|
Amputation toe interphalangeal joint
|
$450.75 |
$2,051.80 |
$5,651.08 |
|
|
Amputation toe metatarsophalangeal joint
|
$1,825.95 |
$1,825.95 |
$4,760.68 |
|
|
Amylase
|
$28.64 |
$55.24 |
$191.30 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$37.46 |
$70.47 |
$261.30 |
|
|
Anal pressure record
|
$191.39 |
$350.10 |
$481.52 |
|
|
Anal/urinary muscle study
|
$57.14 |
$57.14 |
$57.14 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$80.14 |
$80.14 |
$80.14 |
|
|
Analysis gene f2 20210g>a variant
|
$21.24 |
$69.11 |
$229.48 |
|
|
Analysis gene f5 leiden variant
|
$23.72 |
$78.66 |
$256.14 |
|
|
Analysis nerve
|
$1,209.46 |
$1,209.46 |
$1,209.46 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$60.11 |
$60.11 |
$416.14 |
|
|
Analysis tumor
|
$1,045.48 |
$1,045.48 |
$1,045.48 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$267.88 |
$267.88 |
$267.88 |
|
|
Anaplsma phgcytophlm amp prb
|
$28.73 |
$37.62 |
$92.07 |
|
|
Anca screen with reflex to titer -quest
|
$6.89 |
$11.44 |
$126.14 |
|
|
An cholangiogram percutaneous compl
|
$255.89 |
$507.99 |
$5,454.45 |
|
|
An fluoro guide for cvp
|
$88.54 |
$134.21 |
$783.56 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,589.12 |
$3,196.67 |
$6,838.88 |
|
|
Angioplasty fem/pop unilat 37224
|
$3,796.77 |
$6,225.77 |
$12,174.00 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,030.57 |
$7,706.93 |
$14,592.92 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,643.13 |
$3,263.36 |
$14,423.00 |
|
|
Angiotensin ii
|
$7.48 |
$14.77 |
$213.70 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$350.37 |
$1,590.70 |
$3,550.33 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,229.24 |
$6,835.21 |
$18,256.91 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,021.52 |
$3,861.43 |
$8,707.59 |
|
|
Angio trnslmnl balloon same artery ini
|
$6,043.59 |
$7,461.76 |
$17,809.44 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,948.42 |
$2,518.17 |
$8,707.59 |
|
|
Angio trnslmnl balloon same vein ini
|
$4,924.59 |
$6,774.50 |
$15,221.34 |
|
|
Ankle arthroscopy/surgery
|
$788.01 |
$788.01 |
$788.01 |
|
|
Ankle arthroscopy/surgery
|
$775.39 |
$775.39 |
$775.39 |
|
|
Ankle arthroscopy/surgery
|
$1,463.23 |
$1,463.23 |
$1,463.23 |
|
|
Ankle X-ray
|
$70.87 |
$107.42 |
$1,005.41 |
|
|
Ankle X-ray (2 views, both ankles)
|
$64.41 |
$97.63 |
$843.66 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$132.96 |
$132.96 |
$132.96 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$169.92 |
$169.92 |
$169.92 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$181.05 |
$181.05 |
$181.05 |
|
|
Annual Physical, New Patient (age 18-39)
|
$187.73 |
$187.73 |
$187.73 |
|
|
Annual Physical, New Patient (age 40-64)
|
$218.15 |
$218.15 |
$218.15 |
|
|
Anodyne therapy charges pt
|
$7.42 |
$9.17 |
$9.97 |
|
|
Anorectal myomectomy
|
$457.81 |
$457.81 |
$457.81 |
|
|
Anoscopy ablation lesion 46615
|
$3,898.47 |
$3,898.47 |
$3,898.47 |
|
|
Anoscopy and biopsy
|
$92.32 |
$92.32 |
$1,670.25 |
|
|
Anoscopy control bleeding 46614
|
$78.66 |
$78.66 |
$78.66 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$956.44 |
$956.44 |
$956.44 |
|
|
Antibody
|
$112.79 |
$112.79 |
$112.79 |
|
|
Antibody bacterium, not elsewhere specified
|
$20.04 |
$31.82 |
$208.66 |
|
|
Antibody elution rbc reference
|
$47.82 |
$89.42 |
$258.62 |
|
|
Antibody htlv/hiv confirm test
|
$19.05 |
$93.05 |
$614.26 |
|
|
Antibody htlv-i
