|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$428.90 |
$428.90 |
$428.90 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$44.59 |
$44.59 |
$44.59 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$74.09 |
$74.09 |
$74.09 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$43.77 |
$43.77 |
$43.77 |
$54.61
|
|
#aptt mix-1:1 incubated
|
$51.60 |
$51.60 |
$51.60 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$193.32 |
$193.32 |
$193.32 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$142.45 |
$142.45 |
$142.45 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$109.08 |
$109.08 |
$109.08 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$75.46 |
$75.46 |
$75.46 |
$100.75
|
|
Aquatic exercise - group charge
|
$37.44 |
$37.44 |
$37.44 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$764.10 |
$764.10 |
$764.10 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$611.28 |
$611.28 |
$611.28 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$332.85 |
$332.85 |
$332.85 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$130.81 |
$130.81 |
$130.81 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$333.56 |
$333.56 |
$333.56 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$604.07 |
$604.07 |
$604.07 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$693.95 |
$693.95 |
$693.95 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$324.19 |
$324.19 |
$324.19 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$421.31 |
$421.31 |
$421.31 |
$699.00
|
|
Ascenda two piece catheter
|
$23,882.50 |
$23,882.50 |
$23,882.50 |
$22,792.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,814.33 |
$1,814.33 |
$1,814.33 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$600.29 |
$600.29 |
$600.29 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,092.26 |
$1,092.26 |
$1,092.26 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$376.16 |
$376.16 |
$376.16 |
$872.50
|
|
Assay acid phosphatase
|
$20.79 |
$20.79 |
$20.79 |
$38.22
|
|
Assay dir meas fr estradiol
|
$27.72 |
$27.72 |
$27.72 |
$68.00
|
|
Assay free hydroxyproline
|
$36.96 |
$36.96 |
$36.96 |
$57.60
|
|
Assay of breath ethanol
|
$29.70 |
$29.70 |
$29.70 |
$52.62
|
|
Assay of corticosterone
|
$27.39 |
$27.39 |
$27.39 |
$55.20
|
|
Assay of digoxin free
|
$13.20 |
$13.20 |
$13.20 |
$38.08
|
|
Assay of feces porphyrins
|
$57.09 |
$57.09 |
$57.09 |
$134.38
|
|
Assay of interleukin-6 (il-6)
|
$35.97 |
$35.97 |
$35.97 |
$79.00
|
|
Assay of neonatal thyroxine
|
$6.60 |
$6.60 |
$6.60 |
$19.20
|
|
Assay of osteocalcin
|
$29.70 |
$29.70 |
$29.70 |
$93.60
|
|
Assay of somatostatin
|
$27.06 |
$27.06 |
$27.06 |
$170.50
|
|
Assay of thiocyanate
|
$11.55 |
$11.55 |
$11.55 |
$73.71
|
|
Assay of tyrosine
|
$33.00 |
$33.00 |
$33.00 |
$56.10
|
|
Assay of urine sulfate
|
$23.76 |
$23.76 |
$23.76 |
$28.20
|
|
Assay toxin or antitoxin
|
$33.97 |
$33.97 |
$33.97 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$250.85 |
$250.85 |
$250.85 |
$300.00
|
|
Assess cyst contrast inject
|
$237.71 |
$237.71 |
$237.71 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$6.86 |
$6.86 |
$6.86 |
$46.80
|
|
Ast/sgot
|
$25.08 |
$25.08 |
$25.08 |
$45.90
|
|
Baclofen eval charges
|
$63.80 |
$63.80 |
$63.80 |
$87.50
|
|
Bacterial meningitis antigen
|
$30.12 |
$30.12 |
$30.12 |
$66.30
|
|
Bacterial vaginosis pcr
|
$589.96 |
$589.96 |
$589.96 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$98.78 |
$98.78 |
$98.78 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$455.85 |
$455.85 |
$455.85 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$410.85 |
$410.85 |
$410.85 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$196.65 |
$196.65 |
