|
Antibody elution rbc reference
|
$106.80 |
$106.80 |
$106.80 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$279.30 |
$279.30 |
$279.30 |
$218.30
|
|
Antibody id rbc panel
|
$321.60 |
$321.60 |
$321.60 |
$274.56
|
|
Antibody screen rbc
|
$137.70 |
$137.70 |
$137.70 |
$100.00
|
|
Anti mog serum - sendout
|
$259.80 |
$259.80 |
$259.80 |
$159.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$21.00 |
$21.00 |
$21.00 |
$40.00
|
|
Antinuclear antibodies
|
$87.00 |
$87.00 |
$87.00 |
$89.40
|
|
Antiphosphatidylserine antibody
|
$49.20 |
$49.20 |
$49.20 |
$65.97
|
|
Antistreptolysin o titer
|
$40.20 |
$40.20 |
$40.20 |
$51.45
|
|
Antithrombin iii activity
|
$61.20 |
$61.20 |
$61.20 |
$114.00
|
|
Application finger splntstatic 29130
|
$167.10 |
$167.10 |
$167.10 |
$208.16
|
|
Application long leg splint 29505
|
$167.10 |
$167.10 |
$167.10 |
$338.25
|
|
Application lower leg splint 29515
|
$167.10 |
$167.10 |
$167.10 |
$330.48
|
|
Application of forearm cast 29075
|
$166.50 |
$166.50 |
$166.50 |
$339.30
|
|
Application of long arm cast 29065
|
$166.50 |
$166.50 |
$166.50 |
$395.00
|
|
Application of long leg cast 29345
|
$166.50 |
$166.50 |
$166.50 |
$455.00
|
|
Application of paste boot 29580
|
$101.40 |
$101.40 |
$101.40 |
$331.74
|
|
Application short leg cast 29405
|
$166.50 |
$166.50 |
$166.50 |
$388.80
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,127.98 |
$4,127.98 |
$4,127.98 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$54.60 |
$54.60 |
$54.60 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$63.00 |
$63.00 |
$63.00 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$167.10 |
$167.10 |
$167.10 |
$246.18
|
|
Apply of finger splint 29131
|
$167.10 |
$167.10 |
$167.10 |
$168.00
|
|
Apply short leg castambul type 29425
|
$166.50 |
$166.50 |
$166.50 |
$381.00
|
|
Aquaporin-4 antibody cba each
|
$359.70 |
$359.70 |
$359.70 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$106.50 |
$106.50 |
$106.50 |
$148.80
|
|
Aquatic exercise - group charge
|
$61.20 |
$61.20 |
$61.20 |
$85.80
|
|
Arch supp att to shoe long/m
|
$60.72 |
$60.72 |
$60.72 |
$96.31
|
|
Arch supp att to shoe metata
|
$47.44 |
$47.44 |
$47.44 |
$76.33
|
|
Arch suprt att to sho longit
|
$47.44 |
$47.44 |
$47.44 |
$75.23
|
|
Arformoterol non-comp unit
|
$42.35 |
$42.35 |
$42.35 |
$25.00
|
|
Arterial blood draw/perc 36620
|
$245.10 |
$245.10 |
$245.10 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$189.00 |
$189.00 |
$189.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$654.00 |
$654.00 |
$654.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$466.50 |
$466.50 |
$466.50 |
$715.37
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$13,140.87 |
$13,140.87 |
$13,140.87 |
$4,240.08
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$13,140.87 |
$13,140.87 |
$13,140.87 |
$4,194.13
|
|
Artiss fibrin sealant
|
$1,351.31 |
$1,351.31 |
$1,351.31 |
$1,583.11
|
|
Ascenda two piece catheter
|
$18,530.40 |
$18,530.40 |
$18,530.40 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,935.90 |
$1,935.90 |
$1,935.90 |
$3,162.72
|
|
Aspirate pleura without imaging 32554
|
$78.90 |
$78.90 |
$78.90 |
$1,196.52
|
|
Aspiration peritonsillar abscess
|
$144.60 |
$144.60 |
$144.60 |
$431.20
|
|
Assay duodenal fluid trypsin
|
$16.80 |
$16.80 |
$16.80 |
$18.40
|
|
Assay myeloperoxidase
|
$80.10 |
$80.10 |
$80.10 |
$100.98
|
|
Assay of glucosidase
|
$223.50 |
$223.50 |
$223.50 |
$161.58
|
|
Assay of interleukin-6 (il-6)
|
$30.30 |
$30.30 |
$30.30 |
$79.97
|
|
Assay of lrh hormone
|
$110.40 |
$110.40 |
$110.40 |
$189.50
|
|
Assay of osteocalcin
|
$63.00 |
$63.00 |
$63.00 |
$92.50
|
|
Assay of salicylate
|
$36.00 |
$36.00 |
$36.00 |
$95.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$8.40 |
$8.40 |
$8.40 |
$49.80
|
|
