|
24 hr ambulatory b/p monitor
|
$75.20 |
$75.20 |
$75.20 |
$319.15
|
|
3-d radiotherapy plan
|
$778.00 |
$778.00 |
$778.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$198.00 |
$198.00 |
$198.00 |
$455.83
|
|
Abd aorta w/runoff s&i
|
$3,256.80 |
$3,256.80 |
$3,256.80 |
$3,563.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,490.80 |
$1,490.80 |
$1,490.80 |
$1,951.30
|
|
Abdominal CT scan (with contrast)
|
$1,400.80 |
$1,400.80 |
$1,400.80 |
$1,610.00
|
|
Abdominal CT scan (without contrast)
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$1,238.25
|
|
Abdominal MRI (with and without contrast)
|
$1,762.00 |
$1,762.00 |
$1,762.00 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$1,386.40 |
$1,386.40 |
$1,386.40 |
$1,830.00
|
|
Abdominal Ultrasound (complete)
|
$713.20 |
$713.20 |
$713.20 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$519.20 |
$519.20 |
$519.20 |
$586.52
|
|
Abscess drain retroperitoneal surg code
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$3,053.18
|
|
Acetone qualitative
|
$38.00 |
$38.00 |
$38.00 |
$46.80
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$110.00 |
$110.00 |
$110.00 |
$385.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$24.80 |
$24.80 |
$24.80 |
$45.56
|
|
Actinotherapy uv light
|
$194.00 |
$194.00 |
$194.00 |
$110.50
|
|
Acute hepatitis panel
|
$134.40 |
$134.40 |
$134.40 |
$297.70
|
|
#acylcarnitineprfl
|
$140.00 |
$140.00 |
$140.00 |
$110.25
|
|
Adenovirus antibody,serum - quest
|
$79.20 |
$79.20 |
$79.20 |
$63.00
|
|
Adh-sendout
|
$92.40 |
$92.40 |
$92.40 |
$152.10
|
|
Administration chemotherapy IV infusion each additional hour
|
$102.80 |
$102.80 |
$102.80 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$111.60 |
$111.60 |
$111.60 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$238.00 |
$238.00 |
$238.00 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$174.80 |
$174.80 |
$174.80 |
$454.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$58.00 |
$58.00 |
$58.00 |
$222.14
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$54.00 |
$54.00 |
$54.00 |
$267.43
|
|
Administration immunization 1 vaccine
|
$43.20 |
$43.20 |
$43.20 |
$65.00
|
|
Administration immunization each additional vaccine
|
$43.20 |
$43.20 |
$43.20 |
$46.23
|
|
Adrenal cortex & medulla img
|
$1,044.40 |
$1,044.40 |
$1,044.40 |
$1,642.08
|
|
Air conduction bilat
|
$29.60 |
$29.60 |
$29.60 |
$140.87
|
|
Albumin body fluid quantitative each specimen
|
$66.40 |
$66.40 |
$66.40 |
$42.81
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$115.60 |
$115.60 |
$115.60 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$56.40 |
$56.40 |
$56.40 |
$40.00
|
|
Alkaline phosphatase
|
$32.40 |
$32.40 |
$32.40 |
$45.75
|
|
Allergen egg white ige
|
$35.60 |
$35.60 |
$35.60 |
$41.00
|
|
Alpha-fetoprotein tumor marker
|
$66.80 |
$66.80 |
$66.80 |
$115.70
|
|
Alt/sgpt
|
$65.60 |
$65.60 |
$65.60 |
$44.68
|
|
Aluminum - quest
|
$39.60 |
$39.60 |
$39.60 |
$114.40
|
|
Alys cplx sp/pn npgt w/prgrm
|
$235.20 |
$235.20 |
$235.20 |
$417.47
|
|
Ambl bp mntr w/sw a/r
|
$164.80 |
$164.80 |
$164.80 |
$320.45
|
|
Aminolevulinic acid delta
|
$60.00 |
$60.00 |
$60.00 |
$95.80
|
|
Ammonia
|
$57.20 |
$57.20 |
$57.20 |
$96.53
|
|
Amylase
|
$80.80 |
$80.80 |
$80.80 |
$84.50
|
|
Ana ds-dna
|
$62.40 |
$62.40 |
$62.40 |
$69.03
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$161.60 |
$161.60 |
$161.60 |
$98.87
|
|
Analysis gene f2 20210g>a variant
|
$91.20 |
$91.20 |
$91.20 |
$244.00
|
|
Analysis gene f5 leiden variant
|
$84.00 |
$84.00 |
$84.00 |
$253.11
|
|
Anca screen with reflex to titer -quest
|
$80.80 |
$80.80 |
$80.80 |
$112.45
|
|
An fluoro guide for cvp
|
$579.60 |
$579.60 |
$579.60 |
$484.45
|
|
Ankle X-ray
|
$262.00 |
