|
Antibody htlv/hiv confirm test
|
$19.60 |
$19.60 |
$19.60 |
$154.85
|
|
Antibody htlv-i
|
$50.40 |
$50.40 |
$50.40 |
$49.53
|
|
Antibody htlv-ii
|
$50.40 |
$50.40 |
$50.40 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$199.36 |
$199.36 |
$199.36 |
$216.24
|
|
Antibody id rbc panel
|
$67.20 |
$67.20 |
$67.20 |
$250.90
|
|
Antibody influenza virus
|
$35.28 |
$35.28 |
$35.28 |
$63.33
|
|
Antibody screen rbc
|
$19.60 |
$19.60 |
$19.60 |
$99.99
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$15.68 |
$15.68 |
$15.68 |
$48.57
|
|
Antinuclear antibodies
|
$75.60 |
$75.60 |
$75.60 |
$97.50
|
|
Antinuclear antibodies titer
|
$75.60 |
$75.60 |
$75.60 |
$78.65
|
|
Antistreptolysin o screen
|
$36.96 |
$36.96 |
$36.96 |
$57.20
|
|
Antistreptolysin o titer
|
$24.64 |
$24.64 |
$24.64 |
$58.50
|
|
Antithrombin iii activity
|
$30.24 |
$30.24 |
$30.24 |
$135.20
|
|
Apheresis immunoads slctv
|
$3,306.24 |
$3,306.24 |
$3,306.24 |
$5,517.54
|
|
Apheresis plasma
|
$1,726.48 |
$1,726.48 |
$1,726.48 |
$3,411.50
|
|
Apheresis platelets
|
$1,726.48 |
$1,726.48 |
$1,726.48 |
$2,195.00
|
|
Apheresis rbc
|
$1,726.48 |
$1,726.48 |
$1,726.48 |
$2,884.05
|
|
Apheresis wbc
|
$1,726.48 |
$1,726.48 |
$1,726.48 |
$2,906.15
|
|
Apl(pml-rara) quant - sendout
|
$232.40 |
$232.40 |
$232.40 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,339.44 |
$4,339.44 |
$4,339.44 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$3,948.56 |
$3,948.56 |
$3,948.56 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,656.08 |
$2,656.08 |
$2,656.08 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,339.44 |
$4,339.44 |
$4,339.44 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,948.56 |
$3,948.56 |
$3,948.56 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,656.08 |
$2,656.08 |
$2,656.08 |
$549.08
|
|
Application multi layer compression below knee (both sides)
|
$378.00 |
$378.00 |
$378.00 |
$384.80
|
|
Application of paste boot 29580
|
$378.00 |
$378.00 |
$378.00 |
$331.74
|
|
Application short leg cast 29405
|
$282.24 |
$282.24 |
$282.24 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,865.52 |
$2,865.52 |
$2,865.52 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,865.52 |
$2,865.52 |
$2,865.52 |
$2,087.50
|
|
Apply interstit radiat compl
|
$1,630.16 |
$1,630.16 |
$1,630.16 |
$2,910.05
|
|
Apply rigid leg cast 29445
|
$657.44 |
$657.44 |
$657.44 |
$593.57
|
|
Aquatic exercise - group charge
|
$41.44 |
$41.44 |
$41.44 |
$86.90
|
|
Artery xray each vessel 7577426
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$1,749.69
|
|
Artery xray of abdomen 75726-26
|
$1,905.12 |
$1,905.12 |
$1,905.12 |
$4,252.60
|
|
Artery x-rays arm/leg 75710-26
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$3,341.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,867.04 |
$1,867.04 |
$1,867.04 |
$3,860.40
|
|
Artery x-rays chest
|
$617.12 |
$617.12 |
$617.12 |
$2,498.28
|
|
Artery x-rays lung
|
$654.08 |
$654.08 |
$654.08 |
$2,921.88
|
|
Artery x-rays lung
|
$654.08 |
$654.08 |
$654.08 |
$2,138.37
|
|
Artery x-rays lungs
|
$1,307.04 |
$1,307.04 |
$1,307.04 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$1,942.08 |
$1,942.08 |
$1,942.08 |
$3,993.41
|
|
Artery x-rays spine
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$4,094.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$294.00 |
$294.00 |
$294.00 |
$543.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,018.64 |
$1,018.64 |
$1,018.64 |
$948.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$449.12 |
$449.12 |
$449.12 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$680.96 |
$680.96 |
$680.96 |
$687.20
|
|
Aspa gene
|
$257.26 |
$257.26 |
$257.26 |
$127.86
|
|
Asp & inj w/heparin pleurx cath
|
$652.96 |
$652.96 |
