|
Angio tib/peroneal/init ves/unila 37228
|
$5,415.48 |
$5,415.48 |
$5,415.48 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,759.07 |
$1,759.07 |
$1,759.07 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$1,759.07 |
$1,759.07 |
$1,759.07 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,952.52 |
$1,952.52 |
$1,952.52 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,151.35 |
$4,151.35 |
$4,151.35 |
$8,745.10
|
|
Ankle X-ray
|
$134.73 |
$134.73 |
$134.73 |
$350.85
|
|
Anora (draw only)
|
$7.89 |
$7.89 |
$7.89 |
$36.36
|
|
Antibody elution rbc reference
|
$212.77 |
$212.77 |
$212.77 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$64.06 |
$64.06 |
$64.06 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$59.74 |
$59.74 |
$59.74 |
$218.30
|
|
Antibody id rbc panel
|
$449.18 |
$449.18 |
$449.18 |
$291.75
|
|
Antibody influenza virus
|
$45.00 |
$45.00 |
$45.00 |
$53.95
|
|
Antibody screen rbc
|
$98.63 |
$98.63 |
$98.63 |
$105.00
|
|
Antidepressant not specified
|
$20.60 |
$20.60 |
$20.60 |
$89.50
|
|
Anti mog serum - sendout
|
$110.58 |
$110.58 |
$110.58 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.14 |
$8.14 |
$8.14 |
$50.88
|
|
Antinuclear antibodies
|
$39.66 |
$39.66 |
$39.66 |
$91.70
|
|
Antinuclear antibodies titer
|
$8.39 |
$8.39 |
$8.39 |
$80.25
|
|
Antipsychotics nos 1-3
|
$16.78 |
$16.78 |
$16.78 |
$161.39
|
|
Antistreptolysin o titer
|
$24.15 |
$24.15 |
$24.15 |
$57.85
|
|
Antithrombin iii activity
|
$48.56 |
$48.56 |
$48.56 |
$106.85
|
|
Application finger splntstatic 29130
|
$98.89 |
$98.89 |
$98.89 |
$226.20
|
|
Application long leg splint 29505
|
$112.36 |
$112.36 |
$112.36 |
$370.00
|
|
Application lower leg splint 29515
|
$126.09 |
$126.09 |
$126.09 |
$365.60
|
|
Application of forearm cast 29075
|
$85.16 |
$85.16 |
$85.16 |
$386.10
|
|
Application of long arm cast 29065
|
$85.16 |
$85.16 |
$85.16 |
$414.20
|
|
Application of long leg cast 29345
|
$85.16 |
$85.16 |
$85.16 |
$511.68
|
|
Application of paste boot 29580
|
$94.06 |
$94.06 |
$94.06 |
$336.00
|
|
Application short leg cast 29405
|
$85.16 |
$85.16 |
$85.16 |
$397.33
|
|
Apply forearm splintdynamic 29126
|
$113.63 |
$113.63 |
$113.63 |
$263.20
|
|
Apply hand/wrist cast 29085
|
$101.94 |
$101.94 |
$101.94 |
$275.80
|
|
Apply interstit radiat compl
|
$1,774.58 |
$1,774.58 |
$1,774.58 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,161.44 |
$1,161.44 |
$1,161.44 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$933.17 |
$933.17 |
$933.17 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$877.50 |
$877.50 |
$877.50 |
$1,001.00
|
|
Apply of finger splint 29131
|
$98.89 |
$98.89 |
$98.89 |
$177.45
|
|
Apply rigid leg cast 29445
|
$70.16 |
$70.16 |
$70.16 |
$608.00
|
|
Apply short leg castambul type 29425
|
$85.16 |
$85.16 |
$85.16 |
$460.92
|
|
Apply surf ldr radionuclide
|
$86.94 |
$86.94 |
$86.94 |
$251.55
|
|
Aquaporin-4 antibody cba each
|
$152.52 |
$152.52 |
$152.52 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$57.20 |
$57.20 |
$57.20 |
$155.00
|
|
Arterial blood draw/perc 36620
|
$462.39 |
$462.39 |
$462.39 |
$500.82
|
|
Artery xray each vessel 7577426
|
$634.74 |
$634.74 |
$634.74 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,110.88 |
$2,110.88 |
$2,110.88 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,002.82 |
$1,002.82 |
$1,002.82 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,166.02 |
$1,166.02 |
$1,166.02 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$1,202.12 |
$1,202.12 |
$1,202.12 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$1,397.85 |
$1,397.85 |
$1,397.85 |
$4,029.72
|
|
Artery x-rays lung
|
$804.04 |
$804.04 |
$804.04 |
$3,150.00
|
|
Artery x-rays lung
|
$804.04 |
$804.04 |
