|
Application short leg cast 29405
|
$396.00 |
$396.00 |
$396.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$410.40 |
$410.40 |
$410.40 |
$938.52
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.40 |
$70.40 |
$70.40 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$70.40 |
$70.40 |
$70.40 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$215.20 |
$215.20 |
$215.20 |
$297.50
|
|
Apply forearm splintdynamic 29126
|
$806.40 |
$806.40 |
$806.40 |
$258.65
|
|
Apply hand/wrist cast 29085
|
$246.40 |
$246.40 |
$246.40 |
$279.40
|
|
Apply of finger splint 29131
|
$684.80 |
$684.80 |
$684.80 |
$171.00
|
|
Apply rigid leg cast 29445
|
$437.60 |
$437.60 |
$437.60 |
$585.31
|
|
#aptt mix-1:1 incubated
|
$560.00 |
$560.00 |
$560.00 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$220.00
|
|
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 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$974.40 |
$974.40 |
$974.40 |
$495.60
|
|
Artery x-rays arms/legs 75716-26
|
$5,377.60 |
$5,377.60 |
$5,377.60 |
$3,778.00
|
|
Artery x-rays lungs
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$3,724.63
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$423.20 |
$423.20 |
$423.20 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$960.00 |
$960.00 |
$960.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$656.80 |
$656.80 |
$656.80 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,139.20 |
$1,139.20 |
$1,139.20 |
$474.60
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,977.60 |
$1,977.60 |
$1,977.60 |
$715.37
|
|
Aspirate pleura without imaging 32554
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
$1,284.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,712.80 |
$1,712.80 |
$1,712.80 |
$1,267.59
|
|
Aspir/inj thyroid cyst 60300
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$907.54
|
|
Assay neurflmnt light chain
|
$2,408.80 |
$2,408.80 |
$2,408.80 |
$380.00
|
|
Assay of corticosterone
|
$296.00 |
$296.00 |
$296.00 |
$53.29
|
|
Assay of glutathione
|
$164.00 |
$164.00 |
$164.00 |
$75.00
|
|
Assay of interleukin-6 (il-6)
|
$105.60 |
$105.60 |
$105.60 |
$77.35
|
|
Assay of leflunomide
|
$559.20 |
$559.20 |
$559.20 |
$92.50
|
|
Assay of lrh hormone
|
$861.60 |
$861.60 |
$861.60 |
$189.50
|
|
Assay of procainamide w/metab
|
$278.40 |
$278.40 |
$278.40 |
$63.07
|
|
Assay of prostaglandin
|
$136.80 |
$136.80 |
$136.80 |
$218.50
|
|
Assay of salicylate
|
$212.00 |
$212.00 |
$212.00 |
$95.00
|
|
Assay of somatostatin
|
$963.20 |
$963.20 |
$963.20 |
$165.60
|
|
Assay of thiocyanate
|
$252.80 |
$252.80 |
$252.80 |
$62.72
|
|
Assay of tyrosine
|
$128.00 |
$128.00 |
$128.00 |
$56.10
|
|
Assay of urine sulfate
|
$27.20 |
$27.20 |
$27.20 |
$30.00
|
|
Assay phosphohexose enzymes
|
$114.40 |
$114.40 |
$114.40 |
$92.04
|
|
Assay toxin or antitoxin
|
$341.60 |
$341.60 |
$341.60 |
$75.90
|
|
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
|
$88.00 |
$88.00 |
$88.00 |
$45.60
|
|
Avul nail plate addl
|
$180.00 |
$180.00 |
$180.00 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$520.00 |
$520.00 |
$520.00 |
$328.50
|
|
Baclofen eval charges
|
$141.60 |
$141.60 |
$141.60 |
$85.15
|
|
Bacterial meningitis antigen
|
$94.40 |
$94.40 |
$94.40 |
$65.16
|
|
Bacterial vaginosis pcr
|
$1,418.40 |
$1,418.40 |
$1,418.40 |
$275.71
|
|
#bac vag cand-c. albicans naa
|
$172.00 |
$172.00 |
$172.00 |
$105.00
|
|
B cells total count
|
$708.80 |
$708.80 |
$708.80 |
$131.95
|
|
Benign lesion paring 2-4
|
$296.00 |
$296.00 |
$296.00 |
$264.85
|
|
Benign lesion paring 4+
|
$296.00 |
$296.00 |
$296.00 |
$315.70
|
|
#_benzodiazconfur
|
$270.40 |
