|
Allograft allowrap 4x4cm dry 16sqcm
|
$163.98 |
$163.98 |
$163.98 |
$235.08
|
|
Allograft amnioexcel plus 17mm disk
|
$69.22 |
$69.22 |
$69.22 |
$560.95
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$16.38 |
$16.38 |
$16.38 |
$24,626.70
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$134.69 |
$134.69 |
$134.69 |
$434.70
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$220.81 |
$220.81 |
$220.81 |
$4,180.77
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$59.08 |
$59.08 |
$59.08 |
$5,779.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$70.85 |
$70.85 |
$70.85 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$18.70 |
$18.70 |
$18.70 |
$76.05
|
|
Alpha-fetoprotein tumor marker
|
$18.45 |
$18.45 |
$18.45 |
$93.60
|
|
Alt/sgpt
|
$5.83 |
$5.83 |
$5.83 |
$44.68
|
|
Aluminum - quest
|
$28.03 |
$28.03 |
$28.03 |
$114.40
|
|
Alveoloplasty each quadrant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,589.62
|
|
Alys cplx sp/pn npgt w/prgrm
|
$240.37 |
$240.37 |
$240.37 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$29.99 |
$29.99 |
$29.99 |
$169.80
|
|
Amino acid screen, urine
|
$15.26 |
$15.26 |
$15.26 |
$64.28
|
|
Amino acid single qual
|
$15.60 |
$15.60 |
$15.60 |
$31.50
|
|
Amino acids quant 2-5
|
$21.57 |
$21.57 |
$21.57 |
$141.00
|
|
Aminolevulinic acid delta
|
$18.10 |
$18.10 |
$18.10 |
$95.80
|
|
Amitriptyline (elavil) -sendout
|
$36.45 |
$36.45 |
$36.45 |
$87.45
|
|
Ammonia
|
$16.03 |
$16.03 |
$16.03 |
$97.50
|
|
Amniocentesisdiagnostic 59000
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$929.66
|
|
Amniocentesis therapeutic
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$770.00
|
|
Amniotic fluid scan
|
$10.29 |
$10.29 |
$10.29 |
$33.15
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$44.15 |
$44.15 |
$44.15 |
$93.61
|
|
Amphetamines 5 or more
|
$59.78 |
$59.78 |
$59.78 |
$72.14
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$74.57 |
$74.57 |
$74.57 |
$280.20
|
|
Amp metatarsal w/toe single 28810
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,615.94
|
|
Amputate hand at wrist
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,086.40
|
|
Amputate metacarpal bone 26910
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,666.29
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,545.97
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,627.00
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,934.40
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,766.40
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Amputation follow-up surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Amputation of foot at ankle
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,339.00
|
|
Amputation thru metatarsal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,622.40
|
|
Amputation toe interphalangeal joint
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,777.93
|
|
Amylase
|
$7.13 |
$7.13 |
$7.13 |
$85.65
|
|
Ana ds-dna
|
$13.32 |
$13.32 |
$13.32 |
$69.03
|
|
Anal pressure record
|
$655.10 |
$655.10 |
$655.10 |
$1,008.06
|
|
Anal/urinary muscle study
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$411.48
|
|
Anal/urinary muscle study
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$72.26 |
$72.26 |
$72.26 |
$223.20
|
|
Analysis gene f5 leiden variant
|
$80.71 |
$80.71 |
$80.71 |
$253.11
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$184.13 |
$184.13 |
$184.13 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$38.60 |
$38.60 |
$38.60 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$16.56 |
$16.56 |
$16.56 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,417.63
|
|
Androstanediol
|
$31.71 |
$31.71 |
$31.71 |
$103.80
|
|
An fluoro guide for cvp
|
$137.06 |
$137.06 |
$137.06 |
$469.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,536.00
|
|
Angioplasty fem/pop unilat 37224
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$12,060.00
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,438.20
|
|
Angiotensin ii
|
$22.57 |
$22.57 |
$22.57 |
$55.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$12,721.98
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,645.61
|
|
Angio trnslmnl balloon same artery ini
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$9,349.70
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$8,766.15
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,072.40
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Ankle arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$693.75
|
|
Anora (draw only)
|
$18.12 |
$18.12 |
$18.12 |
$36.00
|
|
Anorectal myomectomy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,038.07
|
|
Anoscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,067.25
|
|
Anoscopy ablation lesion 46615
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,367.00
|
|
Anoscopy and biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,306.21
|
|
Anoscopy and dilation 46604
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,388.56
|
|
Anoscopy remove fb 46608
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,313.97
|
|
Anoscopy remove lesion 46610
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,214.09
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,035.44
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,760.24
|
|
Antibody
|
$17.59 |
$17.59 |
$17.59 |
$27.60
|
|
Antibody bacterium, not elsewhere specified
|
$14.17 |
$14.17 |
$14.17 |
$57.85
|
|
Antibody elution rbc reference
|
$67.69 |
$67.69 |
$67.69 |
$163.80
|
|
Antibody htlv/hiv confirm test
|
$21.29 |
$21.29 |
$21.29 |
$141.70
|
|
Antibody htlv-i
|
$10.00 |
$10.00 |
$10.00 |
$48.75
|
|
Antibody htlv-ii
|
$15.40 |
$15.40 |
$15.40 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$20.21 |
$20.21 |
$20.21 |
$185.76
|
|
Antibody id rbc panel
|
$117.89 |
$117.89 |
$117.89 |
$256.79
|
|
Antibody influenza virus
|
$14.91 |
$14.91 |
$14.91 |
$60.45
|
|
Antibody lymphocytic choriomeningitis
|
$14.16 |
$14.16 |
$14.16 |
$53.96
|
|
Antibody screen rbc
|
$10.75 |
$10.75 |
$10.75 |
$103.08
|
|
Antibody tetanus
|
$16.28 |
$16.28 |
$16.28 |
$61.98
|
|
Antidepressant not specified
|
$59.78 |
$59.78 |
$59.78 |
$72.14
|
|
Anti mog serum - sendout
|
$13.26 |
$13.26 |
$13.26 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$13.26 |
$13.26 |
$13.26 |
$53.95
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$13.26 |
$13.26 |
$13.26 |
$40.00
|
|
Antinuclear antibodies
|
$13.30 |
$13.30 |
$13.30 |
$90.00
|
