|
Antinuclear antibodies
|
$167.30 |
$167.30 |
$167.30 |
$90.00
|
|
Antinuclear antibodies titer
|
$140.70 |
$140.70 |
$140.70 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$204.40 |
$204.40 |
$204.40 |
$64.50
|
|
Antipsychotics nos 1-3
|
$207.20 |
$207.20 |
$207.20 |
$137.80
|
|
Antistreptolysin o titer
|
$185.50 |
$185.50 |
$185.50 |
$52.50
|
|
Antithrombin iii activity
|
$380.80 |
$380.80 |
$380.80 |
$114.00
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$16,931.07 |
$16,931.07 |
$16,931.07 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$3,119.02 |
$3,119.02 |
$3,119.02 |
$1,958.74
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$34,232.03 |
$34,232.03 |
$34,232.03 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$1,222.90 |
$1,222.90 |
$1,222.90 |
$1,088.50
|
|
Aortic dysfunction/dilation
|
$3,275.30 |
$3,275.30 |
$3,275.30 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$462.00 |
$462.00 |
$462.00 |
$462.00
|
|
Apc gene full sequence
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$1,255.20
|
|
Apheresis immunoads slctv
|
$8,842.40 |
$8,842.40 |
$8,842.40 |
$5,794.21
|
|
Apheresis plasma
|
$22,322.65 |
$22,322.65 |
$22,322.65 |
$3,188.50
|
|
Apheresis rbc
|
$5,313.70 |
$5,313.70 |
$5,313.70 |
$3,290.80
|
|
Apheresis wbc
|
$4,558.40 |
$4,558.40 |
$4,558.40 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$1,239.70 |
$1,239.70 |
$1,239.70 |
$500.80
|
|
Appendix Removal (Laparoscopic)
|
$34,314.01 |
$34,314.01 |
$34,314.01 |
$6,904.15
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,857.30 |
$4,857.30 |
$4,857.30 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,429.70 |
$2,429.70 |
$2,429.70 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,599.50 |
$1,599.50 |
$1,599.50 |
$508.18
|
|
Application finger splntstatic 29130
|
$429.80 |
$429.80 |
$429.80 |
$208.50
|
|
Application long leg splint 29505
|
$578.90 |
$578.90 |
$578.90 |
$338.25
|
|
Application lower leg splint 29515
|
$508.20 |
$508.20 |
$508.20 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$529.20 |
$529.20 |
$529.20 |
$370.92
|
|
Application of cylinder cast 29365
|
$401.80 |
$401.80 |
$401.80 |
$431.08
|
|
Application of forearm cast 29075
|
$575.40 |
$575.40 |
$575.40 |
$356.50
|
|
Application of long arm cast 29065
|
$656.60 |
$656.60 |
$656.60 |
$395.45
|
|
Application of paste boot 29580
|
$492.80 |
$492.80 |
$492.80 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$956.90 |
$956.90 |
$956.90 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,038.10 |
$1,038.10 |
$1,038.10 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$415.80 |
$415.80 |
$415.80 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$123.90 |
$123.90 |
$123.90 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$185.50 |
$185.50 |
$185.50 |
$76.80
|
|
Apply finger cast 29086
|
$257.60 |
$257.60 |
$257.60 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$550.20 |
$550.20 |
$550.20 |
$248.95
|
|
Apply halo w/removal cranial
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$471.10 |
$471.10 |
$471.10 |
$267.20
|
|
Apply interstit radiat compl
|
$5,336.80 |
$5,336.80 |
$5,336.80 |
$2,877.50
|
|
Apply of finger splint 29131
|
$556.50 |
$556.50 |
$556.50 |
$177.45
|
|
Apply rigid leg cast 29445
|
$933.10 |
$933.10 |
$933.10 |
$555.00
|
|
Apply surf ldr radionuclide
|
$282.80 |
$282.80 |
$282.80 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$660.10 |
$660.10 |
$660.10 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$585.90 |
$585.90 |
$585.90 |
$244.50
|
|
Aqmbf pet rest & rx stress
|
$2,957.50 |
$2,957.50 |
$2,957.50 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$1,191.40 |
$1,191.40 |
$1,191.40 |
$140.84
|
|
Aquaporin-4 antibody elisa
|
$639.10 |
$639.10 |
$639.10 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$205.80 |
