|
Antibody htlv/hiv confirm test
|
$85.51 |
$85.51 |
$85.51 |
$131.56
|
|
Antibody htlv-i
|
$4.76 |
$4.76 |
$4.76 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$53.55 |
$53.55 |
$53.55 |
$224.00
|
|
Antibody id rbc panel
|
$218.69 |
$218.69 |
$218.69 |
$291.75
|
|
Antibody influenza virus
|
$11.56 |
$11.56 |
$11.56 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$10.54 |
$10.54 |
$10.54 |
$46.58
|
|
Antibody screen rbc
|
$49.94 |
$49.94 |
$49.94 |
$108.55
|
|
Antibody tetanus
|
$10.71 |
$10.71 |
$10.71 |
$54.15
|
|
Antidepressant not specified
|
$7.91 |
$7.91 |
$7.91 |
$72.14
|
|
Anti mog serum - sendout
|
$142.29 |
$142.29 |
$142.29 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$9.69 |
$9.69 |
$9.69 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$10.54 |
$10.54 |
$10.54 |
$42.00
|
|
Antinuclear antibodies
|
$9.01 |
$9.01 |
$9.01 |
$90.00
|
|
Antinuclear antibodies titer
|
$19.55 |
$19.55 |
$19.55 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$9.69 |
$9.69 |
$9.69 |
$67.43
|
|
Antistreptolysin o titer
|
$9.69 |
$9.69 |
$9.69 |
$54.00
|
|
Antithrombin iii activity
|
$13.36 |
$13.36 |
$13.36 |
$115.15
|
|
Apheresis plasma
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$3,226.34
|
|
Apl(pml-rara) quant - sendout
|
$157.84 |
$157.84 |
$157.84 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$561.60 |
$561.60 |
$561.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$167.40 |
$167.40 |
$167.40 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$40.95 |
$40.95 |
$40.95 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$522.90 |
$522.90 |
$522.90 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$149.40 |
$149.40 |
$149.40 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$36.90 |
$36.90 |
$36.90 |
$512.20
|
|
Application finger splntstatic 29130
|
$29.52 |
$29.52 |
$29.52 |
$208.50
|
|
Application lower leg splint 29515
|
$141.30 |
$141.30 |
$141.30 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$176.40 |
$176.40 |
$176.40 |
$375.06
|
|
Application of paste boot 29580
|
$189.00 |
$189.00 |
$189.00 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$280.80 |
$280.80 |
$280.80 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$297.00 |
$297.00 |
$297.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$660.28 |
$660.28 |
$660.28 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$11.88 |
$11.88 |
$11.88 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$15.91 |
$15.91 |
$15.91 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$116.46 |
$116.46 |
$116.46 |
$255.20
|
|
Apply interstit radiat compl
|
$1,034.94 |
$1,034.94 |
$1,034.94 |
$2,901.80
|
|
Apply of finger splint 29131
|
$23.26 |
$23.26 |
$23.26 |
$177.45
|
|
Apply rigid leg cast 29445
|
$227.70 |
$227.70 |
$227.70 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$24.84 |
$24.84 |
$24.84 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$20.06 |
$20.06 |
$20.06 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$59.50 |
$59.50 |
$59.50 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$45.56 |
$45.56 |
$45.56 |
$150.00
|
|
Aquatic exercise - group charge
|
$29.50 |
$29.50 |
$29.50 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$355.24 |
$355.24 |
$355.24 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$284.13 |
$284.13 |
$284.13 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$92.00 |
$92.00 |
$92.00 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$190.58 |
$190.58 |
$190.58 |
$478.96
|
|
Artery xray each vessel 7577426
|
$424.41 |
$424.41 |
$424.41 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$1,623.72 |
$1,623.72 |
