|
Anti-inhibitor
|
$2.34 |
$2.45 |
$2.45 |
|
|
Anti mog serum - sendout
|
$12.05 |
$13.26 |
$13.26 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$12.05 |
$13.26 |
$13.26 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$12.05 |
$13.26 |
$13.26 |
|
|
Antinuclear antibodies
|
$12.09 |
$13.30 |
$101.60 |
|
|
Antinuclear antibodies titer
|
$11.16 |
$12.28 |
$12.28 |
|
|
Antiphosphatidylserine antibody
|
$16.07 |
$17.68 |
$109.50 |
|
|
Antipsychotics nos 1-3
|
$36.89 |
$48.33 |
$67.98 |
|
|
Antipsychotics nos 7/more
|
$50.56 |
$81.30 |
$93.17 |
|
|
Antistreptolysin o screen
|
$5.77 |
$6.35 |
$6.35 |
|
|
Antistreptolysin o titer
|
$7.30 |
$8.03 |
$50.50 |
|
|
Antithrombin iii activity
|
$11.85 |
$13.04 |
$107.00 |
|
|
Antithrombin iii injection
|
$3.85 |
$4.09 |
$4.09 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,968.45 |
$5,013.11 |
$5,013.11 |
|
|
Antithymocyte globuln rabbit
|
$956.74 |
$996.39 |
$996.39 |
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Ant sgm img ir flrscn angrph
|
$140.87 |
$142.67 |
$151.80 |
|
|
Ant sgm img i&r speclr mic
|
$140.87 |
$142.67 |
$151.80 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$115.97 |
$147.34 |
$261.23 |
|
|
Aortic dysfunction/dilation
|
$504.00 |
$554.40 |
$554.40 |
|
|
Aortic dysfunction/dilation
|
$1,350.19 |
$1,485.21 |
$1,485.21 |
|
|
Apc gene dup/delet variants
|
$200.00 |
$220.00 |
$220.00 |
|
|
Apc gene full sequence
|
$780.00 |
$858.00 |
$858.00 |
|
|
Apc gene known fam variants
|
$280.00 |
$308.00 |
$308.00 |
|
|
Aphakia prosth service temp
|
$64.92 |
$65.75 |
$69.95 |
|
|
Apheresis immunoads slctv
|
$3,786.00 |
$5,185.83 |
$6,839.00 |
|
|
Apheresis plasma
|
$1,791.54 |
$3,986.00 |
$6,839.00 |
|
|
Apheresis platelets
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Apheresis rbc
|
$1,791.54 |
$3,986.00 |
$6,839.00 |
|
|
Apheresis wbc
|
$1,791.54 |
$3,986.00 |
$6,839.00 |
|
|
Apl(pml-rara) quant - sendout
|
$207.31 |
$228.04 |
$228.04 |
|
|
Appendectomy
|
$3,786.00 |
$6,311.00 |
$7,348.30 |
|
|
Appendix Removal (Laparoscopic)
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Appl bdy cst sho to hip 1thi
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Appl bdy cst sho to hip b th
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl bdy cst sho to hip head
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl body cast sho to hips
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl cast figure-of-eight
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl cast plaster velpeau
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl cast shoulder spica
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl halo type body cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl hip spica cast1&1/2
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl hip spica cast 1 leg
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application clubfoot cast
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Application finger splntstatic 29130
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Application halo femoral
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Application halo pelvic
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Application long leg splint 29505
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Application lower leg splint 29515
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Application multi layer compression below knee (both sides)
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Application of body cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of body cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of cylinder cast 29365
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of forearm cast 29075
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of long arm cast 29065
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of long leg cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of long leg cast 29345
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Application of paste boot 29580
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Application short leg cast 29405
|
$290.25 |
$3,786.00 |
$6,839.00 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Appl long leg cast brace
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl mltpln uni ext fixj sys
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$7.89 |
$7.89 |
$57.00 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$14.87 |
$14.87 |
$14.87 |
|
|
Appl modality 1+lllt po pain
|
$42.90 |
$43.44 |
$46.22 |
|
|
Appl multlay comprs arm/hand
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Appl patllr tdn bearing cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Appl unipln uni ext fixj sys
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Apply finger cast 29086
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Apply forearm splintdynamic 29126
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Apply hand/wrist cast 29085
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Apply interstit radiat compl
|
$593.02 |
$768.62 |
$2,925.35 |
|
|
Apply intrcav radiat compl
|
$566.48 |
$767.95 |
$1,343.53 |
|
|
Apply intrcav radiat interm
|
$400.36 |
$640.29 |
$1,001.92 |
|
|
Apply intrcav radiat simple
|
$207.19 |
$640.29 |
$681.24 |
|
|
Apply of finger splint 29131
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Apply rem fixation device
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Apply rigid leg cast 29445
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Apply short leg castambul type 29425
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Apply surf ldr radionuclide
|
$119.67 |
$121.20 |
$128.95 |
|
|
App mdlty 1+hubbrd tnk ea 15
|
$45.89 |
$45.89 |
$45.89 |
|
|
App mltpln uni xtrnl fix 1st
|
$3,786.00 |
$6,311.00 |
$21,657.23 |
|
|
App mltpln uni xtrnl fix xch
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
App skn cll ssp f/n/g/hf 1st
|
$1,999.13 |
$2,024.70 |
$2,154.21 |
|
|
App skn cl ssp agrft t/a/l 1
|
$1,999.13 |
$2,024.70 |
$2,154.21 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1.77 |
$1.77 |
$1.77 |
|
|
#aptt mix-1:1 incubated
|
$35.09 |
$38.60 |
$38.60 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$37.73 |
$41.50 |
$41.50 |
|
|
Aqmbf pet rest & rx stress
|
$300.82 |
$300.82 |
$300.82 |
|
|
Aquaporin-4 antibody cba each
|
$12.05 |
$13.26 |
$13.26 |
|
|
Aquaporin-4 antibody elisa
|
$11.53 |
$12.68 |
$12.68 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$46.97 |
$46.97 |
$47.50 |
|
|
Aquatic exercise - group charge
|
$22.65 |
$22.65 |
$126.50 |
|
|
Aqueous shunt eye w/graft
|
$3,786.00 |
$5,711.08 |
$6,839.00 |
|
|
Aqueous shunt eye without graft
|
$3,786.00 |
$5,711.08 |
$6,839.00 |
|
|
Argatroban nonesrd (accord)
|
$1.82 |
$1.82 |
$4.20 |
|
|
Argatroban nonesrd (auromed)
|
$1.45 |
$1.45 |
$1.49 |
|