$205.80 |
$205.80 |
$100.00
|
|
Aquatic exercise - group charge
|
$103.60 |
$103.60 |
$103.60 |
$87.15
|
|
Aqueous shunt eye w/graft
|
$20,863.21 |
$20,863.21 |
$20,863.21 |
$5,741.00
|
|
Argatroban nonesrd (accord)
|
$3,062.50 |
$3,062.50 |
$3,062.50 |
$218.25
|
|
Argatroban nonesrd use 1mg
|
$1,110.37 |
$1,110.37 |
$1,110.37 |
$881.10
|
|
Ar gene charac alleles
|
$287.70 |
$287.70 |
$287.70 |
$287.70
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$4,328.62 |
$4,328.62 |
$4,328.62 |
$1,342.85
|
|
Arterial blood draw/perc 36620
|
$71,859.67 |
$71,859.67 |
$71,859.67 |
$485.69
|
|
Artery-vein nonautograft
|
$18,019.40 |
$18,019.40 |
$18,019.40 |
$6,934.40
|
|
Artery xray each vessel 7577426
|
$2,585.10 |
$2,585.10 |
$2,585.10 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,462.20 |
$3,462.20 |
$3,462.20 |
$4,515.50
|
|
Artery x-rays adrenal gland
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$6,422.50 |
$6,422.50 |
$6,422.50 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,183.20 |
$4,183.20 |
$4,183.20 |
$3,729.00
|
|
Artery x-rays chest
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$2,785.15
|
|
Artery x-rays lung
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,286.20
|
|
Artery x-rays lung
|
$2,020.90 |
$2,020.90 |
$2,020.90 |
$2,380.80
|
|
Artery x-rays lungs
|
$7,009.10 |
$7,009.10 |
$7,009.10 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$4,306.40 |
$4,306.40 |
$4,306.40 |
$4,306.40
|
|
Artery x-rays spine
|
$5,770.10 |
$5,770.10 |
$5,770.10 |
$4,500.95
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$721.70 |
$721.70 |
$721.70 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,206.80 |
$1,206.80 |
$1,206.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,347.50 |
$1,347.50 |
$1,347.50 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$673.40 |
$673.40 |
$673.40 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$788.90 |
$788.90 |
$788.90 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$697.90 |
$697.90 |
$697.90 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$42,334.42 |
$42,334.42 |
$42,334.42 |
$4,350.00
|
|
Arthrt glenhumrl jt w/expl
|
$16,329.60 |
$16,329.60 |
$16,329.60 |
$7,807.24
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$52,294.98 |
$52,294.98 |
$52,294.98 |
$4,469.75
|
|
Ascenda two piece catheter
|
$2,402.13 |
$2,402.13 |
$2,402.13 |
$23,074.63
|
|
Aspa gene
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$133.84
|
|
Asp core fat pad
|
$10,215.80 |
$10,215.80 |
$10,215.80 |
$1,123.50
|
|
Asp & inj bone cyst
|
$3,620.40 |
$3,620.40 |
$3,620.40 |
$1,044.00
|
|
Asp & inj w/heparin pleurx cath
|
$11,574.63 |
$11,574.63 |
$11,574.63 |
$1,436.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$15,734.76 |
$15,734.76 |
$15,734.76 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$535.50 |
$535.50 |
$535.50 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$4,458.33 |
$4,458.33 |
$4,458.33 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$865.20
|
|
Asp pq spinal cord cyst/syrinx
|
$1,634.50 |
$1,634.50 |
$1,634.50 |
$1,322.40
|
|
Assay dir meas fr estradiol
|
$160.30 |
$160.30 |
$160.30 |
$67.62
|
|
Assay duodenal fluid trypsin
|
$15.40 |
$15.40 |
$15.40 |
$16.80
|
|
Assay myeloperoxidase
|
$98.70 |
$98.70 |
$98.70 |
$97.41
|
|
Assay neurflmnt light chain
|
$1,173.90 |
$1,173.90 |
$1,173.90 |
$380.00
|
|
Assay of adp & amp
|
$217.70 |
$217.70 |
$217.70 |
$174.60
|
|
Assay of androsterone
|
$56.70 |
$56.70 |
$56.70 |
$114.00
|
|
Assay of corticosterone
|
$329.70 |
$329.70 |
$329.70 |
$55.20
|
|
Assay of etiocholanolone
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Assay of feces porphyrins
|
$105.00 |
$105.00 |
$105.00 |
$136.50
|
|
Assay of fluoride
|
$87.50 |
$87.50 |
$87.50 |
$102.60
|
|
Assay of galactose
|
$494.20 |
$494.20 |
$494.20 |
$47.26
|
