|
Antibody htlv/hiv confirm test
|
$26.00 |
$26.00 |
$230.75 |
$131.56
|
|
Antibody htlv-i
|
$40.30 |
$40.30 |
$45.00 |
$49.53
|
|
Antibody htlv-ii
|
$45.00 |
$45.00 |
$45.00 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$273.00 |
$273.00 |
$273.00 |
$224.00
|
|
Antibody id rbc panel
|
$294.45 |
$294.45 |
$294.45 |
$291.75
|
|
Antibody influenza virus
|
$69.55 |
$69.55 |
$69.55 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$25.35 |
$25.35 |
$25.35 |
$46.58
|
|
Antibody screen rbc
|
$174.85 |
$174.85 |
$174.85 |
$108.55
|
|
Antibody tetanus
|
$21.45 |
$21.45 |
$24.00 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$51.35 |
$51.35 |
$51.35 |
$26.40
|
|
Antidepressant not specified
|
$88.40 |
$88.40 |
$88.40 |
$72.14
|
|
Antigen therapy services
|
$112.45 |
$112.45 |
$112.45 |
$73.84
|
|
Antigen therapy services
|
$112.45 |
$112.45 |
$112.45 |
$83.72
|
|
Antigen therapy services
|
$174.20 |
$174.20 |
$174.20 |
$101.40
|
|
Antigen therapy services
|
$174.20 |
$174.20 |
$174.20 |
$96.72
|
|
Antigen therapy services
|
$174.20 |
$174.20 |
$174.20 |
$130.00
|
|
Antigen therapy services
|
$80.60 |
$80.60 |
$80.60 |
$74.00
|
|
Antigen therapy services
|
$15.60 |
$15.60 |
$15.60 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.32 |
$3.32 |
$3.32 |
$3.67
|
|
Anti-inhibitor
|
$6.32 |
$6.32 |
$6.32 |
$8.33
|
|
Anti mog serum - sendout
|
$131.95 |
$131.95 |
$131.95 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$93.60 |
$93.60 |
$93.60 |
$38.50
|
|
Ant instr 2-3 vert segm 22845
|
$3,415.10 |
$3,415.10 |
$3,415.10 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$1,430.40
|
|
Antinuclear antibodies
|
$81.25 |
$81.25 |
$81.25 |
$90.00
|
|
Antinuclear antibodies titer
|
$19.00 |
$19.00 |
$48.75 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$29.90 |
$29.90 |
$29.90 |
$67.43
|
|
Antistreptolysin o screen
|
$36.00 |
$36.00 |
$36.00 |
$58.56
|
|
Antistreptolysin o titer
|
$45.00 |
$45.00 |
$51.35 |
$54.00
|
|
Antithrombin iii activity
|
$56.55 |
$56.55 |
$56.55 |
$115.15
|
|
Antithrombin iii injection
|
$10.74 |
$10.74 |
$10.74 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$2,487.13 |
$2,487.13 |
$2,487.13 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$2,685.05 |
$2,685.05 |
$2,685.05 |
$2,111.00
|
|
Ant sgm img ir flrscn angrph
|
$481.65 |
$481.65 |
$481.65 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$481.65 |
$481.65 |
$481.65 |
$286.00
|
|
Ant thrc vrt body tethrg <7
|
$9,152.00 |
$9,152.00 |
$9,152.00 |
$4,508.80
|
|
Ant thrc vrt body tethrg 8+
|
$10,153.00 |
$10,153.00 |
$10,153.00 |
$4,968.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$739.70 |
$739.70 |
$739.70 |
$394.55
|
|
Aortic hemiarch graft 33866
|
$5,076.50 |
$5,076.50 |
$5,076.50 |
$2,609.60
|
|
Apheresis immunoads slctv
|
$21,888.75 |
$21,888.75 |
$21,888.75 |
$5,794.21
|
|
Apheresis plasma
|
$7,658.95 |
$7,658.95 |
$7,658.95 |
$3,226.34
|
|
Apheresis platelets
|
$2,042.95 |
$2,042.95 |
$2,042.95 |
$2,195.00
|
|
Apheresis rbc
|
$7,658.95 |
$7,658.95 |
$7,658.95 |
$3,290.80
|
|
Apheresis wbc
|
$7,658.95 |
$7,658.95 |
$7,658.95 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$929.50 |
$929.50 |
$929.50 |
$513.00
|
|
Appendectomy
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$397.80 |
$397.80 |
$397.80 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$8,923.85 |
$8,923.85 |
$8,923.85 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$8,923.85 |
$8,923.85 |
