|
Anora (draw only)
|
$4.84 |
$4.84 |
$8.80 |
$33.58
|
|
Ans parasymp & symp w/tilt
|
$168.08 |
$168.08 |
$305.60 |
$368.50
|
|
Antibody htlv/hiv confirm test
|
$161.70 |
$161.70 |
$294.00 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$39.38 |
$39.38 |
$71.60 |
$218.30
|
|
Antibody id rbc panel
|
$133.10 |
$133.10 |
$242.00 |
$274.56
|
|
Antibody influenza virus
|
$14.74 |
$14.74 |
$26.80 |
$53.95
|
|
Antibody screen rbc
|
$28.16 |
$28.16 |
$51.20 |
$100.00
|
|
Antibody tetanus
|
$27.72 |
$27.72 |
$50.40 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.80 |
$8.80 |
$16.00 |
$37.05
|
|
Antinuclear antibodies
|
$30.80 |
$30.80 |
$56.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$6.16 |
$6.16 |
$11.20 |
$77.00
|
|
Antistreptolysin o titer
|
$6.16 |
$6.16 |
$11.20 |
$51.45
|
|
Antithrombin iii activity
|
$19.80 |
$19.80 |
$36.00 |
$114.00
|
|
Apheresis immunoads slctv
|
$1,604.24 |
$1,604.24 |
$2,916.80 |
$5,561.12
|
|
Apomorphine hydrochloride
|
$264.98 |
$264.98 |
$481.78 |
$174.99
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$66.66 |
$66.66 |
$121.20 |
$463.65
|
|
Application finger splntstatic 29130
|
$42.68 |
$42.68 |
$77.60 |
$208.16
|
|
Application long leg splint 29505
|
$86.68 |
$86.68 |
$157.60 |
$338.25
|
|
Application lower leg splint 29515
|
$90.64 |
$90.64 |
$164.80 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$810.70 |
$810.70 |
$1,474.00 |
$373.20
|
|
Application of forearm cast 29075
|
$134.20 |
$134.20 |
$244.00 |
$339.30
|
|
Application of paste boot 29580
|
$59.18 |
$59.18 |
$107.60 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,582.14 |
$2,582.14 |
$4,694.80 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,582.14 |
$2,582.14 |
$4,694.80 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$24.64 |
$24.64 |
$44.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$44.00 |
$44.00 |
$80.00 |
$75.60
|
|
Apply of finger splint 29131
|
$59.18 |
$59.18 |
$107.60 |
$168.00
|
|
Apply rigid leg cast 29445
|
$134.20 |
$134.20 |
$244.00 |
$555.00
|
|
App mdlty 1+hubbrd tnk ea 15
|
$87.56 |
$87.56 |
$159.20 |
$141.39
|
|
#aptt mix-1:1 incubated
|
$36.52 |
$36.52 |
$66.40 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$8.36 |
$8.36 |
$15.20 |
$148.80
|
|
Aquatic exercise - group charge
|
$38.94 |
$38.94 |
$70.80 |
$85.80
|
|
Argatroban nonesrd (accord)
|
$241.76 |
$241.76 |
$439.56 |
$218.25
|
|
Argatroban nonesrd (auromed)
|
$97.68 |
$97.68 |
$177.60 |
$42.90
|
|
Argatroban nonesrd use 1mg
|
$251.61 |
$251.61 |
$457.46 |
$866.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$696.05 |
$696.05 |
$1,265.54 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$342.10 |
$342.10 |
$622.00 |
$485.69
|
|
Artery xray each vessel 7577426
|
$871.86 |
$871.86 |
$1,585.20 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,592.48 |
$2,592.48 |
$4,713.60 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,729.00
|
|
Artery x-rays lung
|
$351.56 |
$351.56 |
$639.20 |
$2,451.75
|
|
Artery x-rays lungs
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,251.04 |
$2,251.04 |
$4,092.80 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$280.72 |
$280.72 |
$510.40 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$474.10 |
$474.10 |
$862.00 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$280.72 |
$280.72 |
$510.40 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$280.72 |
$280.72 |
$510.40 |
$715.37
|
|
Aspirate/inj ganglion cyst 20612
|
$280.72 |
$280.72 |
$510.40 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$287.98 |
$287.98 |
$523.60 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$810.70 |
$810.70 |
$1,474.00 |
$1,226.87
|
