|
Antibody bacterium, not elsewhere specified
|
$81.40 |
$81.40 |
$81.40 |
$57.85
|
|
Antibody elution rbc reference
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$179.52
|
|
Antibody htlv/hiv confirm test
|
$122.10 |
$122.10 |
$122.10 |
$131.28
|
|
Antibody htlv-i
|
$57.72 |
$57.72 |
$57.72 |
$49.53
|
|
Antibody htlv-ii
|
$88.80 |
$88.80 |
$88.80 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$116.18 |
$116.18 |
$116.18 |
$220.73
|
|
Antibody id rbc panel
|
$2,275.50 |
$2,275.50 |
$2,275.50 |
$291.75
|
|
Antibody influenza virus
|
$85.84 |
$85.84 |
$85.84 |
$54.06
|
|
Antibody lymphocytic choriomeningitis
|
$81.40 |
$81.40 |
$81.40 |
$46.58
|
|
Antibody screen rbc
|
$338.18 |
$338.18 |
$338.18 |
$109.80
|
|
Antibody tetanus
|
$93.24 |
$93.24 |
$93.24 |
$54.15
|
|
Antidepressant not specified
|
$724.46 |
$724.46 |
$724.46 |
$72.14
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$73.84
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$83.72
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$101.40
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$96.72
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$130.00
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$74.00
|
|
Antigen therapy services
|
$2.34 |
$2.34 |
$2.34 |
$64.39
|
|
Anti-inhibitor
|
$3,099.46 |
$3,099.46 |
$3,099.46 |
$8.33
|
|
Anti mog serum - sendout
|
$76.22 |
$76.22 |
$76.22 |
$131.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$76.22 |
$76.22 |
$76.22 |
$39.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$76.22 |
$76.22 |
$76.22 |
$42.00
|
|
Ant instr 2-3 vert segm 22845
|
$528.06 |
$528.06 |
$528.06 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$550.16 |
$550.16 |
$550.16 |
$1,430.40
|
|
Antinuclear antibodies
|
$76.96 |
$76.96 |
$76.96 |
$90.00
|
|
Antinuclear antibodies titer
|
$70.30 |
$70.30 |
$70.30 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$102.12 |
$102.12 |
$102.12 |
$67.60
|
|
Antipsychotics nos 1-3
|
$724.46 |
$724.46 |
$724.46 |
$137.80
|
|
Antistreptolysin o screen
|
$36.26 |
$36.26 |
$36.26 |
$57.28
|
|
Antistreptolysin o titer
|
$46.62 |
$46.62 |
$46.62 |
$53.60
|
|
Antithrombin iii activity
|
$75.48 |
$75.48 |
$75.48 |
$114.00
|
|
Antithrombin iii injection
|
$1,610.70 |
$1,610.70 |
$1,610.70 |
$11.85
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$635.96 |
$635.96 |
$635.96 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$25.22 |
$25.22 |
$25.22 |
$286.00
|
|
Ant sgm img i&r speclr mic
|
$15.34 |
$15.34 |
$15.34 |
$286.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$560.92 |
$560.92 |
$560.92 |
$395.20
|
|
Aortic circulation assist 33971
|
$508.82 |
$508.82 |
$508.82 |
$1,719.20
|
|
Aortic hemiarch graft 33866
|
$658.06 |
$658.06 |
$658.06 |
$2,260.80
|
|
Aortic suspension
|
$711.10 |
$711.10 |
$711.10 |
$1,414.87
|
|
Apheresis immunoads slctv
|
$63.70 |
$63.70 |
$63.70 |
$5,794.21
|
|
Apheresis plasma
|
$67.60 |
$67.60 |
$67.60 |
$3,226.34
|
|
Apheresis platelets
|
$78.26 |
$78.26 |
$78.26 |
$2,195.00
|
|
Apheresis rbc
|
$76.44 |
$76.44 |
$76.44 |
$3,290.80
|
|
Apheresis wbc
|
$4,609.46 |
$4,609.46 |
$4,609.46 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$583.12 |
$583.12 |
$583.12 |
$513.00
|
|
Appendectomy
|
$470.34 |
$470.34 |
$470.34 |
$5,419.00
|
|
Appendectomy add-on 44955
|
$60.58 |
$60.58 |
$60.58 |
$187.32
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$641.94 |
$641.94 |
$641.94 |
$1,557.59
|
|
Appendico-vesicostomy
|
$914.68 |
$914.68 |
$914.68 |
$1,632.03
|
|
Appendix Removal (Laparoscopic)
|
$442.26 |
$442.26 |
$442.26 |
$6,904.15
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$162.24 |
$162.24 |
