|
Antistreptolysin o titer
|
$6.88 |
$6.88 |
$6.88 |
$57.85
|
|
Antithrombin iii activity
|
$83.80 |
$83.80 |
$83.80 |
$106.85
|
|
Appl cast figure-of-eight
|
$79.98 |
$79.98 |
$79.98 |
$314.28
|
|
Application finger splntstatic 29130
|
$99.08 |
$99.08 |
$99.08 |
$226.20
|
|
Application long leg splint 29505
|
$112.58 |
$112.58 |
$112.58 |
$370.00
|
|
Application lower leg splint 29515
|
$126.34 |
$126.34 |
$126.34 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$313.29 |
$313.29 |
$313.29 |
$393.75
|
|
Application of forearm cast 29075
|
$194.09 |
$194.09 |
$194.09 |
$386.10
|
|
Application of paste boot 29580
|
$94.24 |
$94.24 |
$94.24 |
$336.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$680.56 |
$680.56 |
$680.56 |
$2,164.64
|
|
Apply hand/wrist cast 29085
|
$45.60 |
$45.60 |
$45.60 |
$275.80
|
|
Aquaporin-4 antibody cba each
|
$152.82 |
$152.82 |
$152.82 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$57.31 |
$57.31 |
$57.31 |
$155.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$193.58 |
$193.58 |
$193.58 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$467.12 |
$467.12 |
$467.12 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$193.58 |
$193.58 |
$193.58 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$193.58 |
$193.58 |
$193.58 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$284.76 |
$284.76 |
$284.76 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$193.58 |
$193.58 |
$193.58 |
$700.80
|
|
Aspirate/inj ganglion cyst 20612
|
$184.15 |
$184.15 |
$184.15 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$331.11 |
$331.11 |
$331.11 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$450.06 |
$450.06 |
$450.06 |
$1,306.50
|
|
Aspiration peritonsillar abscess
|
$508.13 |
$508.13 |
$508.13 |
$522.75
|
|
Aspir/inj thyroid cyst 60300
|
$325.26 |
$325.26 |
$325.26 |
$850.78
|
|
Assay acid phosphatase
|
$21.40 |
$21.40 |
$21.40 |
$38.22
|
|
Assay alkaline phosphatase
|
$9.94 |
$9.94 |
$9.94 |
$33.57
|
|
Assay blood catecholamines
|
$50.94 |
$50.94 |
$50.94 |
$72.00
|
|
Assay of estrogen
|
$130.16 |
$130.16 |
$130.16 |
$185.60
|
|
Assay of interleukin-6 (il-6)
|
$49.67 |
$49.67 |
$49.67 |
$77.35
|
|
Assay of procainamide w/metab
|
$24.97 |
$24.97 |
$24.97 |
$63.07
|
|
Assay of thiocyanate
|
$14.78 |
$14.78 |
$14.78 |
$56.55
|
|
Assay of tyrosine
|
$12.99 |
$12.99 |
$12.99 |
$56.10
|
|
Assay toxin or antitoxin
|
$27.77 |
$27.77 |
$27.77 |
$77.55
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$84.57 |
$84.57 |
$84.57 |
$312.00
|
|
Ast/sgot
|
$28.79 |
$28.79 |
$28.79 |
$46.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$35.27 |
$35.27 |
$35.27 |
$47.69
|
|
Autologous blood process
|
$60.37 |
$60.37 |
$60.37 |
$240.35
|
|
Avul nail plate addl
|
$26.49 |
$26.49 |
$26.49 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$77.69 |
$77.69 |
$77.69 |
$356.00
|
|
Azithromycin 500 mg intravenous solution
|
$42.76 |
$42.76 |
$42.76 |
$54.90
|
|
Bacterial meningitis antigen
|
$67.50 |
$67.50 |
$67.50 |
$66.76
|
|
Bacterial vaginosis pcr
|
$12.23 |
$12.23 |
$12.23 |
$284.00
|
|
#bac vag cand-c. albicans naa
|
$210.13 |
$210.13 |
$210.13 |
$109.20
|
|
Bartonella dna pcr-sendout
|
$76.41 |
$76.41 |
$76.41 |
$196.20
|
|
B cells total count
|
$76.16 |
$76.16 |
$76.16 |
$128.13
|
|
Behavior counsel obesity 15min medicare g0447
|
$16.05 |
$16.05 |
$16.05 |
$101.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$7.65 |
$7.65 |
$7.65 |
$92.82
|
|
Beta-2 microglobulin
|
$8.41 |
$8.41 |
$8.41 |
$86.40
|
|
Bilateral n block inj trigeminal 64400
|
$166.58 |
$166.58 |
$166.58 |
$667.26
|
|
Bilirubin direct
|
$23.18 |
$23.18 |
$23.18 |
$49.31
|
|
Bilirubin total
|
$55.27 |
$55.27 |
$55.27 |
$51.50
|
|
Biodfence dryflex, 1cm
