|
Analysis gene f2 20210g>a variant
|
$485.00 |
$485.00 |
$485.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$541.63 |
$541.63 |
$541.63 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$452.63 |
$452.63 |
$452.63 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$234.84 |
$234.84 |
$234.84 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$110.79 |
$110.79 |
$110.79 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$10,758.20 |
$10,758.20 |
$10,758.20 |
$2,626.65
|
|
An fluoro guide for cvp
|
$930.62 |
$930.62 |
$930.62 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$8,002.15 |
$8,002.15 |
$8,002.15 |
$5,799.20
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$952.60 |
$952.60 |
$952.60 |
$6,736.02
|
|
Angio trnslmnl balloon same artery ini
|
$12,317.53 |
$12,317.53 |
$12,317.53 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$8,761.15 |
$8,761.15 |
$8,761.15 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$13,005.55 |
$13,005.55 |
$13,005.55 |
$8,689.20
|
|
Ankle X-ray
|
$1,956.69 |
$1,956.69 |
$1,956.69 |
$339.44
|
|
Anora (draw only)
|
$111.30 |
$111.30 |
$111.30 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$85.70 |
$85.70 |
$85.70 |
$57.89
|
|
Antibody elution rbc reference
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$67.73 |
$67.73 |
$67.73 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$135.41 |
$135.41 |
$135.41 |
$220.73
|
|
Antibody id rbc panel
|
$2,151.75 |
$2,151.75 |
$2,151.75 |
$291.75
|
|
Antibody influenza virus
|
$90.15 |
$90.15 |
$90.15 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$85.70 |
$85.70 |
$85.70 |
$53.96
|
|
Antibody screen rbc
|
$368.07 |
$368.07 |
$368.07 |
$105.00
|
|
Antidepressant not specified
|
$83.48 |
$83.48 |
$83.48 |
$89.50
|
|
Anti mog serum - sendout
|
$80.14 |
$80.14 |
$80.14 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$100.17 |
$100.17 |
$100.17 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$80.14 |
$80.14 |
$80.14 |
$45.82
|
|
Antinuclear antibodies
|
$89.86 |
$89.86 |
$89.86 |
$91.70
|
|
Antinuclear antibodies titer
|
$82.47 |
$82.47 |
$82.47 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$118.18 |
$118.18 |
$118.18 |
$74.20
|
|
Antistreptolysin o screen
|
$20.20 |
$20.20 |
$20.20 |
$59.40
|
|
Antistreptolysin o titer
|
$54.16 |
$54.16 |
$54.16 |
$57.96
|
|
Antithrombin iii activity
|
$87.40 |
$87.40 |
$87.40 |
$115.23
|
|
Apheresis plasma
|
$13,650.95 |
$13,650.95 |
$13,650.95 |
$3,411.50
|
|
Apheresis platelets
|
$1,767.44 |
$1,767.44 |
$1,767.44 |
$2,345.00
|
|
Apheresis rbc
|
$6,069.19 |
$6,069.19 |
$6,069.19 |
$3,348.50
|
|
Apheresis wbc
|
$6,069.19 |
$6,069.19 |
$6,069.19 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$1,384.57 |
$1,384.57 |
$1,384.57 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$508.18
|
|
Application finger splntstatic 29130
|
$498.62 |
$498.62 |
$498.62 |
$216.80
|
|
Application long leg splint 29505
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$340.80
|
|
Application lower leg splint 29515
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$628.85 |
$628.85 |
$628.85 |
$397.00
|
|
Application of forearm cast 29075
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$379.20
|
|
Application of paste boot 29580
|
$988.34 |
$988.34 |
$988.34 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$253.76 |
$253.76 |
$253.76 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$333.90 |
$333.90 |
$333.90 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$628.85 |
$628.85 |
$628.85 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$498.62 |
$498.62 |
$498.62 |
$263.10
|
|
Apply interstit radiat compl
|
$10,491.27 |
$10,491.27 |
$10,491.27 |
$2,877.50
|
|
Apply of finger splint 29131
|
$248.20 |
$248.20 |
$248.20 |
$177.45
|
|
Apply rigid leg cast 29445
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$4,143.41 |
$4,143.41 |
$4,143.41 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$234.84 |
$234.84 |
$234.84 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$88.63 |
$88.63 |
$88.63 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$76.80 |
$76.80 |
$76.80 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$220.52 |
$220.52 |
$220.52 |
$98.90
|
|
Aquatic exercise - group charge
|
$314.98 |
$314.98 |
$314.98 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$418.13 |
$418.13 |
$418.13 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$390.45 |
$390.45 |
$390.45 |
$505.60
|
|
Artery xray each vessel 7577426
|
$8,153.29 |
$8,153.29 |
$8,153.29 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$18,699.75 |
$18,699.75 |
$18,699.75 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$3,185.02 |
$3,185.02 |
$3,185.02 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,185.02 |
$3,185.02 |
$3,185.02 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$11,575.10 |
$11,575.10 |
$11,575.10 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$23,150.20 |
$23,150.20 |
$23,150.20 |
$3,844.10
|
|
Artery x-rays chest
|
$12,920.80 |
$12,920.80 |
$12,920.80 |
$2,587.20
|
|
Artery x-rays lung
|
$12,757.85 |
$12,757.85 |
$12,757.85 |
$2,921.88
|
|
Artery x-rays lung
|
$12,740.51 |
$12,740.51 |
$12,740.51 |
$2,332.57
|
|
Artery x-rays lungs
|
$18,103.01 |
$18,103.01 |
$18,103.01 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$17,658.58 |
$17,658.58 |
$17,658.58 |
$4,086.49
|
|
Artery x-rays spine
|
$21,237.15 |
$21,237.15 |
$21,237.15 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,443.75 |
$1,443.75 |
$1,443.75 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,824.79 |
$2,824.79 |
$2,824.79 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,872.65 |
$2,872.65 |
$2,872.65 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,224.30 |
$1,224.30 |
$1,224.30 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,246.56 |
$1,246.56 |
$1,246.56 |
$686.37
|
|
Aspirate bladder/sprapubic cath 51102
|
$8,589.83 |
$8,589.83 |
$8,589.83 |
$3,162.90
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$3,294.10 |
$3,294.10 |
$3,294.10 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$186.98 |
$186.98 |
$186.98 |
$76.80
|
|
Assay of feces porphyrins
|
$136.89 |
$136.89 |
$136.89 |
$168.62
|
|
Assay of glutathione
|
$103.51 |
$103.51 |
$103.51 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$128.02 |
$128.02 |
$128.02 |
$77.35
|
|
Assay of leflunomide
|
$257.10 |
$257.10 |
$257.10 |
$112.70
|
|
Assay of osteocalcin
|
$199.23 |
$199.23 |
$199.23 |
$97.21
|
|
Assay of procainamide w/metab
|
$112.41 |
$112.41 |
$112.41 |
$61.20
|
|
Assay of prostaglandin
|
$146.20 |
$146.20 |
$146.20 |
$216.45
|
|
Assay of salicylate
|
$137.87 |
$137.87 |
$137.87 |
$105.95
|
|
Assay of somatostatin
|
$122.43 |
$122.43 |
$122.43 |
$165.75
|
|
Assay of urine sulfate
|
$36.73 |
$36.73 |
$36.73 |
$31.35
|
|
Assay phosphohexose enzymes
|
$71.23 |
$71.23 |
$71.23 |
$73.60
|
|
Assay toxin or antitoxin
|
$131.33 |
$131.33 |
$131.33 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$648.88 |
$648.88 |
$648.88 |
$312.00
|