|
Antineutrophil cytoplasmic antibody screen each antibody
|
$46.50 |
$46.50 |
$46.50 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$186.00 |
$186.00 |
$186.00 |
$45.82
|
|
Antinuclear antibodies
|
$113.11 |
$113.11 |
$113.11 |
$91.70
|
|
Antinuclear antibodies titer
|
$153.81 |
$172.06 |
$172.06 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$248.04 |
$248.04 |
$248.04 |
$74.20
|
|
Antistreptolysin o screen
|
$12.41 |
$134.54 |
$204.13 |
$59.40
|
|
Antistreptolysin o titer
|
$4.91 |
$36.24 |
$169.62 |
$57.96
|
|
Antithrombin iii activity
|
$66.27 |
$66.27 |
$66.27 |
$115.23
|
|
Antithrombin iii injection
|
$14.00 |
$14.00 |
$14.00 |
$9.32
|
|
Aortic dysfunction/dilation
|
$7,779.24 |
$7,779.24 |
$7,779.24 |
$653.18
|
|
Apheresis immunoads slctv
|
$4,730.20 |
$4,730.20 |
$4,730.20 |
$5,544.24
|
|
Apheresis plasma
|
$4,437.84 |
$4,437.84 |
$4,437.84 |
$3,411.50
|
|
Apheresis platelets
|
$3,490.67 |
$3,490.67 |
$4,730.20 |
$2,345.00
|
|
Apheresis rbc
|
$1,795.72 |
$1,795.72 |
$4,730.20 |
$3,348.50
|
|
Apheresis wbc
|
$1,795.72 |
$1,795.72 |
$4,730.20 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$56.94 |
$3,199.83 |
$3,199.83 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$11,624.04 |
$11,624.04 |
$11,624.04 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,000.57 |
$2,000.57 |
$2,000.57 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$897.22 |
$897.22 |
$897.22 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$10,318.65 |
$10,318.65 |
$10,318.65 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,600.45 |
$1,600.45 |
$1,600.45 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,290.73 |
$2,290.73 |
$2,290.73 |
$508.18
|
|
Appl cast shoulder spica
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$384.59
|
|
Application finger splntstatic 29130
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$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)
|
$1,155.60 |
$1,741.99 |
$1,741.99 |
$397.00
|
|
Application of forearm cast 29075
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$379.20
|
|
Application of long arm cast 29065
|
$863.28 |
$863.28 |
$896.10 |
$404.63
|
|
Application of long leg cast
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$406.75
|
|
Application of long leg cast 29345
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$511.68
|
|
Application of paste boot 29580
|
$1,723.35 |
$1,741.99 |
$1,741.99 |
$331.74
|
|
Application short leg cast 29405
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,557.39 |
$3,557.39 |
$3,557.39 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$5,215.20 |
$5,215.20 |
$5,215.20 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$261.59 |
$261.59 |
$261.59 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$155.38 |
$155.38 |
$155.38 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$339.69
|
|
Apply finger cast 29086
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$225.29
|
|
Apply forearm splintdynamic 29126
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$263.10
|
|
Apply hand/wrist cast 29085
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$272.46
|
|
Apply interstit radiat compl
|
$10,491.27 |
$10,491.27 |
$10,491.27 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$4,409.66 |
$4,409.66 |
$4,409.66 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,666.28 |
$3,666.28 |
$3,666.28 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,473.39 |
$2,473.39 |
$2,473.39 |
$1,001.00
|
|
Apply of finger splint 29131
|
$670.29 |
$670.29 |
$670.29 |
$177.45
|
|
Apply rem fixation device
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,893.86
|
|
Apply rigid leg cast 29445
|
$863.28 |
$863.28 |
$896.10 |
$608.00
|
|
Apply short leg castambul type 29425
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$408.75
|
|
Apply surf ldr radionuclide
