|
Antibody lymphocytic choriomeningitis
|
$40.20 |
$40.20 |
$40.20 |
$48.57
|
|
Antibody screen rbc
|
$145.20 |
$145.20 |
$145.20 |
$100.00
|
|
Antibody tetanus
|
$160.20 |
$160.20 |
$160.20 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$27.60 |
$27.60 |
$27.60 |
$37.05
|
|
Antinuclear antibodies
|
$63.00 |
$63.00 |
$63.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$61.80 |
$61.80 |
$61.80 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$349.20 |
$349.20 |
$349.20 |
$65.97
|
|
Antistreptolysin o screen
|
$91.80 |
$91.80 |
$91.80 |
$62.00
|
|
Antistreptolysin o titer
|
$159.00 |
$159.00 |
$159.00 |
$51.45
|
|
Antithrombin iii activity
|
$172.20 |
$172.20 |
$172.20 |
$114.00
|
|
Aortic dysfunction/dilation
|
$7,207.80 |
$7,207.80 |
$7,207.80 |
$1,008.00
|
|
Apl(pml-rara) quant - sendout
|
$798.60 |
$798.60 |
$798.60 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,068.20 |
$2,068.20 |
$2,068.20 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$659.40 |
$659.40 |
$659.40 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$659.40 |
$659.40 |
$659.40 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$659.40 |
$659.40 |
$659.40 |
$498.81
|
|
Application finger splntstatic 29130
|
$81.00 |
$81.00 |
$81.00 |
$208.16
|
|
Application long leg splint 29505
|
$155.40 |
$155.40 |
$155.40 |
$338.25
|
|
Application lower leg splint 29515
|
$155.40 |
$155.40 |
$155.40 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$373.80 |
$373.80 |
$373.80 |
$373.20
|
|
Application of forearm cast 29075
|
$260.40 |
$260.40 |
$260.40 |
$339.30
|
|
Application of long arm cast 29065
|
$260.40 |
$260.40 |
$260.40 |
$395.00
|
|
Application of long leg cast
|
$403.80 |
$403.80 |
$403.80 |
$426.00
|
|
Application of long leg cast 29345
|
$307.80 |
$307.80 |
$307.80 |
$455.00
|
|
Application of paste boot 29580
|
$448.80 |
$448.80 |
$448.80 |
$331.74
|
|
Application short leg cast 29405
|
$297.00 |
$297.00 |
$297.00 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,068.20 |
$2,068.20 |
$2,068.20 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,068.20 |
$2,068.20 |
$2,068.20 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$307.80 |
$307.80 |
$307.80 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$52.80 |
$52.80 |
$52.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.80 |
$52.80 |
$52.80 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$417.00 |
$417.00 |
$417.00 |
$292.60
|
|
Apply halo w/removal cranial
|
$1,182.60 |
$1,182.60 |
$1,182.60 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$184.80 |
$184.80 |
$184.80 |
$259.20
|
|
Apply interstit radiat compl
|
$4,429.20 |
$4,429.20 |
$4,429.20 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$2,682.60 |
$2,682.60 |
$2,682.60 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$1,207.44
|
|
Apply of finger splint 29131
|
$119.40 |
$119.40 |
$119.40 |
$168.00
|
|
Apply rem fixation device
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$663.60 |
$663.60 |
$663.60 |
$555.00
|
|
Apply surf ldr radionuclide
|
$487.80 |
$487.80 |
$487.80 |
$251.55
|
|
#aptt mix-1:1 incubated
|
$236.40 |
$236.40 |
$236.40 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$730.20 |
$730.20 |
$730.20 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$108.00 |
$108.00 |
$108.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$55.80 |
$55.80 |
$55.80 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$148.20 |
$148.20 |
$148.20 |
$485.69
|
|
Artery x-rays arm/leg 75710-26
|
$5,361.60 |
$5,361.60 |
$5,361.60 |
