|
Antithrombin iii activity
|
$234.81 |
$234.81 |
$234.81 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$187.41 |
$187.41 |
$187.41 |
$394.55
|
|
Aortic dysfunction/dilation
|
$1,299.48 |
$1,299.48 |
$1,299.48 |
$1,153.60
|
|
Apl(pml-rara) quant - sendout
|
$404.25 |
$404.25 |
$404.25 |
$513.00
|
|
Application finger splntstatic 29130
|
$284.91 |
$284.91 |
$284.91 |
$208.50
|
|
Application long leg splint 29505
|
$238.79 |
$238.79 |
$238.79 |
$338.25
|
|
Application lower leg splint 29515
|
$357.66 |
$357.66 |
$357.66 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$357.66 |
$357.66 |
$357.66 |
$375.06
|
|
Application of forearm cast 29075
|
$797.02 |
$797.02 |
$797.02 |
$358.20
|
|
Application of long leg cast
|
$715.15 |
$715.15 |
$715.15 |
$435.54
|
|
Application of paste boot 29580
|
$357.66 |
$357.66 |
$357.66 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$4,234.88 |
$4,234.88 |
$4,234.88 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$32.32 |
$32.32 |
$32.32 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$54.18 |
$54.18 |
$54.18 |
$75.98
|
|
Apply short leg castambul type 29425
|
$797.02 |
$797.02 |
$797.02 |
$404.74
|
|
#aptt mix-1:1 incubated
|
$797.02 |
$797.02 |
$797.02 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$25.47 |
$25.47 |
$25.47 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$117.88 |
$117.88 |
$117.88 |
$100.75
|
|
Aquatic exercise - group charge
|
$56.01 |
$56.01 |
$56.01 |
$87.45
|
|
Ar gene charac alleles
|
$295.87 |
$295.87 |
$295.87 |
$287.70
|
|
Arm CT Scan (with contrast, both arms)
|
$2,047.53 |
$2,047.53 |
$2,047.53 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,199.23 |
$1,199.23 |
$1,199.23 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$493.27 |
$493.27 |
$493.27 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$444.60 |
$444.60 |
$444.60 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$274.01 |
$274.01 |
$274.01 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$667.15 |
$667.15 |
$667.15 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$667.15 |
$667.15 |
$667.15 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$639.92 |
$639.92 |
$639.92 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,551.46 |
$4,551.46 |
$4,551.46 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$845.41 |
$845.41 |
$845.41 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,637.71 |
$1,637.71 |
$1,637.71 |
$1,250.04
|
|
Assay alkaline phosphatase
|
$17.45 |
$17.45 |
$17.45 |
$42.60
|
|
Assay of breath ethanol
|
$36.91 |
$36.91 |
$36.91 |
$52.62
|
|
Assay of glutathione
|
$32.64 |
$32.64 |
$32.64 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$36.49 |
$36.49 |
$36.49 |
$79.00
|
|
Assay of prostaglandin
|
$114.71 |
$114.71 |
$114.71 |
$230.00
|
|
Assay of PSA complexed
|
$55.57 |
$55.57 |
$55.57 |
$64.28
|
|
Assay of salicylate
|
$41.36 |
$41.36 |
$41.36 |
$96.50
|
|
Assay of tyrosine
|
$35.26 |
$35.26 |
$35.26 |
$56.10
|
|
Assay of urine sulfate
|
$15.11 |
$15.11 |
$15.11 |
$28.20
|
|
Assay of urine urobilinogen
|
$12.79 |
$12.79 |
$12.79 |
$15.20
|
|
Ast/sgot
|
$70.33 |
$70.33 |
$70.33 |
$45.90
|
|
Audit/dast 15-30 min
|
$170.10 |
$170.10 |
$170.10 |
$79.80
|
|
Audit/dast over 30 min
|
$303.09 |
$303.09 |
$303.09 |
$110.95
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,639.27 |
$1,639.27 |
$1,639.27 |
$1,160.10
|
|
Automated diff wbc count
|
$12.62 |
$12.62 |
$12.62 |
$36.30
|
|
Avul nail plate addl
|
$194.73 |
$194.73 |
$194.73 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$443.10 |
$443.10 |
$443.10 |
$326.27
|
|
Baclofen eval charges
|
$61.54 |
$61.54 |
$61.54 |
$87.50
|
|
Bacterial meningitis antigen
|
