|
Antibody bacterium, not elsewhere specified
|
$46.60 |
$46.60 |
$46.60 |
$57.85
|
|
Antibody elution rbc reference
|
$318.32 |
$318.32 |
$318.32 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$70.06 |
$70.06 |
$70.06 |
$131.56
|
|
Antibody htlv-i
|
$27.33 |
$27.33 |
$27.33 |
$49.53
|
|
Antibody htlv-ii
|
$45.60 |
$45.60 |
$45.60 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$66.48 |
$66.48 |
$66.48 |
$224.00
|
|
Antibody id rbc panel
|
$595.91 |
$595.91 |
$595.91 |
$291.75
|
|
Antibody influenza virus
|
$49.04 |
$49.04 |
$49.04 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$46.58 |
$46.58 |
$46.58 |
$46.58
|
|
Antibody screen rbc
|
$130.14 |
$130.14 |
$130.14 |
$108.55
|
|
Antibody tetanus
|
$53.55 |
$53.55 |
$53.55 |
$54.15
|
|
Antidepressants class 3-5
|
$139.67 |
$139.67 |
$139.67 |
$72.14
|
|
Antidepressant tricyclic 3-5
|
$42.54 |
$42.54 |
$42.54 |
$23.20
|
|
Antigen therapy services
|
$132.75 |
$132.75 |
$132.75 |
$73.84
|
|
Antigen therapy services
|
$132.75 |
$132.75 |
$132.75 |
$83.72
|
|
Antigen therapy services
|
$80.28 |
$80.28 |
$80.28 |
$101.40
|
|
Antigen therapy services
|
$80.28 |
$80.28 |
$80.28 |
$96.72
|
|
Antigen therapy services
|
$80.28 |
$80.28 |
$80.28 |
$130.00
|
|
Antigen therapy services
|
$132.75 |
$132.75 |
$132.75 |
$74.00
|
|
Anti mog serum - sendout
|
$30.51 |
$30.51 |
$30.51 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.51 |
$30.51 |
$30.51 |
$38.50
|
|
Antinuclear antibodies
|
$43.74 |
$43.74 |
$43.74 |
$90.00
|
|
Antinuclear antibodies titer
|
$40.40 |
$40.40 |
$40.40 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$58.17 |
$58.17 |
$58.17 |
$67.43
|
|
Antipsychotics nos 1-3
|
$34.22 |
$34.22 |
$34.22 |
$136.61
|
|
Antistreptolysin o screen
|
$20.87 |
$20.87 |
$20.87 |
$58.56
|
|
Antistreptolysin o titer
|
$26.41 |
$26.41 |
$26.41 |
$54.00
|
|
Antithrombin iii activity
|
$42.87 |
$42.87 |
$42.87 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$425.45 |
$425.45 |
$425.45 |
$394.55
|
|
Aortic dysfunction/dilation
|
$1,477.37 |
$1,477.37 |
$1,477.37 |
$1,153.60
|
|
Apc gene dup/delet variants
|
$471.10 |
$471.10 |
$471.10 |
$462.00
|
|
Apc gene full sequence
|
$1,837.28 |
$1,837.28 |
$1,837.28 |
$1,255.20
|
|
Apc gene known fam variants
|
$620.74 |
$620.74 |
$620.74 |
$319.20
|
|
Apheresis plasma
|
$1,231.72 |
$1,231.72 |
$1,231.72 |
$3,226.34
|
|
Apheresis platelets
|
$1,049.07 |
$1,049.07 |
$1,049.07 |
$2,195.00
|
|
Apheresis rbc
|
$1,231.72 |
$1,231.72 |
$1,231.72 |
$3,290.80
|
|
Apl(pml-rara) quant - sendout
|
$750.23 |
$750.23 |
$750.23 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$907.99 |
$907.99 |
$907.99 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$259.97 |
$259.97 |
$259.97 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$8,385.94 |
$8,385.94 |
$8,385.94 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$907.99 |
$907.99 |
$907.99 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$311.96 |
$311.96 |
$311.96 |
$512.20
|
|
Application finger splntstatic 29130
|
$239.43 |
$239.43 |
$239.43 |
$208.50
|
|
Application long leg splint 29505
|
$484.07 |
$484.07 |
$484.07 |
$338.25
|
|
Application lower leg splint 29515
|
$484.07 |
$484.07 |
$484.07 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$484.07 |
$484.07 |
$484.07 |
$375.06
|
|
Application of cylinder cast 29365
|
$850.82 |
$850.82 |
$850.82 |
$431.08
|
|
Application of forearm cast 29075
|
$850.82 |
$850.82 |
$850.82 |
$358.20
|
|
Application of long arm cast 29065
|
$850.82 |
$850.82 |
$850.82 |
$396.77
|
|
Application of long leg cast
|
