " 6753604 ALLOGRAFT BONE LVL 3 "$7,900 " 6753605 ALLOGRAFT BONE LVL 4 "$10,700 " 6753606 ALLOGRAFT BONE LVL 5 "$15,900 " 6753607 ALLOGRAFT BONE LVL 6 "$25,500 " 6751599 ALLOGRAFT LIQUID HUMAN AMNION "$16,232 " 7026239 ALPHA-1 ANTITRYPSIN $132 4059518 ALPHA-1 ANTITRYPSIN TOTAL $132 7025533 ALPHA-1-ANTITRYPSIN PHENO $95 4059594 ALPHA-1-ANTITRYPSIN PHENOTYPE $95 4059209 ALPHA-2-ANTIPLASMIN $45 3655205 ALT/SGPT $64 7029305 ALT/SGPT SERUM $64 7125914 AMBULATORY B/P MONITOR RECORD $364 7125916 AMBULATORY BP MONITOR SCANNING $307 7028576 AMIKACIN(AMIKIN) PEAK $532 7028580 AMIKACIN(AMIKIN) RANDOM $532 7028226 AMIKACIN(AMIKIN) TROUGH $532 7026681 AMINO ACID QUANT URINE "$1,953 " 3655037 AMINO ACID SGL QN $542 7026679 AMINO ACIDS 6+ QUANT BLOOD "$1,953 " 4059132 AMIODARONE(PACERONE) LEVEL $302 3655039 AMMONIA $276 6706953 AMNIO IN L&D "$1,295 " 6523000 AMNIO PNDX "$1,046 " 6523001 AMNIO PNDX U/S GUIDANCE $907 7028023 AMNIOTEST $76 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 " 7026529 AMOEBIC ANTIBODY $400 7021486 AMPHIPHYSIN ANTIBODY $86 6757442 AMPLATZ DILATOR SET "$1,427 " 3655040 AMYLASE $232 4059145 AMYLASE 2HR URINE $232 7028614 AMYLASE BODY FLUID $232 4059146 AMYLASE CLEARANCE $473 4059143 AMYLASE FLUID $232 4059144 AMYLASE ISOENZYMES $232 7025736 "AMYLASE ISOENZYMES," $232 10729941 AMYVID DOSE UP TO 10MCI "$12,445 " 3655288 ANA SCREEN $336 3655289 ANA TITER $311 7022120 ANALY B CELL REARRANGE IGK "$1,602 " 6962040 ANALY CHIMERISM W/O CELL SELECT "$1,342 " 7052021 ANALY GENE BRAF "$1,829 " 7022022 ANALY GENE CFTR COMMON VARIANTS "$1,864 " 3655442 ANALY GENE CYP2C9 COMMON VARIANTS "$1,448 " 3656648 ANALY GENE EGFR "$3,273 " 3652025 ANALY GENE F2 20210G>A VARIANT "$1,121 " 3652026 ANALY GENE F5 LEIDEN VARIANT "$1,121 " 7022030 ANALY GENE FLT3 ITD VARIANT "$2,816 " 7022029 ANALY GENE FMR1 CHARACTER ALLELE "$1,524 " 7022027 ANALY GENE FMR1 DETECT ABN ALLELE "$1,524 " 3652032 ANALY GENE HFE COMMON VARIANTS "$1,044 " 3652045 ANALY GENE JAK2 V617F VARIANT "$1,114 " 7052048 ANALY GENE KRAS 12 & 13 "$1,277 " 3652049 ANALY GENE MTHFR COMMON VARIANTS "$1,465 " 4059491 ANALY GENE NPM1 EXON 12 VARIANTS "$1,923 " 3652033 ANALY GENE REARRANG IGH AMPLIFIED "$1,516 " 7022058 ANALY GENE REARRANG TRB AMPLIFIED $759 7022104 ANALY GENE REARRANG TRG $722 3652096 ANALY GENE REARRANG TRG AMPLIFIED $722 3655462 ANALY GENE REARRNG TRB AMPLIFIED $759 7022054 ANALY GENE SNRPN/UBE3A METHYLATN "$3,098 " 6962039 ANALY GENE STR EA ADDL MARKER "$2,279 " 6962035 ANALY GENE STR MARKERS "$4,558 " 4059214 ANALY GENE UGT1A1 COMMON VARNTS "$2,816 " 3652095 ANALY GENE VKORC1 VARIANT "$2,208 " 7022053 ANALY PML/RAR COMMON BREAKPOINTS "$1,991 " 3655452 ANALY VARI REG SOMATIC MUTATN IGH "$6,363 " 6962110 ANALYSIS GENE NPM1 EXON 12 VAR "$1,923 " 3652016 ANALYSIS TRANS BCR/ABL1 MAJOR $721 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 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 " 6751586 ANCHOR LVL XII "$25,040 " 6757739 ANCHORPORT MULTI CANNULA $734 6757738 ANCHORPORT SINGLE CANNULA $292 6705000 ANESTH GENERAL L&D "$1,116 " 7351290 ANESTHESIA 1ST 15 MINUTES "$1,075 " 7351291 ANESTHESIA EA ADDITIONAL 15 MIN $384 6308167 ANGIOCATH 8167 $141 7025857 ANGIOTENSIN 1 CONVERT ENZYME CSF $416 3655041 ANGIOTENSIN 1 CONVERTING ENZYME $416 6756165 ANKLE CONTRACTURE BOOT $317 6751404 ANKLE CRYO CUFF $240 6580286 ANLY IMPLANT PUMP W REFILL "$1,014 " 6587290 ANLY IMPLANT PUMP W REPRO "$1,014 " 6587291 ANLY IMPLANT PUMP W REPRO/REFILL "$1,920 " 6587289 ANLY IMPLANT PUMP WO REPRO/REFILL "$1,002 " 6587293 ANLY IMPLNT PUMP W/MD REPRO/REFIL "$1,920 " 4031121 ANNUAL WELLNESS VISIT SUBSEQ $269 7030068 ANORECTAL MANOMETRY "$4,083 " 4059233 ANTI ALPHA OMPC ELISA IGA SPEC $291 7025446 ANTI CENTROMERE ANTIBODY $229 4059236 ANTI CHIMERIC AB (HACA) $677 7026756 ANTI DNA DOUBLE STRAND $213 7025257 ANTI DNA SINGLE STRAND $277 7025253 ANTI DNASE B TITER $421 7021010 ANTI GLIADIN IGA $126 7025738 ANTI GLOMERULAR ANTIBODY $510 7022438 ANTI GRANULOCYTE ANTIBODY $139 4059575 ANTI ISLET CELL ANTIBODY $337 7027136 ANTI JO-1 $91 4059387 ANTI MICROSOMAL ANTIBODIES/A $258 7025131 ANTI MULLERIAN HORMONE $572 7026686 ANTI NEUTROPHIL CYTOPLASM AB $468 7026215 ANTI PCNA ANTIBODY $468 7026217 ANTI RIBOSOMAL ANTIBODY $166 7026758 ANTI RNP ANTIBODY $213 7026213 ANTI SCLERODERMA ANTIBODY $464 4059365 ANTI SMITH ANTIBODY $213 7026318 ANTI SMOOTH MUSCLE AB $387 7026216 ANTI STRIATIONAL ANTIBODY $538 4059420 ANTI THYROGLOBULIN ANTIBODY $359 4059318 ANTI XA $396 7025618 ANTI-A ISOAGGLUTININ $547 7025619 ANTI-B ISOAGGLUTININ $547 4059499 ANTIB RUBELLA $164 3653149 ANTIBODY HELMINTH $252 7020327 ANTIBODY ID EACH SELECTED CELL $275 4059583 ANTIBODY IDENTIFICATION $559 4059650 ANTIBODY SARS-COV-2 COVID-19 $219 7022400 ANTIBODY TITRATION $487 3653148 ANTIBODY WESTERN BLOT $532 3656642 ANTIDIURETIC HORMONE $340 4059334 ANTINUCLEAR ANTIBODIES $336 3655295 ANTI-PHOSPHATIDYLSERINE ANTIBODY $139 3655290 ANTISTREPTOLYSIN O TITER $134 3655250 ANTITHROMBIN III ACTIVITY $473 3655251 ANTITHROMBIN III ANTIGEN $441 7020770 APHERESIS PLASMA FROZEN 8-24 $286 6992781 APLY MLC DEVICE BELOW KNEE PT $338 7148312 APNEA SLEEP STUDY "$2,776 " 4059618 "APOLIPOPROTEIN, EACH" $146 3631056 APP ON-BODY INJ W/CANNULA FOR SQ $215 6751622 APPLIER RAPIDPORT EZ PORT $931 7028796 APT FETAL BLOOD ID $237 10726879 AQMBF PET REST & RX STRESS "$1,104 " 7372701 AQTC THER W/THER EX EA 15 M $189 6992701 AQTC THER W/THER EX EA 15 M PT $189 7020883 ARC MOLECULAR TYPE OR HIST/EA AG $228 6751628 ARGON LASER PROBE "$1,095 " 6751417 ARGYLE CAROTID SHUNT $101 6751643 ARM ELEVATOR SLING $43 6608721 ARM SLING $32 6754691 ARMSTRONG TUBE $130 6580543 ARROW EPIDURAL CATHETER $144 3655042 ARSENIC $613 7026687 ARSENIC BLOOD $613 4059254 ARSENIC URINE $217 6756144 ART LINE KIT AK4021 $118 6026030 ARTERIAL LINE INSERTION "$3,959 " 6751629 ARTHREX ACL KIT "$1,508 " 6751818 ARTHREX KIT RETROFUSION "$1,580 " 6751630 ARTHROFLEX IMPLANT "$13,843 " 6751631 ARTHROFLEX PER SQ CM $314 6751632 ARTHROTEK CANNULA $200 7380201 ARTIFICAL KIDNEY(FILTER) $287 7021527 ASCA ELISA IGA SPECIFIC $291 4059231 ASCA ELISA IGG SPECIFIC $291 7022841 ASO STREP TITER $245 6608717 ASPEN CERVICAL COLLAR $226 7021795 ASPERGILLUS ANTIBODY $130 3655332 ASPERGILLUS FUMIGATUS ANTIBODY $130 7026031 ASPERGILLUS GALACTOMANAN ANTIGEN $354 7021779 ASPERGILLUS PCR AMPLIFIED PROBE $394 10727061 ASPIR PERQ INTERDISCAL DX "$1,541 " 4031128 ASPIRATION BONE MARROW ONLY "$1,073 " 10726107 ASPIRATION CYST BREAST EA ADDL $415 10726106 ASPIRATION CYST BREAST INIT $832 10725219 ASPIRATION CYST RENAL "$2,443 " 6753407 ASPIRATION NEEDLE BIOPSY $46 4059478 ASSAY OF CITRATE $775 4059612 ASSAY OF GLUCOSIDASE BETA $84 7173607 ASSESSMENT OF APHASIA PER HR $882 6993607 ASSESSMENT OF APHASIA PER HR SP $882 3655204 AST/SGOT $64 7028736 AST/SGOT SERUM $64 6753992 ASTIGMATISM CORRECTING LENS "$2,663 " 7865096 ASV PURCHASE "$9,116 " 7865099 ASV REPLACEMENT "$9,116 " 6994614 AUDIO EVALUATION $432 7080744 AUTOLOGOUS PBSC COLLECTION "$9,370 " 7022431 AUTOLOGOUS UNIT PROCESS & STORAGE "$1,044 " 4059622 AUTOMATED RPR TITER $321 6757636 AXIOM DRAINS $168 6753645 AXOLOTL AMBIENT/CRYO 0.1 MG $1 10720135 AXUMIN F-18 FLUCICLOVINE 1MCI "$1,421 " 4059261 B TYPE NATRIURETIC PEPTIDE $459 6580214 "B/D 25 G 3 1/2""" $27 3655333 BACTERIUM NOT SPECIFIED ANTIBODY $131 6751268 BACTISEAL EVD CATHETER "$2,567 " 10729183 BALLOON DILATE URTRL STRI "$2,625 " 6751273 BALLOON EUS ENDOSCOPIC $72 6751517 BALLOON INTRAGASTRIC $675 6751649 BARD UROLOGIST TRAY $974 4059554 BARTONELLA ANTIBODY $104 7021950 BARTONELLA HENSELAE IGG $104 7028039 "BARTONELLA PCR,BLOOD" $542 7256036 BASIC DOSIMETRY "$1,310 " 3655000 BASIC METABOLIC TOTAL PANEL $332 6994650 BASIC VESTIBULAR EVALUATION W/REC $589 6751650 BASKET MICROVASIVE ZERO TIP "$1,572 " 6753347 BASKET ZERO TIP KNOT 3.0X4X90 $653 6750052 BASKET/NET FOREIGN BODY RETREIVAL $466 6751651 BECKER EDMS DRAINAGE $755 7505253 BEHAVIORAL ASSESMMENT PER 15MIN $84 4059133 BENZTROPINE(COGENTIN) LEVEL $302 7025472 BERYLLIUM URINE 24HR $812 3655293 BETA 2 GLYCOPROTEIN I ANTIBODY EA $201 4059339 BETA 2 GPI AB IGA $201 7021786 BETA 2 GPI AB IGG $201 7021787 BETA 2 GPI AB IGM $201 3655044 BETA 2 MICROGLOBULIN $554 3655638 BETA LACTAMASE ENZYME DETECTION $44 4059312 BETHESDA UNITS $101 7162614 BFB TRAINING 1ST 15 MIN $450 7561712 BFB TRAINING 1ST 15 MIN PT $450 10511713 BFB TRAINING EA ADDL 15 MIN $450 7561713 BFB TRAINING EA ADDL 15 MIN PT $450 3955063 BI- PAP PURCHASE- USED "$3,154 " 7130001 BI VENTRICULAR ICD "$110,184 " 7025522 BILE ACIDS TOTAL & FRACTIONATED $547 6022501 BILICHECK TRANSCUTANEOUS $66 3655046 BILIRUBIN DIRECT $137 3655045 BILIRUBIN TOTAL $131 7028611 BILIRUBIN TOTAL & FRACTIONATED $131 7029399 BILIRUBIN TOTAL CORD BLOOD $182 6753580 BINATE AMNION PATCH 2 X 3 CM "$10,756 " 6753581 BINATE AMNION PATCH 4 X 6 CM "$18,208 " 6751654 BIOCERAMIC ORBITAL IMPLANT "$1,952 " 6992705 BIOFEEDBACK PT $249 7162613 BIOFEEDBACK RECTAL PROBE $509 7162612 BIOFEEDBACK VAGINAL PROBE $509 10725552 BIOPSY BONE MARROW "$3,385 " 10725221 BIOPSY LIVER "$2,033 " 10725220 BIOPSY LUNG/MEDIASTINUM PERC "$2,443 " 10725551 BIOPSY LYMPH NODE "$1,468 " 6608296 BIOPSY NEEDLE $504 6751512 BIOPSY NEEDLE GUIDE SPINPERC KIT "$1,302 " 10725224 BIOPSY PANCREAS "$2,490 " 10725227 BIOPSY PLEURA PERC NEEDLE "$2,376 " 10726119 BIOPSY PROSTATE "$3,921 " 10725225 BIOPSY RENAL "$2,033 " 10726142 BIOPSY SALIVARY GLAND "$1,037 " 10726117 BIOPSY THYROID "$1,789 " 10721069 BIOPSY TRANSCATHETER "$9,396 " 6608851 BIO-TENODESIS KIT $747 6751658 BIOVANCE PER SQ CM $476 3954997 BI-PAP BACK UP RATE PURCHASE "$9,039 " 7362063 BIPAP INITIATION & MANAGEMENT "$1,025 " 3955002 BI-PAP PURCHASE "$6,179 " 3955004 BI-PAP RENTAL $780 7861004 BI-PAP REPLACEMENT "$6,179 " 7130010 BI-VENTRICULAR PACEMAKER "$49,897 " 7026077 BK VIRUS PCR QUANT "$1,174 " 10726352 BLADDER P/V RESIDUAL STUDY $707 6751843 BLADE - MICROAIRE ENDOSCOPIC $747 6751659 BLADE 4.1MM SHORT CUT $124 6751661 BLADE DERMATOME $237 6751662 BLADE DIEGO $492 6600907 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 6751663 BLADE RAD ADENOID $744 6751849 BLADE ROTATABLE TUR METRONIC "$3,447 " 6751858 BLADE SAW OCSILLATING $954 6753256 BLADE STRYKER IBO $944 6753255 BLADE STRYKER INTRAORAL $641 6753250 BLADE STRYKER TIPS ELITE $527 6753257 BLADE STRYKER TPS RECIPRICATING $864 6608985 BLADE TRICUT XOMED $632 6751666 BLADE V-LANCE $175 6751667 BLADE VORTEX LINVATEC 6.0 $583 6751669 "BLADE, SHAVER GREAT WHITE 4.2" $627 6609189 BLAKE DRAIN $277 7026556 BLASTOMYCES ANTIBODY $154 4059502 BLD TYPING_RBC ANTIGEN NOT AB $321 3655222 BLEEDING TIME $137 6751670 BLOCK PHONOFORM SILICONE WEDGE "$1,611 " 3655223 BLOOD COUNT AUTOMATED DIFF WBC $79 3655229 BLOOD COUNT RBC AUTOMATED $37 7021856 BLOOD CULTURE MULTIPLEX ID PCR $105 4031025 BLOOD DRAW CENTRAL/PICC LINE $75 6021208 BLOOD DRAW FROM IMPLANTED DEVICE $248 4031024 BLOOD DRAW FROM IMPLANTED VAD $248 4059064 BLOOD SMEAR W/O MANUAL DIFF WBC $62 6781615 BLOOD TRANSFUSION "$2,111 " 7080746 BM HARVEST ALLOGENEIC "$11,341 " 7080829 "BM PROCESS, PLASMA DEPLETE" "$5,996 " 7080833 "BM PROCESS, RED CELL DEPLETE" "$5,996 " 7080748 BM/PBSC THAW ALLOGENEIC "$2,578 " 7080747 BM/PBSC THAW AUTOLOGOUS "$2,578 " 7186721 BM/SC TP ALLO "$4,612 " 7186722 BM/SC TP AUTO "$4,323 " 7110710 BMS-MI REVASC CORO 1ST ART LC "$20,817 " 7110711 BMS-MI REVASC CORO 1ST ART LD "$20,817 " 7110712 BMS-MI REVASC CORO 1ST ART LM "$20,817 " 7110715 BMS-MI REVASC CORO 1ST ART RC "$20,817 " 7110690 BMS-PLC BMS 1ST ART LC "$23,822 " 7110691 BMS-PLC BMS 1ST ART LD "$23,822 " 7110693 BMS-PLC BMS 1ST ART RC "$23,822 " 7110696 BMS-PLC BMS ADD ART LD "$16,652 " 7110698 BMS-PLC BMS ADD ART RC "$16,652 " 7110703 BMS-REVASC CORO GRAFT 1ST ART RC "$20,817 " 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 6022300 BONE MARROW BIOPSY "$3,385 " 6751677 BONE MARROW BX KIT $272 7022001 BONE MARROW DIFF "$1,240 " 7054388 BONE MARROW PATH TECHNICAL $239 6751678 BONE MATRIX DBX MIX 10CC "$7,598 " 6751679 BONE MATRIX DBX PUTTY 10CC "$5,973 " 6751680 BONE MATRIX DBX PUTTY 1CC $901 6751681 BONE MATRIX DBX PUTTY 5CC "$3,701 " 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 " 6757565 BONE MORPHAGENIC PROTEIN LG "$28,579 " 6757561 BONE MORPHAGENIC PROTEIN MED "$25,862 " 6757560 BONE MORPHAGENIC PROTEIN SM "$17,707 " 6757559 BONE MORPHAGENIC PROTEIN XSM "$8,849 " 6757553 BONE MORPHAGENIC PROTEIN XXSM "$4,228 " 6754990 BONE VOID FILLER STRIP PER 0.5CC $214 6751202 BOOT ROOKE $622 6751262 BOOT ROOKE RIGID PROTECTOR "$1,051 " 6750711 BOOT WALKNG NON-PNEUMATIC PREFAB $155 4059586 BORDETELLA PERTUSSIS AB $216 6751686 BP ROBOTIC LASER FIBER "$4,221 " 6751281 BRACE TLSO JEWETT "$1,266 " 6751382 BRACE-ASPEN COLLAR "$1,126 " 7250500 BRACHYTHERAPY NEEDLE HDR (EACH) $134 7258909 BRACHYTX ISODOSE COMPLEX "$2,813 " 7258908 BRACHYTX ISODOSE INTERMED "$2,053 " 7258907 BRACHYTX ISODOSE PLAN SIMPLE "$1,938 " 6750838 BRAVO CAPSULE "$1,336 " 3652099 "BRCA1, BRCA 2 FULL GEN ANLYSIS" "$9,300 " 10726551 BREAST BX 1ST LESION MR "$4,915 " 10724200 BREAST BX 1ST LESION SG "$4,962 " 10726158 BREAST BX 1ST LESION US "$4,962 " 10726553 BREAST BX ADD LESION MR "$2,106 " 10724203 BREAST BX ADD LESION SG "$2,106 " 10726160 BREAST BX ADD LESION US "$2,106 " 4059073 BREAST CA 2729 AG $110 6751691 BREAST FUNNEL $638 6751687 BREAST IMPLANT 1 "$2,448 " 6751688 BREAST IMPLANT 2 "$5,355 " 6754981 BREAST IMPLANT SILICONE "$2,646 " 6431000 BREAST PROSTH BASIC LT $450 6431021 BREAST PROSTH BASIC RT $450 6431010 BREAST PROSTH W/ADHESIVE LT $546 6500003 BREAST PUMP 24 HOURS $45 6500010 BREAST SHELLS $20 10720314 BREAST W/O CON UNI $727 7030063 BREATH HYDROGEN/METHANE TEST "$2,553 " 7502678 BREATHALYSER $38 6580474 BREVI-KATH $478 7361726 BRONCH DIAGNOSTIC - ICU "$2,081 " 7361725 BRONCH PROVOCATION $932 7361002 BRONCHW/PROC - ICU "$3,144 " 4059587 BRUCELLA AB $95 7021892 BRUCELLA AB AGGLUTINATION $578 7021873 BRUCELLA IGG $95 7021874 BRUCELLA IGM $95 3655212 BUN $64 6788168 BUN I-STAT $60 7028168 BUN SERUM $64 7021677 BUSULFAN ORAL EACH SPEC $166 10725226 BX ABD/RETROPERITONEAL "$2,376 " 10727774 BX BILIARY BRUSHING VIA TUBE "$3,721 " 10725222 BX BONE DEEP TROCAR/NEEDLE "$2,443 " 10725188 BX BONE SUPERFICIAL TRO/NEEDLE "$2,443 " 7026568 C DIFFICILE ANTIGEN $242 3655405 C DIFFICILE TOXIN $256 3656621 C DIFFICILE TOXIN BY RAPID PCR $394 4059295 C PEPTIDE $609 7022082 C PNEUMONIAE AMP PROBE PCR "$1,159 " 7025652 C1 ESTERASE INHIBITOR $510 3655307 CA 125 $393 7026486 CA 15-3 $408 3655305 CA 15-3 (27-29) $110 3655306 CA 19-9 $328 4059378 CA 19-9 PAN HEP $328 6751692 CABLE SLEEVE $813 6753676 CABLE STERNAL "$1,007 " 6751693 CABLE TITANIUM "$1,635 " 6751694 CABLE VITALLIUM DALL MILES "$2,181 " 10720107 CAD MRI BREAST $488 7025699 CADMIUM $609 7028229 CAFFEINE(CAFFEINE) LEVEL $335 3655050 CALCIFEDIOL (25-OH VITAMIN D-3) $391 3655049 CALCIFEROL (VITAMIN D) $391 3655051 CALCITONIN $874 4059022 CALCIUM $64 3655053 CALCIUM IONIZED $156 3655052 CALCIUM TOTAL $64 7028641 CALCIUM URINE 24HR $237 3655054 CALCIUM URINE QN TIMED $237 7028933 "CALCIUM, SERUM" $64 6994658 CALORIC VESTIB TEST BIL BITHERMAL $803 7564659 CALORIC VESTIB TEST BIL MONOTHERM $803 7028048 CALPROTECTIN $855 6962145 "CALR GENE ANALY, COM VAR EXON 9" "$1,298 " 3655461 "CALR, GENE ANALYSIS, COM VARIANTS" $620 7026628 CAMPYLOBACTER EIA $62 6994507 CANALITH REPOSITIONING PROC $147 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 6600009 CANNULA STIMULATING $71 6751700 CANNULA SUBRETINAL FLUID $117 6751703 CANNULA W/OBTURATOR "$1,667 " 6522599 CAPILLARY STICK $30 6751704 CAPIO BRAIDED POLYDEK SUTURE $130 6751705 CAPSULAR TENSION RING $916 3655007 CARBAMAZEPINE (TEGRETOL) $375 7026202 CARBAMAZEPINE(TEGRETOL) LEVEL $375 7021862 CARBAPENEM RESISTANCE PCR $105 4059519 CARBOHYDRATE DEFCIENT TRANSFERRIN $182 3655055 CARBON DIOXIDE $62 3655056 CARBOXYHEMOGLOBIN QN $177 7361401 "CARBOXYHEMOGLOBIN, QUANTITATIVE" $164 7120178 CARDIAC EVENT MONITOR-30DAY $531 7131608 CARDIAC EVENT RECORDER (LOOP) "$21,259 " 7331001 CARDIAC REHAB II INITIAL $384 7331002 CARDIAC REHAB PHASE II $314 7331003 CARDIAC REHAB PHASE III (PER MTH) $240 3655294 CARDIOLIPIN IGG $270 10722992 CARDIOLITE PER STUDY DOSE $888 7113290 CARDIOMEMS IMPLANTABLE "$53,251 " 4031138 CARDIOPULMONARY RESUSCITATION "$1,248 " 7130261 "CARDIOVERT -DEFIB,SINGLE CHAMBER" "$83,158 " 7130268 CARDIOVERT-DEFIB DUAL CHAMBER "$112,263 " 7026693 CARNITINE $393 4059545 CAROTENE $232 6751416 CAROTID ARTERY SHUNT EXTERNAL "$1,582 " 10720607 CAROTID DOPPLER BIL "$2,069 " 10720608 CAROTID DUPLEX UNI "$1,184 " 7080858 "CAR-T COLLECTION, PER DAY" "$9,370 " 7080859 CAR-T PREP FOR TRANSPORTATION "$5,846 " 7080860 CAR-T RECEIPT & PREP "$4,598 " 6608145 CASPAR DISTRACTION PIN "$1,508 " 6751707 CATCHER STONE LITHOCLAST $342 3655059 CATECHOLAMINES FRACT URINE $112 7025706 "CATECHOLAMINES FRACTIONATED, UR" $112 4059154 CATECHOLAMINES TOTAL PLASMA $933 6757045 CATH 3 WAY 16FR 5CC SC $80 6750641 CATH ANGIO GUIDING $271 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 " 6751710 CATH BALLOON DILATOR NEPHROS KIT $957 6751474 CATH BALLOON ENDOSCOPIC RFA "$8,386 " 6750189 CATH BALLOON SIZING "$1,221 " 6751384 CATH CTO CROSSING "$9,687 " 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 " 6750454 CATH EP 3D OR MAPPING "$16,778 " 6750397 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 " 6750184 CATH FOLEY 30CC 30 FR $190 6750216 CATH FOLEY 30CC FR 20 $190 6757324 CATH FOLEY 30CC IRR 18 FR $272 6750222 CATH FOLEY 30CC IRR 24 FR $272 6750285 CATH FOLEY 3CC PED 8 FR $112 6750201 CATH FOLEY 5CC 12 FR $80 6750202 CATH FOLEY 5CC 14 FR $80 6600098 CATH FOLEY 5CC 16 FR $112 6757329 CATH FOLEY 5CC 16 FR COUDE $176 6750204 CATH FOLEY 5CC 18 FR $80 6750224 CATH FOLEY 5CC 18 FR COUDE $272 6750205 CATH FOLEY 5CC 20 FR $80 6750206 CATH FOLEY 5CC 22 FR $80 6750207 CATH FOLEY 5CC 24 FR $80 6750848 CATH GLIDECATH $392 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 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 " 7131009 CATH LT TRANSSEPTAL PUNCTURE *SI "$12,680 " 6750642 CATH MICROCATHETER "$1,941 " 6756746 CATH MIDLINE PICC $306 6753224 CATH NEPHROMAX "$1,445 " 6751330 CATH OCCLUSION BALLOON "$2,636 " 6754356 CATH PACING BIPOLAR $504 6756745 CATH PICC SINGLE(SCN) $305 6758948 CATH PIGTAIL $589 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 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 6750240 CATH TROCAR 8 FR $65 6751570 CATH UMB SILICONE SINGLE LUMEN $88 6751848 CATH URINARY RELIAFIT $71 10727844 CATH VENOUS SEL ORGAN BLOOD SMPL "$1,724 " 6756030 CATH VESSEL 20G (FEMORAL) $112 6753388 "CATH, BAL DIL, NON-VAS URETERAL" "$2,688 " 6755054 "CATH, SET FEMALE" $76 6751187 "CATH, WORD" $200 6757337 "CATH,SILICONE 5 CC" $44 6750831 "CATH,SWAN GANZ 7 FR 110 CM" $274 6756744 "CATHER, DUAL LUMEN 4.0 (INFANT)" $84 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 10728304 CATHETER DRAINAGE $311 6750735 CATHETER DUAL LUMEN PTA 6FR $728 6751028 CATHETER EDM LUMBAR $876 6751232 CATHETER EP QUAD DYNAMIC XT 6FR "$2,234 " 6757050 CATHETER FOGARTY ART EMBOL $618 10728514 CATHETER FOLEY $151 6751717 CATHETER GUIDING $839 6753998 CATHETER GUIDING LEVEL III "$3,313 " 10723999 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 6750675 CATHETER IAB 34CC "$6,282 " 6750674 CATHETER IAB 40CC "$6,282 " 6750378 CATHETER IVUS "$4,197 " 6750690 CATHETER LAUNCHER GUIDE 6FR $815 6759257 CATHETER MALECOT $135 6751138 CATHETER NEPHROURETERAL $645 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 6751190 CATHETER SUPRAPUBIC $239 6750387 CATHETER SWAN GANZ $655 6753479 CATHETER SWAN NECK CURL $904 6757063 CATHETER T-TUBE $88 6751139 CATHETER URETERAL $386 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 " 3655228 CBC $153 3655227 CBC W/AUTO DIFFERENTIAL $229 4059065 CBC W/DIFFERENTIAL $229 3655634 CCP ANTIBODIES $108 6951169 CD34 QUANTITATIVE MARKER 1 $321 3655057 CEA $381 7054004 CEA FLUID $381 7021863 CEBPA GENE ANALYSIS AND SEQUENCE $543 7025426 CELIAC ASSOC HLADQ TYPING "$1,116 " 7022807 CELL COUNT BODY FLD $189 4059550 CELL COUNT BODY FLD W/DIFF $189 7023034 CELL COUNT CSF $189 7022883 CELL COUNT SYNOVIAL $189 7022800 CELL COUNT/DIFF BRONCH WASH $189 6608069 CEMENT RESTRICTOR $516 6706002 CEPHALIC VERSION EXTERNAL "$1,487 " 6751727 CERCLAGE CABLE IMP "$1,868 " 3655060 CERULOPLASMIN $300 6751728 CERVICAL DISC PROSTHESIS "$37,465 " 6751729 CERVICAL FOAM COLLAR $27 4059350 CH50 TOTAL COMPLEMENT $526 10728530 CHANGE EXT URETER STENT "$5,033 " 10728531 CHANGE EXT URETER STNT BIL "$7,550 " 10728526 CHANGE URETER STENT PERC "$6,740 " 4059081 CHARGE CYTOLOGY TECHNICAL $140 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 4031091 CHEMO HORMONAL ANTINEOP SQ/ IM $412 3631023 CHEMO HORMONAL ANTINEOP SQ/IM $412 7113774 CHEMO IA PUSH TECHNIQUE $985 4031146 CHEMO INFU >8 HRS PUMP $882 7951159 CHEMO INFUSE ADTL DRUG UP TO 1 HR $280 4031097 CHEMO INFUSE ADTL DRUG UP TO 1HR $280 3631028 CHEMO INFUSION >8 HRS PUMP $882 3631054 CHEMO INFUSION >8 HRS PUMP(MC) $882 6024203 CHEMO INFUSION EA ADTL HR $280 4031095 CHEMO INFUSION EA ADTL HR. $280 4031094 CHEMO INFUSION SNGL/ INIT 1 HR $960 6024202 CHEMO INFUSION