|
Angio trnslmnl balloon same artery ini
|
$302.13 |
$302.13 |
$302.13 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$260.82 |
$260.82 |
$260.82 |
$8,466.00
|
|
Ankle arthroscopy/surgery
|
$640.17 |
$640.17 |
$640.17 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$479.52 |
$479.52 |
$479.52 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$436.32 |
$436.32 |
$436.32 |
$3,797.90
|
|
Ankle arthroscopy/surgery
|
$466.83 |
$466.83 |
$466.83 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$530.28 |
$530.28 |
$530.28 |
$3,839.54
|
|
Ankle X-ray
|
$324.00 |
$324.00 |
$324.00 |
$351.45
|
|
Anl sp inf pmp w/mdreprg&fil
|
$88.02 |
$88.02 |
$88.02 |
$627.94
|
|
Annual alcohol screen 15 min
|
$12.15 |
$12.15 |
$12.15 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$61.83 |
$61.83 |
$61.83 |
$147.60
|
|
Annual Physical, Established Patient (age 40-64)
|
$70.20 |
$70.20 |
$70.20 |
$160.14
|
|
Annual Physical, New Patient (age 18-39)
|
$69.39 |
$69.39 |
$69.39 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$85.32 |
$85.32 |
$85.32 |
$167.25
|
|
Anodyne therapy charges pt
|
$5.40 |
$5.40 |
$5.40 |
$42.00
|
|
Anora (draw only)
|
$9.18 |
$9.18 |
$9.18 |
$33.00
|
|
Anoscopy
|
$74.25 |
$74.25 |
$74.25 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$83.70 |
$83.70 |
$83.70 |
$3,245.23
|
|
Anoscopy and biopsy
|
$265.95 |
$265.95 |
$265.95 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$606.69 |
$606.69 |
$606.69 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$76.95 |
$76.95 |
$76.95 |
$1,443.20
|
|
Anoscopy remove lesion 46610
|
$73.98 |
$73.98 |
$73.98 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$86.67 |
$86.67 |
$86.67 |
$3,816.64
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$568.35 |
$568.35 |
$568.35 |
$5,463.96
|
|
Antibody bacterium, not elsewhere specified
|
$36.78 |
$36.78 |
$36.78 |
$57.81
|
|
Antibody elution rbc reference
|
$75.11 |
$75.11 |
$75.11 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$4.64 |
$4.64 |
$4.64 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$56.70 |
$56.70 |
$56.70 |
$216.60
|
|
Antibody id rbc panel
|
$98.28 |
$98.28 |
$98.28 |
$274.83
|
|
Antibody influenza virus
|
$14.58 |
$14.58 |
$14.58 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$3.09 |
$3.09 |
$3.09 |
$48.57
|
|
Antibody screen rbc
|
$38.34 |
$38.34 |
$38.34 |
$100.00
|
|
Anticoag mgmt pt warfarin
|
$7.56 |
$7.56 |
$7.56 |
$26.40
|
|
Antidepressant not specified
|
$17.55 |
$17.55 |
$17.55 |
$62.79
|
|
Antidepressants class 6/more
|
$1.35 |
$1.35 |
$1.35 |
$29.21
|
|
Antiepileptics nos 7/more
|
$1.08 |
$1.08 |
$1.08 |
$16.24
|
|
Antigen therapy services
|
$24.84 |
$24.84 |
$24.84 |
$73.84
|
|
Antigen therapy services
|
$45.90 |
$45.90 |
$45.90 |
$83.72
|
|
Antigen therapy services
|
$65.61 |
$65.61 |
$65.61 |
$96.72
|
|
Antigen therapy services
|
$9.99 |
$9.99 |
$9.99 |
$70.07
|
|
Antigen therapy services
|
$7.29 |
$7.29 |
$7.29 |
$64.39
|
|
Anti mog serum - sendout
|
$47.25 |
$47.25 |
$47.25 |
$159.03
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$3.25 |
$3.25 |
$3.25 |
$40.00
|
|
Ant instr 2-3 vert segm 22845
|
$637.20 |
$637.20 |
$637.20 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$663.12 |
$663.12 |
$663.12 |
$1,430.40
|
|
Antinuclear antibodies
|
$16.74 |
$16.74 |
$16.74 |
$89.40
|
|
Antinuclear antibodies titer
|
$40.77 |
$40.77 |
$40.77 |
$74.75
|
|
Antiphosphatidylserine antibody
|
$7.32 |
$7.32 |
$7.32 |
$60.00
|
|
Antipsychotics nos 1-3
|
$46.17 |
$46.17 |
$46.17 |
$142.42
|
|
Antipsychotics nos 7/more
|
$1.08 |
$1.08 |
$1.08 |
$16.24
|
|
Antistreptolysin o titer
|
$18.63 |
$18.63 |
$18.63 |
$51.45
|
|
Antithrombin iii activity
|
$3.36 |
$3.36 |
$3.36 |