$850.82 |
$850.82 |
$850.82 |
$435.54
|
|
Application of long leg cast 29345
|
$850.82 |
$850.82 |
$850.82 |
$455.00
|
|
Application of paste boot 29580
|
$484.07 |
$484.07 |
$484.07 |
$340.11
|
|
Application short leg cast 29405
|
$850.82 |
$850.82 |
$850.82 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$2,164.64
|
|
Appl long leg cast brace
|
$850.82 |
$850.82 |
$850.82 |
$468.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$18.00 |
$18.00 |
$18.00 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$37.54 |
$37.54 |
$37.54 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$373.76 |
$373.76 |
$373.76 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$655.97 |
$655.97 |
$655.97 |
$420.21
|
|
Apply hand/wrist cast 29085
|
$373.76 |
$373.76 |
$373.76 |
$271.80
|
|
Apply interstit radiat compl
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$1,813.50
|
|
Apply intrcav radiat simple
|
$1,869.52 |
$1,869.52 |
$1,869.52 |
$1,269.97
|
|
Apply of finger splint 29131
|
$160.91 |
$160.91 |
$160.91 |
$177.45
|
|
Apply rem fixation device
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$850.82 |
$850.82 |
$850.82 |
$555.00
|
|
Apply short leg castambul type 29425
|
$850.82 |
$850.82 |
$850.82 |
$404.74
|
|
App topical fluoride varnish
|
$38.83 |
$38.83 |
$38.83 |
$27.20
|
|
#aptt mix-1:1 incubated
|
$114.30 |
$114.30 |
$114.30 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$30.51 |
$30.51 |
$30.51 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$30.51 |
$30.51 |
$30.51 |
$138.16
|
|
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
|
$285.18 |
$285.18 |
$285.18 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$6.41 |
$6.41 |
$6.41 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$1,772.65 |
$1,772.65 |
$1,772.65 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$660.65 |
$660.65 |
$660.65 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$425.45 |
$425.45 |
$425.45 |
$426.00
|
|
Art byp aor celiac msn and renal 35631
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$5,926.00
|
|
Art bypass aorsubcl/carot/innom 35626
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$7,576.40
|
|
Art bypass axill-fem-femoral 35654
|
$11,171.29 |
$11,171.29 |
$11,171.29 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$6,088.23 |
$6,088.23 |
$6,088.23 |
$5,724.80
|
|
Art bypass fem-ant-post tib/prl 35666
|
$10,615.53 |
$10,615.53 |
$10,615.53 |
$4,735.49
|
|
Art bypass femoral-femoral 35661
|
$14,572.26 |
$14,572.26 |
$14,572.26 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$10,061.88 |
$10,061.88 |
$10,061.88 |
$5,273.60
|
|
Art bypass iliofemoral 35665
|
$10,615.53 |
$10,615.53 |
$10,615.53 |
$2,933.07
|
|
Art byp grft brachial-brchl
|
$6,482.18 |
$6,482.18 |
$6,482.18 |
$2,298.12
|
|
Art byp grft fem-femoral 35558
|
$20,012.42 |
$20,012.42 |
$20,012.42 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$3,507.95 |
$3,507.95 |
$3,507.95 |
$2,806.20
|
|
Art byp pop-tibl-prl-other 35571
|
$6,419.65 |
$6,419.65 |
$6,419.65 |
$4,244.00
|
|
Art byp tibial-tib/peroneal
|
$10,013.41 |
$10,013.41 |
$10,013.41 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$248.74 |
$248.74 |
$248.74 |
$478.96
|
|
Artery-vein nonautograft
|
$9,733.81 |
$9,733.81 |
$9,733.81 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$1,914.20 |
$1,914.20 |
$1,914.20 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$9,536.59 |
$9,536.59 |
$9,536.59 |
$4,618.71
|
|
Artery x-rays adrenals
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$5,842.81 |
$5,842.81 |
$5,842.81 |
$3,860.40
|
