|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$8,296.40 |
$8,296.40 |
$8,296.40 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$5.77 |
$5.77 |
$5.77 |
$3.67
|
|
Anti-inhibitor
|
$32,352.07 |
$32,352.07 |
$32,352.07 |
$8.33
|
|
Anti mog serum - sendout
|
$1,269.80 |
$1,269.80 |
$1,269.80 |
$133.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$266.00 |
$266.00 |
$266.00 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$68.60 |
$68.60 |
$68.60 |
$42.00
|
|
Antinuclear antibodies
|
$225.40 |
$225.40 |
$225.40 |
$90.00
|
|
Antinuclear antibodies titer
|
$204.40 |
$204.40 |
$204.40 |
$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
|
|
Antithrombin iii injection
|
$11,506.95 |
$11,506.95 |
$11,506.95 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$30,500.05 |
$30,500.05 |
$30,500.05 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$7,087.50 |
$7,087.50 |
$7,087.50 |
$1,958.74
|
|
Aortic dysfunction/dilation
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$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
|
$81,630.50 |
$81,630.50 |
$81,630.50 |
$3,188.50
|
|
Apheresis platelets
|
$1,496.60 |
$1,496.60 |
$1,496.60 |
$2,195.00
|
|
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)
|
$30,573.64 |
$30,573.64 |
$30,573.64 |
$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 short leg cast 29405
|
$434.70 |
$434.70 |
$434.70 |
$393.98
|
|
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
|
$25,625.98 |
$25,625.98 |
$25,625.98 |
$5,741.00
|
|
Argatroban nonesrd use 1mg
|
$4,046.17 |
$4,046.17 |
$4,046.17 |
$881.10
|
|
Ar gene charac alleles
|
$287.70 |
$287.70 |
$287.70 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$32,136.47 |
$32,136.47 |
$32,136.47 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,259.65 |
$1,259.65 |
$1,259.65 |
$1,342.85
|
|
Art bypass axillary-femoral 35621
|
$13,292.62 |
$13,292.62 |
$13,292.62 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$122,059.75 |
$122,059.75 |
$122,059.75 |
$3,058.80
|
|
Art byp grft axill-brachial
|
$73,608.87 |
$73,608.87 |
$73,608.87 |
$1,644.28
|
|
Arterial blood draw/perc 36620
|
$86,954.43 |
$86,954.43 |
$86,954.43 |
$485.69
|
|
Artery-vein nonautograft
|
$47,297.82 |
$47,297.82 |
$47,297.82 |
$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)
|
$46,065.77 |
$46,065.77 |
$46,065.77 |
$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)
|
$54,262.96 |
$54,262.96 |
$54,262.96 |
$4,469.75
|
|
Art trnsposj subclav carotid 35694
|
$78,007.99 |
$78,007.99 |
$78,007.99 |
$1,991.40
|
|
Art trnsposj subclavian
|
$59,561.61 |
$59,561.61 |
$59,561.61 |
$1,176.84
|
|
Ashkenazi jewish assoc dis
|
$1,884.40 |
$1,884.40 |
$1,884.40 |
$2,693.42
|
|
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
|
$70,331.84 |
$70,331.84 |
$70,331.84 |
$1,436.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$20,891.96 |
$20,891.96 |
$20,891.96 |
$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
|
$4,512.19 |
$4,512.19 |
$4,512.19 |
$1,226.87
|
