|
Alpha-fetoprotein amniotic
|
$135.60 |
$135.60 |
$135.60 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$222.00 |
$222.00 |
$222.00 |
$106.00
|
|
Alt/sgpt
|
$99.00 |
$99.00 |
$99.00 |
$45.78
|
|
Aluminum - quest
|
$138.60 |
$138.60 |
$138.60 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$201.00 |
$201.00 |
$201.00 |
$444.50
|
|
Ambl bp mntr w/sw i&r
|
$59.40 |
$59.40 |
$59.40 |
$42.40
|
|
Amino acid screen, urine
|
$537.00 |
$537.00 |
$537.00 |
$77.00
|
|
Amino acids quant 2-5
|
$351.60 |
$351.60 |
$351.60 |
$138.03
|
|
Aminolevulinic acid delta
|
$212.40 |
$212.40 |
$212.40 |
$74.10
|
|
Amitriptyline (elavil) -sendout
|
$143.40 |
$143.40 |
$143.40 |
$92.50
|
|
Ammonia
|
$135.00 |
$135.00 |
$135.00 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$976.80 |
$976.80 |
$976.80 |
$943.50
|
|
Amniocentesis therapeutic
|
$709.20 |
$709.20 |
$709.20 |
$778.57
|
|
Amniotic fluid scan
|
$150.00 |
$150.00 |
$150.00 |
$42.40
|
|
Amphetamine confirm urine -sendout
|
$294.00 |
$294.00 |
$294.00 |
$93.61
|
|
Amphetamines 5 or more
|
$223.20 |
$223.20 |
$223.20 |
$87.75
|
|
Amylase
|
$226.80 |
$226.80 |
$226.80 |
$84.50
|
|
Anabolic steroid 1 or 2
|
$169.80 |
$169.80 |
$169.80 |
$80.08
|
|
Anal/urinary muscle study
|
$479.40 |
$479.40 |
$479.40 |
$411.48
|
|
Anal/urinary muscle study
|
$479.40 |
$479.40 |
$479.40 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$238.80 |
$238.80 |
$238.80 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$859.20 |
$859.20 |
$859.20 |
$216.45
|
|
Analysis gene f5 leiden variant
|
$481.80 |
$481.80 |
$481.80 |
$221.13
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$411.60 |
$411.60 |
$411.60 |
$123.84
|
|
Anaplsma phgcytophlm amp prb
|
$39.00 |
$39.00 |
$39.00 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$251.40 |
$251.40 |
$251.40 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$2,494.35
|
|
An fluoro guide for cvp
|
$843.60 |
$843.60 |
$843.60 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$13,138.20 |
$13,138.20 |
$13,138.20 |
$5,341.83
|
|
Angio trnslmnl balloon same artery ea addl
|
$10,422.00 |
$10,422.00 |
$10,422.00 |
$4,881.00
|
|
Angio trnslmnl balloon same artery ini
|
$14,908.20 |
$14,908.20 |
$14,908.20 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,951.40 |
$2,951.40 |
$2,951.40 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$12,689.40 |
$12,689.40 |
$12,689.40 |
$8,630.79
|
|
Ankle X-ray
|
$495.60 |
$495.60 |
$495.60 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$498.60 |
$498.60 |
$498.60 |
$630.96
|
|
Annual Physical, Established Patient (age 18-39)
|
$120.60 |
$120.60 |
$120.60 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$120.00 |
$120.00 |
$120.00 |
$166.20
|
|
Annual Physical, New Patient (age 18-39)
|
$164.40 |
$164.40 |
$164.40 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$157.80 |
$157.80 |
$157.80 |
$185.90
|
|
Anora (draw only)
|
$71.40 |
$71.40 |
$71.40 |
$35.00
|
|
Anoscopy remove fb 46608
|
$574.20 |
$574.20 |
$574.20 |
$1,466.40
|
|
Antibody bacterium, not elsewhere specified
|
$283.20 |
$283.20 |
$283.20 |
$57.85
|
|
Antibody elution rbc reference
|
$123.00 |
$123.00 |
$123.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$442.20 |
$442.20 |
$442.20 |
$123.24
|
|
Antibody htlv-i
|
$177.60 |
$177.60 |
$177.60 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$219.30
|
|
Antibody id rbc panel
|
$226.80 |
$226.80 |
$226.80 |
$279.00
|
|
Antibody influenza virus
