|
Antibody identification platelet antibodies heparin-pf4 igg
|
$230.25 |
$230.25 |
$230.25 |
$224.00
|
|
Antibody id rbc panel
|
$245.65 |
$245.65 |
$245.65 |
$291.75
|
|
Antibody screen rbc
|
$156.55 |
$156.55 |
$156.55 |
$108.55
|
|
Antibody tetanus
|
$576.45 |
$576.45 |
$576.45 |
$54.15
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$393.40 |
$393.40 |
$393.40 |
$38.50
|
|
Antinuclear antibodies
|
$153.85 |
$153.85 |
$153.85 |
$90.00
|
|
Antinuclear antibodies titer
|
$149.75 |
$149.75 |
$149.75 |
$80.04
|
|
Antipsychotics nos 1-3
|
$108.10 |
$108.10 |
$108.10 |
$136.61
|
|
Antistreptolysin o titer
|
$99.85 |
$99.85 |
$99.85 |
$54.00
|
|
Antithrombin iii activity
|
$156.55 |
$156.55 |
$156.55 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$807.10 |
$807.10 |
$807.10 |
$394.55
|
|
Aortic dysfunction/dilation
|
$2,164.25 |
$2,164.25 |
$2,164.25 |
$1,153.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$297.95 |
$297.95 |
$297.95 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$72.80 |
$72.80 |
$72.80 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$35.70 |
$35.70 |
$35.70 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$266.10 |
$266.10 |
$266.10 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$58.25 |
$58.25 |
$58.25 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$25.15 |
$25.15 |
$25.15 |
$512.20
|
|
Application finger splntstatic 29130
|
$84.70 |
$84.70 |
$84.70 |
$208.50
|
|
Application long leg splint 29505
|
$191.65 |
$191.65 |
$191.65 |
$338.25
|
|
Application lower leg splint 29515
|
$188.95 |
$188.95 |
$188.95 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$18.55 |
$18.55 |
$18.55 |
$375.06
|
|
Application of long arm cast 29065
|
$371.00 |
$371.00 |
$371.00 |
$396.77
|
|
Application of long leg cast 29345
|
$278.05 |
$278.05 |
$278.05 |
$455.00
|
|
Application of paste boot 29580
|
$87.65 |
$87.65 |
$87.65 |
$340.11
|
|
Application short leg cast 29405
|
$202.45 |
$202.45 |
$202.45 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$144.30 |
$144.30 |
$144.30 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$119.15 |
$119.15 |
$119.15 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$48.60 |
$48.60 |
$48.60 |
$69.00
|
|
Appl modality 1+lllt po pain
|
$55.40 |
$55.40 |
$55.40 |
$54.61
|
|
Apply forearm splintdynamic 29126
|
$217.30 |
$217.30 |
$217.30 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$190.55 |
$190.55 |
$190.55 |
$271.80
|
|
Apply intrcav radiat simple
|
$709.00 |
$709.00 |
$709.00 |
$1,269.97
|
|
Apply of finger splint 29131
|
$80.95 |
$80.95 |
$80.95 |
$177.45
|
|
Apply rigid leg cast 29445
|
$238.35 |
$238.35 |
$238.35 |
$555.00
|
|
App mdlty 1+hubbrd tnk ea 15
|
$144.40 |
$144.40 |
$144.40 |
$141.39
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,579.16 |
$1,579.16 |
$1,579.16 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$175.35 |
$175.35 |
$175.35 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,705.45 |
$1,705.45 |
$1,705.45 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$188.95 |
$188.95 |
$188.95 |
$100.75
|
|
Aquatic exercise - group charge
|
$79.65 |
$79.65 |
$79.65 |
$87.45
|
|
Argatroban nonesrd use 1mg
|
$1,144.52 |
$1,144.52 |
$1,144.52 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$6,286.51 |
$6,286.51 |
$6,286.51 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$3,251.40 |
$3,251.40 |
$3,251.40 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$665.45 |
$665.45 |
$665.45 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$909.90 |
$909.90 |
$909.90 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$511.50 |
$511.50 |
$511.50 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$511.50 |