SNGL/INIT 1 HR $960 10727063 CHEMO INTO CNS SPINAL PUNC $951 3631029 CHEMO IV ADDL DRUG UP TO 1HR $280 3631025 CHEMO IV PUSH EA ADDL DRUG $561 3631024 CHEMO IV PUSH SGL OR INITIAL $566 6024201 "CHEMO IV PUSH, EA ADTL DRUG" $561 7951154 "CHEMO IV PUSH, SNGL 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 6587510 CHEMODENERV MUSC NECK DYSTON $772 6020183 CHEST TUBE INSERT PERC W/GUIDE "$6,085 " 6020182 CHEST TUBE INSERT PERC W/O GUIDE "$3,329 " 6757679 CHIN INPLANT "$1,097 " 3955023 CHINSTRAP DELUXE $68 3656650 CHLAMYDIA AB $137 3656651 CHLAMYDIA AB IGM $137 7028499 CHLAMYDIA DNA BY AMPLIFICATION $300 3656659 CHLAMYDIA DNA PROBE $68 7021946 CHLAMYDIA PNEUMON AB IGA $137 7021948 CHLAMYDIA PNEUMON AB IGM $137 7021947 CHLAMYDIA PNEUNOM AB IGG $137 7021735 CHLAMYDIA PSITTACI IGG $137 7021736 CHLAMYDIA PSITTACI IGM $137 7021737 CHLAMYDIA TRACHOMATIS IGG $137 7021738 CHLAMYDIA TRACHOMATIS IGM $137 7028172 CHLORIDE SERUM $57 7028173 CHLORIDE URINE $189 7028171 CHLORIDE URINE 24HR $189 7026694 CHLORPROPAMIDE(DIABINESE) L EVEL $302 10729121 CHOLECYSTOSTOMY PERC "$4,570 " 4059024 CHOLESTEROL $60 7028175 CHOLESTEROL AND HDL $156 7026024 CHOLESTEROL FLUID $62 6523003 CHORIONIC VILLUS SAMP U/S GUID $699 6523002 "CHORIONIC VILLUS SAMPLING," "$1,784 " 6587509 CHRNC MIGRAINE BLK (NEUROLYTIC)+ $786 3655429 CHROM ANALYS AMNIOTIC 15/1 CELLS "$1,548 " 4059089 CHROM ANALYSIS ADD CELLS COUNTED $216 4059088 CHROM ANALYSIS ADD KARYOTYPE $318 7022125 CHROM BREAK SCORE 100 CELLS "$3,479 " 4059514 CHROM/MS SPCT QUANT SGL & MOBILE $166 3655063 CHROMATOGRAPHY QN SINGLE COLUMN $166 7025695 CHROMIUM $541 4059649 CHROMOGENIC SUBSTRATE ASSAY $194 3654030 CHROMOGENIC SUBSTRATE ASSAY- $194 7054413 CHROMOSOME 2 KARYOTYPE W/B "$1,831 " 7021702 CHROMOSOME ANALYSIS 15-20 CELL "$1,784 " 3655428 CHROMOSOME ANALYSIS 20-25 CELLS "$1,192 " 4059086 CHROMOSOME COUNT 5/1 "$1,137 " 7054412 CHROMOSOME POC/TISSUE/SKIN SETUP "$1,448 " 3655070 CHROMOTOGRAPHY SPECTOMETRY QN "$1,072 " 6758230 CIRCULAR STAPLER "$1,593 " 6020737 CIRCUMCISION "$1,101 " 7025483 CITRATE URINE 24HR $775 7029458 CKMB $288 4059169 CKMB CATH ONLY $288 7112142 CL-AORTOGRAM INJECTION/SI $460 6751732 CLARIX FLO PER MG $110 7112019 CL-CARDIOVERSION "$1,873 " 7112000 CL-CHEST FLUORO $789 7111672 CLF-ILIAC ANGIO W/HEART CATH BI "$5,895 " 7113975 CLF-PERC INSERT INTRA-AORTIC CATH "$5,874 " 7112062 CLF-SWAN GANZ (NO SATS/PRESSURE) "$4,696 " 3656662 CLINICAL CHEMISTRY TEST "$1,800 " 3652079 "CLINICAL PATH CONSULT, LIMITED" $138 6751734 CLIP ANEURSYM "$1,796 " 7112130 CL-IP CATH CORO W/CATH LT*/SI "$16,926 " 7112126 CL-IP CATH CORO W/CATH RT*/SI "$22,860 " 7112134 CL-IP CATH CORO W/CATH RT/LT*/SI "$18,792 " 7112124 CL-IP CATH CORO W/GRAFT*/SI "$13,731 " 7112132 CL-IP CATH CORO W/LT&GRAFT*/SI "$18,296 " 7112136 CL-IP CATH CORO W/RT/LT&GRAFT*/SI "$19,196 " 7112121 CL-IP CATH CORONARY*/SI "$12,363 " 7112117 CL-IP CATH LT HEART*/SI "$12,947 " 7112138 CL-IP CATH LT TRANSPT/TRANSAP*/SI "$12,680 " 7112115 CL-IP CATH RT HEART SATS/OUT*/SI "$11,971 " 7112119 CL-IP CATH RT/LT HEART*/SI "$14,990 " 6751733 CLIP LIGATING HEMLOCK $88 7112131 CL-OP CATH CORO W/CATH LT*/SI "$16,926 " 7112127 CL-OP CATH CORO W/CATH RT*/SI "$22,860 " 7112135 CL-OP CATH CORO W/CATH RT/LT*/SI "$18,792 " 7112125 CL-OP CATH CORO W/GRAFT*/SI "$13,731 " 7112133 CL-OP CATH CORO W/LT&GRAFT*/SI "$18,296 " 7112137 CL-OP CATH CORO W/RT/LT&GRAFT*/SI "$19,196 " 7112123 CL-OP CATH CORONARY*/SI "$12,363 " 7112140 CL-OP CATH LT TRANSPT/TRANSAP*/SI "$12,680 " 7112116 CL-OP CATH RT HEART SATS/OUT*/SI "$11,971 " 4059507 CLOTTING FACTOR XII $891 7116310 CL-PERICARDIOCENTESIS W/IMAGING "$2,338 " 7116312 CL-PERQ PRCRD DRG INSJ CATH CT "$2,338 " 7112139 CL-PHARM AGENT ADMIN $311 7116311 CL-PRCRD DRG 6YR+ W/O CGEN CAR "$2,338 " 7080882 CM CD34 REAGENT KIT "$20,362 " 3655339 CMV ANTIBODY $219 3655340 CMV ANTIBODY IGM $95 4059396 CMV ANTIBODY TESTING $219 6968503 CMV DNA PCR QUANT BRONCHIAL $759 7026507 CMV IGG AB $609 7026998 CMV IGG AVIDITY $580 7026774 CMV IGG DONOR BMR $172 4059400 CMV IGM AB $95 3655412 CMV PCR AMPLIFIED $909 4059457 CMV PCR BLOOD/URINE $759 7028484 CMV PCR OTHER THAN BLOOD QN $759 3655413 CMV PCR QN $759 7025321 CMV PCR QUAL $909 3631030 CNS CHEMO INCLUDING PUNCTURE $951 6756207 CNS DRAINAGE BAG $91 6756205 CNS VENTRICULAR CATHETER $529 6756226 CNS VENTRICULOSTOMY KIT "$1,241 " 7029154 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 7023576 COAG FACTOR XII ACTIVITY $891 3655247 COAG FACTOR XIII FIBRIN STABILIZE "$1,026 " 4059372 COAG FACTOR XIII SOLUBILTY SCREEN $163 3655258 COAGULATION TIME ACTIVATED (ACT) $110 6608459 COAPTITE INJECTIBLE IMPLANT "$1,248 " 7025989 "COBALT,SERUM" $239 7026557 COCCIDIODES ANTIBODY $200 6751737 COCHLEAR IMPLANT DEVICE/SYSTEM "$80,453 " 6751738 COCHLEAR IMPLANT MAGNET $393 7173606 COGNITIVE EVALUATION 1ST HR $882 6993606 COGNITIVE EVALUATION 1ST HR SP $882 6990021 COGNITIVE EVALUATION ADDL HR SP $198 7022403 COLD AGGLUNTINN TITER $243 3655296 COLD AGGLUTININ TITER $243 4059596 COLLAGEN CROSS LINKS $490 6751826 COLLAGEN SCAFFOLD RECONST "$9,243 " 6751741 COLLIUS KNIFE $453 7128426 COLOR FLOW DOPPLER $635 6308822 COLORADO MICRO DISSECTING NEEDLE $247 7133968 COMP EPS W/ CORO SINUS OR LA REC "$10,725 " 7133969 COMP EPS W/ DRUG/ STIM/PACING REP "$6,742 " 7133260 COMP EPS W/ABLATE SVT "$38,600 " 7133261 COMP EPS W/ABLATE VT "$23,869 " 3655297 COMPLEMENT ANTIGEN EA COMPONENT $344 4059349 COMPLEMENT C1Q $568 4059601 COMPLEMENT C2 $468 7023045 COMPLEMENT C3 $344 7023308 COMPLEMENT C4 $344 3655298 COMPLEMENT TOTAL CH50 $526 7133944 COMPLETE EPS W/O ARRHYTHMIA "$17,495 " 6781628 COMPLEX PROCEDURE "$1,930 " 7133951 COMPREHENSIVE EP STUDY W/INDUCT "$19,008 " 3655002 COMPREHENSIVE METABOLIC PANEL $516 7027280 CONCENTRATION INFECTIOUS AGENT $97 6751743 CONCEPT DRAGON $432 6757084 CONCEPT EYE CAUTERY $149 4059508 CONCNTR PARASITES OVA/TUBERCLE $49 6994648 CONDITIONING PLAY AUDIOMETRY $287 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 " 6751748 CONNECTIVE TISSUE HUMAN LEVEL 1 "$1,095 " 6751749 CONNECTIVE TISSUE HUMAN LEVEL 2 "$3,338 " 6751750 CONNECTIVE TISSUE HUMAN LEVEL 3 "$6,613 " 7361059 CONT AERO TREATMENT 1ST HR $189 7361060 CONT AERO TREATMENT EA ADTL HR $103 7257910 CONT. PHYSICS SUPPORTS "$1,243 " 6758656 CONTOUR PROF. TISSUE EXPANDER "$5,739 " 7121080 CONTRAST ECHO COMPLETE "$2,894 " 7121081 CONTRAST ECHO FOLLOW-UP OR LMTD "$1,660 " 7121075 CONTRAST ECHO STRESS "$1,880 " 6751842 CONTRAST MODULATION SYSTEM "$1,216 " 7121076 CONTRAST TRANSESOPHAGEAL ECHO "$2,090 " 10727403 CONVER EXT BIL DRAIN CATH "$8,166 " 6500062 CONVERSION KIT $27 10721128 CONVERT G-TUBE TO J-TUBE "$2,795 " 10727078 CONVERT NEPHROSTOMY CATH "$1,967 " 7865019 COOL HUMIDIFIER PURCHASE $330 3655373 COOMBS DIRECT $161 3655066 COPPER $336 4059164 COPPER LIVER TISSUE $321 4059166 COPPER URINE 24HR $337 7025486 "COPPER, SERUM" $336 7361031 CORD ARTERIAL BLOOD GAS $340 4059422 CORD SERUM ANTIBODY SCREEN $336 7361032 CORD VENOUS BLOOD GAS $340 6604665 CORNEAL TISSUE ACQUISITION "$20,591 " 3655067 CORTISOL FREE $415 4059627 CORTISOL FREE URINE 24HR $415 3655068 CORTISOL TOTAL $328 4059630 CORTISOL-FREE URINE 24HR $415 6754752 COSEAL EXTENDED APPLICATOR $236 6608654 COSTA VAC DRAINAGE SYSTEM $983 7563201 COTA APLY MLC ARM/FA/FGR OT $338 6993256 COTA BIOFEEDBACK $249 7343223 COTA CONTRAST BATH PER 15 MIN $96 7343260 COTA E-STIM ATTENDED PER 15M $229 7623268 COTA E-STIM UNATTENDED OT $218 6993227 COTA EXERCISE/STIM PER 15 MIN OT $204 6993217 COTA FLUIDOTHERAPY $265 7623210 COTA HOT/COLD PACK $149 6993210 COTA HOT/COLD PACK AREA OT $149 7623221 COTA IONTOPHORESIS PER 15 MIN $229 6993235 COTA MAN/MOB/MLD PER 15 MIN OT $260 6993233 COTA MASSAGE PER 15 MIN OT $184 6993229 COTA NEURO RE-ED PER 15 MIN OT $176 7343254 COTA ORTHC/PRO MGMT SBSQ ENC $167 6993249 COTA ORTHO FIT/TRAIN INIT EA 15M $272 7343215 COTA PARAFFIN BATH OT $189 7343245 COTA PHYS PERF TEST/MEAS 15M OT $184 7343251 COTA PROS TRAIN INIT EA 15M OT $163 7343242 COTA SELF CARE/ADL PER 15 MIN OT $204 6993241 COTA SENS INTEGRAT PER 15 MIN OT $171 7343241 COTA SENSORY INTEGRAT PER 15 MIN $171 7343239 COTA THER ACT/FUN TR PER 15M OT $225 7623263 COTA THER IVNTJ 1ST 15 MIN $171 7623266 COTA THER IVNTJ EA ADDL 15 MIN $171 7343265 COTA THER IVNTJ EA ADDL 15 MIN OT $171 7343237 COTA THERA PROCEDURE GRP $117 6993225 COTA ULTRASOUND PER 15 MIN OT $184 6993213 COTA VASOPNEUMATIC DEVICE OT $51 7373282 COTA WHEELCHAIR TRAIN PER 15 MIN $72 7343218 COTA WHIRLPOOL OT $265 6751754 COUNCIL CATHETER $155 3655466 COXSACKIE AB EACH TYPE $479 6522061 CP OB U/S 2ND FETUS(1ST TRIMESTER $813 6522062 CP OB U/S 3RD FETUS(1ST TRIMESTER $813 6522026 CP OB U/S SINGLE (1ST TRIMESTER) "$1,086 " 7362000 CPAP INITIATION & MANAGEMENT "$1,025 " 3955077 CPAP MANAGEMENT 15 MIN $373 3955078 CPAP MANAGEMENT 30 MIN $313 7865079 CPAP MANAGEMENT 60 MIN $622 7362001 CPAP MANAGEMENT HOME UNIT $156 3955005 CPAP PURCHASE-USED "$2,780 " 3955024 C-PAP TUBING - 6FT $38 7865025 C-PAP TUBING - 9FT $86 7865083 CPAP WEEKLY RENTAL $126 3955064 CPAP-PURCHASE "$3,982 " 3955065 CPAP-RENTAL $690 7861005 CPAP-REPLACEMENT "$3,982 " 3655219 C-PEPTIDE $609 7029501 CPK $163 3655073 CPK ISOENZYMES $243 4059168 CPK ISOENZYMES. $243 3655072 CPK TOTAL $163 6027671 CPR GROUP INSTRUCTION $91 6502119 "CPR, GROUP INSTRUCTION" $83 7363061 CPT TX INITIAL $212 7361405 CPT TX SUBSEQUENT $172 6751755 CRANIAL LOOP FIXATION DEVICE "$1,036 " 6751757 CRAWFORD TUBES $528 3655069 CREATINE $281 4059026 CREATININE $60 3655075 CREATININE BLOOD $60 3655076 CREATININE BODY FLUID $198 3655077 CREATININE CLEARANCE $328 6587016 CREATININE CONFIRMATION $42 10729760 CREATININE I- STAT $59 6788660 CREATININE I-STAT $59 7028660 CREATININE SERUM $60 7028178 CREATININE URINE $198 4059174 CREATININE URINE 24HR $243 4059171 CREATININE WITH 5HIAA RANDOM $43 7507701 CRISIS-IN EA ADD 30 MIN $181 7507536 CRISIS-IN PER 15 MIN $84 7507700 CRISIS-IN PER 30-74 MIN $387 7501127 CRISIS-OUT PER 15MIN $105 6783085 CRITICAL CARE "$4,491 " 6783096 CRITICAL CARE ADDL 30 MIN "$2,183 " 7021487 CRMP-5 IGG $86 7021497 CRMP-5 IGG WESTERN BLOT $574 7020724 CROSSMATCH AHG $466 7020727 CROSSMATCH ELECT $466 7020725 CROSSMATCH IS $466 3655292 CRP HIGH SENSITIVITY $289 3655291 CRP QN $232 4059336 CRP QUANT $232 4059338 CRP ULTRAQUANT $289 6026066 CRRT PER DAY "$2,557 " 6754030 CRYO CUFF $438 4059546 CRYOFIBRINOGEN $88 7022249 CRYOFIBRNOGEN. $46 7028179 CRYOGLOBULIN $47 3655078 CRYOGLOBULIN QL/SQ $47 4059176 CRYOGLOBULINS $47 7020130 CRYOPRECIPITATE $302 7080811 CRYOPRESERVATION "$5,846 " 7022808 CRYPTOCOCCAL AG CSF $242 7022147 CRYPTOCOCCAL AG SERUM $495 7021714 CRYPTOCOCCAL AG TITER $495 7021056 CRYPTOSPORIDIUM AG $104 3656661 CRYPTOSPORIDIUM AG IF $35 7022004 CRYSTAL EXAM $104 6751272 CSF DRAINAGE REPLACEMENT BAGS $228 6751269 CSF DRAINAGE SYSTEM "$1,536 " 10725190 CT ABDOMEN W/CONTRAST "$4,265 " 10725201 CT ABDOMEN W/O CONTRAST "$3,481 " 10725215 CT ABDOMEN WO/W CONTRAST "$4,585 " 10728541 CT ABD-PELV ANGIO WO W CONTRAST "$5,590 " 10728332 CT ABD-PELVIS W/CONTRAST "$5,412 " 10728330 CT ABD-PELVIS WO CONTRAST "$4,700 " 10728335 CT ABD-PELVIS WO/W/CONTRAST "$6,143 " 10725267 CT ANGIO ABD AORTA W/RUN W/CON "$3,690 " 10725266 CT ANGIO ABDOMEN W/CON "$3,740 " 10725259 CT ANGIO CHEST W/CON "$4,377 " 10725889 CT ANGIO COR ART/GRAFTS "$2,059 " 10725408 CT ANGIO HEAD W/CON "$3,635 " 10725264 CT ANGIO LOWER EXT BI W/CON "$6,785 " 10725263 CT ANGIO LOWER EXT W/CON "$3,393 " 10725409 CT ANGIO NECK W/CON "$3,635 " 10725411 CT ANGIO PELVIS W/CON "$3,594 " 10725413 CT ANGIO UPPER EXT BI W/CON "$5,861 " 10725412 CT ANGIO UPPER EXT W/CON "$3,562 " 10725100 CT CARDIAC SCREENING $216 10722503 CT CATHETER DRAINAGE $520 10725245 CT CHEST W/CONTRAST "$3,875 " 10725193 CT CHEST W/O CONTRAST "$3,157 " 10728286 CT CHEST WO/W CONTRAST "$4,069 " 10722941 CT COLON DIAG W/CONTRAST "$1,654 " 10722940 CT COLON DIAG W/O CON "$1,085 " 10722942 CT COLON SCREEN $917 10725235 CT C-SPINE W/CONTRAST "$3,542 " 10725192 CT C-SPINE W/O CONTRAST "$3,434 " 10728285 CT C-SPINE WO/W CONTRAST "$3,690 " 10725881 CT EVAL COR CALCIUM W/O CON "$1,328 " 10725530 CT FACIAL SINUS W/CONTRAST "$3,183 " 10725207 CT FACIAL SINUS W/O CONTRAST "$2,988 " 10728291 CT FACIAL SINUS WO/W CONTRAST "$3,461 " 10728007 CT GUIDE/PLACEMENT RAD THERAPY "$3,062 " 10725202 CT GUIDED NEEDLE PLACEMENT S&I "$2,561 " 10725186 CT GUIDED TISSUE ABLATION S&I "$2,561 " 10725405 CT HEAD (BRAIN) W/CONTRAST "$3,566 " 10725198 CT HEAD (BRAIN) W/O CONTRAST "$3,035 " 10728292 CT HEAD (BRAIN) WO/W CONTRAST "$4,092 " 10725200 CT LIMITED CT/FOLLOW UP STUDY "$1,553 " 10725255 CT LOWER EXT BI W/CONTRAST "$5,879 " 10725254 CT LOWER EXT W/O CONTRAST BILAT "$5,529 " 10725295 CT LOWER EXTREMITY W/CONTRAST "$3,122 " 10725204 CT LOWER EXTREMITY W/O CONTRAST "$2,928 " 10725435 CT LOWER EXTREMITY WO/W CONTRAST "$3,393 " 10725265 CT L-SPINE W/CONTRAST "$3,542 " 10725195 CT L-SPINE W/O CONTRAST "$3,366 " 10725275 CT L-SPINE WO/W CONTRAST "$3,690 " 10725101 CT LUNG CANCER SCREENING $450 10725285 CT NECK W/CONTRAST "$3,183 " 10725203 CT NECK W/O CONTRAST "$2,988 " 10728293 CT NECK WO/W CONTRAST "$3,461 " 10725300 CT NEEDLE BIOPSY $210 10723711 CT NEEDLE BIOPSY BONE $755 10725420 CT ORBIT/SELLA/IAC W/CONTRAST "$3,213 " 10725199 CT ORBIT/SELLA/IAC W/O CONTRAST "$3,017 " 10725425 CT ORBIT/SELLA/IAC WO/W CONTRAST "$3,493 " 10725205 CT PELVIS W/ CONTRAST "$3,879 " 10725191 CT PELVIS W/O CONTRAST "$3,457 " 10728294 CT PELVIS WO/W CONTRAST "$4,173 " 10725882 CT STRUCTURE/MORPH W/CON "$1,197 " 10725315 CT T-SPINE W/CONTRAST "$3,547 " 10725194 CT T-SPINE W/O CONTRAST "$3,366 " 10728298 CT T-SPINE WO/W CONTRAST "$3,690 " 10725252 CT UPPER EXT BI W/CONTRAST "$5,879 " 10725251 CT UPPER EXT BI W/O CONTRAST "$5,529 " 10728300 CT UPPER EXTREMITY W/CONTRAST "$3,122 " 10725206 CT UPPER EXTREMITY W/O CONTRAST "$2,928 " 10728299 CT UPPER EXTREMITY WO/W CONTRAST "$3,393 " 7027285 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 7027159 CULTURE AFB BLOOD MYCOBACTERIA $583 7027305 CULTURE AFB BONE MARROW $583 7027196 CULTURE AFB MYCOBACTERIA $583 3655385 CULTURE ANAEROBIC $597 3655384 CULTURE ANAEROBIC OTHER QN $156 4059432 CULTURE ANAEROBIC. $597 3655379 CULTURE BLOOD $407 7027155 CULTURE BONE MARROW $613 7027274 CULTURE CATH TIP $370 7027142 CULTURE CSF $370 3655443 CULTURE DEFIN ID ANAEROBIC ISOL $62 7027105 CULTURE FUNGUS $336 7026764 CULTURE FUNGUS BLOOD $403 4059495 CULTURE FUNGUS SKIN/HAIR/NAIL $336 4059439 CULTURE GBS PCN NON ALLERG $166 7027080 CULTURE GC ONLY $232 7026515 CULTURE HERPES $457 3655393 CULTURE ID NUC ACID DIRECT PROBE $487 7026516 CULTURE LEGIONELLA $506 3655392 CULTURE MOLD ID $75 7027067 CULTURE MRSA SCREEN $173 3655387 CULTURE PRESUMPTIVE SCREENING $173 7026097 CULTURE STOOL $423 3655381 CULTURE STOOL ADDL PATHOGEN $74 3655380 CULTURE STOOL SALMONELLA/SHIGELLA $423 4059430 "CULTURE STOOL," $423 4059440 CULTURE STREP GROUP A $56 7027130 CULTURE THROAT $370 3655637 "CULTURE TYPE IMMUNOLOGIC,PER ANTI" $40 4059441 CULTURE URINE $393 3655389 CULTURE URINE ID EA ISOLATE $155 3655388 CULTURE URINE QN $393 10727033 CXR INJ ARTHROGRAM KNEE $949 4059494 CYANOCOBALAMIN UNSAT BIND CA $423 7025612 CYCLOSPORA STAIN $393 3655008 CYCLOSPORINE MONOCLONAL $510 4059108 CYCLOSPORINE MONOCLONAL LEVEL $510 3656643 CYP2D6 GENE COM VARIANTS $911 3655707 CYSTATIN C $69 4059636 CYSTATN C $69 4059409 CYSTICERCOSIS ANTIBODY $252 3655080 CYSTINE & HOMOCYSTINE QL $191 6601315 CYSTO "$3,660 " 7161001 CYSTOMETROGRAM (CMG) W FLUORO "$1,550 " 7161000 CYSTOMETROGRAM (CMG)W/O FLUORO "$1,322 " 6753583 CYTAL PER SQ CM $58 3656640 "CYTO URN 3-5 PROB EA SPEC, MANUAL" "$3,143 " 7022023 CYTOGEN M ARRAY COPY NMBR "$7,342 " 7054451 CYTOGEN M ARRAY COPY NO_&SNP "$6,284 " 4059639 CYTOGENETICS DNA PROBE $415 7054404 CYTOLOGY NONGYN TECH ENHANCEMENT $399 7024453 CYTOLOGY NONGYN TECH ENHANCMENT $399 7054384 CYTOLOGY NONGYN TECH FNA $359 7054389 CYTOLOGY NONGYN TECH OTHER SMEAR $359 4059080 CYTOPATH CERV/VAG SLIDES MAN SCRN $101 3655422 CYTOPATH CONCENTRATION $156 4059620 CYTOPATH TECH ENHANCEMENT $399 4059477 CYTP URNE 3-5 PROBES EA SPEC $475 4059316 D DIMER $279 6706925 D&C POST PARTUM HEMMORRHAGE "$1,271 " 6753229 DART CHONDRAL $441 7080647 "DAVITA THER APHERESIS, RED CELL" "$6,455 " 7080645 "DAVITA THER APHERESIS, TPX PLASMA" "$6,455 " 7080646 "DAVITA THER APHERESIS,LEUKOCYTE" "$6,455 " 7865033 DC POWER SYSTEM $181 3655263 D-DIMER QN $279 6992739 DEBRIDEMENT NONSELECTIVE PT $273 6992747 DEBRIDEMENT SEL EA AD 20 SQ CM PT $480 7372747 DEBRIDEMENT SEL EA ADDL 20 SQ CM $480 7372740 DEBRIDEMENT SEL SM <20 CM $480 6992740 DEBRIDEMENT SEL SM <20 CM PT $480 7054386 DECALCIFICATION TECHNICAL $132 3631005 DECLOT CENTRAL LINE $929 7850005 DECLOT CENTRAL/PICC LINE $929 3655038 DELTA AMINOLEVULINIC ACID $483 6751765 DELTA SHUNT ASSEMBLY "$5,795 " 7021965 DENGUE FEVER IGG ANTIBODY $219 7021963 DENGUE FEVER IGM ANTIBODY $219 6758351 DERMACARRIER MESHGRAFT $130 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 6751778 DERMAL NEONATAL IMPLANT LVL II "$17,714 " 6751779 DERMAL NEONATAL IMPLANT LVL III "$37,887 " 6754891 DERMAL SKN SB .5SQCM LVL I $59 6753641 DERMAPURE PER SQ CM LVL 1 $110 6753642 DERMAPURE PER SQ CM LVL 2 $280 6751780 DERMASPAN IMPLANT LEVEL I "$12,269 " 6751783 DERMASPAN PER SQ CM $217 7110727 DES-1ST ART LC "$27,026 " 7110728 DES-1ST ART LD "$27,026 " 7110729 DES-1ST ART LM "$27,026 " 7110730 DES-1ST ART RC "$27,026 " 7110731 DES-1ST ART RI "$27,026 " 7110732 DES-ADD ART LC "$23,273 " 7110733 DES-ADD ART LD "$23,273 " 7110734 DES-ADD ART LM "$23,273 " 7110735 DES-ADD ART RC "$23,273 " 7110736 DES-ADD ART RI "$23,273 " 7110757 DES-CHRN TOT RVS CORO ADD ART LC "$21,158 " 7110761 DES-CHRN TOT RVS CORO ADD ART RI "$22,216 " 4031080 DESENSITIZATION RAPID EACH HR $343 7110747 DES-MI REVASC CORO 1ST ART LC "$25,740 " 7110748 DES-MI REVASC CORO 1ST ART LD "$25,740 " 7110750 DES-MI REVASC CORO 1ST ART RC "$25,740 " 7110751 DES-MI REVASC CORO 1ST ART RI "$25,740 " 7110737 DES-REVASC CORO GRAFT 1ST ART LC "$23,164 " 7110738 DES-REVASC CORO GRAFT 1ST ART LD "$23,164 " 7110740 DES-REVASC CORO GRAFT 1ST ART RC "$23,164 " 7110741 DES-REVASC CORO GRAFT 1ST ART RI "$23,164 " 6522115 DETAILED OB U/S 3RD FETUS "$1,059 " 6522114 DETAILED OB US 2ND FETUS "$1,059 " 6522040 DETAILED OB US-SINGLE "$1,423 " 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 " 7560502 DEVICE/ACCESSORIES LVL II "$8,041 " 10724911 DGT MAM DX/CAD BILATERAL $970 10724916 DGT MAM DX/CAD UNILATERAL $772 10724905 DGT MAMMO SCREEN/CAD BI $789 4059629 DHEA (DEHYDROEPIANDOSTERONE) $633 7025756 DHEA SULFATE $434 7790102 DIABETES SELF MGT GRP 30 MIN $83 8550202 DIABETES SELF MGT GRP 30MIN $83 7790101 DIABETES SELF MGT IND 30 MIN $171 8550201 DIABETES SELF MGT IND 30MIN $171 7501213 DIAGNOSTIC EVALUATION $485 7362035 DIFFUSION CAPACITY $296 3655009 DIGOXIN (LANOXIN) $377 4059109 DIGOXIN(LANOXIN) LEVEL $377 10720312 DILAT XST TRC NDURLGC PX "$4,628 " 10720313 DILAT XST TRC NEW ACCESS RCS "$4,628 " 10727416 DILATE BILR DUCT/AMPULLA "$4,082 " 6753336 DILATOR NOTTINGHAM $380 6608650 DILATOR -NOTTINGHAM $380 6750377 DILATOR VESSEL $40 3655341 DIPHTHERIA ANTIBODY $309 3656656 DIPROPYLACETIC ACID FREE $45 7026521 DIPTHERIA TOXOID IGG ANTIBODY $66 7020824 DIRECT ANTIGLOBULIN C3D-C3B $161 4059425 DIRECT ANTIGLOBULIN IGG SERUM $161 7022429 DIRECT ANTIGLOBULIN TEST $161 7027279 DIRECT GRAM STAIN W CULT $156 3655398 DIRECT GRAM/GIEMSA STAIN $128 7027281 DIRECT SMEAR W AFB CULTURE $156 6751795 DISC SHIM "$2,703 " 4059125 DISOPYRAMIDE(NORPACE) LEVEL $302 6751798 DISP ENDOPATH 10/11 BLUNT $824 6751267 DISPOSABLE ICP ACCESS KIT "$2,400 " 6757810 DISPOSABLE PURSE STRING DEVICE $551 6751827 DISSECTOR ENDOSCOPIC "$3,260 " 6751808 DISSECTOR LAPAROSCOPIC DISP $807 6753861 DISTAL CATHETER KIT "$1,788 " 3655299 DNA DOUBLE STRAND ANTIBODY $70 3655300 DNA SINGLE STRAND ANTIBODY $277 7080863 DONOR LYMPH PROCESS W CRYO "$13,067 " 7080867 DONOR LYMPHOCYTE INFUSION THAW $860 8259312 DOP LE UE ART ABI SINGLE LEVEL/A $506 8259310 DOP LE UE ART MULTI LEVEL FXN/A "$1,236 " 6522046 DOPPLER ECHO FETAL-FOLLOW-UP $554 6522030 DOPPLER ECHO FETAL-NEW "$1,009 " 3656637 DPYD GENE COMMON VARIANTS $578 6750532 DRAIN AMBULATORY DRY SEAL CHEST $558 10725940 DRAIN CATH SOFT TISSUE W/IMG $643 6757105 DRAIN HEMOVAC LG. MED $151 6757106 DRAIN HEMOVAC SMALL $152 6751812 DRAIN PLEUR EVAC $145 10724379 DRAIN/INJ ITM JOINT/BURSA W/O US $520 10720121 DRAIN/INJ ITM JOINT/BURSA W/US $810 10720104 DRAIN/INJ JOINT/BURSA W/O US $776 10724378 DRAIN/INJ MAJ JOINT/BURSA W/O US $520 6757164 DRESSING ABDOMINAL VAC "$1,611 " 6750482 DRESSING KOMPREX SHEET $160 6757259 DRESSING SURGICEL 2 X 3 $118 6750881 DRESSING SURGICEL 4 X 8 $487 6751583 DRESSING WOUND CONTACT SILVERLON $44 6755439 "DRESSING, SURGICEL 1/2 X 2" $80 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 3655020 DRUG QUANT NOS $302 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 7022132 DRUG TEST DEFIN QUL/QUN 1-7 PR DY $402 3655701 DRUG TEST DEFIN QUL/QUN 8-14PR DY $520 6587025 DRUG TEST PRESUMP INSTR-RD PR DOS $88 7022133 DRUG TEST PRESUMPT DIR OPT OBS $53 7022134 DRUG TEST PRESUMPT INSTRUMENT $70 7022135 