|
Angioplasty/iliac/init ves/unilat 37220
|
$12,505.00 |
$12,505.00 |
$12,505.00 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,640.00 |
$5,640.00 |
$5,640.00 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$14,100.00 |
$14,100.00 |
$14,100.00 |
$11,285.00
|
|
Ankle X-ray
|
$630.00 |
$630.00 |
$630.00 |
$351.20
|
|
Anl sp inf pmp w/mdreprg&fil
|
$625.00 |
$625.00 |
$625.00 |
$630.96
|
|
Anora (draw only)
|
$10.00 |
$10.00 |
$10.00 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$57.50 |
$57.50 |
$57.50 |
$57.85
|
|
Antibody elution rbc reference
|
$150.00 |
$150.00 |
$150.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$110.00 |
$110.00 |
$110.00 |
$118.30
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$247.50 |
$247.50 |
$247.50 |
$218.30
|
|
Antibody id rbc panel
|
$195.00 |
$195.00 |
$195.00 |
$283.80
|
|
Antibody influenza virus
|
$62.50 |
$62.50 |
$62.50 |
$53.28
|
|
Antibody screen rbc
|
$100.00 |
$100.00 |
$100.00 |
$102.60
|
|
Antibody tetanus
|
$60.00 |
$60.00 |
$60.00 |
$52.20
|
|
Antidepressant not specified
|
$50.00 |
$50.00 |
$50.00 |
$72.14
|
|
Anti mog serum - sendout
|
$202.50 |
$202.50 |
$202.50 |
$113.83
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.00 |
$30.00 |
$30.00 |
$42.35
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$105.00 |
$105.00 |
$105.00 |
$36.60
|
|
Antinuclear antibodies
|
$95.00 |
$95.00 |
$95.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$85.00 |
$85.00 |
$85.00 |
$77.40
|
|
Antipsychotics nos 1-3
|
$200.00 |
$200.00 |
$200.00 |
$153.45
|
|
Antistreptolysin o titer
|
$70.00 |
$70.00 |
$70.00 |
$54.94
|
|
Antithrombin iii activity
|
$155.00 |
$155.00 |
$155.00 |
$113.40
|
|
Application finger splntstatic 29130
|
$142.50 |
$142.50 |
$142.50 |
$222.28
|
|
Application long leg splint 29505
|
$287.50 |
$287.50 |
$287.50 |
$363.00
|
|
Application lower leg splint 29515
|
$225.00 |
$225.00 |
$225.00 |
$363.00
|
|
Application multi layer compression below knee (both sides)
|
$212.50 |
$212.50 |
$212.50 |
$378.00
|
|
Application of forearm cast 29075
|
$215.00 |
$215.00 |
$215.00 |
$370.80
|
|
Application of long arm cast 29065
|
$272.50 |
$272.50 |
$272.50 |
$404.63
|
|
Application of long leg cast 29345
|
$287.50 |
$287.50 |
$287.50 |
$499.20
|
|
Application of paste boot 29580
|
$230.00 |
$230.00 |
$230.00 |
$331.74
|
|
Application short leg cast 29405
|
$225.00 |
$225.00 |
$225.00 |
$393.98
|
|
Applicator tag rfid localizer 12gx7cm
|
$895.00 |
$895.00 |
$895.00 |
$1,048.05
|
|
Appl modality 1/> areas paraffin bath 97018
|
$35.00 |
$35.00 |
$35.00 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$77.50 |
$77.50 |
$77.50 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$17.50 |
$17.50 |
$17.50 |
$49.92
|
|
Appl multlay comprs arm/hand
|
$150.00 |
$150.00 |
$150.00 |
$297.50
|
|
Apply finger cast 29086
|
$167.50 |
$167.50 |
$167.50 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$195.00 |
$195.00 |
$195.00 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$167.50 |
$167.50 |
$167.50 |
$275.80
|
|
Apply interstit radiat compl
|
$6,590.00 |
$6,590.00 |
$6,590.00 |
$2,901.80
|
|
Apply intrcav radiat simple
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,269.97
|
|
Apply rigid leg cast 29445
|
$402.50 |
$402.50 |
$402.50 |
$585.31
|
|
Apply short leg castambul type 29425
|
$225.00 |
$225.00 |
$225.00 |
$452.20
|
|
#aptt mix-1:1 incubated
|
$90.00 |
$90.00 |
$90.00 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$635.00 |
$635.00 |
$635.00 |
$207.20
|
|
Aqmbf pet rest & rx stress
