|
Antibody tetanus
|
$74.40 |
$74.40 |
$74.40 |
$54.00
|
|
Anti mog serum - sendout
|
$49.60 |
$49.60 |
$49.60 |
$133.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$49.60 |
$49.60 |
$49.60 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$49.60 |
$49.60 |
$49.60 |
$42.00
|
|
Antinuclear antibodies
|
$49.60 |
$49.60 |
$49.60 |
$90.00
|
|
Antinuclear antibodies titer
|
$46.40 |
$46.40 |
$46.40 |
$79.86
|
|
Antistreptolysin o titer
|
$30.40 |
$30.40 |
$30.40 |
$52.50
|
|
Antithrombin iii activity
|
$80.80 |
$80.80 |
$80.80 |
$114.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$845.60 |
$845.60 |
$845.60 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$213.60 |
$213.60 |
$213.60 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$213.60 |
$213.60 |
$213.60 |
$508.18
|
|
Application finger splntstatic 29130
|
$415.20 |
$415.20 |
$415.20 |
$208.50
|
|
Application long leg splint 29505
|
$458.40 |
$458.40 |
$458.40 |
$338.25
|
|
Application lower leg splint 29515
|
$586.40 |
$586.40 |
$586.40 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$492.80 |
$492.80 |
$492.80 |
$370.92
|
|
Application of long arm cast 29065
|
$480.80 |
$480.80 |
$480.80 |
$395.45
|
|
Application of paste boot 29580
|
$463.20 |
$463.20 |
$463.20 |
$336.00
|
|
Application short leg cast 29405
|
$740.80 |
$740.80 |
$740.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$38.28 |
$38.28 |
$38.28 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$80.80 |
$80.80 |
$80.80 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$189.60 |
$189.60 |
$189.60 |
$76.80
|
|
Apply rigid leg cast 29445
|
$560.00 |
$560.00 |
$560.00 |
$555.00
|
|
Aquaporin-4 antibody cba each
|
$62.40 |
$62.40 |
$62.40 |
$140.84
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$133.60 |
$133.60 |
$133.60 |
$100.00
|
|
Aquatic exercise - group charge
|
$149.60 |
$149.60 |
$149.60 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$10,811.20 |
$10,811.20 |
$10,811.20 |
$4,515.50
|
|
Artery x-rays arm/leg 75710-26
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$3,483.84
|
|
Artery xrays of pelvis 75736 26
|
$10,811.20 |
$10,811.20 |
$10,811.20 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,796.80 |
$2,796.80 |
$2,796.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$901.60
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$889.60 |
$889.60 |
$889.60 |
$699.00
|
|
Ascenda two piece catheter
|
$16,008.96 |
$16,008.96 |
$16,008.96 |
$23,074.63
|
|
Asp core fat pad
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,563.20 |
$4,563.20 |
$4,563.20 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$245.60 |
$245.60 |
$245.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$911.20 |
$911.20 |
$911.20 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,478.40 |
$2,478.40 |
$2,478.40 |
$1,226.87
|
|
Assay alkaline phosphatase
|
$34.40 |
$34.40 |
$34.40 |
$42.60
|
|
Assay dir meas fr estradiol
|
$140.00 |
$140.00 |
$140.00 |
$67.62
|
|
Assay of interleukin-6 (il-6)
|
$86.40 |
$86.40 |
$86.40 |
$79.68
|
|
Assay of urine sulfate
|
$22.40 |
$22.40 |
$22.40 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$383.20 |
$383.20 |
$383.20 |
$300.00
|
|
Assess cyst contrast inject
|
$252.80 |
$252.80 |
$252.80 |
$447.33
|
|
Ast/sgot
|
$21.60 |
$21.60 |
$21.60 |
$45.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$33.60 |
$33.60 |
$33.60 |
$53.24
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$18,463.20 |
$18,463.20 |
$18,463.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$27,054.40 |
