|
Anora (draw only)
|
$8.96 |
$8.96 |
$8.96 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$16.80 |
$16.80 |
$16.80 |
$57.85
|
|
Antibody elution rbc reference
|
$85.12 |
$85.12 |
$85.12 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$43.55 |
$43.55 |
$43.55 |
$154.85
|
|
Antibody htlv-i
|
$11.76 |
$11.76 |
$11.76 |
$49.53
|
|
Antibody htlv-ii
|
$17.92 |
$17.92 |
$17.92 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$184.80 |
$184.80 |
$184.80 |
$216.24
|
|
Antibody id rbc panel
|
$110.88 |
$110.88 |
$110.88 |
$250.90
|
|
Antibody screen rbc
|
$16.24 |
$16.24 |
$16.24 |
$99.99
|
|
Antibody tetanus
|
$17.92 |
$17.92 |
$17.92 |
$74.53
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.61 |
$0.61 |
$0.61 |
$2.69
|
|
Antinuclear antibodies
|
$46.48 |
$46.48 |
$46.48 |
$97.50
|
|
Antinuclear antibodies titer
|
$33.60 |
$33.60 |
$33.60 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$20.72 |
$20.72 |
$20.72 |
$72.15
|
|
Antistreptolysin o screen
|
$36.96 |
$36.96 |
$36.96 |
$57.20
|
|
Antistreptolysin o titer
|
$36.96 |
$36.96 |
$36.96 |
$58.50
|
|
Antithrombin iii activity
|
$26.88 |
$26.88 |
$26.88 |
$135.20
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$4,503.24 |
$4,503.24 |
$4,503.24 |
$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
|
$3,335.36 |
$3,335.36 |
$3,335.36 |
$3,411.50
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$5,281.36 |
$5,281.36 |
$5,281.36 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$5,281.36 |
$5,281.36 |
$5,281.36 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,281.36 |
$5,281.36 |
$5,281.36 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$5,281.36 |
$5,281.36 |
$5,281.36 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$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
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$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
|
$54.32 |
$54.32 |
$54.32 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$40.88 |
$40.88 |
$40.88 |
$71.50
|
|
Apply interstit radiat compl
|
$1,076.32 |
$1,076.32 |
$1,076.32 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$534.24 |
$534.24 |
$534.24 |
$1,484.80
|
|
Apply rigid leg cast 29445
|
$519.68 |
$519.68 |
$519.68 |
$593.57
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$39.76 |
$39.76 |
$39.76 |
$90.52
|
|
Aquatic exercise - group charge
|
$24.64 |
$24.64 |
$24.64 |
$86.90
|
|
Argatroban nonesrd use 1mg
|
$3.58 |
$3.58 |
$3.58 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$38.68 |
$38.68 |
$38.68 |
$292.80
|
|
Artery xray each vessel 7577426
|
$1,173.76 |
$1,173.76 |
$1,173.76 |
$1,749.69
|
|
Artery xray of abdomen 75726-26
|
$1,535.52 |
$1,535.52 |
$1,535.52 |
$4,252.60
|
|
Artery x-rays arm/leg 75710-26
|
$1,442.56 |
$1,442.56 |
$1,442.56 |
$3,341.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,515.36 |
$1,515.36 |
$1,515.36 |
$3,860.40
|
|
Artery x-rays chest
|
$828.24 |
$828.24 |
$828.24 |
$2,498.28
|
|
Artery x-rays lung
|
$1,088.08 |
$1,088.08 |
$1,088.08 |
$2,921.88
|
|
Artery x-rays lungs
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$3,993.41
|
|
Artery x-rays spine
|
$1,032.64 |
$1,032.64 |
$1,032.64 |
$4,094.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$401.52 |
$401.52 |
$401.52 |
$543.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$693.28 |
$693.28 |
$693.28 |
$948.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$773.92 |
$773.92 |
$773.92 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$295.12 |
$295.12 |
$295.12 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$460.88 |
$460.88 |
$460.88 |
$687.20
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$571.76 |
$571.76 |
$571.76 |
$650.37
|
|
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
|
|
Asp core fat pad
|
$208.88 |
$208.88 |
$208.88 |
$1,589.40
|
|
Asp & inj w/heparin pleurx cath
|
$643.44 |
$643.44 |
$643.44 |
$1,434.00
|
|
Aspirate pleura without imaging 32554
|
$936.32 |
$936.32 |
$936.32 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$825.44 |
$825.44 |
$825.44 |
$1,219.50
|
|
Assay acid phosphatase
|
$5.38 |
$5.38 |
$5.38 |
$38.81
|
|
Assay blood catecholamines
|
$71.68 |
$71.68 |
$71.68 |
$72.00
|
|
Assay of adp & amp
|
$17.92 |
$17.92 |
$17.92 |
$169.65
|
|
Assay of chloramphenicol
|
$17.40 |
$17.40 |
$17.40 |
$78.00
|
|
Assay of estrogen
|
$170.24 |
$170.24 |
$170.24 |
$185.60
|
|
Assay of feces for trypsin
|
$12.88 |
$12.88 |
$12.88 |
$22.40
|
|
Assay of glutathione
|
$20.16 |
$20.16 |
$20.16 |
$69.55
|
|
Assay of osteocalcin
|
$16.80 |
$16.80 |
$16.80 |
$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
|
$63.84 |
$63.84 |
$63.84 |
$63.07
|
|
Assay of progesterone
|
$105.84 |
$105.84 |
$105.84 |
$285.19
|
|
Assay of prostaglandin
|
$176.40 |
$176.40 |
$176.40 |
$186.20
|
|
Assay of somatostatin
|
$108.64 |
$108.64 |
$108.64 |
$118.20
|
|
Assay of thiocyanate
|
$41.44 |
$41.44 |
$41.44 |
$55.25
|
|
Assay of urine sulfate
|
$7.28 |
$7.28 |
$7.28 |
$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
|
$25.20 |
$25.20 |
$25.20 |
$70.92
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$136.64 |
$136.64 |
$136.64 |
$300.80
|
|
Assess cyst contrast inject
|
$936.88 |
$936.88 |
$936.88 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$20.16 |
$20.16 |
$20.16 |
$43.55
|
|
Ast/sgot
|
$17.92 |
$17.92 |
$17.92 |
$43.40
|
|
Athrectomy fem/pop/unilateral 37225
|
$22,334.48 |
$22,334.48 |
$22,334.48 |
$21,960.96
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$22,334.48 |
$22,334.48 |
$22,334.48 |
$21,960.96
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$15,982.96 |
$15,982.96 |
$15,982.96 |
$11,566.33
|
|
Autologous blood op salvage
|
$1,477.28 |
$1,477.28 |
$1,477.28 |
$910.70
|
|
Autologous blood process
|
$284.48 |
$284.48 |
$284.48 |
$262.50
|
|
Avul nail plate addl
|
$79.52 |
$79.52 |
$79.52 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$112.56 |
$112.56 |
$112.56 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$3.54 |
$3.54 |
$3.54 |
$2.18
|
|
Baclofen eval charges
|
$41.44 |
$41.44 |
$41.44 |
$84.35
|
|
Bacterial meningitis antigen
|
$48.72 |
$48.72 |
$48.72 |
$66.30
|
|
Bacterial vaginosis pcr
|
$123.76 |
$123.76 |
$123.76 |
$314.60
|
|
Bactericidal level serum
|
$128.24 |
$128.24 |
$128.24 |
$67.60
|
|
Balloon dilate urtrl strix
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$1,958.25
|
