|
Antiphosphatidylserine antibody
|
$74.00 |
$84.63 |
$281.00 |
|
|
Antipsychotics nos 1-3
|
$179.64 |
$179.64 |
$355.16 |
|
|
Antistreptolysin o screen
|
$27.00 |
$72.93 |
$72.93 |
|
|
Antistreptolysin o titer
|
$34.00 |
$88.14 |
$516.44 |
|
|
Antithrombin iii activity
|
$22.50 |
$207.09 |
$1,071.00 |
|
|
Antithrombin iii injection
|
$10.38 |
$10.38 |
$5,350.00 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$4,622.04 |
$9,419.58 |
$12,147.14 |
|
|
Antithymocyte globuln rabbit
|
$2,648.84 |
$2,648.84 |
$2,686.72 |
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$230.29 |
$606.00 |
$1,584.86 |
|
|
Aortic circulation assist 33971
|
$4,104.93 |
$4,104.93 |
$4,104.93 |
|
|
Aortic dysfunction/dilation
|
$614.50 |
$614.50 |
$614.50 |
|
|
Aortic dysfunction/dilation
|
$1,646.36 |
$1,646.36 |
$1,646.36 |
|
|
Apheresis immunoads slctv
|
$17,274.00 |
$17,274.00 |
$17,274.00 |
|
|
Apheresis plasma
|
$1,749.36 |
$3,510.00 |
$9,330.00 |
|
|
Apheresis platelets
|
$1,207.09 |
$7,534.80 |
$7,534.80 |
|
|
Apheresis rbc
|
$1,207.09 |
$7,470.06 |
$7,470.06 |
|
|
Apheresis wbc
|
$1,312.17 |
$7,470.06 |
$7,470.06 |
|
|
Apl(pml-rara) quant - sendout
|
$954.00 |
$1,038.18 |
$2,061.00 |
|
|
Appendix Removal (Laparoscopic)
|
$10,651.00 |
$10,651.00 |
$10,651.00 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,170.00 |
$2,021.98 |
$6,432.61 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$498.81 |
$498.81 |
$2,436.00 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$599.04 |
$1,011.14 |
$3,586.00 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,275.36 |
$2,015.13 |
$8,939.00 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$498.81 |
$1,275.36 |
$5,864.00 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$498.81 |
$1,011.14 |
$3,586.00 |
|
|
Appl hip spica cast 1 leg
|
$336.96 |
$336.96 |
$336.96 |
|
|
Application clubfoot cast
|
$166.92 |
$166.92 |
$166.92 |
|
|
Application finger splntstatic 29130
|
$48.25 |
$614.64 |
$4,609.00 |
|
|
Application long leg splint 29505
|
$384.00 |
$614.64 |
$2,052.93 |
|
|
Application lower leg splint 29515
|
$540.54 |
$586.00 |
$4,862.00 |
|
|
Application multi layer compression below knee (both sides)
|
$187.08 |
$685.00 |
$1,171.32 |
|
|
Application of body cast
|
$716.00 |
$716.00 |
$716.00 |
|
|
Application of cylinder cast 29365
|
$336.96 |
$336.96 |
$336.96 |
|
|
Application of forearm cast 29075
|
$977.00 |
$1,219.53 |
$3,507.58 |
|
|
Application of long arm cast 29065
|
$977.00 |
$1,219.53 |
$3,507.58 |
|
|
Application of long leg cast
|
$304.98 |
$304.98 |
$304.98 |
|
|
Application of long leg cast 29345
|
$977.00 |
$1,363.83 |
$4,862.00 |
|
|
Application of paste boot 29580
|
$174.64 |
$614.64 |
$1,083.19 |
|
|
Application short leg cast 29405
|
$821.00 |
$893.10 |
$3,507.58 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,170.00 |
$2,021.98 |
$12,600.28 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,170.00 |
$2,021.98 |
$12,600.28 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$171.98 |
$2,026.32 |
$4,620.00 |
|
|
Appl long leg cast brace
|
$304.98 |
$304.98 |
$977.00 |
|
|
Appl mltpln uni ext fixj sys
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.00 |
$62.01 |
$546.14 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$38.00 |
$67.86 |
$421.85 |
|
|
Appl modality 1+lllt po pain
|
$49.92 |
$49.92 |
$49.92 |
|
|
Appl multlay comprs arm/hand
|
$339.69 |
$339.69 |
$480.37 |
|
|
Appl unipln uni ext fixj sys
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Apply finger cast 29086
|
$614.64 |
$614.64 |
