|
Angio tib/peroneal/init ves/unila 37228
|
$10,344.88 |
$10,344.88 |
$10,344.88 |
$14,806.05
|
|
Angio trnslmnl balloon same artery ea addl
|
$12,936.56 |
$12,936.56 |
$12,936.56 |
$5,855.20
|
|
Angio trnslmnl balloon same artery ini
|
$19,996.48 |
$19,996.48 |
$19,996.48 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,862.32 |
$3,862.32 |
$3,862.32 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$6,663.44 |
$6,663.44 |
$6,663.44 |
$8,766.15
|
|
Ankle X-ray
|
$180.88 |
$180.88 |
$180.88 |
$311.92
|
|
Anodyne therapy charges pt
|
$52.08 |
$52.08 |
$52.08 |
$41.02
|
|
Anora (draw only)
|
$8.40 |
$8.40 |
$8.40 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$15.12 |
$15.12 |
$15.12 |
$57.85
|
|
Antibody elution rbc reference
|
$73.92 |
$73.92 |
$73.92 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$43.55 |
$43.55 |
$43.55 |
$154.85
|
|
Antibody htlv-i
|
$10.64 |
$10.64 |
$10.64 |
$49.53
|
|
Antibody htlv-ii
|
$16.24 |
$16.24 |
$16.24 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$184.80 |
$184.80 |
$184.80 |
$216.24
|
|
Antibody id rbc panel
|
$96.32 |
$96.32 |
$96.32 |
$250.90
|
|
Antibody influenza virus
|
$7.62 |
$7.62 |
$7.62 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$9.13 |
$9.13 |
$9.13 |
$57.85
|
|
Antibody screen rbc
|
$25.76 |
$25.76 |
$25.76 |
$99.99
|
|
Antibody tetanus
|
$17.92 |
$17.92 |
$17.92 |
$74.53
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.59 |
$0.59 |
$0.59 |
$2.69
|
|
Anti-inhibitor
|
$1.44 |
$1.44 |
$1.44 |
$3.44
|
|
Antinuclear antibodies
|
$68.88 |
$68.88 |
$68.88 |
$97.50
|
|
Antinuclear antibodies titer
|
$68.88 |
$68.88 |
$68.88 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$19.04 |
$19.04 |
$19.04 |
$72.15
|
|
Antistreptolysin o screen
|
$33.60 |
$33.60 |
$33.60 |
$57.20
|
|
Antistreptolysin o titer
|
$33.60 |
$33.60 |
$33.60 |
$58.50
|
|
Antithrombin iii activity
|
$24.64 |
$24.64 |
$24.64 |
$135.20
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,105.26 |
$5,105.26 |
$5,105.26 |
$6,946.62
|
|
Aortic dysfunction/dilation
|
$421.68 |
$421.68 |
$421.68 |
$587.08
|
|
Aortic dysfunction/dilation
|
$1,130.08 |
$1,130.08 |
$1,130.08 |
$1,863.26
|
|
Apc gene dup/delet variants
|
$46.48 |
$46.48 |
$46.48 |
$468.75
|
|
Apc gene full sequence
|
$502.32 |
$502.32 |
$502.32 |
$1,560.00
|
|
Apheresis plasma
|
$3,721.20 |
$3,721.20 |
$3,721.20 |
$3,411.50
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$549.08
|
|
Application multi layer compression below knee (both sides)
|
$298.48 |
$298.48 |
$298.48 |
$384.80
|
|
Application of paste boot 29580
|
$298.48 |
$298.48 |
$298.48 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$2,087.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$3,428.88 |
$3,428.88 |
$3,428.88 |
$470.25
|
|
Appl modality 1/> areas paraffin bath 97018
|
$69.44 |
$69.44 |
$69.44 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.08 |
$52.08 |
$52.08 |
$71.50
|
|
Apply halo w/removal cranial
|
$2,375.52 |
$2,375.52 |
$2,375.52 |
$2,202.50
|
|
Apply interstit radiat compl
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$897.12 |
$897.12 |
$897.12 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$734.16 |
$734.16 |
$734.16 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$571.76 |
$571.76 |
$571.76 |
$796.97
|
|
Apply rigid leg cast 29445
|
$259.84 |
$259.84 |
$259.84 |
$593.57
