|
Antibody identification platelet antibodies heparin-pf4 igg
|
$218.30 |
$218.30 |
$218.30 |
$218.30
|
|
Antibody id rbc panel
|
$90.47 |
$90.47 |
$90.47 |
$265.05
|
|
Antibody influenza virus
|
$53.19 |
$53.19 |
$53.19 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$64.01 |
$64.01 |
$64.01 |
$57.85
|
|
Antibody screen rbc
|
$34.13 |
$34.13 |
$34.13 |
$102.60
|
|
Antibody tetanus
|
$87.41 |
$87.41 |
$87.41 |
$82.20
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$20.44 |
$20.44 |
$20.44 |
$3.12
|
|
Anti-inhibitor
|
$21.65 |
$21.65 |
$21.65 |
$3.67
|
|
Antinuclear antibodies
|
$43.48 |
$43.48 |
$43.48 |
$97.60
|
|
Antinuclear antibodies titer
|
$60.87 |
$60.87 |
$60.87 |
$79.95
|
|
Antiphosphatidylserine antibody
|
$55.13 |
$55.13 |
$55.13 |
$79.20
|
|
Antistreptolysin o titer
|
$47.27 |
$47.27 |
$47.27 |
$58.50
|
|
Antithrombin iii activity
|
$107.67 |
$107.67 |
$107.67 |
$135.20
|
|
Antithrombin iii injection
|
$9.25 |
$9.25 |
$9.25 |
$6.36
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$920.93 |
$920.93 |
$920.93 |
$6,946.62
|
|
Antithymocyte globuln rabbit
|
$942.89 |
$942.89 |
$942.89 |
$996.39
|
|
Apheresis plasma
|
$4,467.75 |
$4,467.75 |
$4,467.75 |
$3,486.60
|
|
Apheresis platelets
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$2,195.00
|
|
Apheresis rbc
|
$2,015.21 |
$2,015.21 |
$2,015.21 |
$2,884.05
|
|
Apheresis wbc
|
$3,793.52 |
$3,793.52 |
$3,793.52 |
$2,906.15
|
|
Apl(pml-rara) quant - sendout
|
$300.35 |
$300.35 |
$300.35 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,255.13 |
$1,255.13 |
$1,255.13 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$504.77 |
$504.77 |
$504.77 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$185.56 |
$185.56 |
$185.56 |
$552.00
|
|
Application finger splntstatic 29130
|
$201.47 |
$201.47 |
$201.47 |
$208.50
|
|
Application long leg splint 29505
|
$190.37 |
$190.37 |
$190.37 |
$325.60
|
|
Application lower leg splint 29515
|
$251.42 |
$251.42 |
$251.42 |
$345.60
|
|
Application of forearm cast 29075
|
$386.10 |
$386.10 |
$386.10 |
$370.80
|
|
Application of paste boot 29580
|
$255.30 |
$255.30 |
$255.30 |
$331.74
|
|
Application short leg cast 29405
|
$349.47 |
$349.47 |
$349.47 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,192.42 |
$1,192.42 |
$1,192.42 |
$2,109.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$21.55 |
$21.55 |
$21.55 |
$72.60
|
|
Apply hand/wrist cast 29085
|
$168.17 |
$168.17 |
$168.17 |
$264.75
|
|
Apply rem fixation device
|
$657.03 |
$657.03 |
$657.03 |
$1,839.77
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$40.33 |
$40.33 |
$40.33 |
$90.52
|
|
Aquatic exercise - group charge
|
$32.75 |
$32.75 |
$32.75 |
$87.00
|
|
Argatroban nonesrd use 1mg
|
$190.57 |
$190.57 |
$190.57 |
$881.10
|
|
Aripiprazole injection
|
$21.79 |
$21.79 |
$21.79 |
$21.79
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$102.12 |
$102.12 |
$102.12 |
$347.75
|
|
Arterial blood draw/perc 36620
|
$529.19 |
$529.19 |
$529.19 |
$529.19
|
|
Artery x-rays arm/leg 75710-26
|
$1,500.35 |
$1,500.35 |
$1,500.35 |
$3,458.54
|
|
Artery x-rays arms/legs 75716-26
|
$3,674.84 |
$3,674.84 |
$3,674.84 |
$3,936.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$269.82 |
$269.82 |
$269.82 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$599.31 |
$599.31 |
$599.31 |
$959.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$227.37 |
$227.37 |
$227.37 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$196.38 |
$196.38 |
$196.38 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$382.30 |
$382.30 |
$382.30 |
$696.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$197.77 |
$197.77 |
$197.77 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,063.32 |
$3,063.32 |
