|
Angio trnslmnl balloon same artery ea addl
|
$3,152.41 |
$3,152.41 |
$3,152.41 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,305.40 |
$6,305.40 |
$6,305.40 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,032.83 |
$2,032.83 |
$2,032.83 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$5,530.59 |
$5,530.59 |
$5,530.59 |
$8,359.11
|
|
Ankle X-ray
|
$91.01 |
$91.01 |
$91.01 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$82.72 |
$82.72 |
$82.72 |
$282.96
|
|
Anodyne therapy charges pt
|
$9.17 |
$9.17 |
$9.17 |
$42.00
|
|
Antibody bacterium, not elsewhere specified
|
$28.00 |
$28.00 |
$28.00 |
$57.85
|
|
Antibody elution rbc reference
|
$66.80 |
$66.80 |
$66.80 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$92.05 |
$92.05 |
$92.05 |
$131.56
|
|
Antibody htlv-i
|
$5.12 |
$5.12 |
$5.12 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$43.74 |
$43.74 |
$43.74 |
$224.00
|
|
Antibody id rbc panel
|
$122.68 |
$122.68 |
$122.68 |
$291.75
|
|
Antibody influenza virus
|
$12.44 |
$12.44 |
$12.44 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$11.35 |
$11.35 |
$11.35 |
$46.58
|
|
Antibody screen rbc
|
$28.01 |
$28.01 |
$28.01 |
$108.55
|
|
Antibody tetanus
|
$11.53 |
$11.53 |
$11.53 |
$54.15
|
|
Antidepressant not specified
|
$10.57 |
$10.57 |
$10.57 |
$72.14
|
|
Anti mog serum - sendout
|
$153.17 |
$153.17 |
$153.17 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$9.88 |
$9.88 |
$9.88 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$11.35 |
$11.35 |
$11.35 |
$42.00
|
|
Antinuclear antibodies
|
$9.70 |
$9.70 |
$9.70 |
$90.00
|
|
Antinuclear antibodies titer
|
$21.04 |
$21.04 |
$21.04 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$10.43 |
$10.43 |
$10.43 |
$67.43
|
|
Antistreptolysin o titer
|
$10.43 |
$10.43 |
$10.43 |
$54.00
|
|
Antithrombin iii activity
|
$11.65 |
$11.65 |
$11.65 |
$115.15
|
|
Apheresis plasma
|
$902.88 |
$902.88 |
$902.88 |
$3,226.34
|
|
Apheresis platelets
|
$1,027.62 |
$1,027.62 |
$1,027.62 |
$2,195.00
|
|
Apheresis wbc
|
$1,076.92 |
$1,076.92 |
$1,076.92 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$226.77 |
$226.77 |
$226.77 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$300.97 |
$300.97 |
$300.97 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$89.71 |
$89.71 |
$89.71 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$21.95 |
$21.95 |
$21.95 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$280.23 |
$280.23 |
$280.23 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$80.07 |
$80.07 |
$80.07 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$19.78 |
$19.78 |
$19.78 |
$512.20
|
|
Application lower leg splint 29515
|
$75.72 |
$75.72 |
$75.72 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$94.53 |
$94.53 |
$94.53 |
$375.06
|
|
Application of long leg cast 29345
|
$68.49 |
$68.49 |
$68.49 |
$455.00
|
|
Application of paste boot 29580
|
$101.29 |
$101.29 |
$101.29 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$150.48 |
$150.48 |
$150.48 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$159.17 |
$159.17 |
$159.17 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,310.90 |
$4,310.90 |
$4,310.90 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$10.56 |
$10.56 |
$10.56 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$16.64 |
$16.64 |
$16.64 |
$75.98
|
|
Apply interstit radiat compl
|
$1,570.33 |
$1,570.33 |
$1,570.33 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,136.16 |
$1,136.16 |
$1,136.16 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$801.95 |
$801.95 |
$801.95 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$607.62 |
$607.62 |
$607.62 |
$1,269.97
|
|
Apply rigid leg cast 29445
|
$122.03 |