$270.40 |
$270.40 |
$117.15
|
|
Beta 2 glycoprotein 1 antibody iga
|
$590.40 |
$590.40 |
$590.40 |
$82.80
|
|
Beta-2 microglobulin
|
$568.80 |
$568.80 |
$568.80 |
$84.00
|
|
Beta-amyloid 1-42
|
$444.00 |
$444.00 |
$444.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$82.40 |
$82.40 |
$82.40 |
$176.00
|
|
Bfb train ea addl 15 min 90913
|
$56.80 |
$56.80 |
$56.80 |
$107.50
|
|
Bilateral n blobk inj pudendal 64430
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
$1,613.40
|
|
Bilateral n block inj occipital 64405
|
$617.60 |
$617.60 |
$617.60 |
$783.90
|
|
Bilateral n block inj trigeminal 64400
|
$551.20 |
$551.20 |
$551.20 |
$587.60
|
|
Bilirubin direct
|
$72.80 |
$72.80 |
$72.80 |
$49.61
|
|
Bilirubin total
|
$155.20 |
$155.20 |
$155.20 |
$50.65
|
|
Biopsy abdominal mass
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,807.00
|
|
Biopsy bone trocar/needle superficial
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,793.38
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,315.20 |
$2,315.20 |
$2,315.20 |
$2,854.80
|
|
Biopsy muscle percutaneous needle
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$1,719.22
|
|
Biopsy needle liver percutaneous
|
$2,240.80 |
$2,240.80 |
$2,240.80 |
$1,917.33
|
|
Biopsy needle lymph node superficial
|
$3,493.60 |
$3,493.60 |
$3,493.60 |
$1,875.17
|
|
Biopsy skin incisional single lesion
|
$872.00 |
$872.00 |
$872.00 |
$677.54
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$4,416.00 |
$4,416.00 |
$4,416.00 |
$2,494.20
|
|
Biotinidase - quest
|
$51.20 |
$51.20 |
$51.20 |
$68.00
|
|
Block brachial plexus w/cath plmt w/img
|
$2,325.60 |
$2,325.60 |
$2,325.60 |
$1,560.60
|
|
Block femoral nerve cont infusion cath w/img
|
$4,294.40 |
$4,294.40 |
$4,294.40 |
$1,642.30
|
|
Blood Clotting (PT/INR) Test
|
$95.20 |
$95.20 |
$95.20 |
$51.20
|
|
Blood Clotting (PTT) Test
|
$140.80 |
$140.80 |
$140.80 |
$70.20
|
|
Blood Count (CBC) Test
|
$140.80 |
$140.80 |
$140.80 |
$72.50
|
|
Blood Count (CBC) Test (without differential)
|
$73.60 |
$73.60 |
$73.60 |
$60.16
|
|
Blood Culture Test
|
$460.80 |
$460.80 |
$460.80 |
$140.07
|
|
Blood draw capillary 36416
|
$34.40 |
$34.40 |
$34.40 |
$20.25
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$87.20 |
$87.20 |
$87.20 |
$56.07
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$92.00 |
$92.00 |
$92.00 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$91.20 |
$91.20 |
$91.20 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$138.40 |
$138.40 |
$138.40 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$101.60 |
$101.60 |
$101.60 |
$37.80
|
|
Blood typing abo
|
$106.40 |
$106.40 |
$106.40 |
$83.03
|
|
Blood typing ag donor ea ag
|
$532.00 |
$532.00 |
$532.00 |
$179.30
|
|
Blood typing rbc ag non abo/rh ea
|
$532.00 |
$532.00 |
$532.00 |
$190.00
|
|
Blood typing rh (d)
|
$80.00 |
$80.00 |
$80.00 |
$57.00
|
|
Blood typing rh phenotype complete reference
|
$140.80 |
$140.80 |
$140.80 |
$81.90
|
|
Bone Density Scan (DEXA)
|
$760.80 |
$760.80 |
$760.80 |
$399.70
|
|
Bone imaging multiple areas
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,162.80
|
|
Bone/joint imaging ltd area
|
$2,297.60 |
$2,297.60 |
$2,297.60 |
$1,075.58
|
|
Bone marrow;aspiration only 38220
|
$1,344.80 |
$1,344.80 |
$1,344.80 |
$1,618.00
|
|
Bone marrow interpretation
|
$709.60 |
$709.60 |
$709.60 |
$542.03
|
|
Bone survey-lead poisoning
|
$724.00 |
$724.00 |
$724.00 |
$392.00
|
|
Boot j walker l
|
$780.80 |
$780.80 |
$780.80 |
$195.00
|
|
Boot walker genesis full shell 3-strap s
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$591.20 |
$591.20 |
$591.20 |
$92.88
|
