|
Ankle arthroscopy/surgery
|
$373.16 |
$373.16 |
$373.16 |
$3,839.54
|
|
Ankle X-ray
|
$197.79 |
$197.79 |
$197.79 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$61.94 |
$61.94 |
$61.94 |
$627.94
|
|
Annual alcohol screen 15 min
|
$8.55 |
$8.55 |
$8.55 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$43.51 |
$43.51 |
$43.51 |
$148.20
|
|
Annual Physical, Established Patient (age 40-64)
|
$49.40 |
$49.40 |
$49.40 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$48.83 |
$48.83 |
$48.83 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$60.04 |
$60.04 |
$60.04 |
$167.25
|
|
Anora (draw only)
|
$9.50 |
$9.50 |
$9.50 |
$33.83
|
|
Anoscopy
|
$52.25 |
$52.25 |
$52.25 |
$1,078.88
|
|
Anoscopy ablation lesion 46615
|
$58.90 |
$58.90 |
$58.90 |
$3,229.60
|
|
Anoscopy and biopsy
|
$187.15 |
$187.15 |
$187.15 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$426.93 |
$426.93 |
$426.93 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$54.15 |
$54.15 |
$54.15 |
$1,409.10
|
|
Anoscopy remove lesion 46610
|
$52.06 |
$52.06 |
$52.06 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$60.99 |
$60.99 |
$60.99 |
$3,245.23
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$399.95 |
$399.95 |
$399.95 |
$5,394.95
|
|
Antibody bacterium, not elsewhere specified
|
$43.13 |
$43.13 |
$43.13 |
$57.85
|
|
Antibody elution rbc reference
|
$45.60 |
$45.60 |
$45.60 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$3.27 |
$3.27 |
$3.27 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$39.90 |
$39.90 |
$39.90 |
$218.30
|
|
Antibody id rbc panel
|
$73.53 |
$73.53 |
$73.53 |
$271.70
|
|
Antibody influenza virus
|
$10.26 |
$10.26 |
$10.26 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$2.17 |
$2.17 |
$2.17 |
$48.57
|
|
Antibody screen rbc
|
$40.85 |
$40.85 |
$40.85 |
$100.00
|
|
Anticoag mgmt pt warfarin
|
$5.32 |
$5.32 |
$5.32 |
$26.40
|
|
Antidepressant not specified
|
$12.35 |
$12.35 |
$12.35 |
$67.41
|
|
Antidepressants class 6/more
|
$0.95 |
$0.95 |
$0.95 |
$29.68
|
|
Antiepileptics nos 7/more
|
$0.76 |
$0.76 |
$0.76 |
$16.24
|
|
Antigen therapy services
|
$17.48 |
$17.48 |
$17.48 |
$69.43
|
|
Antigen therapy services
|
$32.30 |
$32.30 |
$32.30 |
$83.72
|
|
Antigen therapy services
|
$46.17 |
$46.17 |
$46.17 |
$96.72
|
|
Antigen therapy services
|
$7.03 |
$7.03 |
$7.03 |
$64.39
|
|
Antigen therapy services
|
$5.13 |
$5.13 |
$5.13 |
$54.60
|
|
Anti mog serum - sendout
|
$33.25 |
$33.25 |
$33.25 |
$161.40
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$2.29 |
$2.29 |
$2.29 |
$38.00
|
|
Ant instr 2-3 vert segm 22845
|
$448.40 |
$448.40 |
$448.40 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$466.64 |
$466.64 |
$466.64 |
$1,430.40
|
|
Antinuclear antibodies
|
$55.10 |
$55.10 |
$55.10 |
$91.44
|
|
Antinuclear antibodies titer
|
$55.10 |
$55.10 |
$55.10 |
$74.75
|
|
Antiphosphatidylserine antibody
|
$5.15 |
$5.15 |
$5.15 |
$58.24
|
|
Antipsychotics nos 1-3
|
$32.49 |
$32.49 |
$32.49 |
$153.45
|
|
Antipsychotics nos 7/more
|
$0.76 |
$0.76 |
$0.76 |
$16.24
|
|
Antistreptolysin o titer
|
$38.95 |
$38.95 |
$38.95 |
$51.45
|
|
Antithrombin iii activity
|
$2.36 |
$2.36 |
$2.36 |
$114.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$562.97 |
$562.97 |
$562.97 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$120.84 |
$120.84 |
$120.84 |
$992.40
|
|
Aortic dysfunction/dilation
|
$323.76 |
$323.76 |
$323.76 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$40.58 |
$40.58 |
$40.58 |
$400.00
|
|
Apc gene full sequence
|
$143.85 |
$143.85 |
$143.85 |
$1,109.71
|
|
Apheresis plasma
|
$1,168.31 |
$1,168.31 |
$1,168.31 |
$3,188.50
|
|
Apheresis platelets
|
$1,035.69 |
$1,035.69 |
$1,035.69 |
