|
Antibody influenza virus
|
$119.50 |
$119.50 |
$119.50 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$65.50 |
$65.50 |
$65.50 |
$46.58
|
|
Antibody screen rbc
|
$160.00 |
$160.00 |
$160.00 |
$108.55
|
|
Antibody tetanus
|
$121.00 |
$121.00 |
$121.00 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$6.10
|
|
Anti-inhibitor
|
$4.00 |
$4.00 |
$4.00 |
$8.33
|
|
Anti mog serum - sendout
|
$106.50 |
$106.50 |
$106.50 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$106.50 |
$106.50 |
$106.50 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$62.00 |
$62.00 |
$62.00 |
$42.00
|
|
Antinuclear antibodies
|
$145.00 |
$145.00 |
$145.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$137.00 |
$137.00 |
$137.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$86.50 |
$86.50 |
$86.50 |
$67.43
|
|
Antistreptolysin o screen
|
$71.00 |
$71.00 |
$71.00 |
$58.56
|
|
Antistreptolysin o titer
|
$97.50 |
$97.50 |
$97.50 |
$54.00
|
|
Antithrombin iii activity
|
$207.00 |
$207.00 |
$207.00 |
$115.15
|
|
Antithrombin iii injection
|
$10.50 |
$10.50 |
$10.50 |
$11.85
|
|
Antithymocyte globuln rabbit
|
$1,548.69 |
$1,548.69 |
$1,548.69 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$515.00 |
$515.00 |
$515.00 |
$394.55
|
|
Aortic circulation assist 33971
|
$1,495.50 |
$1,495.50 |
$1,495.50 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$1,088.50 |
$1,088.50 |
$1,088.50 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$2,025.50 |
$2,025.50 |
$2,025.50 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$462.00
|
|
Apc gene full sequence
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$1,377.50 |
$1,377.50 |
$1,377.50 |
$319.20
|
|
Apheresis plasma
|
$3,411.50 |
$3,411.50 |
$3,411.50 |
$3,226.34
|
|
Apheresis platelets
|
$3,560.00 |
$3,560.00 |
$3,560.00 |
$2,195.00
|
|
Apheresis rbc
|
$3,348.50 |
$3,348.50 |
$3,348.50 |
$3,290.80
|
|
Apheresis wbc
|
$3,411.50 |
$3,411.50 |
$3,411.50 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$447.50 |
$447.50 |
$447.50 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,645.50 |
$4,645.50 |
$4,645.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$7,657.00 |
$7,657.00 |
$7,657.00 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,828.50 |
$3,828.50 |
$3,828.50 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$512.20
|
|
Appl hip spica cast1&1/2
|
$368.00 |
$368.00 |
$368.00 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$353.00 |
$353.00 |
$353.00 |
$499.20
|
|
Application clubfoot cast
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$303.00
|
|
Application finger splntstatic 29130
|
$578.00 |
$578.00 |
$578.00 |
$208.50
|
|
Application long leg splint 29505
|
$251.00 |
$251.00 |
$251.00 |
$338.25
|
|
Application lower leg splint 29515
|
$288.00 |
$288.00 |
$288.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$640.00 |
$640.00 |
$640.00 |
$375.06
|
|
Application of cylinder cast 29365
|
$296.00 |
$296.00 |
$296.00 |
$431.08
|
|
Application of forearm cast 29075
|
$546.00 |
$546.00 |
$546.00 |
$358.20
|
|
Application of long arm cast 29065
|
$546.00 |
$546.00 |
$546.00 |
$396.77
|
|
Application of long leg cast
|
$736.00 |
$736.00 |
$736.00 |
$435.54
|
|
Application of long leg cast 29345
|
$455.00 |
$455.00 |
$455.00 |
$455.00
|
|
Application of paste boot 29580
|
$571.00 |
$571.00 |
$571.00 |
$340.11
|
|
Application short leg cast 29405
|
$636.00 |
$636.00 |
$636.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,950.50 |
$2,950.50 |
$2,950.50 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.50 |
$45.50 |
$45.50 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$60.00 |
$60.00 |
$60.00 |
$75.98
|
|
Apply finger cast 29086
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$290.00 |
$290.00 |
$290.00 |
$255.20
|
|
Apply halo w/removal cranial
|
$2,202.50 |
$2,202.50 |
$2,202.50 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$847.00 |
$847.00 |
$847.00 |
$271.80
|
|
Apply interstit radiat compl
|
$2,877.50 |
$2,877.50 |
$2,877.50 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,996.50 |
$1,996.50 |
$1,996.50 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$1,913.50 |
$1,913.50 |
$1,913.50 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$1,269.97
|
|
Apply of finger splint 29131
|
$211.00 |
$211.00 |
$211.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$824.00 |
$824.00 |
$824.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$820.00 |
$820.00 |
$820.00 |
$404.74
|
|
Apply surf ldr radionuclide
|
$557.50 |
$557.50 |
$557.50 |
$282.80
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2.12 |
$2.12 |
$2.12 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$212.50 |
$212.50 |
$212.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$106.50 |
$106.50 |
$106.50 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$106.50 |
$106.50 |
$106.50 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$167.50 |
$167.50 |
$167.50 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$83.00 |
$83.00 |
$83.00 |
$100.75
|
|
Aquatic exercise - group charge
|
$101.50 |
$101.50 |
$101.50 |
$87.45
|
|
Argatroban nonesrd use 1mg
|
$5.85 |
$5.85 |
$5.85 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$885.50 |
$885.50 |
$885.50 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$651.50 |
$651.50 |
$651.50 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$455.00 |
$455.00 |
$455.00 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$9.75 |
$9.75 |
$9.75 |
$1,303.25
|
|
Art bypass carotid-subclavian 35606
|
$7,138.00 |
$7,138.00 |
$7,138.00 |
$5,724.80
|
|
Arterial blood draw/perc 36620
|
$107.00 |
$107.00 |
$107.00 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$2,938.50 |
$2,938.50 |
$2,938.50 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$1,761.50 |
$1,761.50 |
$1,761.50 |
$3,320.35
|
|
Artery x-rays adrenals
|
$2,036.50 |
$2,036.50 |
$2,036.50 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,936.50 |
$2,936.50 |
$2,936.50 |
$3,860.40
|
|
Artery x-rays chest
|
$1,204.50 |
$1,204.50 |
$1,204.50 |
$2,895.07
|
|
Artery x-rays lung
|
$1,646.50 |
$1,646.50 |
$1,646.50 |
$3,296.15
|
|
Artery x-rays lung
|
$1,204.50 |
$1,204.50 |
$1,204.50 |
$2,427.50
|
|
Artery x-rays lungs
|
$2,582.00 |
$2,582.00 |
$2,582.00 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$2,582.00 |
$2,582.00 |
$2,582.00 |
$4,306.40
|
|
Artery x-rays spine
|
$1,497.50 |
$1,497.50 |
$1,497.50 |
$4,792.33
|
|
Art expos/graft artery perfusion 33987
|
$2,437.00 |
$2,437.00 |
$2,437.00 |
$446.41
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$956.00 |
$956.00 |
$956.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$956.00 |
$956.00 |
$956.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$956.00 |
$956.00 |
$956.00 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$956.00 |
$956.00 |
$956.00 |
$699.00
|
|
Ascenda two piece catheter
|
$31,404.20 |
$31,404.20 |
$31,404.20 |
$22,792.00
|
|
Aspa gene
|
$425.00 |
$425.00 |
$425.00 |
$133.84
|
|
Asp core fat pad
|
$584.00 |
$584.00 |
$584.00 |
$1,123.50
|
