|
Angio trnslmnl balloon same vein ini
|
$2,933.40 |
$2,933.40 |
$2,933.40 |
$8,359.11
|
|
Anidulafungin injection
|
$367.72 |
$367.72 |
$367.72 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$938.40 |
$938.40 |
$938.40 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$787.80 |
$787.80 |
$787.80 |
$3,839.54
|
|
Ankle X-ray
|
$280.80 |
$280.80 |
$280.80 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$200.40 |
$200.40 |
$200.40 |
$282.96
|
|
Annual alcohol screen 15 min
|
$23.40 |
$23.40 |
$23.40 |
$40.00
|
|
Annual nursing fac assessmnt
|
$184.80 |
$184.80 |
$184.80 |
$122.71
|
|
Annual Physical, Established Patient (age 18-39)
|
$155.40 |
$155.40 |
$155.40 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$166.20 |
$166.20 |
$166.20 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$174.60 |
$174.60 |
$174.60 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$229.20 |
$229.20 |
$229.20 |
$167.25
|
|
Anodyne therapy charges pt
|
$46.20 |
$46.20 |
$46.20 |
$42.00
|
|
Anora (draw only)
|
$21.00 |
$21.00 |
$21.00 |
$35.00
|
|
Anoscopy ablation lesion 46615
|
$310.20 |
$310.20 |
$310.20 |
$3,245.23
|
|
Anoscopy and biopsy
|
$423.00 |
$423.00 |
$423.00 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$242.40 |
$242.40 |
$242.40 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$445.20 |
$445.20 |
$445.20 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$498.60 |
$498.60 |
$498.60 |
$3,816.64
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$5,841.60
|
|
Antibody
|
$30.00 |
$30.00 |
$30.00 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$159.60 |
$159.60 |
$159.60 |
$57.85
|
|
Antibody elution rbc reference
|
$73.80 |
$73.80 |
$73.80 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$143.40 |
$143.40 |
$143.40 |
$131.56
|
|
Antibody htlv-i
|
$39.60 |
$39.60 |
$39.60 |
$49.53
|
|
Antibody htlv-ii
|
$42.00 |
$42.00 |
$42.00 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$382.20 |
$382.20 |
$382.20 |
$224.00
|
|
Antibody id rbc panel
|
$439.80 |
$439.80 |
$439.80 |
$291.75
|
|
Antibody influenza virus
|
$51.60 |
$51.60 |
$51.60 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$45.60 |
$45.60 |
$45.60 |
$46.58
|
|
Antibody screen rbc
|
$183.00 |
$183.00 |
$183.00 |
$108.55
|
|
Antibody tetanus
|
$52.20 |
$52.20 |
$52.20 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$15.34 |
$15.34 |
$15.34 |
$6.10
|
|
Anti-inhibitor
|
$10,270.62 |
$10,270.62 |
$10,270.62 |
$8.33
|
|
Anti mog serum - sendout
|
$551.40 |
$551.40 |
$551.40 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$82.80 |
$82.80 |
$82.80 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$30.60 |
$30.60 |
$30.60 |
$42.00
|
|
Ant instr 2-3 vert segm 22845
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$1,430.40
|
|
Antinuclear antibodies
|
$163.20 |
$163.20 |
$163.20 |
$90.00
|
|
Antinuclear antibodies titer
|
$58.20 |
$58.20 |
$58.20 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$79.20 |
$79.20 |
$79.20 |
$67.43
|
|
Antistreptolysin o screen
|
$59.40 |
$59.40 |
$59.40 |
$58.56
|
|
Antistreptolysin o titer
|
$43.20 |
$43.20 |
$43.20 |
$54.00
|
|
Antithrombin iii activity
|
$262.20 |
$262.20 |
$262.20 |
$115.15
|
|
Antithrombin iii injection
|
$19.51 |
$19.51 |
$19.51 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$8,977.01 |
$8,977.01 |
$8,977.01 |
$8,214.07
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$4,155.20
|
|
Aortic Aneurysm Screening Ultrasound
|
$193.20 |
$193.20 |
$193.20 |
$394.55
|
|
Aortic circulation assist 33971
