|
Antidepressant not specified
|
$198.75 |
$198.75 |
$198.75 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,102.55 |
$5,102.55 |
$5,102.55 |
$6.10
|
|
Anti-inhibitor
|
$18,764.82 |
$18,764.82 |
$18,764.82 |
$8.33
|
|
Anti mog serum - sendout
|
$355.50 |
$355.50 |
$355.50 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$117.00 |
$117.00 |
$117.00 |
$38.50
|
|
Antinuclear antibodies
|
$97.50 |
$97.50 |
$97.50 |
$90.00
|
|
Antinuclear antibodies titer
|
$81.75 |
$81.75 |
$81.75 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$62.25 |
$62.25 |
$62.25 |
$67.43
|
|
Antipsychotics nos 1-3
|
$240.75 |
$240.75 |
$240.75 |
$136.61
|
|
Antistreptolysin o titer
|
$84.75 |
$84.75 |
$84.75 |
$54.00
|
|
Antithrombin iii activity
|
$222.75 |
$222.75 |
$222.75 |
$115.15
|
|
Antithrombin iii injection
|
$6,858.87 |
$6,858.87 |
$6,858.87 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$17,349.88 |
$17,349.88 |
$17,349.88 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$4,139.25 |
$4,139.25 |
$4,139.25 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$548.25 |
$548.25 |
$548.25 |
$394.55
|
|
Apl(pml-rara) quant - sendout
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,990.50 |
$1,990.50 |
$1,990.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,130.25 |
$1,130.25 |
$1,130.25 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$557.25 |
$557.25 |
$557.25 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,133.75 |
$2,133.75 |
$2,133.75 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$545.25 |
$545.25 |
$545.25 |
$512.20
|
|
Application finger splntstatic 29130
|
$153.75 |
$153.75 |
$153.75 |
$208.50
|
|
Application long leg splint 29505
|
$129.75 |
$129.75 |
$129.75 |
$338.25
|
|
Application lower leg splint 29515
|
$112.50 |
$112.50 |
$112.50 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$377.25 |
$377.25 |
$377.25 |
$375.06
|
|
Application of forearm cast 29075
|
$300.75 |
$300.75 |
$300.75 |
$358.20
|
|
Application of long arm cast 29065
|
$342.00 |
$342.00 |
$342.00 |
$396.77
|
|
Application of long leg cast
|
$480.75 |
$480.75 |
$480.75 |
$435.54
|
|
Application of long leg cast 29345
|
$420.75 |
$420.75 |
$420.75 |
$455.00
|
|
Application of paste boot 29580
|
$199.50 |
$199.50 |
$199.50 |
$340.11
|
|
Application short leg cast 29405
|
$359.25 |
$359.25 |
$359.25 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,682.25 |
$1,682.25 |
$1,682.25 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,441.50 |
$1,441.50 |
$1,441.50 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$470.25 |
$470.25 |
$470.25 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$84.75 |
$84.75 |
$84.75 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$106.50 |
$106.50 |
$106.50 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$378.75 |
$378.75 |
$378.75 |
$289.60
|
|
Apply hand/wrist cast 29085
|
$249.00 |
$249.00 |
$249.00 |
$271.80
|
|
Apply rigid leg cast 29445
|
$270.75 |
$270.75 |
$270.75 |
$555.00
|
|
Apply short leg castambul type 29425
|
$323.25 |
$323.25 |
$323.25 |
$404.74
|
|
Aqaprn-4 antb flo cytmtry ea
|
$405.75 |
$405.75 |
$405.75 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$122.25 |
$122.25 |
$122.25 |
$100.75
|
|
Aquatic exercise - group charge
|
$96.00 |
$96.00 |
$96.00 |
$87.45
|
|
Argatroban nonesrd (auromed)
|
$668.52 |
$668.52 |
$668.52 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$881.10 |
$881.10 |
$881.10 |
$881.10
|
|
Ar gene charac alleles
|
$402.00 |
$402.00 |
$402.00 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$11,842.72 |
$11,842.72 |
$11,842.72 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$1,536.75 |