Ast/sgot
|
$70.50 |
$70.50 |
$70.50 |
$45.65
|
|
Augment injectable kit 3.0cc
|
$5,492.94 |
$5,492.94 |
$5,492.94 |
$7,469.28
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$126.30 |
$126.30 |
$126.30 |
$318.75
|
|
Azithromycin 500 mg intravenous solution
|
$40.92 |
$40.92 |
$40.92 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$377.52 |
$377.52 |
$377.52 |
$157.30
|
|
Bacterial vaginosis pcr
|
$127.80 |
$127.80 |
$127.80 |
$278.40
|
|
Bartonella dna pcr-sendout
|
$90.90 |
$90.90 |
$90.90 |
$195.66
|
|
Bausch health Ultrasound surg
|
$336.37 |
$336.37 |
$336.37 |
$744.25
|
|
B cells total count
|
$20.70 |
$20.70 |
$20.70 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$667.82 |
$667.82 |
$667.82 |
$378.28
|
|
Belimumab 120 mg intravenous solution
|
$3,243.73 |
$3,243.73 |
$3,243.73 |
$4,243.90
|
|
Below knee total contact
|
$471.37 |
$471.37 |
$471.37 |
$650.75
|
|
#_benzodiazconfur
|
$43.80 |
$43.80 |
$43.80 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$75.00 |
$75.00 |
$75.00 |
$78.50
|
|
Beta-2 microglobulin
|
$42.30 |
$42.30 |
$42.30 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$72.64 |
$72.64 |
$72.64 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$12,049.73 |
$12,049.73 |
$12,049.73 |
$5,705.92
|
|
Bilateral n block inj occipital 64405
|
$427.50 |
$427.50 |
$427.50 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$427.50 |
$427.50 |
$427.50 |
$556.40
|
|
Bilirubin direct
|
$69.90 |
$69.90 |
$69.90 |
$50.00
|
|
Bilirubin total
|
$70.50 |
$70.50 |
$70.50 |
$52.57
|
|
Binder abdominal lg 12 x 62-74
|
$499.66 |
$499.66 |
$499.66 |
$49.68
|
|
Biopsy skin incisional single lesion
|
$403.50 |
$403.50 |
$403.50 |
$657.66
|
|
Biovance 1 square cm
|
$5,873.47 |
$5,873.47 |
$5,873.47 |
$7,928.07
|
|
Bk flex inner socket ext fra
|
$1,105.06 |
$1,105.06 |
$1,105.06 |
$1,752.74
|
|
Bk fork strap
|
$66.64 |
$66.64 |
$66.64 |
$107.25
|
|
Bk molded distal cushion
|
$140.70 |
$140.70 |
$140.70 |
$194.06
|
|
Bk waist belt webbing
|
$84.59 |
$84.59 |
$84.59 |
$136.13
|
|
Bladder irrigate/lavage/instill 51700
|
$149.70 |
$149.70 |
$149.70 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$54,598.50 |
$54,598.50 |
$54,598.50 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$7,776.15 |
$7,776.15 |
$7,776.15 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$1,737.22 |
$1,737.22 |
$1,737.22 |
$1,427.17
|
|
Bln inpact admiral 4x150x130cm
|
$9,347.92 |
$9,347.92 |
$9,347.92 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$12,607.39 |
$12,607.39 |
$12,607.39 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$13,566.90 |
$13,566.90 |
$13,566.90 |
$5,175.00
|
|
Block brachial plexus w/cath plmt w/img
|
$888.00 |
$888.00 |
$888.00 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$888.00 |
$888.00 |
$888.00 |
$1,661.40
|
|
Block plantar digital nerve
|
$283.50 |
$283.50 |
$283.50 |
$530.40
|
|
Block tap inj(s) w/wo img bi
|
$738.90 |
$738.90 |
$738.90 |
$1,340.40
|
|
Block tap inj(s) w/wo img uni
|
$369.90 |
$369.90 |
$369.90 |
$847.60
|
|
Blood Clotting (PT/INR) Test
|
$18.60 |
$18.60 |
$18.60 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$70.20 |
$70.20 |
$70.20 |
$73.44
|
|
Blood Count (CBC) Test
|
$27.90 |
$27.90 |
$27.90 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$33.00 |
$33.00 |
$33.00 |
$61.80
|
|
Blood Culture Test
|
$45.90 |
$45.90 |
$45.90 |
$145.80
|
|
Blood draw capillary 36416
|
$63.60 |
$63.60 |
$63.60 |
$20.00
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$26.40 |
$26.40 |
$26.40 |
$57.42
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$5.70 |
$5.70 |
$5.70 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$41.70 |
$41.70 |
$41.70 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$20.70 |
$20.70 |
$20.70 |
$38.61
|
