|
Angio trnslmnl balloon same artery ea addl
|
$10,653.50 |
$10,653.50 |
$10,653.50 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$11,246.95 |
$11,246.95 |
$11,246.95 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,319.80 |
$3,319.80 |
$3,319.80 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$10,062.25 |
$10,062.25 |
$10,062.25 |
$8,745.10
|
|
Ankle X-ray
|
$449.35 |
$449.35 |
$449.35 |
$350.85
|
|
Annual Physical, Established Patient (age 18-39)
|
$148.50 |
$148.50 |
$148.50 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$167.75 |
$167.75 |
$167.75 |
$167.25
|
|
Antibody bacterium, not elsewhere specified
|
$124.30 |
$124.30 |
$124.30 |
$57.85
|
|
Antibody elution rbc reference
|
$243.65 |
$243.65 |
$243.65 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$395.45 |
$395.45 |
$395.45 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$541.75 |
$541.75 |
$541.75 |
$218.30
|
|
Antibody id rbc panel
|
$292.05 |
$292.05 |
$292.05 |
$291.75
|
|
Antibody influenza virus
|
$253.55 |
$253.55 |
$253.55 |
$53.95
|
|
Antibody screen rbc
|
$158.95 |
$158.95 |
$158.95 |
$105.00
|
|
Antidepressant not specified
|
$209.00 |
$209.00 |
$209.00 |
$89.50
|
|
Anti mog serum - sendout
|
$207.35 |
$207.35 |
$207.35 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$27.50 |
$27.50 |
$27.50 |
$50.88
|
|
Antinuclear antibodies
|
$214.50 |
$214.50 |
$214.50 |
$91.70
|
|
Antinuclear antibodies titer
|
$378.95 |
$378.95 |
$378.95 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$79.20 |
$79.20 |
$79.20 |
$74.20
|
|
Antistreptolysin o titer
|
$124.30 |
$124.30 |
$124.30 |
$57.85
|
|
Antithrombin iii activity
|
$454.30 |
$454.30 |
$454.30 |
$106.85
|
|
Apc gene full sequence
|
$1,778.15 |
$1,778.15 |
$1,778.15 |
$1,076.40
|
|
Apl(pml-rara) quant - sendout
|
$502.15 |
$502.15 |
$502.15 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$160.05 |
$160.05 |
$160.05 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$160.05 |
$160.05 |
$160.05 |
$508.18
|
|
Application finger splntstatic 29130
|
$136.40 |
$136.40 |
$136.40 |
$226.20
|
|
Application long leg splint 29505
|
$402.60 |
$402.60 |
$402.60 |
$370.00
|
|
Application lower leg splint 29515
|
$541.75 |
$541.75 |
$541.75 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$450.45 |
$450.45 |
$450.45 |
$393.75
|
|
Application of forearm cast 29075
|
$304.70 |
$304.70 |
$304.70 |
$386.10
|
|
Application of long leg cast 29345
|
$264.55 |
$264.55 |
$264.55 |
$511.68
|
|
Application of paste boot 29580
|
$473.55 |
$473.55 |
$473.55 |
$336.00
|
|
Application short leg cast 29405
|
$344.30 |
$344.30 |
$344.30 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,404.50 |
$3,404.50 |
$3,404.50 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,549.80 |
$2,549.80 |
$2,549.80 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$71.50 |
$71.50 |
$71.50 |
$68.00
|
|
Appl modality 1+lllt po pain
|
$72.05 |
$72.05 |
$72.05 |
$49.92
|
|
Appl multlay comprs arm/hand
|
$155.10 |
$155.10 |
$155.10 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$174.35 |
$174.35 |
$174.35 |
$263.20
|
|
Apply of finger splint 29131
|
$147.95 |
$147.95 |
$147.95 |
$177.45
|
|
Apply rigid leg cast 29445
|
$506.00 |
$506.00 |
$506.00 |
$608.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$800.80 |
$800.80 |
$800.80 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$592.90 |
$592.90 |
$592.90 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$253.55 |
$253.55 |
$253.55 |
$155.00
|
|
Aquatic exercise - group charge
|
$89.10 |
$89.10 |
$89.10 |
$91.68
|
|
Arterial blood draw/perc 36620
|
$607.75 |
$607.75 |
$607.75 |
$500.82
|
|
Artery xray each vessel 7577426
|
$2,228.60 |
$2,228.60 |
$2,228.60 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$9,543.60 |
