|
Angio trnslmnl balloon same artery ini
|
$10,888.50 |
$10,888.50 |
$10,888.50 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,701.08 |
$5,701.08 |
$5,701.08 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$8,065.26 |
$8,065.26 |
$8,065.26 |
$8,359.11
|
|
Ankle X-ray
|
$78.96 |
$78.96 |
$78.96 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$73.50 |
$73.50 |
$73.50 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$64.26 |
$64.26 |
$64.26 |
$57.85
|
|
Antibody elution rbc reference
|
$143.64 |
$143.64 |
$143.64 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$211.26 |
$211.26 |
$211.26 |
$131.56
|
|
Antibody htlv-i
|
$11.76 |
$11.76 |
$11.76 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$100.38 |
$100.38 |
$100.38 |
$224.00
|
|
Antibody id rbc panel
|
$300.30 |
$300.30 |
$300.30 |
$291.75
|
|
Antibody influenza virus
|
$28.56 |
$28.56 |
$28.56 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$26.04 |
$26.04 |
$26.04 |
$46.58
|
|
Antibody screen rbc
|
$49.14 |
$49.14 |
$49.14 |
$108.55
|
|
Antibody tetanus
|
$26.46 |
$26.46 |
$26.46 |
$54.15
|
|
Antidepressant not specified
|
$147.00 |
$147.00 |
$147.00 |
$72.14
|
|
Antidepressants class 3-5
|
$40.74 |
$40.74 |
$40.74 |
$72.14
|
|
Anti mog serum - sendout
|
$351.54 |
$351.54 |
$351.54 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$22.68 |
$22.68 |
$22.68 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$26.04 |
$26.04 |
$26.04 |
$42.00
|
|
Antinuclear antibodies
|
$22.26 |
$22.26 |
$22.26 |
$90.00
|
|
Antinuclear antibodies titer
|
$48.30 |
$48.30 |
$48.30 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$23.94 |
$23.94 |
$23.94 |
$67.43
|
|
Antistreptolysin o titer
|
$23.94 |
$23.94 |
$23.94 |
$54.00
|
|
Antithrombin iii activity
|
$26.46 |
$26.46 |
$26.46 |
$115.15
|
|
Apheresis plasma
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$3,226.34
|
|
Apl(pml-rara) quant - sendout
|
$261.24 |
$261.24 |
$261.24 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$811.44 |
$811.44 |
$811.44 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$242.34 |
$242.34 |
$242.34 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$59.22 |
$59.22 |
$59.22 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$755.58 |
$755.58 |
$755.58 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$215.46 |
$215.46 |
$215.46 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$53.34 |
$53.34 |
$53.34 |
$512.20
|
|
Application multi layer compression below knee (both sides)
|
$191.10 |
$191.10 |
$191.10 |
$375.06
|
|
Application of paste boot 29580
|
$149.52 |
$149.52 |
$149.52 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$405.72 |
$405.72 |
$405.72 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$429.66 |
$429.66 |
$429.66 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,564.10 |
$2,564.10 |
$2,564.10 |
$981.75
|
|
Apply interstit radiat compl
|
$1,666.56 |
$1,666.56 |
$1,666.56 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,125.18 |
$1,125.18 |
$1,125.18 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$787.50 |
$787.50 |
$787.50 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$596.40 |
$596.40 |
$596.40 |
$1,269.97
|
|
Apply rigid leg cast 29445
|
$266.28 |
$266.28 |
$266.28 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$50.40 |
$50.40 |
$50.40 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$49.56 |
$49.56 |
$49.56 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$147.00 |
$147.00 |
$147.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$112.56 |
$112.56 |
$112.56 |
$150.00
|
|
Aquatic exercise - group charge
|
$26.04 |
$26.04 |
