|
Amputation toe interphalangeal joint
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Amylase
|
$141.78 |
$141.78 |
$141.78 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$594.66 |
$594.66 |
$594.66 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$83.00 |
$83.00 |
$83.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$130.92 |
$130.92 |
$130.92 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$51.00 |
$51.00 |
$51.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$4,937.82 |
$4,937.82 |
$4,937.82 |
$2,426.60
|
|
An fluoro guide for cvp
|
$619.65 |
$619.65 |
$619.65 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$161.67 |
$161.67 |
$161.67 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$9,922.56 |
$9,922.56 |
$9,922.56 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$7,861.65 |
$7,861.65 |
$7,861.65 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,961.28 |
$4,961.28 |
$4,961.28 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$4,550.62 |
$4,550.62 |
$4,550.62 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$11,337.81 |
$11,337.81 |
$11,337.81 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$161.67 |
$161.67 |
$161.67 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$5,594.19 |
$5,594.19 |
$5,594.19 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$242.25 |
$242.25 |
$242.25 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$5,594.19 |
$5,594.19 |
$5,594.19 |
$8,745.10
|
|
Ankle X-ray
|
$986.34 |
$986.34 |
$986.34 |
$350.85
|
|
Anogenital exam child w imag
|
$271.83 |
$271.83 |
$271.83 |
$238.06
|
|
Anora (draw only)
|
$94.86 |
$94.86 |
$94.86 |
$36.36
|
|
Anoscopy control bleeding 46614
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$1,267.86 |
$1,267.86 |
$1,267.86 |
$1,313.97
|
|
Antibody bacterium, not elsewhere specified
|
$20.45 |
$20.45 |
$20.45 |
$57.85
|
|
Antibody elution rbc reference
|
$182.58 |
$182.58 |
$182.58 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$28.05 |
$28.05 |
$28.05 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$219.30 |
$219.30 |
$219.30 |
$218.30
|
|
Antibody id rbc panel
|
$301.41 |
$301.41 |
$301.41 |
$291.75
|
|
Antibody influenza virus
|
$50.62 |
$50.62 |
$50.62 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$43.76 |
$43.76 |
$43.76 |
$53.96
|
|
Antibody screen rbc
|
$154.53 |
$154.53 |
$154.53 |
$105.00
|
|
Antibody tetanus
|
$46.50 |
$46.50 |
$46.50 |
$58.50
|
|
Antidepressant not specified
|
$5.56 |
$5.56 |
$5.56 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,577.14 |
$5,577.14 |
$5,577.14 |
$4.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$51.00 |
$51.00 |
$51.00 |
$50.88
|
|
Antinuclear antibodies
|
$10.20 |
$10.20 |
$10.20 |
$91.70
|
|
Antinuclear antibodies titer
|
$126.99 |
$126.99 |
$126.99 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$4.59 |
$4.59 |
$4.59 |
$74.20
|
|
Antistreptolysin o titer
|
$22.87 |
$22.87 |
$22.87 |
$57.85
|
|
Antithrombin iii activity
|
$100.22 |
$100.22 |
$100.22 |
$106.85
|
|
Apheresis plasma
|
$4,487.49 |
$4,487.49 |
$4,487.49 |
$3,498.41
|
|
Apheresis rbc
|
$3,504.72 |
$3,504.72 |
$3,504.72 |
$3,497.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,345.09 |
$3,345.09 |
$3,345.09 |
$1,300.71
|
|
Appl body cast sho to hips
|
$543.66 |
$543.66 |
$543.66 |
$390.73
|
|
Appl cast figure-of-eight
|
$543.66 |
$543.66 |
$543.66 |
$314.28
|
|
Appl cast plaster velpeau
|
$543.66 |
$543.66 |
$543.66 |
$312.76
|
|
Appl cast shoulder spica
|
$543.66 |
$543.66 |
$543.66 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$543.66 |
$543.66 |
$543.66 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$543.66 |
$543.66 |
$543.66 |
$475.30
|
|
Application clubfoot cast
|
$329.97 |
$329.97 |
$329.97 |
$297.33
|
|
Application finger splntstatic 29130
|
$803.76 |
$803.76 |
$803.76 |
$226.20
|
|
Application long leg splint 29505
|
$1,219.92 |
$1,219.92 |
$1,219.92 |
$370.00
|
|
Application lower leg splint 29515
