|
Antibody lymphocytic choriomeningitis
|
$81.50 |
$81.50 |
$81.50 |
$48.57
|
|
Antibody screen rbc
|
$62.00 |
$62.00 |
$62.00 |
$100.00
|
|
Antibody tetanus
|
$15.00 |
$15.00 |
$15.00 |
$53.95
|
|
Anticoag mgmt pt warfarin
|
$14.50 |
$14.50 |
$14.50 |
$26.40
|
|
Antidepressant not specified
|
$5.00 |
$5.00 |
$5.00 |
$61.80
|
|
Antidepressants class 3-5
|
$5.00 |
$5.00 |
$5.00 |
$59.46
|
|
Antidepressants class 6/more
|
$5.00 |
$5.00 |
$5.00 |
$29.21
|
|
Antiepileptics nos 4-6
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Antiepileptics nos 7/more
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Antigen therapy services
|
$54.00 |
$54.00 |
$54.00 |
$73.84
|
|
Antigen therapy services
|
$54.00 |
$54.00 |
$54.00 |
$83.72
|
|
Antigen therapy services
|
$79.50 |
$79.50 |
$79.50 |
$101.40
|
|
Antigen therapy services
|
$79.50 |
$79.50 |
$79.50 |
$96.72
|
|
Antigen therapy services
|
$79.50 |
$79.50 |
$79.50 |
$130.00
|
|
Antigen therapy services
|
$6.00 |
$6.00 |
$6.00 |
$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
|
$51.00 |
$51.00 |
$51.00 |
$40.00
|
|
Antinuclear antibodies
|
$102.00 |
$102.00 |
$102.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$16.50 |
$16.50 |
$16.50 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$24.00 |
$24.00 |
$24.00 |
$65.97
|
|
Antipsychotics nos 7/more
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Antistreptolysin o screen
|
$17.00 |
$17.00 |
$17.00 |
$62.00
|
|
Antistreptolysin o titer
|
$12.00 |
$12.00 |
$12.00 |
$51.45
|
|
Antithrombin iii activity
|
$26.00 |
$26.00 |
$26.00 |
$114.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$4,155.20
|
|
Apl(pml-rara) quant - sendout
|
$320.50 |
$320.50 |
$320.50 |
$482.95
|
|
Appendix Removal (Laparoscopic)
|
$7,202.00 |
$7,202.00 |
$7,202.00 |
$6,870.89
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,823.34 |
$1,823.34 |
$1,823.34 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$911.67 |
$911.67 |
$911.67 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$5,591.75 |
$5,591.75 |
$5,591.75 |
$498.81
|
|
Application clubfoot cast
|
$275.50 |
$275.50 |
$275.50 |
$297.33
|
|
Application finger splntstatic 29130
|
$192.00 |
$192.00 |
$192.00 |
$208.16
|
|
Application long leg splint 29505
|
$224.00 |
$224.00 |
$224.00 |
$338.25
|
|
Application lower leg splint 29515
|
$299.00 |
$299.00 |
$299.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$240.50 |
$240.50 |
$240.50 |
$373.20
|
|
Application of cylinder cast 29365
|
$493.50 |
$493.50 |
$493.50 |
$420.00
|
|
Application of forearm cast 29075
|
$583.50 |
$583.50 |
$583.50 |
$339.30
|
|
Application of long arm cast 29065
|
$583.50 |
$583.50 |
$583.50 |
$395.00
|
|
Application of long leg cast
|
$462.50 |
$462.50 |
$462.50 |
$426.00
|
|
Application of long leg cast 29345
|
$462.50 |
$462.50 |
$462.50 |
$455.00
|
|
Application of paste boot 29580
|
$578.00 |
$578.00 |
$578.00 |
$331.74
|
|
Application short leg cast 29405
|
$583.50 |
$583.50 |
$583.50 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,346.50 |
$3,346.50 |
$3,346.50 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$512.00 |
$512.00 |
$512.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$67.00 |
$67.00 |
$67.00 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$85.00 |
$85.00 |
$85.00 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$258.50 |
$258.50 |
$258.50 |
$292.60
|
|
Appl patllr tdn bearing cast
|
$454.00 |
$454.00 |
$454.00 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$10,191.00 |
