|
Anogenital exam child w imag
|
$231.00 |
$231.00 |
$231.00 |
|
|
Anora (draw only)
|
$12.35 |
$17.55 |
$18.20 |
|
|
Anoscopy remove fb 46608
|
$523.25 |
$523.25 |
$523.25 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$13,730.04 |
$13,730.04 |
$13,730.04 |
|
|
Antibody bacterium, not elsewhere specified
|
$35.10 |
$52.65 |
$93.60 |
|
|
Antibody elution rbc reference
|
$83.20 |
$144.95 |
$156.00 |
|
|
Antibody htlv/hiv confirm test
|
$101.40 |
$135.85 |
$180.70 |
|
|
Antibody htlv-i
|
$59.80 |
$59.80 |
$74.75 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$93.60 |
$289.25 |
$416.00 |
|
|
Antibody id rbc panel
|
$153.40 |
$203.45 |
$328.90 |
|
|
Antibody influenza virus
|
$59.80 |
$75.40 |
$101.40 |
|
|
Antibody lymphocytic choriomeningitis
|
$43.55 |
$59.80 |
$65.00 |
|
|
Antibody screen rbc
|
$47.25 |
$75.40 |
$157.95 |
|
|
Antibody tetanus
|
$58.50 |
$58.50 |
$96.20 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2,000.70 |
$2,000.70 |
$2,000.70 |
|
|
Antihemophilic viii/vwf comp
|
$5,556.46 |
$5,556.46 |
$5,556.46 |
|
|
Anti-inhibitor
|
$6,479.93 |
$6,479.93 |
$6,479.93 |
|
|
Anti mog serum - sendout
|
$395.85 |
$443.95 |
$529.75 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$39.00 |
$64.35 |
$153.40 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$18.20 |
$154.05 |
$178.75 |
|
|
Antinuclear antibodies
|
$41.25 |
$110.50 |
$235.95 |
|
|
Antinuclear antibodies titer
|
$45.00 |
$80.60 |
$92.30 |
|
|
Antiphosphatidylserine antibody
|
$119.60 |
$119.60 |
$249.60 |
|
|
Antistreptolysin o screen
|
$57.20 |
$57.20 |
$57.20 |
|
|
Antistreptolysin o titer
|
$52.50 |
$91.00 |
$159.90 |
|
|
Antithrombin iii activity
|
$168.35 |
$183.30 |
$413.40 |
|
|
Antithrombin iii injection
|
$4,475.25 |
$4,475.25 |
$4,490.17 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$10,397.58 |
$10,397.58 |
$10,397.58 |
|
|
Antithymocyte globuln rabbit
|
$2,245.01 |
$2,245.01 |
$2,245.01 |
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$17,674.92 |
$17,674.92 |
$17,674.92 |
|
|
Ant sgm img ir flrscn angrph
|
$205.50 |
$205.50 |
$205.50 |
|
|
Ant sgm img i&r speclr mic
|
$124.80 |
$124.80 |
$124.80 |
|
|
Apheresis immunoads slctv
|
$3,999.45 |
$3,999.45 |
$3,999.45 |
|
|
Apheresis plasma
|
$2,482.35 |
$2,529.80 |
$6,579.27 |
|
|
Apheresis platelets
|
$2,158.65 |
$2,158.65 |
$2,158.65 |
|
|
Apheresis rbc
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
|
|
Apheresis wbc
|
$2,416.70 |
$2,416.70 |
$2,416.70 |
|
|
Apl(pml-rara) quant - sendout
|
$329.55 |
$482.95 |
$618.80 |
|
|
Appendix Removal (Laparoscopic)
|
$8,727.00 |
$10,447.81 |
$21,071.58 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$794.30 |
$1,061.45 |
$3,283.15 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$248.30 |
$794.95 |
$3,213.60 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$181.35 |
$181.35 |
$512.20 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$440.70 |
$659.10 |
$1,373.45 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$601.90 |
$709.15 |
$3,225.30 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$160.55 |
$241.80 |
$512.20 |
|
|
Application clubfoot cast
|
$303.00 |
$303.00 |
$303.00 |
|
|
Application finger splntstatic 29130
|
$109.85 |
$146.90 |
$196.30 |
|
|
Application long leg splint 29505
|
$106.50 |
$260.65 |
$313.30 |
|
|
Application lower leg splint 29515
|
$48.00 |
$244.40 |
$586.95 |
|
|
Application multi layer compression below knee (both sides)
|
$63.05 |
$154.05 |
$286.65 |
|
|
Application of forearm cast 29075
|
$192.75 |
