|
Application of forearm cast 29075
|
$114.41 |
$114.41 |
$114.41 |
$358.20
|
|
Application of long arm cast 29065
|
$126.99 |
$126.99 |
$126.99 |
$396.77
|
|
Application of long leg cast
|
$199.47 |
$199.47 |
$199.47 |
$435.54
|
|
Application of long leg cast 29345
|
$186.29 |
$186.29 |
$186.29 |
$455.00
|
|
Application of paste boot 29580
|
$243.57 |
$243.57 |
$243.57 |
$340.11
|
|
Application short leg cast 29405
|
$109.62 |
$109.62 |
$109.62 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$716.77 |
$716.77 |
$716.77 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$51.02 |
$51.02 |
$51.02 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$84.78 |
$84.78 |
$84.78 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$59.34 |
$59.34 |
$59.34 |
$54.61
|
|
Appl patllr tdn bearing cast
|
$152.74 |
$152.74 |
$152.74 |
$420.21
|
|
Apply hand/wrist cast 29085
|
$124.59 |
$124.59 |
$124.59 |
$271.80
|
|
Apply of finger splint 29131
|
$64.09 |
$64.09 |
$64.09 |
$177.45
|
|
Apply rigid leg cast 29445
|
$830.07 |
$830.07 |
$830.07 |
$555.00
|
|
Apply short leg castambul type 29425
|
$103.63 |
$103.63 |
$103.63 |
$404.74
|
|
#aptt mix-1:1 incubated
|
$84.96 |
$84.96 |
$84.96 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$139.59 |
$139.59 |
$139.59 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$414.05 |
$414.05 |
$414.05 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$317.04 |
$317.04 |
$317.04 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$86.35 |
$86.35 |
$86.35 |
$100.75
|
|
Aquatic exercise - group charge
|
$58.97 |
$58.97 |
$58.97 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$1,864.97 |
$1,864.97 |
$1,864.97 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,491.98 |
$1,491.98 |
$1,491.98 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$528.57 |
$528.57 |
$528.57 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$154.20 |
$154.20 |
$154.20 |
$478.96
|
|
Artery x-rays arm/leg 75710-26
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$1,490.37 |
$1,490.37 |
$1,490.37 |
$3,860.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$580.99 |
$580.99 |
$580.99 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$912.24 |
$912.24 |
$912.24 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$426.16 |
$426.16 |
$426.16 |
$494.40
|
|
Aspirate pleura without imaging 32554
|
$1,003.18 |
$1,003.18 |
$1,003.18 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$110.85 |
$110.85 |
$110.85 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$655.19 |
$655.19 |
$655.19 |
$872.50
|
|
Assay acid phosphatase
|
$40.45 |
$40.45 |
$40.45 |
$38.22
|
|
Assay dir meas fr estradiol
|
$53.93 |
$53.93 |
$53.93 |
$68.00
|
|
Assay free hydroxyproline
|
$71.90 |
$71.90 |
$71.90 |
$57.60
|
|
Assay of corticosterone
|
$53.29 |
$53.29 |
$53.29 |
$55.20
|
|
Assay of feces porphyrins
|
$111.07 |
$111.07 |
$111.07 |
$134.38
|
|
Assay of interleukin-6 (il-6)
|
$69.98 |
$69.98 |
$69.98 |
$79.00
|
|
Assay of osteocalcin
|
$57.78 |
$57.78 |
$57.78 |
$93.60
|
|
Assay of somatostatin
|
$52.64 |
$52.64 |
$52.64 |
$170.50
|
|
Assay of urine sulfate
|
$46.22 |
$46.22 |
$46.22 |
$28.20
|
|
Assay toxin or antitoxin
|
$55.93 |
$55.93 |
$55.93 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$188.72 |
$188.72 |
$188.72 |
$300.00
|
|
Assess cyst contrast inject
|
$414.04 |
$414.04 |
$414.04 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$8.67 |
$8.67 |
$8.67 |
$46.80
|
|
Assistive tech assessment, ot
|
$76.93 |
$76.93 |
$76.93 |
$90.60
|
|
Ast/sgot
|
$48.79 |
$48.79 |
$48.79 |
$45.90
|
|
Avul nail plate addl
|
$22.16 |
$22.16 |
$22.16 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$68.29 |
