|
Angio trnslmnl balloon same vein ea addl
|
$9,889.50 |
$9,889.50 |
$9,889.50 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$19,779.00 |
$19,779.00 |
$19,779.00 |
$8,745.10
|
|
Anidulafungin injection
|
$3.76 |
$3.76 |
$3.76 |
$209.79
|
|
Ankle X-ray
|
$103.74 |
$103.74 |
$103.74 |
$350.85
|
|
Anora (draw only)
|
$8.55 |
$8.55 |
$8.55 |
$36.36
|
|
Antibody bacterium, not elsewhere specified
|
$30.78 |
$30.78 |
$30.78 |
$57.85
|
|
Antibody elution rbc reference
|
$98.61 |
$98.61 |
$98.61 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$78.66 |
$78.66 |
$78.66 |
$141.26
|
|
Antibody htlv-i
|
$10.26 |
$10.26 |
$10.26 |
$49.53
|
|
Antibody htlv-ii
|
$15.96 |
$15.96 |
$15.96 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$111.72 |
$111.72 |
$111.72 |
$218.30
|
|
Antibody id rbc panel
|
$205.20 |
$205.20 |
$205.20 |
$291.75
|
|
Antibody screen rbc
|
$58.71 |
$58.71 |
$58.71 |
$105.00
|
|
Anti mog serum - sendout
|
$379.05 |
$379.05 |
$379.05 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$29.07 |
$29.07 |
$29.07 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$12.54 |
$12.54 |
$12.54 |
$40.00
|
|
Antinuclear antibodies
|
$45.03 |
$45.03 |
$45.03 |
$91.70
|
|
Antinuclear antibodies titer
|
$27.36 |
$27.36 |
$27.36 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$18.81 |
$18.81 |
$18.81 |
$74.20
|
|
Antistreptolysin o titer
|
$17.10 |
$17.10 |
$17.10 |
$57.85
|
|
Antithrombin iii activity
|
$25.65 |
$25.65 |
$25.65 |
$106.85
|
|
Apheresis plasma
|
$2,347.26 |
$2,347.26 |
$2,347.26 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$458.85 |
$458.85 |
$458.85 |
$465.60
|
|
Application finger splntstatic 29130
|
$131.67 |
$131.67 |
$131.67 |
$226.20
|
|
Application long leg splint 29505
|
$164.73 |
$164.73 |
$164.73 |
$370.00
|
|
Application lower leg splint 29515
|
$207.48 |
$207.48 |
$207.48 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$416.67 |
$416.67 |
$416.67 |
$393.75
|
|
Application of forearm cast 29075
|
$367.65 |
$367.65 |
$367.65 |
$386.10
|
|
Application of long arm cast 29065
|
$367.65 |
$367.65 |
$367.65 |
$414.20
|
|
Application of paste boot 29580
|
$231.42 |
$231.42 |
$231.42 |
$336.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$21.09 |
$21.09 |
$21.09 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$41.04 |
$41.04 |
$41.04 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$164.73 |
$164.73 |
$164.73 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$131.67 |
$131.67 |
$131.67 |
$263.20
|
|
Apply of finger splint 29131
|
$64.41 |
$64.41 |
$64.41 |
$177.45
|
|
Apply rigid leg cast 29445
|
$418.38 |
$418.38 |
$418.38 |
$608.00
|
|
Apply short leg castambul type 29425
|
$367.65 |
$367.65 |
$367.65 |
$460.92
|
|
Aquaporin-4 antibody elisa
|
$80.37 |
$80.37 |
$80.37 |
$155.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$87.21 |
$87.21 |
$87.21 |
$100.00
|
|
Aquatic exercise - group charge
|
$45.03 |
$45.03 |
$45.03 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$1.50 |
$1.50 |
$1.50 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$496.47 |
$496.47 |
$496.47 |
$500.82
|
|
Artery xray each vessel 7577426
|
$702.24 |
$702.24 |
$702.24 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,133.86 |
$3,133.86 |
$3,133.86 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$2,097.60 |
$2,097.60 |
$2,097.60 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$4,029.72
|
|
Artery x-rays lung
|
$2,620.29 |
$2,620.29 |
$2,620.29 |
$3,150.00
|
|
Artery x-rays lungs
|
$3,930.72 |
$3,930.72 |
$3,930.72 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$3,133.86 |
$3,133.86 |
$3,133.86 |
$4,551.20
|
|
Artery x-rays spine
|
$3,133.86 |
$3,133.86 |
$3,133.86 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$561.45 |