|
$222.60 |
$222.60 |
$222.60 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$159.00 |
$159.00 |
$159.00 |
$48.57
|
|
Antibody screen rbc
|
$154.80 |
$154.80 |
$154.80 |
$103.08
|
|
Antibody tetanus
|
$156.00 |
$156.00 |
$156.00 |
$52.20
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.00 |
$30.00 |
$30.00 |
$44.31
|
|
Antinuclear antibodies
|
$201.00 |
$201.00 |
$201.00 |
$91.65
|
|
Antinuclear antibodies titer
|
$129.00 |
$129.00 |
$129.00 |
$79.62
|
|
Antiphosphatidylserine antibody
|
$324.60 |
$324.60 |
$324.60 |
$66.00
|
|
Antistreptolysin o titer
|
$155.40 |
$155.40 |
$155.40 |
$53.00
|
|
Antithrombin iii activity
|
$168.60 |
$168.60 |
$168.60 |
$114.00
|
|
Aortic dysfunction/dilation
|
$6,714.60 |
$6,714.60 |
$6,714.60 |
$992.40
|
|
Apheresis immunoads slctv
|
$8,076.60 |
$8,076.60 |
$8,076.60 |
$5,686.40
|
|
Apheresis plasma
|
$3,472.20 |
$3,472.20 |
$3,472.20 |
$3,291.00
|
|
Apheresis platelets
|
$1,941.00 |
$1,941.00 |
$1,941.00 |
$2,195.00
|
|
Apheresis rbc
|
$4,222.20 |
$4,222.20 |
$4,222.20 |
$3,146.15
|
|
Apheresis wbc
|
$4,222.20 |
$4,222.20 |
$4,222.20 |
$2,985.00
|
|
Apl(pml-rara) quant - sendout
|
$774.00 |
$774.00 |
$774.00 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$934.80
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$568.80 |
$568.80 |
$568.80 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,965.00 |
$4,965.00 |
$4,965.00 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$568.80 |
$568.80 |
$568.80 |
$549.08
|
|
Application finger splntstatic 29130
|
$193.20 |
$193.20 |
$193.20 |
$219.00
|
|
Application long leg splint 29505
|
$700.80 |
$700.80 |
$700.80 |
$356.85
|
|
Application lower leg splint 29515
|
$601.80 |
$601.80 |
$601.80 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$397.80 |
$397.80 |
$397.80 |
$377.25
|
|
Application of forearm cast 29075
|
$260.40 |
$260.40 |
$260.40 |
$367.65
|
|
Application of long arm cast 29065
|
$260.40 |
$260.40 |
$260.40 |
$404.63
|
|
Application of long leg cast
|
$403.80 |
$403.80 |
$403.80 |
$444.00
|
|
Application of long leg cast 29345
|
$307.80 |
$307.80 |
$307.80 |
$486.03
|
|
Application of paste boot 29580
|
$476.40 |
$476.40 |
$476.40 |
$331.74
|
|
Application short leg cast 29405
|
$820.80 |
$820.80 |
$820.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$2,189.70
|
|
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
|
$417.00 |
$417.00 |
$417.00 |
$297.50
|
|
Apply halo w/removal cranial
|
$602.40 |
$602.40 |
$602.40 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$184.80 |
$184.80 |
$184.80 |
$279.40
|
|
Apply interstit radiat compl
|
$3,898.80 |
$3,898.80 |
$3,898.80 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,360.40 |
$2,360.40 |
$2,360.40 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$1,269.97
|
|
Apply rem fixation device
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$900.00 |
$900.00 |
$900.00 |
$585.31
|
|
Apply surf ldr radionuclide
|
$429.60 |
$429.60 |
$429.60 |
$251.55
|
|
#aptt mix-1:1 incubated
|
$269.40 |
$269.40 |
$269.40 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$787.20 |
$787.20 |
$787.20 |
$220.00
|
|
Aqmbf pet rest & rx stress
|
$906.00 |
$906.00 |
$906.00 |
$920.63
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$108.00 |
$108.00 |
$108.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$207.60 |
$207.60 |
$207.60 |
$87.23
|
|
Art byp ilioiliac 35663
|
$975.00 |
$975.00 |
$975.00 |
$1,854.00
|