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,719.20
|
|
Aortic hemiarch graft 33866
|
$2,064.60 |
$2,064.60 |
$2,064.60 |
$2,609.60
|
|
Apl(pml-rara) quant - sendout
|
$717.00 |
$717.00 |
$717.00 |
$513.00
|
|
Appendectomy
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$159.60 |
$159.60 |
$159.60 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$1,126.80 |
$1,126.80 |
$1,126.80 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$480.00 |
$480.00 |
$480.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$132.60 |
$132.60 |
$132.60 |
$852.00
|
|
Application finger splntstatic 29130
|
$156.00 |
$156.00 |
$156.00 |
$208.50
|
|
Application long leg splint 29505
|
$213.60 |
$213.60 |
$213.60 |
$338.25
|
|
Application lower leg splint 29515
|
$226.20 |
$226.20 |
$226.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$98.40 |
$98.40 |
$98.40 |
$375.06
|
|
Application of cylinder cast 29365
|
$235.20 |
$235.20 |
$235.20 |
$431.08
|
|
Application of forearm cast 29075
|
$296.40 |
$296.40 |
$296.40 |
$358.20
|
|
Application of long arm cast 29065
|
$257.40 |
$257.40 |
$257.40 |
$396.77
|
|
Application of long leg cast 29345
|
$296.40 |
$296.40 |
$296.40 |
$455.00
|
|
Application of paste boot 29580
|
$99.60 |
$99.60 |
$99.60 |
$340.11
|
|
Application short leg cast 29405
|
$212.40 |
$212.40 |
$212.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$295.20 |
$295.20 |
$295.20 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$274.20 |
$274.20 |
$274.20 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$315.00 |
$315.00 |
$315.00 |
$981.75
|
|
Appl mltpln uni ext fixj sys
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$55.80 |
$55.80 |
$55.80 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$77.40 |
$77.40 |
$77.40 |
$75.98
|
|
Apply finger cast 29086
|
$195.00 |
$195.00 |
$195.00 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$145.80 |
$145.80 |
$145.80 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$178.80 |
$178.80 |
$178.80 |
$271.80
|
|
Apply of finger splint 29131
|
$99.00 |
$99.00 |
$99.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$262.80 |
$262.80 |
$262.80 |
$555.00
|
|
Apply short leg castambul type 29425
|
$153.00 |
$153.00 |
$153.00 |
$404.74
|
|
App topical fluoride varnish
|
$10.20 |
$10.20 |
$10.20 |
$27.20
|
|
#aptt mix-1:1 incubated
|
$33.00 |
$33.00 |
$33.00 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$553.20 |
$553.20 |
$553.20 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$400.80 |
$400.80 |
$400.80 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$77.40 |
$77.40 |
$77.40 |
$100.75
|
|
Aquatic exercise - group charge
|
$432.00 |
$432.00 |
$432.00 |
$87.45
|
|
Argatroban nonesrd use 1mg
|
$2,254.28 |
$2,254.28 |
$2,254.28 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$5,648.36 |
$5,648.36 |
$5,648.36 |
$6,387.85
|
|
Aripiprazole injection
|
$61.73 |
$61.73 |
$61.73 |
$90.50
|
|
Arm CT Scan (with contrast, both arms)
|
$1,753.80 |
$1,753.80 |
$1,753.80 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,744.80 |
$1,744.80 |
$1,744.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$154.20 |
$154.20 |
$154.20 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,301.95 |
$2,301.95 |
$2,301.95 |
$1,303.25
|
|
Art byp aor celiac msn and renal 35631
|
$5,701.80 |
$5,701.80 |
$5,701.80 |
$5,926.00
|
|
Art byp aortofemoral 35647
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$3,095.40 |
$3,095.40 |
$3,095.40 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$3,443.40 |
$3,443.40 |
$3,443.40 |
$3,443.40
|
