|
Aco med nutria tx/group, ea 30 min 97804aco
|
$105.84 |
$105.84 |
$105.84 |
$42.28
|
|
Acoustic immitance testing
|
$122.08 |
$122.08 |
$122.08 |
$158.50
|
|
Acoustic refl threshold tst
|
$154.00 |
$154.00 |
$154.00 |
$102.05
|
|
Acromp/acromionectomy prtl
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Acth stimulation panel
|
$834.40 |
$834.40 |
$834.40 |
$218.40
|
|
Acth stimulation panel
|
$750.40 |
$750.40 |
$750.40 |
$173.60
|
|
Actigraphy testing
|
$261.52 |
$261.52 |
$261.52 |
$218.05
|
|
Actinotherapy uv light
|
$156.80 |
$156.80 |
$156.80 |
$113.28
|
|
Acup 1/> w/estim 1st 15 min
|
$78.96 |
$78.96 |
$78.96 |
$56.16
|
|
Acup 1/> w/estim ea addl 15
|
$70.56 |
$70.56 |
$70.56 |
$70.56
|
|
Acup 1/> without estim ea add 15
|
$28.00 |
$28.00 |
$28.00 |
$56.16
|
|
Acup 1/> wo estim 1st 15 min
|
$76.16 |
$76.16 |
$76.16 |
$49.40
|
|
Acute hepatitis panel
|
$272.16 |
$272.16 |
$272.16 |
$283.47
|
|
Acute venous thrombus image
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$1,144.80
|
|
Acyclovir 400 mg tablet
|
$1,264.04 |
$1,264.04 |
$1,264.04 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$82.77 |
$82.77 |
$82.77 |
$64.45
|
|
#acylcarnitineprfl
|
$223.44 |
$223.44 |
$223.44 |
$110.25
|
|
Acylcarnitines qual
|
$141.12 |
$141.12 |
$141.12 |
$45.60
|
|
Adapt behavior tx phys/qhp
|
$336.00 |
$336.00 |
$336.00 |
$190.13
|
|
Adapter b 8 channel 10cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,142.50
|
|
Adaptive behavior tx by tech
|
$235.20 |
$235.20 |
$235.20 |
$139.68
|
|
Adding walker to prev cast
|
$683.20 |
$683.20 |
$683.20 |
$216.00
|
|
Additional switch, ext power
|
$490.00 |
$490.00 |
$490.00 |
$490.00
|
|
Add le poly knee custom kafo
|
$235.20 |
$235.20 |
$235.20 |
$323.75
|
|
Add ue prost a/e acrylic
|
$616.00 |
$616.00 |
$616.00 |
$616.00
|
|
Add ue prost a/e ultlite mat
|
$380.80 |
$380.80 |
$380.80 |
$380.80
|
|
Add ue prost b/e acrylic
|
$408.80 |
$408.80 |
$408.80 |
$408.80
|
|
Add ue prost be/wd, ultlite
|
$338.80 |
$338.80 |
$338.80 |
$338.80
|
|
Add ue prost s/d acrylic
|
$803.60 |
$803.60 |
$803.60 |
$803.60
|
|
Add ue prost s/d ultlite mat
|
$411.60 |
$411.60 |
$411.60 |
$411.60
|
|
Add up-ex prosthes lock mech
|
$747.60 |
$747.60 |
$747.60 |
$747.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$293.54 |
$293.54 |
$293.54 |
$275.73
|
|
Adenovirus ag ia
|
$104.72 |
$104.72 |
$104.72 |
$40.70
|
|
Adenovirus antibody,serum - quest
|
$33.60 |
$33.60 |
$33.60 |
$63.00
|
|
Adenovirus assay w/optic
|
$94.08 |
$94.08 |
$94.08 |
$44.00
|
|
Adenovirus vaccine type 4
|
$107.52 |
$107.52 |
$107.52 |
$107.52
|
|
Adhesive, liquid or equal
|
$3.92 |
$3.92 |
$3.92 |
$11.40
|
|
Adh-sendout
|
$92.40 |
$92.40 |
$92.40 |
$109.28
|
|
Adj gastric band via subq port
|
$19,600.00 |
$19,600.00 |
$19,600.00 |
$1,684.80
|
|
Adjmt/revj ext fixj sys anes
|
$13,490.40 |
$13,490.40 |
$13,490.40 |
$8,412.89
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$7,403.20 |
$7,403.20 |
$7,403.20 |
$3,397.11
|
|
Adjustment gastric band
|
$89.04 |
$89.04 |
$89.04 |
$89.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$2,600.89 |
$2,600.89 |
$2,600.89 |
$183.76
|
|
Admin ecg contrast agent
|
$111.44 |
$111.44 |
$111.44 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$403.20 |
$403.20 |
$403.20 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$504.00 |
$504.00 |
$504.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$845.60 |
$845.60 |
$845.60 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$347.20 |
$347.20 |
$347.20 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$543.20 |
$543.20 |
$543.20 |
$265.50
|
|
Administration immunization 1 vaccine
|
$122.64 |
$122.64 |
$122.64 |
$67.70
|
|
Administration immunization each additional component
|
$202.16 |
$202.16 |
$202.16 |
$27.95
|
|
Administration immunization each additional vaccine
