|
Anora (draw only)
|
$38.94 |
$38.94 |
$38.94 |
$33.58
|
|
Anoscopy
|
$181.50 |
$181.50 |
$181.50 |
$1,078.88
|
|
Anoscopy ablation lesion 46615
|
$204.60 |
$204.60 |
$204.60 |
$3,229.60
|
|
Anoscopy and biopsy
|
$650.10 |
$650.10 |
$650.10 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$1,483.02 |
$1,483.02 |
$1,483.02 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$188.10 |
$188.10 |
$188.10 |
$1,409.10
|
|
Anoscopy remove lesion 46610
|
$180.84 |
$180.84 |
$180.84 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$211.86 |
$211.86 |
$211.86 |
$3,245.23
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$1,389.30 |
$1,389.30 |
$1,389.30 |
$5,394.95
|
|
Antibody elution rbc reference
|
$330.00 |
$330.00 |
$330.00 |
$174.34
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$26.27 |
$26.27 |
$26.27 |
$219.30
|
|
Antibody id rbc panel
|
$240.24 |
$240.24 |
$240.24 |
$265.05
|
|
Antibody influenza virus
|
$35.64 |
$35.64 |
$35.64 |
$53.90
|
|
Antibody screen rbc
|
$117.48 |
$117.48 |
$117.48 |
$100.00
|
|
Anticoag mgmt pt warfarin
|
$18.48 |
$18.48 |
$18.48 |
$26.40
|
|
Antidepressant not specified
|
$42.90 |
$42.90 |
$42.90 |
$67.41
|
|
Antidepressants class 6/more
|
$3.30 |
$3.30 |
$3.30 |
$29.68
|
|
Antiepileptics nos 7/more
|
$2.64 |
$2.64 |
$2.64 |
$16.24
|
|
Antigen therapy services
|
$60.72 |
$60.72 |
$60.72 |
$69.43
|
|
Antigen therapy services
|
$112.20 |
$112.20 |
$112.20 |
$83.72
|
|
Antigen therapy services
|
$160.38 |
$160.38 |
$160.38 |
$96.72
|
|
Antigen therapy services
|
$24.42 |
$24.42 |
$24.42 |
$64.39
|
|
Antigen therapy services
|
$17.82 |
$17.82 |
$17.82 |
$54.60
|
|
Anti mog serum - sendout
|
$115.50 |
$115.50 |
$115.50 |
$153.17
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$7.95 |
$7.95 |
$7.95 |
$36.80
|
|
Ant instr 2-3 vert segm 22845
|
$1,557.60 |
$1,557.60 |
$1,557.60 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,620.96 |
$1,620.96 |
$1,620.96 |
$1,430.40
|
|
Antinuclear antibodies
|
$3.30 |
$3.30 |
$3.30 |
$90.00
|
|
Antinuclear antibodies titer
|
$99.66 |
$99.66 |
$99.66 |
$73.71
|
|
Antiphosphatidylserine antibody
|
$17.90 |
$17.90 |
$17.90 |
$60.00
|
|
Antistreptolysin o titer
|
$4.28 |
$4.28 |
$4.28 |
$51.45
|
|
Antithrombin iii activity
|
$8.21 |
$8.21 |
$8.21 |
$113.85
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$1,955.58 |
$1,955.58 |
$1,955.58 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$419.76 |
$419.76 |
$419.76 |
$991.87
|
|
Aortic dysfunction/dilation
|
$1,124.64 |
$1,124.64 |
$1,124.64 |
$1,485.21
|
|
Apl(pml-rara) quant - sendout
|
$136.82 |
$136.82 |
$136.82 |
$458.85
|
|
Appendectomy
|
$1,420.98 |
$1,420.98 |
$1,420.98 |
$4,933.00
|
|
Appendectomy add-on 44955
|
$180.84 |
$180.84 |
$180.84 |
$159.60
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,935.12 |
$1,935.12 |
$1,935.12 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$1,345.74 |
$1,345.74 |
$1,345.74 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,540.14 |
$4,540.14 |
$4,540.14 |
$2,105.40
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,216.38 |
$1,216.38 |
$1,216.38 |
$831.35
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,216.38 |
$1,216.38 |
$1,216.38 |
$494.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$7,640.82 |
$7,640.82 |
$7,640.82 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$5,348.64 |
$5,348.64 |
$5,348.64 |
$1,083.94
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,479.06 |
$1,479.06 |
$1,479.06 |
$498.81
|
|
Appl body cast sho to hips
|
$645.48 |
$645.48 |
$645.48 |
$468.00
|
|
Appl cast figure-of-eight
|
$242.88 |
$242.88 |
$242.88 |
$314.28
|
|
Application clubfoot cast
|
$339.24 |
$339.24 |
$339.24 |
$283.92
|
|
Application finger splntstatic 29130
|
$100.32 |
$100.32 |
$100.32 |
$203.40
|
|
Application long leg splint 29505
|
$221.76 |
$221.76 |
$221.76 |
$334.20
|
|
Application lower leg splint 29515
|
$175.56 |
$175.56 |
$175.56 |