$262.00 |
$262.00 |
$325.59
|
|
Anodyne therapy charges pt
|
$40.00 |
$40.00 |
$40.00 |
$41.02
|
|
Anora (draw only)
|
$22.80 |
$22.80 |
$22.80 |
$36.36
|
|
Antibody elution rbc reference
|
$89.60 |
$89.60 |
$89.60 |
$163.80
|
|
Antibody htlv/hiv confirm test
|
$93.20 |
$93.20 |
$93.20 |
$154.85
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$181.60 |
$181.60 |
$181.60 |
$218.30
|
|
Antibody id rbc panel
|
$176.80 |
$176.80 |
$176.80 |
$258.40
|
|
Antibody screen rbc
|
$44.40 |
$44.40 |
$44.40 |
$102.05
|
|
Antibody tetanus
|
$51.20 |
$51.20 |
$51.20 |
$76.05
|
|
Antinuclear antibodies
|
$47.60 |
$47.60 |
$47.60 |
$97.60
|
|
Antinuclear antibodies titer
|
$71.20 |
$71.20 |
$71.20 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$70.80 |
$70.80 |
$70.80 |
$79.20
|
|
Antistreptolysin o titer
|
$74.00 |
$74.00 |
$74.00 |
$58.50
|
|
Antithrombin iii activity
|
$91.60 |
$91.60 |
$91.60 |
$135.20
|
|
Application finger splntstatic 29130
|
$40.40 |
$40.40 |
$40.40 |
$208.50
|
|
Application multi layer compression below knee (both sides)
|
$127.20 |
$127.20 |
$127.20 |
$384.80
|
|
Application of long arm cast 29065
|
$264.00 |
$264.00 |
$264.00 |
$404.63
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.20 |
$33.20 |
$33.20 |
$70.65
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$98.80 |
$98.80 |
$98.80 |
$72.80
|
|
Appl multlay comprs arm/hand
|
$127.20 |
$127.20 |
$127.20 |
$266.40
|
|
#aptt mix-1:1 incubated
|
$90.40 |
$90.40 |
$90.40 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$66.00 |
$66.00 |
$66.00 |
$90.52
|
|
Aquatic exercise - group charge
|
$42.80 |
$42.80 |
$42.80 |
$87.60
|
|
Arterial blood draw/perc 36620
|
$187.20 |
$187.20 |
$187.20 |
$529.19
|
|
Artery xray each vessel 7577426
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$1,844.46
|
|
Artery x-rays arm/leg 75710-26
|
$2,387.20 |
$2,387.20 |
$2,387.20 |
$3,458.54
|
|
Artery x-rays arms/legs 75716-26
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$3,936.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$287.60 |
$287.60 |
$287.60 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$628.00 |
$628.00 |
$628.00 |
$968.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$690.80 |
$690.80 |
$690.80 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$287.60 |
$287.60 |
$287.60 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$287.60 |
$287.60 |
$287.60 |
$696.00
|
|
Aspirate pleura without imaging 32554
|
$585.20 |
$585.20 |
$585.20 |
$1,212.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$976.00 |
$976.00 |
$976.00 |
$1,219.50
|
|
Assay of breath ethanol
|
$26.00 |
$26.00 |
$26.00 |
$45.76
|
|
Assay of osteocalcin
|
$45.20 |
$45.20 |
$45.20 |
$133.20
|
|
Assay of prostaglandin
|
$54.00 |
$54.00 |
$54.00 |
$183.60
|
|
Assay phosphatidylglycerol
|
$16.80 |
$16.80 |
$16.80 |
$122.40
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$181.60 |
$181.60 |
$181.60 |
$302.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$39.20 |
$39.20 |
$39.20 |
$43.55
|
|
Ast/sgot
|
$33.60 |
$33.60 |
$33.60 |
$43.40
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$6,774.80 |
$6,774.80 |
$6,774.80 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$8,143.60 |
$8,143.60 |
$8,143.60 |
$11,566.33
|
|
Automated diff wbc count
|
$49.60 |
$49.60 |
$49.60 |
$35.10
|
|
Baclofen eval charges
|
$50.40 |
$50.40 |
$50.40 |
$85.00
|
|
Bacterial meningitis antigen
|
$56.40 |
$56.40 |
$56.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$122.40 |
$122.40 |
$122.40 |
$314.60
|
|
B cells total count
|
$41.20 |
$41.20 |
$41.20 |
$131.30
|
|
#_benzodiazconfur
|
$155.60 |
$155.60 |
$155.60 |
$99.45
|
|
Beta 2 glycoprotein 1 antibody iga
|
$35.60 |
$35.60 |
$35.60 |
$109.60
|