$941.91 |
|
|
Apply forearm splintdynamic 29126
|
$37.89 |
$326.82 |
$812.49 |
|
|
Apply halo w/removal cranial
|
$3,259.23 |
$3,259.23 |
$3,259.23 |
|
|
Apply hand/wrist cast 29085
|
$214.89 |
$214.89 |
$586.00 |
|
|
Apply interstit radiat compl
|
$914.05 |
$3,329.04 |
$4,667.00 |
|
|
Apply intrcav radiat compl
|
$1,815.45 |
$1,815.45 |
$10,346.41 |
|
|
Apply intrcav radiat interm
|
$1,338.48 |
$1,338.48 |
$7,871.27 |
|
|
Apply intrcav radiat simple
|
$1,338.48 |
$1,338.48 |
$7,871.27 |
|
|
Apply of finger splint 29131
|
$48.25 |
$73.32 |
$231.00 |
|
|
Apply rem fixation device
|
$3,818.10 |
$3,818.10 |
$6,281.00 |
|
|
Apply rigid leg cast 29445
|
$119.00 |
$1,191.00 |
$1,910.61 |
|
|
Apply short leg castambul type 29425
|
$301.86 |
$301.86 |
$1,824.67 |
|
|
Apply surf ldr radionuclide
|
$251.55 |
$251.55 |
$4,377.00 |
|
|
App mltpln uni xtrnl fix 1st
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
App mltpln uni xtrnl fix xch
|
$1,845.48 |
$1,845.48 |
$1,845.48 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$8.37 |
$8.37 |
$3,651.97 |
|
|
#aptt mix-1:1 incubated
|
$129.95 |
$213.72 |
$213.72 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$54.00 |
$231.66 |
$231.66 |
|
|
Aqmbf pet rest & rx stress
|
$1,049.00 |
$1,049.00 |
$1,762.68 |
|
|
Aquaporin-4 antibody cba each
|
$115.00 |
$143.52 |
$645.84 |
|
|
Aquaporin-4 antibody elisa
|
$97.68 |
$114.22 |
$617.96 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$76.44 |
$86.14 |
$224.34 |
|
|
Aquatic exercise - group charge
|
$63.57 |
$64.24 |
$580.03 |
|
|
Aqueous shunt eye w/graft
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
|
|
Argatroban nonesrd use 1mg
|
$8.83 |
$8.83 |
$1,891.08 |
|
|
Ar gene charac alleles
|
$225.42 |
$225.42 |
$225.42 |
|
|
Ar gene full gene sequence
|
$495.69 |
$495.69 |
$495.69 |
|
|
Ar gene known famil variant
|
$304.59 |
$304.59 |
$304.59 |
|
|
Arm CT Scan (with contrast, both arms)
|
$1,028.01 |
$1,963.00 |
$7,405.97 |
|
|
Arm CT Scan (without contrast, both arms)
|
$694.72 |
$1,275.00 |
$7,040.23 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$195.36 |
$498.06 |
$2,459.56 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$165.19 |
$165.19 |
$1,425.60 |
|
|
Art byp aortofemoral 35647
|
$3,313.72 |
$3,313.72 |
$3,313.72 |
|
|
Art bypass aortobifemoral 35646
|
$48,000.00 |
$48,000.00 |
$48,000.00 |
|
|
Art bypass axillary-femoral 35621
|
$3,217.23 |
$3,217.23 |
$3,217.23 |
|
|
Art bypass carotid-subclavian 35606
|
$3,313.72 |
$3,313.72 |
$3,313.72 |
|
|
Art bypass fem-ant-post tib/prl 35666
|
$3,313.72 |
$3,313.72 |
$3,313.72 |
|
|
Art bypass femoral-femoral 35661
|
$3,217.23 |
$8,602.00 |
$8,602.00 |
|
|
Art bypass femoral-popliteal 35656
|
$3,217.23 |
$36,240.00 |
$36,240.00 |
|
|
Art bypass iliofemoral 35665
|
$2,933.07 |
$2,933.07 |
$2,933.07 |
|
|
Art byp grft aortbifemoral 35540
|
$48,000.00 |
$48,000.00 |
$48,000.00 |
|
|
Art byp grft axill-brachial
|
$3,217.23 |
$3,217.23 |
$3,217.23 |
|
|
Art byp grft brachial-brchl
|
$3,313.72 |
$3,313.72 |
$3,313.72 |
|
|
Art byp grft fem-femoral 35558
|
$3,217.23 |
$3,217.23 |
$3,217.23 |
|
|
Art byp grft fem-popliteal 35556
|
$3,313.72 |
$36,240.00 |
$36,240.00 |
|
|
Art byp ilioiliac 35663
|
$3,005.59 |
$3,005.59 |
$3,005.59 |
|
|
Art byp pop-tibl-prl-other 35571
|
$3,313.72 |
$36,240.00 |
$36,240.00 |
|
|
Arterial blood draw/perc 36620
|
$386.27 |
$449.67 |
$898.66 |
|
|
Artery by graft; iliofemoral 35565
|
$3,155.96 |
$3,155.96 |
$3,155.96 |
|
|
Artery transpose/endovas taa
|
$2,979.24 |
$2,979.24 |
$2,979.24 |
|