|
$896.58 |
$896.58 |
$896.58 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$329.97 |
$329.97 |
$329.97 |
$393.75
|
|
Application of cylinder cast 29365
|
$543.66 |
$543.66 |
$543.66 |
$431.08
|
|
Application of forearm cast 29075
|
$1,116.39 |
$1,116.39 |
$1,116.39 |
$386.10
|
|
Application of long arm cast 29065
|
$1,844.67 |
$1,844.67 |
$1,844.67 |
$414.20
|
|
Application of long leg cast 29345
|
$678.30 |
$678.30 |
$678.30 |
$511.68
|
|
Application of paste boot 29580
|
$283.05 |
$283.05 |
$283.05 |
$336.00
|
|
Application short leg cast 29405
|
$752.76 |
$752.76 |
$752.76 |
$397.33
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,397.11 |
$3,397.11 |
$3,397.11 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$1,048.05 |
$1,048.05 |
$1,048.05 |
$1,051.88
|
|
Appl long leg cast brace
|
$543.66 |
$543.66 |
$543.66 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$81.60 |
$81.60 |
$81.60 |
$68.00
|
|
Apply finger cast 29086
|
$318.75 |
$318.75 |
$318.75 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$189.21 |
$189.21 |
$189.21 |
$263.20
|
|
Apply halo w/removal cranial
|
$1,179.63 |
$1,179.63 |
$1,179.63 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$329.97 |
$329.97 |
$329.97 |
$275.80
|
|
Apply interstit radiat compl
|
$3,558.78 |
$3,558.78 |
$3,558.78 |
$2,901.80
|
|
Apply of finger splint 29131
|
$576.81 |
$576.81 |
$576.81 |
$177.45
|
|
Apply rem fixation device
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$1,980.00
|
|
Apply short leg castambul type 29425
|
$766.02 |
$766.02 |
$766.02 |
$460.92
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$774.44 |
$774.44 |
$774.44 |
$943.40
|
|
Aquaporin-4 antibody elisa
|
$285.60 |
$285.60 |
$285.60 |
$155.00
|
|
Aquatic exercise - group charge
|
$240.72 |
$240.72 |
$240.72 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$644.09 |
$644.09 |
$644.09 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$518.64 |
$518.64 |
$518.64 |
$1,301.04
|
|
Art bypass femoral-popliteal 35656
|
$4,717.50 |
$4,717.50 |
$4,717.50 |
$5,273.60
|
|
Arterial blood draw/perc 36620
|
$500.82 |
$500.82 |
$500.82 |
$500.82
|
|
Artery xray each vessel 7577426
|
$4,839.39 |
$4,839.39 |
$4,839.39 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$7,400.61 |
$7,400.61 |
$7,400.61 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$6,937.02 |
$6,937.02 |
$6,937.02 |
$3,476.40
|
|
Artery x-rays arm/leg 75710-26
|
$6,609.60 |
$6,609.60 |
$6,609.60 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$6,609.60 |
$6,609.60 |
$6,609.60 |
$4,029.72
|
|
Artery x-rays lung
|
$6,008.82 |
$6,008.82 |
$6,008.82 |
$3,150.00
|
|
Artery x-rays lungs
|
$11,443.38 |
$11,443.38 |
$11,443.38 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$7,400.61 |
$7,400.61 |
$7,400.61 |
$4,551.20
|
|
Arthrd wrist lmtd without b1 grf
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$7,807.24
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$7,588.80 |
$7,588.80 |
$7,588.80 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$8,347.17 |
$8,347.17 |
$8,347.17 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$8,347.17 |
$8,347.17 |
$8,347.17 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$7,588.80 |
$7,588.80 |
$7,588.80 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$7,588.80 |
$7,588.80 |
$7,588.80 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$8,347.17 |
$8,347.17 |
$8,347.17 |
$700.80
|
|
Arthroplasty finger joint 26535
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,160.64
|
|
Artiss fibrin sealant
|
$1,905.77 |
$1,905.77 |
$1,905.77 |
$1,145.23
|
|
Ascenda two piece catheter
|
$15,172.50 |
$15,172.50 |
$15,172.50 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,381.01 |
$5,381.01 |
$5,381.01 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$700.74 |
$700.74 |
$700.74 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$5,978.73 |
$5,978.73 |
$5,978.73 |
$1,317.00
|
