|
Antibody identification platelet antibodies heparin-pf4 igg
|
$304.20 |
$304.20 |
$304.20 |
$218.30
|
|
Antibody id rbc panel
|
$214.50 |
$214.50 |
$214.50 |
$258.40
|
|
Antibody influenza virus
|
$75.40 |
$75.40 |
$75.40 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$43.55 |
$43.55 |
$43.55 |
$57.85
|
|
Antibody screen rbc
|
$70.20 |
$70.20 |
$70.20 |
$102.05
|
|
Anti mog serum - sendout
|
$406.90 |
$406.90 |
$406.90 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$64.35 |
$64.35 |
$64.35 |
$58.80
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$154.05 |
$154.05 |
$154.05 |
$48.57
|
|
Antinuclear antibodies
|
$56.55 |
$56.55 |
$56.55 |
$97.60
|
|
Antinuclear antibodies titer
|
$74.75 |
$74.75 |
$74.75 |
$78.65
|
|
Antistreptolysin o screen
|
$57.20 |
$57.20 |
$57.20 |
$57.20
|
|
Antistreptolysin o titer
|
$82.55 |
$82.55 |
$82.55 |
$58.50
|
|
Antithrombin iii activity
|
$168.35 |
$168.35 |
$168.35 |
$135.20
|
|
Appendix Removal (Laparoscopic)
|
$9,602.34 |
$9,602.34 |
$9,602.34 |
$6,604.91
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$794.30 |
$794.30 |
$794.30 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$794.95 |
$794.95 |
$794.95 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$181.35 |
$181.35 |
$181.35 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$659.10 |
$659.10 |
$659.10 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,201.55 |
$2,201.55 |
$2,201.55 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$160.55 |
$160.55 |
$160.55 |
$549.08
|
|
Application finger splntstatic 29130
|
$109.85 |
$109.85 |
$109.85 |
$208.50
|
|
Application long leg splint 29505
|
$260.65 |
$260.65 |
$260.65 |
$338.25
|
|
Application lower leg splint 29515
|
$247.00 |
$247.00 |
$247.00 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$63.05 |
$63.05 |
$63.05 |
$384.80
|
|
Application of forearm cast 29075
|
$241.15 |
$241.15 |
$241.15 |
$375.00
|
|
Application of paste boot 29580
|
$178.10 |
$178.10 |
$178.10 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$323.70 |
$323.70 |
$323.70 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$323.70 |
$323.70 |
$323.70 |
$2,087.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$62.40 |
$62.40 |
$62.40 |
$70.65
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$61.75 |
$61.75 |
$61.75 |
$72.80
|
|
Apply forearm splintdynamic 29126
|
$206.70 |
$206.70 |
$206.70 |
$249.60
|
|
Apply of finger splint 29131
|
$98.80 |
$98.80 |
$98.80 |
$177.45
|
|
Apply rigid leg cast 29445
|
$135.85 |
$135.85 |
$135.85 |
$593.57
|
|
#aptt mix-1:1 incubated
|
$141.05 |
$141.05 |
$141.05 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$241.15 |
$241.15 |
$241.15 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$233.35 |
$233.35 |
$233.35 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$198.90 |
$198.90 |
$198.90 |
$151.45
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$100.75 |
$100.75 |
$100.75 |
$90.52
|
|
Aquatic exercise - group charge
|
$135.20 |
$135.20 |
$135.20 |
$87.60
|
|
Argatroban nonesrd use 1mg
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$625.95 |
$625.95 |
$625.95 |
$529.19
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$290.55 |
$290.55 |
$290.55 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$354.25 |
$354.25 |
$354.25 |
$968.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$549.90 |
$549.90 |
$549.90 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$239.85 |
$239.85 |
$239.85 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$345.15 |
$345.15 |
$345.15 |
$696.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$188.50 |
$188.50 |
$188.50 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$7,486.60 |
$7,486.60 |
$7,486.60 |
$3,705.22
