|
Anoscopy remove fb 46608
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$1,375.98
|
|
Antibody elution rbc reference
|
$217.75 |
$217.75 |
$554.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$185.90 |
$185.90 |
$185.90 |
$131.56
|
|
Antibody htlv-i
|
$67.60 |
$67.60 |
$401.00 |
$49.53
|
|
Antibody htlv-ii
|
$67.60 |
$67.60 |
$67.60 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$547.95 |
$547.95 |
$547.95 |
$224.00
|
|
Antibody id rbc panel
|
$250.90 |
$250.90 |
$250.90 |
$291.75
|
|
Antibody influenza virus
|
$20.80 |
$20.80 |
$20.80 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$464.00 |
$464.00 |
$464.00 |
$46.58
|
|
Antibody screen rbc
|
$130.00 |
$130.00 |
$139.00 |
$108.55
|
|
Antibody tetanus
|
$17.55 |
$17.55 |
$17.55 |
$54.15
|
|
Antidepressant not specified
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Antidepressants class 3-5
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Antiepileptics nos 4-6
|
$7.15 |
$7.15 |
$7.15 |
$16.24
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$8.45 |
$8.45 |
$12,722.00 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$12.00 |
$12.00 |
$12.00 |
$3.67
|
|
Anti-inhibitor
|
$26.00 |
$26.00 |
$26.00 |
$8.33
|
|
Anti mog serum - sendout
|
$37.00 |
$37.00 |
$37.00 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$23.40 |
$23.40 |
$23.40 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$19.50 |
$19.50 |
$19.50 |
$42.00
|
|
Antinuclear antibodies
|
$460.20 |
$460.20 |
$1,432.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$315.00 |
$317.85 |
$317.85 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$23.40 |
$23.40 |
$23.40 |
$67.43
|
|
Antipsychotics nos 1-3
|
$34.45 |
$34.45 |
$34.45 |
$136.61
|
|
Antipsychotics nos 7/more
|
$7.15 |
$7.15 |
$7.15 |
$16.24
|
|
Antistreptolysin o screen
|
$98.15 |
$98.15 |
$315.00 |
$58.56
|
|
Antistreptolysin o titer
|
$371.15 |
$371.15 |
$371.15 |
$54.00
|
|
Antithrombin iii activity
|
$513.50 |
$513.50 |
$1,829.00 |
$115.15
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$6,564.00 |
$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 |
$9,431.00 |
$3,226.34
|
|
Apheresis platelets
|
$2,692.30 |
$2,692.30 |
$8,430.00 |
$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 |
$3,552.25 |
$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
|
|
Appl bdy cst sho to hip 1thi
|
$297.70 |
$297.70 |
$297.70 |
$353.60
|
|
Appl bdy cst sho to hip b th
|
$625.30 |
$625.30 |
$625.30 |
$561.60
|
|
Appl bdy cst sho to hip head
|
$625.30 |
$625.30 |
$625.30 |
$561.60
|
|
Appl body cast sho to hips
|
$625.30 |
$625.30 |
$625.30 |
$509.60
|
|
Appl cast figure-of-eight
|
$625.30 |
$625.30 |
$625.30 |
$314.28
|
|
Appl cast plaster velpeau
|
$625.30 |
$625.30 |
$625.30 |
$314.28
|
|
Appl cast shoulder spica
|
$625.30 |
$625.30 |
$625.30 |
$486.03
|
|
Appl halo type body cast
|
$625.30 |
$625.30 |
$625.30 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$625.30 |
$625.30 |
$625.30 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$625.30 |
$625.30 |
$625.30 |
$499.20
|
|
Application clubfoot cast
|
$595.40 |
$595.40 |
$595.40 |
$303.00
|
|
Application finger splntstatic 29130
|
$365.30 |
$365.30 |
$365.30 |
$208.50
|
|
Application long leg splint 29505
|
$595.40 |
$595.40 |
$595.40 |
$338.25
|
|
Application lower leg splint 29515
|
$921.70 |
$921.70 |
$921.70 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$921.70 |
$921.70 |
$921.70 |
$375.06
|
|
Application of body cast
|
$625.30 |
$625.30 |
$625.30 |
$561.60
|
|
Application of body cast
|
$625.30 |
$625.30 |
$625.30 |
$561.60
|
|
Application of cylinder cast 29365
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$431.08
|
|
Application of forearm cast 29075
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$358.20
|
|
Application of long arm cast 29065
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$396.77
|
|
Application of long leg cast
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$435.54
|
|
Application of long leg cast 29345
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$455.00
|
|
Application of paste boot 29580
|
$921.70 |
$921.70 |
$921.70 |
$340.11
|
|
Application short leg cast 29405
|
$1,446.90 |
$1,446.90 |
$1,446.90 |
$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 long leg cast brace
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$20,649.20 |
$20,649.20 |
$20,649.20 |
$5,855.00
|
|
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 patllr tdn bearing cast
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$11,436.10 |
$11,436.10 |
$11,436.10 |
$5,810.00
|
|
Apply finger cast 29086
|
$595.40 |
$595.40 |
$595.40 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$686.40 |
$686.40 |
$686.40 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$595.40 |
$595.40 |
$595.40 |
$271.80
|
|
Apply interstit radiat compl
|
$5,638.75 |
$5,638.75 |
$5,638.75 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$917.15 |
$917.15 |
$917.15 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$1,269.97
|
|
Apply of finger splint 29131
|
$365.30 |
$365.30 |
$365.30 |
$177.45
|
|
Apply rem fixation device
|
$6,524.05 |
$6,524.05 |
$6,524.05 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$1,446.90 |
$1,446.90 |
$1,446.90 |
$555.00
|
|
Apply short leg castambul type 29425
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$404.74
|
|
Apply surf ldr radionuclide
|
$559.00 |
$559.00 |
$559.00 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$266.50 |
$266.50 |
$1,059.00 |
$141.39
|
|
App mltpln uni xtrnl fix 1st
|
$31,354.05 |
$31,354.05 |
$31,354.05 |
$16,139.55
|
|
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
|
|
Aqmbf pet rest & rx stress
|
$6,022.25 |
$6,022.25 |
$6,022.25 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$37.00 |
$1,035.45 |
$1,035.45 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$35.00 |
$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
|
|
Architect ecm px fx 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$171.12
|
|
Argatroban esrd dialysis 1mg
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$934.80
|