$3,480.00
|
|
Artery x-rays lungs
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$3,535.57
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$465.00 |
$465.00 |
$465.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,200.20 |
$2,200.20 |
$2,200.20 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,200.20 |
$2,200.20 |
$2,200.20 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$465.00 |
$465.00 |
$465.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$465.00 |
$465.00 |
$465.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$2,200.20 |
$2,200.20 |
$2,200.20 |
$699.00
|
|
Aspirate pleura without imaging 32554
|
$556.80 |
$556.80 |
$556.80 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$995.40 |
$995.40 |
$995.40 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$965.40 |
$965.40 |
$965.40 |
$850.78
|
|
Assay neurflmnt light chain
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$380.00
|
|
Assay of breath ethanol
|
$28.80 |
$28.80 |
$28.80 |
$47.30
|
|
Assay of glutathione
|
$122.40 |
$122.40 |
$122.40 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$74.40 |
$74.40 |
$74.40 |
$79.97
|
|
Assay of leflunomide
|
$379.80 |
$379.80 |
$379.80 |
$100.65
|
|
Assay of prostaglandin
|
$96.00 |
$96.00 |
$96.00 |
$218.50
|
|
Assay of salicylate
|
$253.80 |
$253.80 |
$253.80 |
$95.00
|
|
Assay of somatostatin
|
$687.60 |
$687.60 |
$687.60 |
$165.00
|
|
Assay of thiocyanate
|
$171.60 |
$171.60 |
$171.60 |
$65.00
|
|
Assay of tyrosine
|
$127.80 |
$127.80 |
$127.80 |
$60.00
|
|
Assay of urine sulfate
|
$65.40 |
$65.40 |
$65.40 |
$29.04
|
|
Assay phosphatidylglycerol
|
$229.80 |
$229.80 |
$229.80 |
$134.16
|
|
Assay phosphohexose enzymes
|
$85.80 |
$85.80 |
$85.80 |
$105.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$300.00 |
$300.00 |
$300.00 |
$292.50
|
|
Assess cyst contrast inject
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$447.33
|
|
Assistive tech assessment, ot
|
$90.60 |
$90.60 |
$90.60 |
$96.08
|
|
Ast/sgot
|
$140.40 |
$140.40 |
$140.40 |
$45.65
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$7,129.20 |
$7,129.20 |
$7,129.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,415.40 |
$10,415.40 |
$10,415.40 |
$10,384.40
|
|
Avul nail plate addl
|
$87.60 |
$87.60 |
$87.60 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$259.20 |
$259.20 |
$259.20 |
$318.75
|
|
Baclofen eval charges
|
$106.20 |
$106.20 |
$106.20 |
$85.00
|
|
Bacterial meningitis antigen
|
$208.20 |
$208.20 |
$208.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$802.80 |
$802.80 |
$802.80 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$129.00 |
$129.00 |
$129.00 |
$105.00
|
|
B cells total count
|
$553.80 |
$553.80 |
$553.80 |
$131.30
|
|
Benign lesion paring 2-4
|
$208.20 |
$208.20 |
$208.20 |
$257.50
|
|
Benign lesion paring 4+
|
$266.40 |
$266.40 |
$266.40 |
$287.00
|
|
#_benzodiazconfur
|
$202.20 |
$202.20 |
$202.20 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$461.40 |
$461.40 |
$461.40 |
$78.50
|
|
Beta-2 microglobulin
|
$385.80 |
$385.80 |
$385.80 |
$85.94
|
|
Beta-amyloid 1-42
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Bfb train 1st 15min cntct 90912
|
$61.80 |
$61.80 |
$61.80 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$42.60 |
$42.60 |
$42.60 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$921.00 |
$921.00 |
$921.00 |
$556.40
|
|
Bilicheck
|
$136.80 |
$136.80 |
$136.80 |
$28.80
|
|
Bilirubin direct
|
$119.40 |
$119.40 |
$119.40 |
$50.00
|
|
Bilirubin total
|
$132.00 |
$132.00 |
$132.00 |
$52.57
|