|
$2,128.79 |
$2,128.79 |
$2,128.79 |
$127.14
|
|
Biopsy abdominal mass
|
$629.62 |
$629.62 |
$629.62 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$587.85 |
$587.85 |
$587.85 |
$1,760.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,113.81 |
$1,113.81 |
$1,113.81 |
$3,211.00
|
|
Biopsy muscle percutaneous needle
|
$1,030.52 |
$1,030.52 |
$1,030.52 |
$1,877.40
|
|
Biopsy needle liver percutaneous
|
$1,453.58 |
$1,453.58 |
$1,453.58 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$942.90 |
$942.90 |
$942.90 |
$1,879.09
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,079.68 |
$1,079.68 |
$1,079.68 |
$2,211.08
|
|
Biotinidase - quest
|
$9.94 |
$9.94 |
$9.94 |
$73.50
|
|
Bladder irrigate/lavage/instill 51700
|
$88.39 |
$88.39 |
$88.39 |
$440.70
|
|
Bladder irrigation tubing
|
$2.81 |
$2.81 |
$2.81 |
$5.78
|
|
Bld prd mix
|
$7.39 |
$7.39 |
$7.39 |
$139.21
|
|
Bln 1.2 mono emrg 15x1.2
|
$454.91 |
$454.91 |
$454.91 |
$8,272.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$738.63 |
$738.63 |
$738.63 |
$4,840.11
|
|
Bln press regulation 71-80cm
|
$5,638.04 |
$5,638.04 |
$5,638.04 |
$13,796.54
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$1.28 |
$1.28 |
$1.28 |
$34.40
|
|
Blood Clotting (PT/INR) Test
|
$17.32 |
$17.32 |
$17.32 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$31.33 |
$31.33 |
$31.33 |
$73.15
|
|
Blood Count (CBC) Test
|
$21.15 |
$21.15 |
$21.15 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$18.85 |
$18.85 |
$18.85 |
$62.15
|
|
Blood count spun microhematocrit
|
$4.84 |
$4.84 |
$4.84 |
$20.40
|
|
Blood Culture Test
|
$52.73 |
$52.73 |
$52.73 |
$145.60
|
|
Blood draw capillary 36416
|
$3.06 |
$3.06 |
$3.06 |
$22.40
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$24.97 |
$24.97 |
$24.97 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$10.19 |
$10.19 |
$10.19 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$2.30 |
$2.30 |
$2.30 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$6.88 |
$6.88 |
$6.88 |
$33.85
|
|
Blood smear interpretation
|
$13.25 |
$13.25 |
$13.25 |
$79.20
|
|
Blood smear microscopic w manual differential wbc count
|
$14.78 |
$14.78 |
$14.78 |
$37.05
|
|
Blood typing abo
|
$6.88 |
$6.88 |
$6.88 |
$83.03
|
|
Blood typing ag donor ea ag
|
$12.49 |
$12.49 |
$12.49 |
$166.80
|
|
Blood typing patient serum
|
$12.49 |
$12.49 |
$12.49 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$19.36 |
$19.36 |
$19.36 |
$181.74
|
|
Blood typing rh (d)
|
$12.49 |
$12.49 |
$12.49 |
$57.10
|
|
Bone Density Scan (DEXA)
|
$99.59 |
$99.59 |
$99.59 |
$395.00
|
|
Bone marrow;aspiration only 38220
|
$757.48 |
$757.48 |
$757.48 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$757.48 |
$757.48 |
$757.48 |
$1,881.00
|
|
Bone marrow interpretation
|
$27.77 |
$27.77 |
$27.77 |
$436.00
|
|
Bone survey-lead poisoning
|
$190.01 |
$190.01 |
$190.01 |
$370.18
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$37.19 |
$37.19 |
$37.19 |
$96.72
|
|
Brachy source i-125 injection
|
$25.47 |
$25.47 |
$25.47 |
$54.60
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,240.14 |
$1,240.14 |
$1,240.14 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,240.14 |
$1,240.14 |
$1,240.14 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$932.46 |
$932.46 |
$932.46 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$1,796.91 |
$1,796.91 |
$1,796.91 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,671.09 |
$1,671.09 |
$1,671.09 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,473.44 |
$1,473.44 |
$1,473.44 |
$1,949.38
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$999.96 |
$999.96 |
$999.96 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$463.05 |
$463.05 |
$463.05 |
$865.26
|
