|
Angioscopy
|
$363.20 |
$363.20 |
$363.20 |
$363.20
|
|
Angiotensin ii
|
$55.00 |
$55.00 |
$55.00 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,933.65 |
$10,933.65 |
$23,945.60 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,510.40 |
$3,510.40 |
$3,510.40 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$11,506.61 |
$11,506.61 |
$11,519.30 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$10,071.28 |
$10,071.28 |
$10,071.28 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$11,125.82 |
$11,125.82 |
$11,125.82 |
$8,359.11
|
|
Ankle arthroscopy/surgery
|
$3,328.00 |
$3,328.00 |
$3,328.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$3,268.80 |
$3,268.80 |
$3,268.80 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,483.20 |
$2,483.20 |
$19,733.23 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,804.80 |
$2,804.80 |
$2,804.80 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$8,334.74
|
|
Ankle X-ray
|
$213.69 |
$213.69 |
$26,996.11 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$205.51 |
$205.51 |
$25,625.21 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$245.60 |
$245.60 |
$245.60 |
$630.96
|
|
Annual alcohol screen 15 min
|
$40.00 |
$40.00 |
$40.00 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$212.80 |
$212.80 |
$212.80 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$226.40 |
$226.40 |
$226.40 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$235.20 |
$235.20 |
$235.20 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$272.80 |
$272.80 |
$272.80 |
$167.25
|
|
Anodyne therapy charges pt
|
$12.80 |
$12.80 |
$12.80 |
$42.00
|
|
Anogenital exam child w imag
|
$345.60 |
$345.60 |
$345.60 |
$277.99
|
|
Anora (draw only)
|
$23.40 |
$23.40 |
$36.00 |
$35.00
|
|
Anorectal myomectomy
|
$906.40 |
$906.40 |
$906.40 |
$4,350.00
|
|
Anoscopy
|
$496.00 |
$496.00 |
$496.00 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$396.00 |
$396.00 |
$396.00 |
$3,245.23
|
|
Anoscopy and biopsy
|
$625.60 |
$625.60 |
$625.60 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$1,621.60 |
$1,621.60 |
$1,621.60 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$361.60 |
$361.60 |
$361.60 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$652.00 |
$652.00 |
$652.00 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$622.40 |
$622.40 |
$622.40 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$755.20 |
$755.20 |
$755.20 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$329.60 |
$329.60 |
$329.60 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$1,513.60 |
$1,513.60 |
$24,368.63 |
$5,841.60
|
|
Anthrax vaccine sc or im
|
$156.80 |
$156.80 |
$156.80 |
$322.00
|
|
Antibody
|
$38.40 |
$38.40 |
$38.40 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$48.57 |
$48.57 |
$48.57 |
$57.85
|
|
Antibody elution rbc reference
|
$156.24 |
$156.24 |
$255.45 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$48.57 |
$48.57 |
$162.50 |
$131.56
|
|
Antibody htlv-i
|
$48.57 |
$48.57 |
$48.57 |
$49.53
|
|
Antibody htlv-ii
|
$28.00 |
$28.00 |
$28.00 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$48.57 |
$48.57 |
$306.15 |
$224.00
|
|
Antibody id rbc panel
|
$173.55 |
$173.55 |
$328.79 |
$291.75
|
|
Antibody influenza virus
|
$48.57 |
$48.57 |
$48.57 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$48.57 |
$48.57 |
$48.57 |
$46.58
|
|
Antibody screen rbc
|
$57.14 |
$57.14 |
$18,661.97 |
$108.55
|
|
Antibody tetanus
|
$48.57 |
$48.57 |
$48.57 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$26.40 |
