|
Amphetamines 5 or more
|
$92.50 |
$92.50 |
$92.50 |
$87.75
|
|
Ampicillin 1 gram solution for injection
|
$7.06 |
$7.06 |
$7.06 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$15.37 |
$15.37 |
$15.37 |
$57.98
|
|
Amylase
|
$70.00 |
$70.00 |
$70.00 |
$83.20
|
|
Anal pressure record
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$871.21
|
|
Analysis gene f2 20210g>a variant
|
$112.50 |
$112.50 |
$112.50 |
$212.40
|
|
Analysis gene f5 leiden variant
|
$142.50 |
$142.50 |
$142.50 |
$219.13
|
|
Analysis nerve
|
$387.50 |
$387.50 |
$387.50 |
$274.49
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$500.00 |
$500.00 |
$500.00 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$107.50 |
$107.50 |
$107.50 |
$88.00
|
|
Anca screen with reflex to titer -quest
|
$157.50 |
$157.50 |
$157.50 |
$100.89
|
|
An cholangiogram percutaneous compl
|
$945.00 |
$945.00 |
$945.00 |
$2,547.00
|
|
An fluoro guide for cvp
|
$460.00 |
$460.00 |
$460.00 |
$515.34
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$4,535.00 |
$4,535.00 |
$4,535.00 |
$8,838.25
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,535.00 |
$4,535.00 |
$4,535.00 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,535.00 |
$4,535.00 |
$4,535.00 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,535.00 |
$4,535.00 |
$4,535.00 |
$11,285.00
|
|
Angio trnslmnl balloon same artery ea addl
|
$9,635.00 |
$9,635.00 |
$9,635.00 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$19,270.00 |
$19,270.00 |
$19,270.00 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$4,438.34
|
|
Angio trnslmnl balloon same vein ini
|
$6,180.00 |
$6,180.00 |
$6,180.00 |
$8,466.00
|
|
Ankle X-ray
|
$630.00 |
$630.00 |
$630.00 |
$351.45
|
|
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 |
$121.50
|
|
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 |
$102.68
|
|
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 |
$78.00
|
|
Antiphosphatidylserine antibody
|
$47.50 |
$47.50 |
$47.50 |
$67.60
|
|
Antipsychotics nos 1-3
|
$200.00 |
$200.00 |
$200.00 |
$153.45
|
|
Antistreptolysin o titer
|
$70.00 |
$70.00 |
$70.00 |
$54.40
|
|
Antithrombin iii activity
|
$155.00 |
$155.00 |
$155.00 |
$113.80
|
|
Apheresis immunoads slctv
|
$4,920.00 |
$4,920.00 |
$4,920.00 |
$5,686.40
|
|
Apheresis plasma
|
$2,985.00 |
$2,985.00 |
$2,985.00 |
$3,292.80
|
|
Apheresis platelets
|
$2,395.00 |
$2,395.00 |
$2,395.00 |
$2,195.00
|
|
Apl(pml-rara) quant - sendout
|
$540.00 |
$540.00 |
$540.00 |
$465.60
|
|
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 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 |
$981.75
|
|
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
|
|
Apply finger cast 29086
|
$167.50 |
$167.50 |
$167.50 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$195.00 |
$195.00 |
$195.00 |
$258.65
|
|
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 rigid leg cast 29445
|
$402.50 |
$402.50 |
$402.50 |
$585.31
|
|
#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 |
$114.20
|
|
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 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 chest
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$2,628.15
|
|
Artery x-rays lung
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$3,191.58
|
|
Artery x-rays lung
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$2,509.20
|
|
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 |
$476.30
|
|
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
|
|
Aspa gene
|
$160.00 |
$160.00 |
$160.00 |
$140.00
|
|
Asp & inj bone cyst
|
$610.00 |
$610.00 |
$610.00 |
$974.90
|
|
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 |
$1,286.45
|
|
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 |
$138.60
|
|
Assay of interleukin-6 (il-6)
|
$80.00 |
$80.00 |
$80.00 |
$77.35
|
|
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
|