$314.60
|
|
Application multi layer compression below knee (both sides)
|
$370.92 |
$370.92 |
$370.92 |
$360.00
|
|
Application of cylinder cast 29365
|
$298.98 |
$298.98 |
$298.98 |
$384.59
|
|
Application of forearm cast 29075
|
$213.84 |
$213.84 |
$213.84 |
$331.13
|
|
Application of long arm cast 29065
|
$234.96 |
$234.96 |
$234.96 |
$395.00
|
|
Application of long leg cast
|
$337.26 |
$337.26 |
$337.26 |
$406.75
|
|
Application of long leg cast 29345
|
$324.06 |
$324.06 |
$324.06 |
$429.00
|
|
Application of paste boot 29580
|
$228.36 |
$228.36 |
$228.36 |
$316.20
|
|
Application short leg cast 29405
|
$194.04 |
$194.04 |
$194.04 |
$372.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$4,540.14 |
$4,540.14 |
$4,540.14 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$4,540.14 |
$4,540.14 |
$4,540.14 |
$2,164.64
|
|
Appl long leg cast brace
|
$393.36 |
$393.36 |
$393.36 |
$420.00
|
|
Appl mltpln uni ext fixj sys
|
$2,602.38 |
$2,602.38 |
$2,602.38 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$96.36 |
$96.36 |
$96.36 |
$66.00
|
|
Appl multlay comprs arm/hand
|
$186.12 |
$186.12 |
$186.12 |
$275.00
|
|
Appl patllr tdn bearing cast
|
$199.32 |
$199.32 |
$199.32 |
$384.59
|
|
Appl unipln uni ext fixj sys
|
$1,366.86 |
$1,366.86 |
$1,366.86 |
$5,754.10
|
|
Apply forearm splintdynamic 29126
|
$192.06 |
$192.06 |
$192.06 |
$240.72
|
|
Apply hand/wrist cast 29085
|
$234.30 |
$234.30 |
$234.30 |
$258.00
|
|
Apply of finger splint 29131
|
$131.34 |
$131.34 |
$131.34 |
$164.50
|
|
Apply rem fixation device
|
$518.10 |
$518.10 |
$518.10 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$300.30 |
$300.30 |
$300.30 |
$535.00
|
|
Apply r&l pulm art bands
|
$3,505.26 |
$3,505.26 |
$3,505.26 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$182.16 |
$182.16 |
$182.16 |
$374.40
|
|
App topical fluoride varnish
|
$29.04 |
$29.04 |
$29.04 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$911.27 |
$911.27 |
$911.27 |
$1,021.53
|
|
Aquaporin-4 antibody cba each
|
$44.22 |
$44.22 |
$44.22 |
$132.91
|
|
Aquatic exercise - group charge
|
$52.80 |
$52.80 |
$52.80 |
$86.40
|
|
Art byp aor celiac msn and renal 35631
|
$3,855.06 |
$3,855.06 |
$3,855.06 |
$5,701.80
|
|
Art byp aortofemoral 35647
|
$3,209.58 |
$3,209.58 |
$3,209.58 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$3,455.76 |
$3,455.76 |
$3,455.76 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$3,384.48 |
$3,384.48 |
$3,384.48 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$3,556.08 |
$3,556.08 |
$3,556.08 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$3,653.10 |
$3,653.10 |
$3,653.10 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$2,290.86 |
$2,290.86 |
$2,290.86 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$2,859.12 |
$2,859.12 |
$2,859.12 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$2,461.14 |
$2,461.14 |
$2,461.14 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$2,945.58 |
$2,945.58 |
$2,945.58 |
$1,958.50
|
|
Art bypass fem-ant-post tib/prl 35666
|
$2,704.02 |
$2,704.02 |
$2,704.02 |
$4,144.00
|
|
Art bypass femoral-femoral 35661
|
$2,274.36 |
$2,274.36 |
$2,274.36 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$2,243.34 |
$2,243.34 |
$2,243.34 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$2,457.18 |
$2,457.18 |
$2,457.18 |
$2,444.00
|
|
Art bypass subclav-subclavian 35612
|
$2,191.86 |
$2,191.86 |
$2,191.86 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$2,135.10 |
$2,135.10 |
$2,135.10 |
$1,099.50
|
|
Art byp grft aor/carot/innom
|
$3,685.44 |
$3,685.44 |
$3,685.44 |
$1,507.68
|
|
Art byp grft aorcel/aormesen
|
$4,054.38 |
$4,054.38 |
$4,054.38 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$5,070.12 |
$5,070.12 |
$5,070.12 |
$4,336.80
|
|
Art byp grft aortobi-iliac 35538
|
$4,851.00 |
$4,851.00 |
$4,851.00 |
$2,590.00
|
|
Art byp grft aortofemoral
|
$4,552.68 |
$4,552.68 |
$4,552.68 |
$2,431.00
|
