|
Annual Physical, New Patient (age 40-64)
|
$94.80 |
$94.80 |
$94.80 |
$167.25
|
|
Anora (draw only)
|
$23.40 |
$23.40 |
$23.40 |
$33.58
|
|
Anoscopy
|
$82.50 |
$82.50 |
$82.50 |
$1,078.88
|
|
Anoscopy ablation lesion 46615
|
$93.00 |
$93.00 |
$93.00 |
$3,229.60
|
|
Anoscopy and biopsy
|
$423.60 |
$423.60 |
$423.60 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$674.10 |
$674.10 |
$674.10 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$85.50 |
$85.50 |
$85.50 |
$1,409.10
|
|
Anoscopy remove lesion 46610
|
$82.20 |
$82.20 |
$82.20 |
$3,723.75
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$96.30 |
$96.30 |
$96.30 |
$3,245.23
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$631.50 |
$631.50 |
$631.50 |
$5,394.95
|
|
Antibody bacterium, not elsewhere specified
|
$21.09 |
$21.09 |
$21.09 |
$57.81
|
|
Antibody elution rbc reference
|
$85.13 |
$85.13 |
$85.13 |
$174.34
|
|
Antibody htlv/hiv confirm test
|
$5.16 |
$5.16 |
$5.16 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$63.00 |
$63.00 |
$63.00 |
$219.30
|
|
Antibody id rbc panel
|
$127.20 |
$127.20 |
$127.20 |
$265.05
|
|
Antibody influenza virus
|
$16.20 |
$16.20 |
$16.20 |
$53.90
|
|
Antibody lymphocytic choriomeningitis
|
$3.43 |
$3.43 |
$3.43 |
$48.57
|
|
Antibody screen rbc
|
$73.80 |
$73.80 |
$73.80 |
$100.00
|
|
Anticoag mgmt pt warfarin
|
$8.40 |
$8.40 |
$8.40 |
$26.40
|
|
Antidepressant not specified
|
$19.50 |
$19.50 |
$19.50 |
$67.41
|
|
Antidepressants class 6/more
|
$1.50 |
$1.50 |
$1.50 |
$29.68
|
|
Antiepileptics nos 7/more
|
$1.20 |
$1.20 |
$1.20 |
$16.24
|
|
Antigen therapy services
|
$27.60 |
$27.60 |
$27.60 |
$69.43
|
|
Antigen therapy services
|
$51.00 |
$51.00 |
$51.00 |
$83.72
|
|
Antigen therapy services
|
$72.90 |
$72.90 |
$72.90 |
$96.72
|
|
Antigen therapy services
|
$11.10 |
$11.10 |
$11.10 |
$64.39
|
|
Antigen therapy services
|
$8.10 |
$8.10 |
$8.10 |
$54.60
|
|
Anti mog serum - sendout
|
$52.50 |
$52.50 |
$52.50 |
$153.17
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$3.62 |
$3.62 |
$3.62 |
$36.80
|
|
Ant instr 2-3 vert segm 22845
|
$708.00 |
$708.00 |
$708.00 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$736.80 |
$736.80 |
$736.80 |
$1,430.40
|
|
Antinuclear antibodies
|
$24.30 |
$24.30 |
$24.30 |
$90.00
|
|
Antinuclear antibodies titer
|
$45.30 |
$45.30 |
$45.30 |
$73.71
|
|
Antiphosphatidylserine antibody
|
$8.14 |
$8.14 |
$8.14 |
$60.00
|
|
Antipsychotics nos 1-3
|
$51.30 |
$51.30 |
$51.30 |
$153.00
|
|
Antipsychotics nos 7/more
|
$1.20 |
$1.20 |
$1.20 |
$16.24
|
|
Antistreptolysin o titer
|
$1.95 |
$1.95 |
$1.95 |
$51.45
|
|
Antithrombin iii activity
|
$3.73 |
$3.73 |
$3.73 |
$113.85
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$888.90 |
$888.90 |
$888.90 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$190.80 |
$190.80 |
$190.80 |
$991.87
|
|
Aortic dysfunction/dilation
|
$511.20 |
$511.20 |
$511.20 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$34.80 |
$34.80 |
$34.80 |
$400.00
|
|
Apc gene full sequence
|
$135.90 |
$135.90 |
$135.90 |
$1,102.34
|
|
Apl(pml-rara) quant - sendout
|
$62.19 |
$62.19 |
$62.19 |
$458.85
|
|
Appendectomy
|
$645.90 |
$645.90 |
$645.90 |
$4,933.00
|
|
Appendectomy add-on 44955
|
$82.20 |
$82.20 |
$82.20 |
$159.60
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$879.60 |
$879.60 |
$879.60 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$611.70 |
$611.70 |
$611.70 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$224.10 |
$224.10 |
$224.10 |
$2,105.40
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$55.50 |
$55.50 |
$55.50 |
$831.35
