|
Angio trnslmnl balloon same vein ini
|
$2,034.76 |
$2,034.76 |
$2,034.76 |
$8,322.00
|
|
Ankle arthroscopy/surgery
|
$165.97 |
$165.97 |
$165.97 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$124.32 |
$124.32 |
$124.32 |
$3,821.05
|
|
Ankle arthroscopy/surgery
|
$113.12 |
$113.12 |
$113.12 |
$3,797.90
|
|
Ankle arthroscopy/surgery
|
$121.03 |
$121.03 |
$121.03 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$137.48 |
$137.48 |
$137.48 |
$3,839.54
|
|
Ankle X-ray
|
$147.84 |
$147.84 |
$147.84 |
$351.45
|
|
Anl sp inf pmp w/mdreprg&fil
|
$22.82 |
$22.82 |
$22.82 |
$627.94
|
|
Annual alcohol screen 15 min
|
$3.15 |
$3.15 |
$3.15 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$18.55 |
$18.55 |
$18.55 |
$148.20
|
|
Annual Physical, Established Patient (age 40-64)
|
$18.55 |
$18.55 |
$18.55 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$23.03 |
$23.03 |
$23.03 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$23.03 |
$23.03 |
$23.03 |
$167.25
|
|
Anora (draw only)
|
$2.31 |
$2.31 |
$2.31 |
$33.58
|
|
Anoscopy
|
$19.25 |
$19.25 |
$19.25 |
$1,078.88
|
|
Anoscopy ablation lesion 46615
|
$21.70 |
$21.70 |
$21.70 |
$3,229.60
|
|
Anoscopy and biopsy
|
$68.95 |
$68.95 |
$68.95 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$157.29 |
$157.29 |
$157.29 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$19.95 |
$19.95 |
$19.95 |
$1,409.10
|
|
Anoscopy remove lesion 46610
|
$19.18 |
$19.18 |
$19.18 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$22.47 |
$22.47 |
$22.47 |
$3,245.23
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$147.35 |
$147.35 |
$147.35 |
$5,394.95
|
|
Antibody bacterium, not elsewhere specified
|
$5.74 |
$5.74 |
$5.74 |
$57.81
|
|
Antibody elution rbc reference
|
$5.25 |
$5.25 |
$5.25 |
$174.34
|
|
Antibody htlv/hiv confirm test
|
$1.35 |
$1.35 |
$1.35 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$25.34 |
$25.34 |
$25.34 |
$219.30
|
|
Antibody id rbc panel
|
$62.37 |
$62.37 |
$62.37 |
$265.05
|
|
Antibody influenza virus
|
$3.78 |
$3.78 |
$3.78 |
$53.90
|
|
Antibody lymphocytic choriomeningitis
|
$0.80 |
$0.80 |
$0.80 |
$48.57
|
|
Antibody screen rbc
|
$46.62 |
$46.62 |
$46.62 |
$100.00
|
|
Anticoag mgmt pt warfarin
|
$1.96 |
$1.96 |
$1.96 |
$26.40
|
|
Antidepressant not specified
|
$4.55 |
$4.55 |
$4.55 |
$67.41
|
|
Antidepressants class 6/more
|
$0.35 |
$0.35 |
$0.35 |
$29.68
|
|
Antiepileptics nos 7/more
|
$0.28 |
$0.28 |
$0.28 |
$16.24
|
|
Antigen therapy services
|
$6.44 |
$6.44 |
$6.44 |
$69.43
|
|
Antigen therapy services
|
$11.90 |
$11.90 |
$11.90 |
$83.72
|
|
Antigen therapy services
|
$17.01 |
$17.01 |
$17.01 |
$96.72
|
|
Antigen therapy services
|
$2.59 |
$2.59 |
$2.59 |
$64.39
|
|
Antigen therapy services
|
$1.89 |
$1.89 |
$1.89 |
$54.60
|
|
Anti mog serum - sendout
|
$12.25 |
$12.25 |
$12.25 |
$153.17
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$0.84 |
$0.84 |
$0.84 |
$36.80
|
|
Ant instr 2-3 vert segm 22845
|
$165.20 |
$165.20 |
$165.20 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$171.92 |
$171.92 |
$171.92 |
$1,430.40
|
|
Antinuclear antibodies
|
$10.78 |
$10.78 |
$10.78 |
$90.00
|
|
Antinuclear antibodies titer
|
$10.57 |
$10.57 |
$10.57 |
$73.71
|
|
Antiphosphatidylserine antibody
|
$2.17 |
$2.17 |
$2.17 |
$60.00
|
|
Antipsychotics nos 1-3
|
$11.97 |
$11.97 |
$11.97 |
$153.00
|
|
Antipsychotics nos 7/more
|
$0.28 |
$0.28 |
$0.28 |
$16.24
|
|
Antistreptolysin o titer
|
$0.51 |
$0.51 |
$0.51 |
$51.45
|
|
Antithrombin iii activity
|
$2.66 |
$2.66 |
$2.66 |
$113.85
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$207.41 |
$207.41 |
$207.41 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$44.52 |
