|
An cholangiogram percutaneous compl
|
$9,221.31 |
$9,221.31 |
$9,221.31 |
$2,626.65
|
|
An fluoro guide for cvp
|
$2,244.96 |
$2,244.96 |
$2,244.96 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,034.94 |
$9,034.94 |
$9,034.94 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$13,155.35 |
$13,155.35 |
$13,155.35 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,113.56 |
$11,113.56 |
$11,113.56 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$12,772.73 |
$12,772.73 |
$12,772.73 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$19,794.56 |
$19,794.56 |
$19,794.56 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$11,113.56 |
$11,113.56 |
$11,113.56 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$10,322.31 |
$10,322.31 |
$10,322.31 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$17,203.85 |
$17,203.85 |
$17,203.85 |
$8,689.20
|
|
Ankle X-ray
|
$1,493.47 |
$1,493.47 |
$1,493.47 |
$339.44
|
|
Anodyne therapy charges pt
|
$125.50 |
$125.50 |
$125.50 |
$41.02
|
|
Antibody elution rbc reference
|
$455.16 |
$455.16 |
$455.16 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$26.26 |
$26.26 |
$213.34 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$450.27 |
$450.27 |
$450.27 |
$220.73
|
|
Antibody id rbc panel
|
$907.62 |
$907.62 |
$1,605.00 |
$291.75
|
|
Antibody influenza virus
|
$149.39 |
$149.39 |
$149.39 |
$53.95
|
|
Antibody screen rbc
|
$234.90 |
$234.90 |
$234.90 |
$105.00
|
|
Antibody tetanus
|
$22.47 |
$22.47 |
$22.47 |
$61.98
|
|
Antidepressant not specified
|
$99.41 |
$99.41 |
$99.41 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$3.12
|
|
Anti mog serum - sendout
|
$37.96 |
$37.96 |
$37.96 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$132.86 |
$132.86 |
$132.86 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$36.37 |
$36.37 |
$132.86 |
$45.82
|
|
Antinuclear antibodies
|
$41.00 |
$41.00 |
$45.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$19.00 |
$19.00 |
$156.07 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$177.18 |
$177.18 |
$177.18 |
$74.20
|
|
Antistreptolysin o screen
|
$18.18 |
$18.18 |
$18.18 |
$59.40
|
|
Antistreptolysin o titer
|
$231.72 |
$231.72 |
$231.72 |
$57.96
|
|
Antithrombin iii activity
|
$39.20 |
$39.20 |
$39.20 |
$115.23
|
|
Apheresis platelets
|
$9,009.00 |
$9,009.00 |
$9,009.00 |
$2,345.00
|
|
Apl(pml-rara) quant - sendout
|
$2,285.60 |
$2,285.60 |
$2,285.60 |
$465.60
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$9,355.55 |
$9,355.55 |
$9,355.55 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,575.72 |
$1,575.72 |
$1,575.72 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,575.72 |
$1,575.72 |
$1,575.72 |
$508.18
|
|
Application finger splntstatic 29130
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$216.80
|
|
Application long leg splint 29505
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$340.80
|
|
Application lower leg splint 29515
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$637.75 |
$637.75 |
$637.75 |
$397.00
|
|
Application of forearm cast 29075
|
$3,732.56 |
$3,732.56 |
$3,732.56 |
$379.20
|
|
Application of long arm cast 29065
|
$850.64 |
$850.64 |
$850.64 |
$404.63
|
|
Application of long leg cast 29345
|
$3,732.56 |
$3,732.56 |
$3,732.56 |
$511.68
|
|
Application of paste boot 29580
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$331.74
|
|
Application short leg cast 29405
|
$3,732.56 |
$3,732.56 |
$3,732.56 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,826.96 |
$3,826.96 |
$3,826.96 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,826.96 |
$3,826.96 |
$3,826.96 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$67.00 |
$67.00 |
$110.37 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$138.84 |
$138.84 |
$514.00 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$455.37 |
$455.37 |
$455.37 |
$339.69
