|
Anoscopy control bleeding 46614
|
$2,190.45 |
$2,190.45 |
$2,190.45 |
$2,140.60
|
|
Antibody bacterium, not elsewhere specified
|
$43.66 |
$43.66 |
$43.66 |
$57.85
|
|
Antibody elution rbc reference
|
$279.99 |
$279.99 |
$279.99 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$100.16 |
$100.16 |
$100.16 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$197.00 |
$197.00 |
$197.00 |
$224.00
|
|
Antibody id rbc panel
|
$576.14 |
$576.14 |
$576.14 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$83.59 |
$83.59 |
$83.59 |
$46.58
|
|
Antibody screen rbc
|
$50.45 |
$50.45 |
$50.45 |
$108.55
|
|
Antigen therapy services
|
$52.25 |
$52.25 |
$52.25 |
$130.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$25.60 |
$25.60 |
$25.60 |
$38.50
|
|
Antinuclear antibodies
|
$87.28 |
$87.28 |
$87.28 |
$90.00
|
|
Antinuclear antibodies titer
|
$124.48 |
$124.48 |
$124.48 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$58.92 |
$58.92 |
$58.92 |
$67.43
|
|
Antipsychotics nos 1-3
|
$187.08 |
$187.08 |
$187.08 |
$136.61
|
|
Antistreptolysin o screen
|
$41.63 |
$41.63 |
$41.63 |
$58.56
|
|
Antistreptolysin o titer
|
$50.45 |
$50.45 |
$50.45 |
$54.00
|
|
Antithrombin iii activity
|
$208.43 |
$208.43 |
$208.43 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$174.99 |
$174.99 |
$174.99 |
$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
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,257.23 |
$4,257.23 |
$4,257.23 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,286.63 |
$1,286.63 |
$1,286.63 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$262.16 |
$262.16 |
$262.16 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$8,024.37 |
$8,024.37 |
$8,024.37 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,429.95 |
$1,429.95 |
$1,429.95 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$512.20
|
|
Application finger splntstatic 29130
|
$286.42 |
$286.42 |
$286.42 |
$208.50
|
|
Application long leg splint 29505
|
$249.26 |
$249.26 |
$249.26 |
$338.25
|
|
Application lower leg splint 29515
|
$359.55 |
$359.55 |
$359.55 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$359.55 |
$359.55 |
$359.55 |
$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
|
$359.55 |
$359.55 |
$359.55 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$4,257.23 |
$4,257.23 |
$4,257.23 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$4,257.23 |
$4,257.23 |
$4,257.23 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$48.59 |
$48.59 |
$48.59 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$54.46 |
$54.46 |
$54.46 |
$75.98
|
|
Apply rigid leg cast 29445
|
$591.79 |
$591.79 |
$591.79 |
$555.00
|
|
Apply short leg castambul type 29425
|
$797.02 |
$797.02 |
$797.02 |
$404.74
|
|
App topical fluoride varnish
|
$39.16 |
$39.16 |
$39.16 |
$27.20
|
|
#aptt mix-1:1 incubated
|
$797.02 |
$797.02 |
$797.02 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$25.60 |
$25.60 |
$25.60 |
$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)
|
$1,489.08 |
$1,489.08 |
$1,489.08 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,181.27 |
$1,181.27 |
$1,181.27 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$374.67 |
$374.67 |
$374.67 |
$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
|
$283.53 |
$283.53 |
$283.53 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$670.66 |
$670.66 |
$670.66 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$670.70 |
$670.70 |
$670.70 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$639.92 |
$639.92 |
$639.92 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,575.47 |
$4,575.47 |
$4,575.47 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$849.88 |
$849.88 |
$849.88 |
$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
|
$17.54 |
$17.54 |
$17.54 |
$42.60
|
|
Assay myeloperoxidase
|
$211.72 |
$211.72 |
$211.72 |
$97.41
|
|
Assay of breath ethanol
|
$37.10 |
$37.10 |
$37.10 |
$52.62
|
|
Assay of glutathione
|
$32.82 |
$32.82 |
$32.82 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$36.69 |
$36.69 |
$36.69 |
$79.00
|
|
Assay of leflunomide
|
$282.07 |
$282.07 |
$282.07 |
$92.50
|
|
Assay of prostaglandin
|
$114.71 |
$114.71 |
$114.71 |
$230.00
|
|
Assay of PSA complexed
|
$55.86 |
$55.86 |
$55.86 |
$64.28
|
|
Assay of salicylate
|
$41.58 |
$41.58 |
$41.58 |
$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
|
$12.86 |
$12.86 |
$12.86 |
$15.20
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$75.48 |
$75.48 |
$75.48 |
$46.80
|
|
Ast/sgot
|
$54.88 |
$54.88 |
$54.88 |
$45.90
|
|
Audit/dast 15-30 min
|
$171.01 |
$171.01 |
$171.01 |
$79.80
|
|
Audit/dast over 30 min
|
$292.97 |
$292.97 |
$292.97 |
$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
|
$195.76 |
$195.76 |
$195.76 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$445.44 |
$445.44 |
$445.44 |
$326.27
|
|
Baclofen eval charges
|
$61.86 |
$61.86 |
$61.86 |
$87.50
|
|
Bacterial meningitis antigen
|
$24.51 |
$24.51 |
$24.51 |
$66.30
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$67.29 |
$67.29 |
$67.29 |
$102.20
|
|
Barium Swallow (Esophagus X-ray)
|
$307.48 |
$307.48 |
$307.48 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$468.77 |
$468.77 |
$468.77 |
$195.25
|
|
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
|
|
Belimumab 120 mg intravenous solution
|
$88.69 |
$88.69 |
$88.69 |
$4,047.32
|
|
Benign lesion paring 2-4
|
$445.44 |
$445.44 |
$445.44 |
$264.60
|
|
#_benzodiazconfur
|
$156.41 |
$156.41 |
$156.41 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$114.15 |
$114.15 |
$114.15 |
$82.55
|
|
Beta-2 microglobulin
|
$161.66 |
$161.66 |
$161.66 |
$85.20
|
|
Beta-amyloid 1-42
|
$37.30 |
$37.30 |
$37.30 |
$333.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$134.68 |
$134.68 |
$134.68 |
$5,737.97
|
|
Bevacizumab injection
|
$92.30 |
$92.30 |
$92.30 |
$97.76
|
|
Bilateral n block inj trigeminal 64400
|
$670.66 |
$670.66 |
$670.66 |
$587.60
|
|
Bilirubin direct
|
$35.37 |
$35.37 |
$35.37 |
$51.35
|
|
Bilirubin total
|
$70.35 |
$70.35 |
$70.35 |
$54.60
|
|
Biopsy bone trocar/needle superficial
|
$3,698.98 |
$3,698.98 |
$3,698.98 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$1,637.90 |
$1,637.90 |
$1,637.90 |
$1,268.54
|
|
Biopsy needle liver percutaneous
|
$1,096.17 |
$1,096.17 |
$1,096.17 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$1,096.17 |
$1,096.17 |
$1,096.17 |
$1,890.72
|
|
Biopsy of prostate
|
$4,575.47 |
$4,575.47 |
$4,575.47 |
$2,419.00
|