DRUG TEST PRESUMPT PR DOS $285 6587029 DRUG TST DEFIN QUL/QUN =>22 PR DY $395 7022137 DRUG TST DEFIN QUL/QUN 15-21PR DY $402 6751551 DSG RIGID NON-WEIGHT BEARING AK "$1,710 " 6751293 DSG RIGID NONWEIGHT BEARING BK "$2,301 " 6522612 DUCTUS VENOSIS/ARTERIOSUS "$1,301 " 6608804 DUOVISC $513 8259320 DUPLEX ABD AORTA COMPLETE/A "$2,376 " 8259313 DUPLEX ABD VISCERAL COMPLETE/A "$1,612 " 8259307 DUPLEX CAROTIDES BILAT/A "$2,069 " 8259302 DUPLEX UE/LE VENOUS UNI/A "$1,072 " 6608898 DUPLOCATH CATHETER $180 6751832 DURAL REPAIR PATCH 4X4 "$1,105 " 6751833 DURAL REPAIR PATCH 6X8 "$1,802 " 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 " 10729865 DX LMBR SPI PNXR W/FLUOR/CT "$1,875 " 6751834 DYONICS INCISION BLADE $488 3655343 EBNA $114 7025063 EBV BY PCR QUANT "$1,174 " 3655342 EBV EARLY ANTIGEN ANTIBODY $128 4059402 EBV IGG $110 7021046 EBV IGM $110 4059581 EBV QUANT PCR $988 3655344 EBV VIRAL CAPSID $110 6020217 ECHO (NICU ONLY) "$3,314 " 4031072 ECHO COMPLETE "$3,314 " 8259827 ECHO COMPLETE (ALPH) "$3,314 " 7120208 ECHO COMPLETE ADULT "$3,314 " 7120207 ECHO COMPLETE PEDS "$3,314 " 7128425 ECHO DOPPLER $635 7121012 ECHO DOPPLER LMTD $316 7120209 ECHO FOLLOW-UP OR LMTD "$1,741 " 8259800 ECHO FOLLOW-UP OR LMTD (ALPH) "$1,582 " 7120210 ECHO NO DOPPLER "$1,740 " 6020216 "ECHO,F/U OR LIMITED (NICU ONLY)" "$1,741 " 7121004 ECHOCARDIOGRAM CONGENITAL COMPLT "$3,162 " 7121011 ECHOCARDIOGRAM CONGENITAL LMTD "$1,741 " 7128434 ECHOCARDIOGRAM STRESS "$1,970 " 6608767 ECS STAPLE "$2,606 " 6751835 EDELMAN CATHETER $185 6758364 EDM LUMBAR CATHETER $920 6758918 EDM VENTRICULAR CATH $526 7142217 EEG BRAIN DEATH "$1,103 " 7142502 EEG COMA OR SLEEP ONLY $803 7142440 EEG CONT REC W/VID EEG TECH "$1,448 " 7142174 "EEG ROUTINE, AWAKE & DROWSY" $894 7142441 EEG W/O VID 2-12 HR UNMNTR "$1,448 " 7142443 EEG W/O VID 2-12HR CONT MNTR "$1,448 " 7142446 EEG W/O VID EA 12-26HR CONT "$3,441 " 7142445 EEG W/O VID EA 12-26HR INTMT "$3,441 " 7142442 EEG WO VID 2-12HR INTMT MNTR "$1,448 " 7142444 EEG WO VID EA 12-26HR UNMNTR "$3,441 " 7142501 "EEG, AWAKE & ASLEEP" $991 7142178 "EEG, EXTENDED, GREATER THAN 1 HR" "$2,751 " 7142175 "EEG, EXTENDED, UP TO 1 HR" "$1,832 " 4059588 EHRLICHIA ANTIBODY $331 7021922 EIA INFECT AG QUAL NOS EACH AG $434 4031071 EKG (CARDIOLOGY) ROUTINE $405 8251008 EKG ALPHA CARDIOLOGY $405 7120505 EKG ALPHA LAB. $405 7120506 EKG ALPHA PSA $405 8791046 EKG ALPHA SURG $405 6780511 EKG ED $405 6780497 EKG ED - RIGHT SIDED $405 7120515 EKG INFANT $405 7120518 EKG MERIDIAN MARK $405 7123047 EKG PRE OP $405 7120520 EKG PSA MAIN $405 7120101 EKG RHYTHM STRIP $245 4031137 EKG SCREEN INITIAL PE TRACING $108 6751199 EKOSONIC CATHETER "$10,955 " 4059227 ELASTASE PANCREATIC "$1,082 " 7021920 "ELASTASE, PANCREATIC, FECAL, QUAL" $282 6026000 ELECTIVE CARDIOVERSION "$1,873 " 7562707 ELECTRICAL STIM ATTEND PER 15M $229 7561707 ELECTRICAL STIM ATTENDED PER 15M $229 7341706 ELECTRICAL STIM UNATTENDED $218 7621706 ELECTRICAL STIM UNATTENDED OT $218 7562706 ELECTRICAL STIM UNATTENDED PT $218 7564646 ELECTROCOCHLEOGRAPHY BILAT "$1,571 " 6756900 ELECTRODE DISPOSABLE $957 6751003 ELECTRODE TRANSVENOUS PACING $744 7029517 ELECTROLYTES $249 7028181 ELECTROLYTES URINE $249 7054416 ELECTRON MICROSCOPY "$2,462 " 7020814 ELUTION STUDY $627 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 " 6751197 EMBOLIZATION MICROSHPERES "$7,609 " 10721789 EMBOLIZATION MICROSPHERE EMBOZENE $802 10727954 EMBOLIZATION NON NEURO ARTERY "$35,838 " 10727956 EMBOLIZATION NON NEURO HEMORR "$35,838 " 10727955 EMBOLIZATION NON NEURO TUMOR "$35,838 " 10727953 EMBOLIZATION NON NEURO VENOUS "$35,838 " 6753572 EMBOLIZATION PARTICLE $205 6750507 EMBOLIZATION PROTECT SYS LVL II "$6,726 " 6750505 EMBOSHIELD "$6,608 " 6751142 EMBOSPHERE "$1,216 " 6751792 EMBOZENE MICROSPHERES "$10,758 " 7161200 EMG $687 7142276 EMG 2 EXTREMITIES $638 7026553 ENCEPHALITIS CALIFORNIA $67 7021439 ENCEPHALITIS EASTERN EQUINE $67 7021441 ENCEPHALITIS WESTERN EQUINE $67 7021440 ENCHEPHALITIS ST LOUIS $67 6759633 END CAPS UNIVERSAL $923 6751856 ENDO CLIP AUTO SUTURE "$1,465 " 7030601 ENDO RECOVERY EA ADD 15 MIN $323 7030600 ENDO RECOVERY INITIAL 15 MIN $432 6751859 ENDOANCHOR GUIDE "$8,800 " 6751863 ENDOANCHORS W/ APPLIER "$24,513 " 6608277 ENDOGRASPER $945 10727418 ENDOLUMINAL BX BILR TREE "$4,082 " 7025860 ENDOMYSIAL IGA AUTOAB TITER $171 6754879 ENDOPOUCH RETRIEVER $824 6751546 ENDOPROS EXCLUDER LEG CONTRALAT "$16,847 " 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 " 7361111 "ENDOTRACHEAL TUBE," $142 6757741 ENT HEMOSTAT KIT $537 6751899 ENT SILICONE SHEET $788 7026780 ENTEROVIRUS RNA BY PCR $936 6162000 ENTERSTOMAL THERAPY. $285 6750438 ENVELOPE ANTIBACTERIAL PACER/ICD "$8,582 " 3655084 ENZYME ACTIVITY NON-RADIO SUBSTRT "$1,478 " 7022037 EOSINOPHIL COUNT BLOOD $189 7023100 EOSINOPHIL SMEAR URINE $156 7133940 EP EVAL ICD (INCL ARRYTH INDUCT) "$3,957 " 6705010 EPIDURAL L&D $601 6580441 EPIDURAL NEEDLE 20G $44 6751912 EPIFIX AMNIOTIC MEMBRANE PER SQCM $655 6753684 EPIFIX INJ 1MG $73 7480036 ER INTERACT NON-PRO DX EVAL $202 7480030 ER NON-PRO BHS DIAGNOSTIC EVAL $485 6751913 ERASER WETFIELD 23GA FINE POINT $176 6751914 ERASER WETFIELD ACTIVE ASPIRATOR $176 3655085 ERYTHROPOIETIN $583 7023500 ERYTHROPOIETIN LEVEL $583 7030066 ESOPHAGEAL CAPSULE ENDOSCOPY "$5,999 " 7030061 ESOPHAGEAL MOTILITY W I&R "$5,067 " 7380300 ESRD EMERGENCY DIALYSIS TX "$2,837 " 6991707 E-STIM ATTENDED PER 15M OT $229 6992707 E-STIM ATTENDED PER 15M PT $229 6991706 E-STIM UNATTENDED OT $218 6992706 E-STIM UNATTENDED PT $218 7028182 ESTRADIOL $465 3655089 ESTRIOL $181 3655087 ESTROGENS FRACTIONATED $247 4059504 ESTROGENS TOTAL $139 3655090 ESTRONE $206 6601300 ESWL - SINGLE "$25,746 " 6601316 ESWL DOUBLE W/ CYSTO "$39,891 " 10211300 ESWL- SINGLE "$25,746 " 6601314 ESWL SINGLE W/ CYSTO "$29,406 " 7027265 ETEST EACH STRIP $60 6608828 ETHICON 5MM EUDOCLIP $828 7025516 ETHYLENE GLYCOL BLOOD $302 6783000 ETOH SCREEN BLOOD DRAW $41 6608710 EUDO SCRUB SHEATH $152 4059521 EUGLOBULIN LYSIS $166 6754971 EUSTACHIAN TUBE BALLOON "$6,649 " 7564509 EVAL AUDITORY REHAB STATUS 1 HR $450 6993690 EVAL OF SPEECH FLUENCY $882 6993691 EVAL SPEECH PRODUCTION $882 6993692 EVAL SPEECH SOUND LANG CMPREH $882 6993693 EVAL VOICE/RESON BEHAV & QUAL $882 4031076 EVALUATE PT USE OF INHALER $129 3656638 EVEROLIMUS $57 6751925 EVICEL FIBRIN SURGICAL HEMOSTAT "$2,806 " 6750727 EWHO RIGID W/O JOINTS CUSTOM "$3,215 " 10721125 EXCHANGE ABS DRAIN CATH "$2,705 " 10727405 EXCHANGE BIL DRAIN CATH "$8,166 " 10727079 EXCHANGE NEPHROSTOMY CATH "$3,030 " 6991708 EXERCISE/STIM PER 15 MIN OT $204 6992709 EXERCISE/STIM PER 15 MIN PT $204 7173710 EXERCISE/STIM PER 15 MIN SP $204 10050100 EXRACORPOREAL PHOTOPHERESIS "$12,446 " 6433006 EXT BREAST GARMENT/CAMISOLE $115 7131999 EXT TEMP. PACEMAKER "$2,154 " 6689990 EXTENDED RECOVERY $737 8799992 EXTENDED RECOVERY ARR $737 8749995 EXTENDED RECOVERY ORA $737 8769985 EXTENDED RECOVERY ORT $737 6522022 EXTERNAL CEPHALIC VERSION "$1,555 " 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 " 7021008 EXTRACTABLE NUCLEAR AG/AB $91 3655301 EXTRACTABLE NUCLEAR ANTIGEN AB $213 6750883 EXTRACTOR CATZ $84 10723355 EXTRACTOR STONE NITINOL $840 6754646 EYE LENS "$1,342 " 6753685 EZ DERM PER CM $11 10729974 F-18 FDG DX UP TO 45 MCI "$2,801 " 3655257 FACTOR INHIBITOR $101 6751522 FALLER TROCAR $273 6757175 FALOPE RING $212 4031062 FAMILY GROUP PSYCHOTHERAPY $244 4031061 FAMILY PSYCHOTHERAPY W/O PT $373 7501215 FAMILY PSYCHOTHERAPY W/PT $372 7506605 FAMILY TREATMENT W/PT $230 4059486 FANCC GENE ANALYSIS "$1,121 " 7027076 FAT FECAL QUAL $128 7025331 FAT FECAL QUANT $662 4059524 "FATS/LIPIDS FECES, QUAL" $72 7025497 FATTY ACIDS FREE $444 3655261 FDP/FSP PARACOAGULATION $118 3655260 FDP/FSP SQ $328 6750292 FECAL MANAGEMENT SYSTEM "$1,500 " 7271711 FEEDING STIM OT $443 6993713 FEEDING STIM SP $443 6750474 "FEEDING TUBE, 30 DAY" $129 6993615 FEES SP $282 7026704 FENTANYL CITRATE(FENTANYL) BLD $302 4059118 FENTANYL CITRATE(FENTANYL) UR $644 6587015 FENTANYL LEVEL $42 3655091 FERRITIN $288 6522094 FETAL BIOPHY W/NST-2ND FETUS "$1,000 " 6522097 FETAL BIOPHY W/NST-3RD FETUS "$1,000 " 6522029 FETAL BIOPHY W/NST-SINGLE "$1,242 " 6522080 FETAL BIOPHY-2ND FETUS $854 6522083 FETAL BIOPHY-3RD FETUS $854 6522087 FETAL BIOPHY-4TH FETUS $854 6522081 FETAL BIOPHY-SINGLE FETUS "$1,096 " 7020799 FETAL CELL SCREENING TEST $170 6522614 FETAL COLOR FLOW MAPPING $919 6522602 FETAL CYSTOCENTESES W/GUIDANCE "$1,739 " 6522616 FETAL ECHO - FOLLOW-UP "$1,072 " 6522615 FETAL ECHO - NEW "$1,943 " 7029531 FETAL FIBRONECTIN "$1,074 " 6522108 FETAL INTRA-U TRANS. U/S GUIDE $691 6706500 FETAL INTRA-U TRANSFUSION "$1,549 " 6522604 FETAL THORACENTESIS W/GUIDANCE "$1,739 " 6522610 FETAL UMB ARTERY US $797 3653147 FHE4 $629 6751839 FIBERLASE FIBER "$3,282 " 6751936 FIBERWIRE SUTURE $501 3656649 FIBRIN D-DIMER $36 3655262 FIBRIN DEGRADATION D-DIMER QL/SQ $183 4059317 FIBRINOGEN $309 3655264 FIBRINOGEN ACTIVITY $309 3655265 FIBRINOGEN ANTIGEN $122 3655266 FIBRINOLYTIC PLASMIN ACTIVATOR $307 3655267 FIBRINOLYTIC PLASMINOGEN $443 10720044 FIDUCIAL MARKER TRIAL $1 6751061 FILSHIE CLIPS $278 6751816 FILTER IVC CELECT PLATINUM "$4,468 " 6751796 FILTER IVC GUNTER TULIP "$3,374 " 7564501 FILTERED SPEECH TEST $105 7025924 FINAL CROSSMATCH STANDARD "$1,397 " 7051065 FISH DNA PROBE 1 $436 7051068 FISH GROUP II STAIN $328 7051067 FISH HYBRIDIZATION 25-99 CELLS "$1,295 " 7021587 FISH INSIGHT 100-300 CELLS $587 7021586 FISH INSIGHT DNA PROBE $415 4059098 FISH INTERP AND REPORT $212 7054419 FISH MOLECULAR CYTO 100-300 CELL $587 7025150 "FISH PML RARA, CSI LAB" "$1,143 " 7021580 FISH22Q11 100-300 CELLS $587 7021579 FISH22Q11 DNA PROBE $415 6751646 FIXTURE FLANGE BAHA 1 "$4,962 " 6751647 FIXTURE FLANGE BAHA 2 "$10,921 " 10725121 FLD COLLX DRN CATH PERC PERITON "$4,410 " 10725117 FLD COLLX DRN CATH PERC VISC "$4,410 " 10725125 FLD COLLX DRN CATH TRANSREC/VAG "$3,886 " 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 " 6753639 FLEXHD PER SQ CM LVL 1 $80 6753640 FLEXHD PER SQ CM LVL 2 $110 10720112 FLORBETABEN F18 STY UP TO 8.1MCI "$3,608 " 7022169 FLOW CYTO SO TECH MRKR 1 $659 7022170 FLOW CYTO SO TECH MRKR 2 $193 6951191 FLOW CYTOMETRY ADD'L MARKER CD55 $193 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 6753599 FLOWERAMNIO PATCH PER SQ CM $415 6753648 FLOWERAMNIOFLO 0.1CC $787 3655459 "FLT3 GENE ANALY, TKD VARIA" $652 6751860 FLUID BURST .50ML "$10,024 " 6991714 FLUIDOTHERAPY OT $265 6992714 FLUIDOTHERAPY PT $265 7021919 "FLUOR AB NONINFECT, SCREEN, EA AB" "$1,965 " 3655302 FLUORESCENT ANTIBODY SCREEN $387 4059485 FLUORESCENT ANTIBODY TITER $171 10729218 FLUORO CVD WO/W VENOGRAM S&I "$1,151 " 10727735 FLUORO NDL PLC BX/ASP/INJ/LOC "$1,162 " 10727043 FLUORO NEEDLE GUIDE DX/TX SPN "$1,035 " 10728168 FLUORO UNDER 1 HR $789 10720115 FLUTEMETAMOL F18 STY UP TO 5 MCI "$12,034 " 10720305 FNA BX W/CT GDN 1ST LES "$1,324 " 10720301 FNA BX W/US GDN 1ST LES "$1,324 " 10720302 FNA BX W/US GDN EA ADDL $331 6750756 FO W/O JOINT CUSTOM $864 4059031 FOLATE $305 4059178 FOLATE RED CELL $415 7026882 "FOLATE, SERUM" $305 6751022 FOLEY 16 FR WITH URINE METER $76 3655093 FOLIC ACID RED CELLS $415 3655092 FOLIC ACID SERUM $305 4059128 FONDPARINUX(ARIXTRA) LEVEL $302 6756116 FORAMEN NEEDLE $272 6751945 FORTE PLUS RENAL ACCESS SHEATH "$1,413 " 4059288 FREE T3 $337 4059053 FREE T4 THYROXINE $268 7020171 FRESH FROZEN PLASMA $362 7054382 FROZEN SECTION TECH ADDITIONAL $265 7054381 FROZEN SECTION TECHNICAL $465 7026333 FRUCTOSAMINE $300 3655105 FSH $542 4059314 FSP $328 4059315 FSP/A $328 7023505 FTA SERUM $344 3955048 FULL FACE CUSHION REPLACEMENT $122 3955055 FULL FACE MASK LVL I $649 6751947 FULL RADIUS DYONICS $292 7021743 FUNGAL ID BY NUC ACID PROBE $215 3655101 G6PD $249 4059198 G6PD RBC SCREEN $249 7025984 GAD AUTOANTIBODIES $282 10729961 GADOBUTROL (GADAVIST) PER 0.1 ML. $4 10727458 GADOLINIUM MRI CONTRAST PER ML $27 7372715 GAIT TRAINING PER 15 MINUTES $213 6992715 GAIT TRAINING PER 15 MINUTES PT $213 10726648 GALLIUM 68 DOTATATE 0.1 MCI $202 10722988 GALLIUM CITRATE PER MCI $185 3655103 GAMMA GT $104 6431500 GARMENT NONELASTIC EXTRM LVL I $180 6431501 GARMENT NONELASTIC EXTRM LVL II $335 6431502 GARMENT NONELASTIC EXTRM LVL III $565 6431503 GARMENT NONELASTIC EXTRM LVL IV $960 6431504 GARMENT NONELASTIC EXTRM LVL V "$1,400 " 6431505 GARMENT NONELASTIC EXTRM LVL VI "$1,700 " 6431509 GARMENT STRETCH OTHER LVL I $180 6431510 GARMENT STRETCH OTHER LVL II $335 6431511 GARMENT STRETCH OTHER LVL III $565 6431512 GARMENT STRETCH OTHER LVL IV $960 6431514 GARMENT STRETCH OTHER LVL VI "$1,700 " 7362033 GAS DILUTION/WASHOUT DETERMINE $528 6755724 GASTRIC LAVAGE SYSTEM $195 3655097 GASTRIN $516 7030062 GASTROESOPHAGEAL REFLUX TEST "$4,901 " 10727013 GASTROSTOMY TUBE REPOSITION $427 7027005 GBS BY PCR $166 7028500 GC DNA BY AMPLIFICATION $300 4722044 GCSM CT ABDOMEN W/CON "$4,265 " 4722043 GCSM CT ABDOMEN W/O CON "$3,481 " 4722047 GCSM CT ABD-PELVIS W CON "$5,412 " 4722046 GCSM CT ABD-PELVIS WO CON "$4,700 " 4722015 GCSM CT CHEST W/CON "$3,875 " 4722014 GCSM CT CHEST W/O CON "$3,157 " 4722000 GCSM CT HEAD (BRAIN) W/O CON "$3,035 " 4722039 GCSM CT LOWER EXTREMITY W/O CON "$2,928 " 4722006 GCSM CT MAXILLOFACIAL W/O CON "$2,988 " 4722010 GCSM CT NECK W/CON "$3,183 " 4722009 GCSM CT NECK W/O CON "$2,988 " 4722031 GCSM CT PELVIS W/ CON "$3,879 " 4722058 GCSM LOCM300-399 $6 6757956 GEL PORT "$2,626 " 6751951 GEN NEUROSTIMULATOR HIGH FREQ "$76,485 " 7029701 GENE FULL SEQUENCE ANALYSIS MECP2 "$1,663 " 7029702 GENE FULL SEQUENCE ANALYSIS PTEN "$1,890 " 3631068 GENETIC COUNSEL $223 6520505 GENETIC COUNSEL EST PAT LEVEL 1 $223 6520509 GENETIC COUNSEL EST PAT LEVEL 5 $223 6520500 GENETIC COUNSEL NEW PAT LEVEL 1 $223 6520501 GENETIC COUNSEL NEW PAT LEVEL 2 $223 7028574 GENTAMICIN(GARAMYCIN) PEAK $381 7028185 GENTAMICIN(GARAMYCIN) RANDOM $381 7028575 GENTAMICIN(GARAMYCIN) TROUGH $381 7030069 GI BRAVO REFLUX TEST W ELECTRODE "$5,106 " 4059643 GI PATHOGEN 22 TARGETS $650 4059597 GI PCR PANEL $943 7031001 GI PROCEDURE ADDL 15 MIN "$1,486 " 7031000 GI PROCEDURE INITIAL 15 MIN "$4,103 " 7030064 GI TRACT CAPSULE ENDOSCOPY "$8,679 " 6752816 GIA RELOAD UNIT "$1,465 " 4059613 GIARDIA AG $200 7258120 GK-3-DIMENSIONAL SIMULATION "$13,794 " 7258116 GK-REMOV OF HEADFRAME BY OTHER MD $399 7258122 GK-SIMULATION - COMPLEX "$3,725 " 7258123 GK-SPEC MED PHYSICS CONSULTATION "$1,442 " 7258121 GK-SPECIAL TREATMENT PROCEDURE "$4,371 " 7258124 GK-SRS DEL 1 SESSION CRANIAL LESI "$47,471 " 7258117 GK-TREATMENT DEVICES COMPLEX "$2,359 " 6751953 GLAUCOMA FILTRATION DEVICE "$4,075 " 7021481 GLIAL NUCLEAR AB TYPE 1 $86 4059194 GLUCAGON PLASMA $747 7029511 GLUCOSE 1HR POST DOSE/ PRANDIAL $79 7028750 GLUCOSE 2HR POST DOSE/ PRANDIAL $79 3655099 GLUCOSE BLOOD QN $73 7028187 GLUCOSE BODY FLUID $189 3655102 GLUCOSE BY DEVICE $72 7028720 GLUCOSE CSF $189 7028304 GLUCOSE FASTING $73 7028012 GLUCOSE POC $73 4059602 GLUCOSE POST DOSE $79 7028369 GLUCOSE RANDOM $73 4059033 GLUCOSE REAGENT STRIP $72 7028015 GLUCOSE TOLERANCE 2HR $258 7028775 GLUCOSE URINE 24HR $214 4059559 GLYCATED PROTEIN (FRUCTOSAMINE) $300 3655111 GLYCOHEMOGLOBIN (A1C) $255 4059202 GLYCOHEMOGLOBIN A1C $255 6750785 GOLD PROBE "$1,499 " 6754692 GOODE TUBE $137 6751954 GPROBE "$1,184 " 6751955 GRACILIS TENDON/LIGAMENT "$4,969 " 6430080 GRAD COMP (SLEEVE) RTW 20-30 $177 6431016 GRAD COMP (SLEEVE) RTW 30-40 $177 6430249 GRAD COMP KNEE 18-20 RTW PAIR $65 6431537 GRAD COMP KNEE 18-30 LVL II $335 6431538 GRAD COMP KNEE 18-30 LVL III $565 6430250 GRAD COMP KNEE 20-30 RTW PAIR $117 6431545 GRAD COMP KNEE 30-40 LVL I $180 6431546 GRAD COMP KNEE 30-40 LVL II $335 6431547 GRAD COMP KNEE 30-40 LVL III $565 6430260 GRAD COMP KNEE 30-40 RTW PAIR $148 6431554 GRAD COMP KNEE 40-50 LVL I $180 6431555 GRAD COMP KNEE 40-50 LVL II $335 6431556 GRAD COMP KNEE 40-50 LVL III $565 6431557 GRAD COMP KNEE 40-50 LVL IV $960 6431559 GRAD COMP KNEE 40-50 LVL VI "$1,700 " 6431560 GRAD COMP KNEE 40-50 LVL VII "$2,400 " 6430270 GRAD COMP KNEE 40-50 RTW PAIR $183 6431644 GRAD COMP SCK/SLV OTHER LVL I $180 6431645 GRAD COMP SCK/SLV OTHER LVL II $335 6431646 GRAD COMP SCK/SLV OTHER LVL III $565 6431647 GRAD COMP SCK/SLV OTHER LVL IV $960 6430081 GRAD COMP SCK/SLV RTW 20-30 $177 6430082 GRAD COMP SCK/SLV RTW 30-40 $177 6430199 GRAD COMP THIGH 18-20 RTW PAIR $89 6431563 GRAD COMP THIGH 18-30 LVL I $180 6431564 GRAD COMP THIGH 18-30 LVL II $335 6431565 GRAD COMP THIGH 18-30 LVL III $565 6431566 GRAD COMP THIGH 18-30 LVL IV $960 6431567 GRAD COMP THIGH 18-30 LVL V "$1,400 " 6431568 GRAD COMP THIGH 18-30 LVL VI "$1,700 " 6430200 GRAD COMP THIGH 20-30 RTW PAIR $154 6431572 GRAD COMP THIGH 30-40 LVL I $180 6431574 GRAD COMP THIGH 30-40 LVL III $565 6431575 GRAD COMP THIGH 30-40 LVL IV $960 6430210 GRAD COMP THIGH 30-40 RTW PAIR $195 6431581 GRAD COMP THIGH 40-50 LVL I $180 6431582 GRAD COMP THIGH 40-50 LVL II $335 6431583 GRAD COMP THIGH 40-50 LVL III $565 6431585 GRAD COMP THIGH 40-50 LVL V "$1,400 " 6431587 GRAD COMP THIGH 40-50 LVL VII "$2,400 " 6431588 GRAD COMP THIGH 40-50 LVL VIII "$4,500 " 6430220 GRAD COMP THIGH 40-50 RTW PAIR $225 6431620 GRAD COMP WAIST 18-30 LVL IV $960 6431622 GRAD COMP WAIST 18-30 LVL VI "$1,700 " 6431629 GRAD COMP WAIST 30-40 LVL IV $960 6431631 GRAD COMP WAIST 30-40 LVL VI "$1,700 " 6431637 GRAD COMP WAIST 40-50 LVL III $565 6431638 GRAD COMP WAIST 40-50 LVL IV $960 6431640 GRAD COMP WAIST 40-50 LVL VI "$1,700 " 6430101 GRAD COMPR (SLV) RTW 20-30 $177 6430102 GRAD COMPR (SLV) RTW 30-40 $177 6431699 GRAD COMPRES GLOVE HEAVY LVL II $335 6431700 GRAD COMPRES GLOVE HEAVY LVL III $565 6431689 GRAD COMPRES GLOVE MED LVL I $180 6431690 GRAD COMPRES GLOVE MED LVL II $335 6431691 GRAD COMPRES GLOVE MED LVL III $565 6431680 GRAD COMPRES SLEEVE HEAVY LVL I $180 6431681 GRAD COMPRES SLEEVE HEAVY LVL II $335 6431682 GRAD COMPRES SLEEVE HEAVY LVL III $565 6431683 GRAD COMPRES SLEEVE HEAVY LVL IV $960 6431684 GRAD COMPRES SLEEVE HEAVY LVL V "$1,400 " 6431672 GRAD COMPRES SLEEVE MED LVL II $335 6431673 GRAD COMPRES SLEEVE MED LVL III $565 6430103 GRAD COMPRESSION GAUNTLET RTW $89 6430104 GRAD COMPRESSION GLOVE RTW $250 6431708 GRAD PRES SLEEVE & GLOVE LVL III $565 6431709 GRAD PRES SLEEVE & GLOVE LVL IV $960 6431580 GRAD PRESSURE AID SLEEVE & GAUNT $157 6430010 GRADIENT COMP GAUNTLET RTW $89 6430040 GRADIENT COMP GLOVE RTW $250 6430119 GRADIENT COMP WAIST 18-20 RTW $136 6430120 GRADIENT COMP WAIST 20-30 RTW $177 6430130 GRADIENT COMP WAIST 30-40 RTW $230 6430140 GRADIENT COMP WAIST 40-50 RTW $277 6430011 GRADIENT COMPRESSION GAUNTLET RTW $89 6430041 GRADIENT COMPRESSION GLOVE RTW $250 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 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 4059444 GRAM STAIN ONLY $156 6751968 GRANULES BURST 10CC "$10,625 " 7020220 GRANULOCYTES "$3,364 " 7054450 GROUP III SPECIAL STAIN SENDOUT $775 7501195 GROUP PSYCHOTHERAPY 1.5HR $306 7501197 GROUP PSYCHOTHERAPY 3 HR $612 4031063 GROUP PSYHOTHERAPY $207 7501189 GROUP PSYHOTHERAPY .5 HR $102 7501193 GROUP PSYHOTHERAPY 1HR $205 3655107 GROWTH HORMONE $392 3656632 "GROWTH HORMONE, HUMAN (HGH), AB" $78 7021352 GTT 1ST 3 SPECIMEN $258 7257777 GUIDANCE FOR RADIAJ TX "$4,018 " 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 " 6753031 GYRUS ELECTRODE SUPRA SPATULA "$1,575 " 3655408 H PYLORI AG $113 3655407 H PYLORI AG STOOL $195 3655347 H PYLORI ANTIBODY $195 3656631 H PYLORI C-13 BREATH $327 4059406 H PYLORI IGA AB $195 4059404 H PYLORI IGG AB $195 4059405 H PYLORI IGM AB $195 7027126 H PYLORI TISSUE SCREEN $173 6990506 HA-ACCESSORIES LVL I $224 7560507 HA-ACCESSORIES LVL II $561 6609766 HALL DISP. SAW BLADES $194 4059200 HAPTOGLOBIN $443 3655108 HAPTOGLOBIN QN $443 6608385 HARMONIC BLADE "$1,117 " 6753046 HARMONIC SCALPEL SHEARS CURVED "$2,938 " 6609780 HARMONIC SHEAR "$2,550 " 6500070 HARMONY BREAST PUMP $48 3656641 HBA1/HBA2 FULL GENE SEQUENCE "$1,890 " 4059476 HBA1/HBA2 GENE $702 3652034 HBA1/HBA2 GENE ANALYSIS "$1,044 " 3656634 HBB FULL GENE SEQUENCE "$1,074 " 4059241 HCG ALPHA SUBUNIT $510 3655221 HCG QUALITATIVE $322 3655220 HCG QUANTITATIVE $380 7025129 HCG TUMOR MARKER $380 8610932 HCG URINE QUALITATIVE $248 3655131 HDL CHOLESTEROL MEASURED $156 7255055 HDR AFTLOAD INC DOSIMTRY >12 CHN "$7,982 " 7255053 HDR AFTLOAD INC DOSIMTRY 1 CHNL "$6,994 " 7255054 HDR AFTLOAD INC DOSIMTRY 2-12 CHN "$7,686 " 7255056 HDR SKIN SURF BRCH LES 2.0CM/1 CH "$1,927 " 3955060 HEAD GEAR $101 7865042 HEAD STRAP $42 7564612 HEARING SCREENING $68 3955014 HEATED CPAP TUBING $122 3955020 HEATED HUMIDIFIER CHAMBER $87 3955018 HEATED HUMIDIFIER PURCHASE $679 7860018 HEATED HUMIDIFIER RENTAL $113 7860014 HEATED HUMIDIFIER REPLACEMENT $679 3655451 HEAVY METAL QUANT EA $812 4059510 HEAVY METAL SCREEN $869 7361399 HELI OX PER CANNISTER $793 6754757 HELICAL BLADE "$3,108 " 7028030 HELICOBACTER PYLORI AG STOOL $195 4059493 "HELICOBATER PYLORI, STOOL" $195 7080881 HEMA PROG CELL HPC BOOST "$4,117 " 3655225 HEMATOCRIT ONLY $60 7380101 HEMODIALYSIS "$2,837 " 7361400 HEMOGLOBIN $54 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 3655268 HEMOLYSIN ACID $107 4059607 HEMOLYSINS/AGGLUTININS