|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$348.40 |
$348.40 |
$348.40 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$118.95 |
$118.95 |
$118.95 |
$2,087.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$65.00 |
$65.00 |
$65.00 |
$70.15
|
|
Apply forearm splintdynamic 29126
|
$126.75 |
$126.75 |
$126.75 |
$249.60
|
|
#aptt mix-1:1 incubated
|
$125.45 |
$125.45 |
$125.45 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$258.05 |
$258.05 |
$258.05 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$261.30 |
$261.30 |
$261.30 |
$115.80
|
|
Aquaporin-4 antibody elisa
|
$111.15 |
$111.15 |
$111.15 |
$151.45
|
|
Aquatic exercise - group charge
|
$111.15 |
$111.15 |
$111.15 |
$88.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$124.80 |
$124.80 |
$124.80 |
$567.78
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$401.05 |
$401.05 |
$401.05 |
$882.70
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$312.65 |
$312.65 |
$312.65 |
$696.00
|
|
Aspirate pleura without imaging 32554
|
$415.35 |
$415.35 |
$415.35 |
$1,212.00
|
|
Assay of adp & amp
|
$126.75 |
$126.75 |
$126.75 |
$169.65
|
|
Assay of breath ethanol
|
$53.30 |
$53.30 |
$53.30 |
$45.76
|
|
Assay of corticosterone
|
$120.25 |
$120.25 |
$120.25 |
$49.20
|
|
Assay of estrogen
|
$247.00 |
$247.00 |
$247.00 |
$185.60
|
|
Assay of feces porphyrins
|
$165.10 |
$165.10 |
$165.10 |
$175.50
|
|
Assay of fluoride
|
$93.60 |
$93.60 |
$93.60 |
$115.83
|
|
Assay of galactose
|
$11.05 |
$11.05 |
$11.05 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$107.90 |
$107.90 |
$107.90 |
$87.60
|
|
Assay of leflunomide
|
$147.55 |
$147.55 |
$147.55 |
$112.70
|
|
Assay of lrh hormone
|
$144.95 |
$144.95 |
$144.95 |
$210.60
|
|
Assay of neonatal thyroxine
|
$12.35 |
$12.35 |
$12.35 |
$13.33
|
|
Assay of osteocalcin
|
$102.70 |
$102.70 |
$102.70 |
$133.20
|
|
Assay of prostaglandin
|
$296.40 |
$296.40 |
$296.40 |
$183.60
|
|
Assay of salicylate
|
$104.65 |
$104.65 |
$104.65 |
$100.80
|
|
Assay of semen fructose
|
$70.20 |
$70.20 |
$70.20 |
$47.45
|
|
Assay of somatostatin
|
$182.00 |
$182.00 |
$182.00 |
$108.64
|
|
Assay of thiocyanate
|
$59.15 |
$59.15 |
$59.15 |
$52.00
|
|
Assay of tyrosine
|
$66.95 |
$66.95 |
$66.95 |
$57.50
|
|
Assay of urine sulfate
|
$42.90 |
$42.90 |
$42.90 |
$34.87
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$285.35 |
$285.35 |
$285.35 |
$304.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$51.35 |
$51.35 |
$51.35 |
$43.55
|
|
Ast/sgot
|
$33.15 |
$33.15 |
$33.15 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$25.04 |
$25.04 |
$25.04 |
$27.91
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$118.95 |
$118.95 |
$118.95 |
$200.40
|
|
Autologous blood process
|
$263.25 |
$263.25 |
$263.25 |
$262.50
|
|
Automated diff wbc count
|
$55.90 |
$55.90 |
$55.90 |
$35.10
|
|
Avul nail plate addl
|
$79.30 |
$79.30 |
$79.30 |
$244.70
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$157.95 |
$157.95 |
$157.95 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$27.12 |
$27.12 |
$27.12 |
$23.56
|
|
Aztreonam 1 gram solution for injection
|
$157.83 |
$157.83 |
$157.83 |
$158.89
|
|
Bacterial meningitis antigen
|
$70.20 |
$70.20 |
$70.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$231.40 |
$231.40 |
$231.40 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$89.05 |
$89.05 |
$89.05 |
$147.60
|
|
B cells total count
|
$118.30 |
$118.30 |
$118.30 |
$131.30
|
|
Beta 2 glycoprotein 1 antibody iga
|
$117.00 |
$117.00 |
$117.00 |
$111.15
|
|
Beta-2 microglobulin
|
$92.30 |
$92.30 |
$92.30 |
$84.00
|
|
B-hexosaminidase ea assay
