|
Antidepressants class 6/more
|
$276.00 |
$276.00 |
$276.00 |
$29.68
|
|
Antidepressant tricyclic 3-5
|
$232.50 |
$232.50 |
$232.50 |
$23.20
|
|
Antigen therapy services
|
$36.00 |
$36.00 |
$36.00 |
$74.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$8.80 |
$8.80 |
$8.80 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$8.10 |
$8.10 |
$8.10 |
$3.67
|
|
Anti-inhibitor
|
$12.02 |
$12.02 |
$12.02 |
$8.33
|
|
Anti mog serum - sendout
|
$32.25 |
$32.25 |
$32.25 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$32.25 |
$32.25 |
$32.25 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$31.50 |
$31.50 |
$31.50 |
$36.60
|
|
Antinuclear antibodies
|
$98.25 |
$98.25 |
$98.25 |
$91.70
|
|
Antinuclear antibodies titer
|
$88.50 |
$88.50 |
$88.50 |
$79.95
|
|
Antiphosphatidylserine antibody
|
$53.25 |
$53.25 |
$53.25 |
$65.97
|
|
Antipsychotics nos 1-3
|
$107.25 |
$107.25 |
$107.25 |
$153.75
|
|
Antipsychotics nos 4-6
|
$261.00 |
$261.00 |
$261.00 |
$36.00
|
|
Antipsychotics nos 7/more
|
$366.00 |
$366.00 |
$366.00 |
$18.85
|
|
Antistreptolysin o screen
|
$35.25 |
$35.25 |
$35.25 |
$58.30
|
|
Antistreptolysin o titer
|
$45.75 |
$45.75 |
$45.75 |
$52.50
|
|
Antithrombin iii activity
|
$74.25 |
$74.25 |
$74.25 |
$114.00
|
|
Antithrombin iii injection
|
$17.80 |
$17.80 |
$17.80 |
$12.34
|
|
Antithrombin recombinant
|
$12.35 |
$12.35 |
$12.35 |
$9.22
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$11,847.21 |
$11,847.21 |
$11,847.21 |
$7,544.81
|
|
Antithymocyte globuln rabbit
|
$2,623.32 |
$2,623.32 |
$2,623.32 |
$2,111.00
|
|
Ant sgm img i&r speclr mic
|
$91.50 |
$91.50 |
$91.50 |
$182.95
|
|
Apheresis immunoads slctv
|
$6,489.00 |
$6,489.00 |
$6,489.00 |
$5,686.40
|
|
Apheresis plasma
|
$4,391.25 |
$4,391.25 |
$4,391.25 |
$3,291.00
|
|
Apheresis platelets
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$2,195.00
|
|
Apheresis wbc
|
$4,391.25 |
$4,391.25 |
$4,391.25 |
$2,985.00
|
|
Apomorphine hydrochloride
|
$234.37 |
$234.37 |
$234.37 |
$174.99
|
|
Appendix Removal (Laparoscopic)
|
$9,310.50 |
$9,310.50 |
$9,310.50 |
$6,870.89
|
|
Appl cast figure-of-eight
|
$399.00 |
$399.00 |
$399.00 |
$314.28
|
|
Application finger splntstatic 29130
|
$201.75 |
$201.75 |
$201.75 |
$216.80
|
|
Application long leg splint 29505
|
$539.25 |
$539.25 |
$539.25 |
$356.85
|
|
Application lower leg splint 29515
|
$378.00 |
$378.00 |
$378.00 |
$354.00
|
|
Application multi layer compression below knee (both sides)
|
$335.25 |
$335.25 |
$335.25 |
$377.25
|
|
Application of long arm cast 29065
|
$399.00 |
$399.00 |
$399.00 |
$404.63
|
|
Application of long leg cast
|
$507.75 |
$507.75 |
$507.75 |
$444.00
|
|
Application of paste boot 29580
|
$486.75 |
$486.75 |
$486.75 |
$331.74
|
|
Application short leg cast 29405
|
$713.25 |
$713.25 |
$713.25 |
$393.98
|
|
Applicator tag rfid localizer 12gx7cm
|
$744.90 |
$744.90 |
$744.90 |
$895.00
|
|
Apply forearm splintdynamic 29126
|
$378.00 |
$378.00 |
$378.00 |
$263.10
|
|
Apply halo w/removal cranial
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$345.00 |
$345.00 |
$345.00 |
$279.40
|
|
Apply interstit radiat compl
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,168.25 |
$2,168.25 |
$2,168.25 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$1,641.75 |
$1,641.75 |
$1,641.75 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,641.75 |
$1,641.75 |
$1,641.75 |
$1,269.97
|
|
Apply rem fixation device
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,207.18
|
|
Apply short leg castambul type 29425
|
$381.00 |
$381.00 |
$381.00 |
$452.20
|
|
Apply surf ldr radionuclide
|
$372.75 |
$372.75 |
$372.75 |
$251.55
|
|
App topical fluoride varnish
|
$46.50 |
$46.50 |
$46.50 |
$37.70
|
|
