|
Antibody screen rbc
|
$174.00 |
$174.00 |
$174.00 |
$106.88
|
|
Antidepressant not specified
|
$151.00 |
$151.00 |
$151.00 |
$72.14
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$227.50 |
$227.50 |
$227.50 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$32.50 |
$32.50 |
$32.50 |
$42.00
|
|
Antinuclear antibodies
|
$70.00 |
$70.00 |
$70.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$63.50 |
$63.50 |
$63.50 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$58.00 |
$58.00 |
$58.00 |
$64.50
|
|
Antistreptolysin o titer
|
$441.00 |
$441.00 |
$441.00 |
$52.50
|
|
Antithrombin iii activity
|
$436.50 |
$436.50 |
$436.50 |
$114.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$2,112.66
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$469.50 |
$469.50 |
$469.50 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$508.18
|
|
Application finger splntstatic 29130
|
$403.50 |
$403.50 |
$403.50 |
$208.50
|
|
Application long leg splint 29505
|
$325.50 |
$325.50 |
$325.50 |
$338.25
|
|
Application lower leg splint 29515
|
$307.50 |
$307.50 |
$307.50 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$543.00 |
$543.00 |
$543.00 |
$370.92
|
|
Application of forearm cast 29075
|
$540.50 |
$540.50 |
$540.50 |
$356.50
|
|
Application of long leg cast 29345
|
$363.00 |
$363.00 |
$363.00 |
$455.00
|
|
Application of paste boot 29580
|
$543.00 |
$543.00 |
$543.00 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$144.50 |
$144.50 |
$144.50 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$87.50 |
$87.50 |
$87.50 |
$76.80
|
|
Appl multlay comprs arm/hand
|
$169.50 |
$169.50 |
$169.50 |
$297.70
|
|
Apply forearm splintdynamic 29126
|
$537.00 |
$537.00 |
$537.00 |
$248.95
|
|
Apply hand/wrist cast 29085
|
$150.00 |
$150.00 |
$150.00 |
$267.20
|
|
Apply of finger splint 29131
|
$473.00 |
$473.00 |
$473.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$1,965.50 |
$1,965.50 |
$1,965.50 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$334.50 |
$334.50 |
$334.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$383.50 |
$383.50 |
$383.50 |
$244.50
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$119.50 |
$119.50 |
$119.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$91.50 |
$91.50 |
$91.50 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$436.00 |
$436.00 |
$436.00 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,966.00 |
$2,966.00 |
$2,966.00 |
$4,515.50
|
|
Artery x-rays arm/leg 75710-26
|
$3,982.00 |
$3,982.00 |
$3,982.00 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$3,729.00
|
|
Artery x-rays chest
|
$2,815.00 |
$2,815.00 |
$2,815.00 |
$2,785.15
|
|
Artery x-rays lung
|
$2,966.00 |
$2,966.00 |
$2,966.00 |
$3,286.20
|
|
Artery x-rays lung
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$2,380.80
|
|
Artery x-rays lungs
|
$2,966.00 |
$2,966.00 |
$2,966.00 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$3,212.00 |
$3,212.00 |
$3,212.00 |
$4,306.40
|
|
Artery x-rays spine
|
$2,966.00 |
$2,966.00 |
$2,966.00 |
$4,500.95
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,479.50 |
$1,479.50 |
$1,479.50 |
$699.00
|
|
Ascenda two piece catheter
|
$46,984.50 |
$46,984.50 |
$46,984.50 |
$23,074.63
|
|
Asp & inj w/heparin pleurx cath
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$1,436.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$2,119.50 |
