|
Angio trnslmnl balloon same vein ini
|
$4,820.00 |
$6,200.00 |
$47,730.07 |
$8,359.11
|
|
Anidulafungin injection
|
$432.58 |
$432.58 |
$432.58 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$55,900.66 |
$55,900.66 |
$55,900.66 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$85,064.52 |
$85,064.52 |
$85,064.52 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$15,431.32 |
$15,431.32 |
$15,431.32 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$20,212.92 |
$20,212.92 |
$20,212.92 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$29,570.37 |
$29,570.37 |
$29,570.37 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$105,799.95 |
$105,799.95 |
$105,799.95 |
$8,334.74
|
|
Ankle X-ray
|
$263.01 |
$295.00 |
$541.80 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$85.47 |
$240.00 |
$386.40 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$497.50 |
$497.50 |
$3,734.99 |
$630.96
|
|
Anodyne therapy charges pt
|
$25.20 |
$25.20 |
$57.75 |
$42.00
|
|
Anora (draw only)
|
$78.40 |
$78.40 |
$78.40 |
$35.00
|
|
Anoscopy ablation lesion 46615
|
$3,845.00 |
$3,845.00 |
$10,135.46 |
$3,245.23
|
|
Anoscopy and biopsy
|
$1,110.00 |
$1,110.00 |
$20,858.42 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$1,110.00 |
$1,110.00 |
$8,881.97 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$340.20 |
$1,185.00 |
$1,185.00 |
$1,375.98
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$17,838.93 |
$17,838.93 |
$17,838.93 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$205.10 |
$205.10 |
$205.10 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$68,498.80 |
$68,498.80 |
$68,498.80 |
$5,841.60
|
|
Antibody bacterium, not elsewhere specified
|
$26.73 |
$89.60 |
$117.50 |
$57.85
|
|
Antibody elution rbc reference
|
$71.94 |
$159.60 |
$185.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$47.19 |
$130.00 |
$464.10 |
$131.56
|
|
Antibody htlv-i
|
$121.80 |
$121.80 |
$121.80 |
$49.53
|
|
Antibody htlv-ii
|
$177.10 |
$177.10 |
$177.10 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$57.09 |
$180.00 |
$948.50 |
$224.00
|
|
Antibody id rbc panel
|
$138.27 |
$250.00 |
$313.60 |
$291.75
|
|
Antibody influenza virus
|
$60.06 |
$60.06 |
$171.50 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$23.43 |
$23.43 |
$27.30 |
$46.58
|
|
Antibody screen rbc
|
$50.49 |
$135.00 |
$165.20 |
$108.55
|
|
Antibody tetanus
|
$17.82 |
$17.82 |
$394.80 |
$54.15
|
|
Antidepressant not specified
|
$50.00 |
$50.00 |
$207.20 |
$72.14
|
|
Antidepressants class 3-5
|
$85.14 |
$85.14 |
$85.14 |
$72.14
|
|
Antidepressants class 6/more
|
$85.14 |
$85.14 |
$85.14 |
$25.35
|
|
Antidepressant tricyclic 3-5
|
$85.14 |
$85.14 |
$85.14 |
$23.20
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$8,296.40 |
$8,296.40 |
$8,296.40 |
$6.10
|
|
Anti-inhibitor
|
$32,352.07 |
$32,352.07 |
$32,352.07 |
$8.33
|
|
Anti mog serum - sendout
|
$14.52 |
$200.00 |
$1,148.70 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$80.00 |
$80.00 |
$266.00 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$14.52 |
$68.60 |
$80.00 |
$42.00
|
|
Antinuclear antibodies
|
$30.03 |
$90.00 |
$177.80 |
$90.00
|
|
Antinuclear antibodies titer
|
$24.75 |
$60.00 |
$204.40 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$57.75 |
$100.10 |
$130.00 |
$67.43
|
|
Antipsychotics nos 1-3
|
$85.14 |
$207.20 |
$345.00 |
$136.61
|
|
Antistreptolysin o titer
|
$50.00 |
$50.00 |
$185.50 |
$54.00
|
|
Antithrombin iii activity
|
$82.50 |
$82.50 |
$380.80 |
$115.15
|
|
Antithrombin iii injection
|
$7,700.35 |
$7,700.35 |
$7,700.35 |
$11.85
|
|
Antithrombin recombinant
|
$20,834.10 |
$20,834.10 |
$20,834.10 |
$9.22
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$16,931.07 |
$16,931.07 |