$9,543.60 |
$9,543.60 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$4,513.30 |
$4,513.30 |
$4,513.30 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,612.30 |
$4,612.30 |
$4,612.30 |
$4,029.72
|
|
Artery x-rays lung
|
$5,000.05 |
$5,000.05 |
$5,000.05 |
$3,150.00
|
|
Artery x-rays lungs
|
$10,000.10 |
$10,000.10 |
$10,000.10 |
$3,724.63
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$501.60 |
$501.60 |
$501.60 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$728.75 |
$728.75 |
$728.75 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,424.50 |
$1,424.50 |
$1,424.50 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$497.20 |
$497.20 |
$497.20 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$715.37
|
|
Asp core fat pad
|
$216.70 |
$216.70 |
$216.70 |
$1,139.82
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,889.80 |
$1,889.80 |
$1,889.80 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$402.05 |
$402.05 |
$402.05 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,286.45 |
$1,286.45 |
$1,286.45 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$996.60 |
$996.60 |
$996.60 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$659.45 |
$659.45 |
$659.45 |
$850.78
|
|
Assay dir meas fr estradiol
|
$243.65 |
$243.65 |
$243.65 |
$75.11
|
|
Assay myeloperoxidase
|
$47.30 |
$47.30 |
$47.30 |
$84.19
|
|
Assay of breath ethanol
|
$47.30 |
$47.30 |
$47.30 |
$45.76
|
|
Assay of feces porphyrins
|
$187.55 |
$187.55 |
$187.55 |
$166.20
|
|
Assay of galactose
|
$44.00 |
$44.00 |
$44.00 |
$48.13
|
|
Assay of glutathione
|
$83.05 |
$83.05 |
$83.05 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$116.05 |
$116.05 |
$116.05 |
$77.35
|
|
Assay of osteocalcin
|
$79.75 |
$79.75 |
$79.75 |
$93.60
|
|
Assay of pregnanetriol
|
$151.80 |
$151.80 |
$151.80 |
$52.80
|
|
Assay of procainamide w/metab
|
$158.40 |
$158.40 |
$158.40 |
$63.07
|
|
Assay of prostaglandin
|
$335.50 |
$335.50 |
$335.50 |
$220.00
|
|
Assay of sialic acid
|
$119.90 |
$119.90 |
$119.90 |
$60.45
|
|
Assay of silica
|
$199.10 |
$199.10 |
$199.10 |
$64.00
|
|
Assay of somatostatin
|
$224.95 |
$224.95 |
$224.95 |
$165.75
|
|
Assay of thiocyanate
|
$52.25 |
$52.25 |
$52.25 |
$56.55
|
|
Assay of tyrosine
|
$91.85 |
$91.85 |
$91.85 |
$56.10
|
|
Assay of urine sulfate
|
$75.35 |
$75.35 |
$75.35 |
$31.35
|
|
Assay phosphatidylglycerol
|
$322.85 |
$322.85 |
$322.85 |
$89.40
|
|
Assay toxin or antitoxin
|
$95.70 |
$95.70 |
$95.70 |
$77.55
|
|
Assess cyst contrast inject
|
$428.45 |
$428.45 |
$428.45 |
$456.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$85.25 |
$85.25 |
$85.25 |
$47.25
|
|
Ast/sgot
|
$108.90 |
$108.90 |
$108.90 |
$46.20
|
|
Athrectomy fem/pop/unilateral 37225
|
$13,558.60 |
$13,558.60 |
$13,558.60 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$20,324.15 |
$20,324.15 |
$20,324.15 |
$19,875.58
|
|
Augment injectable kit 3.0cc
|
$2,733.96 |
$2,733.96 |
$2,733.96 |
$6,394.75
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,159.00 |
$5,159.00 |
$5,159.00 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$9,081.60 |
$9,081.60 |
$9,081.60 |
$11,040.83
|
|
Autologous blood process
|
$347.05 |
$347.05 |
$347.05 |
$240.35
|
|
Automated diff wbc count
|
$45.10 |
$45.10 |
$45.10 |
$35.10
|
|
Avul nail plate addl
|
$143.55 |
$143.55 |
$143.55 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$268.40 |
$268.40 |
$268.40 |
$356.00
|
|
Baclofen eval charges
|
$94.05 |
$94.05 |
$94.05 |
$85.00
|
|
Bacterial meningitis antigen
|
$265.10 |
$265.10 |
$265.10 |
$66.76
|
|
Bacterial vaginosis pcr
|
$412.50 |
$412.50 |
$412.50 |
$284.00
|
|
Balloon dilate urtrl strix
|
$2,818.75 |
$2,818.75 |
$2,818.75 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$321.20 |
$321.20 |
$321.20 |
$196.20
|
