|
Antistreptolysin o screen
|
$98.15 |
$98.15 |
$98.15 |
$58.56
|
|
Antistreptolysin o titer
|
$371.15 |
$371.15 |
$371.15 |
$54.00
|
|
Antithrombin iii activity
|
$513.50 |
$513.50 |
$513.50 |
$115.15
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$21,737.30 |
$21,737.30 |
$21,737.30 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$5,273.45 |
$5,273.45 |
$5,273.45 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$494.00 |
$494.00 |
$494.00 |
$394.55
|
|
Aortic circulation assist 33971
|
$11,507.60 |
$11,507.60 |
$11,507.60 |
$1,719.20
|
|
Apheresis immunoads slctv
|
$13,295.10 |
$13,295.10 |
$13,295.10 |
$5,794.21
|
|
Apheresis plasma
|
$2,692.30 |
$2,692.30 |
$2,692.30 |
$3,226.34
|
|
Apheresis platelets
|
$2,692.30 |
$2,692.30 |
$2,692.30 |
$2,195.00
|
|
Apheresis rbc
|
$2,692.30 |
$2,692.30 |
$2,692.30 |
$3,290.80
|
|
Apheresis wbc
|
$2,692.30 |
$2,692.30 |
$2,692.30 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$453.05 |
$453.05 |
$453.05 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,321.15 |
$2,321.15 |
$2,321.15 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$908.05 |
$908.05 |
$908.05 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$334.10 |
$334.10 |
$334.10 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,812.55 |
$2,812.55 |
$2,812.55 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$954.20 |
$954.20 |
$954.20 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$352.30 |
$352.30 |
$352.30 |
$512.20
|
|
Application lower leg splint 29515
|
$460.85 |
$460.85 |
$460.85 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$460.85 |
$460.85 |
$460.85 |
$375.06
|
|
Application of forearm cast 29075
|
$625.30 |
$625.30 |
$625.30 |
$358.20
|
|
Application of paste boot 29580
|
$460.85 |
$460.85 |
$460.85 |
$340.11
|
|
Application short leg cast 29405
|
$723.45 |
$723.45 |
$723.45 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,608.75 |
$1,608.75 |
$1,608.75 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,443.70 |
$3,443.70 |
$3,443.70 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$147.55 |
$147.55 |
$147.55 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$199.55 |
$199.55 |
$199.55 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$111.15 |
$111.15 |
$111.15 |
$54.61
|
|
Appl multlay comprs arm/hand
|
$284.05 |
$284.05 |
$284.05 |
$289.60
|
|
Apply rigid leg cast 29445
|
$723.45 |
$723.45 |
$723.45 |
$555.00
|
|
Apply short leg castambul type 29425
|
$689.00 |
$689.00 |
$689.00 |
$404.74
|
|
App mdlty 1+hubbrd tnk ea 15
|
$266.50 |
$266.50 |
$266.50 |
$141.39
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$26.65 |
$26.65 |
$26.65 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$339.30 |
$339.30 |
$339.30 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$1,035.45 |
$1,035.45 |
$1,035.45 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$833.30 |
$833.30 |
$833.30 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$196.95 |
$196.95 |
$196.95 |
$100.75
|
|
Aquatic exercise - group charge
|
$118.30 |
$118.30 |
$118.30 |
$87.45
|
|
Argatroban nonesrd (auromed)
|
$40.30 |
$40.30 |
$40.30 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$27.95 |
$27.95 |
$27.95 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$2,701.40 |
$2,701.40 |
$2,701.40 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$2,354.30 |
$2,354.30 |
$2,354.30 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$252.20 |
$252.20 |
$252.20 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$276.25 |
$276.25 |
$276.25 |
$1,303.25
|
|
Artacent wound, per sq cm
|
$12,656.15 |
$12,656.15 |
$12,656.15 |
$1.00
|
|
Art bypass aorsubcl/carot/innom 35626
|
$45,359.60 |
$45,359.60 |
$45,359.60 |
$7,576.40
|
|
Art bypass aortobi-iliac 35638
|
$45,359.60 |
$45,359.60 |
$45,359.60 |
$3,525.00
|
|
Art bypass axill-fem-femoral 35654