$1,536.75 |
$1,536.75 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$752.25 |
$752.25 |
$752.25 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$4,375.05 |
$4,375.05 |
$4,375.05 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$350.25 |
$350.25 |
$350.25 |
$478.96
|
|
Artery-vein nonautograft
|
$5,272.50 |
$5,272.50 |
$5,272.50 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$3,710.25 |
$3,710.25 |
$3,710.25 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$2,823.75 |
$2,823.75 |
$2,823.75 |
$3,320.35
|
|
Artery x-rays adrenals
|
$2,965.50 |
$2,965.50 |
$2,965.50 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,619.50 |
$3,619.50 |
$3,619.50 |
$3,860.40
|
|
Artery x-rays chest
|
$7,113.00 |
$7,113.00 |
$7,113.00 |
$2,895.07
|
|
Artery x-rays lung
|
$2,046.75 |
$2,046.75 |
$2,046.75 |
$3,296.15
|
|
Artery x-rays lungs
|
$2,846.25 |
$2,846.25 |
$2,846.25 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$3,333.00 |
$3,333.00 |
$3,333.00 |
$4,306.40
|
|
Artery x-rays spine
|
$10,069.50 |
$10,069.50 |
$10,069.50 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$624.00 |
$624.00 |
$624.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$486.75 |
$486.75 |
$486.75 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$564.75 |
$564.75 |
$564.75 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$543.75 |
$543.75 |
$543.75 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$501.00 |
$501.00 |
$501.00 |
$699.00
|
|
Artiss fibrin sealant
|
$3,217.53 |
$3,217.53 |
$3,217.53 |
$1,501.22
|
|
Ascenda two piece catheter
|
$32,280.75 |
$32,280.75 |
$32,280.75 |
$22,792.00
|
|
Asp & inj w/heparin pleurx cath
|
$1,135.50 |
$1,135.50 |
$1,135.50 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,259.75 |
$2,259.75 |
$2,259.75 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$485.25 |
$485.25 |
$485.25 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$914.25 |
$914.25 |
$914.25 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$840.75 |
$840.75 |
$840.75 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$236.25 |
$236.25 |
$236.25 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$680.25 |
$680.25 |
$680.25 |
$872.50
|
|
Assay acid phosphatase
|
$62.25 |
$62.25 |
$62.25 |
$38.22
|
|
Assay alkaline phosphatase
|
$63.00 |
$63.00 |
$63.00 |
$42.60
|
|
Assay dir meas fr estradiol
|
$281.25 |
$281.25 |
$281.25 |
$68.00
|
|
Assay duodenal fluid trypsin
|
$195.00 |
$195.00 |
$195.00 |
$16.80
|
|
Assay of adp & amp
|
$246.75 |
$246.75 |
$246.75 |
$169.65
|
|
Assay of breath ethanol
|
$105.00 |
$105.00 |
$105.00 |
$52.62
|
|
Assay of digoxin free
|
$27.00 |
$27.00 |
$27.00 |
$38.08
|
|
Assay of fluoride
|
$241.50 |
$241.50 |
$241.50 |
$96.85
|
|
Assay of galactose
|
$307.50 |
$307.50 |
$307.50 |
$47.26
|
|
Assay of glucosidase
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$161.58
|
|
Assay of glutathione
|
$252.75 |
$252.75 |
$252.75 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$45.00 |
$45.00 |
$45.00 |
$79.00
|
|
Assay of leflunomide
|
$153.00 |
$153.00 |
$153.00 |
$92.50
|
|
Assay of lrh hormone
|
$602.25 |
$602.25 |
$602.25 |
$187.00
|
|
Assay of osteocalcin
|
$117.00 |
$117.00 |
$117.00 |
$93.60
|
|
Assay of procainamide w/metab
|
$63.00 |
$63.00 |
$63.00 |
$73.80
|
|
Assay of prostaglandin
|
$93.75 |
$93.75 |
$93.75 |
$230.00
|
|
Assay of salicylate
|
$175.50 |
$175.50 |
$175.50 |
$96.50
|
|
Assay of sialic acid
|
$342.00 |
$342.00 |
$342.00 |
$92.50
|
|
Assay of somatostatin
|
$450.00 |
$450.00 |
$450.00 |
$170.50
|
|
Assay of thiocyanate
|
$239.25 |
$239.25 |
$239.25 |
$73.71
|