$162.24 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$40.56 |
$40.56 |
$40.56 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$18.20 |
$18.20 |
$18.20 |
$505.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$140.66 |
$140.66 |
$140.66 |
$3,619.35
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$31.98 |
$31.98 |
$31.98 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$12.22 |
$12.22 |
$12.22 |
$514.00
|
|
Appl bdy cst sho to hip 1thi
|
$123.50 |
$123.50 |
$123.50 |
$353.60
|
|
Appl bdy cst sho to hip b th
|
$138.32 |
$138.32 |
$138.32 |
$561.60
|
|
Appl bdy cst sho to hip head
|
$128.18 |
$128.18 |
$128.18 |
$561.60
|
|
Appl body cast sho to hips
|
$106.08 |
$106.08 |
$106.08 |
$480.00
|
|
Appl cast figure-of-eight
|
$51.48 |
$51.48 |
$51.48 |
$314.28
|
|
Appl cast plaster velpeau
|
$69.16 |
$69.16 |
$69.16 |
$314.28
|
|
Appl cast shoulder spica
|
$101.66 |
$101.66 |
$101.66 |
$480.00
|
|
Appl halo cranial 6+pins
|
$657.28 |
$657.28 |
$657.28 |
$1,642.82
|
|
Appl halo type body cast
|
$146.12 |
$146.12 |
$146.12 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$131.04 |
$131.04 |
$131.04 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$116.74 |
$116.74 |
$116.74 |
$499.20
|
|
Application clubfoot cast
|
$81.90 |
$81.90 |
$81.90 |
$302.40
|
|
Application finger splntstatic 29130
|
$362.60 |
$362.60 |
$362.60 |
$208.50
|
|
Application halo femoral
|
$355.68 |
$355.68 |
$355.68 |
$4,499.12
|
|
Application halo pelvic
|
$386.10 |
$386.10 |
$386.10 |
$1,893.86
|
|
Application long leg splint 29505
|
$443.26 |
$443.26 |
$443.26 |
$340.56
|
|
Application lower leg splint 29515
|
$443.26 |
$443.26 |
$443.26 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$19.50 |
$19.50 |
$19.50 |
$375.06
|
|
Application of body cast
|
$118.30 |
$118.30 |
$118.30 |
$557.18
|
|
Application of body cast
|
$132.86 |
$132.86 |
$132.86 |
$561.60
|
|
Application of cylinder cast 29365
|
$63.96 |
$63.96 |
$63.96 |
$420.00
|
|
Application of forearm cast 29075
|
$746.66 |
$746.66 |
$746.66 |
$365.30
|
|
Application of long arm cast 29065
|
$746.66 |
$746.66 |
$746.66 |
$399.00
|
|
Application of long leg cast
|
$77.48 |
$77.48 |
$77.48 |
$426.00
|
|
Application of long leg cast 29345
|
$746.66 |
$746.66 |
$746.66 |
$455.00
|
|
Application of paste boot 29580
|
$18.98 |
$18.98 |
$18.98 |
$340.11
|
|
Application short leg cast 29405
|
$746.66 |
$746.66 |
$746.66 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$68.38 |
$68.38 |
$68.38 |
$2,140.13
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$61.36 |
$61.36 |
$61.36 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$331.24 |
$331.24 |
$331.24 |
$938.52
|
|
Appl long leg cast brace
|
$75.66 |
$75.66 |
$75.66 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$830.70 |
$830.70 |
$830.70 |
$5,840.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.30 |
$33.30 |
$33.30 |
$68.00
|
|
Appl modality 1+lllt po pain
|
$137.64 |
$137.64 |
$137.64 |
$57.60
|
|
Appl multlay comprs arm/hand
|
$11.44 |
$11.44 |
$11.44 |
$284.05
|
|
Appl patllr tdn bearing cast
|
$63.44 |
$63.44 |
$63.44 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$439.40 |
$439.40 |
$439.40 |
$5,810.00
|
|
Apply finger cast 29086
|
$36.14 |
$36.14 |
$36.14 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$362.60 |
$362.60 |
$362.60 |
$258.65
|
|
Apply halo w/removal cranial
|
$380.38 |
$380.38 |
$380.38 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$49.66 |
$49.66 |
$49.66 |
$267.20
|
|
Apply interstit radiat compl
|
$2,926.70 |
$2,926.70 |
$2,926.70 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$336.18 |
$336.18 |
$336.18 |
$1,813.50
|