$27,054.40 |
$27,054.40 |
$10,384.40
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$690.40 |
$690.40 |
$690.40 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$1.40 |
$1.40 |
$1.40 |
$3.25
|
|
Azithromycin 500 mg intravenous solution
|
$6.20 |
$6.20 |
$6.20 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$140.80 |
$140.80 |
$140.80 |
$157.30
|
|
Baclofen eval charges
|
$156.00 |
$156.00 |
$156.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$48.00 |
$48.00 |
$48.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$292.00 |
$292.00 |
$292.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$140.00 |
$140.00 |
$140.00 |
$109.20
|
|
Balloon dilate urtrl strix
|
$931.20 |
$931.20 |
$931.20 |
$2,118.00
|
|
B cells total count
|
$188.00 |
$188.00 |
$188.00 |
$131.30
|
|
Benign lesion paring 2-4
|
$224.80 |
$224.80 |
$224.80 |
$263.20
|
|
Benztropine 1 mg/ml injection solution
|
$75.40 |
$75.40 |
$75.40 |
$106.46
|
|
Beta 2 glycoprotein 1 antibody iga
|
$105.60 |
$105.60 |
$105.60 |
$82.20
|
|
Beta-2 microglobulin
|
$67.20 |
$67.20 |
$67.20 |
$84.75
|
|
Beta-amyloid 1-40
|
$833.60 |
$833.60 |
$833.60 |
$312.00
|
|
Beta-amyloid 1-42
|
$833.60 |
$833.60 |
$833.60 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$111.20 |
$111.20 |
$111.20 |
$65.00
|
|
B-hexosaminidase ea assay
|
$84.00 |
$84.00 |
$84.00 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,098.40 |
$1,098.40 |
$1,098.40 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$586.30
|
|
Bilicheck
|
$24.80 |
$24.80 |
$24.80 |
$27.00
|
|
Bilirubin direct
|
$24.80 |
$24.80 |
$24.80 |
$50.40
|
|
Bilirubin total
|
$10.00 |
$10.00 |
$10.00 |
$53.84
|
|
Binder abdominal lg 12 x 62-74
|
$80.80 |
$80.80 |
$80.80 |
$50.14
|
|
Biopsy abdominal mass
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$1,716.00
|
|
Biopsy bone trocar/needle superficial
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
$1,680.35
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,038.40 |
$3,038.40 |
$3,038.40 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$4,412.80 |
$4,412.80 |
$4,412.80 |
$1,632.98
|
|
Biopsy needle liver percutaneous
|
$3,048.80 |
$3,048.80 |
$3,048.80 |
$1,827.42
|
|
Biopsy needle lymph node superficial
|
$3,426.40 |
$3,426.40 |
$3,426.40 |
$1,879.09
|
|
Biopsy of prostate
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$2,419.00
|
|
Biopsy of salivary gland 42400
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,992.80 |
$1,992.80 |
$1,992.80 |
$2,092.00
|
|
Bivalirudin
|
$549.20 |
$549.20 |
$549.20 |
$1,038.91
|
|
Bladder irrigate/lavage/instill 51700
|
$945.60 |
$945.60 |
$945.60 |
$408.00
|
|
Bld prd mix
|
$653.60 |
$653.60 |
$653.60 |
$140.25
|
|
Bld push tfuj 2 yr/<
|
$694.40 |
$694.40 |
$694.40 |
$965.30
|
|
Blink reflex test
|
$192.80 |
$192.80 |
$192.80 |
$190.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$7,458.00 |
$7,458.00 |
$7,458.00 |
$8,648.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$2,258.69 |
$2,258.69 |
$2,258.69 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$508.93 |
$508.93 |
$508.93 |
$1,320.21
|
|
Bln inpact admiral 4x150x130cm
|
$2,172.72 |
$2,172.72 |
$2,172.72 |
$4,951.39
|
|
Blood Clotting (PT/INR) Test
|
$15.00 |
$15.00 |
$15.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$30.00 |
$30.00 |
$30.00 |
$73.80
|
|
Blood Count (CBC) Test
|
$15.00 |
$15.00 |
$15.00 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$15.00 |
$15.00 |
$15.00 |
$61.80
|
|
Blood count spun microhematocrit
|
$28.80 |
$28.80 |
$28.80 |
$25.00
|