|
$156.00 |
$156.00 |
$156.00 |
$104.25
|
|
Bilateral n block inj trigeminal 64400
|
$453.70 |
$453.70 |
$453.70 |
$544.80
|
|
Bilicheck
|
$28.60 |
$28.60 |
$28.60 |
$25.20
|
|
Bilirubin direct
|
$37.05 |
$37.05 |
$37.05 |
$42.90
|
|
Bilirubin total
|
$69.55 |
$69.55 |
$69.55 |
$48.00
|
|
Binder abdominal lg 12 x 62-74
|
$57.20 |
$57.20 |
$57.20 |
$59.15
|
|
Biopsy skin incisional single lesion
|
$188.50 |
$188.50 |
$188.50 |
$674.00
|
|
Biotinidase - quest
|
$63.05 |
$63.05 |
$63.05 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$440.70 |
$440.70 |
$440.70 |
$417.95
|
|
Bld prd mix
|
$92.30 |
$92.30 |
$92.30 |
$139.21
|
|
Block plantar digital nerve
|
$276.25 |
$276.25 |
$276.25 |
$496.05
|
|
Blood Clotting (PT/INR) Test
|
$51.35 |
$51.35 |
$51.35 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$72.15 |
$72.15 |
$72.15 |
$68.25
|
|
Blood Count (CBC) Test
|
$66.95 |
$66.95 |
$66.95 |
$66.75
|
|
Blood Count (CBC) Test (without differential)
|
$58.50 |
$58.50 |
$58.50 |
$52.43
|
|
Blood count spun microhematocrit
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Blood Culture Test
|
$120.90 |
$120.90 |
$120.90 |
$112.20
|
|
Blood draw capillary 36416
|
$110.50 |
$110.50 |
$110.50 |
$21.85
|
|
Blood gases o2 saturation direct measurement
|
$146.90 |
$146.90 |
$146.90 |
$220.35
|
|
Blood gases ph venous
|
$48.75 |
$48.75 |
$48.75 |
$60.00
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$46.80 |
$46.80 |
$46.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$36.40 |
$36.40 |
$36.40 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$36.40 |
$36.40 |
$36.40 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$36.40 |
$36.40 |
$36.40 |
$31.20
|
|
Blood smear interpretation
|
$41.60 |
$41.60 |
$41.60 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$37.05 |
$37.05 |
$37.05 |
$34.80
|
|
Blood split unit
|
$236.60 |
$236.60 |
$236.60 |
$247.80
|
|
Blood typing abo
|
$85.80 |
$85.80 |
$85.80 |
$74.75
|
|
Blood typing ag donor ea ag
|
$176.15 |
$176.15 |
$176.15 |
$132.40
|
|
Blood typing patient serum
|
$50.70 |
$50.70 |
$50.70 |
$76.00
|
|
Blood typing rbc ag non abo/rh ea
|
$188.50 |
$188.50 |
$188.50 |
$151.20
|
|
Blood typing rh (d)
|
$66.95 |
$66.95 |
$66.95 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$109.85 |
$109.85 |
$109.85 |
$78.80
|
|
Bone Density Scan (DEXA)
|
$419.25 |
$419.25 |
$419.25 |
$381.19
|
|
Bone marrow interpretation
|
$89.05 |
$89.05 |
$89.05 |
$542.03
|
|
Boot mlti podous univ xlg
|
$471.25 |
$471.25 |
$471.25 |
$318.36
|
|
Boot walker genesis full shell 3-strap s
|
$99.45 |
$99.45 |
$99.45 |
$179.82
|
|
Boot walker genesis mid-calf full shell s
|
$135.85 |
$135.85 |
$135.85 |
$308.33
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$130.65 |
$130.65 |
$130.65 |
$107.25
|
|
Borrelia miyamotoi amp prb
|
$140.40 |
$140.40 |
$140.40 |
$95.45
|
|
Brace afo lg left 6607
|
$23.40 |
$23.40 |
$23.40 |
$70.65
|
|
Brace oths wrist hnd fngr without
|
$49.40 |
$49.40 |
$49.40 |
$120.25
|
|
Brace wrist classic lft sm
|
$49.40 |
$49.40 |
$49.40 |
$67.86
|
|
Braf gene
|
$415.35 |
$415.35 |
$415.35 |
$421.20
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,221.05 |
$2,221.05 |
$2,221.05 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$2,572.05 |
$2,572.05 |
$2,572.05 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$2,474.55 |
$2,474.55 |
$2,474.55 |
$2,163.67
|
|
Brain MRI (without contrast)
|
$2,132.65 |
$2,132.65 |
$2,132.65 |
$1,801.15
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Bundled special stain group 1 microorganisms
|
$144.30 |
$144.30 |
$144.30 |
$161.46
|
