|
Ankle X-ray (2 views, both ankles)
|
$207.79 |
$207.79 |
$207.79 |
$282.96
|
|
Ank symes mold sckt sach ft
|
$4,663.68 |
$4,663.68 |
$4,663.68 |
$2,996.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,171.68 |
$1,171.68 |
$1,171.68 |
$630.96
|
|
Anodyne therapy charges pt
|
$139.44 |
$139.44 |
$139.44 |
$42.00
|
|
Anora (draw only)
|
$164.06 |
$164.06 |
$164.06 |
$35.00
|
|
Anterior asis pad
|
$146.59 |
$146.59 |
$146.59 |
$171.02
|
|
Anterior swing band
|
$506.45 |
$506.45 |
$506.45 |
$506.45
|
|
Anterior thoracic derotation
|
$174.77 |
$174.77 |
$174.77 |
$203.90
|
|
Anterior thoracic extension
|
$441.26 |
$441.26 |
$441.26 |
$454.00
|
|
Antibody bacterium, not elsewhere specified
|
$28.56 |
$28.56 |
$28.56 |
$57.85
|
|
Antibody elution rbc reference
|
$346.27 |
$346.27 |
$346.27 |
$177.29
|
|
Antibody htlv-i
|
$34.90 |
$34.90 |
$34.90 |
$49.53
|
|
Antibody htlv-ii
|
$58.22 |
$58.22 |
$58.22 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,177.92 |
$1,177.92 |
$1,177.92 |
$224.00
|
|
Antibody id rbc panel
|
$311.33 |
$311.33 |
$311.33 |
$291.75
|
|
Antibody screen rbc
|
$141.12 |
$141.12 |
$141.12 |
$108.55
|
|
Antibody tetanus
|
$43.78 |
$43.78 |
$43.78 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1,800.48 |
$1,800.48 |
$1,800.48 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$22.99 |
$22.99 |
$22.99 |
$3.67
|
|
Anti-inhibitor
|
$6,912.00 |
$6,912.00 |
$6,912.00 |
$8.33
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$54.72 |
$54.72 |
$54.72 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$109.87 |
$109.87 |
$109.87 |
$42.00
|
|
Antinuclear antibodies
|
$110.16 |
$110.16 |
$110.16 |
$90.00
|
|
Antinuclear antibodies titer
|
$110.16 |
$110.16 |
$110.16 |
$80.04
|
|
Antistreptolysin o titer
|
$26.50 |
$26.50 |
$26.50 |
$54.00
|
|
Antithrombin iii activity
|
$111.50 |
$111.50 |
$111.50 |
$115.15
|
|
Antithrombin iii injection
|
$27.89 |
$27.89 |
$27.89 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$6,837.90 |
$6,837.90 |
$6,837.90 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,848.58 |
$1,848.58 |
$1,848.58 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$151.73 |
$151.73 |
$151.73 |
$394.55
|
|
Apheresis immunoads slctv
|
$985.87 |
$985.87 |
$985.87 |
$5,794.21
|
|
Apheresis plasma
|
$1,631.57 |
$1,631.57 |
$1,631.57 |
$3,226.34
|
|
Apheresis platelets
|
$1,631.57 |
$1,631.57 |
$1,631.57 |
$2,195.00
|
|
Apheresis rbc
|
$1,631.57 |
$1,631.57 |
$1,631.57 |
$3,290.80
|
|
Apheresis wbc
|
$1,631.57 |
$1,631.57 |
$1,631.57 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$776.78 |
$776.78 |
$776.78 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$957.26 |
$957.26 |
$957.26 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$478.61 |
$478.61 |
$478.61 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$314.35 |
$314.35 |
$314.35 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,124.83 |
$1,124.83 |
$1,124.83 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$562.37 |
$562.37 |
$562.37 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$369.26 |
$369.26 |
$369.26 |
$512.20
|
|
Application finger splntstatic 29130
|
$77.47 |
$77.47 |
$77.47 |
$208.50
|
|
Application long leg splint 29505
|
$77.47 |
$77.47 |
$77.47 |
$338.25
|
|
Application lower leg splint 29515
|
$77.47 |
$77.47 |
$77.47 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$188.93 |
$188.93 |
$188.93 |
$375.06
|
|
Application of forearm cast 29075
|
$139.44 |
$139.44 |
$139.44 |
$358.20
|
|
Application of long arm cast 29065
|
$77.47 |
$77.47 |
$77.47 |
$396.77
|
|
Application of long leg cast 29345
|
$139.44 |
$139.44 |
$139.44 |
$455.00
|
|
Application of paste boot 29580
|
$184.66 |
$184.66 |
$184.66 |
$340.11
|
|
Application short leg cast 29405
|
$139.44 |
$139.44 |
$139.44 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$738.77 |
