|
Anal/urinary muscle study
|
$923.04 |
$923.04 |
$923.04 |
$576.00
|
|
Analysis gene f2 20210g>a variant
|
$704.16 |
$704.16 |
$704.16 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$704.16 |
$704.16 |
$704.16 |
$230.40
|
|
Anca screen with reflex to titer -quest
|
$321.12 |
$321.12 |
$321.12 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$7,622.64 |
$7,622.64 |
$7,622.64 |
$2,626.65
|
|
An fluoro guide for cvp
|
$808.56 |
$808.56 |
$808.56 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,606.64 |
$5,606.64 |
$5,606.64 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$10,709.28 |
$10,709.28 |
$10,709.28 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,315.60 |
$12,315.60 |
$12,315.60 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$7,012.08 |
$7,012.08 |
$7,012.08 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$211.64 |
$211.64 |
$211.64 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,627.28 |
$2,627.28 |
$2,627.28 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$10,709.28 |
$10,709.28 |
$10,709.28 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,209.68 |
$2,209.68 |
$2,209.68 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$12,315.60 |
$12,315.60 |
$12,315.60 |
$8,466.00
|
|
Ankle X-ray
|
$593.28 |
$593.28 |
$593.28 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$756.72 |
$756.72 |
$756.72 |
$627.94
|
|
Antibody bacterium, not elsewhere specified
|
$133.92 |
$133.92 |
$133.92 |
$57.81
|
|
Antibody elution rbc reference
|
$227.52 |
$227.52 |
$227.52 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$232.56 |
$232.56 |
$232.56 |
$130.00
|
|
Antibody htlv-i
|
$123.84 |
$123.84 |
$123.84 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$386.64 |
$386.64 |
$386.64 |
$218.30
|
|
Antibody id rbc panel
|
$453.60 |
$453.60 |
$453.60 |
$274.56
|
|
Antibody influenza virus
|
$96.48 |
$96.48 |
$96.48 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$85.68 |
$85.68 |
$85.68 |
$48.57
|
|
Antibody screen rbc
|
$126.00 |
$126.00 |
$126.00 |
$100.00
|
|
Antibody tetanus
|
$150.48 |
$150.48 |
$150.48 |
$53.95
|
|
Antidepressant not specified
|
$56.16 |
$56.16 |
$56.16 |
$61.80
|
|
Antidepressants class 3-5
|
$118.08 |
$118.08 |
$118.08 |
$59.46
|
|
Anti mog serum - sendout
|
$1,357.92 |
$1,357.92 |
$1,357.92 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$129.60 |
$129.60 |
$129.60 |
$37.05
|
|
Antinuclear antibodies
|
$199.44 |
$199.44 |
$199.44 |
$89.40
|
|
Antinuclear antibodies titer
|
$123.12 |
$123.12 |
$123.12 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$61.92 |
$61.92 |
$61.92 |
$65.97
|
|
Antipsychotics nos 1-3
|
$167.76 |
$167.76 |
$167.76 |
$142.42
|
|
Antipsychotics nos 7/more
|
$9.36 |
$9.36 |
$9.36 |
$16.24
|
|
Antistreptolysin o titer
|
$72.00 |
$72.00 |
$72.00 |
$51.45
|
|
Antithrombin iii activity
|
$234.00 |
$234.00 |
$234.00 |
$114.00
|
|
Apc gene dup/delet variants
|
$1,665.36 |
$1,665.36 |
$1,665.36 |
$400.00
|
|
Apc gene full sequence
|
$1,628.64 |
$1,628.64 |
$1,628.64 |
$1,255.02
|
|
Apheresis plasma
|
$5,715.36 |
$5,715.36 |
$5,715.36 |
$3,188.50
|
|
Apheresis platelets
|
$4,572.00 |
$4,572.00 |
$4,572.00 |
$2,042.95
|
|
Apheresis rbc
|
$4,572.00 |
$4,572.00 |
$4,572.00 |
$3,146.15
|
|
Apheresis wbc
|
$4,572.00 |
$4,572.00 |
$4,572.00 |
$2,968.80
|
|
Apl(pml-rara) quant - sendout
|
$1,142.64 |
$1,142.64 |
$1,142.64 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$436.32 |
$436.32 |
$436.32 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$320.40 |
