|
Application finger splntstatic 29130
|
$415.20 |
$415.20 |
$415.20 |
$208.50
|
|
Application long leg splint 29505
|
$661.60 |
$661.60 |
$661.60 |
$338.25
|
|
Application lower leg splint 29515
|
$674.40 |
$674.40 |
$674.40 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$608.00 |
$608.00 |
$608.00 |
$370.92
|
|
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
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$138.40 |
$138.40 |
$138.40 |
$68.00
|
|
Apply rigid leg cast 29445
|
$788.80 |
$788.80 |
$788.80 |
$555.00
|
|
Aquaporin-4 antibody cba each
|
$52.80 |
$52.80 |
$52.80 |
$140.84
|
|
Aquatic exercise - group charge
|
$439.20 |
$439.20 |
$439.20 |
$87.15
|
|
Argatroban nonesrd use 1mg
|
$661.40 |
$661.40 |
$661.40 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$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 x-rays arms/legs 75716-26
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$3,729.00
|
|
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
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$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)
|
$1,966.40 |
$1,966.40 |
$1,966.40 |
$726.66
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,519.20 |
$3,519.20 |
$3,519.20 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$911.20 |
$911.20 |
$911.20 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$1,226.87
|
|
Assay alkaline phosphatase
|
$34.40 |
$34.40 |
$34.40 |
$42.60
|
|
Assay dir meas fr estradiol
|
$116.80 |
$116.80 |
$116.80 |
$67.62
|
|
Assay of breath ethanol
|
$124.80 |
$124.80 |
$124.80 |
$52.62
|
|
Assay of interleukin-6 (il-6)
|
$71.20 |
$71.20 |
$71.20 |
$79.68
|
|
Assay of urine sulfate
|
$22.40 |
$22.40 |
$22.40 |
$28.20
|
|
Assess cyst contrast inject
|
$120.00 |
$120.00 |
$120.00 |
$447.33
|
|
Ast/sgot
|
$21.60 |
$21.60 |
$21.60 |
$45.60
|
|
Atn1 gene detc abnor alleles
|
$569.60 |
$569.60 |
$569.60 |
$313.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$120.00 |
$120.00 |
$120.00 |
$53.24
|
|
Atxn10 gene detc abnor allel
|
$569.60 |
$569.60 |
$569.60 |
$204.51
|
|
Atxn1 gene detc abnor allele
|
$569.60 |
$569.60 |
$569.60 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$569.60 |
$569.60 |
$569.60 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$569.60 |
$569.60 |
$569.60 |
$247.60
|
|
Atxn7 gene detc abnor allele
|
$569.60 |
$569.60 |
$569.60 |
$225.42
|
|
Atxn8os gen detc abnor allel
|
$569.60 |
$569.60 |
$569.60 |
$225.42
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$698.40 |
$698.40 |
$698.40 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$10.60 |
$10.60 |
$10.60 |
$3.25
|
|
Azithromycin 500 mg intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$515.80 |
$515.80 |
$515.80 |
$157.30
|
|
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
|
|
B cells total count
|
$157.60 |
$157.60 |
$157.60 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$180.20 |
$180.20 |
$180.20 |
$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
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$340.80 |
$340.80 |
$340.80 |
$65.00
|
|
Bilateral n block inj occipital 64405
|
$2,314.40 |
$2,314.40 |
$2,314.40 |
$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
|
$2,391.20 |
$2,391.20 |
$2,391.20 |
$1,716.00
|
|
Biopsy bone trocar/needle superficial
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,680.35
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,064.80 |
$2,064.80 |
$2,064.80 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,362.40 |
$2,362.40 |
$2,362.40 |
$1,632.98
|
|
Biopsy needle liver percutaneous
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$1,827.42
|
|
Biopsy needle lymph node superficial
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$1,879.09
|
|
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
|
|
Biopsy skin incisional single lesion
|
$617.60 |
$617.60 |
$617.60 |
$661.80
|
|
Bivalirudin
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$1,038.91
|
|
Bladder irrigate/lavage/instill 51700
|
$732.80 |
$732.80 |
$732.80 |
$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
|
$189.60 |
$189.60 |
$189.60 |
$190.00
|
|
Block tap inj(s) w/wo img bi
|
$2,362.40 |
$2,362.40 |
$2,362.40 |
$1,340.40
|
|
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
|
|
Blood Culture Test
|
$43.20 |
$43.20 |
$43.20 |
$145.60
|
|
Blood draw capillary 36416
|
$30.40 |
$30.40 |
$30.40 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$328.00 |
$328.00 |
$328.00 |
$226.20
|
|
Blood gases ph venous
|
$45.60 |
$45.60 |
$45.60 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$36.00 |
$36.00 |
$36.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.80 |
$16.80 |
$16.80 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$15.00 |
$15.00 |
$15.00 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$21.60 |
$21.60 |
$21.60 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$18.40 |
$18.40 |
$18.40 |
$38.35
|
|
Blood split unit
|
$861.60 |
$861.60 |
$861.60 |
$282.88
|
|
Blood typing abo
|
$146.00 |
$146.00 |
$146.00 |
$84.75
|
|
Blood typing ag donor ea ag
|
$166.40 |
$166.40 |
$166.40 |
$204.84
|
|
Blood typing rbc ag non abo/rh ea
|
$257.60 |
$257.60 |
$257.60 |
$206.33
|
|
Blood typing rh (d)
|
$43.00 |
$43.00 |
$43.00 |
$57.14
|
|
Bone Density Scan (DEXA)
|
$237.00 |
$237.00 |
$237.00 |
$398.56
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,877.60 |
$1,877.60 |
$1,877.60 |
$1,667.40
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$70.40 |
$70.40 |
$70.40 |
$91.20
|
|
Borrelia miyamotoi amp prb
|
$162.40 |
$162.40 |
$162.40 |
$81.20
|
|
(both sides) smear without diff wbc count
|
$20.00 |
$20.00 |
$20.00 |
$30.68
|
|
Bowel imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,065.53
|
|
Brace ank air stirrup univ
|
$188.80 |
$188.80 |
$188.80 |
$108.67
|
|
Brace m arm board
|
$152.80 |
$152.80 |
$152.80 |
$162.50
|
|
Brace oths wrist hnd fngr without
|
$383.20 |
$383.20 |
$383.20 |
$250.88
|