$2,119.50 |
$2,119.50 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$839.50 |
$839.50 |
$839.50 |
$865.20
|
|
Assay of interleukin-6 (il-6)
|
$310.50 |
$310.50 |
$310.50 |
$79.68
|
|
Assay of osteocalcin
|
$40.50 |
$40.50 |
$40.50 |
$92.50
|
|
Assay of prostaglandin
|
$740.00 |
$740.00 |
$740.00 |
$222.60
|
|
Assay of salicylate
|
$456.50 |
$456.50 |
$456.50 |
$95.00
|
|
Assay of thiocyanate
|
$173.50 |
$173.50 |
$173.50 |
$72.60
|
|
Assay toxin or antitoxin
|
$418.00 |
$418.00 |
$418.00 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$620.50 |
$620.50 |
$620.50 |
$300.00
|
|
Assess cyst contrast inject
|
$102.50 |
$102.50 |
$102.50 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$237.50 |
$237.50 |
$237.50 |
$46.90
|
|
Ast/sgot
|
$292.50 |
$292.50 |
$292.50 |
$45.60
|
|
Asxl1 gene target seq alys
|
$306.50 |
$306.50 |
$306.50 |
$378.00
|
|
Athrectomy fem/pop/unilateral 37225
|
$14,674.00 |
$14,674.00 |
$14,674.00 |
$16,409.51
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$21,954.00 |
$21,954.00 |
$21,954.00 |
$15,188.25
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$130.00 |
$130.00 |
$130.00 |
$188.16
|
|
Augment injectable kit 3.0cc
|
$6,758.50 |
$6,758.50 |
$6,758.50 |
$7,157.00
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,248.50 |
$4,248.50 |
$4,248.50 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$11,564.00 |
$11,564.00 |
$11,564.00 |
$10,384.40
|
|
Avul nail plate addl
|
$543.00 |
$543.00 |
$543.00 |
$187.20
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$543.00 |
$543.00 |
$543.00 |
$326.27
|
|
Baclofen eval charges
|
$144.50 |
$144.50 |
$144.50 |
$87.50
|
|
Bacterial vaginosis pcr
|
$132.50 |
$132.50 |
$132.50 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$201.50 |
$201.50 |
$201.50 |
$109.20
|
|
Balloon dilate urtrl strix
|
$2,154.50 |
$2,154.50 |
$2,154.50 |
$2,118.00
|
|
Barrier skin flextend 2.25in floating flang new image
|
$1.00 |
$1.00 |
$1.00 |
$3.00
|
|
Battery elec/combo vad, rep
|
$238.50 |
$238.50 |
$238.50 |
$333.18
|
|
Bausch health Ultrasound surg
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$768.50
|
|
B cells total count
|
$114.50 |
$114.50 |
$114.50 |
$131.30
|
|
Bebtelovimab injection
|
$475.00 |
$475.00 |
$475.00 |
$450.00
|
|
Benign lesion paring 2-4
|
$1,972.50 |
$1,972.50 |
$1,972.50 |
$263.20
|
|
Benign lesion paring 4+
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$296.40
|
|
#_benzodiazconfur
|
$96.50 |
$96.50 |
$96.50 |
$117.15
|
|
Beta 2 glycoprotein 1 antibody iga
|
$149.00 |
$149.00 |
$149.00 |
$82.20
|
|
Beta-2 microglobulin
|
$902.50 |
$902.50 |
$902.50 |
$84.75
|
|
Bilateral n block inj occipital 64405
|
$1,703.50 |
$1,703.50 |
$1,703.50 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$661.50 |
$661.50 |
$661.50 |
$586.30
|
|
Bilirubin direct
|
$66.00 |
$66.00 |
$66.00 |
$50.40
|
|
Bilirubin total
|
$66.00 |
$66.00 |
$66.00 |
$53.84
|
|
Binder abdominal lg 12 x 62-74
|
$18.50 |
$18.50 |
$18.50 |
$50.14
|
|
Biofeedback, pt
|
$163.50 |
$163.50 |
$163.50 |
$127.05
|
|
Biopsy abdominal mass
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$1,716.00
|
|
Biopsy bone trocar/needle superficial
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$1,680.35
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$2,424.50 |
$2,424.50 |
$2,424.50 |
$2,716.95
|