$320.40 |
$320.40 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$7,907.76 |
$7,907.76 |
$7,907.76 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$436.32 |
$436.32 |
$436.32 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$160.56 |
$160.56 |
$160.56 |
$498.81
|
|
Application finger splntstatic 29130
|
$684.72 |
$684.72 |
$684.72 |
$208.16
|
|
Application long leg splint 29505
|
$641.52 |
$641.52 |
$641.52 |
$338.25
|
|
Application lower leg splint 29515
|
$524.16 |
$524.16 |
$524.16 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$583.92 |
$583.92 |
$583.92 |
$373.20
|
|
Application of forearm cast 29075
|
$573.84 |
$573.84 |
$573.84 |
$339.30
|
|
Application of long arm cast 29065
|
$576.72 |
$576.72 |
$576.72 |
$395.00
|
|
Application of long leg cast 29345
|
$701.28 |
$701.28 |
$701.28 |
$455.00
|
|
Application of paste boot 29580
|
$596.88 |
$596.88 |
$596.88 |
$331.74
|
|
Application short leg cast 29405
|
$639.36 |
$639.36 |
$639.36 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$108.00 |
$108.00 |
$108.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$182.16 |
$182.16 |
$182.16 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$113.04 |
$113.04 |
$113.04 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$657.36 |
$657.36 |
$657.36 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$344.16 |
$344.16 |
$344.16 |
$259.20
|
|
Apply of finger splint 29131
|
$653.76 |
$653.76 |
$653.76 |
$168.00
|
|
Apply rigid leg cast 29445
|
$997.92 |
$997.92 |
$997.92 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$430.56 |
$430.56 |
$430.56 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$419.76 |
$419.76 |
$419.76 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$232.56 |
$232.56 |
$232.56 |
$100.00
|
|
Aquatic exercise - group charge
|
$261.36 |
$261.36 |
$261.36 |
$85.80
|
|
Art bypass fem-ant-post tib/prl 35666
|
$2,553.12 |
$2,553.12 |
$2,553.12 |
$3,313.72
|
|
Art bypass femoral-femoral 35661
|
$719.28 |
$719.28 |
$719.28 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$1,038.96 |
$1,038.96 |
$1,038.96 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$5,106.24 |
$5,106.24 |
$5,106.24 |
$2,457.18
|
|
Arterial blood draw/perc 36620
|
$876.24 |
$876.24 |
$876.24 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,712.96 |
$2,712.96 |
$2,712.96 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$6,292.80 |
$6,292.80 |
$6,292.80 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,729.00
|
|
Artery xrays of pelvis 75736 26
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,703.52 |
$1,703.52 |
$1,703.52 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$3,309.84 |
$3,309.84 |
$3,309.84 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,916.00 |
$2,916.00 |
$2,916.00 |
$715.37
|
|
Ascenda two piece catheter
|
$23,760.00 |
$23,760.00 |
$23,760.00 |
$22,951.20
|
|
Asp & inj bone cyst
|
$2,856.96 |
$2,856.96 |
$2,856.96 |
$974.90
|
|
Aspirate/inj ganglion cyst 20612
|
$828.00 |
$828.00 |
$828.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,671.12 |
$1,671.12 |
$1,671.12 |
$1,226.87
|
|
Assay alkaline phosphatase
|
$90.00 |
$90.00 |
$90.00 |
$51.60
|
|
Assay of breath ethanol
|
$90.00 |
$90.00 |
$90.00 |
$47.30
|
|
Assay of endocrine hormone
|
$304.56 |
$304.56 |
$304.56 |
$143.20
|
|
Assay of feces porphyrins
|
$455.76 |
$455.76 |
$455.76 |
$166.20
|
|
Assay of glucosidase
|
$284.40 |
$284.40 |
$284.40 |
$161.58
|
|
Assay of glutathione
|
$165.60 |
$165.60 |
$165.60 |
$76.14
|