$217.10 |
$292.50 |
|
|
Application of long arm cast 29065
|
$188.50 |
$201.00 |
$295.10 |
|
|
Application of long leg cast 29345
|
$338.00 |
$338.00 |
$338.00 |
|
|
Application of paste boot 29580
|
$20.80 |
$169.65 |
$285.35 |
|
|
Application short leg cast 29405
|
$219.70 |
$219.70 |
$266.50 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$296.40 |
$323.70 |
$1,201.20 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$114.40 |
$323.70 |
$801.45 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$35.75 |
$56.55 |
$86.45 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$58.50 |
$61.75 |
$92.95 |
|
|
Appl multlay comprs arm/hand
|
$204.10 |
$204.10 |
$204.10 |
|
|
Apply finger cast 29086
|
$159.25 |
$159.25 |
$159.25 |
|
|
Apply forearm splintdynamic 29126
|
$124.80 |
$178.75 |
$206.70 |
|
|
Apply halo w/removal cranial
|
$36,328.50 |
$36,328.50 |
$36,328.50 |
|
|
Apply hand/wrist cast 29085
|
$99.75 |
$99.75 |
$200.85 |
|
|
Apply interstit radiat compl
|
$5,378.75 |
$5,378.75 |
$5,378.75 |
|
|
Apply intrcav radiat compl
|
$6,435.00 |
$6,435.00 |
$6,435.00 |
|
|
Apply intrcav radiat interm
|
$5,141.50 |
$5,141.50 |
$5,141.50 |
|
|
Apply intrcav radiat simple
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
|
|
Apply of finger splint 29131
|
$98.80 |
$170.95 |
$206.70 |
|
|
Apply rigid leg cast 29445
|
$135.85 |
$294.45 |
$518.70 |
|
|
Apply short leg castambul type 29425
|
$185.25 |
$185.25 |
$369.85 |
|
|
Apply surf ldr radionuclide
|
$828.10 |
$828.10 |
$828.10 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$979.52 |
$1,506.96 |
$1,506.96 |
|
|
#aptt mix-1:1 incubated
|
$124.80 |
$141.05 |
$347.75 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$187.20 |
$241.15 |
$248.30 |
|
|
Aquaporin-4 antibody cba each
|
$64.35 |
$233.35 |
$382.85 |
|
|
Aquaporin-4 antibody elisa
|
$175.50 |
$198.90 |
$254.80 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$93.60 |
$100.75 |
$127.40 |
|
|
Aquatic exercise - group charge
|
$107.90 |
$109.20 |
$137.15 |
|
|
Aqueous shunt eye w/graft
|
$13,598.45 |
$13,598.45 |
$13,598.45 |
|
|
Argatroban nonesrd use 1mg
|
$342.39 |
$342.39 |
$1,160.25 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$9,918.02 |
$9,918.02 |
$9,918.02 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$623.76 |
$833.18 |
$1,476.29 |
|
|
Arterial blood draw/perc 36620
|
$508.95 |
$625.95 |
$2,157.35 |
|
|
Artery-vein nonautograft
|
$17,708.84 |
$17,708.84 |
$31,155.49 |
|
|
Artery xray each vessel 7577426
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
|
|
Artery xray of abdomen 75726-26
|
$3,515.20 |
$3,515.20 |
$4,737.85 |
|
|
Artery x-rays adrenal gland
|
$6,072.95 |
$6,072.95 |
$6,072.95 |
|
|
Artery x-rays adrenals
|
$7,221.50 |
$7,221.50 |
$7,221.50 |
|
|
Artery x-rays arm/leg 75710-26
|
$2,265.90 |
$2,265.90 |
$4,737.85 |
|
|
Artery x-rays arms/legs 75716-26
|
$3,863.60 |
$3,863.60 |
$4,737.85 |
|
|
Artery x-rays chest
|
$2,068.95 |
$2,068.95 |
$2,068.95 |
|
|
Artery x-rays lung
|
$2,232.75 |
$2,232.75 |
$4,737.85 |
|
|
Artery x-rays lung
|
$6,602.70 |
$6,602.70 |
$6,602.70 |
|
|
Artery x-rays lungs
|
$3,399.50 |
$3,399.50 |
$4,737.85 |
|
|
Artery xrays of pelvis 75736 26
|
$3,808.35 |
$3,808.35 |
$4,716.40 |
|
|
Artery x-rays spine
|
$2,843.75 |
$2,843.75 |
$2,843.75 |
|
|
Art expos/graft artery perfusion 33987
|
$579.80 |
$579.80 |
$579.80 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$111.75 |
$290.55 |
$678.60 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$275.60 |
$354.25 |
$743.60 |
|
