|
Antiphosphatidylserine antibody
|
$494.40 |
$494.40 |
$494.40 |
$65.97
|
|
Antistreptolysin o screen
|
$220.00 |
$220.00 |
$220.00 |
$62.00
|
|
Antistreptolysin o titer
|
$206.40 |
$206.40 |
$206.40 |
$51.45
|
|
Antithrombin iii activity
|
$258.40 |
$258.40 |
$258.40 |
$114.00
|
|
Aortic dysfunction/dilation
|
$9,708.80 |
$9,708.80 |
$9,708.80 |
$1,008.00
|
|
Apheresis plasma
|
$5,917.60 |
$5,917.60 |
$5,917.60 |
$3,188.50
|
|
Apl(pml-rara) quant - sendout
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$799.20 |
$799.20 |
$799.20 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$799.20 |
$799.20 |
$799.20 |
$498.81
|
|
Application finger splntstatic 29130
|
$557.60 |
$557.60 |
$557.60 |
$208.16
|
|
Application long leg splint 29505
|
$598.40 |
$598.40 |
$598.40 |
$338.25
|
|
Application lower leg splint 29515
|
$743.20 |
$743.20 |
$743.20 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$505.60 |
$505.60 |
$505.60 |
$373.20
|
|
Application of forearm cast 29075
|
$347.20 |
$347.20 |
$347.20 |
$339.30
|
|
Application of long arm cast 29065
|
$347.20 |
$347.20 |
$347.20 |
$395.00
|
|
Application of long leg cast
|
$538.40 |
$538.40 |
$538.40 |
$426.00
|
|
Application of long leg cast 29345
|
$410.40 |
$410.40 |
$410.40 |
$455.00
|
|
Application of paste boot 29580
|
$606.40 |
$606.40 |
$606.40 |
$331.74
|
|
Application short leg cast 29405
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$410.40 |
$410.40 |
$410.40 |
$744.90
|
|
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 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$524.00 |
$524.00 |
$524.00 |
$292.60
|
|
Apply hand/wrist cast 29085
|
$246.40 |
$246.40 |
$246.40 |
$259.20
|
|
Apply rigid leg cast 29445
|
$955.20 |
$955.20 |
$955.20 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$405.60 |
$405.60 |
$405.60 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$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
|
$245.60 |
$245.60 |
$245.60 |
$485.69
|
|
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
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$698.40 |
$698.40 |
$698.40 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$699.00
|
|
Asp core fat pad
|
$2,448.80 |
$2,448.80 |
$2,448.80 |
$939.95
|
|
Aspirate pleura without imaging 32554
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$1,226.87
|
|
Assay neurflmnt light chain
|
$2,408.80 |
$2,408.80 |
$2,408.80 |
$380.00
|
|
Assay of glutathione
|
$164.00 |
$164.00 |
$164.00 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$103.20 |
$103.20 |
$103.20 |
$79.97
|
|
Assay of leflunomide
|
$536.80 |
$536.80 |
$536.80 |
$100.65
|
|
Assay of prostaglandin
|
$130.40 |
$130.40 |
$130.40 |
$218.50
|
|
Assay of salicylate
|
$313.60 |
$313.60 |
$313.60 |
$95.00
|
|
Assay of somatostatin
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$165.00
|
|
Assay of thiocyanate
|
$248.00 |
$248.00 |
$248.00 |
$65.00
|
|
Assay of tyrosine
|
$186.40 |
$186.40 |
$186.40 |
$60.00
|
|
Assay of urine sulfate
|
$86.40 |
$86.40 |
$86.40 |
$29.04
|
|
Assay phosphatidylglycerol
|
$336.80 |
$336.80 |
$336.80 |
$134.16
|
|
Assay phosphohexose enzymes
|
$114.40 |
$114.40 |
$114.40 |
$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
|
$148.80 |
$148.80 |
$148.80 |
$45.65
|
|
Audiometry air + bone
|
$201.60 |
$201.60 |
$201.60 |
$185.15
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$378.40 |
$378.40 |
$378.40 |
$318.75
|
|
Baclofen eval charges
|
$141.60 |
$141.60 |
$141.60 |
$85.00
|
|
Bacterial meningitis antigen
|
$230.40 |
$230.40 |
$230.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$172.00 |
$172.00 |
$172.00 |
$105.00
|
|
Basic vestibular evaluation
|
$1,813.60 |
$1,813.60 |
$1,813.60 |
$328.00
|
|
B cells total count
|
$784.80 |
$784.80 |
$784.80 |
$131.30
|
|
#_benzodiazconfur
|
$256.00 |
$256.00 |
$256.00 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$652.00 |
$652.00 |
$652.00 |
$78.50
|
|
Beta-2 microglobulin
|
$555.20 |
$555.20 |
$555.20 |
$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
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$3,537.60 |
$3,537.60 |
$3,537.60 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,407.20 |
$1,407.20 |
$1,407.20 |
$556.40
|
|
Bilicheck
|
$123.20 |
$123.20 |
$123.20 |
$28.80
|
|
Bilirubin direct
|
$106.40 |
$106.40 |
$106.40 |
$50.00
|
|
Bilirubin total
|
$152.80 |
$152.80 |
$152.80 |
$52.57
|
|
Biopsy abdominal mass
|
$2,802.40 |
$2,802.40 |
$2,802.40 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$2,624.80 |
$2,624.80 |
$2,624.80 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$5,514.40 |
$5,514.40 |
$5,514.40 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$1,878.14
|
|
Biopsy skin incisional single lesion
|
$525.60 |
$525.60 |
$525.60 |
$657.66
|
|
Biotinidase - quest
|
$235.20 |
$235.20 |
$235.20 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$408.00
|
|
Block plantar digital nerve
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$3,778.40 |
$3,778.40 |
$3,778.40 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$192.80 |
$192.80 |
$192.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$156.80 |
$156.80 |
$156.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$144.00 |
$144.00 |
$144.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$86.40 |
$86.40 |
$86.40 |
$61.80
|
|
Blood Culture Test
|
$364.80 |
$364.80 |
$364.80 |
$145.80
|
|
Blood draw capillary 36416
|
$34.40 |
$34.40 |
$34.40 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$552.80 |
$552.80 |
$552.80 |
$220.35
|