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$8,077.56 |
$8,077.56 |
$8,077.56 |
$1,060.80
|
|
Aspirate pleura without imaging 32554
|
$428.35 |
$428.35 |
$428.35 |
$1,212.00
|
|
Assay of adp & amp
|
$130.65 |
$130.65 |
$130.65 |
$169.65
|
|
Assay of interleukin-6 (il-6)
|
$153.40 |
$153.40 |
$153.40 |
$87.60
|
|
Assay of leflunomide
|
$156.00 |
$156.00 |
$156.00 |
$112.70
|
|
Assay of osteocalcin
|
$126.75 |
$126.75 |
$126.75 |
$133.20
|
|
Assay of prostaglandin
|
$274.30 |
$274.30 |
$274.30 |
$183.60
|
|
Assay of salicylate
|
$52.65 |
$52.65 |
$52.65 |
$93.60
|
|
Assay of somatostatin
|
$122.20 |
$122.20 |
$122.20 |
$108.64
|
|
Assay of tyrosine
|
$42.90 |
$42.90 |
$42.90 |
$56.00
|
|
Assay of urine sulfate
|
$31.85 |
$31.85 |
$31.85 |
$34.70
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$221.00 |
$221.00 |
$221.00 |
$302.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$43.55 |
$43.55 |
$43.55 |
$43.55
|
|
Assistive tech assessment, ot
|
$67.60 |
$67.60 |
$67.60 |
$96.08
|
|
Ast/sgot
|
$31.85 |
$31.85 |
$31.85 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$24.19 |
$24.19 |
$24.19 |
$27.91
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$148.85 |
$148.85 |
$148.85 |
$200.40
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,214.85 |
$1,214.85 |
$1,214.85 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,356.90 |
$2,356.90 |
$2,356.90 |
$11,566.33
|
|
Autologous blood process
|
$262.60 |
$262.60 |
$262.60 |
$262.50
|
|
Avul nail plate addl
|
$81.90 |
$81.90 |
$81.90 |
$244.70
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$163.80 |
$163.80 |
$163.80 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$26.19 |
$26.19 |
$26.19 |
$25.03
|
|
Aztreonam 1 gram solution for injection
|
$143.61 |
$143.61 |
$143.61 |
$158.89
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,343.70 |
$2,343.70 |
$2,343.70 |
$1,062.64
|
|
Baclofen eval charges
|
$97.50 |
$97.50 |
$97.50 |
$85.00
|
|
Bacterial meningitis antigen
|
$123.50 |
$123.50 |
$123.50 |
$66.30
|
|
Bacterial vaginosis pcr
|
$166.40 |
$166.40 |
$166.40 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$94.90 |
$94.90 |
$94.90 |
$146.90
|
|
B cells total count
|
$126.10 |
$126.10 |
$126.10 |
$131.30
|
|
Belatacept 250 mg intravenous solution
|
$2,006.24 |
$2,006.24 |
$2,006.24 |
$2,541.45
|
|
Belimumab 120 mg intravenous solution
|
$4,543.31 |
$4,543.31 |
$4,543.31 |
$5,014.16
|
|
#_benzodiazconfur
|
$96.85 |
$96.85 |
$96.85 |
$99.45
|
|
Benztropine 1 mg/ml injection solution
|
$95.06 |
$95.06 |
$95.06 |
$100.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$111.15 |
$111.15 |
$111.15 |
$109.60
|
|
Beta-2 microglobulin
|
$131.30 |
$131.30 |
$131.30 |
$84.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$6,576.18 |
$6,576.18 |
$6,576.18 |
$2,946.69
|
|
B-hexosaminidase ea assay
|
$119.60 |
$119.60 |
$119.60 |
$104.25
|
|
Bilateral n blobk inj pudendal 64430
|
$1,820.25 |
$1,820.25 |
$1,820.25 |
$1,396.25
|
|
Bilateral n block inj occipital 64405
|
$1,498.68 |
$1,498.68 |
$1,498.68 |
$834.15
|
|
Bilateral n block inj trigeminal 64400
|
$416.65 |
$416.65 |
$416.65 |
$544.80
|
|
Bilicheck
|
$31.85 |
$31.85 |
$31.85 |
$25.20
|
|
Bilirubin direct
|
$51.35 |
$51.35 |
$51.35 |
$42.90
|
|
Bilirubin total
|
$72.80 |
$72.80 |
$72.80 |
$49.60
|
|
Biofeedback, pt
|
$136.50 |
$136.50 |
$136.50 |
$148.66
|
|
Biopsy bone trocar/needle superficial
|
$310.70 |
$310.70 |
$310.70 |
$1,608.00
|
|
Biopsy of nerve
|
$515.45 |
$515.45 |
$515.45 |
$2,232.80
|
|
Biopsy/removal lymph nodes
|
$1,023.75 |
$1,023.75 |
$1,023.75 |
$4,196.54
|
|
Biopsy skin incisional single lesion
|
$174.85 |
$174.85 |
$174.85 |
$674.00
|
|
Biotinidase - quest
|
$70.20 |
$70.20 |
$70.20 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$293.15 |
$293.15 |
$293.15 |
$417.95
|