$8,923.85 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$512.20
|
|
Appl cast shoulder spica
|
$462.80 |
$462.80 |
$462.80 |
$486.03
|
|
Application clubfoot cast
|
$594.75 |
$594.75 |
$594.75 |
$303.00
|
|
Application finger splntstatic 29130
|
$481.65 |
$481.65 |
$1,351.00 |
$208.50
|
|
Application long leg splint 29505
|
$590.20 |
$590.20 |
$590.20 |
$338.25
|
|
Application lower leg splint 29515
|
$590.20 |
$590.20 |
$590.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$590.20 |
$590.20 |
$590.20 |
$375.06
|
|
Application of cylinder cast 29365
|
$993.20 |
$993.20 |
$993.20 |
$431.08
|
|
Application of forearm cast 29075
|
$993.20 |
$993.20 |
$993.20 |
$358.20
|
|
Application of long arm cast 29065
|
$993.20 |
$993.20 |
$993.20 |
$396.77
|
|
Application of long leg cast
|
$993.20 |
$993.20 |
$993.20 |
$435.54
|
|
Application of long leg cast 29345
|
$993.20 |
$993.20 |
$993.20 |
$455.00
|
|
Application of paste boot 29580
|
$590.20 |
$590.20 |
$590.20 |
$340.11
|
|
Application short leg cast 29405
|
$993.20 |
$993.20 |
$993.20 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,164.64
|
|
Appl mltpln uni ext fixj sys
|
$4,230.20 |
$4,230.20 |
$4,230.20 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$135.20 |
$135.20 |
$135.20 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$165.10 |
$165.10 |
$165.10 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$590.20 |
$590.20 |
$590.20 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$993.20 |
$993.20 |
$993.20 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$2,282.80 |
$2,282.80 |
$2,282.80 |
$5,810.00
|
|
Apply finger cast 29086
|
$161.20 |
$161.20 |
$161.20 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$481.65 |
$481.65 |
$1,805.00 |
$255.20
|
|
Apply halo w/removal cranial
|
$1,367.60 |
$1,367.60 |
$1,367.60 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$590.20 |
$590.20 |
$590.20 |
$271.80
|
|
Apply interstit radiat compl
|
$6,400.55 |
$6,400.55 |
$6,400.55 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$6,141.20 |
$6,141.20 |
$6,141.20 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$4,889.95 |
$4,889.95 |
$4,889.95 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$4,243.85 |
$4,243.85 |
$4,243.85 |
$1,269.97
|
|
Apply of finger splint 29131
|
$221.65 |
$221.65 |
$1,805.00 |
$177.45
|
|
Apply rem fixation device
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$993.20 |
$993.20 |
$993.20 |
$555.00
|
|
Apply r&l pulm art bands
|
$8,580.00 |
$8,580.00 |
$8,580.00 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$993.20 |
$993.20 |
$993.20 |
$404.74
|
|
Apply srs headframe add-on
|
$585.00 |
$585.00 |
$585.00 |
$585.00
|
|
Apply surf ldr radionuclide
|
$326.30 |
$326.30 |
$326.30 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$772.00 |
$772.00 |
$772.00 |
$141.39
|
|
App skn cll ssp f/n/g/hf 1st
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$3,567.20
|
|
App skn cl ssp agrft t/a/l 1
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$3,567.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$60.27 |
$60.27 |
$60.27 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$328.25 |
$328.25 |
$328.25 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$275.60 |
$275.60 |
$275.60 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$163.80 |
$163.80 |
$163.80 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$256.10 |
$256.10 |
$256.10 |
$138.16
|
