|
Antibody htlv/hiv confirm test
|
$121.80 |
$121.80 |
$121.80 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$81.00 |
$81.00 |
$81.00 |
|
|
Antibody id rbc panel
|
$48.60 |
$48.60 |
$48.60 |
|
|
Antibody screen rbc
|
$19.20 |
$19.20 |
$19.20 |
|
|
Antibody tetanus
|
$40.20 |
$40.20 |
$40.20 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
|
|
Anti-inhibitor
|
$2.40 |
$2.40 |
$2.40 |
|
|
Antinuclear antibodies
|
$24.00 |
$24.00 |
$24.00 |
|
|
Antinuclear antibodies titer
|
$45.00 |
$45.00 |
$45.00 |
|
|
Antiphosphatidylserine antibody
|
$32.40 |
$32.40 |
$32.40 |
|
|
Antistreptolysin o screen
|
$19.20 |
$19.20 |
$19.20 |
|
|
Antistreptolysin o titer
|
$40.20 |
$40.20 |
$40.20 |
|
|
Antithrombin iii activity
|
$30.60 |
$30.60 |
$30.60 |
|
|
Antithymocyte globuln rabbit
|
$905.40 |
$905.40 |
$905.40 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$339.60 |
$339.60 |
$339.60 |
|
|
Apl(pml-rara) quant - sendout
|
$194.40 |
$194.40 |
$194.40 |
|
|
Application finger splntstatic 29130
|
$48.00 |
$48.00 |
$48.00 |
|
|
Application multi layer compression below knee (both sides)
|
$240.00 |
$240.00 |
$240.00 |
|
|
Application of paste boot 29580
|
$148.20 |
$148.20 |
$148.20 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$11.40 |
$11.40 |
$11.40 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$22.80 |
$22.80 |
$22.80 |
|
|
Appl multlay comprs arm/hand
|
$144.60 |
$144.60 |
$144.60 |
|
|
Apply forearm splintdynamic 29126
|
$110.40 |
$110.40 |
$110.40 |
|
|
Apply interstit radiat compl
|
$482.40 |
$482.40 |
$482.40 |
|
|
Apply intrcav radiat compl
|
$475.80 |
$475.80 |
$475.80 |
|
|
Apply intrcav radiat interm
|
$367.80 |
$367.80 |
$367.80 |
|
|
Apply intrcav radiat simple
|
$319.20 |
$319.20 |
$319.20 |
|
|
Apply of finger splint 29131
|
$69.00 |
$69.00 |
$69.00 |
|
|
Apply rigid leg cast 29445
|
$217.20 |
$217.20 |
$217.20 |
|
|
Apply surf ldr radionuclide
|
$102.00 |
$102.00 |
$102.00 |
|
|
Aquatic exercise - group charge
|
$22.80 |
$22.80 |
$22.80 |
|
|
Argatroban nonesrd use 1mg
|
$246.00 |
$246.00 |
$246.00 |
|
|
Arm CT Scan (with contrast, both arms)
|
$137.40 |
$137.40 |
$137.40 |
|
|
Arm CT Scan (without contrast, both arms)
|
$107.40 |
$107.40 |
$107.40 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$53.40 |
$53.40 |
$53.40 |
|
|
Arterial blood draw/perc 36620
|
$98.40 |
$98.40 |
$98.40 |
|
|
Artery xray each vessel 7577426
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery xray of abdomen 75726-26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays adrenal gland
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays adrenals
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays arm/leg 75710-26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays arms/legs 75716-26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays lung
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays lung
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays lungs
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery xrays of pelvis 75736 26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Artery x-rays spine
|
$0.60 |
$0.60 |
$0.60 |
|
|
Ascenda two piece catheter
|
$16,771.20 |
$16,771.20 |
$16,771.20 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$0.60 |
$0.60 |
$0.60 |
|
|
