|
Anora (draw only)
|
$87.60 |
$87.60 |
$87.60 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$362.40 |
$362.40 |
$362.40 |
$57.85
|
|
Antibody elution rbc reference
|
$120.00 |
$120.00 |
$120.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$547.80 |
$547.80 |
$547.80 |
$123.24
|
|
Antibody htlv-i
|
$229.80 |
$229.80 |
$229.80 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,362.60 |
$1,362.60 |
$1,362.60 |
$219.30
|
|
Antibody id rbc panel
|
$243.60 |
$243.60 |
$243.60 |
$279.00
|
|
Antibody influenza virus
|
$285.60 |
$285.60 |
$285.60 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$166.20 |
$166.20 |
$166.20 |
$48.57
|
|
Antibody screen rbc
|
$383.40 |
$383.40 |
$383.40 |
$103.08
|
|
Antibody tetanus
|
$196.20 |
$196.20 |
$196.20 |
$52.20
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$33.00 |
$33.00 |
$33.00 |
$44.31
|
|
Antinuclear antibodies
|
$73.80 |
$73.80 |
$73.80 |
$91.65
|
|
Antinuclear antibodies titer
|
$77.40 |
$77.40 |
$77.40 |
$79.62
|
|
Antiphosphatidylserine antibody
|
$415.80 |
$415.80 |
$415.80 |
$66.00
|
|
Antistreptolysin o screen
|
$96.00 |
$96.00 |
$96.00 |
$58.30
|
|
Antistreptolysin o titer
|
$175.80 |
$175.80 |
$175.80 |
$53.00
|
|
Antithrombin iii activity
|
$273.00 |
$273.00 |
$273.00 |
$114.00
|
|
Aortic dysfunction/dilation
|
$6,955.20 |
$6,955.20 |
$6,955.20 |
$992.40
|
|
Apheresis plasma
|
$2,340.60 |
$2,340.60 |
$2,340.60 |
$3,291.00
|
|
Apheresis wbc
|
$4,270.20 |
$4,270.20 |
$4,270.20 |
$2,985.00
|
|
Apl(pml-rara) quant - sendout
|
$810.60 |
$810.60 |
$810.60 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$651.00 |
$651.00 |
$651.00 |
$934.80
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$651.00 |
$651.00 |
$651.00 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,305.40 |
$3,305.40 |
$3,305.40 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$651.00 |
$651.00 |
$651.00 |
$549.08
|
|
Application finger splntstatic 29130
|
$360.60 |
$360.60 |
$360.60 |
$219.00
|
|
Application long leg splint 29505
|
$403.20 |
$403.20 |
$403.20 |
$356.85
|
|
Application lower leg splint 29515
|
$583.20 |
$583.20 |
$583.20 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$369.00 |
$369.00 |
$369.00 |
$377.25
|
|
Application of forearm cast 29075
|
$753.60 |
$753.60 |
$753.60 |
$367.65
|
|
Application of long arm cast 29065
|
$753.60 |
$753.60 |
$753.60 |
$404.63
|
|
Application of long leg cast
|
$403.80 |
$403.80 |
$403.80 |
$444.00
|
|
Application of long leg cast 29345
|
$753.60 |
$753.60 |
$753.60 |
$486.03
|
|
Application of paste boot 29580
|
$814.80 |
$814.80 |
$814.80 |
$331.74
|
|
Application short leg cast 29405
|
$843.60 |
$843.60 |
$843.60 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$307.80 |
$307.80 |
$307.80 |
$898.56
|
|
Appl modality 1/> areas paraffin bath 97018
|
$52.80 |
$52.80 |
$52.80 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.80 |
$52.80 |
$52.80 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$161.40 |
$161.40 |
$161.40 |
$297.50
|
|
Apply hand/wrist cast 29085
|
$342.00 |
$342.00 |
$342.00 |
$279.40
|
|
Apply interstit radiat compl
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$1,736.40 |
$1,736.40 |
$1,736.40 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$1,269.97
|
|
Apply rigid leg cast 29445
|
$655.20 |
$655.20 |
$655.20 |
$585.31
|
|
#aptt mix-1:1 incubated
|
$359.40 |
$359.40 |
$359.40 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$854.40 |
$854.40 |
$854.40 |
