|
Application long leg splint 29505
|
$615.42 |
$615.42 |
$615.42 |
$370.00
|
|
Application lower leg splint 29515
|
$615.42 |
$615.42 |
$615.42 |
$363.10
|
|
Application multi layer compression below knee (both sides)
|
$641.16 |
$641.16 |
$641.16 |
$406.40
|
|
Application of cylinder cast 29365
|
$468.00 |
$468.00 |
$468.00 |
$431.08
|
|
Application of forearm cast 29075
|
$533.52 |
$533.52 |
$533.52 |
$384.59
|
|
Application of long arm cast 29065
|
$691.08 |
$691.08 |
$691.08 |
$404.63
|
|
Application of long leg cast 29345
|
$701.22 |
$701.22 |
$701.22 |
$511.68
|
|
Application of paste boot 29580
|
$293.28 |
$293.28 |
$293.28 |
$335.78
|
|
Application short leg cast 29405
|
$581.10 |
$581.10 |
$581.10 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,388.32 |
$3,388.32 |
$3,388.32 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,870.36 |
$3,870.36 |
$3,870.36 |
$2,109.00
|
|
Appl long leg cast brace
|
$468.00 |
$468.00 |
$468.00 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$124.80 |
$124.80 |
$124.80 |
$69.96
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$173.94 |
$173.94 |
$173.94 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$439.92 |
$439.92 |
$439.92 |
$339.69
|
|
Apply finger cast 29086
|
$283.92 |
$283.92 |
$283.92 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$226.20 |
$226.20 |
$226.20 |
$265.00
|
|
Apply halo w/removal cranial
|
$1,608.36 |
$1,608.36 |
$1,608.36 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$514.80 |
$514.80 |
$514.80 |
$279.40
|
|
Apply of finger splint 29131
|
$112.32 |
$112.32 |
$112.32 |
$177.60
|
|
Apply rem fixation device
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$499.20 |
$499.20 |
$499.20 |
$646.40
|
|
Apply short leg castambul type 29425
|
$677.82 |
$677.82 |
$677.82 |
$474.88
|
|
Aquaporin-4 antibody elisa
|
$196.56 |
$196.56 |
$196.56 |
$148.85
|
|
Arterial blood draw/perc 36620
|
$1,168.44 |
$1,168.44 |
$1,168.44 |
$505.60
|
|
Arthrd wrist lmtd without b1 grf
|
$12,898.86 |
$12,898.86 |
$12,898.86 |
$6,839.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$756.60 |
$756.60 |
$756.60 |
$572.80
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,256.58 |
$1,256.58 |
$1,256.58 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,304.94 |
$1,304.94 |
$1,304.94 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$523.38 |
$523.38 |
$523.38 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,186.38 |
$1,186.38 |
$1,186.38 |
$699.00
|
|
Arthroplasty finger joint 26535
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
$3,821.05
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$365.04 |
$365.04 |
$365.04 |
$436.10
|
|
Aspirate pleura without imaging 32554
|
$2,804.88 |
$2,804.88 |
$2,804.88 |
$1,286.45
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,759.68 |
$1,759.68 |
$1,759.68 |
$1,293.12
|
|
Aspir/inj thyroid cyst 60300
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
$833.29
|
|
Assay dir meas fr estradiol
|
$65.52 |
$65.52 |
$65.52 |
$82.00
|
|
Assay of breath ethanol
|
$40.56 |
$40.56 |
$40.56 |
$45.76
|
|
Assay of glutathione
|
$137.28 |
$137.28 |
$137.28 |
$71.50
|
|
Assay of osteocalcin
|
$49.14 |
$49.14 |
$49.14 |
$99.45
|
|
Assay of urine sulfate
|
$48.36 |
$48.36 |
$48.36 |
$31.85
|
|
Assay toxin or antitoxin
|
$46.80 |
$46.80 |
$46.80 |
$83.85
|
|
Assistive tech assessment, ot
|
$153.66 |
$153.66 |
$153.66 |
$88.00
|
|
Ast/sgot
|
$60.06 |
$60.06 |
$60.06 |
$50.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$50.70 |
$50.70 |
$50.70 |
$43.01
|
|
Avul nail plate addl
|
$194.22 |
$194.22 |
$194.22 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$367.38 |
$367.38 |
$367.38 |
$348.80
|
|
Azithromycin 500 mg intravenous solution
|
$50.70 |
$50.70 |
$50.70 |
$53.71
|
|
Aztreonam 1 gram solution for injection
