|
Antistreptolysin o titer
|
$42.35 |
$42.35 |
$42.35 |
$58.20
|
|
Antithrombin iii activity
|
$162.25 |
$162.25 |
$162.25 |
$125.40
|
|
Apheresis plasma
|
$4,659.60 |
$4,659.60 |
$4,659.60 |
$3,411.50
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,220.90 |
$2,220.90 |
$2,220.90 |
$2,141.08
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$222.20 |
$222.20 |
$222.20 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$222.20 |
$222.20 |
$222.20 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,661.35 |
$3,661.35 |
$3,661.35 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$366.30 |
$366.30 |
$366.30 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$292.60 |
$292.60 |
$292.60 |
$508.18
|
|
Application finger splntstatic 29130
|
$273.35 |
$273.35 |
$273.35 |
$220.25
|
|
Application long leg splint 29505
|
$228.25 |
$228.25 |
$228.25 |
$370.00
|
|
Application lower leg splint 29515
|
$303.05 |
$303.05 |
$303.05 |
$363.10
|
|
Application multi layer compression below knee (both sides)
|
$413.05 |
$413.05 |
$413.05 |
$406.40
|
|
Application of forearm cast 29075
|
$461.45 |
$461.45 |
$461.45 |
$384.59
|
|
Application of paste boot 29580
|
$609.40 |
$609.40 |
$609.40 |
$335.78
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,220.90 |
$2,220.90 |
$2,220.90 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,220.90 |
$2,220.90 |
$2,220.90 |
$2,109.00
|
|
Apply forearm splintdynamic 29126
|
$227.15 |
$227.15 |
$227.15 |
$265.00
|
|
Apply of finger splint 29131
|
$248.05 |
$248.05 |
$248.05 |
$183.20
|
|
Apply rigid leg cast 29445
|
$591.25 |
$591.25 |
$591.25 |
$646.40
|
|
Aqaprn-4 antb flo cytmtry ea
|
$14.85 |
$14.85 |
$14.85 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$13.20 |
$13.20 |
$13.20 |
$121.45
|
|
Aquaporin-4 antibody elisa
|
$160.05 |
$160.05 |
$160.05 |
$151.45
|
|
Arterial blood draw/perc 36620
|
$1,008.15 |
$1,008.15 |
$1,008.15 |
$505.60
|
|
Artery xray each vessel 7577426
|
$1,118.70 |
$1,118.70 |
$1,118.70 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$4,294.50
|
|
Artery x-rays arm/leg 75710-26
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$3,332.55
|
|
Artery x-rays arms/legs 75716-26
|
$1,977.25 |
$1,977.25 |
$1,977.25 |
$3,936.00
|
|
Artery x-rays lungs
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$3,598.65
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$301.40 |
$301.40 |
$301.40 |
$572.80
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$74.05 |
$74.05 |
$74.05 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$249.70 |
$249.70 |
$249.70 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$563.75 |
$563.75 |
$563.75 |
$715.37
|
|
Asp core fat pad
|
$240.90 |
$240.90 |
$240.90 |
$1,561.30
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,264.25 |
$3,264.25 |
$3,264.25 |
$3,199.51
|
|
Aspirate pleura without imaging 32554
|
$1,332.65 |
$1,332.65 |
$1,332.65 |
$1,286.45
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,046.65 |
$1,046.65 |
$1,046.65 |
$1,293.12
|
|
Aspir/inj thyroid cyst 60300
|
$97.02 |
$97.02 |
$97.02 |
$833.29
|
|
Assay acid phosphatase
|
$45.65 |
$45.65 |
$45.65 |
$38.62
|
|
Assay of breath ethanol
|
$78.65 |
$78.65 |
$78.65 |
$45.76
|
|
Assay of chloramphenicol
|
$44.00 |
$44.00 |
$44.00 |
$70.56
|
|
Assay of fluoride
|
$73.70 |
$73.70 |
$73.70 |
$112.80
|
|
Assay of glutathione
|
$16.50 |
$16.50 |
$16.50 |
$71.25
|
|
Assay of interleukin-6 (il-6)
|
$124.30 |
$124.30 |
$124.30 |
$77.35
|
|
Assay of osteocalcin
|
$63.25 |
$63.25 |
$63.25 |
$99.45
|
|
Assay of procainamide w/metab
|
$109.45 |
$109.45 |
$109.45 |
$63.07
|
|
Assay of prostaglandin
|
$220.00 |
$220.00 |
$220.00 |
$239.20
|
|
Assay of sialic acid
|
$111.65 |
$111.65 |
$111.65 |
$60.45
|
|
Assay of somatostatin
|
$187.55 |
$187.55 |
$187.55 |
$171.60
|
|
Assay of thiocyanate
