|
Apply hand/wrist cast 29085
|
$246.40 |
$246.40 |
$246.40 |
$259.20
|
|
Apply of finger splint 29131
|
$276.80 |
$276.80 |
$276.80 |
$168.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$936.80 |
$936.80 |
$936.80 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$144.00 |
$144.00 |
$144.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$52.80 |
$52.80 |
$52.80 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$244.80 |
$244.80 |
$244.80 |
$485.69
|
|
Artery x-rays arm/leg 75710-26
|
$3,833.60 |
$3,833.60 |
$3,833.60 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$5,750.40 |
$5,750.40 |
$5,750.40 |
$3,729.00
|
|
Artery x-rays lungs
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$3,535.57
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$504.00 |
$504.00 |
$504.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$636.80 |
$636.80 |
$636.80 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$416.80 |
$416.80 |
$416.80 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$756.00 |
$756.00 |
$756.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$756.00 |
$756.00 |
$756.00 |
$699.00
|
|
Aspirate/inj ganglion cyst 20612
|
$415.20 |
$415.20 |
$415.20 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$431.20 |
$431.20 |
$431.20 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$850.78
|
|
Assay neurflmnt light chain
|
$2,408.80 |
$2,408.80 |
$2,408.80 |
$380.00
|
|
Assay of breath ethanol
|
$45.60 |
$45.60 |
$45.60 |
$47.30
|
|
Assay of endocrine hormone
|
$312.80 |
$312.80 |
$312.80 |
$143.20
|
|
Assay of glutathione
|
$163.20 |
$163.20 |
$163.20 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$95.20 |
$95.20 |
$95.20 |
$79.97
|
|
Assay of leflunomide
|
$497.60 |
$497.60 |
$497.60 |
$100.65
|
|
Assay of procainamide w/metab
|
$131.20 |
$131.20 |
$131.20 |
$70.50
|
|
Assay of prostaglandin
|
$132.00 |
$132.00 |
$132.00 |
$218.50
|
|
Assay of salicylate
|
$192.80 |
$192.80 |
$192.80 |
$95.00
|
|
Assay of tyrosine
|
$124.00 |
$124.00 |
$124.00 |
$60.00
|
|
Assay of urine sulfate
|
$104.00 |
$104.00 |
$104.00 |
$29.04
|
|
Assay phosphohexose enzymes
|
$113.60 |
$113.60 |
$113.60 |
$105.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$400.00 |
$400.00 |
$400.00 |
$292.50
|
|
Assistive tech assessment, ot
|
$120.80 |
$120.80 |
$120.80 |
$96.08
|
|
Ast/sgot
|
$118.40 |
$118.40 |
$118.40 |
$45.65
|
|
Avul nail plate addl
|
$149.60 |
$149.60 |
$149.60 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$224.80 |
$224.80 |
$224.80 |
$318.75
|
|
Baclofen eval charges
|
$141.60 |
$141.60 |
$141.60 |
$85.00
|
|
Bacterial meningitis antigen
|
$96.80 |
$96.80 |
$96.80 |
$66.30
|
|
Bacterial vaginosis pcr
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$172.00 |
$172.00 |
$172.00 |
$105.00
|
|
B cells total count
|
$643.20 |
$643.20 |
$643.20 |
$131.30
|
|
#_benzodiazconfur
|
$320.80 |
$320.80 |
$320.80 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$535.20 |
$535.20 |
$535.20 |
$78.50
|
|
Beta-2 microglobulin
|
$580.00 |
$580.00 |
$580.00 |
$85.94
|
|
Beta-amyloid 1-42
|
$444.00 |
$444.00 |
$444.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$82.40 |
$82.40 |
$82.40 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$56.80 |
$56.80 |
$56.80 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$756.00 |
$756.00 |
$756.00 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$556.40
|
|
Bilicheck
|
$80.80 |
$80.80 |
$80.80 |
$28.80
|
|
Bilirubin direct
|
$107.20 |
$107.20 |
$107.20 |
$50.00
|
|
Bilirubin total
|
$159.20 |
$159.20 |
$159.20 |
$52.57
|
|
Biopsy abdominal mass
|
$1,426.40 |
$1,426.40 |
$1,426.40 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$1,426.40 |
$1,426.40 |
$1,426.40 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,669.60 |
$1,669.60 |
$1,669.60 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$527.20 |
$527.20 |
$527.20 |
$657.66
|
|
Biotinidase - quest
|
$52.00 |
$52.00 |
$52.00 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$340.00 |
$340.00 |
$340.00 |
$408.00
|
|
Bld prd mix
|
$144.00 |
$144.00 |
$144.00 |
$139.21
|
|
Block plantar digital nerve
|
$504.00 |
$504.00 |
$504.00 |
$530.40
|
|
Blood Clotting (PT/INR) Test
|
$100.80 |
$100.80 |
$100.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$120.00 |
$120.00 |
$120.00 |
$73.44
|
|
Blood Count (CBC) Test
|
$130.40 |
$130.40 |
$130.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$73.60 |
$73.60 |
$73.60 |
$61.80
|
|
Blood Culture Test
|
$228.00 |
$228.00 |
$228.00 |
$145.80
|
|
Blood draw capillary 36416
|
$34.40 |
$34.40 |
$34.40 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$356.80 |
$356.80 |
$356.80 |
$220.35
|
|
Blood gases ph venous
|
$120.80 |
$120.80 |
$120.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$117.60 |
$117.60 |
$117.60 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$90.40 |
$90.40 |
$90.40 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$146.40 |
$146.40 |
$146.40 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$88.80 |
$88.80 |
$88.80 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$90.40 |
$90.40 |
$90.40 |
$38.61
|
|
Blood typing abo
|
$108.00 |
$108.00 |
$108.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$476.00 |
$476.00 |
$476.00 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$476.00 |
$476.00 |
$476.00 |
$199.50
|
|
Blood typing rh (d)
|
$69.60 |
$69.60 |
$69.60 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$118.40 |
$118.40 |
$118.40 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$441.60 |
$441.60 |
$441.60 |
$397.28
|
|
Bone imaging multiple areas
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$950.40 |
$950.40 |
$950.40 |
$1,570.80
|
|
Bone marrow interpretation
|
$699.20 |
$699.20 |
$699.20 |
$542.03
|
|
Bone survey-lead poisoning
|
$666.40 |
$666.40 |
$666.40 |
$390.00
|
|
Boot j walker l
|
$780.80 |
$780.80 |
$780.80 |
$231.75
|
|
Boot walker genesis full shell 3-strap s
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$453.47
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$536.80 |
$536.80 |
$536.80 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$47.20 |
$47.20 |
$47.20 |
$68.88
|
|
Bowel imaging
|
$3,672.80 |
$3,672.80 |
$3,672.80 |
$1,065.00
|
|
Brace afo lg left 6607
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$461.76
|
|
Brace ank aftr bioskn med lg
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$194.42
|
|
Brace ank air stirrup univ
|
$410.40 |
$410.40 |
$410.40 |
$109.64
|