$26.04 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$577.08 |
$577.08 |
$577.08 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$461.58 |
$461.58 |
$461.58 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$182.28 |
$182.28 |
$182.28 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$333.48 |
$333.48 |
$333.48 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$2,985.78 |
$2,985.78 |
$2,985.78 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$2,454.90 |
$2,454.90 |
$2,454.90 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,682.56 |
$3,682.56 |
$3,682.56 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$1,985.34 |
$1,985.34 |
$1,985.34 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,436.42 |
$2,436.42 |
$2,436.42 |
$3,860.40
|
|
Artery x-rays chest
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
$2,895.07
|
|
Artery x-rays lung
|
$3,368.40 |
$3,368.40 |
$3,368.40 |
$3,296.15
|
|
Artery x-rays lung
|
$3,406.20 |
$3,406.20 |
$3,406.20 |
$2,427.50
|
|
Artery x-rays lungs
|
$5,677.14 |
$5,677.14 |
$5,677.14 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
$4,306.40
|
|
Artery x-rays spine
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$296.94 |
$296.94 |
$296.94 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$653.52 |
$653.52 |
$653.52 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$708.96 |
$708.96 |
$708.96 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$288.54 |
$288.54 |
$288.54 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$366.24 |
$366.24 |
$366.24 |
$699.00
|
|
Ascenda two piece catheter
|
$21,525.00 |
$21,525.00 |
$21,525.00 |
$22,792.00
|
|
Asp core fat pad
|
$4,465.44 |
$4,465.44 |
$4,465.44 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$695.10 |
$695.10 |
$695.10 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$221.34 |
$221.34 |
$221.34 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$584.22 |
$584.22 |
$584.22 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,011.78 |
$1,011.78 |
$1,011.78 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$446.04 |
$446.04 |
$446.04 |
$872.50
|
|
Assay acid phosphatase
|
$26.46 |
$26.46 |
$26.46 |
$38.22
|
|
Assay free hydroxyproline
|
$47.04 |
$47.04 |
$47.04 |
$57.60
|
|
Assay neurflmnt light chain
|
$147.00 |
$147.00 |
$147.00 |
$380.00
|
|
Assay of breath ethanol
|
$37.80 |
$37.80 |
$37.80 |
$52.62
|
|
Assay of corticosterone
|
$34.86 |
$34.86 |
$34.86 |
$55.20
|
|
Assay of digoxin free
|
$16.80 |
$16.80 |
$16.80 |
$38.08
|
|
Assay of interleukin-6 (il-6)
|
$45.78 |
$45.78 |
$45.78 |
$79.00
|
|
Assay of neonatal thyroxine
|
$8.40 |
$8.40 |
$8.40 |
$19.20
|
|
Assay of osteocalcin
|
$37.80 |
$37.80 |
$37.80 |
$93.60
|
|
Assay of procainamide w/metab
|
$21.42 |
$21.42 |
$21.42 |
$73.80
|
|
Assay of prostaglandin
|
$117.60 |
$117.60 |
$117.60 |
$230.00
|
|
Assay of quinine
|
$57.12 |
$57.12 |
$57.12 |
$29.60
|
|
Assay of somatostatin
|
$34.44 |
$34.44 |
$34.44 |
$170.50
|
|
Assay of tyrosine
|
$42.00 |
$42.00 |
$42.00 |
$56.10
|
|
Assay of urine sulfate
|
$30.24 |
$30.24 |
$30.24 |
$28.20
|
|
Assay toxin or antitoxin
|
$33.18 |
$33.18 |
$33.18 |
$76.76
|
|
Assess cyst contrast inject
|
$312.06 |
$312.06 |
$312.06 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$5.46 |
$5.46 |
$5.46 |
$46.80
|
|
Ast/sgot
|
$6.72 |
$6.72 |
$6.72 |
$45.90
|
|
Athrectomy fem/pop/unilateral 37225
|
$17,060.40 |
$17,060.40 |
$17,060.40 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$13,619.34 |
$13,619.34 |
$13,619.34 |
$15,188.25
|
|
Atxn1 gene detc abnor allele
|
$262.50 |
$262.50 |
$262.50 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$268.80 |
$268.80 |
$268.80 |
$247.60
|