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$24.90 |
$24.90 |
$24.90 |
$494.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$194.10 |
$194.10 |
$194.10 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$43.50 |
$43.50 |
$43.50 |
$1,083.94
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$25.50 |
$25.50 |
$25.50 |
$498.81
|
|
Appl body cast sho to hips
|
$293.40 |
$293.40 |
$293.40 |
$468.00
|
|
Appl cast figure-of-eight
|
$110.40 |
$110.40 |
$110.40 |
$314.28
|
|
Application clubfoot cast
|
$154.20 |
$154.20 |
$154.20 |
$283.92
|
|
Application finger splntstatic 29130
|
$88.50 |
$88.50 |
$88.50 |
$203.40
|
|
Application long leg splint 29505
|
$146.10 |
$146.10 |
$146.10 |
$334.20
|
|
Application lower leg splint 29515
|
$117.30 |
$117.30 |
$117.30 |
$314.60
|
|
Application multi layer compression below knee (both sides)
|
$135.60 |
$135.60 |
$135.60 |
$360.00
|
|
Application of cylinder cast 29365
|
$135.90 |
$135.90 |
$135.90 |
$384.59
|
|
Application of forearm cast 29075
|
$121.20 |
$121.20 |
$121.20 |
$331.13
|
|
Application of long arm cast 29065
|
$122.40 |
$122.40 |
$122.40 |
$395.00
|
|
Application of long leg cast
|
$153.30 |
$153.30 |
$153.30 |
$406.75
|
|
Application of long leg cast 29345
|
$170.10 |
$170.10 |
$170.10 |
$429.00
|
|
Application of paste boot 29580
|
$203.10 |
$203.10 |
$203.10 |
$316.20
|
|
Application short leg cast 29405
|
$101.10 |
$101.10 |
$101.10 |
$372.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$95.70 |
$95.70 |
$95.70 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$162.60 |
$162.60 |
$162.60 |
$2,164.64
|
|
Appl long leg cast brace
|
$178.80 |
$178.80 |
$178.80 |
$420.00
|
|
Appl mltpln uni ext fixj sys
|
$1,182.90 |
$1,182.90 |
$1,182.90 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$73.50 |
$73.50 |
$73.50 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$55.20 |
$55.20 |
$55.20 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$16.20 |
$16.20 |
$16.20 |
$275.00
|
|
Appl patllr tdn bearing cast
|
$90.60 |
$90.60 |
$90.60 |
$384.59
|
|
Appl unipln uni ext fixj sys
|
$621.30 |
$621.30 |
$621.30 |
$5,754.10
|
|
Apply forearm splintdynamic 29126
|
$145.80 |
$145.80 |
$145.80 |
$240.72
|
|
Apply hand/wrist cast 29085
|
$121.80 |
$121.80 |
$121.80 |
$258.00
|
|
Apply of finger splint 29131
|
$59.70 |
$59.70 |
$59.70 |
$164.50
|
|
Apply rem fixation device
|
$235.50 |
$235.50 |
$235.50 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$342.90 |
$342.90 |
$342.90 |
$535.00
|
|
Apply r&l pulm art bands
|
$1,593.30 |
$1,593.30 |
$1,593.30 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$111.60 |
$111.60 |
$111.60 |
$374.40
|
|
App mltpln uni xtrnl fix xch
|
$2,512.20 |
$2,512.20 |
$2,512.20 |
$2,545.26
|
|
App topical fluoride varnish
|
$13.20 |
$13.20 |
$13.20 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$34.20 |
$34.20 |
$34.20 |
$1,021.53
|
|
Aquaporin-4 antibody cba each
|
$3.62 |
$3.62 |
$3.62 |
$132.91
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$43.50 |
$43.50 |
$43.50 |
$98.90
|
|
Aquatic exercise - group charge
|
$72.60 |
$72.60 |
$72.60 |
$86.40
|
|
Art byp aor celiac msn and renal 35631
|
$1,752.30 |
$1,752.30 |
$1,752.30 |
$5,701.80
|
|
Art byp aortofemoral 35647
|
$1,458.90 |
$1,458.90 |
$1,458.90 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$1,660.50 |
$1,660.50 |
$1,660.50 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$1,041.30 |
$1,041.30 |
$1,041.30 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$1,118.70 |
$1,118.70 |
$1,118.70 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$1,338.90 |
$1,338.90 |
$1,338.90 |
$1,958.50
|