$511.50 |
$511.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$511.50 |
$511.50 |
$511.50 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$421.15 |
$421.15 |
$421.15 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$421.15 |
$421.15 |
$421.15 |
$699.00
|
|
Ashkenazi jewish assoc dis
|
$10,917.55 |
$10,917.55 |
$10,917.55 |
$2,693.42
|
|
Aspa gene
|
$232.95 |
$232.95 |
$232.95 |
$133.84
|
|
Asp core fat pad
|
$214.60 |
$214.60 |
$214.60 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,026.05 |
$3,026.05 |
$3,026.05 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$423.80 |
$423.80 |
$423.80 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$699.20 |
$699.20 |
$699.20 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$809.85 |
$809.85 |
$809.85 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$331.00 |
$331.00 |
$331.00 |
$431.20
|
|
Assay dir meas fr estradiol
|
$152.60 |
$152.60 |
$152.60 |
$68.00
|
|
Assay neurflmnt light chain
|
$295.40 |
$295.40 |
$295.40 |
$380.00
|
|
Assay of glucosidase
|
$687.55 |
$687.55 |
$687.55 |
$161.58
|
|
Assay of glutathione
|
$96.80 |
$96.80 |
$96.80 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$273.35 |
$273.35 |
$273.35 |
$79.00
|
|
Assay of lrh hormone
|
$103.75 |
$103.75 |
$103.75 |
$187.00
|
|
Assay of osteocalcin
|
$440.90 |
$440.90 |
$440.90 |
$93.60
|
|
Assay of phenylketones
|
$333.35 |
$333.35 |
$333.35 |
$12.00
|
|
Assay of prostaglandin
|
$141.10 |
$141.10 |
$141.10 |
$230.00
|
|
Assay of salicylate
|
$344.15 |
$344.15 |
$344.15 |
$96.50
|
|
Assay of semen fructose
|
$129.60 |
$129.60 |
$129.60 |
$56.00
|
|
Assay of silica
|
$244.30 |
$244.30 |
$244.30 |
$113.10
|
|
Assay of somatostatin
|
$112.40 |
$112.40 |
$112.40 |
$170.50
|
|
Assay of urine sulfate
|
$68.80 |
$68.80 |
$68.80 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$419.75 |
$419.75 |
$419.75 |
$300.00
|
|
Assess cyst contrast inject
|
$116.05 |
$116.05 |
$116.05 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$90.40 |
$90.40 |
$90.40 |
$46.80
|
|
Ast/sgot
|
$98.55 |
$98.55 |
$98.55 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$29,617.05 |
$29,617.05 |
$29,617.05 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$136.44 |
$136.44 |
$136.44 |
$53.24
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$222.15 |
$222.15 |
$222.15 |
$188.16
|
|
Atxn1 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
$247.60
|
|
Atxn7 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
$225.42
|
|
Avul nail plate addl
|
$107.95 |
$107.95 |
$107.95 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$202.60 |
$202.60 |
$202.60 |
$326.27
|
|
Azacitidine injection
|
$708.68 |
$708.68 |
$708.68 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$36.45 |
$36.45 |
$36.45 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$438.33 |
$438.33 |
$438.33 |
$157.30
|
|
Bacterial meningitis antigen
|
$140.35 |
$140.35 |
$140.35 |
$66.30
|
|
Bacterial vaginosis pcr
|
$495.40 |
$495.40 |
$495.40 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$274.05 |
$274.05 |
$274.05 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$148.45 |
$148.45 |
$148.45 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,004.15 |
$1,004.15 |
$1,004.15 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,004.15 |
$1,004.15 |
$1,004.15 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$728.85 |
$728.85 |
$728.85 |
$484.80
|
|
B cells total count
|
$140.90 |
$140.90 |
$140.90 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$3,436.68 |
$3,436.68 |
$3,436.68 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,998.90 |
$2,998.90 |
$2,998.90 |
$4,047.32
|
