|
Antigen therapy services
|
$7.00 |
$7.00 |
$7.00 |
$70.07
|
|
Anti mog serum - sendout
|
$785.00 |
$785.00 |
$785.00 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$10.00 |
$10.00 |
$10.00 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$86.00 |
$86.00 |
$86.00 |
$40.00
|
|
Antinuclear antibodies
|
$76.50 |
$76.50 |
$76.50 |
$89.40
|
|
Antinuclear antibodies titer
|
$82.50 |
$82.50 |
$82.50 |
$77.00
|
|
Antipsychotics nos 7/more
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Antistreptolysin o titer
|
$44.50 |
$44.50 |
$44.50 |
$51.45
|
|
Antithrombin iii activity
|
$103.00 |
$103.00 |
$103.00 |
$114.00
|
|
Apheresis wbc
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$2,968.80
|
|
Apl(pml-rara) quant - sendout
|
$165.00 |
$165.00 |
$165.00 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$825.00 |
$825.00 |
$825.00 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$305.00 |
$305.00 |
$305.00 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$767.00 |
$767.00 |
$767.00 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$305.00 |
$305.00 |
$305.00 |
$498.81
|
|
Application clubfoot cast
|
$187.00 |
$187.00 |
$187.00 |
$297.33
|
|
Application finger splntstatic 29130
|
$199.50 |
$199.50 |
$199.50 |
$208.16
|
|
Application long leg splint 29505
|
$250.00 |
$250.00 |
$250.00 |
$338.25
|
|
Application lower leg splint 29515
|
$238.00 |
$238.00 |
$238.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$195.50 |
$195.50 |
$195.50 |
$373.20
|
|
Application of cylinder cast 29365
|
$321.50 |
$321.50 |
$321.50 |
$420.00
|
|
Application of forearm cast 29075
|
$391.50 |
$391.50 |
$391.50 |
$339.30
|
|
Application of long arm cast 29065
|
$342.00 |
$342.00 |
$342.00 |
$395.00
|
|
Application of long leg cast
|
$391.50 |
$391.50 |
$391.50 |
$426.00
|
|
Application of long leg cast 29345
|
$391.50 |
$391.50 |
$391.50 |
$455.00
|
|
Application of paste boot 29580
|
$266.50 |
$266.50 |
$266.50 |
$331.74
|
|
Application short leg cast 29405
|
$342.00 |
$342.00 |
$342.00 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$849.50 |
$849.50 |
$849.50 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$850.00 |
$850.00 |
$850.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$512.00 |
$512.00 |
$512.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$69.00 |
$69.00 |
$69.00 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$94.50 |
$94.50 |
$94.50 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$197.50 |
$197.50 |
$197.50 |
$292.60
|
|
Appl patllr tdn bearing cast
|
$321.50 |
$321.50 |
$321.50 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$5,801.00 |
$5,801.00 |
$5,801.00 |
$5,801.00
|
|
Apply finger cast 29086
|
$187.00 |
$187.00 |
$187.00 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$232.00 |
$232.00 |
$232.00 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$184.00 |
$184.00 |
$184.00 |
$259.20
|
|
Apply interstit radiat compl
|
$4,807.00 |
$4,807.00 |
$4,807.00 |
$2,910.05
|
|
Apply of finger splint 29131
|
$168.00 |
$168.00 |
$168.00 |
$168.00
|
|
Apply rigid leg cast 29445
|
$442.50 |
$442.50 |
$442.50 |
$555.00
|
|
Apply short leg castambul type 29425
|
$342.00 |
$342.00 |
$342.00 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$111.50 |
$111.50 |
$111.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$390.00 |
$390.00 |
$390.00 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$224.00 |
$224.00 |
$224.00 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$785.00 |
$785.00 |
$785.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$560.00 |
$560.00 |
$560.00 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$138.50 |
$138.50 |
$138.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$44.50 |
$44.50 |
$44.50 |
$85.80
|
|
Aqueous shunt eye w/graft
|
$3,427.00 |
$3,427.00 |
$3,427.00 |
$5,716.03
|
|
Arterial blood draw/perc 36620
|
$821.50 |
$821.50 |
$821.50 |
$485.69
|
|
Artery xray each vessel 7577426
|
$1,894.00 |
$1,894.00 |
$1,894.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$6,792.50 |
$6,792.50 |
$6,792.50 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,129.50 |
$3,129.50 |
$3,129.50 |
$3,729.00
|
|
Artery x-rays chest
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,870.00
|
|
Artery x-rays lung
|
$3,878.00 |
$3,878.00 |
$3,878.00 |
$3,279.12
|
|
Artery x-rays lung
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,451.75
|
|
Artery x-rays lungs
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$4,134.14
|
|
Artery x-rays spine
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$4,306.40
|
|
Arthrd si jt perq/min nvas
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$15,372.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$533.00 |
$533.00 |
$533.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,023.50 |
$1,023.50 |
$1,023.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$486.00 |
$486.00 |
$486.00 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$367.00 |
$367.00 |
$367.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$404.50 |
$404.50 |
$404.50 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$351.50 |
$351.50 |
$351.50 |
$699.00
|
|
Artificial larynx
|
$550.00 |
$550.00 |
$550.00 |
$713.44
|
|
Ascvd rsk mng clin stf pr mo
|
$104.00 |
$104.00 |
$104.00 |
$109.46
|
|
Asp core fat pad
|
$331.00 |
$331.00 |
$331.00 |
$939.95
|
|
Asp & inj bone cyst
|
$814.00 |
$814.00 |
$814.00 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$1,251.50 |
$1,251.50 |
$1,251.50 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$378.00 |
$378.00 |
$378.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$903.00 |
$903.00 |
$903.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$339.50 |
$339.50 |
$339.50 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$763.50 |
$763.50 |
$763.50 |
$850.78
|
|
Asp pq spinal cord cyst/syrinx
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,270.92
|
|
Assay dir meas fr estradiol
|
$36.00 |
$36.00 |
$36.00 |
$67.44
|
|
Assay neurflmnt light chain
|
$225.00 |
$225.00 |
$225.00 |
$380.00
|
|
Assay of androsterone
|
$195.00 |
$195.00 |
$195.00 |
$194.79
|
|
Assay of corticosterone
|
$176.50 |
$176.50 |
$176.50 |
$56.80
|
|
Assay of glucosidase
|
$321.50 |
$321.50 |
$321.50 |
$161.58
|
|
Assay of interleukin-6 (il-6)
|
$95.00 |
$95.00 |
$95.00 |
$79.97
|
|
Assay of leflunomide
|
$114.00 |
$114.00 |
$114.00 |
$100.65
|
|
Assay of lrh hormone
|
$187.00 |
$187.00 |
$187.00 |
$189.50
|
|
Assay of neonatal thyroxine
|
$4.50 |
$4.50 |
$4.50 |
$19.06
|
|
Assay of osteocalcin
|
$22.00 |
$22.00 |
$22.00 |
$92.50
|
|
Assay of procainamide w/metab
|
$86.00 |
$86.00 |
$86.00 |
$70.50
|
|
Assay of prostaglandin
|
$320.00 |
$320.00 |
$320.00 |
$218.50
|
|
Assay of salicylate
|
$33.00 |
$33.00 |
$33.00 |
$95.00
|
|
Assay of somatostatin
|
$306.50 |
$306.50 |
$306.50 |
$165.00
|
|
Assay of tyrosine
|
$338.00 |
$338.00 |
$338.00 |
$60.00
|
|
Assay of urine sulfate
|
$11.00 |
$11.00 |
$11.00 |
$29.04
|
