|
Analysis gene f5 leiden variant
|
$97.62 |
$367.20 |
$863.52 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$358.40 |
$495.00 |
$516.50 |
|
|
Analysis tumor
|
$592.20 |
$809.40 |
$909.00 |
|
|
Anaplsma phgcytophlm amp prb
|
$264.57 |
$264.57 |
$264.57 |
|
|
Anca screen with reflex to titer -quest
|
$64.50 |
$289.20 |
$563.40 |
|
|
An cholangiogram percutaneous compl
|
$926.00 |
$2,238.00 |
$2,397.60 |
|
|
Anchor suture 3.5mm pushlock
|
$14,931.56 |
$14,931.56 |
$14,931.56 |
|
|
Androstanediol
|
$339.07 |
$339.07 |
$339.07 |
|
|
An fluoro guide for cvp
|
$276.00 |
$276.00 |
$1,614.17 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,861.80 |
$16,233.60 |
$19,045.20 |
|
|
Angioplasty fem/pop unilat 37224
|
$10,047.60 |
$17,977.20 |
$19,708.80 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,215.00 |
$17,470.80 |
$19,150.80 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,816.20 |
$17,470.80 |
$17,925.60 |
|
|
Angiotensin ii
|
$346.41 |
$346.41 |
$346.41 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$39.61 |
$3,440.00 |
$61,761.00 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$15,729.00 |
$17,977.20 |
$20,332.80 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,002.60 |
$30,809.40 |
$32,064.00 |
|
|
Angio trnslmnl balloon same artery ini
|
$10,195.80 |
$30,846.00 |
$34,078.20 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,329.40 |
$11,962.80 |
$13,763.40 |
|
|
Angio trnslmnl balloon same vein ini
|
$10,047.60 |
$11,962.80 |
$13,763.40 |
|
|
Anidulafungin injection
|
$209.79 |
$209.79 |
$334.70 |
|
|
Ankle arthroscopy/surgery
|
$3,857.40 |
$3,857.40 |
$3,857.40 |
|
|
Ankle X-ray
|
$271.50 |
$392.40 |
$2,031.70 |
|
|
Ankle X-ray (2 views, both ankles)
|
$159.62 |
$295.20 |
$1,767.26 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$83.30 |
$83.30 |
$1,156.84 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$41.12 |
$41.12 |
$41.12 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$43.75 |
$43.75 |
$43.75 |
|
|
Annual Physical, New Patient (age 18-39)
|
$47.08 |
$47.08 |
$47.08 |
|
|
Annual Physical, New Patient (age 40-64)
|
$53.02 |
$53.02 |
$53.02 |
|
|
Anodyne therapy charges pt
|
$40.20 |
$51.60 |
$78.00 |
|
|
Anora (draw only)
|
$21.60 |
$61.80 |
$154.95 |
|
|
Anoscopy remove fb 46608
|
$3,902.35 |
$3,902.35 |
$3,902.35 |
|
|
Ans parasymp & symp w/tilt
|
$4,032.32 |
$4,032.32 |
$4,032.32 |
|
|
Antibody
|
$18.00 |
$27.60 |
$31.80 |
|
|
Antibody bacterium, not elsewhere specified
|
$28.50 |
$52.20 |
$219.56 |
|
|
Antibody elution rbc reference
|
$165.00 |
$236.40 |
$410.40 |
|
|
Antibody htlv/hiv confirm test
|
$161.40 |
$243.00 |
$258.00 |
|
|
Antibody htlv-i
|
$30.60 |
$58.20 |
$163.20 |
|
|
Antibody htlv-ii
|
$163.16 |
$163.16 |
$163.16 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$19.50 |
$344.40 |
$784.23 |
|
|
Antibody id rbc panel
|
$137.40 |
$246.00 |
$349.80 |
|
|
Antibody influenza virus
|
$47.40 |
$144.00 |
$173.40 |
|
|
Antibody lymphocytic choriomeningitis
|
$163.16 |
$163.16 |
$163.16 |
|
|
Antibody screen rbc
|
$72.75 |
$118.20 |
$234.00 |
|
|
Antibody tetanus
|
$42.00 |
$164.40 |
$198.00 |
|
|
Antigen therapy services
|
$21.00 |
$21.00 |
$21.00 |
|
|
Antigen therapy services
|
$33.50 |
$33.50 |
$33.50 |
|
|
Antigen therapy services
|
$37.50 |
$37.50 |
$37.50 |
|
|
Antigen therapy services
|
$45.00 |
$45.00 |
$45.00 |
|
|
Antigen therapy services
|
$133.00 |
$133.00 |
$133.00 |
|
|
Antigen therapy services
|
$12.50 |
$12.50 |
$12.50 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.12 |
