|
Anti mog serum - sendout
|
$419.64 |
$419.64 |
$419.64 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$185.22 |
$185.22 |
$185.22 |
$50.88
|
|
Antinuclear antibodies
|
$291.80 |
$291.80 |
$291.80 |
$91.70
|
|
Antinuclear antibodies titer
|
$377.90 |
$377.90 |
$377.90 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$506.98 |
$506.98 |
$506.98 |
$74.20
|
|
Antistreptolysin o titer
|
$228.92 |
$228.92 |
$228.92 |
$57.96
|
|
Antithrombin iii activity
|
$482.69 |
$482.69 |
$482.69 |
$115.23
|
|
Apl(pml-rara) quant - sendout
|
$1,916.01 |
$1,916.01 |
$1,916.01 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,317.32 |
$1,317.32 |
$1,317.32 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$8,577.53 |
$8,577.53 |
$8,577.53 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,288.78 |
$4,288.78 |
$4,288.78 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,317.32 |
$1,317.32 |
$1,317.32 |
$508.18
|
|
Application finger splntstatic 29130
|
$735.49 |
$735.49 |
$735.49 |
$216.80
|
|
Application long leg splint 29505
|
$1,798.42 |
$1,798.42 |
$1,798.42 |
$340.80
|
|
Application lower leg splint 29515
|
$1,064.78 |
$1,064.78 |
$1,064.78 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$673.45 |
$673.45 |
$673.45 |
$397.00
|
|
Application of forearm cast 29075
|
$1,578.53 |
$1,578.53 |
$1,578.53 |
$379.20
|
|
Application of long arm cast 29065
|
$698.89 |
$698.89 |
$698.89 |
$404.63
|
|
Application of long leg cast 29345
|
$2,086.39 |
$2,086.39 |
$2,086.39 |
$511.68
|
|
Application of paste boot 29580
|
$1,062.85 |
$1,062.85 |
$1,062.85 |
$331.74
|
|
Application short leg cast 29405
|
$1,000.10 |
$1,000.10 |
$1,000.10 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,873.35 |
$2,873.35 |
$2,873.35 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,873.35 |
$2,873.35 |
$2,873.35 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$250.09 |
$250.09 |
$250.09 |
$69.55
|
|
Apply rigid leg cast 29445
|
$1,509.32 |
$1,509.32 |
$1,509.32 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,244.67 |
$1,244.67 |
$1,244.67 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$140.84 |
$140.84 |
$140.84 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$677.08 |
$677.08 |
$677.08 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$340.77 |
$340.77 |
$340.77 |
$98.90
|
|
Aquatic exercise - group charge
|
$191.40 |
$191.40 |
$191.40 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$280.53 |
$280.53 |
$280.53 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$514.29 |
$514.29 |
$514.29 |
$505.60
|
|
Artery xray each vessel 7577426
|
$1,752.53 |
$1,752.53 |
$1,752.53 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$7,635.02 |
$7,635.02 |
$7,635.02 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$6,141.98 |
$6,141.98 |
$6,141.98 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$9,212.96 |
$9,212.96 |
$9,212.96 |
$3,844.10
|
|
Artery x-rays lung
|
$6,141.98 |
$6,141.98 |
$6,141.98 |
$2,921.88
|
|
Artery x-rays lungs
|
$9,212.96 |
$9,212.96 |
$9,212.96 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$10,756.18 |
$10,756.18 |
$10,756.18 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$592.94 |
$592.94 |
$592.94 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$3,229.68 |
$3,229.68 |
$3,229.68 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$984.66 |
$984.66 |
$984.66 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$573.42 |
$573.42 |
$573.42 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$658.01 |
$658.01 |
$658.01 |
$698.58
|
|
Asp & inj w/heparin pleurx cath
|
$1,623.28 |
$1,623.28 |
$1,623.28 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$6,313.98 |
$6,313.98 |
$6,313.98 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$853.15 |
$853.15 |
$853.15 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,257.61 |
$2,257.61 |
