|
Allergy Skin Testing
|
$55.80 |
$55.80 |
$55.80 |
$47.44
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$726.60 |
$726.60 |
$726.60 |
$874.65
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$453.60 |
$453.60 |
$453.60 |
$4,677.40
|
|
Alpha-fetoprotein amniotic
|
$162.60 |
$162.60 |
$162.60 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$17.40 |
$17.40 |
$280.20 |
$106.00
|
|
Alt/sgpt
|
$51.00 |
$51.00 |
$118.20 |
$47.45
|
|
Aluminum - quest
|
$166.80 |
$166.80 |
$166.80 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$223.20 |
$223.20 |
$223.20 |
$434.00
|
|
Ambl bp mntr w/sw i&r
|
$69.00 |
$69.00 |
$69.00 |
$42.40
|
|
Amino acid screen, urine
|
$646.20 |
$646.20 |
$646.20 |
$102.00
|
|
Amino acids quant 2-5
|
$423.00 |
$423.00 |
$423.00 |
$104.00
|
|
Aminolevulinic acid delta
|
$255.60 |
$255.60 |
$255.60 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$198.00 |
$198.00 |
$198.00 |
$87.45
|
|
Ammonia
|
$94.20 |
$94.20 |
$259.80 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$562.80 |
$562.80 |
$562.80 |
$942.60
|
|
Amniocentesis therapeutic
|
$911.40 |
$911.40 |
$911.40 |
$785.85
|
|
Amniotic fluid scan
|
$181.80 |
$181.80 |
$181.80 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$409.20 |
$409.20 |
$409.20 |
$92.61
|
|
Amphetamines 5 or more
|
$311.40 |
$311.40 |
$311.40 |
$82.96
|
|
Amylase
|
$112.20 |
$112.20 |
$231.60 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$237.60 |
$237.60 |
$237.60 |
$80.08
|
|
Analgesics non-opioid 6/more
|
$214.80 |
$214.80 |
$214.80 |
$16.24
|
|
Anal/urinary muscle study
|
$666.00 |
$666.00 |
$666.00 |
$407.00
|
|
Anal/urinary muscle study
|
$666.00 |
$666.00 |
$666.00 |
$576.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$259.20 |
$259.20 |
$259.20 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$238.20 |
$238.20 |
$591.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$223.80 |
$223.80 |
$591.00 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$447.00 |
$447.00 |
$447.00 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$119.40 |
$119.40 |
$119.40 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$42.00 |
$42.00 |
$42.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$120.00 |
$120.00 |
$303.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,305.40 |
$3,305.40 |
$3,305.40 |
$2,626.65
|
|
An fluoro guide for cvp
|
$405.60 |
$405.60 |
$1,243.20 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$17,215.20 |
$17,215.20 |
$17,215.20 |
$5,341.83
|
|
Angio trnslmnl balloon same artery ea addl
|
$9,798.60 |
$9,798.60 |
$9,798.60 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$17,215.20 |
$17,215.20 |
$17,215.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$9,798.60 |
$9,798.60 |
$9,798.60 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$17,215.20 |
$17,215.20 |
$17,215.20 |
$8,466.00
|
|
Ankle X-ray
|
$211.80 |
$211.80 |
$851.40 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$553.20 |
$553.20 |
$553.20 |
$627.94
|
|
Annual Physical, Established Patient (age 18-39)
|
$114.60 |
$114.60 |
$114.60 |
$141.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$114.60 |
$114.60 |
$114.60 |
$158.76
|
|
Annual Physical, New Patient (age 18-39)
|
$144.00 |
$144.00 |
$144.00 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$137.40 |
$137.40 |
$137.40 |
$165.10
|
|
Anora (draw only)
|
$97.20 |
$97.20 |
$97.20 |
$33.58
|
|
Anoscopy remove fb 46608
|
$564.60 |
$564.60 |
$564.60 |
$1,435.00
|
|
Antibody bacterium, not elsewhere specified
|
$297.60 |
$297.60 |
$297.60 |
$57.81
|
|
Antibody elution rbc reference
|
$160.80 |
$160.80 |
$504.60 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$465.00 |
$465.00 |
$465.00 |
$130.00
|
|
Antibody htlv-i
|
$185.40 |
$185.40 |
$185.40 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$237.00 |
$237.00 |
$1,108.80 |
$218.30
|
|
Antibody id rbc panel
|
$226.80 |
$226.80 |
$408.60 |
$274.56
|
|
Antibody influenza virus
|
$233.40 |
$233.40 |
$233.40 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$166.20 |
$166.20 |
$166.20 |
$48.57
|
|
Antibody screen rbc
|
$78.60 |
$78.60 |
$169.80 |
$100.00
|
|
Antibody tetanus
|
$163.80 |
$163.80 |
$163.80 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.60 |
$30.60 |
$30.60 |
$37.05
|
|
Antinuclear antibodies
|
$61.20 |
$61.20 |
$189.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$83.40 |
$83.40 |
$83.40 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$340.80 |
$340.80 |
$340.80 |
$65.97
|
|
Antistreptolysin o titer
|
$144.60 |
$144.60 |
$144.60 |
$51.45
|
|
Antithrombin iii activity
|
$213.60 |
$213.60 |
$213.60 |
$114.00
|
|
Aortic dysfunction/dilation
|
$7,021.20 |
$7,021.20 |
$7,021.20 |
$1,008.00
|
|
Apheresis immunoads slctv
|
$11,237.40 |
$11,237.40 |
$11,237.40 |
$5,561.12
|
|
Apheresis plasma
|
$1,642.20 |
$1,642.20 |
$2,335.20 |
$3,188.50
|
|
Apheresis platelets
|
$2,701.80 |
$2,701.80 |
$2,701.80 |
$2,042.95
|
|
Apheresis rbc
|
$1,573.20 |
$1,573.20 |
$5,872.80 |
$3,146.15
|
|
Apheresis wbc
|
$1,769.40 |
$1,769.40 |
$5,872.80 |
$2,968.80
|
|
Apl(pml-rara) quant - sendout
|
$809.40 |
$809.40 |
$809.40 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,519.40 |
$5,519.40 |
$5,519.40 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$498.81
|
|
Application finger splntstatic 29130
|
$160.20 |
$160.20 |
$160.20 |
$208.16
|
|
Application long leg splint 29505
|
$396.00 |
$396.00 |
$396.00 |
$338.25
|
|
Application lower leg splint 29515
|
$288.00 |
$288.00 |
$288.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$210.00 |
$210.00 |
$668.40 |
$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
|
$700.20 |
$700.20 |
$700.20 |
$331.74
|
|
Application short leg cast 29405
|
$1,391.40 |
$1,391.40 |
$1,391.40 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$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
|
$373.80 |
$373.80 |
$373.80 |
$292.60
|
|
Apply halo w/removal cranial
|
$1,599.60 |
$1,599.60 |
$1,599.60 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$184.80 |
$184.80 |
$184.80 |
$259.20
|
|
Apply interstit radiat compl
|
$4,596.60 |
$4,596.60 |
$4,596.60 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,207.44
|
|
Apply rem fixation device
|
$15,114.60 |
$15,114.60 |
$15,114.60 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$555.00
|
|
Apply surf ldr radionuclide
|
$506.40 |
$506.40 |
$506.40 |
$251.55
|