$68.29 |
$68.29 |
$326.27
|
|
Baclofen eval charges
|
$64.17 |
$64.17 |
$64.17 |
$87.50
|
|
Bacterial meningitis antigen
|
$87.54 |
$87.54 |
$87.54 |
$66.30
|
|
Bacterial vaginosis pcr
|
$971.38 |
$971.38 |
$971.38 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$113.04 |
$113.04 |
$113.04 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$775.96 |
$775.96 |
$775.96 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$699.36 |
$699.36 |
$699.36 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$334.74 |
$334.74 |
$334.74 |
$484.80
|
|
B cells total count
|
$134.86 |
$134.86 |
$134.86 |
$132.48
|
|
#_benzodiazconfur
|
$53.93 |
$53.93 |
$53.93 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$91.09 |
$91.09 |
$91.09 |
$82.55
|
|
Beta-2 microglobulin
|
$37.24 |
$37.24 |
$37.24 |
$85.20
|
|
Beta-amyloid 1-40
|
$192.60 |
$192.60 |
$192.60 |
$312.00
|
|
Beta-amyloid 1-42
|
$289.54 |
$289.54 |
$289.54 |
$333.00
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$4.82 |
$4.82 |
$4.82 |
$2,617.16
|
|
Bilateral n blobk inj pudendal 64430
|
$911.68 |
$911.68 |
$911.68 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$446.32 |
$446.32 |
$446.32 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$441.28 |
$441.28 |
$441.28 |
$587.60
|
|
Bilicheck
|
$10.27 |
$10.27 |
$10.27 |
$27.60
|
|
Bilirubin direct
|
$26.32 |
$26.32 |
$26.32 |
$51.35
|
|
Bilirubin total
|
$37.24 |
$37.24 |
$37.24 |
$54.60
|
|
Biopsy abdominal mass
|
$911.92 |
$911.92 |
$911.92 |
$1,722.60
|
|
Biopsy muscle percutaneous needle
|
$1,317.68 |
$1,317.68 |
$1,317.68 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$1,049.93 |
$1,049.93 |
$1,049.93 |
$1,895.76
|
|
Biopsy of prostate
|
$235.96 |
$235.96 |
$235.96 |
$2,419.00
|
|
Bladder Catheter Insertion (simple)
|
$208.50 |
$208.50 |
$208.50 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$265.64 |
$265.64 |
$265.64 |
$412.80
|
|
Bln 1.2 mono emrg 15x1.2
|
$1,017.63 |
$1,017.63 |
$1,017.63 |
$9,159.36
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,452.61 |
$1,452.61 |
$1,452.61 |
$5,330.60
|
|
Block brachial plexus w/cath plmt w/img
|
$305.61 |
$305.61 |
$305.61 |
$1,533.60
|
|
Block plantar digital nerve
|
$356.16 |
$356.16 |
$356.16 |
$540.00
|
|
Blood Clotting (PT/INR) Test
|
$32.49 |
$32.49 |
$32.49 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$34.40 |
$34.40 |
$34.40 |
$74.00
|
|
Blood Count (CBC) Test
|
$41.41 |
$41.41 |
$41.41 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$34.40 |
$34.40 |
$34.40 |
$62.28
|
|
Blood Culture Test
|
$91.33 |
$91.33 |
$91.33 |
$146.16
|
|
Blood draw capillary 36416
|
$22.68 |
$22.68 |
$22.68 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$50.03 |
$50.03 |
$50.03 |
$21.66
|
|
Blood gases o2 saturation direct measurement
|
$152.15 |
$152.15 |
$152.15 |
$226.50
|
|
Blood gases ph venous
|
$21.19 |
$21.19 |
$21.19 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$39.80 |
$39.80 |
$39.80 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$8.35 |
$8.35 |
$8.35 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.99 |
$8.99 |
$8.99 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$10.27 |
$10.27 |
$10.27 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$34.40 |
$34.40 |
$34.40 |
$38.35
|
|
Blood Transfusion
|
$988.24 |
$988.24 |
$988.24 |
$989.60
|
|
Blood typing abo
|
$172.75 |
$172.75 |
$172.75 |
$86.45
|
|
Blood typing ag donor ea ag
|
$478.91 |
$478.91 |
$478.91 |
$207.60
|
|
Blood typing patient serum
|
$102.05 |
$102.05 |
$102.05 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$478.91 |
$478.91 |
$478.91 |
$211.90
|
|
Blood typing rh (d)
|
$52.69 |
$52.69 |
$52.69 |
$57.60
|
