|
Amylase
|
$30.16 |
$30.16 |
$30.16 |
$85.65
|
|
Anal/urinary muscle study
|
$403.02 |
$403.02 |
$403.02 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$219.13 |
$219.13 |
$219.13 |
$242.90
|
|
Analysis gene f5 leiden variant
|
$219.13 |
$219.13 |
$219.13 |
$253.11
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$142.54 |
$142.54 |
$142.54 |
$411.45
|
|
Anca screen with reflex to titer -quest
|
$118.40 |
$118.40 |
$118.40 |
$112.45
|
|
An cholangiogram percutaneous compl
|
$375.64 |
$375.64 |
$375.64 |
$2,417.63
|
|
An fluoro guide for cvp
|
$49.12 |
$49.12 |
$49.12 |
$484.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,284.08 |
$6,284.08 |
$6,284.08 |
$5,536.00
|
|
Angioplasty fem/pop unilat 37224
|
$15,083.79 |
$15,083.79 |
$15,083.79 |
$10,522.96
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,078.69 |
$14,078.69 |
$14,078.69 |
$12,138.33
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$12,785.35 |
$12,785.35 |
$12,785.35 |
$8,793.15
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$44,765.71 |
$44,765.71 |
$44,765.71 |
$44,765.71
|
|
Angio tib/peroneal/init ves/unila 37228
|
$14,324.00 |
$14,324.00 |
$14,324.00 |
$14,806.05
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,141.95 |
$3,141.95 |
$3,141.95 |
$5,855.20
|
|
Angio trnslmnl balloon same artery ini
|
$6,284.08 |
$6,284.08 |
$6,284.08 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,141.95 |
$3,141.95 |
$3,141.95 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$6,169.84 |
$6,169.84 |
$6,169.84 |
$8,766.15
|
|
Anidulafungin injection
|
$81.60 |
$81.60 |
$81.60 |
$116.22
|
|
Ankle X-ray
|
$269.73 |
$269.73 |
$269.73 |
$325.59
|
|
Anogenital exam child w imag
|
$71.50 |
$71.50 |
$71.50 |
$195.96
|
|
Anoscopy remove fb 46608
|
$496.91 |
$496.91 |
$496.91 |
$1,278.72
|
|
Antibody bacterium, not elsewhere specified
|
$57.81 |
$57.81 |
$57.81 |
$57.85
|
|
Antibody elution rbc reference
|
$107.12 |
$107.12 |
$107.12 |
$163.80
|
|
Antibody htlv/hiv confirm test
|
$85.75 |
$85.75 |
$85.75 |
$154.85
|
|
Antibody htlv-i
|
$41.44 |
$41.44 |
$41.44 |
$49.53
|
|
Antibody htlv-ii
|
$66.60 |
$66.60 |
$66.60 |
$46.15
|
|
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
|
$1,629.39 |
$1,629.39 |
$1,629.39 |
$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
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,738.54 |
$1,738.54 |
$1,738.54 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$336.42 |
$336.42 |
$336.42 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$123.77 |
$123.77 |
$123.77 |
$549.08
|
|
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 multi layer compression below knee (both sides)
|
$303.03 |
$303.03 |
$303.03 |
$382.40
|
|
Application of forearm cast 29075
|
$386.10 |
$386.10 |
$386.10 |
$370.80
|
|
Application of long arm cast 29065
|
$116.55 |
$116.55 |
$116.55 |
$404.63
|
|
Application of long leg cast 29345
|
$165.48 |
$165.48 |
$165.48 |
$464.51
|
|
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
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$2,087.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$17.58 |
$17.58 |
$17.58 |
$70.15
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$21.55 |
$21.55 |
$21.55 |
$72.60
|
|
Appl multlay comprs arm/hand
|
$166.69 |
$166.69 |
$166.69 |
$265.00
|
|
Apply forearm splintdynamic 29126
|
$62.16 |
$62.16 |
$62.16 |
$249.60
|
|
Apply hand/wrist cast 29085
|
$168.17 |
$168.17 |
$168.17 |
$264.75
|
|
Apply interstit radiat compl
|
$2,614.70 |
$2,614.70 |
$2,614.70 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$2,409.72 |
$2,409.72 |
$2,409.72 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$2,401.67 |
$2,401.67 |
$2,401.67 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,393.99 |
$2,393.99 |
$2,393.99 |
$796.97
|
|
Apply of finger splint 29131
|
$48.19 |
$48.19 |
$48.19 |
$177.45
|
|
Apply rem fixation device
|
$657.03 |
$657.03 |
$657.03 |
$1,839.77
|
|
Apply rigid leg cast 29445
|
$335.59 |
$335.59 |
$335.59 |
$593.57
|
|
Apply short leg castambul type 29425
|
$66.79 |
$66.79 |
$66.79 |
$384.59
|
|
Apply surf ldr radionuclide
|
$122.66 |
$122.66 |
$122.66 |
$251.55
|
|
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 xray each vessel 7577426
|
$705.87 |
$705.87 |
$705.87 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,633.29 |
$2,633.29 |
$2,633.29 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$1,134.14 |
$1,134.14 |
$1,134.14 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,119.92 |
$2,119.92 |
$2,119.92 |
$3,483.84
|
|
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
|
|
Artery x-rays chest
|
$2,895.07 |
$2,895.07 |
$2,895.07 |
$2,498.28
|
|
Artery x-rays lung
|
$1,190.85 |
$1,190.85 |
$1,190.85 |
$3,150.00
|
|
Artery x-rays lung
|
$703.56 |
$703.56 |
$703.56 |
$2,138.37
|
|
Artery x-rays lungs
|
$1,898.93 |
$1,898.93 |
$1,898.93 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$1,274.28 |
$1,274.28 |
$1,274.28 |
$3,993.41
|
|
Artery x-rays spine
|
$2,633.29 |
$2,633.29 |
$2,633.29 |
$4,094.60
|
|
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
|
