|
Amputation follow-up surgery
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$2,934.40
|
|
Amputation follow-up surgery
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Amputation follow-up surgery
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$3,839.54
|
|
Amputation follow-up surgery
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$3,839.54
|
|
Amputation of foot at ankle
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,332.05
|
|
Amputation thru metatarsal
|
$9,755.20 |
$9,755.20 |
$9,755.20 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$5,381.60 |
$5,381.60 |
$5,381.60 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$8,388.80 |
$8,388.80 |
$8,388.80 |
$3,814.50
|
|
Amylase
|
$148.96 |
$148.96 |
$148.96 |
$85.65
|
|
Anabolic steroid 1 or 2
|
$80.08 |
$80.08 |
$80.08 |
$80.08
|
|
Anabolic steroid 3 or more
|
$16.24 |
$16.24 |
$16.24 |
$27.20
|
|
Ana ds-dna
|
$33.60 |
$33.60 |
$33.60 |
$58.63
|
|
Analgesics non-opioid 3-5
|
$16.24 |
$16.24 |
$16.24 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$16.24 |
$16.24 |
$16.24 |
$20.80
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$213.92 |
$213.92 |
$213.92 |
$117.01
|
|
Anal/urinary muscle study
|
$649.60 |
$649.60 |
$649.60 |
$411.48
|
|
Anal/urinary muscle study
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$554.40 |
$554.40 |
$554.40 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$119.84 |
$119.84 |
$119.84 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$123.20 |
$123.20 |
$123.20 |
$223.60
|
|
Analysis nerve
|
$672.00 |
$672.00 |
$672.00 |
$274.49
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$431.20 |
$431.20 |
$431.20 |
$123.84
|
|
Analysis tumor
|
$700.00 |
$700.00 |
$700.00 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$526.40 |
$526.40 |
$526.40 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$68.88 |
$68.88 |
$68.88 |
$91.80
|
|
Anastrozole 1 mg
|
$22.40 |
$22.40 |
$22.40 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$28.00 |
$28.00 |
$28.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$10,752.00 |
$10,752.00 |
$10,752.00 |
$2,494.35
|
|
Androstanediol
|
$352.80 |
$352.80 |
$352.80 |
$103.80
|
|
An fluoro guide for cvp
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,680.80 |
$6,680.80 |
$6,680.80 |
$5,341.83
|
|
Angiotensin ii
|
$55.44 |
$55.44 |
$55.44 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$16,671.09 |
$16,671.09 |
$16,671.09 |
$5,315.64
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,189.60 |
$2,189.60 |
$2,189.60 |
$4,976.22
|
|
Angio trnslmnl balloon same artery ini
|
$12,751.20 |
$12,751.20 |
$12,751.20 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$22,607.20 |
$22,607.20 |
$22,607.20 |
$8,707.59
|
|
Anidulafungin injection
|
$336.32 |
$336.32 |
$336.32 |
$312.30
|
|
Ank-foot sys dors-plant flex
|
$20,921.04 |
$20,921.04 |
$20,921.04 |
$20,921.04
|
|
Ankle arthroscopy/surgery
|
$8,943.20 |
$8,943.20 |
$8,943.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$11,037.60 |
$11,037.60 |
$11,037.60 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$7,375.20 |
$7,375.20 |
$7,375.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$8,394.40 |
$8,394.40 |
$8,394.40 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$11,676.00 |
$11,676.00 |
$11,676.00 |
$8,334.74
|
|
Ankle X-ray
|
$604.80 |
$604.80 |
$604.80 |
$356.32
|
|
Ank symes mold sckt sach ft