#aptt mix-1:1 incubated
|
$219.75 |
$219.75 |
$219.75 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$102.00 |
$102.00 |
$102.00 |
$220.00
|
|
Aqmbf pet rest & rx stress
|
$694.50 |
$694.50 |
$694.50 |
$920.63
|
|
Architect ecm px fx 1 sq cm
|
$592.50 |
$592.50 |
$592.50 |
$4,254.08
|
|
Argatroban nonesrd use 1mg
|
$2,769.99 |
$2,769.99 |
$2,769.99 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$8,986.11 |
$8,986.11 |
$8,986.11 |
$6,286.51
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$3,020.25 |
$3,020.25 |
$3,020.25 |
$1,659.96
|
|
Arterial blood draw/perc 36620
|
$115.50 |
$115.50 |
$115.50 |
$492.05
|
|
Artery-vein nonautograft
|
$3,648.75 |
$3,648.75 |
$3,648.75 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$487.50 |
$487.50 |
$487.50 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$14,317.50 |
$14,317.50 |
$14,317.50 |
$4,402.30
|
|
Artery x-rays adrenal gland
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,476.40
|
|
Artery x-rays adrenals
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$3,729.00
|
|
Artery x-rays chest
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$2,628.15
|
|
Artery x-rays lung
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,286.20
|
|
Artery x-rays lung
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$2,451.75
|
|
Artery x-rays lungs
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,706.68
|
|
Artery xrays of pelvis 75736 26
|
$14,317.50 |
$14,317.50 |
$14,317.50 |
$4,306.90
|
|
Artery x-rays spine
|
$14,313.00 |
$14,313.00 |
$14,313.00 |
$4,294.50
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$8,484.75 |
$8,484.75 |
$8,484.75 |
$17,913.59
|
|
Arthrd si jt perq/min nvas
|
$18,417.75 |
$18,417.75 |
$18,417.75 |
$15,959.91
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$580.50 |
$580.50 |
$580.50 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$693.00 |
$693.00 |
$693.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$510.75 |
$510.75 |
$510.75 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$599.25 |
$599.25 |
$599.25 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$786.75 |
$786.75 |
$786.75 |
$716.94
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$372.00 |
$372.00 |
$372.00 |
$5,241.60
|
|
Artificial larynx
|
$514.50 |
$514.50 |
$514.50 |
$641.41
|
|
Artiss fibrin sealant
|
$965.07 |
$965.07 |
$965.07 |
$1,369.62
|
|
Ascenda two piece catheter
|
$493.80 |
$493.80 |
$493.80 |
$22,538.68
|
|
Asp core fat pad
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$1,127.00
|
|
Asp & inj bone cyst
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$974.90
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,005.50 |
$5,005.50 |
$5,005.50 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$319.50 |
$319.50 |
$319.50 |
$436.10
|
|
Aspirate pleura without imaging 32554
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$689.25 |
$689.25 |
$689.25 |
$1,266.72
|
|
Aspir/inj thyroid cyst 60300
|
$1,085.25 |
$1,085.25 |
$1,085.25 |
$914.34
|
|
Asp pq spinal cord cyst/syrinx
|
$2,476.50 |
$2,476.50 |
$2,476.50 |
$1,322.40
|
|
Assay acid phosphatase
|
$45.00 |
$45.00 |
$45.00 |
$38.22
|
|
Assay alkaline phosphatase
|
$45.00 |
$45.00 |
$45.00 |
$43.82
|
|
Assay blood catecholamines
|
$153.00 |
$153.00 |
$153.00 |
$110.95
|
|
Assay chondroitin sulfate
|
$126.00 |
$126.00 |
$126.00 |
$30.60
|
|
Assay duodenal fluid trypsin
|
$44.25 |
$44.25 |
$44.25 |
$9.94
|
|
Assay free hydroxyproline
|
$137.25 |
$137.25 |
$137.25 |
$57.60
|
|
Assay malate dehydrogenase
|
$45.00 |
$45.00 |
$45.00 |
$10.92
|
|
Assay myeloperoxidase
|
$257.25 |
$257.25 |
$257.25 |
$102.40
|
|
Assay of adp & amp
|
$156.75 |
$156.75 |
$156.75 |
$149.50
|
