|
Annual Physical, Established Patient (age 40-64)
|
$137.19 |
$137.19 |
$137.19 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$109.65 |
$109.65 |
$109.65 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$109.65 |
$109.65 |
$109.65 |
$188.15
|
|
Anogenital exam child w imag
|
$272.85 |
$272.85 |
$272.85 |
$238.06
|
|
Anora (draw only)
|
$76.50 |
$76.50 |
$76.50 |
$36.36
|
|
Anoscopy control bleeding 46614
|
$1,657.50 |
$1,657.50 |
$1,657.50 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$1,271.94 |
$1,271.94 |
$1,271.94 |
$1,313.97
|
|
Antibody bacterium, not elsewhere specified
|
$20.45 |
$20.45 |
$20.45 |
$57.85
|
|
Antibody elution rbc reference
|
$174.93 |
$174.93 |
$174.93 |
$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
|
$440.13 |
$440.13 |
$440.13 |
$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
|
$165.24 |
$165.24 |
$165.24 |
$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
|
$2,503.03 |
$2,503.03 |
$2,503.03 |
$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
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,592.84 |
$2,592.84 |
$2,592.84 |
$1,300.71
|
|
Appl body cast sho to hips
|
$320.79 |
$320.79 |
$320.79 |
$390.73
|
|
Appl cast figure-of-eight
|
$320.79 |
$320.79 |
$320.79 |
$314.28
|
|
Appl cast plaster velpeau
|
$320.79 |
$320.79 |
$320.79 |
$312.76
|
|
Appl cast shoulder spica
|
$320.79 |
$320.79 |
$320.79 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$320.79 |
$320.79 |
$320.79 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$320.79 |
$320.79 |
$320.79 |
$475.30
|
|
Application clubfoot cast
|
$195.33 |
$195.33 |
$195.33 |
$297.33
|
|
Application finger splntstatic 29130
|
$805.80 |
$805.80 |
$805.80 |
$226.20
|
|
Application long leg splint 29505
|
$1,222.98 |
$1,222.98 |
$1,222.98 |
$370.00
|
|
Application lower leg splint 29515
|
$899.64 |
$899.64 |
$899.64 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$195.33 |
$195.33 |
$195.33 |
$393.75
|
|
Application of cylinder cast 29365
|
$320.79 |
$320.79 |
$320.79 |
$431.08
|
|
Application of forearm cast 29075
|
$1,016.94 |
$1,016.94 |
$1,016.94 |
$386.10
|
|
Application of long arm cast 29065
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$414.20
|
|
Application of long leg cast 29345
|
$320.79 |
$320.79 |
$320.79 |
$511.68
|
|
Application of paste boot 29580
|
$195.33 |
$195.33 |
$195.33 |
$336.00
|
|
Application short leg cast 29405
|
$684.42 |
$684.42 |
$684.42 |
$397.33
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,200.65 |
$2,200.65 |
$2,200.65 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$1,051.88 |
$1,051.88 |
$1,051.88 |
$1,051.88
|
|
Appl long leg cast brace
|
$320.79 |
$320.79 |
$320.79 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.89 |
$70.89 |
$70.89 |
$68.00
|
|
Apply finger cast 29086
|
$195.33 |
$195.33 |
$195.33 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$156.57 |
$156.57 |
$156.57 |
$263.20
|
|
Apply halo w/removal cranial
|
$2,286.33 |
$2,286.33 |
$2,286.33 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$195.33 |
$195.33 |
$195.33 |
$275.80
|
|
Apply of finger splint 29131
|
$77.01 |
$77.01 |
$77.01 |
$177.45
|
|
Apply rem fixation device
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$1,980.00
|
|
Apply short leg castambul type 29425
|
$320.79 |
$320.79 |
$320.79 |
$460.92
|
|