$10,191.00 |
$10,191.00 |
$5,801.00
|
|
Apply finger cast 29086
|
$275.50 |
$275.50 |
$275.50 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$210.00 |
$210.00 |
$210.00 |
$246.18
|
|
Apply of finger splint 29131
|
$141.00 |
$141.00 |
$141.00 |
$168.00
|
|
Apply rigid leg cast 29445
|
$493.50 |
$493.50 |
$493.50 |
$555.00
|
|
Apply short leg castambul type 29425
|
$498.50 |
$498.50 |
$498.50 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$111.50 |
$111.50 |
$111.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$409.50 |
$409.50 |
$409.50 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$252.00 |
$252.00 |
$252.00 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$926.50 |
$926.50 |
$926.50 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$661.00 |
$661.00 |
$661.00 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$65.50 |
$65.50 |
$65.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$60.00 |
$60.00 |
$60.00 |
$85.80
|
|
Aqueous shunt eye w/graft
|
$3,698.00 |
$3,698.00 |
$3,698.00 |
$5,716.03
|
|
Arterial blood draw/perc 36620
|
$263.50 |
$263.50 |
$263.50 |
$485.69
|
|
Artery xray each vessel 7577426
|
$1,526.50 |
$1,526.50 |
$1,526.50 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,970.50 |
$2,970.50 |
$2,970.50 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$3,143.50 |
$3,143.50 |
$3,143.50 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$2,753.00 |
$2,753.00 |
$2,753.00 |
$3,729.00
|
|
Artery x-rays chest
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$2,870.00
|
|
Artery x-rays lung
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,279.12
|
|
Artery x-rays lung
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$2,451.75
|
|
Artery x-rays lungs
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$4,134.14
|
|
Arthrd si jt perq/min nvas
|
$7,939.50 |
$7,939.50 |
$7,939.50 |
$15,372.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$635.00 |
$635.00 |
$635.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,350.00 |
$2,350.00 |
$2,350.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$700.00 |
$700.00 |
$700.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$5,830.50 |
$5,830.50 |
$5,830.50 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$699.00
|
|
Arthrodesis subtalar
|
$9,016.00 |
$9,016.00 |
$9,016.00 |
$13,057.20
|
|
Arthrodesis triple
|
$10,628.00 |
$10,628.00 |
$10,628.00 |
$12,275.04
|
|
Arthro, loose body + chondro
|
$2,501.50 |
$2,501.50 |
$2,501.50 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$2,722.00 |
$2,722.00 |
$2,722.00 |
$4,240.08
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$3,561.83 |
$3,561.83 |
$3,561.83 |
$4,194.13
|
|
Artificial larynx
|
$538.00 |
$538.00 |
$538.00 |
$713.44
|
|
Artiss fibrin sealant
|
$449.90 |
$449.90 |
$449.90 |
$1,583.11
|
|
Ascvd rsk mng clin stf pr mo
|
$104.00 |
$104.00 |
$104.00 |
$109.46
|
|
Asp core fat pad
|
$5,722.00 |
$5,722.00 |
$5,722.00 |
$939.95
|
|
Asp & inj bone cyst
|
$814.00 |
$814.00 |
$814.00 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,572.50 |
$3,572.50 |
$3,572.50 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$598.50 |
$598.50 |
$598.50 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$401.00 |
$401.00 |
$401.00 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$571.00 |
$571.00 |
$571.00 |
$850.78
|
|
Asp pq spinal cord cyst/syrinx
|
$1,231.50 |
$1,231.50 |
$1,231.50 |
$1,270.92
|
|
Assay dir meas fr estradiol
|
$36.00 |
$36.00 |
$36.00 |
$67.44
|
