|
Antibody id rbc panel
|
$291.75 |
$291.75 |
$291.75 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$222.00 |
$222.00 |
$222.00 |
$57.85
|
|
Antibody screen rbc
|
$136.50 |
$136.50 |
$136.50 |
$104.40
|
|
Antidepressant not specified
|
$276.75 |
$276.75 |
$276.75 |
$88.40
|
|
Antigen therapy services
|
$60.75 |
$60.75 |
$60.75 |
$70.07
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,102.55 |
$5,102.55 |
$5,102.55 |
$15.20
|
|
Anti-inhibitor
|
$18,764.82 |
$18,764.82 |
$18,764.82 |
$18,764.82
|
|
Anti mog serum - sendout
|
$355.50 |
$355.50 |
$355.50 |
$131.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$147.75 |
$147.75 |
$147.75 |
$60.00
|
|
Antinuclear antibodies
|
$98.25 |
$98.25 |
$98.25 |
$98.25
|
|
Antinuclear antibodies titer
|
$80.25 |
$80.25 |
$80.25 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$90.00 |
$90.00 |
$90.00 |
$84.63
|
|
Antistreptolysin o titer
|
$83.25 |
$83.25 |
$83.25 |
$53.00
|
|
Antithrombin iii activity
|
$216.00 |
$216.00 |
$216.00 |
$125.60
|
|
Antithrombin iii injection
|
$6,858.87 |
$6,858.87 |
$6,858.87 |
$6,858.87
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$17,349.88 |
$17,349.88 |
$17,349.88 |
$17,349.88
|
|
Antithymocyte globuln rabbit
|
$4,139.25 |
$4,139.25 |
$4,139.25 |
$4,139.25
|
|
Apheresis immunoads slctv
|
$7,110.75 |
$7,110.75 |
$7,110.75 |
$5,561.12
|
|
Apl(pml-rara) quant - sendout
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$567.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,589.00 |
$2,589.00 |
$2,589.00 |
$2,108.87
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$552.00 |
$552.00 |
$552.00 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,978.25 |
$2,978.25 |
$2,978.25 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,072.25 |
$2,072.25 |
$2,072.25 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$693.75 |
$693.75 |
$693.75 |
$549.08
|
|
Application clubfoot cast
|
$254.25 |
$254.25 |
$254.25 |
$468.00
|
|
Application finger splntstatic 29130
|
$208.50 |
$208.50 |
$208.50 |
$226.20
|
|
Application long leg splint 29505
|
$338.25 |
$338.25 |
$338.25 |
$389.60
|
|
Application lower leg splint 29515
|
$471.75 |
$471.75 |
$471.75 |
$370.00
|
|
Application multi layer compression below knee (both sides)
|
$393.75 |
$393.75 |
$393.75 |
$405.00
|
|
Application of forearm cast 29075
|
$303.00 |
$303.00 |
$303.00 |
$384.59
|
|
Application of long arm cast 29065
|
$321.00 |
$321.00 |
$321.00 |
$440.40
|
|
Application of long leg cast
|
$480.75 |
$480.75 |
$480.75 |
$406.75
|
|
Application of long leg cast 29345
|
$390.75 |
$390.75 |
$390.75 |
$481.25
|
|
Application of paste boot 29580
|
$390.75 |
$390.75 |
$390.75 |
$348.80
|
|
Application short leg cast 29405
|
$265.50 |
$265.50 |
$265.50 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$2,154.21
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$2,109.00
|
|
Applicator tag rfid localizer 12gx7cm
|
$470.25 |
$470.25 |
$470.25 |
$470.25
|
|
Appl modality 1/> areas paraffin bath 97018
|
$102.00 |
$102.00 |
$102.00 |
$83.28
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$123.75 |
$123.75 |
$123.75 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$409.50 |
$409.50 |
$409.50 |
$339.69
|
|
Appl patllr tdn bearing cast
|
$429.00 |
$429.00 |
$429.00 |
$429.00
|
|
Apply forearm splintdynamic 29126
|
$333.00 |
$333.00 |
$333.00 |
$279.20
|
|
Apply hand/wrist cast 29085
|
$249.00 |
$249.00 |
$249.00 |
$279.40
|
|
Apply rem fixation device
|
$5,230.50 |
$5,230.50 |
$5,230.50 |
$1,891.09
|
|
Apply rigid leg cast 29445
|
$555.00 |
$555.00 |
$555.00 |
$631.20
|
|
Apply short leg castambul type 29425
|
$333.00 |
$333.00 |
$333.00 |
$394.40
|
|
App mltpln uni xtrnl fix xch
|
$3,526.50 |
$3,526.50 |
$3,526.50 |
$1,858.61
|
|
Aqaprn-4 antb flo cytmtry ea
|
$564.75 |
$564.75 |
$564.75 |
$193.70