$2,115.55
|
|
Apheresis rbc
|
$1,398.21 |
$1,398.21 |
$1,398.21 |
$3,146.15
|
|
Apheresis wbc
|
$1,035.69 |
$1,035.69 |
$1,035.69 |
$2,961.82
|
|
Apl(pml-rara) quant - sendout
|
$39.39 |
$39.39 |
$39.39 |
$465.60
|
|
Appendectomy
|
$409.07 |
$409.07 |
$409.07 |
$4,933.00
|
|
Appendectomy add-on 44955
|
$52.06 |
$52.06 |
$52.06 |
$159.60
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$557.08 |
$557.08 |
$557.08 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$387.41 |
$387.41 |
$387.41 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,104.09 |
$1,104.09 |
$1,104.09 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$35.15 |
$35.15 |
$35.15 |
$831.35
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$15.77 |
$15.77 |
$15.77 |
$464.86
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,209.51 |
$2,209.51 |
$2,209.51 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$240.16 |
$240.16 |
$240.16 |
$1,078.65
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$113.43 |
$113.43 |
$113.43 |
$498.81
|
|
Appl body cast sho to hips
|
$185.82 |
$185.82 |
$185.82 |
$468.00
|
|
Appl cast figure-of-eight
|
$69.92 |
$69.92 |
$69.92 |
$314.28
|
|
Application clubfoot cast
|
$97.66 |
$97.66 |
$97.66 |
$283.92
|
|
Application finger splntstatic 29130
|
$76.76 |
$76.76 |
$76.76 |
$203.40
|
|
Application long leg splint 29505
|
$63.84 |
$63.84 |
$63.84 |
$338.25
|
|
Application lower leg splint 29515
|
$50.54 |
$50.54 |
$50.54 |
$325.34
|
|
Application multi layer compression below knee (both sides)
|
$179.93 |
$179.93 |
$179.93 |
$365.70
|
|
Application of cylinder cast 29365
|
$86.07 |
$86.07 |
$86.07 |
$384.59
|
|
Application of forearm cast 29075
|
$61.56 |
$61.56 |
$61.56 |
$331.13
|
|
Application of long arm cast 29065
|
$67.64 |
$67.64 |
$67.64 |
$395.00
|
|
Application of long leg cast
|
$97.09 |
$97.09 |
$97.09 |
$406.75
|
|
Application of long leg cast 29345
|
$93.29 |
$93.29 |
$93.29 |
$434.89
|
|
Application of paste boot 29580
|
$179.93 |
$179.93 |
$179.93 |
$323.25
|
|
Application short leg cast 29405
|
$55.86 |
$55.86 |
$55.86 |
$378.60
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$557.46 |
$557.46 |
$557.46 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$557.46 |
$557.46 |
$557.46 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$42.56 |
$42.56 |
$42.56 |
$843.00
|
|
Appl long leg cast brace
|
$113.24 |
$113.24 |
$113.24 |
$420.00
|
|
Appl mltpln uni ext fixj sys
|
$749.17 |
$749.17 |
$749.17 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.06 |
$33.06 |
$33.06 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$28.12 |
$28.12 |
$28.12 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$10.26 |
$10.26 |
$10.26 |
$275.00
|
|
Appl patllr tdn bearing cast
|
$57.38 |
$57.38 |
$57.38 |
$384.59
|
|
Appl unipln uni ext fixj sys
|
$393.49 |
$393.49 |
$393.49 |
$5,754.10
|
|
Apply forearm splintdynamic 29126
|
$93.10 |
$93.10 |
$93.10 |
$243.60
|
|
Apply hand/wrist cast 29085
|
$67.45 |
$67.45 |
$67.45 |
$258.00
|
|
Apply interstit radiat compl
|
$1,290.86 |
$1,290.86 |
$1,290.86 |
$2,901.80
|
|
Apply of finger splint 29131
|
$37.81 |
$37.81 |
$37.81 |
$167.10
|
|
Apply rem fixation device
|
$149.15 |
$149.15 |
$149.15 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$350.36 |
$350.36 |
$350.36 |
$535.00
|
|
Apply r&l pulm art bands
|
$1,009.09 |
$1,009.09 |
$1,009.09 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$52.44 |
$52.44 |
$52.44 |
$374.40
|
|
App topical fluoride varnish
|
$8.36 |
$8.36 |
$8.36 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$21.66 |
$21.66 |
$21.66 |
$1,021.53
|
|
Aquaporin-4 antibody cba each
|
$57.00 |
$57.00 |
$57.00 |
$137.50
|