|
Antibody lymphocytic choriomeningitis
|
$69.50 |
$69.50 |
$69.50 |
$48.57
|
|
Antibody screen rbc
|
$91.00 |
$91.00 |
$91.00 |
$100.00
|
|
Antibody tetanus
|
$15.00 |
$15.00 |
$15.00 |
$53.95
|
|
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
|
$83.00 |
$83.00 |
$83.00 |
$101.40
|
|
Antigen therapy services
|
$83.00 |
$83.00 |
$83.00 |
$96.72
|
|
Antigen therapy services
|
$83.00 |
$83.00 |
$83.00 |
$130.00
|
|
Antigen therapy services
|
$120.00 |
$120.00 |
$120.00 |
$70.07
|
|
Antihemophilic viii/vwf comp
|
$0.50 |
$0.50 |
$0.50 |
$3.67
|
|
Anti mog serum - sendout
|
$785.00 |
$785.00 |
$785.00 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$32.00 |
$32.00 |
$32.00 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$76.50 |
$76.50 |
$76.50 |
$40.00
|
|
Ant instr 2-3 vert segm 22845
|
$3,944.08 |
$3,944.08 |
$3,944.08 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$2,380.95 |
$2,380.95 |
$2,380.95 |
$1,430.40
|
|
Antinuclear antibodies
|
$68.50 |
$68.50 |
$68.50 |
$89.40
|
|
Antinuclear antibodies titer
|
$58.50 |
$58.50 |
$58.50 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$86.50 |
$86.50 |
$86.50 |
$65.97
|
|
Antipsychotics nos 7/more
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Antistreptolysin o titer
|
$20.50 |
$20.50 |
$20.50 |
$51.45
|
|
Antithrombin iii activity
|
$72.00 |
$72.00 |
$72.00 |
$114.00
|
|
Apl(pml-rara) quant - sendout
|
$165.00 |
$165.00 |
$165.00 |
$482.95
|
|
Appendix Removal (Laparoscopic)
|
$8,791.94 |
$8,791.94 |
$8,791.94 |
$6,870.89
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$755.50 |
$755.50 |
$755.50 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,118.50 |
$4,118.50 |
$4,118.50 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$585.50 |
$585.50 |
$585.50 |
$498.81
|
|
Application finger splntstatic 29130
|
$153.00 |
$153.00 |
$153.00 |
$208.16
|
|
Application long leg splint 29505
|
$225.00 |
$225.00 |
$225.00 |
$338.25
|
|
Application lower leg splint 29515
|
$225.00 |
$225.00 |
$225.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$502.00 |
$502.00 |
$502.00 |
$373.20
|
|
Application of forearm cast 29075
|
$409.00 |
$409.00 |
$409.00 |
$339.30
|
|
Application of long arm cast 29065
|
$321.50 |
$321.50 |
$321.50 |
$395.00
|
|
Application of paste boot 29580
|
$237.00 |
$237.00 |
$237.00 |
$331.74
|
|
Application short leg cast 29405
|
$409.00 |
$409.00 |
$409.00 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,549.33 |
$5,549.33 |
$5,549.33 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$514.00 |
$514.00 |
$514.00 |
$744.90
|
|
Appl mltpln uni ext fixj sys
|
$5,840.00 |
$5,840.00 |
$5,840.00 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$32.50 |
$32.50 |
$32.50 |
$66.00
|
|
Apply intrcav radiat compl
|
$854.00 |
$854.00 |
$854.00 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$701.00 |
$701.00 |
$701.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$701.00 |
$701.00 |
$701.00 |
$1,207.44
|
|
Apply of finger splint 29131
|
$82.00 |
$82.00 |
$82.00 |
$168.00
|
|
Apply rigid leg cast 29445
|
$405.00 |
$405.00 |
$405.00 |
$555.00
|
|
App topical fluoride varnish
|
$3.00 |
$3.00 |
$3.00 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$543.67 |
$543.67 |
$543.67 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$118.00 |
$118.00 |
$118.00 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$390.00 |
$390.00 |
$390.00 |
$231.66
|
|
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
|
|
Aquatic exercise - group charge
|
$110.00 |
$110.00 |
$110.00 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$485.69
|
|
Artery xray each vessel 7577426
|
$13,139.00 |
$13,139.00 |
$13,139.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$3,729.00
|
|
Artery x-rays lungs
|
$3,113.50 |
$3,113.50 |
$3,113.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$4,134.14
|
|
Arthrd ant ntrbd min dsc crv
|
$2,266.00 |
$2,266.00 |
$2,266.00 |
$10,629.07
|
|
Arthrd ant ntrbdy cervical
|
$11,832.26 |
$11,832.26 |
$11,832.26 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$25,734.26 |
$25,734.26 |
$25,734.26 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$21,348.50 |
$21,348.50 |
$21,348.50 |
$4,627.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,843.25 |
$1,843.25 |
$1,843.25 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,289.00 |
$2,289.00 |
$2,289.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$959.00 |
$959.00 |
$959.00 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$13,400.50 |
$13,400.50 |
$13,400.50 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,228.00 |
$2,228.00 |
$2,228.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$967.00 |
$967.00 |
$967.00 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$3,164.94 |
$3,164.94 |
$3,164.94 |
$952.80
|
|
Arthrodesis/combine app/ea add 22634
|
$2,647.88 |
$2,647.88 |
$2,647.88 |
$1,193.60
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$4,602.50 |
$4,602.50 |
$4,602.50 |
$3,248.42
|
|
Arthrodesis subtalar
|
$4,794.84 |
$4,794.84 |
$4,794.84 |
$13,057.20
|
|
Arthrodesis triple
|
$18,042.00 |
$18,042.00 |
$18,042.00 |
$12,275.04
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$14,455.50 |
$14,455.50 |
$14,455.50 |
$4,240.08
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$3,839.54
|
|
Arthrt elbw capsl exc rls
|
$5,517.00 |
$5,517.00 |
$5,517.00 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$4,194.13 |
$4,194.13 |
$4,194.13 |
$4,194.13
|
|
Artiss fibrin sealant
|
$1,484.51 |
$1,484.51 |
$1,484.51 |
$1,583.11
|
|
Ascvd rsk mng clin stf pr mo
|
$104.00 |
$104.00 |
$104.00 |
$109.46
|
|
Asp core fat pad
|
$3,220.25 |
$3,220.25 |
$3,220.25 |
$939.95
|
|
Asp & inj w/heparin pleurx cath
|
$990.00 |
$990.00 |
$990.00 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,556.50 |
$2,556.50 |
$2,556.50 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$1,442.00 |
$1,442.00 |
$1,442.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$1,873.67 |
$1,873.67 |
$1,873.67 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$814.00 |
$814.00 |
$814.00 |
$850.78
|
|
Asp pq spinal cord cyst/syrinx
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,270.92
|
|
Assay alkaline phosphatase
|
$39.50 |
$39.50 |
$39.50 |
$51.60
|
|
Assay dir meas fr estradiol
|
$36.00 |
$36.00 |
$36.00 |
$67.44
|
|
Assay of androsterone
|
$195.00 |
$195.00 |
$195.00 |
$194.79
|
|
Assay of corticosterone
|
$176.50 |
$176.50 |
$176.50 |
$56.80
|
|
Assay of interleukin-6 (il-6)
|
$95.44 |
$95.44 |
$95.44 |
$79.97
|
|
Assay of lap enzyme
|
$49.50 |
$49.50 |
$49.50 |
$73.50
|