|
$3.67 |
$5.32 |
$14.84 |
|
|
Antibody htlv-ii
|
$19.57 |
$19.57 |
$19.57 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$35.13 |
$62.38 |
$336.42 |
|
|
Antibody id rbc panel
|
$59.44 |
$159.26 |
$560.78 |
|
|
Antibody influenza virus
|
$8.91 |
$14.62 |
$133.56 |
|
|
Antibody lymphocytic choriomeningitis
|
$8.12 |
$12.90 |
$100.92 |
|
|
Antibody screen rbc
|
$13.57 |
$45.07 |
$148.40 |
|
|
Antibody tetanus
|
$8.25 |
$11.97 |
$33.39 |
|
|
Antidepressant not specified
|
$5.88 |
$11.06 |
$39.27 |
|
|
Antidepressants class 3-5
|
$8.42 |
$8.42 |
$8.42 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.09 |
$3.94 |
$8,388.31 |
|
|
Antihemophilic viii/vwf comp
|
$2.75 |
$2.75 |
$2.97 |
|
|
Anti-inhibitor
|
$6.40 |
$6.97 |
$20.63 |
|
|
Anti mog serum - sendout
|
$109.65 |
$174.10 |
$443.61 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$7.07 |
$12.25 |
$35.77 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$8.12 |
$11.78 |
$32.86 |
|
|
Ant instr 2-3 vert segm 22845
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,157.52 |
$1,157.52 |
$1,157.52 |
|
|
Antinuclear antibodies
|
$6.94 |
$12.98 |
$111.30 |
|
|
Antinuclear antibodies titer
|
$10.99 |
$21.85 |
$186.25 |
|
|
Antiphosphatidylserine antibody
|
$7.47 |
$13.96 |
$165.47 |
|
|
Antipsychotics nos 1-3
|
$7.24 |
$9.12 |
$26.07 |
|
|
Antistreptolysin o screen
|
$83.64 |
$83.64 |
$91.12 |
|
|
Antistreptolysin o titer
|
$7.47 |
$13.96 |
$54.94 |
|
|
Antithrombin iii activity
|
$4.03 |
$13.17 |
$129.68 |
|
|
Antithrombin iii injection
|
$6.50 |
$9.84 |
$7,774.68 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$469.45 |
$469.45 |
$469.45 |
|
|
Antithymocyte globuln rabbit
|
$1,100.55 |
$1,100.55 |
$1,100.55 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$55.72 |
$138.90 |
$463.01 |
|
|
Aortic dysfunction/dilation
|
$101.30 |
$495.94 |
$7,970.43 |
|
|
Aortic dysfunction/dilation
|
$1,130.23 |
$1,447.41 |
$7,970.43 |
|
|
Aortic hemiarch graft 33866
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
|
|
Apc gene dup/delet variants
|
$264.00 |
$264.00 |
$264.00 |
|
|
Apc gene full sequence
|
$161.91 |
$267.02 |
$1,029.60 |
|
|
Apc gene known fam variants
|
$366.34 |
$366.34 |
$366.34 |
|
|
Apheresis immunoads slctv
|
$1,053.00 |
$1,057.21 |
$1,297.30 |
|
|
Apheresis plasma
|
$898.32 |
$1,272.24 |
$2,342.05 |
|
|
Apheresis platelets
|
$1,027.62 |
$1,448.01 |
$1,598.52 |
|
|
Apheresis rbc
|
$1,293.50 |
$1,443.55 |
$1,593.59 |
|
|
Apheresis wbc
|
$1,076.92 |
$1,365.19 |
$1,675.21 |
|
|
Apl(pml-rara) quant - sendout
|
$66.93 |
$217.78 |
$720.90 |
|
|
Appendectomy
|
$928.25 |
$928.25 |
$1,141.02 |
|
|
Appendectomy add-on 44955
|
$119.47 |
$119.47 |
$119.47 |
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,265.11 |
$1,265.11 |
$1,557.59 |
|
|
Appendix Removal (Laparoscopic)
|
$743.71 |
$743.71 |
$859.24 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$300.97 |
$561.60 |
$5,234.81 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$89.71 |
$142.85 |
$192.70 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$21.95 |
$51.96 |
$2,617.04 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$280.23 |
$522.90 |
$8,636.88 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$80.07 |
$149.40 |
$4,292.47 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$19.78 |
$46.82 |
$2,617.04 |
|
|
Application finger splntstatic 29130
|
$10.33 |
$32.14 |
$184.02 |
|