$220.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$108.00 |
$108.00 |
$108.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$71.40 |
$71.40 |
$71.40 |
$87.23
|
|
Arterial blood draw/perc 36620
|
$367.80 |
$367.80 |
$367.80 |
$495.00
|
|
Artery xray each vessel 7577426
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$4,324.80 |
$4,324.80 |
$4,324.80 |
$4,412.00
|
|
Artery x-rays arm/leg 75710-26
|
$4,857.00 |
$4,857.00 |
$4,857.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$7,285.20 |
$7,285.20 |
$7,285.20 |
$3,729.00
|
|
Artery x-rays lung
|
$4,764.60 |
$4,764.60 |
$4,764.60 |
$3,286.20
|
|
Artery x-rays lung
|
$3,507.00 |
$3,507.00 |
$3,507.00 |
$2,480.86
|
|
Artery x-rays lungs
|
$2,220.60 |
$2,220.60 |
$2,220.60 |
$3,707.88
|
|
Artery xrays of pelvis 75736 26
|
$4,792.20 |
$4,792.20 |
$4,792.20 |
$4,369.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$768.00 |
$768.00 |
$768.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,719.60 |
$1,719.60 |
$1,719.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,830.60 |
$1,830.60 |
$1,830.60 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$757.20 |
$757.20 |
$757.20 |
$715.37
|
|
Asp core fat pad
|
$396.60 |
$396.60 |
$396.60 |
$1,189.32
|
|
Aspirate bladder/sprapubic cath 51102
|
$9,194.40 |
$9,194.40 |
$9,194.40 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$764.40 |
$764.40 |
$764.40 |
$436.10
|
|
Aspirate pleura without imaging 32554
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,272.70
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$982.80 |
$982.80 |
$982.80 |
$1,267.59
|
|
Aspiration peritonsillar abscess
|
$331.20 |
$331.20 |
$331.20 |
$538.50
|
|
Aspir/inj thyroid cyst 60300
|
$1,726.80 |
$1,726.80 |
$1,726.80 |
$914.34
|
|
Asp pq spinal cord cyst/syrinx
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$1,322.40
|
|
Assay free hydroxyproline
|
$248.40 |
$248.40 |
$248.40 |
$57.60
|
|
Assay neurflmnt light chain
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$380.00
|
|
Assay of breath ethanol
|
$30.00 |
$30.00 |
$30.00 |
$47.30
|
|
Assay of corticosterone
|
$219.60 |
$219.60 |
$219.60 |
$53.29
|
|
Assay of endocrine hormone
|
$217.80 |
$217.80 |
$217.80 |
$143.20
|
|
Assay of galactose
|
$523.20 |
$523.20 |
$523.20 |
$49.21
|
|
Assay of glutathione
|
$117.00 |
$117.00 |
$117.00 |
$75.00
|
|
Assay of interleukin-6 (il-6)
|
$75.60 |
$75.60 |
$75.60 |
$77.35
|
|
Assay of leflunomide
|
$393.60 |
$393.60 |
$393.60 |
$92.50
|
|
Assay of lrh hormone
|
$639.00 |
$639.00 |
$639.00 |
$189.50
|
|
Assay of osteocalcin
|
$106.80 |
$106.80 |
$106.80 |
$93.00
|
|
Assay of procainamide w/metab
|
$204.00 |
$204.00 |
$204.00 |
$63.07
|
|
Assay of prostaglandin
|
$97.20 |
$97.20 |
$97.20 |
$218.50
|
|
Assay of salicylate
|
$120.60 |
$120.60 |
$120.60 |
$95.00
|
|
Assay of somatostatin
|
$750.60 |
$750.60 |
$750.60 |
$165.60
|
|
Assay of thiocyanate
|
$194.40 |
$194.40 |
$194.40 |
$62.72
|
|
Assay of tyrosine
|
$145.20 |
$145.20 |
$145.20 |
$56.10
|
|
Assay of urine sulfate
|
$71.40 |
$71.40 |
$71.40 |
$30.00
|
|
Assay phosphatidylglycerol
|
$260.40 |
$260.40 |
$260.40 |
$134.16
|
|
Assay phosphohexose enzymes
|
$230.40 |
$230.40 |
$230.40 |
$92.04
|
|
Assay toxin or antitoxin
|
$235.20 |
$235.20 |
$235.20 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$300.00 |
$300.00 |
$300.00 |
$292.50
|
|
Assess cyst contrast inject
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$456.33
|
|
Assistive tech assessment, ot
|
$90.60 |
$90.60 |
$90.60 |
$96.08
|
