|
Anoscopy and biopsy
|
$131.21 |
$131.21 |
$131.21 |
$1,380.00
|
|
Anoscopy and dilation 46604
|
$107.90 |
$107.90 |
$107.90 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$111.89 |
$111.89 |
$111.89 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$148.52 |
$148.52 |
$148.52 |
$1,313.97
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$1,202.80 |
$1,202.80 |
$1,202.80 |
$4,934.17
|
|
Antibody elution rbc reference
|
$235.77 |
$235.77 |
$235.77 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$46.56 |
$46.56 |
$46.56 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$111.23 |
$111.23 |
$111.23 |
$218.30
|
|
Antibody id rbc panel
|
$273.06 |
$273.06 |
$273.06 |
$291.75
|
|
Antibody influenza virus
|
$129.87 |
$129.87 |
$129.87 |
$53.95
|
|
Antibody screen rbc
|
$111.89 |
$111.89 |
$111.89 |
$105.00
|
|
Anti mog serum - sendout
|
$96.57 |
$96.57 |
$96.57 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$11.22 |
$11.22 |
$11.22 |
$50.88
|
|
Antinuclear antibodies
|
$11.99 |
$11.99 |
$11.99 |
$91.70
|
|
Antinuclear antibodies titer
|
$24.71 |
$24.71 |
$24.71 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$26.64 |
$26.64 |
$26.64 |
$74.20
|
|
Antistreptolysin o screen
|
$57.28 |
$57.28 |
$57.28 |
$59.40
|
|
Antistreptolysin o titer
|
$71.27 |
$71.27 |
$71.27 |
$57.85
|
|
Antithrombin iii activity
|
$10.54 |
$10.54 |
$10.54 |
$106.85
|
|
Aortic dysfunction/dilation
|
$746.76 |
$746.76 |
$746.76 |
$653.18
|
|
Aortic dysfunction/dilation
|
$746.76 |
$746.76 |
$746.76 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$208.13 |
$208.13 |
$208.13 |
$400.00
|
|
Apc gene full sequence
|
$208.13 |
$208.13 |
$208.13 |
$1,076.40
|
|
Appendectomy
|
$1,130.21 |
$1,130.21 |
$1,130.21 |
$4,881.00
|
|
Appendectomy add-on 44955
|
$147.86 |
$147.86 |
$147.86 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,562.44 |
$1,562.44 |
$1,562.44 |
$2,149.60
|
|
Appendix Removal (Laparoscopic)
|
$1,056.28 |
$1,056.28 |
$1,056.28 |
$6,376.26
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$47.96 |
$47.96 |
$47.96 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$32.64 |
$32.64 |
$32.64 |
$508.18
|
|
Application finger splntstatic 29130
|
$87.92 |
$87.92 |
$87.92 |
$226.20
|
|
Application long leg splint 29505
|
$193.81 |
$193.81 |
$193.81 |
$370.00
|
|
Application lower leg splint 29515
|
$129.21 |
$129.21 |
$129.21 |
$365.60
|
|
Application of forearm cast 29075
|
$172.50 |
$172.50 |
$172.50 |
$386.10
|
|
Application of long arm cast 29065
|
$259.74 |
$259.74 |
$259.74 |
$414.20
|
|
Application of long leg cast
|
$315.02 |
$315.02 |
$315.02 |
$406.75
|
|
Application of paste boot 29580
|
$70.60 |
$70.60 |
$70.60 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$183.15 |
$183.15 |
$183.15 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$152.52 |
$152.52 |
$152.52 |
$2,164.64
|
|
Appl mltpln uni ext fixj sys
|
$1,471.86 |
$1,471.86 |
$1,471.86 |
$4,881.00
|
|
Appl unipln uni ext fixj sys
|
$875.13 |
$875.13 |
$875.13 |
$5,754.10
|
|
Apply finger cast 29086
|
$93.24 |
$93.24 |
$93.24 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$201.80 |
$201.80 |
$201.80 |
$263.20
|
|
Apply hand/wrist cast 29085
|
$146.52 |
$146.52 |
$146.52 |
$275.80
|
|
Apply of finger splint 29131
|
$101.90 |
$101.90 |
$101.90 |
$177.45
|
|
Aquaporin-4 antibody cba each
|
$66.60 |
$66.60 |
$66.60 |
$114.60
|
|
Arterial blood draw/perc 36620
|
$153.85 |
$153.85 |
$153.85 |
$500.82
|
|
Arthrd wrist complete wo grf
|
$1,435.23 |
$1,435.23 |
$1,435.23 |
$7,807.24
|
|
Arthrd wrst iliac/oth agrft
|
$1,910.76 |
$1,910.76 |
$1,910.76 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$861.14 |
$861.14 |
$861.14 |
$588.53
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$536.13 |