|
$350.91 |
$350.91 |
$350.91 |
$157.30
|
|
Baclofen eval charges
|
$180.18 |
$180.18 |
$180.18 |
$88.00
|
|
Bacterial vaginosis pcr
|
$74.10 |
$74.10 |
$74.10 |
$300.08
|
|
Bartholin gland cyst/marsupializat 56440
|
$2,219.10 |
$2,219.10 |
$2,219.10 |
$3,520.47
|
|
B cells total count
|
$54.60 |
$54.60 |
$54.60 |
$131.30
|
|
Benign lesion paring 2-4
|
$386.88 |
$386.88 |
$386.88 |
$275.88
|
|
Benign lesion paring 4+
|
$425.88 |
$425.88 |
$425.88 |
$296.40
|
|
#_benzodiazconfur
|
$165.36 |
$165.36 |
$165.36 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$103.27 |
$103.27 |
$103.27 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$68.64 |
$68.64 |
$68.64 |
$99.45
|
|
Beta-2 microglobulin
|
$42.90 |
$42.90 |
$42.90 |
$87.60
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$50.70 |
$50.70 |
$50.70 |
$69.98
|
|
Bilateral n blobk inj pudendal 64430
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,559.68
|
|
Bilateral n block inj occipital 64405
|
$1,824.42 |
$1,824.42 |
$1,824.42 |
$895.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,058.46 |
$1,058.46 |
$1,058.46 |
$676.00
|
|
Bilirubin direct
|
$61.62 |
$61.62 |
$61.62 |
$50.00
|
|
Bilirubin total
|
$59.28 |
$59.28 |
$59.28 |
$52.80
|
|
Biopsy cervixsingle/multiple 57500
|
$404.82 |
$404.82 |
$404.82 |
$1,268.54
|
|
Biopsy muscle percutaneous needle
|
$2,249.52 |
$2,249.52 |
$2,249.52 |
$1,812.02
|
|
Biopsy skin incisional single lesion
|
$1,175.46 |
$1,175.46 |
$1,175.46 |
$657.30
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
$2,263.43
|
|
Biospy of bladder
|
$482.04 |
$482.04 |
$482.04 |
$1,470.24
|
|
Biotinidase - quest
|
$108.42 |
$108.42 |
$108.42 |
$74.10
|
|
Bladder irrigate/lavage/instill 51700
|
$1,049.88 |
$1,049.88 |
$1,049.88 |
$422.51
|
|
Bld push tfuj 2 yr/<
|
$794.82 |
$794.82 |
$794.82 |
$809.20
|
|
Block brachial plexus w/cath plmt w/img
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,396.62
|
|
Block femoral nerve cont infusion cath w/img
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,576.68
|
|
Block plantar digital nerve
|
$530.40 |
$530.40 |
$530.40 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,143.35
|
|
Block tap inj(s) w/wo img uni
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$916.30
|
|
Blood Clotting (PT/INR) Test
|
$92.04 |
$92.04 |
$92.04 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$136.50 |
$136.50 |
$136.50 |
$77.00
|
|
Blood Count (CBC) Test
|
$125.58 |
$125.58 |
$125.58 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$101.40 |
$101.40 |
$101.40 |
$63.70
|
|
Blood Culture Test
|
$147.42 |
$147.42 |
$147.42 |
$145.80
|
|
Blood draw capillary 36416
|
$10,022.22 |
$10,022.22 |
$10,022.22 |
$22.32
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$34.32 |
$34.32 |
$34.32 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$35.10 |
$35.10 |
$35.10 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$52.26 |
$52.26 |
$52.26 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$49.92 |
$49.92 |
$49.92 |
$33.92
|
|
Blood smear interpretation
|
$38.22 |
$38.22 |
$38.22 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$17.16 |
$17.16 |
$17.16 |
$38.35
|
|
Blood typing abo
|
$63.96 |
$63.96 |
$63.96 |
$83.03
|
|
Blood typing rh (d)
|
$45.24 |
$45.24 |
$45.24 |
$57.14
|
|
Bone biopsy open superficial
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
$3,928.32
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$93.60 |
$93.60 |
$93.60 |
$100.10
|
|
Braf gene
|
$152.10 |
$152.10 |
$152.10 |
$432.00
|
|
Brcassure comprehensive panel-sendout
|
$2,232.36 |
$2,232.36 |
$2,232.36 |
$2,365.20
|
|
Breast punct aspir cyst, bil
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
$834.40
|
|
Bronchoscopy clear airways 31645
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
$2,629.80
|