$2,257.61 |
$1,273.63
|
|
Assay acid phosphatase
|
$108.87 |
$108.87 |
$108.87 |
$38.22
|
|
Assay dir meas fr estradiol
|
$88.01 |
$88.01 |
$88.01 |
$76.80
|
|
Assay of glutathione
|
$223.26 |
$223.26 |
$223.26 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$463.43 |
$463.43 |
$463.43 |
$77.35
|
|
Assay of leflunomide
|
$315.32 |
$315.32 |
$315.32 |
$112.70
|
|
Assay of osteocalcin
|
$413.18 |
$413.18 |
$413.18 |
$97.21
|
|
Assay of procainamide w/metab
|
$453.75 |
$453.75 |
$453.75 |
$61.20
|
|
Assay of salicylate
|
$282.53 |
$282.53 |
$282.53 |
$105.95
|
|
Assay of somatostatin
|
$876.60 |
$876.60 |
$876.60 |
$165.75
|
|
Assay of thiocyanate
|
$375.49 |
$375.49 |
$375.49 |
$57.00
|
|
Assay of tyrosine
|
$147.60 |
$147.60 |
$147.60 |
$56.10
|
|
Assay of urine sulfate
|
$181.46 |
$181.46 |
$181.46 |
$31.35
|
|
Assay toxin or antitoxin
|
$269.02 |
$269.02 |
$269.02 |
$72.75
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$161.70 |
$161.70 |
$161.70 |
$49.80
|
|
Ast/sgot
|
$146.48 |
$146.48 |
$146.48 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,254.66 |
$11,254.66 |
$11,254.66 |
$31,208.35
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$30,676.30 |
$30,676.30 |
$30,676.30 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$81.29 |
$81.29 |
$81.29 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$20,421.18 |
$20,421.18 |
$20,421.18 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$29,798.61 |
$29,798.61 |
$29,798.61 |
$10,578.36
|
|
Autolog prp diab wound ulcer
|
$3,067.28 |
$3,067.28 |
$3,067.28 |
$2,026.46
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$514.22 |
$514.22 |
$514.22 |
$342.55
|
|
Azacitidine injection
|
$166.03 |
$166.03 |
$166.03 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$101.40 |
$101.40 |
$101.40 |
$52.69
|
|
Baclofen eval charges
|
$247.56 |
$247.56 |
$247.56 |
$86.14
|
|
Bacterial vaginosis pcr
|
$776.79 |
$776.79 |
$776.79 |
$298.04
|
|
Bactericidal level serum
|
$315.92 |
$315.92 |
$315.92 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$384.48 |
$384.48 |
$384.48 |
$112.80
|
|
Bartonella dna pcr-sendout
|
$612.49 |
$612.49 |
$612.49 |
$196.20
|
|
B cells total count
|
$219.45 |
$219.45 |
$219.45 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,584.84 |
$2,584.84 |
$2,584.84 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$429.38 |
$429.38 |
$429.38 |
$275.49
|
|
#_benzodiazconfur
|
$503.77 |
$503.77 |
$503.77 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$100.96 |
$100.96 |
$100.96 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$296.87 |
$296.87 |
$296.87 |
$97.21
|
|
Beta-2 microglobulin
|
$290.34 |
$290.34 |
$290.34 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$122.37 |
$122.37 |
$122.37 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,439.40 |
$3,439.40 |
$3,439.40 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$636.47 |
$636.47 |
$636.47 |
$3,871.35
|
|
Bevacizumab injection
|
$693.24 |
$693.24 |
$693.24 |
$1,011.80
|
|
Bilateral n block inj occipital 64405
|
$1,781.03 |
$1,781.03 |
$1,781.03 |
$881.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,426.83 |
$1,426.83 |
$1,426.83 |
$593.45
|
|
Bilicheck
|
$28.93 |
$28.93 |
$28.93 |
$25.20
|
|
Bilirubin direct
|
$133.68 |
$133.68 |
$133.68 |
$49.29
|
|
Bilirubin total
|
$160.61 |
$160.61 |
$160.61 |
$51.39
|
|
Biopsy abdominal mass
|
$1,892.56 |
$1,892.56 |
$1,892.56 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$2,505.32 |
$2,505.32 |
$2,505.32 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$1,667.01 |
$1,667.01 |
$1,667.01 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$3,807.98 |
$3,807.98 |
$3,807.98 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$2,241.99 |
$2,241.99 |
$2,241.99 |
$1,878.88
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,048.90 |
$2,048.90 |
$2,048.90 |
$2,195.00
|