|
$728.14 |
$728.14 |
$728.14 |
$246.25
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,787.28 |
$1,787.28 |
$1,985.25 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$218.00 |
$541.61 |
$541.61 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$375.08 |
$375.08 |
$375.08 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$186.00 |
$186.00 |
$186.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$106.73 |
$106.73 |
$408.00 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$220.52 |
$220.52 |
$220.52 |
$98.90
|
|
Aquatic exercise - group charge
|
$380.49 |
$380.49 |
$464.31 |
$87.60
|
|
Aripiprazole injection
|
$137.98 |
$137.98 |
$151.00 |
$118.52
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,849.68 |
$1,929.30 |
$2,071.00 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$411.00 |
$411.00 |
$411.00 |
$505.60
|
|
Artery xray each vessel 7577426
|
$5,926.74 |
$5,926.74 |
$11,310.18 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$14,090.10 |
$14,552.47 |
$25,664.21 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$9,292.65 |
$9,292.65 |
$26,854.65 |
$3,320.35
|
|
Artery x-rays adrenals
|
$9,292.65 |
$26,854.65 |
$34,089.64 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$9,864.54 |
$9,864.54 |
$29,178.05 |
$3,844.10
|
|
Artery x-rays chest
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$2,587.20
|
|
Artery x-rays lung
|
$8,121.80 |
$8,121.80 |
$8,333.83 |
$2,921.88
|
|
Artery x-rays lung
|
$8,023.82 |
$8,333.83 |
$16,403.77 |
$2,332.57
|
|
Artery x-rays lungs
|
$9,495.69 |
$9,495.69 |
$16,403.77 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$14,090.10 |
$14,552.47 |
$19,121.15 |
$4,086.49
|
|
Artery x-rays spine
|
$7,330.75 |
$7,354.69 |
$46,619.20 |
$4,306.40
|
|
Arthrd ant ntrbdy cervical
|
$81,144.13 |
$81,144.13 |
$81,144.13 |
$7,023.52
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,062.15 |
$1,062.15 |
$1,062.15 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,496.67 |
$1,496.67 |
$1,529.90 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,699.44 |
$1,699.44 |
$1,699.44 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,033.18 |
$1,033.18 |
$1,033.18 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,313.21 |
$1,313.21 |
$1,313.21 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,313.21 |
$1,313.21 |
$1,313.21 |
$686.37
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$5,919.04 |
$5,919.04 |
$5,919.04 |
$1,838.85
|
|
Arthrodesis subtalar
|
$81,144.13 |
$81,144.13 |
$81,144.13 |
$5,560.13
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$33,752.58 |
$33,752.58 |
$33,752.58 |
$4,086.40
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$6,084.60 |
$6,084.60 |
$6,084.60 |
$3,194.79
|
|
Asp & inj w/heparin pleurx cath
|
$2,075.30 |
$2,075.30 |
$2,075.30 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$8,589.83 |
$8,589.83 |
$8,589.83 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,908.87 |
$1,908.87 |
$1,970.05 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,547.99 |
$5,547.99 |
$5,547.99 |
$1,273.63
|
|
Aspir/inj thyroid cyst 60300
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$833.29
|
|
Asp pq spinal cord cyst/syrinx
|
$2,104.13 |
$2,104.13 |
$2,956.81 |
$1,133.00
|
|
Assay acid phosphatase
|
$117.93 |
$117.93 |
$287.50 |
$38.22
|
|
Assay blood catecholamines
|
$27.25 |
$27.25 |
$27.25 |
$72.00
|
|
Assay dir meas fr estradiol
|
$102.68 |
$102.68 |
$102.68 |
$76.80
|
|
Assay duodenal fluid trypsin
|
$13.08 |
$13.08 |
$111.13 |
$7.92
|
|
Assay myeloperoxidase
|
$785.02 |
$785.02 |
$785.02 |
$84.19
|
|
Assay of adp & amp
|
$38.15 |
$38.15 |
$38.15 |
$127.40
|
|
Assay of blood lipoprotein
|
$51.50 |
$51.50 |
$51.50 |
$27.20
|
|
Assay of breath ethanol
|
$110.25 |
$110.25 |
$110.25 |
$45.76
|
|
Assay of chloramphenicol
|
$16.30 |
$16.30 |
$16.30 |
$45.60
|