INCUBATION $953 6757851 HEMORRHOID STAPLER $799 4059335 HEMOSIDERIN QL $70 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 3655415 HEP C PCR AMPLIFIED $758 3655416 HEP C PCR QN "$1,153 " 6962109 HEP C RNA PCR QUANT "$1,153 " 4059463 HEP C RNA QUANT BDNA $830 4059462 HEP C RNA QUANT PCR "$1,153 " 3655269 HEPARIN ASSAY $396 7022987 HEPARIN NEUTRALIZATION $279 3655006 HEPATIC FUNCTION PANEL $356 4059416 HEPATITIS A AB IGM $328 4059415 HEPATITIS A AB TOTAL $149 3655361 HEPATITIS A ANTIBODY IGM $328 3655360 HEPATITIS A ANTIBODY TOTAL $149 3655357 HEPATITIS B CORE ANTIBODY TOTAL $232 3656315 HEPATITIS B CORE IGM $330 4059414 HEPATITIS B E AB $237 4059456 HEPATITIS B E AG $232 4059413 HEPATITIS B SURF AB QUAL $232 3655409 HEPATITIS B SURF AG $277 3655358 HEPATITIS B SURFACE AB QL $232 3655410 HEPATITIS BE AG $232 3655359 HEPATITIS BE ANTIBODY $237 3655370 HEPATITIS C AB CONFIRM $358 4059461 HEPATITIS C AMPLIFICATION $758 3655369 HEPATITIS C ANTIBODY $393 7021879 HEPATITIS C GENOTYPE $823 7026323 HEPATITIS DELTA ANTIBODY $532 7025348 HEPATITIS PROFILE ABC $747 6608314 HERNIA STAPLER EMS 30 "$1,976 " 3655351 HERPES SIMPLEX 1 $206 7021048 HERPES SIMPLEX 1 IGG $206 7021047 HERPES SIMPLEX 1 IGM $206 3655352 HERPES SIMPLEX 2 $206 7021050 HERPES SIMPLEX 2 IGG $206 7021049 HERPES SIMPLEX 2 IGM $206 4059496 HERPES SIMPLEX NON-SPECIFIC $133 3655308 HETEROPHILE ANTIBODY SCREEN $195 3655309 HETEROPHILE ANTIBODY TITER $57 3653000 HEXAGNAL PHOSPH PLTLT NEUTRL $104 6753369 HF RESECTION 24FR LONG ROLLER "$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 " 6753406 HF RESECTION ELECT 24FR LONG LOOP "$1,741 " 6753414 HF RESECTION ELECTRODE 24FR LOOP $315 6753413 HF RESECTION ELECTRODE 26FR LOOP $315 6750753 HFO W/O JOINTS CUSTOM "$1,096 " 4059325 HGB SICKLE CELL SCREEN $166 7025608 HHV-6 QPCR $571 7026391 HHV-7 "$1,174 " 7026390 HHV-8 "$1,174 " 6781675 HIGH COMPLEX PROCEDURE "$10,395 " 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 " 7133972 HIS BUNDLE ABLATION "$16,482 " 4059343 HISTAMINE $962 7054001 HISTOCHEM STAINING MUSCLE $224 6751514 HISTOLOGY NEEDLE ALWAYS ON TIP "$1,953 " 7027151 HISTOPLASMA AG $457 4059551 HISTOPLASMA ANTIBODY $179 7026614 HISTOPLASMA SEROLOGY CSF $179 7022038 HIT ANTIBODY $465 7026084 HIV 1 AB EVAL $266 4059590 HIV 1 PCR AMPLIFIED "$1,613 " 3655418 HIV 1 PCR QN $624 6962108 HIV 1 RNA PCR QUANT $624 4059464 HIV 1 RNA QUANT BY PCR $624 7026412 HIV 1/2 AG/AB COMBO $321 7026335 HIV 2 AB EVAL $403 3652000 HIV AG/AB COMBO ASSAY $321 3655356 HIV ANTIBODY SCREEN $306 3655348 HIV CONFIRM $229 7026495 HIV DNA QUAL BY PCR "$1,613 " 7021573 HIV PHENOTYPE 1ST 10 DRUGS "$4,921 " 7021574 HIV PHENOTYPE ADD'L 1-5 DRUGS $330 3655354 HIV-1 ANTIBODY $266 7021834 HIV-1 OTHER REGION "$1,026 " 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 7025352 HLA B27 $659 7022079 HLA CLASS I HIGH DEFIN QUAL $765 7021778 HLA CLASS II HIGH DEFIN QUAL $910 7022065 HLA TYPING I & II HIGH RES "$2,201 " 7021888 HLA TYPING I & II LOW RES "$1,353 " 4059626 HLA TYPING I LOW RES 1 LOCUS "$1,813 " 7022072 HLA TYPING II HIGH RES 1 LOCUS "$1,037 " 3655371 HLA TYPING MULTI ANTIGEN A/B/C $967 6750754 HO W/O JOINTS CUSTOM "$1,096 " 6608305 HOLMIUM LASER FIBER "$1,426 " 7121150 HOLTER MONITORING UP TO 48HRS $354 3951018 HOME SLEEP TEST/TYPE III PORTABLE $732 3655116 HOMOCYSTEINE $305 7027267 HOMOGENIZATION TISSUE FOR CULTURE $62 6608789 HORIZON CLIP LARGE $42 6308787 HORIZON CLIP MED $26 6308788 HORIZON CLIP MED-LARGE $32 6308786 HORIZON CLIP SMALL $21 4031148 HOSPITAL OUTPT CLINIC VISIT $223 6991716 HOT/COLD PACK ONE OR MORE AREA OT $149 6992716 HOT/COLD PACK ONE OR MORE AREA PT $149 7026023 HSV ANTIBODY SCREEN IGM $133 4059621 "HSV PCR QUAL, AMPLIFIED PROBE" $173 7022144 HSV PCR QUANTIFICATION $442 7026447 HTLV I ANTIBODIES $155 6753863 HUMAN CORNEA HALF W/O SCLERAL RIM "$1,635 " 4059199 HUMAN GROWTH HORMONE LEVEL $392 6753064 HUMAN TISSUE CARTILAGE ALLOGRAFT "$18,386 " 6781141 HYDRATION IV EA ADTL HR/SEQ $215 6781140 HYDRATION IV INITIAL 31-60 MIN $594 6751119 HYDRO THERMABLATOR SET "$4,821 " 6750076 HYDROTOME "$2,486 " 3655117 HYDROXYCORTICOSTEROID 17-OHCS $171 10727015 HYSTEROSONOGRAM $585 10725242 I&D ABSC THIGH/KNEE "$3,956 " 7130646 I&D HEMATOMA/SEROMA/FLUID "$4,558 " 10722987 I-123 CAP PER 100 UCI DX USE $244 10722972 I-131 CAP PER MCI DX IMAGING $42 10722973 I-131 CAP PER MCI TRT USE $42 10720194 I-131 SOD IOD DX PER UCI $172 10720193 I-131 SOLUTION TX PER MCI $41 7130214 ICD INSERT/REPLACE DUAL W/LEAD "$58,793 " 7130213 ICD INSERT/REPLACE SGL W/LEAD "$58,793 " 7008668 ICD INTERR EVAL $292 7130260 ICD LEAD/DUAL COIL "$41,580 " 7130185 ICD LEAD/GEN TEST AT IMPLANT "$3,723 " 7008674 ICD PERI-PROCEDURE EVAL $149 7008665 ICD PROG EVAL DUAL LEAD $292 7008666 ICD PROG EVAL MULTI LEAD $292 7008664 ICD PROG EVAL SINGLE LEAD $292 6112006 ICU Room "$4,980 " 7025360 "IDH ISOENZYMES," $306 7021999 IEF CONFIRMATION $218 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 3655095 IGE $191 4059285 IGF 1 (SOMATOMEDIN) $232 7023120 IGG $184 4059190 IGG SUBCLASS 1 $189 7023040 IGG SUBCLASS 2 $189 7023041 IGG SUBCLASS 3 $189 7021295 IGG SUBCLASS 4 $189 3655096 IGG SUBCLASSES $189 4059185 IGM $184 6757572 ILIAC CREST "$3,719 " 3631019 IM OR SQ INJECTION $215 7251037 IMMOBILIZER BALLOON PROSTATE $488 6757361 "IMMOBILIZER KNEE UNIV 20""" $208 6750569 IMMOBILIZER UNIV SHOULDER SM $112 3655314 IMMUNE COMPLEX ASSAY $137 7054211 IMMUNO 1ST AB PER SPECIMEN $516 7054212 IMMUNO EA ADDL AB PER SPECIMEN $516 7054213 IMMUNO MULTIPLEX AB PER SPECIMEN $516 7054214 IMMUNO REF LAB 1ST AB PER SPEC $516 7054215 IMMUNO REF LAB EA ADD AB PER SPEC $516 7054216 IMMUNO REF LAB MULTPLX PER SPEC $516 4059234 IMMUNOASSAY FIBROSPECT EACH $677 7022200 IMMUNOASSAY NON-INFECTIOUS AB/AG $166 7021904 "IMMUNOASSAY NONINFECTIOUS, QUANT" "$1,518 " 3655420 IMMUNOASSAY OPTICAL ORGANISM NOS $43 7021762 IMMUNOASSAY PNEUMO AB EACH $66 3655119 IMMUNOASSAY QL/SQ MULTI STEP $177 3655304 IMMUNOASSAY QL/SQ TUMOR ANTIGEN $93 3655311 IMMUNOASSAY QN INFECTIOUS AB $399 3655121 IMMUNOASSAY QN OTHER $677 3655120 IMMUNOASSAY QN RIA $358 3655310 IMMUNOASSAY QN TUMOR AG OTHER $510 7022070 IMMUNOASSAY QNT NOS NONAB $291 4059102 IMMUNOASSAY SCREEN BLOOD FECAL $113 7021902 "IMMUNOASSAY TUMOR/OTHER AG, QUANT" $140 3655313 IMMUNODIFFUSION $421 3655312 IMMUNOELECTROPHORESIS SERUM $311 3655316 IMMUNOFIX ELECTRO OTHER $334 3655315 IMMUNOFIX ELECTRO SERUM $334 7021406 IMMUNOFIXATION SERUM $334 4059381 IMMUNOFIXATION URINE $334 7022199 IMMUNOFLUOR EA AB ADD SINGLE $550 7022138 "IMMUNOFLUOR EA AB, DIRECT METHOD" $785 7052141 "IMMUNOFLUOR PR SP, EA ADD SGL AB" $550 3655434 IMMUNOFLUORESCENT DIRECT $204 6753067 IMPL COLLAGEN ENDURAGEN 1X4X1MM "$1,309 " 6753068 IMPL COLLAGEN ENDURAGEN 2X5X.5MM "$2,647 " 6753686 IMPL COLLAGEN URINARY 2.5 ML "$1,400 " 6753496 IMPL OCULAR DRAIN ASSIST DEV "$6,804 " 7008675 IMPL SUBC CARD MNTR PROG EVAL $142 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 " 7131605 IMPLANT CARDIAC EVENT RECORDER "$9,002 " 6753449 IMPLANT DISC SPINAL CERVICAL "$25,106 " 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 " 6753404 IMPLANT ORBITAL FLOORSHEET MEDPOR "$2,517 " 10723596 IMPLANT POWER INDWELLING LVL 1 $880 10723597 IMPLANT POWER INDWELLING LVL 2 "$1,700 " 10723614 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 " 6753075 IMPLANTABLE DOPPLER FLOW PROBE "$1,874 " 7258757 "IMRT, COMPLEX" "$4,887 " 7258756 "IMRT, SIMPLE" "$4,665 " 10722974 IN 111-DTPA PER 0.5 MCI "$5,884 " 7020805 INCUBATION TECHNIQUE $285 4031077 IND O2 UPTAKE @ RST FOR CALORIMET $347 7022430 INDIRECT ANTIBODY SCREEN $177 10720255 INDIUM III WBC DX PER DOSE "$10,764 " 7503037 INDIVIDUAL PSYCHOTHERAPY >52 0MIN $538 4031058 INDIVIDUAL PSYCHOTHERAPY >52 MIN $538 7503035 INDIVIDUAL PSYCHOTHERAPY 16-37MIN $180 7503036 INDIVIDUAL PSYCHOTHERAPY 38-52MIN $306 3656664 INFECIOUS AGEN DRUG SUS CMV "$2,175 " 7021926 INFECT AGENT PCR QUANT NOS EA ORG "$1,159 " 7022118 INFECTIOUS AGENT DRUG SUS CMV "$2,175 " 4059380 INFECTIOUS MONO TEST $195 4059235 INFLIXIMAB $677 7021908 INFLUENZA A & B RTPCR $575 7021407 INFLUENZA A ANTIBODY $358 7021408 INFLUENZA B ANTIBODY $358 4031144 "INFUSION, SUBQ THERAP ADDL HR" $205 4031143 "INFUSION, SUBQ THERAP UP TO 1 HR" $665 4059501 INHIBIN A $132 7025126 INHIBIN B $291 10727023 INJ ARTHROGRAM ANKLE "$1,045 " 10727027 INJ ARTHROGRAM ELBOW "$1,045 " 10727030 INJ ARTHROGRAM HIP "$1,045 " 10727035 INJ ARTHROGRAM SHOULDER "$1,045 " 10727038 INJ ARTHROGRAM WRIST "$1,148 " 10721135 INJ CON EVAL EXIST TUBE $555 10721139 INJ CONTRAST ABS CYST $500 10724903 INJ LUM EPI OR SUBD W/IMG "$2,469 " 10727712 INJ PERC TREAT EXTREM PSEUDO $964 10725084 INJ SGL TENDON ORIG/INSERTN $774 6753687 INJ VOCAL CORD BULK AGENT 0.1ML "$2,500 " 10727734 INJ W/FLUOR EVAL CV DEVICE $765 10727394 INJECT CHOLANGIOGRAM EXISIT ACS "$4,074 " 10727012 INJECT SINUS TRACT FOR X-RAY $763 10724012 INJECTION FOR BREAST X-RAY "$1,259 " 6021009 INJECTION SQ OR IM $215 6608609 INNERDYNE STEP TROCAR $421 7367200 INOMAX(NITRIC OXIDE)800PPM/1 HOUR $614 10729211 INS DEV CENT VEN W/PORT >5 YRS "$9,021 " 10729201 INS NON-TUN CENTRAL CATH >5 YRS "$4,425 " 10729202 INS PICC W/O PORT/PUMP >5 YRS "$4,263 " 10729206 INS PICC W/PORT/PUMP >5 YRS "$4,263 " 6020333 INS PICC WO PORT/PUMP/IMG <5 YRS "$4,560 " 10729210 INS TUN CENT CATH W/O PRT >5 YRS "$5,430 " 7251497 INS UTERINE TNDM/ VAGINAL OVOID "$3,109 " 7136510 INSERT CARDIAC LV LEAD W/EXIST "$19,692 " 10720179 INSERT CATH PLEURA W/ IMAGE "$4,512 " 10721129 INSERT DUOD/J TUBE "$2,934 " 10721145 INSERT INTRAPERI CATH W/PORT "$11,571 " 7130235 INSERT NEW PM W/DUAL LEAD "$24,209 " 7130603 INSERT NEW PM W/DUAL LEAD (KX) "$24,209 " 7130230 INSERT NEW PM W/V LEAD "$21,512 " 7130602 INSERT NEW PM W/V LEAD (KX) "$21,512 " 7136511 INSERT OF CARDIAC LV LEAD - W/NEW "$19,692 " 10721144 INSERT TUNN INTRAPERI CATH "$7,520 " 10727714 INSERT TUNNELED PLEURAL CATH "$9,928 " 7115130 INSERT VAD ARTERY ACCESS "$15,087 " 6781700 INSERTION FOLEY/STRAIGHT CATH $218 7130287 INSERTION ONE LEAD "$18,507 " 7130289 INSERTION TEMP PACEMAKER ELECT. "$18,507 " 7130288 INSERTION TWO LEADS "$18,507 " 7251498 INSERTION VAGINAL CYLINDER "$1,486 " 7111184 INSJ SUBQ CAR RHYTHM MNTR "$15,540 " 6751261 INSORB STAPLER $181 7111120 INSRT/REPLC SUBQ SYSTEM W/EP EVAL "$55,791 " 4031030 INST UTERINE TNDM/ VAGINAL OVOID "$3,109 " 7951160 INSTILL ANTICARCINOGENIC BLADDER $907 6753077 INSTRATEK EUDOTRAC BLADE $516 7026898 INSULIN ANTIBODIES QUANT $656 4059243 INSULIN LIKE GROWTH FACT. 3 $177 3655122 INSULIN TOTAL $444 4059251 INSULIN(INSULIN) ASSAY $444 6753078 INTEGRA BILAYER MATRIX IMPLANT "$10,317 " 6753080 INTEGRA MATRIX LVL I PER SQ CM $96 6753082 INTEGRA MATRIX LVL II PER SQ CM $392 7251501 INTENSITY MODULATED TREATMENT PLA "$11,221 " 7111770 INTER DEVC REMOTE 30D $292 4031064 INTERACTIVE COMPLEXITY $203 6751059 INTERCEED $807 6753593 INTERFYL 1MG $5 4059246 INTERLEUKIN-6(IL-6) $926 6042202 Intermediate ICU Room "$4,437 " 6781627 INTERMEDIATE PROCEDURE "$1,022 " 6702050 INTERNAL FETAL MONITORING $580 7054478 INTERPACE PATHFINDER TG "$10,999 " 6753688 INTERPHALANGEAL JOINT SPACER "$6,600 " 7131014 INTRACARDIAC ECG (ICE) "$6,017 " 7133971 INTRACARDIAC EP 3-D MAPPING "$9,600 " 6750863 INTRAOSSEOUS NDL/ILIAC ASPIRATN $589 6757993 INTRATHECAL CATHETER "$3,101 " 6757994 INTRATHECAL PUMP IMPLANT (PROG) "$42,203 " 6751062 INTRAUTERINE PRESSURE CATH $477 7113239 INTRAVASC DOPP/COLOR ADDL IFR "$4,343 " 7113238 INTRAVASC DOPP/COLOR INITIAL IFR "$4,824 " 3655318 INTRINSIC FACTOR AB $500 10725791 INTRO CATH DIA CIR DX ANG FLU "$2,443 " 7110552 INTRO CATH DIA CIR W/TCAT STENT "$34,822 " 10728488 INTRO CATH VENA CAVA SUP/INFERIOR "$2,279 " 3631000 INTRO NEEDLE/INTRACATH VEIN $279 10727845 INTRO OF FALLOPIAN TUBE CATH "$4,631 " 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 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 10723548 INTRO/SHTH GUIDE FIX PEEL LVL II $607 6751421 INTRO/SHTH GUIDE FIX PEEL LVL III "$1,271 " 10721422 INTRO/SHTH GUIDE FIX PEEL LVL IV "$2,426 " 7851419 INTRO/SHTH GUIDE FIX PEEL LVL1 $243 6750538 INTRODUCER INTRASITE $465 6753326 INTRODUCER KIT INTERSTIM "$1,021 " 10723712 INTRODUCER OSTEO ONE-STEP "$2,695 " 6753088 INTRODUCR/SHEATH NO-GUIDE LVL I $413 6753089 INTRODUCR/SHEATH NO-GUIDE LVL II $737 6753091 INTRODUCR/SHEATH NO-GUIDE LVL IV "$1,768 " 4059632 INTRPHASE INSITU HYBRIDIZ 100-300 $587 4059637 INTRPHASE INSTU HYBRIDIZ 100-300 $587 7258900 INTRST RADELMT COMPLX>10 SCS "$11,025 " 7361252 INTUBATION $989 6753093 IO-FLEX IPSI PROBE $931 6753094 IO-FLEX MICROBLADE SHAVER BLADE "$6,719 " 6753095 IO-FLEX NEURO CHECK DEVICE "$4,948 " 10720097 IOFLUPANE I-123 TO 5MCI DOSE "$7,220 " 7361034 IONIZED CALCIUM $153 7621876 IONTOPHORESIS PER 15 MIN $229 7561717 IONTOPHORESIS PER 15 MIN OT $229 6992717 IONTOPHORESIS PER 15 MIN PT $229 7363051 IPPB TX $549 10721130 IR INSERT GASTROSTOMY TUBE "$2,795 " 3655123 IRON $189 3655124 IRON BINDING $189 7029456 IRON LEVEL $189 7054338 IRON QUANTITATION TISSUE $639 7020672 IRRADIATION BLOOD PRODUCT $134 7054445 ISH MORPHO AUTO MULTI STAIN "$1,151 " 7021831 ISH MORPHO MANUAL 1ST STAIN "$1,108 " 7021857 ISH MORPHO MANUAL ADDL STAIN "$1,108 " 7054447 ISH MORPHO MANUAL MULTI STAIN "$1,151 " 7021858 ISH MORPHO MANUAL MULTISTAIN "$1,151 " 7054560 ISH PER SPEC 1ST SGL STAIN $212 7054561 ISH PER SPEC ADDL SGL STAIN $212 3656652 ISLET CELL ANTIBODY $74 6608218 ISOCOOL BIPOLAR TIP "$1,413 " 6656402 ISOLATION/ICE REC TIME EA ADD 15M $272 6656403 ISOLATION/ICU REC INITAL 15 M $457 6666410 ISOLATION/ICU REC INITAL 15M $457 6666402 ISOLATION/ICU REC TIME EA ADD 15M $272 3631014 IV HYDRATION EA ADDL HR $229 3631013 IV HYDRATION INITIAL 31-60 MIN $594 6024003 "IV HYDRATION, EA ADDTL HR" $229 4031082 "IV HYDRATION,EA ADDTL HR" $229 4031081 "IV HYDRATION,INITIAL, 31-60 MIN" $594 3631021 IV PUSH EA ADDL NEW DRUG $421 6781147 IV PUSH SEQUENTIAL NEW DRUG $421 6781163 IV PUSH SEQUENTIAL SAME DRUG $421 3631020 IV PUSH SINGLE OR INITIAL $446 4031089 "IV PUSH, EA ADTL NEW DRUG" $421 6024011 "IV PUSH, EA ADTL SAME DRUG" $421 4031088 "IV PUSH, SINGLE OR INITIAL" $446 3631017 IV THER ADDL NEW RX SEQUENT 1ST H $229 4031085 IV THER ADTL NEW RX SEQUENT 1ST H $229 6024006 IV THER ADTL NEW SEQUENT 1ST HR $229 3631018 IV THER/PROPH CONCURRENT $229 3631016 IV THER/PROPH EA ADDL HR $229 4031084 IV THER/PROPH EA ADDTL HR $229 6024004 IV THER/PROPH INITIAL 1ST HR $594 3631015 IV THER/PROPH INITIAL UP TO 1 HR $594 4031083 "IV THER/PROPH INITIAL, UP TO 1 HR" $594 6753114 IVAS SYSTEM KIT "$5,899 " 6755409 IVC FILTER "$11,768 " 6750791 J TUBE DIRECT "$1,248 " 6751132 JACKSON PRATT DRAIN $105 6750885 JACKSON PRATT RESERVOIR $129 7026030 JC VIRUS QUANT BY PCR "$1,814 " 10727048 J-TUBE $417 6751882 JUVEDERM ULTRA XC "$1,079 " 7021967 KAPPA LIGHT CHAINS $375 6608716 KELMAN TIP $329 6753214 KERATOPROSTHESIS BOSTON "$21,879 " 6753600 KERECIS OMEGA3 PER SQ CM $174 7028608 KETONE SERUM QUAL $137 7054421 KIDNEY BX IMMUNOFLUORESCENT "$1,376 " 7054422 KIDNEY BX LIGHT MICROSCOPIC "$1,178 " 7054423 KIDNEY BX SPECIAL STAIN GRP II $328 10725554 KIDNEY CRYO ABLATION "$15,192 " 10725546 KIDNEY RF ABLATION "$15,192 " 10728533 KIDNEY RF ABLATION BI "$22,791 " 7025413 KIDNEY STONE ANALYSIS $359 3655706 KIRBY BAUER SUSCEPTIBILTY $49 6751645 KIT BAHA FAST SUPPLY "$2,060 " 6751170 KIT CATHETER ARTERIAL $128 6755748 KIT CHEST TUBE INSERTION $383 6751946 KIT FRONTALIS SUSPENSION $526 7054564 KIT GENE SEQUENCE ANALYSIS $774 7054564 KIT GENE SEQUENCE ANALYSIS. $774 6750792 KIT HEMORRHOID BANDING $292 6750793 KIT J-TUBE $781 6753128 KIT MALE SLING IMPLANT "$15,248 " 6750953 KIT MUCOSECTOMY "$2,168 " 6600874 KIT NERVE MONITOR ET TUBE/PROBE $945 6750794 KIT PEG PULL $426 6751309 KIT PEG PUSH $802 6751380 KIT PHOTOPHERESIS "$6,388 " 6750673 KIT RADIAL SHEATH $333 6756020 KIT RADIOFREQUENCY "$3,666 " 6750795 KIT VARICEAL BANDING "$1,403 " 6753132 "KIT, RIA SYSTEM" "$3,020 " 7022889 KLEIHAUER-BETKE STAIN $459 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 " 6751561 "KNEE ORTHOSIS, OTS" "$2,894 " 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 4059104 KOH SKIN/HAIR/NAILS $198 6753409 K-WIRE $54 6751180 KYPHOPAK "$15,000 " 10725505 KYPHOPLASTY LUMBAR "$16,594 " 10725504 KYPHOPLASTY THORACIC "$16,594 " 10725506 KYPHOPLSTY ADD THOR/LUMB "$11,385 " 6751179 KYPHX IMPLANTABLES/CEMENT "$1,058 " 6700900 L&D OR 1ST 15 MIN "$1,779 " 6700901 L&D OR ADDL 15 MIN "$1,265 " 6703024 L/D VAGINAL DELIVERY "$3,855 " 7025139 LAB SPECIMEN PROCESS & HANDLING $102 6703012 LABOR ROOM < 2 HOURS $704 6703018 LABOR ROOM >11 UP TO 16 HRS "$2,565 " 6703020 LABOR ROOM >16 UP TO 21 HRS "$3,320 " 6703022 LABOR ROOM >21 UP TO 24 HRS "$3,757 " 6703016 LABOR ROOM >6 UP TO 11 HRS "$1,829 " 6703014 LABOR ROOM 2 HRS UP TO 6 HRS "$1,294 " 6501520 LAC CONSULT BRIEF F/U INPT $155 6501420 LAC CONSULT BRIEF INITIAL INPT $155 6501250 LAC CONSULT BRIEF OP $155 6501523 LAC CONSULT EXTENDED F/U INPT $364 6501423 LAC CONSULT EXTENDED INITIAL INPT $364 6501253 LAC CONSULT EXTENDED OP $364 6501521 LAC CONSULT INTERMED F/U INPT $259 6501421 LAC CONSULT INTERMED INITIAL INPT $259 6501251 LAC CONSULT INTERMED OP $259 6752581 LACRIMAL INTUBATION SET $504 6753145 LACRIMAL STENT $218 6501238 LAC-SCALE RENTAL-MONTHLY OP $102 7028190 LACTATE (LABORATORY) $322 3655125 LACTATE (LACTIC ACID) $322 7028191 LACTATE CSF $189 6781008 LACTATE I-STAT $315 7361033 LACTATE WHOLE BLOOD $315 7028034 LACTOFERRIN DETECTION $439 4059197 LACTOSE TOLERANCE $597 7021968 LAMBDA LIGHT CHAINS $375 7025866 LAMOTRIGINE(LAMICTAL) LEVEL $302 3656644 "LAMOTRIGINE, SERUM" $302 6753146 LAP BAND "$14,774 " 4059319 LAP STAIN $393 6753147 LAP TISSUE RETRACTOR SYSTEM DISP "$6,330 " 6753148 LAPCAP. $531 6993604 LARYNGEAL FUNCTION STUDY SP $541 7256071 LARYNGOSCOPY FLEX FIBEROPTIC $645 6993602 LARYNGOSCOPY FLEX FIBEROPTIC SP $585 6993603 LARYNGOSCOPY W/STROBOSCOPY SP "$1,380 " 6755445 LASER FIBER MICRON. "$2,970 " 6704000 LD RECOVERY 1ST 15 MIN $432 6704010 LD RECOVERY EA ADD 15 MIN $323 3655126 LDH $135 4059039 LDH BODY FLUID $135 7028362 LDH BODY FLUID NOT CSF $135 3655127 LDH ISOENZYMES $306 7028192 LDH SERUM $135 7029449 LDL CHOLESTEROL MEASURED $150 3655128 LEAD $306 6753690 LEAD AICD ENDO SINGLE COIL "$14,960 " 7025362 LEAD BLOOD $306 6750697 LEAD DELIVERY SYSTEM "$5,893 " 6756102 LEAD INTRODUCER KIT "$1,891 " 6753154 LEAD NEUROSTIM TEST KIT LVL 1 $265 6753622 LEAD NEUROSTIMULATOR LVL 1 "$6,500 " 6753623 LEAD NEUROSTIMULATOR LVL 2 "$9,500 " 7130237 LEAD PACEMAKER/ICD COMBINATION "$5,922 " 4059252 LEAD URINE $218 7130232 "LEAD, CARDIOVERT-DEFIB SUBQ" "$21,879 " 7130265 "LEAD, CARDIOVERT-DEFIB, SINGLE CO" "$41,580 " 7130267 "LEAD, PCMKR, OTHER THAN VDD SINGL" "$6,836 " 7026675 LEGIONELLA AB SCREEN $633 7027244 LEGIONELLA AG URINE $242 7021865 LEGIONELLA AMPLIFIED PROBE $123 7027612 LEGIONELLA BY PCR $575 6754988 LENS IOL ANTERIOR $497 6754989 LENS IOL POSTERIOR $497 7026518 LEPTOSPIRA ANTIBODY $381 3655270 LEUKOCYTE ALK PHOS W/COUNT $393 3655285 LEUKOCYTE ANTIBODY ID $511 4059593 LEUKOCYTE PHAGOCYTOSIS $35 6162011 LEVEL 3 PATIENT $223 6162019 LEVEL 5 PATIENT $223 6783111 LEVEL I VISIT $392 6783076 LEVEL II VISIT $837 6783077 LEVEL III VISIT "$1,272 " 6783078 LEVEL IV VISIT "$1,964 " 6783079 LEVEL V VISIT "$2,930 " 7025142 LEVETRIACETAM(KEPPRA) LEVEL $302 4059136 LEVETRIACETAM(KEPRA) $302 6608120 LIGASURE COAGLUATOR "$2,776 " 6628120 LIGASURE COAGULATOR "$2,776 " 6026502 LIGATION OF EXTRA DIGIT $557 6522043 LIMITED OB U/S ONE OR MORE $910 6781148 LINE 2 HYDRATE IV INTL 31-60 MIN $594 6781150 LINE 2-IV PUSH INITIAL $446 6753160 LINVATEC CUDA STERLING $554 3655129 LIPASE $232 3655003 LIPID PANEL $266 3655130 LIPOPROTEIN (A) $118 3655448 LIPOPROTEIN BLOOD $201 7021526 LIPOPROTEIN BLOOD QUANT $201 3655011 LITHIUM CITRATE (LITHIUM) $232 7025364 LITHIUM CITRATE(LITHIUM) LEVEL $232 7021451 LIVER/KIDNEY MICROSOMAL AB $113 6753161 LLIF TISSUE RETRACTOR SYSTEM DISP "$15,196 " 6751454 LOCK HIP JOINT ADDN LOW EXTREMITY $833 6753162 LOOP WIRE SUTURE LASSO $845 6753163 "LOOP, TUR" $348 10727006 LOOPOGRAM "$1,041 " 4059124 LSD QUANT URINE $229 6751301 LSO BRACE RIGID SHELL/PANEL "$3,396 " 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 " 6022202 LUMBAR PUNCTURE "$1,452 " 10727028 LUMBAR PUNCTURE DIAGNOSTIC "$1,452 " 10727029 LUMBAR PUNCTURE THERAPEUTIC "$1,282 " 7022848 LUPUS AB PLATELET NEUT STACLOT $704 4059323 LUPUS AB PLATELET NEUT STACLOT/A $704 3655106 LUTEINIZING HORMONE $421 3655133 LUTEINIZING RELEASING FACTOR $517 10723939 LUTETIUM LU-177 DOTATATE PER MCI $793 7136507 LV CORONARY VEIN LEAD "$13,861 " 7026781 LYME CSF/SYNOVIAL FLUID BY PCR "$1,100 " 3655336 LYME DISEASE AB CONFIRM $70 3655337 LYME DISEASE AB SCREEN $465 7026914 LYME DISEASE AB SCREEN CSF $465 7027001 LYME DISEASE PCR BLOOD $412 4059395 LYME DISEASE SEROLOGY $465 7021678 LYME DISEASE W BLOT EACH $70 4059393 LYME IGG AND IGM SEROLOGY $465 6990211 LYMPHEDEMA EVALUATION OT HIGH $532 6990209 LYMPHEDEMA EVALUATION OT LOW $486 6990210 LYMPHEDEMA EVALUATION OT MOD $561 6990215 LYMPHEDEMA EVALUATION PT HIGH $532 6990213 LYMPHEDEMA EVALUATION PT LOW $534 6990214 LYMPHEDEMA EVALUATION PT MOD $561 6990212 