|
$48.95 |
$48.95 |
$48.95 |
$57.00
|
|
Assay of urine sulfate
|
$137.50 |
$137.50 |
$137.50 |
$31.85
|
|
Assay toxin or antitoxin
|
$146.30 |
$146.30 |
$146.30 |
$83.85
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$45.65 |
$45.65 |
$45.65 |
$51.35
|
|
Ast/sgot
|
$53.35 |
$53.35 |
$53.35 |
$46.82
|
|
Athrectomy fem/pop/unilateral 37225
|
$12,281.50 |
$12,281.50 |
$12,281.50 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$12,264.45 |
$12,264.45 |
$12,264.45 |
$19,875.58
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,109.90 |
$1,109.90 |
$1,109.90 |
$925.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$1,785.85 |
$1,785.85 |
$1,785.85 |
$348.80
|
|
Bacterial vaginosis pcr
|
$149.60 |
$149.60 |
$149.60 |
$300.08
|
|
#bac vag cand-c. albicans naa
|
$72.60 |
$72.60 |
$72.60 |
$118.65
|
|
Bartonella dna pcr-sendout
|
$202.95 |
$202.95 |
$202.95 |
$202.95
|
|
B cells total count
|
$77.00 |
$77.00 |
$77.00 |
$131.30
|
|
Behavior counsel obesity 15min medicare g0447
|
$21.78 |
$21.78 |
$21.78 |
$101.09
|
|
Benign lesion paring 2-4
|
$267.30 |
$267.30 |
$267.30 |
$275.88
|
|
Benign lesion paring 4+
|
$303.60 |
$303.60 |
$303.60 |
$296.40
|
|
#_benzodiazconfur
|
$182.60 |
$182.60 |
$182.60 |
$99.72
|
|
Beta 2 glycoprotein 1 antibody iga
|
$39.60 |
$39.60 |
$39.60 |
$99.45
|
|
Beta-2 microglobulin
|
$149.05 |
$149.05 |
$149.05 |
$87.60
|
|
Beta-amyloid 1-42
|
$137.50 |
$137.50 |
$137.50 |
$312.00
|
|
Bilateral n block inj occipital 64405
|
$1,710.50 |
$1,710.50 |
$1,710.50 |
$895.00
|
|
Bilateral n block inj trigeminal 64400
|
$522.50 |
$522.50 |
$522.50 |
$676.00
|
|
Bilicheck
|
$53.90 |
$53.90 |
$53.90 |
$25.76
|
|
Bilirubin direct
|
$53.35 |
$53.35 |
$53.35 |
$49.37
|
|
Bilirubin total
|
$53.35 |
$53.35 |
$53.35 |
$52.57
|
|
Biopsy abdominal mass
|
$1,590.60 |
$1,590.60 |
$1,590.60 |
$1,897.50
|
|
Biopsy bone trocar/needle superficial
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$1,684.00
|
|
Biopsy external ear 69100
|
$83.16 |
$83.16 |
$83.16 |
$510.40
|
|
Biopsy eyelid & lid margin
|
$142.16 |
$142.16 |
$142.16 |
$754.48
|
|
Biopsy muscle percutaneous needle
|
$1,413.50 |
$1,413.50 |
$1,413.50 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$1,691.80 |
$1,691.80 |
$1,691.80 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$2,559.70 |
$2,559.70 |
$2,559.70 |
$1,855.89
|
|
Biopsy of lip 40490
|
$107.71 |
$107.71 |
$107.71 |
$325.68
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,705.55 |
$1,705.55 |
$1,705.55 |
$2,211.08
|
|
Biopsy skin incisional single lesion
|
$680.90 |
$680.90 |
$680.90 |
$657.30
|
|
Biospy of bladder
|
$1,513.05 |
$1,513.05 |
$1,513.05 |
$1,470.24
|
|
Bln 1.2 mono emrg 15x1.2
|
$1,346.95 |
$1,346.95 |
$1,346.95 |
$5,040.54
|
|
Bln 30frx10mmx12cm renal nephromax
|
$196.84 |
$196.84 |
$196.84 |
$2,795.43
|
|
Bln inpact admiral 4x150x130cm
|
$1,798.96 |
$1,798.96 |
$1,798.96 |
$4,259.82
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$3,854.95 |
$3,854.95 |
$3,854.95 |
$2,241.11
|
|
Blood Clotting (PT/INR) Test
|
$47.85 |
$47.85 |
$47.85 |
$52.58
|
|
Blood Clotting (PTT) Test
|
$52.25 |
$52.25 |
$52.25 |
$76.32
|
|
Blood Count (CBC) Test
|
$167.20 |
$167.20 |
$167.20 |
$73.53
|
|
Blood Count (CBC) Test (without differential)
|
$62.15 |
$62.15 |
$62.15 |
$63.45
|
|
Blood count spun microhematocrit
|
$27.50 |
$27.50 |
$27.50 |
$20.78
|
|
Blood Culture Test
|
$242.00 |
$242.00 |
$242.00 |
$144.65
|
|
Blood draw capillary 36416
|
$19.80 |
$19.80 |
$19.80 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$176.55 |
$176.55 |
$176.55 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$26.40 |
$26.40 |
$26.40 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$26.40 |
$26.40 |
$26.40 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$26.40 |
$26.40 |
$26.40 |
$33.57
|