$561.45 |
$561.45 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$599.07 |
$599.07 |
$599.07 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$710.22 |
$710.22 |
$710.22 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$532.95 |
$532.95 |
$532.95 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$662.91 |
$662.91 |
$662.91 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$556.89 |
$556.89 |
$556.89 |
$700.80
|
|
Artiss fibrin sealant
|
$668.30 |
$668.30 |
$668.30 |
$1,145.23
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,969.70 |
$2,969.70 |
$2,969.70 |
$3,199.51
|
|
Aspirate pleura without imaging 32554
|
$1,132.59 |
$1,132.59 |
$1,132.59 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,558.38 |
$1,558.38 |
$1,558.38 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$1,078.44 |
$1,078.44 |
$1,078.44 |
$850.78
|
|
Assay of breath ethanol
|
$31.92 |
$31.92 |
$31.92 |
$45.76
|
|
Assay of interleukin-6 (il-6)
|
$25.65 |
$25.65 |
$25.65 |
$77.35
|
|
Assay of prostaglandin
|
$175.56 |
$175.56 |
$175.56 |
$220.00
|
|
Assay of salicylate
|
$22.23 |
$22.23 |
$22.23 |
$104.00
|
|
Assay of urine sulfate
|
$15.39 |
$15.39 |
$15.39 |
$31.35
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$246.81 |
$246.81 |
$246.81 |
$312.00
|
|
Assess cyst contrast inject
|
$828.78 |
$828.78 |
$828.78 |
$456.33
|
|
Assistive tech assessment, ot
|
$111.15 |
$111.15 |
$111.15 |
$94.50
|
|
Ast/sgot
|
$13.68 |
$13.68 |
$13.68 |
$46.20
|
|
Athrectomy fem/pop/unilateral 37225
|
$28,079.34 |
$28,079.34 |
$28,079.34 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$28,340.97 |
$28,340.97 |
$28,340.97 |
$19,875.58
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.30 |
$0.30 |
$0.30 |
$43.85
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,415.00 |
$5,415.00 |
$5,415.00 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,396.80 |
$10,396.80 |
$10,396.80 |
$11,040.83
|
|
Autologous blood process
|
$175.56 |
$175.56 |
$175.56 |
$240.35
|
|
Automated diff wbc count
|
$7.98 |
$7.98 |
$7.98 |
$35.10
|
|
Avul nail plate addl
|
$190.95 |
$190.95 |
$190.95 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$312.93 |
$312.93 |
$312.93 |
$356.00
|
|
Azacitidine injection
|
$2.07 |
$2.07 |
$2.07 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$1.70 |
$1.70 |
$1.70 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$15.12 |
$15.12 |
$15.12 |
$55.63
|
|
Aztreonam 1 gram solution for injection
|
$9.05 |
$9.05 |
$9.05 |
$175.89
|
|
Baclofen eval charges
|
$64.41 |
$64.41 |
$64.41 |
$85.00
|
|
Bacterial meningitis antigen
|
$25.65 |
$25.65 |
$25.65 |
$66.76
|
|
Bacterial vaginosis pcr
|
$120.27 |
$120.27 |
$120.27 |
$284.00
|
|
Balloon dilate urtrl strix
|
$4,034.46 |
$4,034.46 |
$4,034.46 |
$2,044.97
|
|
B cells total count
|
$80.94 |
$80.94 |
$80.94 |
$128.13
|
|
Behavior counsel obesity 15min medicare g0447
|
$100.32 |
$100.32 |
$100.32 |
$102.47
|
|
Benign lesion paring 2-4
|
$294.69 |
$294.69 |
$294.69 |
$280.20
|
|
Benign lesion paring 4+
|
$345.42 |
$345.42 |
$345.42 |
$307.50
|
|
#_benzodiazconfur
|
$47.31 |
$47.31 |
$47.31 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$56.82 |
$56.82 |
$56.82 |
$116.84
|
|
Beta 2 glycoprotein 1 antibody iga
|
$46.17 |
$46.17 |
$46.17 |
$92.82
|
|
Beta-2 microglobulin
|
$38.76 |
$38.76 |
$38.76 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$9.84 |
$9.84 |
$9.84 |
$70.37
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$125.06 |
$125.06 |
$125.06 |
$4,868.42
|
|
Bfb train 1st 15min cntct 90912
|
$139.08 |
$139.08 |
$139.08 |
$176.00
|
|
Bfb train ea addl 15 min 90913
|
$69.54 |
$69.54 |
$69.54 |
$132.00
|
|
Bilateral n blobk inj pudendal 64430
|
$1,791.51 |
$1,791.51 |
$1,791.51 |
$1,584.16
|
