|
Amputation toe interphalangeal joint
|
$1,859.36 |
$1,859.36 |
$1,859.36 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$2,656.40 |
$2,656.40 |
$2,656.40 |
$3,839.54
|
|
Amylase
|
$78.43 |
$78.43 |
$78.43 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.54 |
$45.54 |
$45.54 |
$117.01
|
|
Anal pressure record
|
$778.65 |
$778.65 |
$778.65 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$85.54 |
$85.54 |
$85.54 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$95.47 |
$95.47 |
$95.47 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$52.73 |
$52.73 |
$52.73 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$14.69 |
$14.69 |
$14.69 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$556.07 |
$556.07 |
$556.07 |
$2,480.94
|
|
An fluoro guide for cvp
|
$154.53 |
$154.53 |
$154.53 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,939.86 |
$3,939.86 |
$3,939.86 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$8,772.38 |
$8,772.38 |
$8,772.38 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$8,509.54 |
$8,509.54 |
$8,509.54 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,125.81 |
$4,125.81 |
$4,125.81 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,122.96 |
$2,122.96 |
$2,122.96 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,318.55 |
$10,318.55 |
$10,318.55 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,645.61 |
$5,645.61 |
$5,645.61 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$10,597.92 |
$10,597.92 |
$10,597.92 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,366.42 |
$2,366.42 |
$2,366.42 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$7,775.12 |
$7,775.12 |
$7,775.12 |
$8,359.11
|
|
Ankle X-ray
|
$52.45 |
$52.45 |
$52.45 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$46.82 |
$46.82 |
$46.82 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$337.93 |
$337.93 |
$337.93 |
$630.96
|
|
Antibody bacterium, not elsewhere specified
|
$40.85 |
$40.85 |
$40.85 |
$57.85
|
|
Antibody elution rbc reference
|
$91.85 |
$91.85 |
$91.85 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$134.30 |
$134.30 |
$134.30 |
$131.56
|
|
Antibody htlv-i
|
$7.48 |
$7.48 |
$7.48 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$63.81 |
$63.81 |
$63.81 |
$224.00
|
|
Antibody id rbc panel
|
$304.14 |
$304.14 |
$304.14 |
$291.75
|
|
Antibody influenza virus
|
$18.16 |
$18.16 |
$18.16 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$16.55 |
$16.55 |
$16.55 |
$46.58
|
|
Antibody screen rbc
|
$66.83 |
$66.83 |
$66.83 |
$108.55
|
|
Antibody tetanus
|
$16.82 |
$16.82 |
$16.82 |
$54.15
|
|
Antidepressant not specified
|
$16.10 |
$16.10 |
$16.10 |
$72.14
|
|
Antidepressants class 3-5
|
$22.31 |
$22.31 |
$22.31 |
$72.14
|
|
Anti mog serum - sendout
|
$223.48 |
$223.48 |
$223.48 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$14.42 |
$14.42 |
$14.42 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$16.55 |
$16.55 |
$16.55 |
$42.00
|
|
Antinuclear antibodies
|
$15.49 |
$15.49 |
$15.49 |
$90.00
|
|
Antinuclear antibodies titer
|
$30.71 |
$30.71 |
$30.71 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$15.22 |
$15.22 |
$15.22 |
$67.43
|
|
Antistreptolysin o titer
|
$15.22 |
$15.22 |
$15.22 |
$54.00
|
|
Antithrombin iii activity
|
$17.77 |
$17.77 |
$17.77 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$235.58 |
$235.58 |
$235.58 |
$394.55
|
|
Aortic dysfunction/dilation
|
$653.18 |
$653.18 |
$653.18 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,750.03 |
$1,750.03 |
$1,750.03 |
$1,700.16
|
|
Apc gene full sequence
|
$1,010.88 |
$1,010.88 |
$1,010.88 |
$1,255.20
|
|
Apheresis plasma
|
$1,650.72 |
$1,650.72 |
$1,650.72 |
$3,226.34
|
|
Apl(pml-rara) quant - sendout
|
$268.70 |
$268.70 |
$268.70 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$782.46 |
$782.46 |