|
$45,359.60 |
$45,359.60 |
$45,359.60 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$5,724.80
|
|
Art bypass fem-ant-post tib/prl 35666
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$4,735.49
|
|
Art bypass femoral-femoral 35661
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$5,273.60
|
|
Art bypass iliofemoral 35665
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$2,933.07
|
|
Art byp grft axill/fem/fem
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$1,670.50
|
|
Art byp grft fem-popliteal 35556
|
$60,892.65 |
$60,892.65 |
$60,892.65 |
$2,806.20
|
|
Art byp grft subclav-carotid
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$1,412.00
|
|
Art byp ilioiliac 35663
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$1,714.11
|
|
Arterial blood draw/perc 36620
|
$1,365.65 |
$1,365.65 |
$1,365.65 |
$478.96
|
|
Artery by graft; iliofemoral 35565
|
$60,892.65 |
$60,892.65 |
$60,892.65 |
$1,875.00
|
|
Artery to vein shunt
|
$10,476.70 |
$10,476.70 |
$10,476.70 |
$4,316.00
|
|
Artery transpose/endovas taa
|
$90,719.20 |
$90,719.20 |
$90,719.20 |
$3,854.40
|
|
Artery-vein nonautograft
|
$14,246.70 |
$14,246.70 |
$14,246.70 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$1,620.45 |
$1,620.45 |
$1,620.45 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$5,964.40 |
$5,964.40 |
$5,964.40 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$4,189.25 |
$4,189.25 |
$4,189.25 |
$3,320.35
|
|
Artery x-rays adrenals
|
$4,681.95 |
$4,681.95 |
$4,681.95 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$10,046.40 |
$10,046.40 |
$10,046.40 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$20,092.80 |
$20,092.80 |
$20,092.80 |
$3,860.40
|
|
Artery x-rays chest
|
$6,271.20 |
$6,271.20 |
$6,271.20 |
$2,895.07
|
|
Artery x-rays lung
|
$7,729.15 |
$7,729.15 |
$7,729.15 |
$3,296.15
|
|
Artery x-rays lung
|
$4,563.65 |
$4,563.65 |
$4,563.65 |
$2,427.50
|
|
Artery x-rays lungs
|
$7,337.85 |
$7,337.85 |
$7,337.85 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$4,803.50 |
$4,803.50 |
$4,803.50 |
$4,306.40
|
|
Artery x-rays spine
|
$8,130.20 |
$8,130.20 |
$8,130.20 |
$4,792.33
|
|
Arthrd si jt perq/min nvas
|
$102,765.65 |
$102,765.65 |
$102,765.65 |
$15,959.91
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,338.70 |
$2,338.70 |
$2,338.70 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,685.45 |
$1,685.45 |
$1,685.45 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,796.60 |
$1,796.60 |
$1,796.60 |
$699.00
|
|
Ascenda two piece catheter
|
$38,876.50 |
$38,876.50 |
$38,876.50 |
$22,792.00
|
|
Asp core fat pad
|
$5,041.40 |
$5,041.40 |
$5,041.40 |
$1,123.50
|
|
Asp & inj bone cyst
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$1,060.40
|
|
Asp & inj w/heparin pleurx cath
|
$4,790.50 |
$4,790.50 |
$4,790.50 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,673.80 |
$3,673.80 |
$3,673.80 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$1,125.15 |
$1,125.15 |
$1,125.15 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$2,419.95 |
$2,419.95 |
$2,419.95 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$1,651.65 |
$1,651.65 |
$1,651.65 |
$872.50
|
|
Assay alkaline phosphatase
|
$332.80 |
$332.80 |
$332.80 |
$42.60
|
|
Assay free hydroxyproline
|
$46.15 |
$46.15 |
$46.15 |
$57.60
|
|
Assay of adp & amp
|
$169.65 |
$169.65 |
$169.65 |
$169.65
|
|
Assay of chloramphenicol
|
$100.10 |
$100.10 |
$100.10 |
$70.56
|
|
Assay of galactose
|
$297.05 |
$297.05 |
$297.05 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$88.40 |
$88.40 |
$88.40 |
$79.00
|
|
Assay of procainamide w/metab
|
$30.55 |
$30.55 |
$30.55 |
$73.80
|
|
Assay of salicylate
|
$241.80 |
$241.80 |
$241.80 |
$96.50
|
|
Assay of semen fructose
|
$47.45 |
$47.45 |
$47.45 |
$56.00
|
|
Assay of somatostatin
|
$184.60 |
$184.60 |
$184.60 |
$170.50
|