$196.65 |
$484.80
|
|
Bausch health Ultrasound surg
|
$2,863.40 |
$2,863.40 |
$2,863.40 |
$768.50
|
|
B cells total count
|
$46.40 |
$46.40 |
$46.40 |
$132.48
|
|
#_benzodiazconfur
|
$27.72 |
$27.72 |
$27.72 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$31.34 |
$31.34 |
$31.34 |
$82.55
|
|
Beta-2 microglobulin
|
$19.14 |
$19.14 |
$19.14 |
$85.20
|
|
Beta-amyloid 1-40
|
$99.00 |
$99.00 |
$99.00 |
$312.00
|
|
Beta-amyloid 1-42
|
$148.83 |
$148.83 |
$148.83 |
$333.00
|
|
Bilateral n block inj trigeminal 64400
|
$401.09 |
$401.09 |
$401.09 |
$587.60
|
|
Bilicheck
|
$5.28 |
$5.28 |
$5.28 |
$27.60
|
|
Bilirubin direct
|
$13.53 |
$13.53 |
$13.53 |
$51.35
|
|
Bilirubin total
|
$19.14 |
$19.14 |
$19.14 |
$54.60
|
|
Biopsy abdominal mass
|
$523.55 |
$523.55 |
$523.55 |
$1,722.60
|
|
Biopsy bone trocar/needle superficial
|
$1,002.38 |
$1,002.38 |
$1,002.38 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$856.48 |
$856.48 |
$856.48 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,002.38 |
$1,002.38 |
$1,002.38 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$602.79 |
$602.79 |
$602.79 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,503.78 |
$1,503.78 |
$1,503.78 |
$1,890.72
|
|
Biopsy of salivary gland 42400
|
$689.27 |
$689.27 |
$689.27 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,458.20 |
$1,458.20 |
$1,458.20 |
$2,115.00
|
|
Biotinidase - quest
|
$36.96 |
$36.96 |
$36.96 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$143.03 |
$143.03 |
$143.03 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$182.22 |
$182.22 |
$182.22 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$6,445.59 |
$6,445.59 |
$6,445.59 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$4,604.70 |
$4,604.70 |
$4,604.70 |
$5,330.60
|
|
Bln press regulation 71-80cm
|
$11,840.13 |
$11,840.13 |
$11,840.13 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$16,330.50 |
$16,330.50 |
$16,330.50 |
$5,272.40
|
|
Blood Clotting (PT/INR) Test
|
$17.09 |
$17.09 |
$17.09 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$18.09 |
$18.09 |
$18.09 |
$74.00
|
|
Blood Count (CBC) Test
|
$21.78 |
$21.78 |
$21.78 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$18.09 |
$18.09 |
$18.09 |
$62.28
|
|
Blood Culture Test
|
$55.47 |
$55.47 |
$55.47 |
$146.16
|
|
Blood draw capillary 36416
|
$17.95 |
$17.95 |
$17.95 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$78.21 |
$78.21 |
$78.21 |
$226.50
|
|
Blood gases ph venous
|
$10.89 |
$10.89 |
$10.89 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$20.46 |
$20.46 |
$20.46 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$4.29 |
$4.29 |
$4.29 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.62 |
$4.62 |
$4.62 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$5.28 |
$5.28 |
$5.28 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$21.10 |
$21.10 |
$21.10 |
$38.35
|
|
Blood Transfusion
|
$815.04 |
$815.04 |
$815.04 |
$989.60
|
|
Blood typing abo
|
$136.75 |
$136.75 |
$136.75 |
$86.45
|
|
Blood typing ag donor ea ag
|
$379.10 |
$379.10 |
$379.10 |
$207.60
|
|
Blood typing patient serum
|
$80.78 |
$80.78 |
$80.78 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$379.10 |
$379.10 |
$379.10 |
$211.90
|
|
Blood typing rh (d)
|
$41.71 |
$41.71 |
$41.71 |
$57.60
|
|
Blood typing rh phenotype complete reference
|
$64.42 |
$64.42 |
$64.42 |
$88.00
|
|
Bone Age X-ray (hand and wrist)
|
$108.00 |
$108.00 |
$108.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$204.30 |
$204.30 |
$204.30 |
$407.94
|
|
Bone imaging multiple areas
|
$530.14 |
$530.14 |
$530.14 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$446.56 |
$446.56 |
$446.56 |
$1,037.40
|