$536.13 |
$536.13 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$808.53 |
$808.53 |
$808.53 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,094.24 |
$1,094.24 |
$1,094.24 |
$715.37
|
|
Arthroplasty finger joint 26535
|
$908.43 |
$908.43 |
$908.43 |
$4,160.64
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$3,839.54
|
|
Arthrotomy carpometacarpal joint 26070
|
$534.80 |
$534.80 |
$534.80 |
$1,893.86
|
|
Arthrt elbw jt expl bx rmvl
|
$870.47 |
$870.47 |
$870.47 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$304.37 |
$304.37 |
$304.37 |
$1,742.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$275.73 |
$275.73 |
$275.73 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$68.60 |
$68.60 |
$68.60 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$2,108.56 |
$2,108.56 |
$2,108.56 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,619.05 |
$1,619.05 |
$1,619.05 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$1,166.17 |
$1,166.17 |
$1,166.17 |
$850.78
|
|
Assay acid phosphatase
|
$282.39 |
$282.39 |
$282.39 |
$38.22
|
|
Assay dir meas fr estradiol
|
$81.92 |
$81.92 |
$81.92 |
$75.11
|
|
Assay of interleukin-6 (il-6)
|
$43.29 |
$43.29 |
$43.29 |
$77.35
|
|
Assay of osteocalcin
|
$24.65 |
$24.65 |
$24.65 |
$93.60
|
|
Assay of procainamide w/metab
|
$27.90 |
$27.90 |
$27.90 |
$63.07
|
|
Assay of prostaglandin
|
$216.45 |
$216.45 |
$216.45 |
$220.00
|
|
Assay of PSA complexed
|
$64.62 |
$64.62 |
$64.62 |
$64.28
|
|
Assay of tyrosine
|
$27.40 |
$27.40 |
$27.40 |
$56.10
|
|
Assay toxin or antitoxin
|
$61.68 |
$61.68 |
$61.68 |
$77.55
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$103.23 |
$103.23 |
$103.23 |
$47.25
|
|
Ast/sgot
|
$57.95 |
$57.95 |
$57.95 |
$46.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$60.24 |
$60.24 |
$60.24 |
$43.85
|
|
Avul nail plate addl
|
$67.94 |
$67.94 |
$67.94 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$71.93 |
$71.93 |
$71.93 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$4.71 |
$4.71 |
$4.71 |
$5.61
|
|
Bacterial meningitis antigen
|
$45.07 |
$45.07 |
$45.07 |
$66.76
|
|
Bactericidal level serum
|
$25.01 |
$25.01 |
$25.01 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$183.15 |
$183.15 |
$183.15 |
$109.20
|
|
Bartholin gland cyst/marsupializat 56440
|
$318.35 |
$318.35 |
$318.35 |
$3,762.53
|
|
B cells total count
|
$12.63 |
$12.63 |
$12.63 |
$128.13
|
|
Behavior counsel obesity 15min medicare g0447
|
$87.92 |
$87.92 |
$87.92 |
$102.47
|
|
Benign lesion paring 2-4
|
$65.27 |
$65.27 |
$65.27 |
$280.20
|
|
Benign lesion paring 4+
|
$95.91 |
$95.91 |
$95.91 |
$307.50
|
|
Beta 2 glycoprotein 1 antibody iga
|
$75.26 |
$75.26 |
$75.26 |
$92.82
|
|
Beta-2 microglobulin
|
$26.94 |
$26.94 |
$26.94 |
$86.40
|
|
Bilateral n block inj occipital 64405
|
$91.25 |
$91.25 |
$91.25 |
$825.60
|
|
Bilirubin direct
|
$56.61 |
$56.61 |
$56.61 |
$49.31
|
|
Bilirubin total
|
$49.95 |
$49.95 |
$49.95 |
$51.50
|
|
Binder abdominal lg 12 x 62-74
|
$59.94 |
$59.94 |
$59.94 |
$31.07
|
|
Biopsy abdominal mass
|
$2,021.31 |
$2,021.31 |
$2,021.31 |
$1,917.33
|
|
Biopsy arm/elbow soft tissue
|
$730.61 |
$730.61 |
$730.61 |
$3,386.84
|
|
Biopsy, bone open deep
|
$596.74 |
$596.74 |
$596.74 |
$3,491.15
|
|
Biopsy cervixsingle/multiple 57500
|
$133.87 |
$133.87 |
$133.87 |
$1,268.54
|
|
Biopsy external ear 69100
|
$77.26 |
$77.26 |
$77.26 |
$416.52
|
|
Biopsy forearm soft tissues
|
$648.69 |
$648.69 |
$648.69 |
$3,310.73
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$173.83 |
$173.83 |
$173.83 |
$3,211.00
|
|
Biopsy lower leg soft tissue
|
$285.05 |
$285.05 |
$285.05 |
$1,917.33
|
|
Biopsy lower leg soft tissue 27610
|
$1,295.37 |
$1,295.37 |
$1,295.37 |
$3,839.54
|