$26.40 |
$26.40 |
$26.40
|
|
Antidepressant not specified
|
$48.75 |
$48.75 |
$72.14 |
$72.14
|
|
Antidepressants class 3-5
|
$72.14 |
$72.14 |
$72.14 |
$72.14
|
|
Antidepressants class 6/more
|
$72.14 |
$72.14 |
$72.14 |
$25.35
|
|
Antidepressant tricyclic 3-5
|
$23.20 |
$23.20 |
$23.20 |
$23.20
|
|
Antiepileptics nos 4-6
|
$12.80 |
$12.80 |
$12.80 |
$16.24
|
|
Antiepileptics nos 7/more
|
$12.80 |
$12.80 |
$12.80 |
$16.24
|
|
Antigen therapy services
|
$92.00 |
$92.00 |
$92.00 |
$73.84
|
|
Antigen therapy services
|
$168.80 |
$168.80 |
$168.80 |
$83.72
|
|
Antigen therapy services
|
$169.60 |
$169.60 |
$169.60 |
$101.40
|
|
Antigen therapy services
|
$247.20 |
$247.20 |
$247.20 |
$96.72
|
|
Antigen therapy services
|
$328.80 |
$328.80 |
$328.80 |
$130.00
|
|
Antigen therapy services
|
$43.20 |
$43.20 |
$43.20 |
$74.00
|
|
Antigen therapy services
|
$32.80 |
$32.80 |
$32.80 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,144.60 |
$5,144.60 |
$5,144.60 |
$6.10
|
|
Anti mog serum - sendout
|
$48.57 |
$48.57 |
$48.57 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$46.80 |
$46.80 |
$48.57 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$37.70 |
$37.70 |
$48.57 |
$42.00
|
|
Ant instr 2-3 vert segm 22845
|
$1,748.00 |
$1,748.00 |
$52,032.18 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,816.80 |
$1,816.80 |
$1,816.80 |
$1,430.40
|
|
Antinuclear antibodies
|
$48.57 |
$48.57 |
$67.60 |
$90.00
|
|
Antinuclear antibodies titer
|
$48.57 |
$48.57 |
$219.70 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$48.57 |
$48.57 |
$131.95 |
$67.43
|
|
Antipsychotics nos 1-3
|
$72.14 |
$72.14 |
$72.14 |
$136.61
|
|
Antipsychotics nos 4-6
|
$36.00 |
$36.00 |
$36.00 |
$16.24
|
|
Antipsychotics nos 7/more
|
$12.80 |
$12.80 |
$12.80 |
$16.24
|
|
Antistreptolysin o screen
|
$48.57 |
$48.57 |
$48.75 |
$58.56
|
|
Antistreptolysin o titer
|
$42.90 |
$42.90 |
$48.57 |
$54.00
|
|
Antithrombin iii activity
|
$32.85 |
$32.85 |
$100.10 |
$115.15
|
|
Antithrombin iii injection
|
$9,274.05 |
$9,274.05 |
$9,274.05 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,664.50 |
$14,664.50 |
$14,664.50 |
$8,214.07
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$2,172.80 |
$2,172.80 |
$2,172.80 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$322.40 |
$322.40 |
$322.40 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$90.40 |
$90.40 |
$90.40 |
$286.00
|
|
Ant thrc vrt body tethrg <7
|
$4,508.80 |
$4,508.80 |
$4,508.80 |
$4,508.80
|
|
Ant thrc vrt body tethrg 8+
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$4,968.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$269.16 |
$269.16 |
$313.95 |
$394.55
|
|
Aortic circulation assist 33971
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$2,700.80 |
$2,700.80 |
$2,700.80 |
$1,700.16
|
|
Aortic hemiarch graft 33866
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$2,609.60
|
|
Apc gene dup/delet variants
|
$400.00 |
$400.00 |
$400.00 |
$462.00
|
|
Apc gene full sequence
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$268.80 |
$268.80 |
$268.80 |
$319.20
|
|
Aphakia prosth service temp
|
$25.60 |
$25.60 |
$25.60 |
$81.12
|
|
Apheresis immunoads slctv
|
$4,728.80 |
$4,728.80 |
$4,728.80 |
$5,794.21
|
|
Apheresis plasma
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,226.34
|
|
Apheresis platelets
|
$275.20 |
$275.20 |
$275.20 |
$2,195.00
|
|
Apheresis rbc
|
$277.60 |
$277.60 |
$277.60 |
$3,290.80
|
|
Apheresis wbc
|
$280.80 |
$280.80 |
$280.80 |
$3,347.60
|