$3,063.32 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$277.59 |
$277.59 |
$277.59 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,523.29 |
$1,523.29 |
$1,523.29 |
$1,212.00
|
|
Aspiration orbital contents
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$2,582.26
|
|
Aspir/inj thyroid cyst 60300
|
$386.65 |
$386.65 |
$386.65 |
$833.29
|
|
Asp pq spinal cord cyst/syrinx
|
$743.05 |
$743.05 |
$743.05 |
$1,054.06
|
|
Assay dir meas fr estradiol
|
$67.62 |
$67.62 |
$67.62 |
$67.62
|
|
Assay of galactose
|
$49.21 |
$49.21 |
$49.21 |
$49.21
|
|
Assay of neonatal thyroxine
|
$19.06 |
$19.06 |
$19.06 |
$13.33
|
|
Assay of osteocalcin
|
$54.58 |
$54.58 |
$54.58 |
$133.20
|
|
Assay of procainamide w/metab
|
$42.64 |
$42.64 |
$42.64 |
$63.84
|
|
Assay of prostaglandin
|
$462.96 |
$462.96 |
$462.96 |
$186.20
|
|
Assay of somatostatin
|
$131.91 |
$131.91 |
$131.91 |
$108.64
|
|
Assay of thiocyanate
|
$62.72 |
$62.72 |
$62.72 |
$55.25
|
|
Assay of tyrosine
|
$67.53 |
$67.53 |
$67.53 |
$56.00
|
|
Assay of urine sulfate
|
$19.52 |
$19.52 |
$19.52 |
$33.84
|
|
Assay toxin or antitoxin
|
$57.54 |
$57.54 |
$57.54 |
$71.40
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$22.94 |
$22.94 |
$22.94 |
$44.20
|
|
Ast/sgot
|
$37.93 |
$37.93 |
$37.93 |
$43.40
|
|
Atomic absorption
|
$45.42 |
$45.42 |
$45.42 |
$52.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$9.25 |
$9.25 |
$9.25 |
$24.19
|
|
Automated diff wbc count
|
$32.65 |
$32.65 |
$32.65 |
$35.10
|
|
Avul nail plate addl
|
$63.64 |
$63.64 |
$63.64 |
$241.60
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$105.45 |
$105.45 |
$105.45 |
$356.00
|
|
Azacitidine injection
|
$201.43 |
$201.43 |
$201.43 |
$1,053.92
|
|
Azathioprine 50 mg tablet
|
$1.36 |
$1.36 |
$1.36 |
$2.18
|
|
Azathioprine parenteral
|
$160.88 |
$160.88 |
$160.88 |
$224.97
|
|
Azithromycin 500 mg intravenous solution
|
$9.71 |
$9.71 |
$9.71 |
$27.12
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,062.64 |
$1,062.64 |
$1,062.64 |
$1,062.64
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$162.80 |
$162.80 |
$162.80 |
$191.55
|
|
Baclofen eval charges
|
$44.49 |
$44.49 |
$44.49 |
$85.00
|
|
Bacterial meningitis antigen
|
$52.17 |
$52.17 |
$52.17 |
$66.30
|
|
Bacterial vaginosis pcr
|
$298.04 |
$298.04 |
$298.04 |
$314.60
|
|
Bactericidal level serum
|
$51.06 |
$51.06 |
$51.06 |
$51.06
|
|
#bac vag cand-c. albicans naa
|
$171.87 |
$171.87 |
$171.87 |
$137.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$2,162.84 |
$2,162.84 |
$2,162.84 |
$3,474.84
|
|
Bartonella dna pcr-sendout
|
$166.87 |
$166.87 |
$166.87 |
$234.50
|
|
Basiliximab
|
$1,744.05 |
$1,744.05 |
$1,744.05 |
$4,672.47
|
|
B cells total count
|
$167.72 |
$167.72 |
$167.72 |
$131.30
|
|
Belatacept 250 mg intravenous solution
|
$11.58 |
$11.58 |
$11.58 |
$2,006.24
|
|
Belimumab 120 mg intravenous solution
|
$93.28 |
$93.28 |
$93.28 |
$4,800.85
|
|
Bendamustine 100 mg intravenous powder for solution
|
$4,779.62 |
$4,779.62 |
$4,779.62 |
$66.40
|
|
Benign lesion paring 2-4
|
$182.78 |
$182.78 |
$182.78 |
$276.00
|
|
Benztropine 1 mg/ml injection solution
|
$18.49 |
$18.49 |
$18.49 |
$97.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$58.74 |
$58.74 |
$58.74 |
$109.60
|
|
Beta-2 microglobulin
|
$167.89 |
$167.89 |
$167.89 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$75.46 |
$75.46 |
$75.46 |
$52.65
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$141.30 |
$141.30 |
$141.30 |
$2,946.69
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$139.55 |
$139.55 |
$139.55 |
$1,708.52
|
|
Bilateral n block inj occipital 64405
|
$762.76 |
$762.76 |
$762.76 |
$822.40
|
|
Bilateral n block inj trigeminal 64400
|
$455.66 |
$455.66 |
$455.66 |
$537.60
|
|
Bilicheck
|
$20.81 |
$20.81 |
$20.81 |
$25.20
|