|
$98.56 |
$98.56 |
$98.56 |
$46.23
|
|
Administration immunization first component each vaccine
|
$202.16 |
$202.16 |
$202.16 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$63.84 |
$63.84 |
$63.84 |
$51.60
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$189.84 |
$189.84 |
$189.84 |
$33.60
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$44.80 |
$44.80 |
$44.80 |
$41.15
|
|
Administration vaccine hepatitis b
|
$122.64 |
$122.64 |
$122.64 |
$54.60
|
|
Administration vaccine influenza virus
|
$122.64 |
$122.64 |
$122.64 |
$48.35
|
|
Administration vaccine pneumococcal
|
$122.64 |
$122.64 |
$122.64 |
$49.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$64.96 |
$64.96 |
$64.96 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$11,178.28 |
$11,178.28 |
$11,178.28 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$4,300.80 |
$4,300.80 |
$4,300.80 |
$1,957.00
|
|
Adv prim care mgmt lvl 1
|
$64.96 |
$64.96 |
$64.96 |
$51.52
|
|
Adv prim care mgmt lvl 2
|
$64.96 |
$64.96 |
$64.96 |
$51.52
|
|
Adv prim care mgmt lvl 3
|
$202.16 |
$202.16 |
$202.16 |
$139.68
|
|
Aep hearing status deter i&r
|
$672.00 |
$672.00 |
$672.00 |
$303.05
|
|
Aep neurodiagnostic i&r
|
$845.60 |
$845.60 |
$845.60 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$845.60 |
$845.60 |
$845.60 |
$590.25
|
|
Afamelanotide implant, 1 mg
|
$81,302.70 |
$81,302.70 |
$81,302.70 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$93.52 |
$93.52 |
$93.52 |
$89.70
|
|
#afb mycobacteria suscep. #1
|
$22.96 |
$22.96 |
$22.96 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$599.20 |
$599.20 |
$599.20 |
$289.60
|
|
Aff2 gen aly detc abnl allel
|
$313.60 |
$313.60 |
$313.60 |
$150.70
|
|
Aff2 gen alys charac alleles
|
$627.20 |
$627.20 |
$627.20 |
$302.31
|
|
Aflibercept injection
|
$3,396.44 |
$3,396.44 |
$3,396.44 |
$3,153.84
|
|
Afo molded ankle gauntlet
|
$663.60 |
$663.60 |
$663.60 |
$724.73
|
|
Afo molded plas rig ant tib
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,903.70
|
|
Afo molded to patient plasti
|
$697.20 |
$697.20 |
$697.20 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$985.60 |
$985.60 |
$985.60 |
$1,421.28
|
|
Afo sing bar clasp attach sh
|
$378.00 |
$378.00 |
$378.00 |
$475.62
|
|
Afo sing solid stirrup calf
|
$518.00 |
$518.00 |
$518.00 |
$684.77
|
|
Afo sing upright with adjust s
|
$386.40 |
$386.40 |
$386.40 |
$576.41
|
|
Afo spiral molded to pt plas
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,450.86
|
|
Afo sprng wir drsflx calf bd
|
$324.80 |
$324.80 |
$324.80 |
$458.09
|
|
Afo supramalleolar custom
|
$621.60 |
$621.60 |
$621.60 |
$954.34
|
|
Afo tib fx cast molded to pt
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$1,949.73
|
|
Afo tib fx cast plaster mold
|
$957.60 |
$957.60 |
$957.60 |
$1,336.78
|
|
Afo tib fx semi-rigid l2114
|
$817.60 |
$817.60 |
$817.60 |
$817.60
|
|
Afo tibial fracture rigid
|
$1,821.16 |
$1,821.16 |
$1,821.16 |
$1,464.20
|
|
Afo tibial fracture soft
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$1,052.00
|
|
Afo, walk boot type, cus fab
|
$2,233.28 |
$2,233.28 |
$2,233.28 |
$2,288.00
|
|
Afo w/ankle joint, prefab
|
$518.00 |
$518.00 |
$518.00 |
$567.00
|
|
After cataract laser surgery
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$1,411.20
|
|
Agalsidase beta 35 mg intravenous solution
|
$13,678.96 |
$13,678.96 |
$13,678.96 |
$14,760.37
|
|
Air conduction bilat
|
$176.40 |
$176.40 |
$176.40 |
$138.00
|
|
Air injection into abdomen 49400
|
$386.40 |
$386.40 |
$386.40 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$476.00 |
$476.00 |
$476.00 |
$270.50
|
|
Ak 4 bar ling w/hydraul swig
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
$3,673.60
|
|
Ak 4 bar link w/fric swing
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$2,228.80
|