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$2,996.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$862.40 |
$862.40 |
$862.40 |
$630.96
|
|
Annual alcohol screen 15 min
|
$214.48 |
$214.48 |
$214.48 |
$40.00
|
|
Anodyne therapy charges pt
|
$50.40 |
$50.40 |
$50.40 |
$41.02
|
|
Anogenital exam child w imag
|
$644.00 |
$644.00 |
$644.00 |
$277.99
|
|
Anora (draw only)
|
$26.88 |
$26.88 |
$26.88 |
$35.00
|
|
Anorectal myomectomy
|
$8,909.60 |
$8,909.60 |
$8,909.60 |
$3,816.64
|
|
Anoscopy
|
$3,634.40 |
$3,634.40 |
$3,634.40 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
$3,245.23
|
|
Anoscopy and biopsy
|
$4,905.60 |
$4,905.60 |
$4,905.60 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$4,648.00 |
$4,648.00 |
$4,648.00 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$2,111.46
|
|
Anoscopy remove fb 46608
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$1,500.00
|
|
Anoscopy remove lesion 46610
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$12,090.40 |
$12,090.40 |
$12,090.40 |
$5,741.00
|
|
Anterior asis pad
|
$86.80 |
$86.80 |
$86.80 |
$134.14
|
|
Anterior swing band
|
$322.00 |
$322.00 |
$322.00 |
$476.73
|
|
Anterior thoracic derotation
|
$95.20 |
$95.20 |
$95.20 |
$159.96
|
|
Anterior thoracic extension
|
$313.60 |
$313.60 |
$313.60 |
$365.76
|
|
Anthrax vaccine sc or im
|
$322.00 |
$322.00 |
$322.00 |
$156.80
|
|
Antibody
|
$134.40 |
$134.40 |
$134.40 |
$33.00
|
|
Antibody bacterium, not elsewhere specified
|
$33.60 |
$33.60 |
$33.60 |
$57.85
|
|
Antibody elution rbc reference
|
$347.20 |
$347.20 |
$347.20 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$48.16 |
$48.16 |
$48.16 |
$126.67
|
|
Antibody htlv-i
|
$15.68 |
$15.68 |
$15.68 |
$48.57
|
|
Antibody htlv-ii
|
$24.64 |
$24.64 |
$24.64 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$92.40 |
$92.40 |
$92.40 |
$219.30
|
|
Antibody id rbc panel
|
$733.60 |
$733.60 |
$733.60 |
$277.50
|
|
Antibody influenza virus
|
$33.60 |
$33.60 |
$33.60 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$42.00 |
$42.00 |
$42.00 |
$48.57
|
|
Antibody screen rbc
|
$146.16 |
$146.16 |
$146.16 |
$105.00
|
|
Antibody tetanus
|
$42.00 |
$42.00 |
$42.00 |
$52.20
|
|
Anticoag mgmt pt warfarin
|
$78.40 |
$78.40 |
$78.40 |
$26.40
|
|
Antidepressant not specified
|
$16.24 |
$16.24 |
$16.24 |
$84.36
|
|
Antidepressants class 3-5
|
$16.24 |
$16.24 |
$16.24 |
$72.14
|
|
Antidepressants class 6/more
|
$16.24 |
$16.24 |
$16.24 |
$29.68
|
|
Antidepressant tricyclic 3-5
|
$17.36 |
$17.36 |
$17.36 |
$23.20
|
|
Antiepileptics nos 4-6
|
$16.24 |
$16.24 |
$16.24 |
$12.80
|
|
Antiepileptics nos 7/more
|
$16.24 |
$16.24 |
$16.24 |
$18.85
|
|
Antigen therapy services
|
$165.20 |
$165.20 |
$165.20 |
$73.84
|
|
Antigen therapy services
|
$261.52 |
$261.52 |
$261.52 |
$83.72
|
|
Antigen therapy services
|
$261.52 |
$261.52 |
$261.52 |
$101.40
|
|
Antigen therapy services
|
$250.32 |
$250.32 |
$250.32 |
$99.00
|
|
Antigen therapy services
|
$250.32 |
$250.32 |
$250.32 |
$130.00
|
|
Antigen therapy services
|
$165.20 |
$165.20 |
$165.20 |
$74.00
|
|
Antigen therapy services
|
$201.60 |
$201.60 |
$201.60 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$6.57 |
$6.57 |
$6.57 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$6.04 |
$6.04 |
$6.04 |
$3.67
|
|
Anti-inhibitor
|
$8.97 |
$8.97 |
$8.97 |
$8.33
|
|
Anti mog serum - sendout
|
$29.68 |
$29.68 |
$29.68 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$21.84 |
$21.84 |
$21.84 |
$44.31
|