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$160.00 |
$160.00 |
$160.00 |
$113.91
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$80.00 |
$80.00 |
$80.00 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$205.00 |
$205.00 |
$205.00 |
$496.47
|
|
Artery xray each vessel 7577426
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$3,439.84
|
|
Artery x-rays arm/leg 75710-26
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,465.00 |
$3,465.00 |
$3,465.00 |
$3,844.10
|
|
Artery x-rays lung
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$3,191.58
|
|
Artery x-rays lungs
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$2,735.00 |
$2,735.00 |
$2,735.00 |
$4,402.30
|
|
Artery x-rays spine
|
$2,855.00 |
$2,855.00 |
$2,855.00 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$620.00 |
$620.00 |
$620.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$960.00 |
$960.00 |
$960.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$540.00 |
$540.00 |
$540.00 |
$488.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$880.00 |
$880.00 |
$880.00 |
$747.60
|
|
Ascenda two piece catheter
|
$18,312.00 |
$18,312.00 |
$18,312.00 |
$22,951.20
|
|
Asp & inj w/heparin pleurx cath
|
$8,640.00 |
$8,640.00 |
$8,640.00 |
$1,440.00
|
|
Aspirate/inj ganglion cyst 20612
|
$320.00 |
$320.00 |
$320.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,289.12
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,267.59
|
|
Aspir/inj thyroid cyst 60300
|
$455.00 |
$455.00 |
$455.00 |
$873.00
|
|
Assay dir meas fr estradiol
|
$105.00 |
$105.00 |
$105.00 |
$70.20
|
|
Assay neurflmnt light chain
|
$380.00 |
$380.00 |
$380.00 |
$380.00
|
|
Assay of breath ethanol
|
$30.00 |
$30.00 |
$30.00 |
$47.30
|
|
Assay of feces porphyrins
|
$95.00 |
$95.00 |
$95.00 |
$136.89
|
|
Assay of interleukin-6 (il-6)
|
$80.00 |
$80.00 |
$80.00 |
$77.35
|
|
Assay of osteocalcin
|
$100.00 |
$100.00 |
$100.00 |
$93.00
|
|
Assay of procainamide w/metab
|
$110.00 |
$110.00 |
$110.00 |
$63.07
|
|
Assay of prostaglandin
|
$355.00 |
$355.00 |
$355.00 |
$218.50
|
|
Assay of salicylate
|
$95.00 |
$95.00 |
$95.00 |
$95.00
|
|
Assay of sialic acid
|
$85.00 |
$85.00 |
$85.00 |
$86.00
|
|
Assay of somatostatin
|
$117.50 |
$117.50 |
$117.50 |
$165.00
|
|
Assay of thiocyanate
|
$85.00 |
$85.00 |
$85.00 |
$62.13
|
|
Assay of tyrosine
|
$60.00 |
$60.00 |
$60.00 |
$56.00
|
|
Assay of urine sulfate
|
$30.00 |
$30.00 |
$30.00 |
$30.00
|
|
Assay phosphatidylglycerol
|
$157.50 |
$157.50 |
$157.50 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$292.50 |
$292.50 |
$292.50 |
$292.50
|
|
Assess cyst contrast inject
|
$580.00 |
$580.00 |
$580.00 |
$465.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$47.50 |
$47.50 |
$47.50 |
$46.14
|
|
Ast/sgot
|
$57.50 |
$57.50 |
$57.50 |
$45.36
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$204.73 |
$204.73 |
$204.73 |
$23,233.77
|
|
Athrectomy fem/pop/unilateral 37225
|
$22,980.00 |
$22,980.00 |
$22,980.00 |
$17,085.50
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$22,980.00 |
$22,980.00 |
$22,980.00 |
$15,691.20
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$100.00 |
$100.00 |
$100.00 |
$188.16
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,100.00 |
$5,100.00 |
$5,100.00 |
$7,366.70
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,195.00 |
$10,195.00 |
$10,195.00 |
$10,530.57
|
|
Autologous blood process
|
$372.50 |
$372.50 |
$372.50 |
$247.52
|
|
Automated diff wbc count
|
$27.50 |
$27.50 |
$27.50 |
$35.10
|
|
Avul nail plate addl
|
$112.50 |
$112.50 |
$112.50 |
$240.24
|