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$140.25 |
$140.25 |
$140.25 |
$100.00
|
|
Aquatic exercise - group charge
|
$111.00 |
$111.00 |
$111.00 |
$99.00
|
|
Argatroban nonesrd (auromed)
|
$668.52 |
$668.52 |
$668.52 |
$668.52
|
|
Argatroban nonesrd use 1mg
|
$881.10 |
$881.10 |
$881.10 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$11,842.72 |
$11,842.72 |
$11,842.72 |
$11,842.72
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$4,375.05 |
$4,375.05 |
$4,375.05 |
$2,751.00
|
|
Arterial blood draw/perc 36620
|
$978.00 |
$978.00 |
$978.00 |
$505.60
|
|
Artery-vein nonautograft
|
$6,325.50 |
$6,325.50 |
$6,325.50 |
$6,325.50
|
|
Artery xray each vessel 7577426
|
$3,282.75 |
$3,282.75 |
$3,282.75 |
$1,964.64
|
|
Artery xray of abdomen 75726-26
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$4,035.00 |
$4,035.00 |
$4,035.00 |
$3,439.84
|
|
Artery x-rays adrenals
|
$5,043.00 |
$5,043.00 |
$5,043.00 |
$3,648.72
|
|
Artery x-rays arm/leg 75710-26
|
$3,650.25 |
$3,650.25 |
$3,650.25 |
$3,594.60
|
|
Artery x-rays arms/legs 75716-26
|
$4,206.00 |
$4,206.00 |
$4,206.00 |
$4,341.66
|
|
Artery x-rays chest
|
$4,255.50 |
$4,255.50 |
$4,255.50 |
$3,306.00
|
|
Artery x-rays lung
|
$4,931.25 |
$4,931.25 |
$4,931.25 |
$3,150.00
|
|
Artery x-rays lung
|
$3,405.00 |
$3,405.00 |
$3,405.00 |
$2,168.15
|
|
Artery x-rays lungs
|
$5,836.50 |
$5,836.50 |
$5,836.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$4,725.75 |
$4,725.75 |
$4,725.75 |
$4,086.49
|
|
Artery x-rays spine
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$4,255.45
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$609.00 |
$609.00 |
$609.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$619.50 |
$619.50 |
$619.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$803.25 |
$803.25 |
$803.25 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$493.50 |
$493.50 |
$493.50 |
$492.75
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$696.00 |
$696.00 |
$696.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$514.50 |
$514.50 |
$514.50 |
$807.56
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$3,509.25 |
$3,509.25 |
$3,509.25 |
$1,838.85
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$4,086.40
|
|
Artiss fibrin sealant
|
$3,217.53 |
$3,217.53 |
$3,217.53 |
$3,217.53
|
|
Ascenda two piece catheter
|
$32,280.75 |
$32,280.75 |
$32,280.75 |
$32,280.75
|
|
Asp core fat pad
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,589.40
|
|
Asp & inj bone cyst
|
$756.75 |
$756.75 |
$756.75 |
$894.73
|
|
Asp & inj w/heparin pleurx cath
|
$1,135.50 |
$1,135.50 |
$1,135.50 |
$1,623.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,146.25 |
$3,146.25 |
$3,146.25 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$552.00 |
$552.00 |
$552.00 |
$436.10
|
|
Aspirate pleura without imaging 32554
|
$991.50 |
$991.50 |
$991.50 |
$1,323.20
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,219.50 |
$1,219.50 |
$1,219.50 |
$1,219.50
|
|
Aspiration peritonsillar abscess
|
$283.50 |
$283.50 |
$283.50 |
$676.00
|
|
Aspir/inj thyroid cyst 60300
|
$815.25 |
$815.25 |
$815.25 |
$833.29
|
|
Assay acid phosphatase
|
$81.00 |
$81.00 |
$81.00 |
$38.62
|
|
Assay alkaline phosphatase
|
$87.00 |
$87.00 |
$87.00 |
$42.60
|
|
Assay dir meas fr estradiol
|
$391.50 |
$391.50 |
$391.50 |
$68.00
|
|
Assay duodenal fluid trypsin
|
$271.50 |
$271.50 |
$271.50 |
$7.20
|
|
Assay of adp & amp
|
$293.25 |
$293.25 |
$293.25 |
$231.17
|
|
Assay of breath ethanol
|
$64.50 |
$64.50 |
$64.50 |
$45.76
|
|
Assay of digoxin free
|
$27.00 |
$27.00 |
$27.00 |
$27.00
|
|
Assay of fluoride
|
$270.00 |
$270.00 |
$270.00 |
$115.83
|
|
Assay of galactose
|
$426.75 |
$426.75 |
$426.75 |
$50.05
|
|
Assay of glucosidase
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$158.73
|
|
Assay of glutathione
|
$252.75 |
$252.75 |
$252.75 |
$69.55
|