Aspirate pleura without imaging 32554
|
$0.60 |
$0.60 |
$0.60 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$0.60 |
$0.60 |
$0.60 |
|
|
Aspir/inj thyroid cyst 60300
|
$0.60 |
$0.60 |
$0.60 |
|
|
Assay free hydroxyproline
|
$97.20 |
$97.20 |
$97.20 |
|
|
Assay of corticosterone
|
$40.20 |
$40.20 |
$40.20 |
|
|
Assay of fluoride
|
$40.20 |
$40.20 |
$40.20 |
|
|
Assay of lrh hormone
|
$40.20 |
$40.20 |
$40.20 |
|
|
Assay of osteocalcin
|
$24.00 |
$24.00 |
$24.00 |
|
|
Assay of procainamide w/metab
|
$48.60 |
$48.60 |
$48.60 |
|
|
Assay of prostaglandin
|
$63.00 |
$63.00 |
$63.00 |
|
|
Assay of quinine
|
$49.80 |
$49.80 |
$49.80 |
|
|
Assay of sialic acid
|
$38.40 |
$38.40 |
$38.40 |
|
|
Assay of thiocyanate
|
$24.00 |
$24.00 |
$24.00 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$126.60 |
$126.60 |
$126.60 |
|
|
Assess cyst contrast inject
|
$0.60 |
$0.60 |
$0.60 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$7.80 |
$7.80 |
$7.80 |
|
|
Ast/sgot
|
$3.00 |
$3.00 |
$3.00 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$12,416.40 |
$12,416.40 |
$12,416.40 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$0.60 |
$0.60 |
$0.60 |
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$0.60 |
$0.60 |
$0.60 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$95.40 |
$95.40 |
$95.40 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$0.60 |
$0.60 |
$0.60 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$0.60 |
$0.60 |
$0.60 |
|
|
Autologous blood op salvage
|
$852.60 |
$852.60 |
$852.60 |
|
|
Autologous blood process
|
$276.00 |
$276.00 |
$276.00 |
|
|
Automated diff wbc count
|
$6.00 |
$6.00 |
$6.00 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,189.40 |
$2,189.40 |
$2,189.40 |
|
|
Azacitidine injection
|
$237.60 |
$237.60 |
$237.60 |
|
|
Azathioprine parenteral
|
$250.80 |
$250.80 |
$250.80 |
|
|
Azithromycin 500 mg intravenous solution
|
$4.80 |
$4.80 |
$4.80 |
|
|
Aztreonam 1 gram solution for injection
|
$60.60 |
$60.60 |
$60.60 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$197.40 |
$197.40 |
$197.40 |
|
|
Baclofen eval charges
|
$41.40 |
$41.40 |
$41.40 |
|
|
Bacterial meningitis antigen
|
$24.00 |
$24.00 |
$24.00 |
|
|
Bacterial vaginosis pcr
|
$194.40 |
$194.40 |
$194.40 |
|
|
#bac vag cand-c. albicans naa
|
$194.40 |
$194.40 |
$194.40 |
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$42.00 |
$42.00 |
$42.00 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$57.00 |
$57.00 |
$57.00 |
|
|
Balloon dilate urtrl strix
|
$0.60 |
$0.60 |
$0.60 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$822.00 |
$822.00 |
$822.00 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$571.80 |
$571.80 |
$571.80 |
|
|
Barium Swallow (Esophagus X-ray)
|
$321.60 |
$321.60 |
$321.60 |
|
|
B cells total count
|
$81.00 |
$81.00 |
$81.00 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$24.00 |
$24.00 |
$24.00 |
|
|
#_benzodiazconfur
|
$48.60 |
$48.60 |
$48.60 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$32.40 |
$32.40 |
$32.40 |
|
|
Beta-2 microglobulin
|
$24.00 |
$24.00 |
$24.00 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$39.00 |
$39.00 |
$39.00 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,732.00 |
$3,732.00 |
$3,732.00 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
|