|
|
Apply finger cast 29086
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$225.29
|
|
Apply forearm splintdynamic 29126
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$263.10
|
|
Apply of finger splint 29131
|
$840.59 |
$840.59 |
$840.59 |
$177.45
|
|
Apply rigid leg cast 29445
|
$1,248.81 |
$1,248.81 |
$1,248.81 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2,407.15 |
$2,407.15 |
$2,407.15 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$441.45 |
$441.45 |
$441.45 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$132.86 |
$132.86 |
$132.86 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$127.12 |
$127.12 |
$127.12 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$210.12 |
$210.12 |
$210.12 |
$98.90
|
|
Aquatic exercise - group charge
|
$124.59 |
$124.59 |
$124.59 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$843.44 |
$843.44 |
$843.44 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$380.86 |
$380.86 |
$380.86 |
$505.60
|
|
Artery xray each vessel 7577426
|
$2,637.19 |
$2,637.19 |
$4,023.00 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$12,473.54 |
$12,473.54 |
$13,567.00 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$7,660.27 |
$7,660.27 |
$7,660.27 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$8,574.46 |
$8,574.46 |
$8,574.46 |
$3,844.10
|
|
Artery x-rays chest
|
$16,212.00 |
$16,212.00 |
$16,212.00 |
$2,587.20
|
|
Artery x-rays lung
|
$29,295.99 |
$29,295.99 |
$29,295.99 |
$2,921.88
|
|
Artery x-rays lungs
|
$29,295.99 |
$29,295.99 |
$29,295.99 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$22,679.00 |
$22,679.00 |
$50,857.31 |
$4,086.49
|
|
Artery x-rays spine
|
$31,981.00 |
$31,981.00 |
$31,981.00 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$909.38 |
$909.38 |
$909.38 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,311.34 |
$1,311.34 |
$1,311.34 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,455.02 |
$1,455.02 |
$1,455.02 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$884.59 |
$884.59 |
$884.59 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,124.33 |
$1,124.33 |
$1,124.33 |
$698.58
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$33,868.14 |
$33,868.14 |
$33,868.14 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$6,208.78 |
$6,208.78 |
$6,208.78 |
$3,194.79
|
|
Aspirate bladder/sprapubic cath 51102
|
$23,584.46 |
$23,584.46 |
$23,584.46 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$2,559.84 |
$2,559.84 |
$2,559.84 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,653.18 |
$2,653.18 |
$2,653.18 |
$1,273.63
|
|
Aspir/inj thyroid cyst 60300
|
$8,986.34 |
$8,986.34 |
$8,986.34 |
$833.29
|
|
Assay acid phosphatase
|
$5.05 |
$5.05 |
$86.80 |
$38.22
|
|
Assay free hydroxyproline
|
$75.48 |
$75.48 |
$75.48 |
$46.15
|
|
Assay of adp & amp
|
$29.29 |
$29.29 |
$29.29 |
$127.40
|
|
Assay of blood lipoprotein
|
$490.00 |
$490.00 |
$490.00 |
$27.20
|
|
Assay of chloramphenicol
|
$16.16 |
$16.16 |
$16.16 |
$45.60
|
|
Assay of corticosterone
|
$45.45 |
$45.45 |
$45.45 |
$47.10
|
|
Assay of estrogen
|
$2,009.00 |
$2,009.00 |
$2,009.00 |
$185.60
|
|
Assay of fluoride
|
$43.13 |
$43.13 |
$43.13 |
$96.85
|
|
Assay of glutathione
|
$175.53 |
$175.53 |
$175.53 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$100.00 |
$100.00 |
$131.19 |
$77.35
|
|
Assay of lap enzyme
|
$5.05 |
$5.05 |
$5.05 |
$56.25
|
|
Assay of methemalbumin
|
$50.50 |
$50.50 |
$50.50 |
$27.20
|
|
Assay of neonatal thyroxine
|
$765.00 |
$765.00 |
$765.00 |
$13.33
|
|
Assay of procainamide w/metab
|
$50.25 |
$50.25 |
$1,347.00 |
$61.20
|
|
Assay of salicylate
|
$362.25 |
$362.25 |
$362.25 |
$105.95
|
|
Assay of sialic acid
|
$322.00 |
$322.00 |
$322.00 |
$60.45
|
|
Assay of somatostatin
|
$207.68 |
$207.68 |
$207.68 |
$165.75
|
|
Assay of thiocyanate
|
$12.12 |
$12.12 |
$12.12 |
$57.00
|