LYMPHEDEMA OT RE EVALUATION $405 6990216 LYMPHEDEMA PT RE EVALUATION $405 3655319 LYMPHOCYTE TYPING B CELLS $214 6951175 LYMPHOCYTE TYPING CD16/56NK CELLS $214 7021174 LYMPHOCYTE TYPING CD19 (B CELLS) $214 6951174 LYMPHOCYTE TYPING CD19(B CELLS) $214 6951172 LYMPHOCYTE TYPING CD3(T CELLS) $214 3655322 LYMPHOCYTE TYPING CD4/CD8/RATIO $438 3655320 LYMPHOCYTE TYPING NK CELLS $214 3655321 LYMPHOCYTE TYPING T CELLS $214 4059383 LYMPHOCYTE TYPING(CD4/CD8/RATIO) $438 6587011 LYRICA/NEURONTIN LEVEL $42 3654029 M/PHMTRC ALYS ISHQUANT/SEMIQ- $477 3655134 MAGNESIUM $159 7028657 "MAGNESIUM, SERUM" $159 4031100 MAINT/REFILL IMPLANT SYSTEM PUMP $542 7026701 MALARIA BY RAPID PCR $415 7023255 MALARIA EIA. $62 4059616 MALARIA SMEARS $393 6753165 MALCOT NEPHROSTOMY SET $333 10724215 MAMMO LOC 1ST LESION "$1,005 " 10724217 MAMMO LOC ADD LESION $604 4059473 MANGANESE $857 3655224 MANUAL DIFFERENTIAL $79 7341720 MANUAL MUSCLE TEST HAND $148 6991720 MANUAL MUSCLE TEST HAND OT $148 6991721 MANUAL MUSCLE TEST UPPER EXT OT $156 6992721 MANUAL MUSCLE TEST UPPER EXT PT $156 7341718 MANUAL/MOBILIZE/MLD PER 15 MIN OT $260 6992719 MANUAL/MOBILIZE/MLD PER 15 MIN PT $260 6991718 MANUAL/MOBILZE/MLD PER 15 MIN OT $260 6751299 MARKER FIDUCIAL COBRA ENB "$3,111 " 3655135 MASS SPECTOMETRY QN $421 7341722 MASSAGE PER 15 MIN $184 6991722 MASSAGE PER 15 MIN OT $184 6992722 MASSAGE PER 15 MIN PT $184 6432007 MASTECTOMY BRA DELUXE $112 6432001 MASTECTOMY BRA W/INTG FORM BILAT $250 6431653 MASTECTOMY SLEEVE LT LVL I $180 6431654 MASTECTOMY SLEEVE LT LVL II $335 6431656 MASTECTOMY SLEEVE LT LVL IV $960 6431657 MASTECTOMY SLEEVE LT LVL V "$1,400 " 6431663 MASTECTOMY SLEEVE RT LVL II $335 6431665 MASTECTOMY SLEEVE RT LVL IV $960 6431666 MASTECTOMY SLEEVE RT LVL V "$1,400 " 6753168 MATRISTEM MICROMATRIX PER MG $9 6753170 MATRISTEM SURGCL PR SQ CM LVL II $76 6753171 MATRISTEM SURGCL PR SQ CM LVL III $107 6757265 MATRIX DERMAL PORCINE LEVEL I "$12,763 " 6757266 MATRIX DERMAL PORCINE LEVEL II "$25,527 " 6753174 MAXILLOFACIAL IMPLANT WITH MODEL "$4,239 " 7361403 MDI TX $549 10729199 MECH REM PERICATH OB MATER VA "$6,259 " 6753175 MEDPOR CRANIAL CURVE "$5,913 " 6753176 MEDPOR ORBITAL FLOOR BARRIER "$5,095 " 6753177 MEDPOR SHEET "$1,736 " 6753178 MEDTRONIC CATHETER PASSER DISP $555 7000291 MEMORY LOOP RECORDING/HOOK-UP $531 6751919 MENISCAL REPAIR SYSTEM "$1,206 " 6750167 MEPILEX AG 4X4 $40 6757823 MEPILEX BORDER 3 X 3 $8 6751877 MEPILEX BORDER 6X8 $22 6751581 MEPILEX BORDER AG POST OP 10 X 10 $40 6751212 MEPILEX BORDER AG POST OP 4 X 12 $131 6751582 MEPILEX BORDER AG POST OP 7.5X7.5 $23 6751879 MEPILEX BORDER HEEL $34 6751160 MEPILEX BORDER SACRUM $46 6751921 MEPITEL 2X3 $44 6751920 MEPITEL 4X8 $68 7025204 MERCURY BLOOD $541 3655136 MERCURY QN $541 4059257 MERCURY URINE 24HR $217 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 " 7026040 "METANEPHRINE, BLOOD" $453 3655137 METANEPHRINES $232 4059259 METANEPHRINES RANDOM URINE $232 4059258 METANEPHRINES URINE 24HR $232 4059121 METHAQUALONE $302 7361402 METHEMOGLOBIN $88 7022116 METHEMOGLOBIN ANALYSIS QUAN $87 4059614 METHEMOGLOBIN QN $91 7025374 METHOTREXATE LEVEL $302 4059265 METHYLMALONIC ACID SERUM $229 4059266 METHYLMALONIC ACID URINE $229 8419990 MEX EXTENDED RECOVERY $737 6753192 MIAMI J COLLAR $264 3655396 MIC SUSCEPTIBILITY $219 6751831 MIC-KEY INTRODUCER KIT LOWPRO $854 7026717 MICROABLUMIN URINE RANDOM $390 4059138 MICROALBUMIN URINE 24HR $541 3655031 MICROALBUMIN URINE QN $541 4059139 MICROALBUMIN URINE RANDOM $390 6751838 MICROCATHETER STEERABLE "$8,335 " 4059605 "MICRODISECTION, MANUAL" $676 6750028 MICROINTRODUCER FOR PICC $200 7054454 MICROSATELLITE INSTABILITY ANALY $842 3655324 MICROSOMAL ANTIBODIES $258 6608516 MICROVASIVE 3-PRONG GRASPER "$1,080 " 6608634 MICROVASIVE GEMINI BASKET "$1,064 " 6753196 MICROVASIVE SUPRAPUBIC CATH $559 6608441 MICROVASIVE UROMAX URETERAL KIT "$1,677 " 6522613 MIDDLE CEREBRAL ARTERY $755 6781626 MINOR PROCEDURE $620 3655711 MISC HEMATOLOGY-COAGULATION $171 6609870 MIX KIT II $380 7257906 MLC DEVICE(S) FOR IMRT PER PLAN "$4,227 " 7052031 MLH1 PROMOTER METHYLATION "$1,527 " 7790105 MNT GROUP EACH 30 MIN $42 7291003 MNT GROUP PER 30 MIN $42 7790103 MNT INITIAL ASSESS EACH 15 MIN $87 7291001 MNT INITIAL INDIV. PER 15 MIN $87 7790104 MNT REASSESS EACH 15 MIN $87 8550204 MNT REASSESS EACH 15MIN $87 7291002 MNT REASSESS INDIV. PER 15 MIN $87 6582100 MOD SED 5YR OR >1ST 15 MIN SAM MD $772 7235310 MOD SED 5YR OR> 1ST 15 MIN SAM MD $772 6786506 MOD SED 5YR OR>1ST 15 MIN OTH MD $463 6786507 MOD SED EA ADD 15 MIN OTH MD $175 6582101 MOD SED EA ADD 15 MIN SAM MD $127 6786007 MOD SED EA ADD 15 MIN SAME MD $127 7030258 MOD SED ENDO SERVICE >5YRS $764 6786505 MOD SED<5 YR 1ST 15 MIN OTH MD $613 6786005 MOD SED<5 YR 1ST 15 MIN SAME MD $749 3655432 MOLECULAR CYTO 100-300 CELL $587 3655431 MOLECULAR CYTO 10-30 CELLS $377 3655430 MOLECULAR CYTOGENETICS DNA PROBE $49 3652078 MOLECULAR PATH ARPKD MUTATION $259 7022057 MOLECULAR PATH ATG16L1 $259 7054433 MOLECULAR PATH PROCEDURE LEVEL 5 "$2,095 " 7054563 MOLECULAR PATH PROCEDURE LEVEL 6 "$2,423 " 7054443 MOLECULAR PATH PROCEDURE LEVEL 7 "$2,750 " 3652073 MOLECULAR PATH PROCEDURE LVL 1 $989 3656646 MOLECULAR PATH PROCEDURE LVL 2 "$1,244 " 3652077 MOLECULAR PATH PROCEDURE LVL 3 "$1,440 " 3652074 MOLECULAR PATH PROCEDURE LVL 4 "$1,899 " 3652075 MOLECULAR PATH PROCEDURE LVL 5 "$2,095 " 4059489 MOLECULAR PATH PROCEDURE LVL 6 "$2,423 " 7022103 MOLECULAR PATH PROCEDURE LVL 7 "$2,750 " 7029705 MOLECULAR PATH PROCEDURE LVL 8 "$2,666 " 7029706 MOLECULAR PATH PROCEDURE LVL 9 "$6,300 " 3656647 MOPATH PROCEDURE LEVEL 9 "$6,300 " 6608648 MORCELLATOR BLADE $958 7054414 MORPH DNA AUTO PER SPEC $555 7054417 MORPH ERA AUTO PER SPEC $555 7054326 MORPH HER-2 NEU AUTO PER SPEC $555 7054424 MORPH PRA AUTO PER SPEC $555 7054553 MORPH TUMOR MANUAL PER SPEC $185 3655435 MORPHO ANLYS COMPUTER ASST $555 4059097 MORPHO ANLYS TUMOR MANUAL $368 4059099 MORPHOMETRIC ANALYSIS MANUAL $659 6751533 MOXY LASER FIBER "$5,277 " 10725276 MR ABDOMEN W/CONTRAST "$5,361 " 10726001 MR ABDOMEN W/O CONTRAST "$4,731 " 10725277 MR ABDOMEN WO/W CONTRAST "$5,817 " 10726493 MR ANGIO ABDOMEN W/CONTRAST "$5,734 " 10726039 MR ANGIO ABDOMEN W/O CONTRAST "$5,061 " 10726492 MR ANGIO ABDOMEN W/O/W CONTRAST "$6,222 " 10726499 MR ANGIO CHEST W/CONTRAST "$5,734 " 10726034 MR ANGIO CHEST W/O CONTRAST "$5,061 " 10726498 MR ANGIO CHEST W/O/W CONTRAST "$6,222 " 10726099 MR ANGIO HEAD W/CONTRAST "$5,734 " 10726068 MR ANGIO HEAD W/O CONTRAST "$3,264 " 10726500 MR ANGIO HEAD WO/W CONTRAST "$6,222 " 10726496 MR ANGIO LOWER EXT UNI WO/W CON "$6,222 " 10726479 MR ANGIO LOWER EXTREM BI W/CON "$11,460 " 10726502 MR ANGIO NECK W/CONTRAST "$5,734 " 10726501 MR ANGIO NECK W/O CONTRAST "$5,061 " 10726503 MR ANGIO NECK WO/W CONTRAST "$6,222 " 10726036 MR ANGIO PELVIS W/O CONTRAST "$5,061 " 10726473 MR ANGIO PELVIS WO/W CONTRAST "$6,222 " 10726534 MR ANGIO UPPER EXT UNI WO/W CON "$5,657 " 10726026 MR BONE MARROW EVALUATION "$4,468 " 10726020 MR BRAIN W/CONTRAST "$5,361 " 10726002 MR BRAIN W/O CONTRAST "$4,731 " 10726021 MR BRAIN WO/W CONTRAST "$5,817 " 10726485 MR BREAST BI W/CONTRAST "$10,715 " 10726484 MR BREAST BI WO/W CONTRAST "$11,637 " 10726487 MR BREAST UNI W/CONTRAST "$5,361 " 10726486 MR BREAST UNI WO/W CONTRAST "$5,817 " 10723300 MR CARDIAC MORPH/FUNC W/O CON "$3,104 " 10723301 MR CARDIAC MORPH/FUNC WO/W CON "$3,700 " 10723304 MR CARDIAC PERFUSION W CON "$3,983 " 10726504 MR CHEST W/CONTRAST "$5,361 " 10726003 MR CHEST W/O CONTRAST "$4,731 " 10726505 MR CHEST WO/W CONTRAST "$5,817 " 10726028 MR C-SPINE W/CONTRAST "$5,361 " 10726008 MR C-SPINE W/O CONTRAST "$4,731 " 10726011 MR C-SPINE WO/W CONTRAST "$5,817 " 10729975 MR FAST BREAST SCREEN "$1,659 " 10728507 MR FETAL SINGLE/ 1ST GESTATION $998 10726523 MR LOWER EXT BI W/O CONTRAST "$9,466 " 10726525 MR LOWER EXT BI WO/W CONTRAST "$11,637 " 10726527 MR LOWER EXT JNT BI W/CON "$10,716 " 10726526 MR LOWER EXT JNT BI W/O CON "$9,466 " 10726528 MR LOWER EXT JNT BI WO/W CON "$11,637 " 10726516 MR LOWER EXT JNT W/CONTRAST "$5,361 " 10726515 MR LOWER EXT JNT W/O CONTRAST "$4,731 " 10726517 MR LOWER EXT JNT WO/W CONTRAST "$5,817 " 10726513 MR LOWER EXT W/CONTRAST "$5,361 " 10726512 MR LOWER EXT W/O CONTRAST "$4,731 " 10726514 MR LOWER EXT WO/W CONTRAST "$5,817 " 10726025 MR L-SPINE W/CONTRAST "$5,361 " 10726009 MR L-SPINE W/O CONTRAST "$4,731 " 10726018 MR L-SPINE WO/W CONTRAST "$5,872 " 10726520 MR NEEDLE PLACEMENT S&I "$3,174 " 10726096 MR ORBIT/FACE/NECK W/CONTRAST "$5,361 " 10726007 MR ORBIT/FACE/NECK W/O CONTRAST "$4,731 " 10726097 MR ORBIT/FACE/NECK WO/W "$5,817 " 10728105 MR PELVIS W/CONTRAST "$5,361 " 10726529 MR PELVIS W/O CONTRAST "$4,731 " 10728098 MR PELVIS WO/W CONTRAST "$5,817 " 10726597 MR PLACE LOC 1ST LESION "$1,005 " 10726067 MR TMJ "$4,686 " 10726024 MR T-SPINE W/CONTRAST "$5,361 " 10726010 MR T-SPINE W/O CONTRAST "$4,731 " 10726012 MR T-SPINE W/O/W CONTRAST "$5,817 " 10726072 MR UNLISTED DIAGNOSTIC PROC "$3,264 " 10726085 MR UPPER EXT BI W/O CONTRAST "$9,466 " 10726509 MR UPPER EXT BI WO/W CON "$11,637 " 10726521 MR UPPER EXT JNT BI W/CONTRAST "$10,818 " 10726522 MR UPPER EXT JNT BI WO/W CON "$11,637 " 10726087 MR UPPER EXT JNT BIL W/O CON "$9,466 " 10726510 MR UPPER EXT JNT W/CONTRAST "$5,412 " 10726530 MR UPPER EXT JNT W/O CONTRAST "$4,731 " 10726511 MR UPPER EXT JNT WO/W CONTRAST "$5,817 " 10726506 MR UPPER EXT W/CONTRAST "$5,361 " 10726053 MR UPPER EXT W/O CONTRAST "$4,731 " 10726508 MR UPPER EXT WO/W CONTRAST "$5,817 " 7027007 MRSA SCREEN BY PCR PANEL $737 10720315 MRWR BREAST W/O CON BIL $727 7022142 "MS SPCT & TAN MS, QUANT, EA SPEC" $290 3958320 MSLT "$3,092 " 10728521 M-THRMBC PRIM ART 1ST VSL "$13,400 " 6522111 MULTIFETAL PREGNANCY REDUCTION. "$2,250 " 6608324 MULTIFIRE STAPLER ER320 "$1,259 " 6753208 MULTIPORT TRANSANAL ACCESS TROCAR "$3,482 " 7026554 MUMPS ANTIBODY SCREEN $95 7026076 MUMPS ANTIBODY TITER $95 7025748 MURAMIDASE $483 7025303 MUSK AUTOANTIBODY "$2,235 " 7458321 MWT "$3,092 " 4059120 MYCOPHENOLATE(CELLCEPT) $246 7025899 MYCOPHENOLATE(CELLCEPT) LEVEL $246 7026519 MYCOPLASMA ANTIBODY $65 7027002 MYCOPLASMA PNEUM PCR QUAL "$1,159 " 3656654 MYD88 GENE P_LEU265PRO VRNT $552 7025379 MYELIN BASIC PROTEIN $726 10727075 MYELOGRAM 2 OR MORE AREA "$2,490 " 10727072 MYELOGRAM CERVICAL "$2,233 " 10727074 MYELOGRAM LUMBOSACRAL "$2,172 " 10727073 MYELOGRAM THORACIC "$2,172 " 7120294 "MYO ISOTOPE TETROFOSMIN, PER DOSE" $740 7120255 "MYO ISOTOPE THALLIUM, PER MCI" $91 7129950 MYOCARD SPECT PHARMACO MULTI "$8,265 " 7129946 MYOCARD SPECT REST/EXERCISE MULTI "$8,265 " 7129940 MYOCARD SPECT SINGLE "$6,370 " 10726874 MYOCRD IMG PET 1 STD W/CT "$4,329 " 10726877 MYOCRD IMG PET 2RTRACER "$8,252 " 10726878 MYOCRD IMG PET 2RTRACER CT "$8,252 " 10726876 MYOCRD IMG PET RST&STRS CT "$6,752 " 10726875 MYOCRD IMG PET RST/STRS W/CT "$4,329 " 7126370 MYOCRD STRAIN IMG SPCKL TRCK $73 3655138 MYOGLOBIN $200 7025712 MYOGLOBIN SERUM $200 7022824 MYOGLOBIN URINE $200 4059582 "MYOGLOBIN, QUANTITATIVE, URINE" $168 6757707 MYRINGOTOMY BLADE $149 7021489 N TYPE CALCIUM CHANNEL AB $269 7022239 NAPHTHYL ALPHA EST STAIN $750 7022811 NAPTH AS D EST STAIN $750 7865070 NASAL AIRE CANNULA $88 3955013 NASAL CUSHION REPLACEMENT $67 3955073 NASAL INTERFACE LVL I $237 3955074 NASAL INTERFACE LVL II $478 3955067 NASAL PILLOWS REPLACEMENT $67 10727004 NASAL/OROGASTRIC W/TUBE PLMT $713 6753209 NASOLACRIMAL DUCT BALLOON CATH "$1,231 " 7256050 NASOPHARYNGOSCOPY W/ENDOSCOPE $513 3655139 NATRIURETIC PEPTIDE $459 6753210 NAVIGATION BIOPSY NEEDLE "$1,878 " 6753212 NAVIGATIONAL PROBE / NEEDLE "$2,595 " 6751410 N-BCA EMBOLIC SYSTEM EACH "$23,819 " 7142280 NCV NEEDLE EMG EA EXTREMITY COMP $949 6750931 NEEDLE ASPIRATION INJECTION $288 6753408 NEEDLE BIOPSY MAXCORE 18GAX20CM $105 6752240 NEEDLE BREAST LOCALIZATION $171 10727265 NEEDLE BX BREAST CUTTING $349 6580291 NEEDLE CURVED TIP SCS $80 10721014 NEEDLE DRILL BONE MARROW $508 6750416 NEEDLE ENDOSCOPIC ULTRASOUND "$1,345 " 6751531 NEEDLE INSUFFLATION $66 10724565 NEEDLE LOC PROSTATE MARKER "$1,028 " 10724285 NEEDLE MAMMO LOCALIZATION $149 6751866 NEEDLE PEDICLE NIM-SPINE "$2,007 " 6608926 NEEDLE PROSTATE SEEDING - EACH $46 6750799 NEEDLE SCLEROTHERAPY $156 6751393 NEEDLE TRANSSEPTAL $884 7372750 NEG PRESSURE WOUND THERAPY < 50CM $373 7372751 NEG PRESSURE WOUND THERAPY > 50CM $417 6992750 NEG PRESSURE WOUND TX <50CM PT $373 6992751 NEG PRESSURE WOUND TX >50CM PT $417 6162030 NEG PRESSURE WOUND TX<50CM DISP $373 6162029 NEG PRESSURE WOUND TX<50CM DME $373 6162031 NEG PRESSURE WOUND TX>50CM DISP $417 6162026 NEG PRESSURE WOUND TX>50CM DME $417 6522038 NEONATAL CNS. "$2,069 " 7029526 NEONATE COMP METABOLIC PANEL $516 7271608 NEONATE SWALLOW/DYSPHAGIA EVAL OT $788 7275608 NEONATE SWALLOW/DYSPHAGIA EVAL SP $750 6754984 NEOX 1K PER SQ CM $560 6753222 NEOX100 IMPLANT "$11,138 " 3655140 NEPHELOMETRY EA ANALYTE $375 10728532 NEPHRO TUBE REMOVE "$2,217 " 10727424 NEPHRO/ URETEROGRAM EXIST "$1,494 " 10727422 NEPHRO/ URETEROGRAM NEW "$1,967 " 6608599 NEPHROMAX BALLOON "$1,445 " 6600144 NERVE BLOCK "$1,344 " 6753226 NERVE BLOCK NEEDLE GUIDE $128 7142401 NERVE CONDUCTION 1-2 STUDY $780 7142405 NERVE CONDUCTION 9-10 STUDY $780 6600954 NERVE CONNECTOR/ PROTECTOR "$7,869 " 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 6991723 NEURO RE-EDUCATION PER 15 MIN OT $176 6992723 NEURO RE-EDUCATION PER 15 MIN PT $176 7021491 NEURONAL (V-G) K CHANNEL AB $269 4059352 NEURONAL NUCLEAR AB SCREEN (HU) $406 7026498 NEURONAL NUCLEAR AB TITER $290 7026027 NEURONAL NUCLEAR AB TYPE 1 HU $86 7026026 NEURONAL NUCLEAR AB TYPE 2 RI $86 7021480 NEURONAL NUCLEAR AB TYPE 3 $86 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 7021775 NEUTROPHIL SPECIFIC ANTIBODY $468 6430500 NIPPLE PROSTHESIS REUSABLE EACH $76 6500011 NIPPLE SHIELDS $9 6751516 NITINOL NEEDLE ALWAYS ON TIP "$2,931 " 6587024 NITRITE/CHROMATE CONFIRMATION $42 10728262 NM BONE SCAN 3 PHASE "$1,855 " 10728264 NM BONE SCAN W/TOMOGRAPHY "$2,222 " 10728263 NM BONE SCAN WHOLE BODY "$2,222 " 10727860 NM BONE/JOINT SCAN LIMITED "$1,484 " 10720167 NM BRAIN FLOW ONLY "$2,135 " 10727850 NM BRAIN SCAN W/TOMOGRAPHY "$1,671 " 10727880 NM CARDIAC BLD POOL-MUGA SGL "$2,796 " 10727706 NM CISTERNOGRAM "$1,671 " 10729066 NM GALLBLADDER EMPTYING STUDY "$1,975 " 10729065 NM GALLBLADDER SCAN "$1,926 " 10728090 NM GASTR EMPTY W/SML BWL "$1,838 " 10728270 NM GASTRIC EMPTYING STUDY "$1,926 " 10729115 NM GI BLOOD LOSS "$1,926 " 10725509 NM I123 1 MCI $662 10728260 NM INFLAMMATORY PROCESS LOCAL LTD "$1,967 " 10728259 NM INFLAMMATORY PROCESS LOCAL WB "$2,439 " 10722967 NM ISOTOPE RECEIVED AS IP $1 10722898 NM IV INJ LOC NON IMG PROBE STUDY $835 10728273 NM KIDNEY W/FUNCTION "$2,751 " 10720171 NM KIDNEY W/PHARMACLGCL INTER "$1,611 " 10728274 NM LIVER SCAN W/TOMOGRAPHY "$2,220 " 10727856 NM LIVER/SPLEEN SCAN STATIC "$1,397 " 10728275 NM LYMPHATIC IMAGING "$2,697 " 10727874 NM MECKELS LOCALIZATION "$1,572 " 10720015 NM NS YTTRIUM-90 PER SOURCE "$54,599 " 10720563 NM PARATHYROID PLANAR "$1,838 " 10720564 NM PARATHYROID SPECT "$1,838 " 10720565 NM PARATHYROID SPECT W/CT "$1,838 " 10727875 NM PULMONARY PERFUSION $897 10727873 NM PULMONARY VENTILATION $897 10727876 NM QUANT LUNG PERFUSION "$2,510 " 10727871 NM QUANT LUNG PERF-VENT "$2,510 " 10727892 NM RADIOP TX IV ADMINISRTATION "$1,325 " 10728279 NM RADIOP TX ORAL ADMINISTRATION "$1,968 " 10727883 NM RENAL HYPERTENSIVE STUDY "$2,751 " 10728280 NM THYROID CA WHOLE BODY "$2,251 " 10720562 NM THYROID SCAN/UPTAKE "$1,332 " 10720560 NM THYROID UPTAKE $696 10727887 NM TUMOR LOC WHOLE BODY MLT DAY "$4,259 " 10728281 NM TUMOR LOCALIZE LIMITED OR DIST "$1,671 " 10728282 NM TUMOR LOCALIZE SPECT "$2,165 " 10727868 NM VENT-PERF LUNG SCAN "$2,510 " 7021729 NMO IGG FOR NEUROMYELITIS OPTICA $700 7026352 NMO IGG NEUROMYELITIS OPTICA SF $700 3655362 NOCARDIA ANTIBODY $67 6522039 NON STRESS TEST PDC $660 7850009 NON-ROUTINE VEINIPUNCTURE $298 6431026 NON-SILICONE BREAST PROSTH LT $215 6431027 NON-SILICONE BREAST PROSTH RT $215 7173612 NON-SPEECH GENER DEV EVAL 1ST HR $597 7173613 NON-SPEECH GENER DEV EVAL ADD 30M $204 7173614 NON-SPEECH GENERAT DEV TRAINING $412 6020269 NON-STRESS TEST $716 7026626 NOROVIRUS RNA PCR "$1,232 " 6993614 NO-SPCH GENERAT DEV TRAINING SP $412 6753246 NOVY CERVICAL CATHETER $390 7025985 NT-PROBNP $459 7111172 NTRAPX C FFR W/3D FUNCJL MAP "$2,216 " 6521034 NUCHAL TRANS/ADD'L FETUS $611 6521033 NUCHAL TRANS/SINGLE $797 10174050 NUL CYTOLOGY NONGYN TECH ENHANCE $399 10174070 NUL IMMUNO PER SPEC 1ST AB $516 10174071 NUL IMMUNO PER SPEC ADDL AB $516 10174072 NUL IMMUNO PER SPEC MULTIPLEX AB $516 10174090 NUL PROSTATE NEEDLE BX EXAM "$1,108 " 10174059 NUL SPECIAL STAIN $257 10174057 NUL SPECIAL STAIN ORGANISM $328 10174053 NUL TISSUE EXAM LEVEL II TECH $296 10174054 NUL TISSUE EXAM LEVEL III TECH $402 10174055 NUL TISSUE EXAM LEVEL IV TECH $554 10174056 NUL TISSUE EXAM LEVEL V TECH $794 10174058 NUL TISSUE EXAM LEVEL VI TECH $956 6700008 Nursery Room $817 6753650 NUSHIELD PER SQ CM $600 7021053 O & P CONCENTRATION $313 4059442 O&P CONCENTRATION $313 7367136 O2 CONSUMPTION $378 7174627 OAE RE-SCREEN $237 7174622 OAE SCREEN UNIVERSAL $237 6753248 OASIS WOUND MATRIX PER SQ CM $47 6753249 OCCLUDER PIN "$1,552 " 7027082 OCCULT BLOOD GASTRIC $122 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 10727893 OCTREOSCAN DOSE UP TO 6 MCI "$9,159 " 6753251 OCULAR CONFORMER $132 10709002 OFFICE CONSULT NEW LEVEL 2 $223 10709003 OFFICE CONSULT NEW LEVEL 3 $223 10709004 OFFICE CONSULT NEW LEVEL 4 $223 10709005 OFFICE CONSULT NEW LEVEL 5 $223 6990504 OFFICE VISIT < 30 MIN $70 6990505 OFFICE VISIT > 30 MIN $134 7910184 OFFICE VISIT EST PAT LEVEL 1 $223 7910185 OFFICE VISIT EST PAT LEVEL 2 $223 7910186 OFFICE VISIT EST PAT LEVEL 3 $223 3631035 OFFICE VISIT EST PATIENT LVL 1 $223 3631037 OFFICE VISIT EST PATIENT LVL 2 $223 3631039 OFFICE VISIT EST PATIENT LVL 3 $223 4031112 OFFICE VISIT EST PATIENT LVL 4 $223 4031114 OFFICE VISIT EST PATIENT LVL 5 $223 7251203 OFFICE VISIT ESTAB LEVEL 2 $223 7251205 OFFICE VISIT ESTAB LEVEL 3 $223 7251207 OFFICE VISIT ESTAB LEVEL 4 $223 7251209 OFFICE VISIT ESTAB LEVEL 5 $223 7251201 OFFICE VISIT ESTAB LEVEL I $223 7910179 OFFICE VISIT NEW LEVEL 1 $223 7910180 OFFICE VISIT NEW LEVEL 2 $223 7251204 OFFICE VISIT NEW LEVEL 3 $223 7251206 OFFICE VISIT NEW LEVEL 4 $223 7251208 OFFICE VISIT NEW LEVEL 5 $223 10691200 OFFICE VISIT NEW LEVEL I $223 3631036 OFFICE VISIT NEW PATIENT LVL 1 $223 3631038 OFFICE VISIT NEW PATIENT LVL 2 $223 4031111 OFFICE VISIT NEW PATIENT LVL 3 $223 3631042 OFFICE VISIT NEW PATIENT LVL 4 $223 4031115 OFFICE VISIT NEW PATIENT LVL 5 $223 6580184 "OFFICE VISIT, EST. PAT LEVEL 1" $223 6580185 "OFFICE VISIT, EST. PAT LEVEL 2" $223 6580186 "OFFICE VISIT, EST. PAT LEVEL 3" $223 6580181 "OFFICE VISIT, NEW, LEVEL 3" $223 10701210 OFFICE VIST ESTAB LEVEL 2 $223 7028079 OLIGOCLONAL BANDS $499 3655160 ONCOPROTEIN HER-2/NEU $369 7033303 OPEN BIOME FECAL MICROBIOTA UNIT "$1,475 " 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 6301350 OR LEVEL I 1ST 15 MIN "$2,017 " 6301351 OR LEVEL I ADDL 15 MIN "$1,233 " 6301352 OR LEVEL II 1ST 15 MIN "$2,732 " 6301353 OR LEVEL II ADDL 15 MIN "$1,675 " 6301354 OR LEVEL III 1ST 15 MIN "$3,411 " 6301355 OR LEVEL III ADDL 15 MIN "$2,132 " 6301356 OR LEVEL IV 1ST 15 MIN "$4,234 " 6301357 OR LEVEL IV ADDL 15 MIN "$2,543 " 7054383 OR NO FROZEN TECHNICAL $223 6753261 ORATEC VULCAN ELECTTROCAUTERY $551 6753262 ORBITAL HYDROXYAPATITE IMPLANT "$3,106 " 6753263 ORBITAL SILICONE IMPLANT $140 7027266 "ORG 1 DEFIN ID AEROBE, ANY SRCE" $149 7027268 ORG 1 DEFIN ID ANAEROBIC ISOL $62 7027292 "ORG 2 DEFIN ID AEROBE, ANY SRCE" $149 7027296 ORG 2 DEFIN ID ANAEROBIC ISOL $62 7027293 "ORG 3 DEFIN ID AEROBE, ANY SRCE" $149 7027294 "ORG 4 DEFIN ID AEROBE, ANY SRCE" $149 7027295 "ORG 5 DEFIN ID AEROBE, ANY SRCE" $149 7020352 ORGANIC ACID SCREEN $486 3655157 ORGANIC ACID SINGLE QN $229 7027284 ORGANISM ID MOLD 1 $75 7027307 ORGANISM ID MOLD 2 $75 4059619 ORGANISM ID YEAST 1 $75 7027306 ORGANISM ID YEAST 2 $75 7027282 ORGANISM SEROTYPING 1ST ORG $36 7027303 ORGANISM SEROTYPING 2ND ORG $36 7027308 ORGANISM SEROTYPING 3RD ORG $36 6608594 ORGIN BALLOON $900 6753265 ORGIN TROCAR $732 6758904 ORIGIN BALLOON DISSECTOR $815 6990054 ORTHC/PROSTC MGMT SBSQ ENC OT $167 6990053 ORTHC/PROSTC MGMT SBSQ ENC PT $167 6751162 ORTHO- MURRAY ARM SLING LARGE $48 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 6750970 ORTHO-BOOT MULTIPODUS REG $543 6750045 ORTHO-BRACE ANKLE AIR STIRRUP $380 6750978 ORTHO-BRACE HUMERAL LARGE $270 6750336 ORTHO-BRACE LOW BACK LARGE $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 6750272 ORTHO-COLLAR FOAM LARGE $118 6750341 ORTHO-COLLAR FOAM MED $125 6750339 ORTHO-COLLAR FOAM SMALL $125 6751640 ORTHO-CUSHION MOLDED DISTAL BK $361 6750959 ORTHO-DIABETIC WEDGE SHOE LARGE $62 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 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 6751378 ORTHO-LO RIGD A/P PNL L1-L5 PREFB "$1,206 " 6751355 ORTHO-LSO BRACE FLEXIBLE PREFAB $845 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 " 6750837 