Aquaporin-4 antibody elisa
|
$285.60 |
$285.60 |
$285.60 |
$155.00
|
|
Argatroban nonesrd (auromed)
|
$299.91 |
$299.91 |
$299.91 |
$1.49
|
|
Arterial blood draw/perc 36620
|
$1,367.31 |
$1,367.31 |
$1,367.31 |
$500.82
|
|
Arthrd wrist lmtd without b1 grf
|
$8,846.46 |
$8,846.46 |
$8,846.46 |
$7,807.24
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,389.75 |
$1,389.75 |
$1,389.75 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,523.99 |
$2,523.99 |
$2,523.99 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,523.99 |
$2,523.99 |
$2,523.99 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,389.75 |
$1,389.75 |
$1,389.75 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,389.75 |
$1,389.75 |
$1,389.75 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,389.75 |
$1,389.75 |
$1,389.75 |
$700.80
|
|
Arthroplasty finger joint 26535
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$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
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$495.21 |
$495.21 |
$495.21 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$2,874.87 |
$2,874.87 |
$2,874.87 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$868.02 |
$868.02 |
$868.02 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$868.02 |
$868.02 |
$868.02 |
$850.78
|
|
Assay dir meas fr estradiol
|
$47.97 |
$47.97 |
$47.97 |
$75.11
|
|
Assay of interleukin-6 (il-6)
|
$106.03 |
$106.03 |
$106.03 |
$77.35
|
|
Assay of leflunomide
|
$71.40 |
$71.40 |
$71.40 |
$112.70
|
|
Assay of osteocalcin
|
$73.95 |
$73.95 |
$73.95 |
$93.60
|
|
Assay of salicylate
|
$420.24 |
$420.24 |
$420.24 |
$104.00
|
|
Assay of urine sulfate
|
$17.85 |
$17.85 |
$17.85 |
$31.35
|
|
Assay toxin or antitoxin
|
$16.56 |
$16.56 |
$16.56 |
$77.55
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$70.89 |
$70.89 |
$70.89 |
$47.25
|
|
Ast/sgot
|
$78.54 |
$78.54 |
$78.54 |
$46.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$84.15 |
$84.15 |
$84.15 |
$43.85
|
|
Augment injectable kit 3.0cc
|
$4,598.57 |
$4,598.57 |
$4,598.57 |
$6,394.75
|
|
Avul nail plate addl
|
$280.50 |
$280.50 |
$280.50 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$525.81 |
$525.81 |
$525.81 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$5.61 |
$5.61 |
$5.61 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$55.63
|
|
Aztreonam 1 gram solution for injection
|
$239.27 |
$239.27 |
$239.27 |
$175.89
|
|
Baclofen eval charges
|
$80.58 |
$80.58 |
$80.58 |
$85.00
|
|
Bacterial meningitis antigen
|
$47.46 |
$47.46 |
$47.46 |
$66.76
|
|
Bacterial vaginosis pcr
|
$151.98 |
$151.98 |
$151.98 |
$284.00
|
|
#bac vag cand-c. albicans naa
|
$83.39 |
$83.39 |
$83.39 |
$109.20
|
|
Bartholin gland cyst/marsupializat 56440
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,762.53
|
|
Bausch health Ultrasound surg
|
$2,684.41 |
$2,684.41 |
$2,684.41 |
$2,054.61
|
|
B cells total count
|
$47.89 |
$47.89 |
$47.89 |
$128.13
|
|
Benign lesion paring 2-4
|
$241.74 |
$241.74 |
$241.74 |
$280.20
|
|
Benign lesion paring 4+
|
$241.74 |
$241.74 |
$241.74 |
$307.50
|
|
#_benzodiazconfur
|
$11.22 |
$11.22 |
$11.22 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$125.82 |
$125.82 |
$125.82 |
$116.84
|
|
Beta 2 glycoprotein 1 antibody iga
|
$44.80 |
$44.80 |
$44.80 |
$92.82
|
|
Beta-2 microglobulin
|
$136.17 |
$136.17 |
$136.17 |
$86.40
|