$652.96 |
$1,434.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$835.52 |
$835.52 |
$835.52 |
$1,219.50
|
|
Aspir/inj thyroid cyst 60300
|
$506.24 |
$506.24 |
$506.24 |
$833.29
|
|
Assay acid phosphatase
|
$5.60 |
$5.60 |
$5.60 |
$38.81
|
|
Assay of chloramphenicol
|
$17.36 |
$17.36 |
$17.36 |
$78.00
|
|
Assay of interleukin-6 (il-6)
|
$22.40 |
$22.40 |
$22.40 |
$82.80
|
|
Assay of methemalbumin
|
$47.60 |
$47.60 |
$47.60 |
$27.20
|
|
Assay of procainamide w/metab
|
$10.64 |
$10.64 |
$10.64 |
$63.07
|
|
Assay of thiocyanate
|
$10.64 |
$10.64 |
$10.64 |
$55.25
|
|
Assay of urine urobilinogen
|
$6.72 |
$6.72 |
$6.72 |
$7.45
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$182.56 |
$182.56 |
$182.56 |
$300.80
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$20.16 |
$20.16 |
$20.16 |
$43.55
|
|
Ast/sgot
|
$8.40 |
$8.40 |
$8.40 |
$43.40
|
|
Athrectomy fem/pop/unilateral 37225
|
$18,706.80 |
$18,706.80 |
$18,706.80 |
$21,960.96
|
|
Atomic absorption
|
$32.48 |
$32.48 |
$32.48 |
$47.17
|
|
Audiometry air + bone
|
$119.84 |
$119.84 |
$119.84 |
$178.81
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$9,055.76 |
$9,055.76 |
$9,055.76 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$13,128.08 |
$13,128.08 |
$13,128.08 |
$11,566.33
|
|
Autologous blood op salvage
|
$803.60 |
$803.60 |
$803.60 |
$910.70
|
|
Autologous blood process
|
$100.80 |
$100.80 |
$100.80 |
$262.50
|
|
Avul nail plate addl
|
$71.68 |
$71.68 |
$71.68 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$121.52 |
$121.52 |
$121.52 |
$356.00
|
|
Bacterial meningitis antigen
|
$48.72 |
$48.72 |
$48.72 |
$66.30
|
|
Bacterial vaginosis pcr
|
$132.72 |
$132.72 |
$132.72 |
$314.60
|
|
Balloon dilate urtrl strix
|
$947.52 |
$947.52 |
$947.52 |
$1,958.25
|
|
Basic vestibular evaluation
|
$177.52 |
$177.52 |
$177.52 |
$372.00
|
|
Bausch health Ultrasound surg
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,170.40
|
|
B cells total count
|
$106.40 |
$106.40 |
$106.40 |
$131.30
|
|
Benign lesion paring 2-4
|
$288.96 |
$288.96 |
$288.96 |
$275.88
|
|
Benign lesion paring 4+
|
$458.64 |
$458.64 |
$458.64 |
$276.75
|
|
#_benzodiazconfur
|
$5.60 |
$5.60 |
$5.60 |
$99.45
|
|
Beta-2 microglobulin
|
$30.80 |
$30.80 |
$30.80 |
$84.00
|
|
B-hexosaminidase ea assay
|
$92.96 |
$92.96 |
$92.96 |
$104.25
|
|
Bilateral n block inj occipital 64405
|
$582.40 |
$582.40 |
$582.40 |
$820.97
|
|
Bilirubin direct
|
$8.40 |
$8.40 |
$8.40 |
$42.90
|
|
Bilirubin total
|
$8.40 |
$8.40 |
$8.40 |
$48.00
|
|
Biopsy abdominal mass
|
$1,138.48 |
$1,138.48 |
$1,138.48 |
$1,857.60
|
|
Biopsy, bone open deep
|
$3,684.24 |
$3,684.24 |
$3,684.24 |
$3,370.52
|
|
Biopsy bone trocar/needle superficial
|
$936.32 |
$936.32 |
$936.32 |
$1,608.00
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$581.28 |
$581.28 |
$581.28 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$1,337.28 |
$1,337.28 |
$1,337.28 |
$1,798.20
|
|
Biopsy needle liver percutaneous
|
$1,337.28 |
$1,337.28 |
$1,337.28 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$741.44 |
$741.44 |
$741.44 |
$1,793.38
|
|
Biopsy of heart lining
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$4,466.67
|
|
Biopsy of prostate
|
$1,365.28 |
$1,365.28 |
$1,365.28 |
$2,412.22
|
|
Biopsy of rectum wall anal approach 45100
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$3,214.09
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,597.68 |
$1,597.68 |
$1,597.68 |
$2,175.51
|
|
Biopsy skin incisional single lesion
|
$474.88 |
$474.88 |
$474.88 |
$674.00
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$1,478.96 |
$1,478.96 |
$1,478.96 |
$2,017.63
|
|
Bld prd mix
|
$72.80 |
$72.80 |
$72.80 |
$139.21
|
|
Blm gene
|
$36.40 |
$36.40 |
$36.40 |
$127.86
|