$24.38 |
$24.38 |
$24.38 |
$66.30
|
|
Bacterial vaginosis pcr
|
$387.91 |
$387.91 |
$387.91 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$56.18 |
$56.18 |
$56.18 |
$102.20
|
|
B cells total count
|
$84.04 |
$84.04 |
$84.04 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$5.35 |
$5.35 |
$5.35 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$6.98 |
$6.98 |
$6.98 |
$2,036.75
|
|
Benign lesion paring 2-4
|
$443.10 |
$443.10 |
$443.10 |
$264.60
|
|
#_benzodiazconfur
|
$156.41 |
$156.41 |
$156.41 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$118.34 |
$118.34 |
$118.34 |
$82.55
|
|
Beta-2 microglobulin
|
$82.06 |
$82.06 |
$82.06 |
$85.20
|
|
Beta-amyloid 1-42
|
$37.30 |
$37.30 |
$37.30 |
$333.00
|
|
Bevacizumab injection
|
$92.30 |
$92.30 |
$92.30 |
$97.76
|
|
Bilateral n block inj trigeminal 64400
|
$667.15 |
$667.15 |
$667.15 |
$587.60
|
|
Bilirubin direct
|
$46.17 |
$46.17 |
$46.17 |
$51.35
|
|
Bilirubin total
|
$46.17 |
$46.17 |
$46.17 |
$54.60
|
|
Biopsy bone trocar/needle superficial
|
$3,679.56 |
$3,679.56 |
$3,679.56 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$1,629.30 |
$1,629.30 |
$1,629.30 |
$1,268.54
|
|
Biopsy of prostate
|
$4,551.46 |
$4,551.46 |
$4,551.46 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,451.96 |
$1,451.96 |
$1,451.96 |
$1,145.90
|
|
Biopsy skin incisional single lesion
|
$1,425.53 |
$1,425.53 |
$1,425.53 |
$661.80
|
|
Bladder Catheter Insertion (simple)
|
$284.91 |
$284.91 |
$284.91 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$272.77 |
$272.77 |
$272.77 |
$412.80
|
|
Blood Clotting (PT/INR) Test
|
$52.02 |
$52.02 |
$52.02 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$52.02 |
$52.02 |
$52.02 |
$74.00
|
|
Blood Count (CBC) Test
|
$77.30 |
$77.30 |
$77.30 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$77.30 |
$77.30 |
$77.30 |
$62.28
|
|
Blood count spun microhematocrit
|
$16.98 |
$16.98 |
$16.98 |
$25.00
|
|
Blood Culture Test
|
$109.88 |
$109.88 |
$109.88 |
$146.16
|
|
Blood Draw (Venipuncture)
|
$20.14 |
$20.14 |
$20.14 |
$21.66
|
|
Blood gases ph venous
|
$23.24 |
$23.24 |
$23.24 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$50.64 |
$50.64 |
$50.64 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$112.85 |
$112.85 |
$112.85 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$112.85 |
$112.85 |
$112.85 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$25.64 |
$25.64 |
$25.64 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$51.28 |
$51.28 |
$51.28 |
$38.35
|
|
Blood split unit
|
$370.30 |
$370.30 |
$370.30 |
$282.88
|
|
Blood Transfusion
|
$966.08 |
$966.08 |
$966.08 |
$989.60
|
|
Blood typing abo
|
$59.73 |
$59.73 |
$59.73 |
$86.45
|
|
Blood typing ag donor ea ag
|
$497.31 |
$497.31 |
$497.31 |
$207.60
|
|
Blood typing patient serum
|
$71.66 |
$71.66 |
$71.66 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$604.39 |
$604.39 |
$604.39 |
$211.90
|
|
Blood typing rh (d)
|
$59.73 |
$59.73 |
$59.73 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$146.13 |
$146.13 |
$146.13 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$493.27 |
$493.27 |
$493.27 |
$407.94
|
|
Bone survey-lead poisoning
|
$313.89 |
$313.89 |
$313.89 |
$387.00
|
|
Borrelia antibody
|
$31.74 |
$31.74 |
$31.74 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$69.24 |
$69.24 |
$69.24 |
$93.60
|
|
Borrelia miyamotoi amp prb
|
$71.30 |
$71.30 |
$71.30 |
$82.55
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$61.54 |
$61.54 |
$61.54 |
$105.30
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,544.71 |
$1,544.71 |
$1,544.71 |
$2,772.11
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,881.95 |
$2,881.95 |
$2,881.95 |
$1,897.53
|