$804.04 |
$2,483.00
|
|
Artery x-rays lungs
|
$1,276.34 |
$1,276.34 |
$1,276.34 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$1,512.75 |
$1,512.75 |
$1,512.75 |
$4,551.20
|
|
Artery x-rays spine
|
$2,433.72 |
$2,433.72 |
$2,433.72 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$193.20 |
$193.20 |
$193.20 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$466.21 |
$466.21 |
$466.21 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$196.25 |
$196.25 |
$196.25 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$213.28 |
$213.28 |
$213.28 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$281.40 |
$281.40 |
$281.40 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$193.20 |
$193.20 |
$193.20 |
$700.80
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$3,194.79 |
$3,194.79 |
$3,194.79 |
$1,742.40
|
|
Ascenda two piece catheter
|
$11,997.57 |
$11,997.57 |
$11,997.57 |
$23,446.50
|
|
Asp core fat pad
|
$140.32 |
$140.32 |
$140.32 |
$1,139.82
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,192.46 |
$1,192.46 |
$1,192.46 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$183.79 |
$183.79 |
$183.79 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$330.46 |
$330.46 |
$330.46 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$449.18 |
$449.18 |
$449.18 |
$1,306.50
|
|
Aspiration peritonsillar abscess
|
$507.13 |
$507.13 |
$507.13 |
$522.75
|
|
Aspir/inj thyroid cyst 60300
|
$324.62 |
$324.62 |
$324.62 |
$850.78
|
|
Assay acid phosphatase
|
$25.42 |
$25.42 |
$25.42 |
$38.22
|
|
Assay alkaline phosphatase
|
$16.02 |
$16.02 |
$16.02 |
$33.57
|
|
Assay of breath ethanol
|
$26.44 |
$26.44 |
$26.44 |
$45.76
|
|
Assay of interleukin-6 (il-6)
|
$49.57 |
$49.57 |
$49.57 |
$77.35
|
|
Assay of osteocalcin
|
$98.63 |
$98.63 |
$98.63 |
$93.60
|
|
Assay of procainamide w/metab
|
$59.49 |
$59.49 |
$59.49 |
$63.07
|
|
Assay of thiocyanate
|
$38.64 |
$38.64 |
$38.64 |
$56.55
|
|
Assay of tyrosine
|
$21.36 |
$21.36 |
$21.36 |
$56.10
|
|
Assay phosphatidylglycerol
|
$54.40 |
$54.40 |
$54.40 |
$89.40
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$84.40 |
$84.40 |
$84.40 |
$312.00
|
|
Assess cyst contrast inject
|
$415.62 |
$415.62 |
$415.62 |
$456.33
|
|
Ast/sgot
|
$40.93 |
$40.93 |
$40.93 |
$46.20
|
|
Athrectomy fem/pop/unilateral 37225
|
$3,887.74 |
$3,887.74 |
$3,887.74 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$5,577.92 |
$5,577.92 |
$5,577.92 |
$19,875.58
|
|
Atropine 0.1 mg/ml injection syringe
|
$130.77 |
$130.77 |
$130.77 |
$47.69
|
|
Autologous blood process
|
$435.70 |
$435.70 |
$435.70 |
$240.35
|
|
Automated diff wbc count
|
$21.36 |
$21.36 |
$21.36 |
$35.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$77.54 |
$77.54 |
$77.54 |
$356.00
|
|
Bacterial meningitis antigen
|
$46.02 |
$46.02 |
$46.02 |
$66.76
|
|
Bacterial vaginosis pcr
|
$231.84 |
$231.84 |
$231.84 |
$284.00
|
|
#bac vag cand-c. albicans naa
|
$209.72 |
$209.72 |
$209.72 |
$109.20
|
|
Balloon dilate urtrl strix
|
$492.14 |
$492.14 |
$492.14 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$76.26 |
$76.26 |
$76.26 |
$196.20
|
|
B cells total count
|
$124.56 |
$124.56 |
$124.56 |
$128.13
|
|
Beta 2 glycoprotein 1 antibody iga
|
$93.55 |
$93.55 |
$93.55 |
$92.82
|
|
Beta-2 microglobulin
|
$53.39 |
$53.39 |
$53.39 |
$86.40
|
|
Bilateral n block inj occipital 64405
|
$194.72 |
$194.72 |
$194.72 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$166.25 |
$166.25 |
$166.25 |
$667.26
|
|
Bilirubin direct
|
$20.34 |
$20.34 |
$20.34 |
$49.31
|
|
Bilirubin total
|
$25.42 |
$25.42 |
$25.42 |
$51.50
|
|
Binder abdominal lg 12 x 62-74
|
$7.63 |
$7.63 |
$7.63 |
$37.05
|
|
Biodfence dryflex, 1cm
|
$2,124.61 |
$2,124.61 |
$2,124.61 |
$127.14
|