ORTHO-SHOE CAST LARGE $141 6750836 ORTHO-SHOE CAST MED $141 6750984 ORTHO-SHORT WALKER BOOT LARGE $207 6750983 ORTHO-SHORT WALKER BOOT MEDIUM $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 6750988 ORTHO-TALL WALKER BOOT LARGE $207 6750987 ORTHO-TALL WALKER BOOT MEDIUM $207 6750989 ORTHO-TALL WALKER BOOT X LARGE $207 6991675 ORTHOTIC FIT/TRAIN INIT EA 15M OT $272 7372676 ORTHOTIC FIT/TRAIN INIT EA 15M PT $272 3655158 OSMOLALITY BLOOD $181 3655159 OSMOLALITY URINE $198 4059525 OSMOTIC FRAGILITY RBC INCUBAT $166 3655272 OSMOTIC FRAGILITY RBC INCUBATED $166 3655271 OSMOTIC FRAGILITY RBC UNINCUBATED $201 6751252 OSTEO INTRODUCER SYSTEM "$2,520 " 6756004 OSTEOCOOL BONE ACCESS KIT "$1,458 " 6756002 OSTEOCOOL DUAL PROBE KIT "$16,045 " 6756001 OSTEOCOOL SINGLE PROBE KIT "$10,940 " 6162200 OSTOMY OUTPATIENT CLINIC VISIT $223 6756251 OSTOMY-BAG WOUND DRAN W/BARER MED $48 6756252 OSTOMY-BAG WOUND DRAN W/BARIER LG $151 6756250 OSTOMY-BAG WOUND DRAN W/BARIER SM $44 6755301 OSTOMY-BARRIER RING SMALL $27 6753921 OSTOMY-BELT $34 6750535 OSTOMY-COLLECTR FECL INCONTINENC $30 6758941 OSTOMY-CONVEXITY WAFER MEDIUM $29 6758939 OSTOMY-COVEXITY WAFER LARGE $29 6758940 OSTOMY-COVEXITY WAFER SMALL $29 6750176 OSTOMY-FECAL POUCH FLAT CUT/FIT $26 6753932 OSTOMY-PASTE STOMAHESIVE 2 OZ $40 6754710 "OSTOMY-POUCH, CUT TO FIT URINE" $27 6754428 "OSTOMY-POUCH,UROSTOMY PEDIATRIC" $29 6753922 OSTOMY-POWDER STOMAHESIVE $30 6750763 "OSTOMY-SET, IRRIGATION 2 3/4""" $218 6755303 "OSTOMY-WAFER DURAHESIVE 1 3/4""" $28 6990207 OT EVALUATION HIGH $532 6990205 OT EVALUATION LOW $486 6990206 OT EVALUATION MODERATE $561 7271604 OT EVALUATION-HIGH $532 7271602 OT EVALUATION-LOW $486 7271603 OT EVALUATION-MOD $561 7270045 OT ORTHC/PROSTC MGMT SBSQ ENC $167 6990208 OT RE EVALUATION $405 7174641 OTOACOUSTIC EMISSION EXTENDED $311 6994640 OTOACOUSTIC EMISSION LTD $623 7950401 OUTPATIENT VISIT LEVEL 1 $223 3655395 OVA & PARASITES SMEARS $313 6757409 OVERTUBE $709 7025382 OXALATE URINE $381 4059119 OXCARBAZEPINE(TRILEPTAL) LEVEL $302 10722986 OXYQUINOLINE PER 0.5 MCI "$8,685 " 6753266 P.S. MEDICAL VENT CATH $423 4059218 P/Q TYPE CALCIUM CHANNEL AB $269 7021784 P2Y12 ASSAY EACH AGENT $376 6753551 PACEMAKER SINGLE RATE RESPONSIVE "$38,611 " 6028117 PACEMAKER TRANSVENOUS TEMP.INSERT "$18,507 " 7130264 "PACEMAKER, DUAL RATE RESPONSIVE" "$44,546 " 7130262 "PACEMAKER, SINGLE RATE RESPONSIVE" "$38,611 " 7008667 PACER INTERR EVAL LEAD/LEADLESS $292 7008673 PACER PERI-PROC EVAL LEAD/LEADLES $142 7008660 PACER PHONE R-STRIP EVAL 90 DAYS $198 7008662 PACER PROG EVAL DUAL LEAD $292 7008663 PACER PROG EVAL MULTI LEAD $292 7008661 PACER PROG EVAL SGL LEAD/LEADLESS $292 7008672 PACER/ICD REMOTE EVAL/RESULTS $292 6500061 PACIFIER $5 6026133 PACING TEMP. TRANSCUTANEOUS "$2,154 " 6750638 PACING WIRE BIPOLAR $836 6655702 PACU PHASE II EA 15MIN. $311 6581000 PAIN PROCEDURE 1ST 15 MIN "$3,339 " 6581001 PAIN PROCEDURE EACH ADDL 15 MIN "$1,301 " 7028021 PAMG-1 RAPID ASSAY FOR ROM $358 4059232 PANCA ELISA IGG SPECIFIC $291 6991724 PARAFFIN BATH OT $189 7021499 PARANEOPLASTIC AB WESTERN BLOT $707 3655161 PARATHYROID HORMONE $721 7026343 PARATHYROID HORMONE INTACT $721 4059269 PARATHYROID HORMONE OR $721 7025642 PARIETAL ANTIBODY TITER $374 7026541 PARTICLE AGGLUT SCREEN EA AB $254 3655327 PARTICLE AGGLUTINATION SCREEN $224 3655363 PARVOVIRUS ANTIBODY $419 3656627 PARVOVIRUS B19 PCR "$1,174 " 4059417 "PARVOVIRUS B19, IGG ANTIBODY" $419 7026054 "PARVOVIRUS B19, IGM ANTIBODY" $419 6750452 PATCH KIT EP MAPPING "$5,109 " 7054365 PATH CONSULT PREPARED SLIDES $560 3652070 PATH CONSULT W PREP OF SLIDES "$1,260 " 7020735 PATHOGEN REDUCED PLATELETS "$3,272 " 7054390 PATHOLOGY CONSULT SLIDES & BLOCKS "$2,018 " 6753268 PATIENT PROGRAMMER "$7,043 " 7080778 PBSC PLATELET DEPLETE $786 7080745 PBSC/BONE MARROW CONCENTRATE "$4,598 " 7112421 PCI-CORONRY ASPIRATN THROMBECTOMY "$7,173 " 7119254 PCI-ENDOLUM IMG IVUS/OPT INI VES "$6,335 " 7119256 "PCI-ENDOLUM IMG IVUS/OPT, ADD VES" "$6,335 " 7112428 PCI-INTRAVASC DOPP/COLOR ADDL "$4,343 " 7112427 PCI-INTRAVASC DOPP/COLOR INITIAL "$4,824 " 7112418 PCI-MECH CORONARY THROMBECTOMY "$7,173 " 7110680 PCI-PTCA 1ST ART LC "$14,888 " 7110681 PCI-PTCA 1ST ART LD "$14,888 " 7110682 PCI-PTCA 1ST ART LM "$14,888 " 7110683 PCI-PTCA 1ST ART RC "$14,888 " 7110684 PCI-PTCA 1ST ART RI "$14,888 " 7110685 PCI-PTCA ADD ART LC "$11,513 " 7110686 PCI-PTCA ADD ART LD "$11,513 " 7110688 PCI-PTCA ADD ART RC "$11,513 " 7110689 PCI-PTCA ADD ART RI "$11,513 " 3655419 PCR AMPLIFIED NOS $167 7021774 PCR AMPLIFIED PROBE EACH ORGANISM $167 6755910 PDS FLEXIBLE PLATE "$1,239 " 6753269 PECTUS BAR IMPLANT "$5,823 " 6753274 PEDICLE ACCESS KIT "$6,002 " 6522041 PELVIC ULTRASOUND "$1,259 " 6431012 PELVIC-SACRAL SUPPORT PREFAB $175 6753275 PENILE PROSTHESIS NON-INFLATABLE "$21,000 " 6753628 PENILE PROSTHESIS-INFLATE LVL 1 "$7,800 " 6753629 PENILE PROSTHESIS-INFLATE LVL 2 "$20,000 " 7363065 PENTAM TREATMENT INITIAL $576 10725553 PERC NEEDLE BX MUSCLE "$1,611 " 10727503 PERC SACROPLASTY BIL INJ "$15,366 " 10727502 PERC SACROPLASTY UNI INJ "$10,244 " 6751447 PERCHIK BUTTON $56 7362023 PERCUTANEOUS TRACH KIT "$1,715 " 7362022 PERCUTANEOUS TRACHEOSTOMY "$2,192 " 6753277 PERFLUORON "$3,016 " 6026032 PERICARDIOCENTESIS "$1,646 " 7116310 PERICARDIOCENTESIS W/IMAGING "$2,338 " 6026015 PERITONEAL DIALYSIS (PER DAY) "$2,883 " 6753279 PERONEUS LONGUS TENDON/LIGAMENT "$9,317 " 7116312 PERQ PRCRD DRG INSJ CATH CT "$2,338 " 10725547 PERQ RF ABLATE TX PUL TUMOR "$13,027 " 7110553 PERQ THR/NFS DIA CIR DX ANGRPH "$17,229 " 6500071 PERSONALFIT BREASTSHIELD $6 6500072 PERSONALFIT CONNECTOR $5 7026910 PERTUSSIS AND PARAPERTUSSIS PCR $460 10720203 PET BRAIN METABOLIC EVAL "$4,383 " 10729875 PETCT OTHER LIMITED AREAS INT "$8,115 " 10729876 PETCT OTHER LIMITED AREAS SUB "$8,115 " 10729929 PETCT OTHER SKULL/THIGH INT "$8,115 " 10729930 PETCT OTHER SKULL/THIGH SUB "$8,115 " 10729908 PETCT OTHER WHOLE BODY TUMOR INT "$8,115 " 10729933 PETCT OTHER WHOLE BODY TUMOR SUB "$8,115 " 7028201 PH BODY FLUID $189 6587023 PH CONFIRMATION $42 7026724 PH URINE $72 3655013 PHENOBARBITAL (PHENOBARBITAL) $328 4059595 PHENOBARBITAL LEVEL $163 4059570 PHENOTYPE INFECT AGENT DRUG $895 3655015 PHENYTOIN (DILANTIN) FREE $259 3655014 PHENYTOIN (DILANTIN) TOTAL $328 4059112 PHENYTOIN(DILANTIN) LEVEL $328 4059562 PHOSPHATASE ACID PROSTATIC $300 3655163 PHOSPHATASE ALKALINE $60 3655164 PHOSPHATASE ALKALINE ISOENZYME $342 4059585 PHOSPHOLIPID NEUTRALIZE PLATELET $704 7024551 PHOSPHOLIPIDS $212 4059611 PHOSPHOROUS URINE 24HR $208 4059047 PHOSPHORUS $64 3655165 PHOSPHORUS INORGANIC $64 6027013 PHOTOTHERAPY ( PER DAY) $195 7561725 PHYS PERF TEST/MEASURE 15M OT $184 6992726 PHYS PERF TEST/MEASURE 15M PT $184 6753281 PI DISPOSABLE INST $907 6754024 PICC DUAL LUMEN SCN $585 7850022 PICC LINE INSERT RS&I 5YR+ "$3,445 " 6750512 PILL CAM DEPLOYMENT DEVICE $744 6750437 PILL CAM SUPPLY "$2,672 " 6751829 PIN HOLDING MAKO $507 10728416 PLACE CATH ARTERY PULM LEFT/RIGHT "$2,176 " 10728417 PLACE CATH ARTERY PULMONARY SEG "$2,485 " 10721185 PLACE CATH RENAL 1ST ORD UNI "$9,486 " 10721188 PLACE CATH RENAL 2ND ORD BIL "$9,486 " 10721187 PLACE CATH RENAL 2ND ORD UNI "$9,486 " 10727831 PLACE CATH THOR/BRACHIO 2ND ORD "$1,894 " 10727832 PLACE CATH THOR/BRACHIO 3RD ORD "$2,322 " 10727839 PLACE CATH VENOUS 1ST ORDER BRCH "$1,533 " 10727840 PLACE CATH VENOUS 2ND ORDER BRCH "$2,284 " 10727834 PLACE CATH VISCERAL 1ST ORDER "$2,394 " 10727835 PLACE CATH VISCERAL 2ND ORDER "$3,422 " 10727836 PLACE CATH VISCERAL 3RD ORDER "$4,044 " 10727837 PLACE CATH VISCERAL ADDTL ORDER $666 10721190 PLACEMENT IVC FILTER "$14,119 " 7020790 PLASMA CRYO REDUCED $691 6751188 PLASMABLADE "$1,657 " 6753287 PLASMABLADE NEEDLE "$1,363 " 6753288 PLASMABLADE PLUS "$2,121 " 4059556 PLASMINOGEN ACTIVITY $443 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 7022728 PLATELET AGGREGATION EA AGENT $376 3655286 PLATELET ANTIBODY ID $465 3655287 PLATELET ASSOC ANTIBODIES $583 7020733 PLATELET COMPATIBILITY UNIT $660 4059068 PLATELET COUNT $133 7022715 PLATELET FUNCTION SCREEN $189 7020736 PLATELET PHERESIS LR "$3,364 " 7020793 PLATELET PHERESIS LR IR "$3,499 " 7020837 PLATELET PHERESIS WASHED "$3,679 " 7362032 PLETHYSMOGRAPHY LUNG VOL $528 6753302 PLEURAL AIR LEAK SEALANT "$3,959 " 6750599 PLEUR-EVAC-PED/ADULT $642 6756231 PLEUREX DRAINAGE LINE $87 6756229 PLEURX DRAINAGE SYSTEM 1000CC $307 6753303 PLEURX KIT SUPPLIES $856 10727400 PLMT BIL DRAIN CATH EXT "$8,166 " 10727425 PLMT BIL DRAIN CATH IN-EX "$8,166 " 10727069 PLMT NEPHROSTOMY CATH "$5,650 " 10727077 PLMT NEPHROURET CATH NEW "$5,650 " 7116430 PM-AICD INSERT DUAL-GENERATR ONLY "$39,979 " 7116432 PM-ICD INSERT/REPLACE DUAL W/LEAD "$58,793 " 7116433 PM-ICD INSERT/REPLACE SGL W/LEAD "$58,793 " 7116437 PM-IMPLANT CARDIAC EVENT RECORDER "$9,002 " 7116438 PM-INSERT CARDIAC LV LEAD W/EXIST "$19,692 " 7116439 PM-INSERT CARDIAC LV LEAD W/NEW "$19,692 " 7116442 PM-INSERT NEW PM W/DUAL LEAD "$24,209 " 7116449 PM-INSERT NEW PM W/DUAL LEAD (KX) "$24,209 " 7116448 PM-INSERT NEW PM W/V LEAD (KX) "$21,512 " 7116440 PM-INSERTION ONE LEAD "$18,507 " 7110289 PM-INSERTION TEMP PACEMAKER ELECT "$18,507 " 3656645 PMP22 GENE FULL SEQUENCE "$2,424 " 7116518 PM-RELOCATE SKIN POCKET PACEMAKER "$6,134 " 7116514 PM-REMOVAL CARDIA EVENT RECORDER "$2,884 " 7116515 PM-REMOVE ICD ONLY "$7,191 " 7116434 PM-REMOVE PACER GENERATOR ONLY "$18,507 " 7110466 PM-RMV ICD-TIME OF REPLACE DUAL "$39,979 " 7110467 PM-RMV ICD-TIME OF REPLACE MULTI "$59,011 " 7110465 PM-RMV ICD-TIME OF REPLACE SNGL "$39,979 " 7116523 PM-RMV PM LEAD TRANSVEN DUAL ONLY "$4,114 " 7110462 PM-RMV PM -TIME OF REPLACE DUAL "$12,097 " 7110463 PM-RMV PM -TIME OF REPLACE MULTI "$35,323 " 7021237 PNEUMOCOCCAL AB EACH SEROTYPE $131 4031118 PNEUMOCOCCAL ADMINISTRATION $46 6501257 PNS ADVANCED PERSONAL DOUBLE PUMP $289 3958314 POLYSMNOGRAM =>6YR "$5,456 " 3958315 POLYSOMNOGRAM W/CPAP =>6YR "$6,130 " 7026000 PORPHOBILINOGEN RANDOM URINE $347 4059505 PORPHOBILINOGEN URIN QUAN $347 3655166 PORPHOBILINOGEN URINE QN $347 7025387 PORPHOBILINOGEN URN 24HR $347 3655168 PORPHYRINS FECES QN $240 7025187 PORPHYRINS PLASMA $408 3655167 PORPHYRINS URINE QN & FRACT $516 3631033 PORT FLUSH $164 4031101 PORT FLUSH VISIT $164 7257102 PORT IMAGE $536 7025605 POSACONAZOLE(NOXAFIL) LEVEL $302 7029644 POTASSIUM 24HR URINE $214 3655169 POTASSIUM SERUM $71 7028243 POTASSIUM URINE $189 6753305 POUCH SYSTEM RETRIEVAL MED/LG "$1,153 " 6753306 POUCH SYSTEM TISSUE RETRIEVAL SM $302 6751263 POWER PULSE SPRAY ANGIOJET KIT $144 7865200 POWER SUPPLY $161 7367187 PR EXERCISE UP TO 1 HR (COPD) $291 7367183 PR STRENGTH/ENDURANCE GROUP $291 6608149 PRASS PROBE $468 7116311 PRCRD DRG 6YR+ W/O CGEN CAR "$2,338 " 3655171 PREALBUMIN $200 4059576 PREKALLIKREIN ASSAY (FLETCHER) $321 6608315 PREMIUM STAPLE RELOAD "$1,158 " 6759946 PREMIUM STAPLER "$1,653 " 6752630 PRESBYOPIA CORRECTING LENS "$5,581 " 7029646 PRESURG COVID19 TEST $495 7790110 PREVENT MED COUNSEL GROUP 30 MIN $79 8550210 PREVENT MED COUNSEL GROUP 30MIN $79 7790107 PREVENT MED COUNSEL INDIV 30 MIN $96 8550207 PREVENT MED COUNSEL INDIV 30MIN $96 7020692 PREWARMED TECHNIQUE $113 7026191 PRIMIDONE(MYSOLINE) LEVEL $163 6753225 PRINEO SKIN CLOSURE SYSTEM $559 6112006 Private BMT Room "$4,980 " 6042202 Private HRP Room "$4,437 " 6100001 Private Room "$1,447 " 6400006 Private Telemetry Room "$1,884 " 6753315 PROBE ABLATOR $686 6750802 PROBE ARGON PLASMA COAGULATOR "$1,248 " 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 6753317 PROBE LASER HGM STRAIGHT $384 6752492 PROBE LITHOCLAST "$2,875 " 6757733 PROBE NEUROSTIM BIPOLAR $366 6752934 PROBE NEUROSTIM MONOPOLAR "$1,210 " 6753638 PROBE ROBOTIC WATER JET "$7,500 " 6751409 "PROBE, MONOPOLAR COAGULATOR" $460 4059608 PROCALCITONIN $457 6751639 PROCESSOR HEARING BAHA COMPACT "$14,851 " 3655172 PROGESTERONE $400 7025390 "PROGESTERONE, SERUM" $400 6753860 PROGRAMMABLE INLINE VALVE "$19,556 " 4059572 PROINSULIN "$1,007 " 3655173 PROLACTIN $459 4059272 "PROLACTIN, SERUM" $459 7951151 PROLONGED IV INFUSION W/ PUMP $520 4031127 PROLONGED IV INFUSION W/PUMP $546 4059123 PROPOXYPHENE QUANT URINE $229 4059101 PROSTATE CANCER SCREEN PSA $168 7256830 PROSTATE GOLD SEED MARKER $56 7054360 PROSTATE NEEDLE BX EXAM "$1,108 " 6758965 PROSTHESIS EAR HA W/SHESKY POP XO "$1,116 " 6608971 PROSTHESIS EAR OSSICULOPLASTY "$1,832 " 6753328 PROSTHESIS EAR STAPES PISTON ROBI $569 7341727 PROSTHETIC TRAIN INIT EA 15M OT $163 6992727 PROSTHETIC TRAIN INIT EA 15M PT $163 6753329 PROSTH-STAPES PISTON "$1,220 " 6754979 PROTECTOR NERVE NEURAWRAP PER CM "$1,677 " 4059276 PROTEIN 24HR URINE $218 7029472 PROTEIN BODY FLUID $105 3655253 PROTEIN C ACTIVITY $991 3655252 PROTEIN C ANTIGEN $991 7028204 PROTEIN CSF $200 4059277 PROTEIN ELECTROPH SRM $400 3655179 PROTEIN ELECTROPHORESIS OTHER $444 3655178 PROTEIN ELECTROPHORESIS SERUM $400 4059278 PROTEIN ELECTROPHORESIS URINE $444 4059309 PROTEIN S ACTIVITY $991 4059308 PROTEIN S ANTIGEN TOTAL $212 3655255 PROTEIN S FREE $281 3655254 PROTEIN S TOTAL $212 3655176 PROTEIN TOTAL SERUM $64 3655177 PROTEIN TOTAL URINE $182 4059574 PROTEIN WESTERN BLOT BAND ID $574 4059472 PROTHROMBIN ANTIBODIES IGG/IGM $765 4059248 PROTHROMBIN FRAGMENT 1.2 $510 7022047 PROTHROMBIN TIME $125 3655274 PROTHROMBIN TIME (PT) $125 3655275 PROTHROMBIN TIME SUBSTITUTION $163 3655181 PROTOPORPHYRIN RBC QN $130 3655175 PSA FREE $155 3655174 PSA TOTAL $354 7501002 PSR GROUP (PER 1 HR) $84 4059070 PT $125 6990203 PT EVALUATION HIGH $532 6990201 PT EVALUATION LOW $534 6990202 PT EVALUATION MODERATE $561 7272604 PT EVALUATION-HIGH $532 7272602 PT EVALUATION-LOW $534 7272603 PT EVALUATION-MOD $561 7021777 PT LUPUS ANTICOAG SCREEN $201 6990204 PT RE EVALUATION $405 7272605 PT RE-EVAL W/REV POC $405 4059324 PT SUBSTITUTION $163 7623200 PTA APLY MLC DEVICE BELOW KNEE PT $338 7623231 PTA AQTC THER W/THER EX EA 15 M $189 7563259 PTA BFB TRAINING 1ST 15 MIN $450 7563281 PTA BFB TRAINING EA ADDL 15 MIN $450 7563257 PTA BIOFEEDBACK $249 7623207 PTA CANALITH REPOSITIONING PROC $147 7623224 PTA CONTRAST BATH PER 15 MIN $101 6993224 PTA CONTRAST BATH PER 15 MIN PT $101 7623261 PTA E-STIM ATTENDED PER 15M $229 7373269 PTA E-STIM UNATTENDED PT $218 7623228 PTA EXERCISE/STIM PER 15 MIN $204 7373228 PTA EXERCISE/STIM PER 15 MIN PT $204 7563219 PTA FLUIDOTHERAPY $265 7623232 PTA GAIT TRAINING PER 15 MINUTES $213 7623211 PTA HOT/COLD PACK $149 6993211 PTA HOT/COLD PACK AREA PT $149 7623222 PTA IONTOPHORESIS PER 15 MIN $229 7623236 PTA MAN/MOBI/MLD PER 15 MIN $260 7623234 PTA MASSAGE PER 15 MIN $184 7623230 PTA NEURO RE-EDUC PER 15 MIN $176 7623250 PTA ORTH FIT/TRAIN INIT EA 15M $272 7373250 PTA ORTH FIT/TRAIN INIT EA 15M PT $272 7373255 PTA ORTHC/PROSTC MGMT SBSQ ENC $167 7623216 PTA PARAFFIN BATH $189 6993216 PTA PARAFFIN BATH PT $189 7563247 PTA PHYS PERF TEST/MEASURE 15M $184 7623252 PTA PROSTHETIC TRAIN INIT EA 15M $163 7623243 PTA SELF CARE/ADL PER 15 MIN $204 6993243 PTA SELF CARE/ADL PER 15 MIN PT $204 7623240 PTA THER ACTIV/FUNCT PER 15M $225 7373240 PTA THER ACTIV/FUNCT PER 15M PT $225 7623264 PTA THER IVNTJ 1ST 15 MIN $171 7373267 PTA THER IVNTJ EA ADDL 15 MIN $171 7563238 PTA THERAP PROCEDURES GRP $123 7623238 PTA THERAPEUTIC PROCEDURES GRP $123 7623212 PTA TRACTION MECHANICAL $218 7623226 PTA ULTRASOUND PER 15 MIN $184 6993226 PTA ULTRASOUND PER 15 MIN PT $184 7373214 PTA VASOPNEUMATIC DEVICE PT $51 7373244 PTA WHEELCHAIR TRAIN PER 15 MIN $72 7623220 PTA WHIRLPOOL $265 7373220 PTA WHIRLPOOL PT $265 7026497 PTH RELATED PROTEIN $322 3655282 PTT $198 7021022 PTT LUPUS ANTICOAG SCREEN $399 3655283 PTT SUBSTITUTION $191 4059329 PTT SUBSTITUTION/A $191 7366161 PULM REHAB/MAINTENANCE PER MONTH $168 3631012 PULSE OX SINGLE $172 4031079 "PULSE OX, MULTIPLE" $261 4031078 "PULSE OX, SINGLE" $172 7372745 PULSED LAVAGE <20 CM PT $480 7372748 PULSED LAVAGE EA ADDL 20 SQ CM $480 6992748 PULSED LAVAGE EA ADDL 20 SQ CM PT $480 6755671 PULSED LAVAGE GUN $176 7371829 PULSED LAVAGE GUN. $176 6755672 PULSED LAVAGE TIP $102 7371830 PULSED LAVAGE TIP. $102 6992745 PULSED LAVAGE< 20 CM PT $480 6501242 PUMP RENTAL 1 MO SYMP OP $78 6501241 PUMP RENTAL 1ST MO SYMP OP $78 6501243 PUMP RENTAL 8 DAY SYMP OP $29 6751608 PUMP SET IMPELLA CP "$59,535 " 10722383 PUNCTURE ASPIRATION ABSCESS $757 6751534 PUNCTURE CLOSURE DEVICE $119 3631008 PUNCTURE VENTRICULAR W/O INJ "$2,249 " 6753582 PURAPLY AM PER SQ CM $594 7284500 PURE TONE THRESHOLD AIR AND BONE $450 7021482 PURKINJE CELL AB TYPE 1 $86 7021485 PURKINJE CELL AB TYPE 2 $86 7021484 PURKINJE CELL AB TYPE TR $86 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 " 7025663 PYRUVATE BLOOD $569 3655183 PYRUVATE KINASE $259 4059280 PYRUVATE KINASE RBC $259 4059617 Q FEVER ANTIBODY $444 6028115 QUAD LUMEN CATH INSERTION "$4,425 " 3655016 QUINIDINE $337 7023204 RA FACTOR $156 3655328 RA FACTOR QL $156 3655329 RA FACTOR QN $242 4059388 RA FACTOR/A $156 10728445 RA TRACER ID OF SENTINL NODE $786 6756557 "RADIAL CATH,ARROW" $44 7257776 RADIATION TX DLVR CPLX >1MEV "$2,186 " 7257771 RADIATION TX DLVR SIMPLE >1MEV "$1,343 " 6750949 RADIESSE VOICE GEL "$1,004 " 6750951 RADIESSE VOICE INJECTION NEEDLE $302 6608252 RANEY CLIP CARTRIDGE $92 4059078 RAPID FLU A TEST $240 4059410 RAPID HIV 1/A $266 4059628 RAST SINGLE TEST $47 3655372 RBC ANTIBODY SCREEN $306 7020634 RBC ANTIGEN TYPING $321 7020838 RBC DEGLYCEROLIZED "$1,569 " 7020787 RBC IRRADIATED $643 7020720 RBC LR $993 7020788 RBC LR IRRAD "$1,243 " 7020579 RBC PACKED $487 7020580 RBC WASHED "$1,152 " 6580293 RECOVERY PER 15 MINUTES $243 6625451 RECOVERY TIME (EA ADDITIONAL 15M) $323 6626400 RECOVERY TIME (INITIAL 15 MIN) $432 6626400 RECOVERY TIME (INITIAL 15MIN) $432 6625419 RECOVERY TIME(EA ADDITIONAL 15M) $323 6666400 RECOVERY TIME(INITIAL 15 MIN) $432 6676400 RECOVERY TIME(INITIAL 15MIN) $432 6993694 RE-EVAL OF SPEECH FLUENCY $446 7173695 RE-EVAL SPEECH PRODUCTION $446 6993696 RE-EVAL SPEECH SOUND LANG CMPREH $446 6993697 RE-EVAL VOICE/RESON BEHAV & QUAL $446 7020880 REF LAB RH $129 3631032 REFILL & MAINTAIN IMPLANT PUMP $542 3631031 REFILL & MAINTAIN PORTABLE PUMP $762 6580314 REFILL KIT $235 7080815 REGISTRY HPC PROCESS/SHIP "$3,718 " 6753462 REINFORCEMENT STAPLE LINE $631 6757902 RELIEVA SINUS BALLOON CATHETER "$3,185 " 6753393 RELOADABLE LINEAR TL 30 $513 6608403 RELOADABLE LINEAR TL 60 "$1,065 " 6753396 RELOADABLE LINEAR TLC 55 "$1,189 " 6608401 RELOADABLE LINEAR TLC 75 "$1,777 " 7131116 "RELOCATE SKIN POCKET, PACEMAKER" "$6,134 " 7131117 "RELOCATE SKIN POCKET, SGL/D ICD" "$6,134 " 10729208 REM TUN CEN/PERI DEV W/PRT/PMP "$2,746 " 10729207 REM TUN CENTRAL CATH W/O PRT/PMP "$1,790 " 7120087 REMOTE 30 DAY ECG TECH-SUPP $803 7000085 REMOTE 30-DAY ECG TECH SUPP $803 10727407 REMOV BILIARY DRAIN CATH "$1,810 " 3631070 REMOV TUNNELED CENTRAL CATH "$1,790 " 7131606 REMOVAL CARDIAC EVENT RECORDER "$2,884 " 7111179 REMOVAL COMPLETE IIMS "$9,862 " 7130286 REMOVE ICD ONLY "$7,191 " 4030331 REMOVE IMPACTED EAR WAX UNI $176 10727713 REMOVE INDWEL TUN PLEURAL CATH "$1,538 " 7130283 REMOVE PACER GENERATOR ONLY "$18,507 " 10721142 REMOVE TUNNEL ABS DRAIN CATH "$5,865 " 3655004 RENAL FUNCTION PANEL $428 3655184 RENIN $542 7025402 RENIN ACTIVITY $542 6993000 REPAIRS LVL I $25 6993089 REPAIRS LVL II $290 10729203 REPL N-T CEN CATH S/SITE W/O "$4,224 " 10729204 REPL PICC S/SITE W/O PRT/PMP "$4,224 " 7850011 REPL PICC WO PRT/PMP INCL IMG "$4,224 " 10729214 REPL TUN CEN CATH S/SITE W/O PRT "$4,224 " 10729215 REPL TUN CVD S/SITE W/PORT "$9,021 " 10721133 REPLACE G/CECO/COLN TUBE "$1,192 " 10721136 REPLACE G-J TUBE "$1,343 " 10721127 REPLACE J/DUODEN TUBE "$1,192 " 10729205 REPO CENT/VENOUS CATH W/FLUORO "$1,709 " 7136508 REPOSITION OF ATRIAL OR VEIN LEAD "$6,859 " 4059526 REPTILASE TEST $129 7023502 REPTILASE TIME $129 6757935 RESERVOIR CSF "$1,200 " 6753398 RESORBABLE COLLAGEN MEMBRANE $725 7250151 RESP MOTION MGMT SIM $353 7022081 RESPIRATORY VIRUS 12-25 TARGETS "$2,273 " 6580411 RESTORE CONNECTOR CABLE "$1,965 " 6580412 RESTORE TEST STIMULATION LEAD KIT "$4,661 " 6753417 RESTORE TUNNELING TOOL DISP $534 7361115 RESUSCITATION "$1,248 " 3655231 RETIC COUNT AUTOMATED $166 3655232 RETIC COUNT AUTOMATED DIRECT MEAS $166 3655230 RETIC COUNT MANUAL $163 7022723 "RETIC COUNT, MANUAL" $163 7020820 RETIC SEPARATION $415 3655234 RETICULATED PLATELET ASSAY $97 6751331 RETRIEVAL DEVICE LVL I "$1,402 " 6751332 RETRIEVAL DEVICE LVL II "$2,511 " 10721333 RETRIEVAL DEVICE LVL III "$4,201 " 10721334 RETRIEVAL DEVICE LVL IV "$9,259 " 10721192 RETRIEVE IVC FILTER "$9,687 " 10727611 RETROGRADE URETHROGRAM $660 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 6580202 RF CANNULA 22G 100MM $101 7022410 RH PHENOTYPE $408 3655375 RH TYPE $129 4059487 RICKETTSIA (ROCKY MT SPOT FEVER) $314 6753691 RING/BAND ANNULOPLASTY "$8,750 " 6580464 R-K NEEDLE $48 7130319 RMV ICD LEAD(S) ONLY TRANSVEN "$4,114 " 7130466 RMV ICD-TIME OF REPLACE DUAL "$39,979 " 7130467 RMV ICD-TIME OF REPLACE MULTI "$59,011 " 7130465 RMV ICD-TIME OF REPLACE SNGL "$39,979 " 7130324 RMV PM LEAD TRANSVEN DUAL ONLY "$4,114 " 7130322 RMV PM SGL LEAD-TIME OF REPLACE "$4,114 " 7130462 RMV PM -TIME OF REPLACE DUAL "$12,097 " 