|
Assay alkaline phosphatase
|
$68.86 |
$68.86 |
$125.20 |
$51.60
|
|
Assay of osteocalcin
|
$20.68 |
$20.68 |
$37.60 |
$92.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$27.06 |
$27.06 |
$49.20 |
$49.80
|
|
Ast/sgot
|
$4.40 |
$4.40 |
$8.00 |
$45.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$16,409.51
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$7,631.14 |
$7,631.14 |
$13,874.80 |
$15,188.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$92.93 |
$92.93 |
$168.96 |
$51.28
|
|
Audit/dast 15-30 min
|
$19.36 |
$19.36 |
$35.20 |
$67.83
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$801.46 |
$801.46 |
$1,457.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,845.26 |
$2,845.26 |
$5,173.20 |
$10,384.40
|
|
Autologous blood process
|
$310.64 |
$310.64 |
$564.80 |
$262.50
|
|
Autonomic nrv syst funj test
|
$69.74 |
$69.74 |
$126.80 |
$365.04
|
|
Avul nail plate addl
|
$272.80 |
$272.80 |
$496.00 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$272.80 |
$272.80 |
$496.00 |
$318.75
|
|
Azacitidine injection
|
$380.49 |
$380.49 |
$691.80 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$10.54 |
$10.54 |
$19.16 |
$3.46
|
|
Azathioprine parenteral
|
$686.89 |
$686.89 |
$1,248.90 |
$442.98
|
|
Azithromycin 500 mg intravenous solution
|
$28.67 |
$28.67 |
$52.12 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$167.54 |
$167.54 |
$304.62 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,018.91 |
$1,018.91 |
$1,852.56 |
$1,800.33
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$53.73 |
$53.73 |
$97.69 |
$161.17
|
|
Bacterial meningitis antigen
|
$36.30 |
$36.30 |
$66.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$71.28 |
$71.28 |
$129.60 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$25.96 |
$25.96 |
$47.20 |
$105.00
|
|
B cells total count
|
$17.38 |
$17.38 |
$31.60 |
$131.30
|
|
Bebtelovimab injection
|
$123.86 |
$123.86 |
$225.20 |
$450.48
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,953.81 |
$1,953.81 |
$3,552.38 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$2,696.68 |
$2,696.68 |
$4,903.06 |
$4,107.38
|
|
Benign lesion paring 2-4
|
$268.84 |
$268.84 |
$488.80 |
$257.50
|
|
#_benzodiazconfur
|
$869.44 |
$869.44 |
$1,580.80 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$76.32 |
$76.32 |
$138.77 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$27.28 |
$27.28 |
$49.60 |
$78.50
|
|
Beta-2 microglobulin
|
$15.62 |
$15.62 |
$28.40 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$122.13 |
$122.13 |
$222.06 |
$64.15
|
|
Bilateral n block inj occipital 64405
|
$159.50 |
$159.50 |
$290.00 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$129.14 |
$129.14 |
$234.80 |
$556.40
|
|
Bilicheck
|
$8.36 |
$8.36 |
$15.20 |
$28.80
|
|
Bilirubin direct
|
$5.28 |
$5.28 |
$9.60 |
$50.00
|
|
Bilirubin total
|
$28.16 |
$28.16 |
$51.20 |
$52.57
|
|
Biopsy abdominal mass
|
$673.86 |
$673.86 |
$1,225.20 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$673.86 |
$673.86 |
$1,225.20 |
$1,770.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$778.14 |
$778.14 |
$1,414.80 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$673.86 |
$673.86 |
$1,225.20 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$673.86 |
$673.86 |
$1,225.20 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$673.86 |
$673.86 |
$1,225.20 |
$1,878.14
|
|
Biopsy of prostate
|
$524.92 |
$524.92 |
$954.40 |
$2,412.45
|
|
Biopsy of salivary gland 42400
|
$393.14 |
$393.14 |
$714.80 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$673.86 |
$673.86 |
$1,225.20 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$195.14 |
$195.14 |
$354.80 |
$657.66
|
