|
Antibody elution rbc reference
|
$334.55 |
$334.55 |
$334.55 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$221.85 |
$221.85 |
$221.85 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$580.23 |
$580.23 |
$580.23 |
$220.73
|
|
Antibody id rbc panel
|
$492.43 |
$492.43 |
$492.43 |
$291.75
|
|
Antibody influenza virus
|
$137.52 |
$137.52 |
$137.52 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$134.19 |
$134.19 |
$134.19 |
$53.96
|
|
Antibody screen rbc
|
$281.11 |
$281.11 |
$281.11 |
$105.00
|
|
Antidepressant not specified
|
$193.97 |
$193.97 |
$193.97 |
$89.50
|
|
Anti mog serum - sendout
|
$411.69 |
$411.69 |
$411.69 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$335.96 |
$335.96 |
$335.96 |
$50.88
|
|
Antinuclear antibodies
|
$484.17 |
$484.17 |
$484.17 |
$91.70
|
|
Antinuclear antibodies titer
|
$502.37 |
$502.37 |
$502.37 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$91.67 |
$91.67 |
$91.67 |
$74.20
|
|
Antistreptolysin o titer
|
$62.18 |
$62.18 |
$62.18 |
$57.96
|
|
Antithrombin iii activity
|
$464.31 |
$464.31 |
$464.31 |
$115.23
|
|
Apheresis plasma
|
$13,034.06 |
$13,034.06 |
$13,034.06 |
$3,411.50
|
|
Apheresis wbc
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$1,229.54 |
$1,229.54 |
$1,229.54 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$3,492.67 |
$3,492.67 |
$3,492.67 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$3,492.67 |
$3,492.67 |
$3,492.67 |
$508.18
|
|
Application finger splntstatic 29130
|
$721.54 |
$721.54 |
$721.54 |
$216.80
|
|
Application long leg splint 29505
|
$1,764.33 |
$1,764.33 |
$1,764.33 |
$340.80
|
|
Application lower leg splint 29515
|
$1,044.60 |
$1,044.60 |
$1,044.60 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$699.16 |
$699.16 |
$699.16 |
$397.00
|
|
Application of forearm cast 29075
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$379.20
|
|
Application of long arm cast 29065
|
$1,125.73 |
$1,125.73 |
$1,125.73 |
$404.63
|
|
Application of long leg cast 29345
|
$2,046.84 |
$2,046.84 |
$2,046.84 |
$511.68
|
|
Application of paste boot 29580
|
$1,042.70 |
$1,042.70 |
$1,042.70 |
$331.74
|
|
Application short leg cast 29405
|
$689.43 |
$689.43 |
$689.43 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,667.46 |
$3,667.46 |
$3,667.46 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,667.46 |
$3,667.46 |
$3,667.46 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$232.00 |
$232.00 |
$232.00 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$156.25 |
$156.25 |
$156.25 |
$75.98
|
|
Apply of finger splint 29131
|
$690.46 |
$690.46 |
$690.46 |
$177.45
|
|
Apply rigid leg cast 29445
|
$846.41 |
$846.41 |
$846.41 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$769.26 |
$769.26 |
$769.26 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$138.16 |
$138.16 |
$138.16 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$338.51 |
$338.51 |
$338.51 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$469.86 |
$469.86 |
$469.86 |
$98.90
|
|
Aquatic exercise - group charge
|
$137.98 |
$137.98 |
$137.98 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,052.57 |
$1,052.57 |
$1,052.57 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$751.40 |
$751.40 |
$751.40 |
$505.60
|
|
Artery xray each vessel 7577426
|
$3,244.85 |
$3,244.85 |
$3,244.85 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$4,740.26 |
$4,740.26 |
$4,740.26 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$3,090.78 |
$3,090.78 |
$3,090.78 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$8,444.88 |
$8,444.88 |
$8,444.88 |
$3,844.10
|
|
Artery x-rays lung
|
$2,304.13 |
$2,304.13 |
$2,304.13 |
$2,921.88
|
|
Artery x-rays lungs
|
$5,477.62 |
$5,477.62 |
$5,477.62 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$5,477.62 |