$12.63 |
$4,240.80 |
|
|
Antihemophilic viii/vwf comp
|
$2.95 |
$3,307,904.60 |
$3,307,904.60 |
|
|
Anti-inhibitor
|
$3.67 |
$654,255.00 |
$654,255.00 |
|
|
Anti mog serum - sendout
|
$3,523.73 |
$3,523.73 |
$3,523.73 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$64.50 |
$65.50 |
$758.57 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$21.38 |
$64.50 |
$259.89 |
|
|
Antinuclear antibodies
|
$43.50 |
$165.60 |
$330.00 |
|
|
Antinuclear antibodies titer
|
$91.00 |
$157.80 |
$227.40 |
|
|
Antiphosphatidylserine antibody
|
$55.20 |
$176.40 |
$415.20 |
|
|
Antistreptolysin o screen
|
$35.40 |
$65.24 |
$128.40 |
|
|
Antistreptolysin o titer
|
$22.50 |
$120.60 |
$247.80 |
|
|
Antithrombin iii activity
|
$95.75 |
$360.00 |
$546.60 |
|
|
Antithrombin iii injection
|
$6.36 |
$3,559.48 |
$3,559.48 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$6,946.62 |
$10,135.02 |
$10,135.02 |
|
|
Antithymocyte globuln rabbit
|
$1,679.21 |
$1,679.21 |
$1,679.21 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$145.25 |
$331.20 |
$942.66 |
|
|
Aortic circulation assist 33971
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
|
|
Aortic dysfunction/dilation
|
$4,305.49 |
$4,305.49 |
$4,305.49 |
|
|
Apc gene dup/delet variants
|
$899.59 |
$899.59 |
$899.59 |
|
|
Apc gene full sequence
|
$1,661.80 |
$1,661.80 |
$1,661.80 |
|
|
Apheresis immunoads slctv
|
$7,230.60 |
$7,230.60 |
$7,230.60 |
|
|
Apheresis plasma
|
$2,882.00 |
$3,752.40 |
$5,782.65 |
|
|
Apheresis platelets
|
$1,918.80 |
$1,918.80 |
$3,175.10 |
|
|
Apheresis rbc
|
$2,772.00 |
$4,411.80 |
$4,985.36 |
|
|
Apheresis wbc
|
$2,772.00 |
$3,918.60 |
$5,782.65 |
|
|
Apl(pml-rara) quant - sendout
|
$245.40 |
$513.50 |
$777.30 |
|
|
Apomorphine hydrochloride
|
$2,313.48 |
$2,313.48 |
$2,313.48 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,541.40 |
$4,270.80 |
$6,739.20 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$781.80 |
$867.60 |
$1,012.20 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$288.60 |
$498.00 |
$835.50 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,667.20 |
$7,865.40 |
$7,917.60 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$781.80 |
$867.60 |
$1,012.20 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$288.60 |
$319.20 |
$336.00 |
|
|
Application finger splntstatic 29130
|
$48.60 |
$191.40 |
$258.60 |
|
|
Application long leg splint 29505
|
$131.50 |
$198.60 |
$255.00 |
|
|
Application lower leg splint 29515
|
$140.40 |
$172.20 |
$262.50 |
|
|
Application multi layer compression below knee (both sides)
|
$197.40 |
$821.00 |
$1,163.21 |
|
|
Application of forearm cast 29075
|
$636.50 |
$646.50 |
$668.50 |
|
|
Application of paste boot 29580
|
$147.00 |
$532.80 |
$818.50 |
|
|
Application short leg cast 29405
|
$378.60 |
$711.50 |
$747.50 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$981.00 |
$1,011.00 |
$4,803.00 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,442.50 |
$1,486.00 |
$4,803.00 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,164.15 |
$2,164.15 |
$2,164.15 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$39.00 |
$66.00 |
$114.60 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$64.80 |
$84.60 |
$281.45 |
|
|
Appl multlay comprs arm/hand
|
$165.60 |
$456.50 |
$568.74 |
|
|
Apply forearm splintdynamic 29126
|
$170.40 |
$219.60 |
$268.80 |
|
|
Apply interstit radiat compl
|
$3,262.80 |
$4,170.60 |
$5,408.40 |
|
|
Apply intrcav radiat compl
|
$3,164.26 |
$3,164.26 |
$3,164.26 |
|