$114.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$800.01 |
$800.01 |
$800.01 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$171.72 |
$171.72 |
$171.72 |
$992.40
|
|
Aortic dysfunction/dilation
|
$460.08 |
$460.08 |
$460.08 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$57.67 |
$57.67 |
$57.67 |
$400.00
|
|
Apc gene full sequence
|
$204.41 |
$204.41 |
$204.41 |
$1,255.02
|
|
Apl(pml-rara) quant - sendout
|
$55.97 |
$55.97 |
$55.97 |
$465.60
|
|
Appendectomy
|
$581.31 |
$581.31 |
$581.31 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$73.98 |
$73.98 |
$73.98 |
$187.32
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$791.64 |
$791.64 |
$791.64 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$550.53 |
$550.53 |
$550.53 |
$6,904.15
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$201.69 |
$201.69 |
$201.69 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$49.95 |
$49.95 |
$49.95 |
$843.84
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$22.41 |
$22.41 |
$22.41 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$174.69 |
$174.69 |
$174.69 |
$3,271.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$39.15 |
$39.15 |
$39.15 |
$1,083.94
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$22.95 |
$22.95 |
$22.95 |
$498.81
|
|
Appl body cast sho to hips
|
$264.06 |
$264.06 |
$264.06 |
$509.60
|
|
Appl cast figure-of-eight
|
$191.43 |
$191.43 |
$191.43 |
$314.28
|
|
Appl cast plaster velpeau
|
$191.43 |
$191.43 |
$191.43 |
$314.28
|
|
Appl cast shoulder spica
|
$191.43 |
$191.43 |
$191.43 |
$519.69
|
|
Application clubfoot cast
|
$138.78 |
$138.78 |
$138.78 |
$297.33
|
|
Application finger splntstatic 29130
|
$67.50 |
$67.50 |
$67.50 |
$208.16
|
|
Application long leg splint 29505
|
$90.72 |
$90.72 |
$90.72 |
$338.25
|
|
Application lower leg splint 29515
|
$71.82 |
$71.82 |
$71.82 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$134.73 |
$134.73 |
$134.73 |
$370.92
|
|
Application of cylinder cast 29365
|
$122.31 |
$122.31 |
$122.31 |
$421.50
|
|
Application of forearm cast 29075
|
$158.49 |
$158.49 |
$158.49 |
$339.30
|
|
Application of long arm cast 29065
|
$96.12 |
$96.12 |
$96.12 |
$395.00
|
|
Application of long leg cast
|
$137.97 |
$137.97 |
$137.97 |
$426.00
|
|
Application of long leg cast 29345
|
$132.57 |
$132.57 |
$132.57 |
$455.00
|
|
Application of paste boot 29580
|
$91.26 |
$91.26 |
$91.26 |
$331.74
|
|
Application short leg cast 29405
|
$79.38 |
$79.38 |
$79.38 |
$384.78
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$86.13 |
$86.13 |
$86.13 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$146.34 |
$146.34 |
$146.34 |
$2,164.64
|
|
Appl long leg cast brace
|
$160.92 |
$160.92 |
$160.92 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$1,064.61 |
$1,064.61 |
$1,064.61 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$49.41 |
$49.41 |
$49.41 |
$66.50
|
|
Appl multlay comprs arm/hand
|
$14.58 |
$14.58 |
$14.58 |
$284.05
|
|
Appl patllr tdn bearing cast
|
$81.54 |
$81.54 |
$81.54 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$559.17 |
$559.17 |
$559.17 |
$5,855.00
|
|
Apply finger cast 29086
|
$111.24 |
$111.24 |
$111.24 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$104.49 |
$104.49 |
$104.49 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$111.24 |
$111.24 |
$111.24 |
$264.75
|
|
Apply of finger splint 29131
|
$57.24 |
$57.24 |
$57.24 |
$170.95
|
|
Apply rem fixation device
|
$211.95 |
$211.95 |
$211.95 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$122.85 |
$122.85 |
$122.85 |
$555.00
|
|
Apply r&l pulm art bands
|
$1,433.97 |
$1,433.97 |
$1,433.97 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$74.52 |
$74.52 |
$74.52 |
$384.59
|
