|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$550.00 |
$550.00 |
$550.00 |
$117.01
|
|
Anal/urinary muscle study
|
$212.50 |
$212.50 |
$212.50 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$285.00 |
$285.00 |
$285.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$340.00 |
$340.00 |
$340.00 |
$249.60
|
|
Analysis nerve
|
$477.50 |
$477.50 |
$477.50 |
$262.40
|
|
Anaplsma phgcytophlm amp prb
|
$112.50 |
$112.50 |
$112.50 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$90.00 |
$90.00 |
$90.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$1,805.00 |
$1,805.00 |
$1,805.00 |
$2,480.94
|
|
An fluoro guide for cvp
|
$285.00 |
$285.00 |
$285.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,150.00 |
$5,150.00 |
$5,150.00 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,885.00 |
$4,885.00 |
$4,885.00 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$8,840.00 |
$8,840.00 |
$8,840.00 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$4,130.00 |
$4,130.00 |
$4,130.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$4,820.00 |
$4,820.00 |
$4,820.00 |
$8,359.11
|
|
Ankle X-ray
|
$360.00 |
$360.00 |
$360.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$285.00 |
$285.00 |
$285.00 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$117.50 |
$117.50 |
$117.50 |
$57.85
|
|
Antibody elution rbc reference
|
$185.00 |
$185.00 |
$185.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$130.00 |
$130.00 |
$130.00 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$180.00 |
$180.00 |
$180.00 |
$224.00
|
|
Antibody id rbc panel
|
$250.00 |
$250.00 |
$250.00 |
$291.75
|
|
Antibody screen rbc
|
$135.00 |
$135.00 |
$135.00 |
$108.55
|
|
Antidepressant not specified
|
$50.00 |
$50.00 |
$50.00 |
$72.14
|
|
Anti mog serum - sendout
|
$200.00 |
$200.00 |
$200.00 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$80.00 |
$80.00 |
$80.00 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$80.00 |
$80.00 |
$80.00 |
$42.00
|
|
Antinuclear antibodies
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$60.00 |
$60.00 |
$60.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$130.00 |
$130.00 |
$130.00 |
$67.43
|
|
Antipsychotics nos 1-3
|
$345.00 |
$345.00 |
$345.00 |
$136.61
|
|
Antistreptolysin o titer
|
$50.00 |
$50.00 |
$50.00 |
$54.00
|
|
Antithrombin iii activity
|
$82.50 |
$82.50 |
$82.50 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$375.00 |
$375.00 |
$375.00 |
$394.55
|
|
Apheresis plasma
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$3,226.34
|
|
Apheresis platelets
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$2,195.00
|
|
Apheresis rbc
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$3,290.80
|
|
Apheresis wbc
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$440.00 |
$440.00 |
$440.00 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$900.00 |
$900.00 |
$900.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$900.00 |
$900.00 |
$900.00 |
$512.20
|
|
Application finger splntstatic 29130
|
$160.00 |
$160.00 |
$160.00 |
$208.50
|
|
Application long leg splint 29505
|
$370.00 |
$370.00 |
$370.00 |
$338.25
|
|
Application lower leg splint 29515
|
$370.00 |
$370.00 |
$370.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$290.00 |
$290.00 |
$290.00 |
$375.06
|
|
Application of paste boot 29580
|
$200.00 |
$200.00 |
$200.00 |
$340.11
|
|
Application short leg cast 29405
|
$420.00 |
$420.00 |
$420.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$65.00 |
$65.00 |
$65.00 |
$69.00
|
|
Apply finger cast 29086
|
$185.00 |
$185.00 |
$185.00 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$265.00 |
$265.00 |
$265.00 |
$255.20
|
|
Apply of finger splint 29131
|
$135.00 |
$135.00 |
$135.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$535.00 |
$535.00 |
$535.00 |
$555.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$635.00 |
$635.00 |
$635.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$97.50 |
$97.50 |
$97.50 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$100.00 |
$100.00 |
$100.00 |
$100.75
|
|
Aquatic exercise - group charge
|
$65.00 |
$65.00 |
$65.00 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$510.00 |
$510.00 |
$510.00 |
$426.00
|
|
Art byp grft fem-popliteal 35556
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,806.20
|
|
Art byp pop-tibl-prl-other 35571
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$4,244.00
|
|
Arterial blood draw/perc 36620
|
$295.00 |
$295.00 |
$295.00 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$4,110.00 |
$4,110.00 |
$4,110.00 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$3,195.00 |
$3,195.00 |
$3,195.00 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,995.00 |
$3,995.00 |
$3,995.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,425.00 |
$4,425.00 |
$4,425.00 |
$3,860.40
|
|
Artery x-rays chest
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$2,895.07
|
|
Artery x-rays lung
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$3,296.15
|
|
Artery x-rays lung
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$2,427.50
|
|
Artery x-rays lungs
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$4,306.40
|
|
Artery x-rays spine
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$407.50 |
$407.50 |
$407.50 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$775.00 |
$775.00 |
$775.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$790.00 |
$790.00 |
$790.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$300.00 |
$300.00 |
$300.00 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$300.00 |
$300.00 |
$300.00 |
$699.00
|
|
Aspa gene
|
$140.00 |
$140.00 |
$140.00 |
$133.84
|
|
Aspirate pleura without imaging 32554
|
$760.00 |
$760.00 |
$760.00 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,050.00 |
$2,050.00 |
$2,050.00 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$805.00 |
$805.00 |
$805.00 |
$872.50
|
|
Assay acid phosphatase
|
$60.00 |
$60.00 |
$60.00 |
$38.22
|
|
Assay dir meas fr estradiol
|
$105.00 |
$105.00 |
$105.00 |
$68.00
|
|
Assay neurflmnt light chain
|
$380.00 |
$380.00 |
$380.00 |
$380.00
|
|
Assay of feces porphyrins
|
$95.00 |
$95.00 |
$95.00 |
$134.38
|
|
Assay of galactose
|
$25.00 |
$25.00 |
$25.00 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$100.00 |
$100.00 |
$100.00 |
$79.00
|
|
Assay of leflunomide
|
$185.00 |
$185.00 |
$185.00 |
$92.50
|
|
Assay of osteocalcin
|
$160.00 |
$160.00 |
$160.00 |
$93.60
|