$16,931.07 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$3,119.02 |
$3,119.02 |
$3,119.02 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$34,232.03 |
$34,232.03 |
$34,232.03 |
$4,155.20
|
|
Ant sgm img i&r speclr mic
|
$367.50 |
$367.50 |
$367.50 |
$286.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$375.00 |
$375.00 |
$852.60 |
$394.55
|
|
Aortic dysfunction/dilation
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$3,275.30 |
$3,275.30 |
$3,275.30 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$239.58 |
$239.58 |
$462.00 |
$462.00
|
|
Apc gene full sequence
|
$831.93 |
$831.93 |
$1,801.80 |
$1,255.20
|
|
Apheresis immunoads slctv
|
$8,842.40 |
$8,842.40 |
$8,842.40 |
$5,794.21
|
|
Apheresis plasma
|
$2,195.00 |
$2,195.00 |
$34,457.85 |
$3,226.34
|
|
Apheresis platelets
|
$1,496.60 |
$1,496.60 |
$2,195.00 |
$2,195.00
|
|
Apheresis rbc
|
$2,195.00 |
$2,195.00 |
$18,099.90 |
$3,290.80
|
|
Apheresis wbc
|
$4,558.40 |
$4,558.40 |
$4,558.40 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$440.00 |
$440.00 |
$1,204.00 |
$513.00
|
|
Appendectomy add-on 44955
|
$51,693.34 |
$51,693.34 |
$51,693.34 |
$206.40
|
|
Appendix Removal (Laparoscopic)
|
$30,072.48 |
$30,072.48 |
$30,072.48 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$900.00 |
$900.00 |
$1,727.60 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,150.00 |
$3,150.00 |
$4,857.30 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,575.00 |
$1,575.00 |
$2,429.70 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$900.00 |
$900.00 |
$1,599.50 |
$512.20
|
|
Application clubfoot cast
|
$535.00 |
$535.00 |
$535.00 |
$303.00
|
|
Application finger splntstatic 29130
|
$60.06 |
$160.00 |
$429.80 |
$208.50
|
|
Application long leg splint 29505
|
$144.54 |
$370.00 |
$578.90 |
$338.25
|
|
Application lower leg splint 29515
|
$144.54 |
$370.00 |
$508.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$290.00 |
$390.60 |
$405.00 |
$375.06
|
|
Application of cylinder cast 29365
|
$401.80 |
$401.80 |
$401.80 |
$431.08
|
|
Application of forearm cast 29075
|
$243.60 |
$307.50 |
$307.50 |
$358.20
|
|
Application of long arm cast 29065
|
$362.50 |
$362.50 |
$879.20 |
$396.77
|
|
Application of long leg cast 29345
|
$532.70 |
$532.70 |
$540.00 |
$455.00
|
|
Application of paste boot 29580
|
$144.54 |
$200.00 |
$210.00 |
$340.11
|
|
Application short leg cast 29405
|
$420.00 |
$434.70 |
$635.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$12.33 |
$1,800.00 |
$1,800.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$38.50 |
$38.50 |
$108.20 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$29.04 |
$65.00 |
$123.90 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$72.60 |
$72.60 |
$185.50 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$280.00 |
$280.00 |
$280.00 |
$289.60
|
|
Apply finger cast 29086
|
$257.60 |
$257.60 |
$257.60 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$112.20 |
$265.00 |
$550.20 |
$255.20
|
|
Apply halo w/removal cranial
|
$523.38 |
$523.38 |
$1,486.80 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$144.54 |
$185.00 |
$471.10 |
$271.80
|
|
Apply interstit radiat compl
|
$1,529.88 |
$3,970.00 |
$5,336.80 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$669.24 |
$669.24 |
$3,060.00 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$464.97 |
$464.97 |
$2,550.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$440.55 |
$440.55 |
$2,040.00 |
$1,269.97
|
|
Apply of finger splint 29131
|
$60.06 |
$135.00 |
$556.50 |
$177.45
|
|
Apply rigid leg cast 29445
|
$253.44 |
$253.44 |
$535.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$253.44 |
$253.44 |
$253.44 |
$404.74
|
|
Apply surf ldr radionuclide
|
$282.80 |
$282.80 |
$805.86 |
$282.80
|