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1.82 |
$1.82 |
$1.82 |
$4.20
|
|
Aquatic exercise - group charge
|
$31.36 |
$31.36 |
$31.36 |
$86.90
|
|
Argatroban nonesrd use 1mg
|
$4.05 |
$4.05 |
$4.05 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$185.18 |
$185.18 |
$185.18 |
$292.80
|
|
Arterial blood draw/perc 36620
|
$59.92 |
$59.92 |
$59.92 |
$529.19
|
|
Artery xray each vessel 7577426
|
$910.56 |
$910.56 |
$910.56 |
$1,749.69
|
|
Artery xray of abdomen 75726-26
|
$1,010.80 |
$1,010.80 |
$1,010.80 |
$4,252.60
|
|
Artery x-rays adrenal gland
|
$974.40 |
$974.40 |
$974.40 |
$3,263.92
|
|
Artery x-rays adrenals
|
$3,204.88 |
$3,204.88 |
$3,204.88 |
$3,483.84
|
|
Artery x-rays arm/leg 75710-26
|
$1,050.56 |
$1,050.56 |
$1,050.56 |
$3,341.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,256.64 |
$1,256.64 |
$1,256.64 |
$3,860.40
|
|
Artery x-rays chest
|
$675.36 |
$675.36 |
$675.36 |
$2,498.28
|
|
Artery x-rays lung
|
$967.12 |
$967.12 |
$967.12 |
$2,921.88
|
|
Artery x-rays lung
|
$534.80 |
$534.80 |
$534.80 |
$2,138.37
|
|
Artery x-rays lungs
|
$1,750.56 |
$1,750.56 |
$1,750.56 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$850.64 |
$850.64 |
$850.64 |
$3,993.41
|
|
Artery x-rays spine
|
$850.64 |
$850.64 |
$850.64 |
$4,094.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$354.48 |
$354.48 |
$354.48 |
$543.40
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$231.28 |
$231.28 |
$231.28 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$595.28 |
$595.28 |
$595.28 |
$687.20
|
|
Ascenda two piece catheter
|
$12,544.00 |
$12,544.00 |
$12,544.00 |
$28,797.60
|
|
Aspa gene
|
$61.04 |
$61.04 |
$61.04 |
$127.86
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$809.20 |
$809.20 |
$809.20 |
$1,219.50
|
|
Assay acid phosphatase
|
$19.04 |
$19.04 |
$19.04 |
$38.81
|
|
Assay blood catecholamines
|
$71.68 |
$71.68 |
$71.68 |
$72.00
|
|
Assay free hydroxyproline
|
$15.23 |
$15.23 |
$15.23 |
$52.64
|
|
Assay of adp & amp
|
$17.92 |
$17.92 |
$17.92 |
$169.65
|
|
Assay of chloramphenicol
|
$9.14 |
$9.14 |
$9.14 |
$78.00
|
|
Assay of estrogen
|
$155.12 |
$155.12 |
$155.12 |
$185.60
|
|
Assay of feces for trypsin
|
$11.76 |
$11.76 |
$11.76 |
$22.40
|
|
Assay of glutathione
|
$18.48 |
$18.48 |
$18.48 |
$69.55
|
|
Assay of methemalbumin
|
$48.16 |
$48.16 |
$48.16 |
$27.20
|
|
Assay of osteocalcin
|
$35.28 |
$35.28 |
$35.28 |
$126.75
|
|
Assay of pregnanediol
|
$79.52 |
$79.52 |
$79.52 |
$51.94
|
|
Assay of pregnanetriol
|
$99.79 |
$99.79 |
$99.79 |
$55.77
|
|
Assay of procainamide w/metab
|
$49.84 |
$49.84 |
$49.84 |
$63.07
|
|
Assay of progesterone
|
$96.32 |
$96.32 |
$96.32 |
$285.19
|
|
Assay of prostaglandin
|
$176.40 |
$176.40 |
$176.40 |
$186.20
|
|
Assay of somatostatin
|
$21.84 |
$21.84 |
$21.84 |
$118.20
|
|
Assay of thiocyanate
|
$41.44 |
$41.44 |
$41.44 |
$55.25
|
|
Assay of troponin qual
|
$45.92 |
$45.92 |
$45.92 |
$22.40
|
|
Assay of urine sulfate
|
$6.72 |
$6.72 |
$6.72 |
$33.15
|
|
Assay of urine urobilinogen
|
$6.63 |
$6.63 |
$6.63 |
$12.10
|
|
Assay phosphatidylglycerol
|
$14.00 |
$14.00 |
$14.00 |
$133.56
|
|
Assay toxin or antitoxin
|
$22.96 |
$22.96 |
$22.96 |
$70.92
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$136.64 |
$136.64 |
$136.64 |
$300.80
|
|
Assess cyst contrast inject
|
$940.24 |
$940.24 |
$940.24 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$18.48 |
$18.48 |
$18.48 |
$43.55
|