$782.46 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$233.68 |
$233.68 |
$233.68 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$57.11 |
$57.11 |
$57.11 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$728.60 |
$728.60 |
$728.60 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$207.77 |
$207.77 |
$207.77 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$51.44 |
$51.44 |
$51.44 |
$512.20
|
|
Application finger splntstatic 29130
|
$89.49 |
$89.49 |
$89.49 |
$208.50
|
|
Application lower leg splint 29515
|
$113.00 |
$113.00 |
$113.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$375.06
|
|
Application of paste boot 29580
|
$202.90 |
$202.90 |
$202.90 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$391.23 |
$391.23 |
$391.23 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$414.32 |
$414.32 |
$414.32 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,264.96 |
$2,264.96 |
$2,264.96 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$15.23 |
$15.23 |
$15.23 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$31.42 |
$31.42 |
$31.42 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$47.26 |
$47.26 |
$47.26 |
$54.61
|
|
Apply forearm splintdynamic 29126
|
$165.17 |
$165.17 |
$165.17 |
$255.20
|
|
Apply interstit radiat compl
|
$1,940.35 |
$1,940.35 |
$1,940.35 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,310.03 |
$1,310.03 |
$1,310.03 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$916.88 |
$916.88 |
$916.88 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$694.38 |
$694.38 |
$694.38 |
$1,269.97
|
|
Apply of finger splint 29131
|
$103.77 |
$103.77 |
$103.77 |
$177.45
|
|
Apply rigid leg cast 29445
|
$277.42 |
$277.42 |
$277.42 |
$555.00
|
|
Apply surf ldr radionuclide
|
$317.85 |
$317.85 |
$317.85 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$33.48 |
$33.48 |
$33.48 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$31.51 |
$31.51 |
$31.51 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$93.45 |
$93.45 |
$93.45 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$71.56 |
$71.56 |
$71.56 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$75.21 |
$75.21 |
$75.21 |
$100.75
|
|
Aquatic exercise - group charge
|
$38.76 |
$38.76 |
$38.76 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$382.43 |
$382.43 |
$382.43 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$305.94 |
$305.94 |
$305.94 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$142.12 |
$142.12 |
$142.12 |
$426.00
|
|
Art byp grft fem-popliteal 35556
|
$5,549.95 |
$5,549.95 |
$5,549.95 |
$2,806.20
|
|
Arterial blood draw/perc 36620
|
$257.02 |
$257.02 |
$257.02 |
$478.96
|
|
Artery xray each vessel 7577426
|
$890.85 |
$890.85 |
$890.85 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$1,906.41 |
$1,906.41 |
$1,906.41 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$1,264.99 |
$1,264.99 |
$1,264.99 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$1,618.48 |
$1,618.48 |
$1,618.48 |
$3,860.40
|
|
Artery x-rays chest
|
$1,102.05 |
$1,102.05 |
$1,102.05 |
$2,895.07
|
|
Artery x-rays lung
|
$1,627.69 |
$1,627.69 |
$1,627.69 |
$3,296.15
|
|
Artery x-rays lung
|
$2,262.69 |
$2,262.69 |
$2,262.69 |
$2,427.50
|
|
Artery x-rays lungs
|
$2,777.45 |
$2,777.45 |
$2,777.45 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$1,906.41 |
$1,906.41 |
$1,906.41 |
$4,306.40
|
|
Artery x-rays spine
|
$1,906.41 |
$1,906.41 |
$1,906.41 |
$4,792.33
|
|
Arthrd si jt perq/min nvas
|
$10,272.06 |
$10,272.06 |
$10,272.06 |
$15,959.91
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$413.92 |
$413.92 |
$413.92 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$700.00 |
$700.00 |
$700.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$735.76 |
$735.76 |
$735.76 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$402.30 |
$402.30 |
$402.30 |
$494.40
|