$122.03 |
$122.03 |
$555.00
|
|
Apply surf ldr radionuclide
|
$198.81 |
$198.81 |
$198.81 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$21.84 |
$21.84 |
$21.84 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$21.59 |
$21.59 |
$21.59 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$64.05 |
$64.05 |
$64.05 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$49.04 |
$49.04 |
$49.04 |
$150.00
|
|
Aquatic exercise - group charge
|
$28.94 |
$28.94 |
$28.94 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$342.33 |
$342.33 |
$342.33 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$273.80 |
$273.80 |
$273.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$49.88 |
$49.88 |
$49.88 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$198.83 |
$198.83 |
$198.83 |
$478.96
|
|
Artery xray each vessel 7577426
|
$557.80 |
$557.80 |
$557.80 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$2,134.03 |
$2,134.03 |
$2,134.03 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$1,088.82 |
$1,088.82 |
$1,088.82 |
$3,320.35
|
|
Artery x-rays adrenals
|
$1,176.31 |
$1,176.31 |
$1,176.31 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$2,240.84 |
$2,240.84 |
$2,240.84 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,321.99 |
$2,321.99 |
$2,321.99 |
$3,860.40
|
|
Artery x-rays chest
|
$821.10 |
$821.10 |
$821.10 |
$2,895.07
|
|
Artery x-rays lung
|
$1,378.07 |
$1,378.07 |
$1,378.07 |
$3,296.15
|
|
Artery x-rays lungs
|
$1,548.36 |
$1,548.36 |
$1,548.36 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$1,659.31 |
$1,659.31 |
$1,659.31 |
$4,306.40
|
|
Artery x-rays spine
|
$1,613.22 |
$1,613.22 |
$1,613.22 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$221.08 |
$221.08 |
$221.08 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$387.55 |
$387.55 |
$387.55 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$440.15 |
$440.15 |
$440.15 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$212.99 |
$212.99 |
$212.99 |
$494.40
|
|
Ascenda two piece catheter
|
$12,607.50 |
$12,607.50 |
$12,607.50 |
$22,792.00
|
|
Asp core fat pad
|
$1,139.82 |
$1,139.82 |
$1,139.82 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$213.86 |
$213.86 |
$213.86 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$967.57 |
$967.57 |
$967.57 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$814.69 |
$814.69 |
$814.69 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$551.41 |
$551.41 |
$551.41 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$276.28 |
$276.28 |
$276.28 |
$872.50
|
|
Assay acid phosphatase
|
$9.51 |
$9.51 |
$9.51 |
$38.22
|
|
Assay dir meas fr estradiol
|
$12.68 |
$12.68 |
$12.68 |
$68.00
|
|
Assay duodenal fluid trypsin
|
$3.32 |
$3.32 |
$3.32 |
$16.80
|
|
Assay free hydroxyproline
|
$16.91 |
$16.91 |
$16.91 |
$57.60
|
|
Assay of corticosterone
|
$12.53 |
$12.53 |
$12.53 |
$55.20
|
|
Assay of digoxin free
|
$6.04 |
$6.04 |
$6.04 |
$38.08
|
|
Assay of fluoride
|
$43.03 |
$43.03 |
$43.03 |
$96.85
|
|
Assay of interleukin-6 (il-6)
|
$16.46 |
$16.46 |
$16.46 |
$79.00
|
|
Assay of osteocalcin
|
$13.59 |
$13.59 |
$13.59 |
$93.60
|
|
Assay of procainamide w/metab
|
$7.70 |
$7.70 |
$7.70 |
$73.80
|
|
Assay of prostaglandin
|
$42.28 |
$42.28 |
$42.28 |
$230.00
|
|
Assay of somatostatin
|
$12.38 |
$12.38 |
$12.38 |
$170.50
|
|
Assay of thiocyanate
|
$5.28 |
$5.28 |
$5.28 |
$73.71
|
|
Assay of urine sulfate
|
$10.87 |
$10.87 |
$10.87 |
$28.20
|
|
Assay toxin or antitoxin
|
$14.38 |
$14.38 |
$14.38 |
$76.76
|
|
Assess cyst contrast inject
|
$128.03 |
$128.03 |
$128.03 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$2.09 |
$2.09 |
$2.09 |
$46.80
|
|
Ast/sgot
|
$19.48 |
$19.48 |
$19.48 |
$45.90
|