$5,477.62 |
$5,477.62 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,959.85 |
$1,959.85 |
$1,959.85 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,778.10 |
$1,778.10 |
$1,778.10 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,762.19 |
$1,762.19 |
$1,762.19 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,242.32 |
$1,242.32 |
$1,242.32 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,959.85 |
$1,959.85 |
$1,959.85 |
$698.58
|
|
Arthrodesis triple
|
$48,487.92 |
$48,487.92 |
$48,487.92 |
$10,629.07
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$8,517.97 |
$8,517.97 |
$8,517.97 |
$3,194.79
|
|
Asp core fat pad
|
$915.41 |
$915.41 |
$915.41 |
$1,214.75
|
|
Aspirate bladder/sprapubic cath 51102
|
$12,055.22 |
$12,055.22 |
$12,055.22 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$978.42 |
$978.42 |
$978.42 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$1,273.63
|
|
Assay acid phosphatase
|
$88.03 |
$88.03 |
$88.03 |
$38.22
|
|
Assay dir meas fr estradiol
|
$151.10 |
$151.10 |
$151.10 |
$76.80
|
|
Assay of glutathione
|
$219.02 |
$219.02 |
$219.02 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$350.08 |
$350.08 |
$350.08 |
$77.35
|
|
Assay of leflunomide
|
$309.34 |
$309.34 |
$309.34 |
$112.70
|
|
Assay of osteocalcin
|
$257.59 |
$257.59 |
$257.59 |
$97.21
|
|
Assay of procainamide w/metab
|
$180.19 |
$180.19 |
$180.19 |
$61.20
|
|
Assay of salicylate
|
$410.71 |
$410.71 |
$410.71 |
$105.95
|
|
Assay of somatostatin
|
$298.46 |
$298.46 |
$298.46 |
$165.75
|
|
Assay of thiocyanate
|
$181.69 |
$181.69 |
$181.69 |
$57.00
|
|
Assay of tyrosine
|
$156.83 |
$156.83 |
$156.83 |
$56.10
|
|
Assay of urine sulfate
|
$91.15 |
$91.15 |
$91.15 |
$31.35
|
|
Assay toxin or antitoxin
|
$237.53 |
$237.53 |
$237.53 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$694.57 |
$694.57 |
$694.57 |
$312.00
|
|
Assess cyst contrast inject
|
$643.55 |
$643.55 |
$643.55 |
$447.33
|
|
Ast/sgot
|
$200.22 |
$200.22 |
$200.22 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$43,468.28 |
$43,468.28 |
$43,468.28 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$47,501.81 |
$47,501.81 |
$47,501.81 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$47,582.20 |
$47,582.20 |
$47,582.20 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$73.49 |
$73.49 |
$73.49 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$20,199.67 |
$20,199.67 |
$20,199.67 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$41,333.44 |
$41,333.44 |
$41,333.44 |
$10,578.36
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$506.48 |
$506.48 |
$506.48 |
$342.55
|
|
Azacitidine injection
|
$569.65 |
$569.65 |
$569.65 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$66.72 |
$66.72 |
$66.72 |
$52.69
|
|
Baclofen eval charges
|
$314.90 |
$314.90 |
$314.90 |
$86.14
|
|
Bacterial meningitis antigen
|
$116.00 |
$116.00 |
$116.00 |
$68.40
|
|
Bacterial vaginosis pcr
|
$762.06 |
$762.06 |
$762.06 |
$298.04
|
|
Bactericidal level serum
|
$247.56 |
$247.56 |
$247.56 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$377.19 |
$377.19 |
$377.19 |
$112.80
|
|
Balloon dilate urtrl strix
|
$13,343.13 |
$13,343.13 |
$13,343.13 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$404.23 |
$404.23 |
$404.23 |
$196.20
|
|
B cells total count
|
$212.14 |
$212.14 |
$212.14 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$12,302.20 |
$12,302.20 |
$12,302.20 |
$6,720.38
|
|
#_benzodiazconfur
|
$450.98 |
$450.98 |
$450.98 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$81.54 |
$81.54 |
$81.54 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$443.66 |
$443.66 |
$443.66 |
$97.21
|
|
Beta-2 microglobulin
|
$221.06 |
$221.06 |
$221.06 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$69.47 |
$69.47 |
$69.47 |
$75.12
|