$738.77 |
$738.77 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$738.77 |
$738.77 |
$738.77 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,901.14 |
$4,901.14 |
$4,901.14 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$77.47 |
$77.47 |
$77.47 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$77.47 |
$77.47 |
$77.47 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$188.93 |
$188.93 |
$188.93 |
$289.60
|
|
Apply finger cast 29086
|
$77.47 |
$77.47 |
$77.47 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$228.58 |
$228.58 |
$228.58 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$188.93 |
$188.93 |
$188.93 |
$271.80
|
|
Apply interstit radiat compl
|
$878.83 |
$878.83 |
$878.83 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$832.22 |
$832.22 |
$832.22 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$680.83 |
$680.83 |
$680.83 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$529.63 |
$529.63 |
$529.63 |
$1,269.97
|
|
Apply of finger splint 29131
|
$188.93 |
$188.93 |
$188.93 |
$177.45
|
|
Apply rigid leg cast 29445
|
$281.90 |
$281.90 |
$281.90 |
$555.00
|
|
Apply short leg castambul type 29425
|
$138.14 |
$138.14 |
$138.14 |
$404.74
|
|
Apply surf ldr radionuclide
|
$339.31 |
$339.31 |
$339.31 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$77.47 |
$77.47 |
$77.47 |
$141.39
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$431.62 |
$431.62 |
$431.62 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$146.98 |
$146.98 |
$146.98 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$520.03 |
$520.03 |
$520.03 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$3,072.38 |
$3,072.38 |
$3,072.38 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$372.10 |
$372.10 |
$372.10 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$77.47 |
$77.47 |
$77.47 |
$100.75
|
|
Aquatic exercise - group charge
|
$228.58 |
$228.58 |
$228.58 |
$87.45
|
|
Arch supp att to shoe long/m
|
$75.46 |
$75.46 |
$75.46 |
$88.03
|
|
Arch supp att to shoe metata
|
$58.90 |
$58.90 |
$58.90 |
$75.23
|
|
Arch suprt att to sho longit
|
$58.90 |
$58.90 |
$58.90 |
$68.71
|
|
Argatroban nonesrd use 1mg
|
$809.70 |
$809.70 |
$809.70 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$5,789.43 |
$5,789.43 |
$5,789.43 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$863.71 |
$863.71 |
$863.71 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$647.76 |
$647.76 |
$647.76 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$227.18 |
$227.18 |
$227.18 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,019.96 |
$2,019.96 |
$2,019.96 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$583.25 |
$583.25 |
$583.25 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,743.07 |
$1,743.07 |
$1,743.07 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$3,050.98 |
$3,050.98 |
$3,050.98 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$2,000.78 |
$2,000.78 |
$2,000.78 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$2,515.20 |
$2,515.20 |
$2,515.20 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,099.65 |
$3,099.65 |
$3,099.65 |
$3,860.40
|
|
Artery x-rays chest
|
$2,785.15 |
$2,785.15 |
$2,785.15 |
$2,895.07
|
|
Artery x-rays lung
|
$2,746.66 |
$2,746.66 |
$2,746.66 |
$3,296.15
|
|
Artery x-rays lung
|
$2,346.43 |
$2,346.43 |
$2,346.43 |
$2,427.50
|
|
Artery x-rays lungs
|
$2,802.62 |
$2,802.62 |
$2,802.62 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$2,789.57 |
$2,789.57 |
$2,789.57 |
$4,306.40
|
|
Artery x-rays spine
|
$3,597.50 |
$3,597.50 |
$3,597.50 |
$4,792.33
|
|
Art expos/graft artery perfusion 33987
|
$1,931.18 |
$1,931.18 |
$1,931.18 |
$446.41
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,313.42 |
$1,313.42 |
$1,313.42 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$616.13 |
$616.13 |
$616.13 |
$1,005.42
|
