|
Apl(pml-rara) quant - sendout
|
$742.20 |
$742.20 |
$742.20 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,110.80 |
$2,110.80 |
$2,110.80 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,132.20 |
$1,132.20 |
$1,132.20 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$454.80 |
$454.80 |
$454.80 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,428.40 |
$3,428.40 |
$3,428.40 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,132.20 |
$1,132.20 |
$1,132.20 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$454.80 |
$454.80 |
$454.80 |
$498.81
|
|
Application finger splntstatic 29130
|
$412.80 |
$412.80 |
$412.80 |
$208.16
|
|
Application long leg splint 29505
|
$317.40 |
$317.40 |
$317.40 |
$338.25
|
|
Application lower leg splint 29515
|
$379.80 |
$379.80 |
$379.80 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$210.00 |
$210.00 |
$210.00 |
$373.20
|
|
Application of forearm cast 29075
|
$260.40 |
$260.40 |
$260.40 |
$339.30
|
|
Application of long arm cast 29065
|
$260.40 |
$260.40 |
$260.40 |
$395.00
|
|
Application of long leg cast
|
$403.80 |
$403.80 |
$403.80 |
$426.00
|
|
Application of long leg cast 29345
|
$307.80 |
$307.80 |
$307.80 |
$455.00
|
|
Application of paste boot 29580
|
$649.80 |
$649.80 |
$649.80 |
$331.74
|
|
Application short leg cast 29405
|
$919.80 |
$919.80 |
$919.80 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,835.40 |
$1,835.40 |
$1,835.40 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,835.40 |
$1,835.40 |
$1,835.40 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$307.80 |
$307.80 |
$307.80 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$52.80 |
$52.80 |
$52.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.80 |
$52.80 |
$52.80 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$161.40 |
$161.40 |
$161.40 |
$292.60
|
|
Apply hand/wrist cast 29085
|
$184.80 |
$184.80 |
$184.80 |
$259.20
|
|
Apply interstit radiat compl
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$3,031.80 |
$3,031.80 |
$3,031.80 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$2,107.80 |
$2,107.80 |
$2,107.80 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$1,207.44
|
|
Apply rigid leg cast 29445
|
$952.20 |
$952.20 |
$952.20 |
$555.00
|
|
Apply surf ldr radionuclide
|
$212.40 |
$212.40 |
$212.40 |
$251.55
|
|
#aptt mix-1:1 incubated
|
$303.60 |
$303.60 |
$303.60 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$767.40 |
$767.40 |
$767.40 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$108.00 |
$108.00 |
$108.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$39.60 |
$39.60 |
$39.60 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$903.60 |
$903.60 |
$903.60 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,598.60 |
$2,598.60 |
$2,598.60 |
$1,844.46
|
|
Artery x-rays arm/leg 75710-26
|
$4,831.20 |
$4,831.20 |
$4,831.20 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$5,385.60 |
$5,385.60 |
$5,385.60 |
$3,729.00
|
|
Artery x-rays lungs
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$4,831.20 |
$4,831.20 |
$4,831.20 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,726.80 |
$1,726.80 |
$1,726.80 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,147.40 |
$2,147.40 |
$2,147.40 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,147.40 |
$2,147.40 |
$2,147.40 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$474.00 |
$474.00 |
$474.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,250.60 |
$2,250.60 |
$2,250.60 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$2,147.40 |
$2,147.40 |
$2,147.40 |
$699.00
|
|
Aspirate pleura without imaging 32554
|
$1,547.40 |
$1,547.40 |
$1,547.40 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$850.78
|
|
Assay neurflmnt light chain
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$380.00
|
|
Assay of glutathione
|
$123.60 |
$123.60 |
$123.60 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$78.00 |
$78.00 |
$78.00 |
$79.97
|
|
Assay of leflunomide
|
$402.60 |
$402.60 |
$402.60 |
$100.65
|
|
Assay of prostaglandin
|
$103.80 |
$103.80 |
$103.80 |
$218.50
|
|
Assay of salicylate
|
$126.60 |
$126.60 |
$126.60 |
$95.00
|
|
Assay of somatostatin
|
$723.60 |
$723.60 |
$723.60 |
$165.00
|
|
Assay of thiocyanate
|
$181.80 |
$181.80 |
$181.80 |
$65.00
|
|
Assay of tyrosine
|
$136.80 |
$136.80 |
$136.80 |
$60.00
|
|
Assay of urine sulfate
|
$70.80 |
$70.80 |
$70.80 |
$29.04
|
|
Assay phosphatidylglycerol
|
$246.00 |
$246.00 |
$246.00 |
$134.16
|
|
Assay phosphohexose enzymes
|
$86.40 |
$86.40 |
$86.40 |
$105.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$300.00 |
$300.00 |
$300.00 |
$292.50
|
|
Assistive tech assessment, ot
|
$90.60 |
$90.60 |
$90.60 |
$96.08
|
|
Ast/sgot
|
$82.20 |
$82.20 |
$82.20 |
$45.65
|
|
Aud rehab postling hear loss
|
$138.60 |
$138.60 |
$138.60 |
$213.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$445.80 |
$445.80 |
$445.80 |
$318.75
|
|
Baclofen eval charges
|
$106.20 |
$106.20 |
$106.20 |
$85.00
|
|
Bacterial meningitis antigen
|
$139.80 |
$139.80 |
$139.80 |
$66.30
|
|
Bacterial vaginosis pcr
|
$850.80 |
$850.80 |
$850.80 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$129.00 |
$129.00 |
$129.00 |
$105.00
|
|
B cells total count
|
$511.20 |
$511.20 |
$511.20 |
$131.30
|
|
#_benzodiazconfur
|
$202.20 |
$202.20 |
$202.20 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$424.20 |
$424.20 |
$424.20 |
$78.50
|
|
Beta-2 microglobulin
|
$409.20 |
$409.20 |
$409.20 |
$85.94
|
|
Beta-amyloid 1-42
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$61.80 |
$61.80 |
$61.80 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$42.60 |
$42.60 |
$42.60 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$556.40
|
|
Bilicheck
|
$77.40 |
$77.40 |
$77.40 |
$28.80
|
|
Bilirubin direct
|
$75.60 |
$75.60 |
$75.60 |
$50.00
|
|
Bilirubin total
|
$111.00 |
$111.00 |
$111.00 |
$52.57
|
|
Biopsy abdominal mass
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,770.73
|
|
Biopsy cervixsingle/multiple 57500
|
$710.40 |
$710.40 |
$710.40 |
$1,266.48
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,487.60 |
$2,487.60 |
$2,487.60 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$3,076.20 |
$3,076.20 |
$3,076.20 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,289.00 |
$2,289.00 |
$2,289.00 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$481.20 |
$481.20 |
$481.20 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$5,965.80 |
$5,965.80 |
$5,965.80 |
$2,462.35
|
|
Biotinidase - quest
|
$172.20 |
$172.20 |
$172.20 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$868.80 |
$868.80 |
$868.80 |
$408.00
|
|
Block tap inj(s) w/wo img bi
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$145.20 |
$145.20 |
$145.20 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$137.40 |
$137.40 |
$137.40 |
$73.44
|