7130463 RMV PM -TIME OF REPLACE MULTI "$35,323 " 7130461 RMV PM -TIME OF REPLACE SGL "$11,028 " 7111106 RMV SUBQ ICD-TIME OF REPLACE "$39,979 " 7111189 RMVL SUBQ CAR RHYTHM MNTR "$2,884 " 7021157 ROCKY MT SPOT FEVER IGM $314 6689993 ROOM EXTENDED RECOVERY Time based 10265302 ROOM OBSERVATION Time based 6750392 ROTATING HEMOSTASIS VALVE $190 10726881 RP LOCLZJ TUM SPECT 2 AREAS "$3,816 " 10726880 RP LOCLZJ TUM SPECT W/CT 1 "$3,816 " 10726882 RP LOCLZJ TUM SPECT W/CT 2 "$4,329 " 10726883 RP QUAN MEAS SINGLE AREA "$1,104 " 4059390 RPR $108 4059389 RPR W REFLEX RPR TITER AND FTA $108 10724869 RS 3D SCREEN MAMMO BI $280 10724868 RS DGT MAMMO SCREEN/CAD BI $789 7026389 RSV BY PCR $167 7026728 RSV ELISA $347 10720035 RT DOSIMETRY CALCULATION BASIC "$1,248 " 10720036 RT TX TREAT SPECIAL HEMI/TOT BODY "$4,371 " 7026522 RUBELLA IGM ANTIBODY $497 7028232 RUBELLA IMMUNE SCREEN $164 3655467 RUBEOLA IGM ANTIBODY $108 7026669 RUBEOLA IMMUNE SCREEN $108 7025210 "RUNX1 T8,21 PCR DETECTION" "$1,244 " 7021021 RUSSELL VIPER VENOM DILUTED $549 3655276 RUSSELL VIPER VENOM TIME DILUTED $243 7029645 SARS-COV-19 MOLECULAR TESTING $495 7029647 SARS-COV-2 ANTIBODY $219 7029647 SARS-COV-2 ANTIBODY. $219 7186724 SC ALLOGENEIC DLI "$2,883 " 4059407 SCHISTOSOMA SEROLOGY $541 6753424 SCLERAL BUCKLE STYLE 240 $47 6758023 SCLERAL SLEEVE $51 6758024 SCLERAL STRIP $103 6753425 SCLERAL TIRE $131 10728491 SCLEROTX FLUID COLLECTION "$3,532 " 6513561 SCN ICU Room "$7,394 " 6513571 SCN Intermediate ICU Room "$5,392 " 6513551 SCN Preemie Room "$3,950 " 6751864 SCP FOOT AND ANKLE KIT "$10,029 " 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 3655278 SED RATE RBC AUTO $95 3655277 SED RATE RBC NON-AUTO $133 6757722 SEGURA BASKET "$1,296 " 6162027 SELECT DEBRIDE 20 SQ CM OR LESS $480 6162747 SELECT DEBRIDE EA ADDL 20 SQ CM $480 3631003 SELECT ORGAN SAMPLING "$1,724 " 4059567 SELENIUM $473 6991730 SELF CARE/ADL PER 15 MIN OT $204 6992731 SELF CARE/ADL PER 15 MIN PT $204 7161524 SELF CATHETERIZATION $223 6753436 SEMITENDINOSUS TENDON/LIGAMENT "$5,693 " 7341732 SENSORY INTEGRATION PER 15 MIN $171 6991732 SENSORY INTEGRATION PER 15 MIN OT $171 7564506 SENSORY ORGANIZATIONAL TEST $348 6751535 SEPARATOR "$3,043 " 6750870 SEPRA FILM $902 3655186 SEROTONIN "$1,211 " 3655397 SERUM BACTERICIDAL TITER $662 7502535 SERVICE PLAN AND DEV 15MIN $84 6753438 SET DISPOSABLE BIOM LENS $345 7026015 SEX HORMONE BINDING GLOBULIN $214 6753440 SGL INCISION URINARY SLING SYSTEM "$6,377 " 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 7021853 SHELL VIAL CMV $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 7021808 SHIGA TOXIN EACH $43 3655411 SHIGELLA-LIKE TOXIN AG $105 6751862 SHIM FIXATION IMPLANTS "$8,424 " 6757531 SHOULDER P.A.D. IMMOBILIZATION $218 6751553 SHRINKER ABOVE KNEE $218 6757232 SHUNT CONNECTOR $159 6753692 SHUNT CORONARY/INTRALUMIN/VASC $295 6601635 SHUNT CSF PROGRAMMABLE HAKIM "$17,847 " 6753059 "SHUNT, GLAUCOMA" "$3,191 " 3655188 SIALIC ACID $123 3655279 SICKLE CELL SCREEN $166 6753443 SILASTIC FOLEY $88 6753444 SILASTIC-INCISION DRAIN $176 6758847 SILICONE OIL "$2,746 " 7257820 SIMULATION - COMPLEX "$3,911 " 7257800 SIMULATION - SIMPLE "$2,523 " 6753445 SINUS BALLOON CATH W/ LIGHT FIBER "$7,193 " 7564505 SINUSOIDAL VERT AXIS ROTATE TEST $450 3656003 SIROLIMUS(RAPAMUNE) LEVEL $373 7054387 SLIDE REVIEW TECH $560 6750363 SLING LEG $112 6600928 SMALL TISSUE REMOVAL DEVICE "$4,870 " 3655400 SMEAR COMPLEX SPECIAL STAIN $180 7021064 SMEAR COMPLEX SPECIAL STAIN O&P $180 4059509 SMEAR PRIM W/INTRPT FLUOR/ACI $156 4031141 SMOK/TOB CESSATION >10 MIN $176 4031139 SMOK/TOB CESSATION 3-10 MIN $87 6750804 SNARE $189 6750817 SNARE HEXAGONAL $433 6750805 SNARE PEDIATRIC $198 6501217 SNS $53 6753693 SO 8 AB RSTR CAN/WEB PRE OTS $221 6751554 SOCK SINGLE PLY ABOVE KNEE $28 10729963 SOD FLUORIDE F-18 (PER DOSE) "$2,801 " 3655189 SODIUM SERUM $60 3655190 SODIUM URINE $189 7029648 SODIUM URINE 24HR $214 6751453 SOFT INTERFACE AK ADDN LOW EXTREM $334 6751423 SOFT JAW SPRING CLIP $51 6501000 SOFT SHELLS $24 3655191 SOMATOMEDIN $232 3655192 SOMATOSTATIN "$1,159 " 6522153 SONOGRAM ABDOMINAL LIMITED "$1,220 " 7258114 SOURCE NS HDR IR-192 "$1,799 " 7258113 SOURCE NS IODINE 125-EYE PLAQUE "$1,027 " 7256045 SOURCE NS IODINE 125-PROSTATE $267 7256070 SOURCE NS PALLADIUM 103 $339 7256820 SOURCE STR IODINE-125 $294 7256825 SOURCE STR PALLADIUM-103 $361 7116177 SP BONE RF ABLATE *SI "$14,813 " 7119202 SP INS PICC WO PORT/PUMP/IMG >5YR "$4,263 " 7111455 SP-ABD PARACENTESIS W GUIDE*SI "$2,265 " 7115126 SP-ABS DRAIN RENAL *SI "$4,410 " 6753573 SPACER IMPL BIODEGRADABLE "$8,584 " 7111059 SP-ANGIO INTERNAL MAMMARY SI "$3,373 " 7111643 "SP-ANGIO, SELECT,ADDTL VESSEL SI" "$2,818 " 7111186 SP-ANGRM RENAL 1ST ORD BIL *SI "$9,486 " 7111185 SP-ANGRM RENAL 1ST ORD UNI *SI "$9,486 " 7111187 SP-ANGRM RENAL 2ND ORD UNI *SI "$9,486 " 7117841 SP-AORTA CATH PLACE* "$2,284 " 7113966 SP-AORTA W BILATERAL ILIACS SI "$5,881 " 7119007 SP-ARTERIO PELVIC ECH SI "$10,709 " 7118401 SP-ARTERIO VISC. EACH SI "$9,511 " 7113965 SP-ARTERIOGRAM ABD AORTA (S&I) "$4,944 " 7118452 SP-BIOPSY SI "$1,162 " 7117830 SP-BRACHIO 1ST ORDER* $960 7117831 "SP-BRACHIO, 2ND ORDER*" "$1,894 " 7111634 SP-BX LIVER PERC* "$2,033 " 7119087 "SP-BX, DEEP BONE, EACH*" "$2,443 " 7111674 SP-CATHETER PATENCY CHECK* $803 7110549 SP-CESSAT THRMBLYS *SI "$7,035 " 6993610 SPCH GENERAT DEV EVAL 1ST H SP $597 7118530 SP-CHANGE EXT URETER STENT *SI "$5,033 " 7118531 SP-CHANGE EXT URETER STNT BIL*SI "$7,550 " 7111648 SP-CHOLECYSTOSTOMY PERC*/SI "$4,570 " 7117899 SP-CLOSURE DEVICE PLACEMENT* $797 7111132 SP-CONVERT G-TUBE TO J-TUBE SI/* "$2,795 " 7111635 SP-CVA CHECK WITH CONTRAST* $256 7257907 SPEC MED PHYSICS CONSULTATION "$1,442 " 7257770 SPEC TELE PLAN/TBI/HEMI/ELEC "$1,881 " 7021776 SPECIAL COAG INTERP REPORT $342 7256035 SPECIAL DOSIMETRY TLD/DIODES "$1,093 " 7947907 SPECIAL MED PHYSICS CONSULTATION "$1,442 " 6500007 SPECIAL NEEDS FEEDER $39 7054306 SPECIAL STAIN $257 7054259 SPECIAL STAIN ORGANISM $328 7256038 SPECIAL TREATMENT PROCEDURE "$4,590 " 7022836 SPECIFIC GRAVITY BODY FLUID $97 6587002 SPECIFIC GRAVITY CONFIRMATION $42 7029482 SPECIFIC GRAVITY FLUID $97 7023228 SPECIFIC GRAVITY QL/SEMI-QN $70 3655193 SPECTROPHOTOMETRY $408 7564628 SPEECH DISCRIMINATION $88 6994628 SPEECH DISCRIMINATION BILAT $88 7173610 SPEECH GENERAT DEV EVAL $597 7173670 SPEECH GENERAT DEV TRAINING $412 6994626 SPEECH RECEPTION THRESH BILAT $47 7173666 SPEECH TREATMENT INDIVIDUAL $301 6993666 SPEECH TREATMENT INDIVIDUAL SP $301 7117753 SP-ENDLUMNAL BX URETR RENL PELVS* "$3,369 " 7119008 SP-EXTREM ARTERIO BI SI "$4,358 " 7119006 SP-EXTREM ARTERIO UNI SI "$8,214 " 7117843 SP-EXTREMITY ARTERY* "$2,801 " 7111730 SP-FEM/POP W/ATH*SI "$37,314 " 7111734 SP-FEM/POP W/STNT W/ATH*SI "$64,623 " 7111734 SP-FEM/POP W/STNT*SI "$64,623 " 7111730 SP-FEM/POP*SI "$37,314 " 7111669 SP-FLUORO CVD WO/W VENOGRAM SI "$1,151 " 7110545 SP-FOREIGN BODY RET *SI "$4,838 " 7111636 SPF-PRIM ART MECH THROM* "$13,400 " 7117834 SPF-VISCERAL 1ST ORDER * "$2,394 " 7117835 SPF-VISCERAL 2ND ORDER* "$3,422 " 7111646 SP-HEPATIC VENOGRAPHY W/HEMO SI "$3,279 " 6753402 SPHERE EYE ORBITAL MEDPOR "$1,991 " 6753403 SPHERE EYE ORBITAL MEDPOR EZ "$2,567 " 6754756 SPHERES REFLECTIVE MARKER $102 6756152 SPHINCTEROTOME $899 7111722 SP-ILIAC W/STENT*SI "$23,630 " 6757790 SPINAL FUSION IMPLANT LVL I "$7,286 " 6757791 SPINAL FUSION IMPLANT LVL II "$17,234 " 6757792 SPINAL FUSION IMPLANT LVL III "$31,246 " 6757793 SPINAL FUSION IMPLANT LVL IV "$43,825 " 6580219 "SPINAL NEEDLE 3.5 """ $26 6580220 "SPINAL NEEDLE 5-7 """ $34 6753451 SPINAL SYSTEM KIT "$4,557 " 7117713 SP-INDWEL TUN PLEURAL CATH RMVL* "$1,538 " 7118446 SP-INFERIOR CAVAL VENOGRAPHY SI "$3,458 " 7111135 SP-INJ CON EVAL EXIST TUBE *SI $555 7111139 SP-INJ CONTRAST ABS/CYST* $500 7117759 SP-INJ NEPHRSTGRM/URETGRM NW ACC* "$1,967 " 7117758 SP-INJ NEPHRSTGRM/URTGRM EXT ACC* "$1,494 " 7117712 SP-INJ PERC TREAT EXTREM PSEUDO* $964 6580502 SPINOCAN 25G 3 1/2 NEEDLE $26 7119201 SP-INS NON-TUN CENTRAL CATH* "$4,425 " 7119211 SP-INS TUN CEN DEVICE W/PORT* "$9,021 " 7119210 SP-INS TUN CENTRAL CATH W/O* "$5,430 " 7111130 SP-INSERT GASTROSTOMY TUBE SI/* "$2,795 " 7111144 SP-INSERT TUNN INTRAPERI CATH*/SI "$7,520 " 7367125 SPIRO. BEFORE & AFTER $803 7367120 SPIROMETRY BEFORE $343 7111190 SP-IVC FILTER PLACE *SI "$14,119 " 7111192 SP-IVC FILTER RETRIEVE *SI "$9,687 " 7117788 SP-JUGULAR VEIN SI "$6,600 " 7119110 SP-KYPHOPLASTY LUMBAR *SI "$16,594 " 7119109 SP-KYPHOPLASTY THORACIC *SI "$16,594 " 7119111 SP-KYPHOPLSTY EA ADD THOR/LUMB*SI "$11,385 " 6755732 SPLINT ALUM FINGER $68 6750566 SPLINT FOOT DROP LARGE $338 6750567 SPLINT FOOT DROP MEDIUM $338 6751349 SPLINTING TUBE FOR ENTEROSCOPE $877 7118532 SP-NEPHRO TUBE REMOVE *SI "$2,217 " 7117954 SP-NON NEURO ARTERY EMBOL *SI "$35,838 " 7117956 SP-NON NEURO HEMORRHAG EMBOL *SI "$35,838 " 7117955 SP-NON NEURO TUMOR EMBOL *SI "$35,838 " 7111686 SP-NONCORONARY IVUS INIT VESL* "$5,829 " 7117768 SP-PERC BIL DRAIN SI&GUIDE EXTRN* "$8,166 " 7117769 "SP-PERC CHOLANG, GUIDE, NW ACCES*" "$8,166 " 7117770 "SP-PERC CHOLANGIOGRAM,EXST ACCES*" "$4,074 " 7117754 SP-PERC EXC NEPHROSTOMY CATH* "$3,030 " 7117765 SP-PERC EXCH BIL DRAIN W/GUID* "$8,166 " 7117763 "SP-PERC PLMT EA STNT, SI EXT ACC*" "$15,448 " 7117764 SP-PERC REM BIL DRAIN GUIDE* "$1,811 " 7111673 SP-PORTO-CATH PATENCY CHECK* $803 7117767 SP-PRC BIL DRAIN W/CHOLA INT/EXT* "$8,166 " 7117748 "SP-PRC BLN BIL DUCT/AMP, EA DUCT*" "$4,082 " 7117755 SP-PRC CONV NEPHSTOMY/URTERAL PE* "$1,967 " 7117747 "SP-PRC ENDO BX BIL TREE,SGL/MULT*" "$4,082 " 7117761 "SP-PRC PL EA STNT, NW ACC W/BILI*" "$15,448 " 7117757 SP-PRC PLMT NEPHR CTH INC DX GRM* "$5,650 " 7117756 SP-PRC PLMT NEPHR CTH NEW ACCESS* "$5,650 " 7117751 "SP-PRC PLMT URETRAL STNT,NW ACC*" "$8,416 " 7117752 "SP-PRC PLMT URETRAL STNT,PE TRCT*" "$8,416 " 7119199 SP-REM OBST CV DEV FIBRN SHEATH* "$6,259 " 7119200 SP-REM OBST CV DEVICE FIBRIN SI "$1,114 " 7119208 SP-REM TUN CEN/PERIDEV W/PORT* "$2,746 " 7119207 SP-REM TUN CENTRAL CATH W/O* "$1,790 " 7111142 SP-REMOVE TUNNEL ABS DRAIN CATH* "$5,865 " 7111666 SP-REPL TUN CEN CATH S/SITE W/O* "$4,224 " 7111667 SP-REPL TUN CVD S/SITE W/PORT* "$9,021 " 7111133 SP-REPLACE G/CECO/COLON TUBE SI/* "$1,192 " 7111136 SP-REPLACE G-J TUBE SI/* "$1,343 " 7119225 SP-REPLACE J/DUODEN TUBE SI /* "$1,192 " 7119214 SP-REPLACE J/DUODEN TUBE SI/* "$1,192 " 7117844 SP-SEL ORGAN SAMPLING* "$1,724 " 7117970 SP-STENT UE ARTERY 1ST VESS *SI "$20,677 " 7118488 SP-SUP/INF VCAVA CATH PLACE* "$2,279 " 7118468 SP-SUPERIOR CAVAL VENOGRAPHY SI "$2,893 " 7110176 SP-THORACENTESIS *SI "$2,460 " 7110546 SP-THRMBLYS ART 1ST DAY *SI "$7,036 " 7111744 SP-TIB/PER ADD VESS*SI "$17,578 " 7111738 SP-TIB/PER W/ATH*SI "$37,314 " 7111740 SP-TIB/PER W/STNT*SI "$37,314 " 7111744 SP-TIB/PER*SI "$17,578 " 7111058 SP-TRANSCATH BIOPSY SI "$3,348 " 7111069 SP-TRANSJUGULAR LIVER BIOPSY* "$9,396 " 7111633 SP-US GUIDANCE CV DEVICE + "$1,343 " 7118537 SP-UTERINE ARTERY EMBOLIZE *SI "$35,838 " 7118458 SP-VENOGRAM EXTREM BI SI "$2,804 " 7110529 SP-VERT FROM SUBCLAVIAN UNI*SI "$6,501 " 7117836 SP-VISCERAL 3RD ORDER* "$4,044 " 7117837 SP-VISCERAL ADDTL ORDER* $666 7110088 SP-Y90 ABDOMEN WO/W CONTRAST "$4,585 " 7110030 SP-Y90 ANGIO VISC EA ADD SI "$2,818 " 7110029 SP-Y90 ANGIO VISC SI "$9,511 " 7110035 SP-Y90 BASIC DOSIMETRY "$1,248 " 7110091 SP-Y90 GASTRIC EMBOLIZATION *SI "$35,838 " 7110090 SP-Y90 GASTRICDUOD ARTERY *SI "$35,838 " 7110089 SP-Y90 RADIORX TX INTRA-ARTERIAL "$1,723 " 7110036 SP-Y90 SPECIAL TREATMENT "$4,371 " 7110033 SP-Y90 VISCERAL 1ST ORDER* "$2,394 " 7110027 SP-Y90 VISCERAL 3RD ORDER* "$4,044 " 7110028 SP-Y90 VISCERAL ADDTL ORDER* $666 6751448 SPYDS CHOLANGIOSCOPE DISP "$11,487 " 6781160 SQ/ IM METHOTREXATE FOR ECTOPIC $386 7252001 SRS TX DELIVERY MULTI-FRACTION "$10,931 " 7252000 SRS TX DELIVERY SINGLE FRACTION "$47,471 " 4059367 SSA SJOGRENS ANTIBODIES/A $213 4059366 SSA/RO SJOGRENS ANTIBODIES $213 7027141 SSB/LA SJOGRENS ANTIBODIES $213 7142260 SSEP LOWER LIMBS "$1,682 " 6751353 STABILIZER INTRAOSSEOUS NEEDLE $42 6753452 STABILIZER PECTUS BAR ELONGATED "$2,179 " 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 " 6609641 STAPLE HEMOLOK XL $208 6753463 STAPLE RELOAD ENDOCUTTER $646 6608394 STAPLE RELOAD LINEAR $616 6750929 STAPLER LINEAR CUT SELECT DEPTH $278 6608413 STAPLER RELOAD TCR $758 6753466 STAPLER SEPTAL PRE-LOADED $732 6753467 STAPLER SHEATH $80 6500009 STARTER SNS $20 7564503 STENGER TEST PURE TONE $105 7564504 STENGER TEST SPEECH "$1,470 " 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 " 6751237 STENT COAT/COV W/O DELV LVL III "$10,016 " 10727973 STENT EA ADD OPEN/PERQ PLACE "$9,650 " 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 " 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 " 10727409 STENT PLMT BILE DUCT EXISTING "$15,448 " 10727412 STENT PLMT BILE DUCT NEW W CATH "$15,448 " 6756162 STENT PUSHER $218 6756154 STENT RETRIEVER $664 10727972 STENT SAME OPEN/PERQ PLACE "$20,677 " 6753663 STENT/TUBE EYE LVL 1 $975 6753664 STENT/TUBE EYE LVL 2 "$3,000 " 6753665 STENT/TUBE EYE LVL 3 "$4,600 " 6676404 STEP-DOWN RECOVERY 15 MIN $195 10723890 STEREO LOC 1ST LESION "$1,743 " 10723892 STEREO LOC ADD LESION $757 6580467 STIMUPLEX NEEDLE (467) $32 6750139 STONE CONTROL DEVICE "$1,685 " 6754697 STOTZ EYE CAUTERY $159 7271695 STRAPPING ANKLE AND/OR FOOT OT $260 7272695 STRAPPING ANKLE AND/OR FOOT PT $260 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 7022514 STREP A PCR $117 4059079 STREP SCREEN $133 7027112 STREP SCREEN REFLEX TO CULTURE $133 7120099 STRESS TEST PHARMACO "$1,088 " 7120107 STRESS TEST TREADMILL "$1,088 " 4031133 STRESS TEST TREADMILL OR PHARM "$1,088 " 7022358 STRIATED MUSCLE ANTIBODY TITER $487 6753471 STRYKER PULSE LAVAGE $414 7008676 SUBC CARD MNTR INTERR EVAL $142 7008000 SUBQ ICD INTERR EVAL $292 7008006 SUBQ ICD PROG EVAL SYSTEM $292 7508013 SUBSTANCE ABUSE INTENSIVE OUTPT $102 7022852 SUDAN BLACK B STAIN $750 3655194 SUGARS SINGLE QN $162 4059615 SULFHEMOGLOBIN $33 7022117 SULFHEMOGLOBIN ANALYSIS QUAN $81 7116450 SUP-CARDIAC EVENT RECORDER (LOOP) "$21,259 " 7116222 SUP-CARDIOVERT-DEFIB DUAL CHAMBER "$112,263 " 7116223 SUP-CARDIOVERT-DEFIB SGL CHAMBER "$83,158 " 7116224 SUP-ICD BI-VENTRICULAR "$110,184 " 7116300 SUP-LEAD CARDIOVERT-DEFIB SGL CO "$41,580 " 7116218 SUP-LEAD DELIVERY SYSTEM "$5,893 " 7116304 SUP-LEAD ICD NOT SGL/DUAL "$7,005 " 7116301 SUP-LEAD ICD/DUAL COIL "$41,580 " 7116302 SUP-LEAD LV CORONARY VEIN "$13,861 " 7116303 SUP-LEAD PM OTHER THAN VDD SGL "$6,836 " 7116400 SUP-PACEMAKER BI-VENTRICULAR "$49,897 " 7116402 SUP-PACEMAKER DUAL RATE-RESP "$44,546 " 7116404 SUP-PACEMAKER SGL RATE-RESP "$38,611 " 6758995 SUPRAPUBIC SLING SYSTEM "$4,632 " 7256044 SURFACE APPLICATION OF RADIOELEM "$1,026 " 7361058 SURFACTANT ADMIN THRU ET TUBE $295 6751467 SURGICAL HEMO STAT LEVEL I $307 6751403 SURGICAL HEMO STAT LEVEL II "$1,027 " 6751461 SURGICAL HEMO STAT LEVEL III "$3,422 " 7851467 SURGICAL HEMO STATE LVL I $307 6757746 SURGICAL HEMOSTAT APPL FLEXI TIP $131 6308536 SURGICAL HEMOSTAT LEVEL I $307 6308537 SURGICAL HEMOSTAT LEVEL II "$1,027 " 6608539 SURGICAL HEMOSTAT LEVEL IV "$5,988 " 6753632 SURGICORD PER SQ CM $201 6753635 SURGIGRAFT DUAL PER SQ CM $294 6753631 SURGIGRAFT PER SQ CM $147 6750549 SURGIWRAP BIORESORBABLE SHEET SM $876 7027250 SUSCEPT MACRO BROTH EA AGENT $230 6757287 SUTURE (SPEC. SIZE) $29 6757283 SUTURE 2 $224 6753474 SUTURE 3 $155 6753475 SUTURE 4 $96 6757278 SUTURE 7278 $330 6757279 SUTURE 7279 $56 6600926 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 7271609 SWALLOWING VIDEO EVAL OT $970 6993609 SWALLOWING VIDEO EVAL SP $970 6993608 SWALLOWING/DYSPHAGIA EVAL SP $750 6026018 SWAN GANZ INSERTION "$4,696 " 6500012 SYMPHONY DOUBLE PUMP KIT $84 7120142 SYNCOPE STUDY "$1,990 " 6587017 SYNTHETIC CANNABINIOD CONFIRM $42 7022280 "SYPHILIS TEST, QUALITATIVE" $113 3655330 SYPHILIS VDRL/RPR QL $108 3655331 SYPHILIS VDRL/RPR QN $321 6750588 SYSTEM FEMORAL COMPRESSION $539 6753480 SYSTEM REFLUX MANAGEMENT LINX "$12,763 " 4059623 T PALLIDUM IGG AB $328 7021766 T PALLIDUM IGM AB $328 3655210 T3 FREE $337 3655208 T3 OR T4 UPTAKE/THBR $232 7025415 T3 REVERSE $337 3655209 T3 TOTAL $276 4059058 T3 UPTAKE $232 7054000 T4 BIOPSY MUSCLE $516 4059052 T4 THYROXINE $232 6753481 TA 55 POLYSORB "$2,134 " 6609461 TACKER RESORBABLE "$3,072 " 3655017 TACROLIMUS (PROGRAF) $416 4059648 TACROLIMUS LEVEL $416 7026705 TACROLIMUS(PROGRAF) LEVEL $416 6020010 TANGNTL BX SKIN SINGLE LES $562 6587012 TAPENTADOL LEVEL $42 3656653 TARGETED GENOMIC SEQUENCE PANEL "$2,512 " 7025130 TB AG RESPONSE T-CELL $730 3653150 TB INTERFERON AG RESPONSE $370 4059075 TB SKIN TEST $64 3655201 TBG $500 10722984 TC-99 CERETEC UP TO 25 MCI PR DSE "$3,235 " 10727912 TC-99 CHOLETEC DX UP TO 15 MCI $282 10727914 TC-99 DTPA DX UP TO 25 MCI $309 10727915 TC-99 MAA DX UP TO 10 MCI "$1,344 " 10722989 TC-99 PERTECHNETATE PER MCI $4 10727916 TC-99 SULFURCOLLOID UP TO 20 MCI $693 10727974 TC99M DX AEROSOL UP TO 75MCI $508 10727920 TC-99M MAG3 UP TO 15 MCI "$1,020 " 10722993 TC-99M MEDRONATE UP TO 30 MCI $527 10720256 TC-99M SESTAMIBI PER STUDY DOSE $740 10727918 TC-99M ULTRATAG UP TO 30 MCI $249 7111182 TCAT INSJ/RPL PERM LDLS PM "$32,244 " 6753484 TEAR DUCT PLUG $245 7912020 TELEHEALTH CLINIC VISIT $223 7860001 TELEHEALTH CPAP INT & MGT $223 7257734 TELETHX ISODOSE PLAN CPLX "$2,288 " 7257733 TELETHX ISODOSE PLAN SIMPLE "$1,331 " 6750537 TEMP SENSING FOLEY $152 6580316 TEMPORARY SCREENING LEAD "$2,949 " 6500015 TENDER CARE $4 6751793 TENDON ACHILLES W/BONE BLOCK "$5,288 " 6751902 TESTICULAR IMPLANT "$6,951 " 3655195 TESTOSTERONE FREE $526 3655196 TESTOSTERONE TOTAL $597 4059051 TESTOSTERONE TOTAL ADULT $597 7023146 TETANUS TOXIOD IGG ANTIBODY $66 3653146 TETANUS TOXOID IGG ANTIBODY $252 6522133 TFA F/U US - 3RD FETUS $894 6522044 TFA F/U US - SINGLE "$1,140 " 6522130 TFA F/U US-2ND FETUS $894 6522142 TFA F/U US-5TH FETUS $894 6522048 TFA OB U/S 2ND FETUS - NEW "$1,178 " 6522049 TFA OB U/S 3RD FETUS - NEW "$1,178 " 6522025 TFA OB U/S SINGLE - NEW "$1,303 " 4059129 THC QUANT URINE $229 3655018 THEOPHYLLINE $400 7028215 THEOPHYLLINE(THEOPHYLLINE) LEVEL $400 6991733 THER ACTIV/FUNCT TRAIN PER 15M OT $225 6992734 THER ACTIV/FUNCT TRAIN PER 15M PT $225 6781143 THER IV INFUSION ADTL HR $229 6781145 THER IV INFUSION CONCURRENT $229 6781142 THER IV INFUSION INIT UP TO 1 HR $594 7621786 THER IVNTJ 1ST 15 MIN $171 7624786 THER IVNTJ 1ST 15 MIN OT $171 6994786 THER IVNTJ 1ST 15 MIN PT $171 6993786 THER IVNTJ 1ST 15 MIN SLP $171 7621787 THER IVNTJ EA ADDL 15 MIN $171 7624787 THER IVNTJ EA ADDL 15 MIN OT $171 7563786 THER IVNTJ EA ADDL 15 MIN PT $171 6993787 THER IVNTJ EA ADDL 15 MIN SLP $171 10729866 THER SPI PNXR CSF FLUOR/CT "$1,875 " 7380645 THERAPEUTIC APHERESIS/PLASMA "$6,335 " 7380647 THERAPEUTIC APHERESIS/RED CELL "$6,335 " 7501340 THERAPEUTIC IM/SQ INJECTION $151 7020842 THERAPEUTIC LEUKODEPLETION "$6,455 " 7956016 THERAPEUTIC PHLEBOTOMY $431 6757762 THERMAL SEALER "$3,422 " 7025422 THIOCYANATE $306 6751414 THOPAZ DOUBLE TUBING $156 6751413 THOPAZ SINGLE TUBING $144 6020180 THORACENT W/O GUIDANCE "$1,741 " 10720177 THORACENTESIS UNI INC IMG GUID "$2,120 " 6020181 THORACENTESIS W/GUIDANCE "$2,120 " 10720546 THRMBLYS ART 1ST DAY "$7,036 " 10720548 THRMBLYS NON-COR SUBSQ DAY "$7,036 " 10720549 THRMBLYS VENOUS SUBSQ DAY "$7,035 " 10728524 THROMB PERC VENOUS MECH "$13,400 " 4059327 THROMBIN TIME $83 3655280 THROMBIN TIME PLASMA $83 3655281 THROMBOPLASTIN INHIBITION TISSUE $538 3655198 THYROGLOBULIN $377 3655368 THYROGLOBULIN ANTIBODY $359 7025998 THYROGLOBULIN FNA $944 4059286 THYROGLOBULIN TUMOR MARKER $377 4059384 THYROID MICROSOMAL (TPO) AB $72 4059208 THYROID STIMMULATING IMMUNOGLOB $249 4059386 THYROPEROXIDASE (MICROSOMAL) AB $258 7028296 THYROTROPIN RECEPTOR ANTIBODY $358 4059513 THYROXINE BINDING GLOB $500 7025419 THYROXINE BINDING GLOBULIN $500 3655200 THYROXINE FREE $268 3655199 THYROXINE TOTAL $232 6753488 TIBIALIS TENDON/LIGAMENT "$10,478 " 6753489 TIGHTROPE DELIVERY SYSTEM "$1,941 " 10722966 TILMANOCEPT UP TO 0.5 MCI $899 7564502 TINNITUS PITCH/LOUD MATCH/MASKING $450 6757000 TIP ARTHROCARE COBLATION EVAC 71 "$1,079 " 6753490 "TIP ASSEMBLY, CATH INTRODUCER" "$1,733 " 6757754 TIP LIPOLASER SLIM $734 7026101 TISSUE CULT CHROMOSOME ANAL LYMPH "$1,037 " 3655426 TISSUE CULTURE NEOPLASTIC BLD BM "$1,271 " 7054375 TISSUE EXAM LEVEL I TECH $180 7054376 TISSUE EXAM LEVEL II TECH $296 7054377 TISSUE EXAM LEVEL III TECH $402 7054378 TISSUE EXAM LEVEL IV TECH $554 7054379 TISSUE EXAM LEVEL V TECH $794 7054380 TISSUE EXAM LEVEL VI TECH $956 6754970 TISSUE EXPANDER BREAST "$6,880 " 6753492 TISSUE EXPANDER CRANIAL "$2,050 " 10726548 TISSUE MARKER BREAST CLIP $614 7028849 TITANIUM $812 6750431 TLSO BRACE "$5,894 " 7028578 TOBRAMYCIN(NEBCIN) PEAK $375 7028303 TOBRAMYCIN(NEBCIN) RANDOM $375 7028579 TOBRAMYCIN(NEBCIN) TROUGH $375 4059506 TOCOPHEROL ALPHA $423 4059553 TOPIRAMATE $302 4059179 TOTAL IGA W/CELIAC EVAL $184 7054426 TOUCH PREP LYMPH NODE EA ADDL $171 7054425 TOUCH PREP LYMPH NODE FIRST SITE $658 3655401 TOXIN OR ANTITOXIN ASSAY $180 4059408 