$1,623.72 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$828.45 |
$828.45 |
$828.45 |
$3,320.35
|
|
Artery x-rays adrenals
|
$895.02 |
$895.02 |
$895.02 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$1,704.99 |
$1,704.99 |
$1,704.99 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$1,766.73 |
$1,766.73 |
$1,766.73 |
$3,860.40
|
|
Artery x-rays chest
|
$624.75 |
$624.75 |
$624.75 |
$2,895.07
|
|
Artery x-rays lung
|
$1,048.53 |
$1,048.53 |
$1,048.53 |
$3,296.15
|
|
Artery x-rays lung
|
$1,033.83 |
$1,033.83 |
$1,033.83 |
$2,427.50
|
|
Artery x-rays lungs
|
$1,178.10 |
$1,178.10 |
$1,178.10 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$1,262.52 |
$1,262.52 |
$1,262.52 |
$4,306.40
|
|
Artery x-rays spine
|
$1,227.45 |
$1,227.45 |
$1,227.45 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$211.91 |
$211.91 |
$211.91 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$371.46 |
$371.46 |
$371.46 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$421.87 |
$421.87 |
$421.87 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$204.15 |
$204.15 |
$204.15 |
$494.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$927.40 |
$927.40 |
$927.40 |
$3,226.20
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$528.52 |
$528.52 |
$528.52 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$264.81 |
$264.81 |
$264.81 |
$872.50
|
|
Assay acid phosphatase
|
$7.12 |
$7.12 |
$7.12 |
$38.22
|
|
Assay alkaline phosphatase
|
$2.83 |
$2.83 |
$2.83 |
$42.60
|
|
Assay dir meas fr estradiol
|
$9.49 |
$9.49 |
$9.49 |
$68.00
|
|
Assay duodenal fluid trypsin
|
$2.49 |
$2.49 |
$2.49 |
$16.80
|
|
Assay free hydroxyproline
|
$12.66 |
$12.66 |
$12.66 |
$57.60
|
|
Assay of breath ethanol
|
$10.17 |
$10.17 |
$10.17 |
$52.62
|
|
Assay of corticosterone
|
$9.38 |
$9.38 |
$9.38 |
$55.20
|
|
Assay of digoxin free
|
$4.52 |
$4.52 |
$4.52 |
$38.08
|
|
Assay of feces porphyrins
|
$19.55 |
$19.55 |
$19.55 |
$134.38
|
|
Assay of fluoride
|
$32.20 |
$32.20 |
$32.20 |
$96.85
|
|
Assay of interleukin-6 (il-6)
|
$12.32 |
$12.32 |
$12.32 |
$79.00
|
|
Assay of osteocalcin
|
$10.17 |
$10.17 |
$10.17 |
$93.60
|
|
Assay of procainamide w/metab
|
$5.76 |
$5.76 |
$5.76 |
$73.80
|
|
Assay of prostaglandin
|
$31.64 |
$31.64 |
$31.64 |
$230.00
|
|
Assay of somatostatin
|
$9.27 |
$9.27 |
$9.27 |
$170.50
|
|
Assay of thiocyanate
|
$3.96 |
$3.96 |
$3.96 |
$73.71
|
|
Assay of tyrosine
|
$11.30 |
$11.30 |
$11.30 |
$56.10
|
|
Assay of urine sulfate
|
$8.14 |
$8.14 |
$8.14 |
$28.20
|
|
Assay toxin or antitoxin
|
$16.35 |
$16.35 |
$16.35 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$36.11 |
$36.11 |
$36.11 |
$300.00
|
|
Assess cyst contrast inject
|
$122.71 |
$122.71 |
$122.71 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$3.73 |
$3.73 |
$3.73 |
$46.80
|
|
Ast/sgot
|
$14.58 |
$14.58 |
$14.58 |
$45.90
|
|
Athrectomy fem/pop/unilateral 37225
|
$8,564.29 |
$8,564.29 |
$8,564.29 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$9,286.15 |
$9,286.15 |
$9,286.15 |
$15,188.25
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$969.22 |
$969.22 |
$969.22 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,817.09 |
$2,817.09 |
$2,817.09 |
$10,415.40
|
|
Avul nail plate addl
|
$60.75 |
$60.75 |
$60.75 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$235.80 |
$235.80 |
$235.80 |
$326.27
|
|
Baclofen eval charges
|
$25.09 |
$25.09 |
$25.09 |
$87.50
|
|
Bacterial meningitis antigen
|
$12.58 |
$12.58 |
$12.58 |
$66.30
|
|
Bacterial vaginosis pcr
|
$284.00 |
$284.00 |
$284.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$49.06 |
$49.06 |
$49.06 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$29.52 |
$29.52 |
$29.52 |
$102.20
|