$44.52 |
$44.52 |
$991.87
|
|
Aortic dysfunction/dilation
|
$119.28 |
$119.28 |
$119.28 |
$1,485.21
|
|
Apl(pml-rara) quant - sendout
|
$14.51 |
$14.51 |
$14.51 |
$458.85
|
|
Appendectomy
|
$150.71 |
$150.71 |
$150.71 |
$4,933.00
|
|
Appendectomy add-on 44955
|
$19.18 |
$19.18 |
$19.18 |
$159.60
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$205.24 |
$205.24 |
$205.24 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$142.73 |
$142.73 |
$142.73 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$287.14 |
$287.14 |
$287.14 |
$2,105.40
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$287.14 |
$287.14 |
$287.14 |
$831.35
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$327.11 |
$327.11 |
$327.11 |
$494.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$916.30 |
$916.30 |
$916.30 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$358.96 |
$358.96 |
$358.96 |
$1,083.94
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$205.87 |
$205.87 |
$205.87 |
$498.81
|
|
Appl body cast sho to hips
|
$68.46 |
$68.46 |
$68.46 |
$468.00
|
|
Appl cast figure-of-eight
|
$25.76 |
$25.76 |
$25.76 |
$314.28
|
|
Application clubfoot cast
|
$35.98 |
$35.98 |
$35.98 |
$283.92
|
|
Application finger splntstatic 29130
|
$29.75 |
$29.75 |
$29.75 |
$203.40
|
|
Application long leg splint 29505
|
$23.52 |
$23.52 |
$23.52 |
$334.20
|
|
Application lower leg splint 29515
|
$18.62 |
$18.62 |
$18.62 |
$314.60
|
|
Application multi layer compression below knee (both sides)
|
$65.94 |
$65.94 |
$65.94 |
$360.00
|
|
Application of cylinder cast 29365
|
$31.71 |
$31.71 |
$31.71 |
$384.59
|
|
Application of forearm cast 29075
|
$30.87 |
$30.87 |
$30.87 |
$331.13
|
|
Application of long arm cast 29065
|
$30.87 |
$30.87 |
$30.87 |
$395.00
|
|
Application of long leg cast
|
$35.77 |
$35.77 |
$35.77 |
$406.75
|
|
Application of long leg cast 29345
|
$34.37 |
$34.37 |
$34.37 |
$429.00
|
|
Application of paste boot 29580
|
$47.46 |
$47.46 |
$47.46 |
$316.20
|
|
Application short leg cast 29405
|
$30.87 |
$30.87 |
$30.87 |
$372.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$412.65 |
$412.65 |
$412.65 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$358.96 |
$358.96 |
$358.96 |
$2,164.64
|
|
Appl long leg cast brace
|
$41.72 |
$41.72 |
$41.72 |
$420.00
|
|
Appl mltpln uni ext fixj sys
|
$276.01 |
$276.01 |
$276.01 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$9.87 |
$9.87 |
$9.87 |
$66.00
|
|
Appl multlay comprs arm/hand
|
$3.78 |
$3.78 |
$3.78 |
$275.00
|
|
Appl patllr tdn bearing cast
|
$21.14 |
$21.14 |
$21.14 |
$384.59
|
|
Appl unipln uni ext fixj sys
|
$144.97 |
$144.97 |
$144.97 |
$5,754.10
|
|
Apply forearm splintdynamic 29126
|
$37.87 |
$37.87 |
$37.87 |
$240.72
|
|
Apply hand/wrist cast 29085
|
$24.85 |
$24.85 |
$24.85 |
$258.00
|
|
Apply of finger splint 29131
|
$13.93 |
$13.93 |
$13.93 |
$164.50
|
|
Apply rem fixation device
|
$54.95 |
$54.95 |
$54.95 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$100.03 |
$100.03 |
$100.03 |
$535.00
|
|
Apply r&l pulm art bands
|
$371.77 |
$371.77 |
$371.77 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$19.32 |
$19.32 |
$19.32 |
$374.40
|
|
App topical fluoride varnish
|
$3.08 |
$3.08 |
$3.08 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$7.98 |
$7.98 |
$7.98 |
$1,021.53
|
|
Aquaporin-4 antibody cba each
|
$21.00 |
$21.00 |
$21.00 |
$132.91
|
|
Aquaporin-4 antibody elisa
|
$0.81 |
$0.81 |
$0.81 |
$148.85
|
|
Aquatic exercise - group charge
|
$25.27 |
$25.27 |
$25.27 |
$86.40
|
|
Art byp aor celiac msn and renal 35631
|
$408.87 |
$408.87 |
$408.87 |
$5,701.80
|
|
Art byp aortofemoral 35647
|
$340.41 |
$340.41 |
$340.41 |
$2,358.00
|