TOXOCARA SEROLOGY $541 4059555 TOXOPLASMA ANTIBODY $358 3655366 TOXOPLASMA ANTIBODY IGM $95 7026525 TOXOPLASMA IGG AB $358 4059544 TOXOPLASMA IGM AB $95 7028031 TOXOPLASMA QUANT PCR "$1,408 " 7021829 TPMT ENZYME ACTIVITY "$1,168 " 7947918 TPRNL PLMT BIODEGRDABL MATRL "$12,695 " 7020773 TPX PLASMA EXCHANGE "$6,455 " 6750823 TR BAND $135 7362021 TRACH CHANGE KIT "$1,094 " 7361022 TRACH TUBE $302 7361196 TRACHEAL TUBE CANNULAE $75 6750047 TRACHEOSTOMY TUBE $302 6750527 TRACTION BUCKS BOOT ADULT $171 7372736 TRACTION MECHANICAL $218 6992736 TRACTION MECHANICAL PT $218 6754766 TRAJECTORY GUIDE KIT "$4,864 " 6587013 TRAMADOL LEVEL $42 6751065 TRANSBRONCHIAL NEEDLE $422 7120299 TRANSESOPHAGEAL ECHOCARDIOGRAM "$2,414 " 7022871 TRANSFERIN $381 3655206 TRANSFERRIN $381 7956007 TRANSFUSION BLOOD/BLOOD PRODUCTS "$2,111 " 6026029 TRANSFUSION/BLOOD & BLOOD PRODUCT "$2,111 " 7021012 TRANSGLUTAMINASE ANTIBODIES $126 6753497 TRANSPORT CANNULA $380 7256075 TRANSRECTAL ULTRASOUND VOL STUDY "$1,056 " 10696075 TRANSRECTAL ULTRASOUND VOL. STUDY "$1,056 " 6753498 TRANSURETHRAL INJECTION NEEDLE $207 6522145 TRANSVAGINAL SAN - GYN ONLY $777 6522146 TRANSVAGINAL SCAN-OB "$1,106 " 7020819 TREAT RBC CHEM $377 7020818 TREAT RBC ENZYME $218 7256016 TREATMENT DEVICES COMPLEX "$2,359 " 10706015 TREATMENT DEVICES INTERMEDIATE "$1,188 " 7257761 TREATMENT DEVICES SIMPLE "$1,118 " 6753499 TREPHINE $272 6580542 TRG POINT INJ(S) 1 OR 2 MUSCLES "$1,626 " 7910542 TRG PT INJ(S) 1 OR 2 MUSCLES "$1,626 " 6580540 TRG PT INJ(S) 3 OR > MUSCLES "$1,626 " 6753502 TRIAL/ NO COST IMPLANT PRODUCT $1 3656660 TRICHOMONAS VAGINALIS AMPLIF $105 3655207 TRIGLYCERIDES $64 7025950 TRIGLYCERIDES BODY FLUID $198 6755734 TRIPLE LUMEN $580 6756182 TRIPLE LUMEN CATH MAHURKER 12X20 $751 6756181 TRIPLE LUMEN CATH MAHURKER 12X24 $751 7110559 TRLUML BALO ANGIOP 1ST ART "$6,029 " 7110561 TRLUML BALO ANGIOP 1ST VEIN "$6,029 " 6753504 TROCAR 511-512-512X $528 6608866 TROCAR 5MM 355 NS/LNS $111 6754967 TROCAR APPLE 5 MM $167 6753505 TROCAR DISP. (ALL SIZES) $779 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 6754895 TROCHANTERIC ENTRY NAIL "$12,527 " 7029514 TROPONIN $274 6781007 TROPONIN I-STAT $274 3655211 TROPONIN QN $274 4059289 TROPONIN T $274 6753508 TRU-CUT BIOPSY NEEDLE $172 4059238 TRYPTASE TOTAL $279 3655202 TSH $368 6753509 TUBE BAKER JEJUNOSTOMY "$1,712 " 6753510 TUBE EAR MYRINGOTOMY $124 6757302 TUBE EAR REUTER BOBBIN $168 6758982 TUBE EAR TOUMA T $71 6608979 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 6757421 "TUBE FEEDING 5 FR X 15""" $7 6751817 TUBE FEEDING GAST LOW-PRO $373 6750143 TUBE FEEDING GASTROSTOMY $195 6750142 TUBE FEEDING WITH STYLET $84 6751948 TUBE GASTRIC CALIBRATION $554 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 6757073 "TUBE, FEEDING 8FR X 15""" $7 6752343 "TUBE, GASTROSTOMY MOSS" "$1,538 " 6757072 TUBING ENTERAL FEEDING $35 6753512 TUBING FETAL DEMISE $87 6751830 TUBING WITH TROCAR $344 6756624 "TUBING,CARDIAC OUTPUT(CRITIKIT)" $83 3655346 TULAREMIA ANTIBODY $373 7054343 TUMOR PB DNA INDEX ONLY BLOCK "$1,293 " 6751390 TUNNELER $27 6600925 TURBO VAC WAND $931 6753513 TVT DEVICE "$5,468 " 6753514 TVT DEVICE OBTURATOR APPROACH "$5,473 " 6608763 TX 60 $615 6994636 TYMPANOGRAM $142 6994651 TYMPANOMETRY & REFLEX THR BILAT $284 7284651 TYMPANOMETRY & REFLEX THRESHOLD $284 4059008 UA AUTO W MICRO $149 3655025 UA AUTO W/O MICRO $155 3655022 UA NONAUTO W MICRO $131 3655024 UA NONAUTO W/O MICRO $80 3653302 UA QL/SEMI-QN $70 7850012 ULTRASOUND FOR IV PLACMENT $440 6991737 ULTRASOUND PER 15 MIN OT $184 6992737 ULTRASOUND PER 15 MIN PT $184 6026023 UMB ARTERY/VEIN CATHETERIZATION "$1,929 " 7148318 UNATTEND SLEEP STDY NO SLEEP TIME $732 7148316 UNATTEND SLEEP STUDY REC & SLEEP $732 6753516 UNIVERAL CLIP APPLIER $555 7054363 UNLISTED MOLECULAR PATH PROC "$2,310 " 10729099 UNLISTED PROC PELVIS/HIP JNT $547 10721760 UNLISTED PROCEDURE LUNG "$1,880 " 6992729 UNNA BOOT PROCEDURE PT $366 7028220 UREA NITROGEN URINE 24HR $189 7021265 UREA NITROGEN URINE RANDOM $189 10729180 URETER STENT NEW W/ CATH "$8,415 " 10729112 URETER STENT PRE-EXISTING "$8,415 " 6608465 URETERAL CATHETER-OPEN END $47 4059060 URIC ACID $64 3655213 URIC ACID BLOOD $64 3655214 URIC ACID OTHER $200 7028747 URIC ACID SERUM $64 7028221 URIC ACID URINE 24 HOUR $200 3652015 URINALYSIS MICROSCOPIC ONLY $23 7022981 URINALYSIS SCREEN $155 6753518 URINARY BULK AGENT SYNTH PER 1ML $878 6757677 URINARY PROSTHESIS ACCESSORY KIT "$2,815 " 6757663 URINARY PROSTHESIS SYSTEM "$29,857 " 7025953 URINE CALCIUM RANDOM $198 6783095 URINE DRUG SCREEN INSTR ASST $112 7054460 URINE FISH CYTO 3-5 PROBES EA "$2,240 " 7161101 UROFLOWMETRY W/RESIDUAL $921 6753519 UROLIFT PROSTHETIC IMPLANT "$3,057 " 10720263 US AAA SCREEN $368 10728308 US ABDOMEN COMPLETE "$1,323 " 10726100 US ABDOMEN LIMITED "$1,088 " 10726201 US BRAIN "$1,115 " 10726296 US BREAST BILATERAL COMPLETE "$1,573 " 10726297 US BREAST BILATERAL LIMITED "$1,258 " 10726293 US BREAST UNILATERAL COMPLETE "$1,048 " 10726294 US BREAST UNILATERAL LIMITED $839 10726282 US CHEST $722 10726156 US EXTREMITY NONVASC COMP BI $991 10726155 US EXTREMITY NONVASC COMP UNI "$1,015 " 10726192 US EXTREMITY NONVASC LIMITED BI $690 10726157 US EXTREMITY NONVASC LIMITED UNI $690 10722610 US FETAL UMB ARTERY $797 10722802 US FETL BIOPHYS PROF W/O STRESS "$1,069 " 10728504 US GUIDANCE CV DEVISE + "$1,343 " 7256076 US GUIDANCE INTERST RADIOELEMENT "$1,507 " 10696076 US GUIDANCE INTERST.RADIOELEMENT "$1,507 " 4031134 US GUIDANCE NEEDLE PLACEMENT $726 10726130 US HIPS INFANT LIMITED $783 10726129 US HIPS INFANT W/MANIPULATION "$1,003 " 10726128 US HYSTEROSONOGRAM S&I $986 10726332 US INTRAOP LOCALIZATION "$1,000 " 10728310 US NEEDLE BIOPSY $131 10726305 US NEEDLE BIOPSY S&I $726 10725621 US NEONATAL HEAD PORTABLE "$1,115 " 10728312 US OB FOLLOW-UP $874 10728313 US OB LIMITED "$1,088 " 10726542 US OB TRANSVAG $760 10726540 US OB< 14 WEEKS EA ADD GEST $390 10726539 US OB< 14 WEEKS SNGL 1ST GEST "$1,088 " 10726125 US OB>14 WEEKS EA ADD GEST $390 10726116 US OB>14 WEEKS SNGL 1ST GEST "$1,088 " 10726250 US PELVIC COMPLETE "$1,088 " 10726255 US PELVIC LIMITED $867 10726207 US PLACE LOC 1ST LESION "$1,005 " 10726209 US PLACE LOC ADD LESION $604 10724494 US RETROPERI LIMITED $565 10726180 US RETROPERI/AORTA COM "$1,365 " 10726280 US SOFT TISSUE HEAD/NECK $874 10726336 US SPINAL CORD $510 10726292 US TESTES $793 10724566 US TISSUE MARKER $302 10709102 US TRANSRECTAL "$1,115 " 10726202 US TRANSVAG ADD NON OB $817 6522611 UTERINE ARTERY WITH DOP "$1,301 " 6757431 UTERINE MANIPULATOR CUP & BALLOON $365 6753521 UTERINE MANIPULATOR TIP $195 6753522 UTERINE MANIPULATOR W/O CUP $69 3655010 VALPROIC ACID (DEPAKOTE) $393 7025512 VALPROIC ACID(DEPAKOTE) LEVEL $393 6753647 VALVE ENDOBRONCHIAL "$7,200 " 6753694 VALVE HEART LVL 1 "$21,600 " 6753695 VALVE HEART LVL 2 "$33,600 " 6753442 VALVE SHUNT STRATA REGULAR "$16,811 " 6751475 VALVULOTOME "$5,028 " 3655019 VANCOMYCIN (VANCOCIN) $355 7028264 VANCOMYCIN(VANCOCIN) PEAK $355 4059115 VANCOMYCIN(VANCOCIN) RANDOM $355 7028265 VANCOMYCIN(VANCOCIN) TROUGH $355 7026520 VARICELLA ZOSTER BY PCR "$1,174 " 3656639 VARICELLA ZOSTER IGG ANTIBODY $264 7026635 VARICELLA ZOSTER QUAL RT-PCR $415 6751428 VASC GORETEX PATCH GRAFT 1 $608 6751429 VASC GORETEX PATCH GRAFT 2 "$1,286 " 6751434 VASC GORETEX PATCH GRAFT 4 "$1,941 " 6756917 VASC HEMASHIELD BIF GRAFT 1 "$3,806 " 6756914 VASC HEMASHIELD STRAIGHT GRAFT 1 "$2,547 " 6751437 VASC PROPATEN GRAFT 1 "$4,257 " 6751438 VASC PROPATEN GRAFT 2 "$5,784 " 6751439 VASC PROPATEN GRAFT 3 "$6,705 " 6751444 VASC PROPATEN GRAFT 4 "$8,139 " 6751468 VASC PROPATEN GRAFT 5 "$9,860 " 6757529 VASC STRETCH GRAFT 4 "$4,864 " 6753529 VASC STRETCH GRAFT LVL 1 "$3,306 " 6753530 VASC STRETCH GRAFT LVL 2 "$3,357 " 6756934 VASC THIN WALL STRAIGHT GRAFT 1 "$2,834 " 6751449 VASC VASCUGUARD PATCH $618 6751435 VASC VECTRA GRAFT 1 "$3,952 " 6751087 VASCULAR CLOSURE DEVICE LEVEL I "$1,237 " 6751088 VASCULAR CLOSURE DEVICE LEVEL II "$1,367 " 6753536 VASCULAR GRAFT CRYOPRESERVED "$25,839 " 6754982 VASCULAR GRAFT SYNTHETIC "$3,344 " 6300970 VASCULAR PLUG "$3,618 " 6753537 VASCULAR PUNCH $132 4059292 VASOACTIVE INTESTINAL PEPTIDE "$1,014 " 7023517 VDRL CSF $242 7142449 VEEG 2-12 HR CONT MNTR "$3,441 " 7142448 VEEG 2-12 HR INTMT MNTR "$1,448 " 7142447 VEEG 2-12 HR UNMONITORED "$1,448 " 7142450 VEEG EA 12-26 HR UNMNTR "$3,441 " 7142452 VEEG EA 12-26HR CONT MNTR "$3,911 " 7142451 VEEG EA 12-26HR INTMT MNTR "$3,441 " 3631001 VENIPUNCTURE $41 7361080 VENT INITIAL DAY "$3,171 " 7362060 VENT NEONATAL INITIAL DAY "$3,488 " 7361407 VENT NEONATAL SUBSEQUENT DAY "$3,102 " 7361404 VENT SUBSEQUENT DAY "$2,819 " 6753538 VENTRICULAR CATHETER $715 6754980 VERITAS COLLAGEN MATRIX PER SQ CM $5 6608502 VERSATAC $618 10725501 VERTEBROPLASTY CERVICOTHORACIC "$10,244 " 10725502 VERTEBROPLASTY LUMBOSACRAL "$10,244 " 7028295 VERY LONG CHAIN FATTY ACIDS $726 6753540 VESSEL GUARD "$1,802 " 7026083 VIBRIO CULTURE $466 7021058 VIRAL CELL CULTURE 1 $586 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 3655284 VISCOSITY SERUM $74 7142267 VISUAL EP $979 7564508 VISUAL EVOKED POTENTIAL $979 6994623 VISUAL REINFORCEMENT AUDIOMETRY $301 7025667 VIT B12 UNSAT BINDING CAPACITY $423 3655215 VITAMIN A $483 4059027 VITAMIN B 12 $305 7026880 "VITAMIN B 12, SERUM" $305 3655197 VITAMIN B1 $414 4059535 VITAMIN B-1 $414 7025679 "VITAMIN B1, PLASMA" $414 3655079 VITAMIN B-12 $305 3655185 VITAMIN B-2 (RIBOFLAVIN) $215 4059488 VITAMIN B3 (NIACIN) $148 3655182 VITAMIN B6 $828 7025697 "VITAMIN B6, PLASMA" $828 4059511 VITAMIN C BLOOD $444 3655083 "VITAMIN D,1,25 DIHYD" $734 3655203 VITAMIN E $423 3655217 VITAMIN K $264 3655216 VITAMIN OTHER $148 10720627 VL DOP LE UE ART MULTI LEVEL FXN "$1,236 " 10720632 VL DOPPLER LE ARTERIAL TREADMILL "$1,329 " 10720675 VL DUPLEX ABD AORTA COMPLETE "$2,376 " 10720677 VL DUPLEX ABD AORTA LTD/UNI "$1,365 " 10720667 VL DUPLEX ABD VISCERAL COMPLETE "$1,612 " 10720671 VL DUPLEX ABD VISCERAL LTD "$1,065 " 10720691 VL DUPLEX HEMODIALYSIS GRAFT "$1,148 " 10720639 VL DUPLEX LE ARTERIAL BILAT "$1,772 " 10720640 VL DUPLEX LE ARTERIAL UNI "$1,303 " 10726121 VL DUPLEX PENILE COMPLETE "$1,402 " 10720647 VL DUPLEX UE ARTERIAL BILAT "$1,464 " 10720651 VL DUPLEX UE ARTERIAL UNI "$1,148 " 10720662 VL DUPLEX UE/LE VENOUS UNI "$1,021 " 10720659 VL DUPLEX VENOUS BILAT "$1,612 " 10720623 VL LE UE ART ABI SINGLE LEVEL $482 7025433 VMA URINE 24HR $381 7025435 VOLATILES BLOOD $487 3655026 VOLUME MEASUREMENT TIMED URINE $38 7025507 VON WILLEBRAND COLLAGEN BINDING $335 7023531 VONWILLEBRAND FACTOR ACTIVITY $698 3655241 VONWILLEBRAND FACTOR ANTIGEN $216 3655242 VONWILLEBRAND FACTOR MULTIMETRIC "$1,121 " 3655240 VONWILLEBRAND RISTOCETIN COFACTOR $181 4059300 VONWILLEBRAND(RISTOCETIN) FACTOR $181 7025606 VORICONAZOLE(VFEND) LEVEL $302 7027000 VRE BY PCR $375 6753541 VULCAN PROBE ORATEC TAC "$1,414 " 6753542 WAND ABLATION / SUCTION "$1,088 " 4059130 WARFARIN(COUMADIN) LEVEL $302 7026600 WBC COUNT AUTO $129 3655437 WBC FECES QL/SQ $64 7027091 WBC STOOL $200 6608689 WEEK EUDOCLIP MULTI INSERT ECHO $487 7021037 WEST NILE IGG $172 7021038 WEST NILE IGM $172 7027003 WEST NILE VIRUS PCR BLOOD $415 7022872 WET PREP $198 7341738 WHEELCHAIR TRAINING PER 15 MIN OT $72 7372738 WHEELCHAIR TRAINING PER 15 MIN PT $72 6750747 WHFO RIGID W/O JOINTS CUSTOM "$1,355 " 6750746 WHFO W/NONTORSION JOINTS CUSTOM "$1,838 " 7372742 WHIRLPOOL PT $265 7372743 WHIRLPOOL SEL DEBRIDE <20 CM $480 6992743 WHIRLPOOL SEL DEBRIDE <20 CM PT $480 6750706 WHO COCKUP EXTNSN CONTROL PREFAB $118 6750749 WHO W/O JOINTS CUSTOM "$1,709 " 7361039 WHOLE BLOOD ELECTROLYTES $245 6430280 "WIG, CUSTOM, HUM-E" "$3,625 " 6431020 "WIG, CUSTOM, HUM-M" "$2,710 " 6430310 "WIG, CUSTOM, SYN-H" "$1,105 " 6751345 WOUND - AQUACEL AG 3.5 X 10 $141 6751346 WOUND - AQUACEL AG 3.5 X 12 $156 6751347 WOUND - AQUACEL AG 3.5 X 14 $156 6753544 WOUND CLOSURE DEVICE-TISSUE XPNDR "$3,615 " 6750997 WOUND MEDIHONEY $53 6750868 WOUND-AQUACEL AG 4X4 $71 6750867 WOUND-AQUACEL AG RIBBON $84 6750156 WOUND-AQUACEL RIBBON $40 6753904 WOUND-BARRIER 6X6 $30 6992749 WP SEL DEBRIDE EA AD 20 SQ CM PT $480 7372749 WP SEL DEBRIDE EA ADDL 20 SQ CM $480 6751868 XEN GEL EYE STENT "$7,120 " 10729932 XOFIGO PER MICROCURIE $444 6751532 XPS LASER FIBER "$4,116 " 10720073 XR 3D SCREEN MAMMO BIL $280 10720071 XR 3D SCREEN MAMMO UNI $280 10725604 XR ABDOMEN 1 VIEW $473 10725619 XR ABDOMEN 1 VIEW PORTABLE $473 10725605 XR ABDOMEN 2 VIEWS $554 10725618 XR ABDOMEN 2 VIEWS PORTABLE $610 10725606 XR ABDOMEN 3+ VIEWS $634 10727249 XR ACROMIO-CLAVICULAR JNTS $492 10728115 XR ACUTE ABDOMEN SERIES $543 10728401 XR ANGIO VISC W/ OR W/O FLUSH S&I "$9,511 " 10729018 XR ANGIOGRAM EA ADDL VESSEL S&I "$2,818 " 10729006 XR ANGIOGRAM EXTREMITY UNI S&I "$8,214 " 10729007 XR ANGIOGRAM PELVIC S&I "$10,709 " 10728413 XR ANGIOGRAM PULMONARY BI S&I "$6,281 " 10728412 XR ANGIOGRAM PULMONARY UNI S&I "$5,625 " 10727307 XR ANKLE 2 VIEWS $440 10721119 XR ANKLE 2V BILATERAL $684 10727308 XR ANKLE 3 VIEWS $573 10721120 XR ANKLE 3+V BILATERAL $742 10728419 XR AORTOGRAM ABD W/SER S&I "$4,944 " 10728423 XR AORTOGRAM THORACIC S&I "$4,732 " 10727595 XR ARTHRO SHOULDER S&I $550 10727000 XR ARTHROGRAM ANKLE S&I $434 10727001 XR ARTHROGRAM ELBOW S&I $414 10728121 XR ARTHROGRAM HIP S&I $440 10727599 XR ARTHROGRAM KNEE S&I $568 10728123 XR ARTHROGRAM WRIST S&I $895 10727361 XR BA ENEMA W/AIR CONTRST "$1,411 " 10728204 XR BA SWALLOW/UGI W/AIR "$1,288 " 10727360 XR BARIUM ENEMA $966 10727646 XR BONE AGE $360 10724289 XR BONE DENS VERTEBRAL FRACTURE $854 10724287 XR BONE DENSI AXIAL W/VERT FRAC $828 10724283 XR BONE DENSI SP/FEMUR $867 10724361 XR BONE DENSI WRIST $639 10727617 XR BONE LENGTH $509 10727457 XR BONE SURVEY COMPLETE $826 10728202 XR BONE SURVEY INFANT $380 10728443 XR CATH FALLOPIAN TUBES S&I $882 10725611 XR CHEST 1 VIEW $486 10725615 XR CHEST 1 VIEW PORTABLE $486 10725612 XR CHEST 2 VIEWS $618 10725616 XR CHEST 2 VIEWS PORTABLE $680 10725613 XR CHEST 3 VIEWS $689 10725617 XR CHEST 3 VIEWS PORTABLE $689 10725614 XR CHEST 4+ VIEWS $755 10727650 XR CHOLANGIOGRAM OR ADDL S&I $731 10727364 XR CHOLANGIOGRAM OR S&I "$1,737 " 10727634 XR CLAVICLE 2 VIEWS $376 10721100 XR CLAVICLE BILATERAL $684 10727204 XR C-SPINE 2 OR 3 VIEWS $578 10727123 XR C-SPINE 4 OR 5 VIEWS $813 10727206 XR C-SPINE 6 OR GREATER VIEWS $602 10727768 XR CYSTOGRAM S&I $508 10727378 XR CYSTOGRAM VOIDING S&I $615 10727252 XR ELBOW 2 VIEWS $440 10721105 XR ELBOW 2 VIEWS BILATERAL $700 10721106 XR ELBOW MIN 3 VWS BILATERAL $742 10727253 XR ELBOW MINIMUM 3 VWS $573 10728001 XR ENTIRE SPINE 1 VIEW $378 10728002 XR ENTIRE SPINE 2 OR 3 VIEWS $446 10728003 XR ENTIRE SPINE 4 OR 5 VIEWS $754 10728004 XR ENTIRE SPINE 6 OR MORE VIEWS $831 10727311 XR ERCP S&I "$1,104 " 10727216 XR ESOPHOGRAM $639 10727355 XR ESOPHOGRAM W/VIDEO "$1,098 " 10720128 XR EYE FOREIGN BODY DETECT $234 10727014 XR FACIAL BONES COMPL 3+ VIEWS $644 10721121 XR FEET 2V BILATERAL $547 10721122 XR FEET 3+V BILATERAL $742 10727228 XR FEMUR 1 VIEW BI $825 10727226 XR FEMUR 1 VIEW UNI $550 10727229 XR FEMUR 2/ > VIEWS BI $907 10727227 XR FEMUR 2/ > VIEWS UNI $605 10728600 XR FINGER MIN 3 VIEWS BI $567 10728206 XR FINGER MIN 3 VIEWS UNI $378 10727049 XR FOOT 2 VIEWS $412 10727310 XR FOOT 3 VIEWS $496 10727223 XR FOREARM 2 VIEWS $454 10721107 XR FOREARM 2 VIEWS BILATERAL $637 10724011 XR GALACTOGRAM MULTI S&I $903 10724010 XR GALACTOGRAM SINGLE S&I $737 10727259 XR HAND 2 VIEWS $412 10721111 XR HAND 2 VIEWS BILATERAL $608 10727644 XR HAND MIN 3 VIEWS $528 10721112 XR HAND MIN 3 VIEWS BILATERAL $684 10721123 XR HEEL 2+V BILATERAL $696 10727312 XR HEEL CALCANEUS $345 10728089 XR HIP UNILAT W/ PELVIS 1 VIEW $454 10728550 XR HIP UNILAT W/ PELVIS 2-3 VWS $518 10728551 XR HIP UNILAT W/ PELVIS 4/ > VWS $570 10728092 XR HIPS BILAT W/ PELVIS 2 VWS $570 10728093 XR HIPS BILAT W/ PELVIS 3-4 VWS $604 10728094 XR HIPS BILAT W/ PELVIS 5/> VWS $754 10721104 XR HUMERUS MIN 2 BILATERAL $637 10727221 XR HUMERUS MIN 2 VIEWS $485 10727392 XR HYSTEROSALPINGOGRAM S&I $986 10727384 XR IVP INFUSION "$1,419 " 10721114 XR KNEE 1 OR 2 VIEWS BILATERAL $700 10727304 XR KNEE 1 OR 2 VWS $475 10727702 XR KNEE 3 VIEWS $636 10721115 XR KNEE 3V BILATERAL $988 10727649 XR KNEE 4 OR MORE VIEWS $695 10721116 XR KNEE 4+V BILATERAL "$1,138 " 10720110 XR KNEES STAND POSTERIOR $235 10727225 XR LEG TIB/FIB 2 VIEWS $485 10727003 XR LOOPOGRAM S&I $611 10721118 XR LOWER EXTREM INFANT 2V BILAT $547 10723714 XR LOWER EXTREMITY INFANT 2 VW $419 10727210 XR L-SPINE 2 OR 3 VIEWS $526 10727126 XR L-SPINE BEND ONLY 2-3 VIEWS $674 10727125 XR L-SPINE COMP BEND MIN 6 VW $777 10727211 XR L-SPINE MIN 4 VIEWS $674 10728451 XR LYMPHANGIO PELVIC/ABD UNI S&I "$1,239 " 10727463 XR MAMMO SPECIMEN FROM SURGERY "$1,275 " 10727608 XR MANDIBLE 4 OR MORE VIEWS $568 10727610 XR MASTOIDS MIN 3 VIEWS PER SIDE $705 10727751 XR MYELOGRAM CERVICAL S&I $917 10727016 XR NASAL BONES COMPL 3+ VIEWS $507 10727036 XR NECK SOFT TISSUE $315 10728396 XR NEPHRO/URETER DIL S&I "$4,258 " 10727777 XR OR CT PERC TUBE/CATH CHNG S&I $855 10728212 XR ORBITS COMPLETE 4+ VIEWS $644 10722914 XR PEDIOGRAM FOR FB $470 10727220 XR PELVIS 1 OR 2 VIEWS $449 10725620 XR PELVIS 1 OR 2 VWS PORTABLE $449 10727202 XR PELVIS MIN 3 VIEWS $585 10728501 XR PORTOGRAM W/HEMODYNAMICS S&I "$3,621 " 10728484 XR PORTOGRAM W/O HEMODYNAMICS S&I "$2,280 " 10729200 XR REM OBST CV DEVICE FIBRIN S&I "$1,114 " 10727756 XR RETRO URETHROCYSTOGRAM S&I $386 10727374 XR RETROGRADE PYELOGRAM $709 10727119 XR RIBS BILAT W/CHEST 4+ VIEWS $668 10727111 XR RIBS BILATERAL 3 VIEWS $574 10727118 XR RIBS UNILAT W/CHEST 3+ VIEWS $574 10727110 XR RIBS UNILATERAL 2 VIEWS $506 10725033 XR SACRO-ILIAC JOINTS < 3 VIEWS $372 10727630 XR SACRO-ILIAC JOINTS 3+ VIEW $502 10727222 XR SACRUM/COCCYX MIN 2 VIEWS $520 10727246 XR SCAPULA AP/LAT $376 10721101 XR SCAPULA BILATERAL $742 10721102 XR SHOULDER 1 V BILATERAL $547 10727050 XR SHOULDER 1 VIEW $419 10727636 XR SHOULDER 2+ VIEWS $610 10721103 XR SHOULDER 2+ VWS BILATERAL $742 10728232 XR SINOGRAM/FISTULAGRAM S&I $636 10727393 XR SINUSES < 3 VIEWS $488 10727021 XR SINUSES COMPLETE MIN 3 VIEWS $585 10727025 XR SKULL < 4 VIEWS $566 10727026 XR SKULL COMPLETE MIN 4 VIEWS $772 10727368 XR SMALL BOWEL SERIES "$1,041 " 10727765 XR SPINE 1 VIEW $440 10727113 XR STERNO-CLAVICULAR JNT 3+ VWS $425 10727112 XR STERNUM 2+ VIEWS $376 10722929 XR THERAPEUTIC ENEMA "$1,288 " 10727207 XR THORACIC SPINE 2 VIEWS $530 10728243 XR THORACIC SPINE 3 VIEWS $637 10727124 XR THORACIC SPINE 4+ VIEWS $742 10727031 XR THORACOLUMBAR SPINE 2+ VWS $639 10721117 XR TIB/FIB 2V BILATERAL $742 10727034 XR TM JOINTS BILATERAL $582 10728246 XR TM JOINTS UNILATERAL $551 10727320 XR TOES 3 VIEWS $301 10727858 XR TRANSCATH ANGIO EXT CATH S&I "$2,469 " 10721058 XR TRANSCATH BIOPSY S&I "$3,348 " 10728509 XR UGI W/AIR CONTRAST "$1,121 " 10728253 XR UGI W/AIR/ SBFT "$1,413 " 10727358 XR UGI/SMALL BOWEL "$1,131 " 10721108 XR UPPER EXT INFANT 2V BILAT $547 10723716 XR UPPER EXTREMITY INFANT 2 VW $462 10727367 XR UPPER GI SERIES "$1,131 " 10728446 XR VENACAVAGRAM INFERIOR S&I "$3,458 " 10728468 XR VENACAVAGRAM SUPERIOR S&I "$2,893 " 10728459 XR VENOGRAM EXTRM UNI S&I "$2,290 " 10729119 XR VENOGRAM HEPATIC W/HEMODYN S&I "$3,279 " 10728476 XR VENOGRAM RENAL UNILATERAL S&I "$3,676 " 10728463 XR VENOUS SAMPLE CATH EACH S&I "$10,709 " 10727673 XR WRIST 2 VIEWS $412 10721109 XR WRIST 2 VIEWS BILATERAL $608 10727258 XR WRIST MIN 3 VIEWS $518 10721110 XR WRIST MIN 3 VWS BILATERAL $684 10728437 XR/CT/US ABSC DRAIN/SPEC COLL S&I "$1,182 " 10726873 X-RAY SM INT F-THRU STD "$1,121 " 10726872 X-RAY XM ESOPHAGUS 2CNTRST "$1,131 " 6753547 XSTOP DECOMPRESSION IMP "$30,466 " 10720089 Y90 RADIORX TX INTRA-ARTERIAL "$1,723 " 10722969 Y90 ZAVALIN PER TX UP TO 40 MCI "$82,952 " 7029708 ZB4I0 FLT3 MUTATION "$2,816 " 6962098 ZB7P8 ANALYSIS TRANS BCR/ABL MAJ "$1,082 " 6962099 ZB7P8 ANALYSIS TRANS BCR/ABL MIN "$1,082 " 6962097 ZB7P8 ANALYSIS TRANS BCR/ABL OTH "$1,082 " 7022016 ZB7P8 ANALYSIS TRANS BCR/ABL1 MAJ "$1,950 " 7022017 ZB7P8 ANALYSIS TRANS BCR/ABL1 MIN "$1,650 " 7022098 ZB7P8 CNCLYSIS TRCNS BCR/CBL MCJ "$1,082 " 7022099 ZB7P8 CNCLYSIS TRCNS BCR/CBL MIN "$1,082 " 7022097 ZB7P8 CNCLYSIS TRCNS BCR/CBL OTH "$1,082 " 7022016 ZB7P8 CNCLYSIS TRCNS BCR/CBL1 MCJ "$1,950 " 7022017 ZB7P8 CNCLYSIS TRCNS BCR/CBL1 MIN "$1,650 " 6962145 "ZB7PA CALR GENE ANALY, COM VAR" "$1,298 " 7025461 ZB7PA THYROGLOBULIN TUMOR MAR $377 6962045 ZB7PB ANALY GENE JAK2 V617F VARI "$1,114 " 7022045 ZB7PB CNCLY GENE JCK2 V617F VCRI "$1,114 " 7022145 "ZB7PC CCLR GENE CNCLY, COM VCR" "$1,298 " 7025461 ZB7PC THYROGLOBULIN TUMOR MCR $377 6962041 ZB7PE ANALY CHIMERISM W/CELL EA "$2,175 " 6962078 ZB7PE CELL ENUMER IMMUN SELECT $617 7022041 ZB7PE CNCLY CHIMERISM W/CELL EC "$2,175 " 10174051 ZB7PG NUL URINE FISH CYTO 3-5 EA "$2,240 " 6962026 ZB7PJ ANALY GENE F5 LEIDEN VARIAN "$1,121 " 7022026 ZB7PJ CNCLY GENE F5 LEIDEN VCRICN "$1,121 " 6962025 ZB9PI ANALY GENE F2 20210G>A VARI "$1,121 " 7022025 ZB9PI CNCLY GENE F2 20210G>C VCRI "$1,121 " 3655218 ZINC $359 4059293 ZINC URINE 24HR $336 7025439 "ZINC, SERUM" $359