|
Amputation of lower leg
|
$2,624.00 |
$2,916.80 |
$2,916.80 |
|
|
Amputation of midtarsal 28800
|
$1,020.60 |
$2,681.60 |
$19,641.37 |
|
|
Amputation thru metatarsal
|
$1,382.40 |
$3,622.40 |
$47,248.10 |
|
|
Amputation toe interphalangeal joint
|
$1,050.00 |
$3,392.40 |
$28,954.15 |
|
|
Amputation toe metatarsophalangeal joint
|
$1,039.80 |
$2,154.68 |
$26,755.30 |
|
|
Amylase
|
$33.57 |
$71.50 |
$273.00 |
|
|
Anabolic steroid 1 or 2
|
$72.14 |
$72.14 |
$158.27 |
|
|
Anabolic steroid 3 or more
|
$27.20 |
$27.20 |
$27.20 |
|
|
Ana ds-dna
|
$39.84 |
$48.57 |
$251.40 |
|
|
Analgesics non-opioid 3-5
|
$12.00 |
$12.00 |
$12.00 |
|
|
Analgesics non-opioid 6/more
|
$12.00 |
$12.00 |
$12.00 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$36.00 |
$154.05 |
$8,608.10 |
|
|
Anal pressure record
|
$544.80 |
$544.80 |
$2,094.30 |
|
|
Anal/urinary muscle study
|
$90.00 |
$340.80 |
$548.00 |
|
|
Anal/urinary muscle study
|
$900.80 |
$900.80 |
$900.80 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$62.16 |
$120.00 |
$338.40 |
|
|
Analysis gene f2 20210g>a variant
|
$110.50 |
$132.00 |
$446.55 |
|
|
Analysis gene f5 leiden variant
|
$126.10 |
$237.25 |
$584.00 |
|
|
Analysis nerve
|
$540.80 |
$540.80 |
$540.80 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$24.36 |
$113.60 |
$255.00 |
|
|
Analysis tumor
|
$84.96 |
$248.80 |
$248.80 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$111.20 |
$225.00 |
$1,100.00 |
|
|
Anaplsma phgcytophlm amp prb
|
$42.00 |
$70.40 |
$127.00 |
|
|
Anastamo/extrahep bil duct/gi trac 47760
|
$4,015.80 |
$5,524.80 |
$8,019.00 |
|
|
Anastamo/roux-en-y/extrahep bil/gi 47780
|
$4,403.40 |
$6,068.00 |
$6,068.00 |
|
|
Anastomosis of facial/other nerve 64868
|
$1,909.20 |
$2,004.60 |
$2,004.60 |
|
|
Anastrozole 1 mg
|
$4.44 |
$5.16 |
$5.16 |
|
|
Anca screen with reflex to titer -quest
|
$48.57 |
$48.57 |
$734.16 |
|
|
An cholangiogram percutaneous compl
|
$198.24 |
$2,478.25 |
$14,166.00 |
|
|
Anchor suture 3.5mm pushlock
|
$2,047.50 |
$2,155.00 |
$3,315.38 |
|
|
Androstanediol
|
$67.20 |
$67.20 |
$135.24 |
|
|
An fluoro guide for cvp
|
$197.97 |
$510.17 |
$28,541.08 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$231.60 |
$5,241.93 |
$16,387.06 |
|
|
Angioplasty fem/pop unilat 37224
|
$745.20 |
$16,633.60 |
$65,268.66 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$544.20 |
$13,982.40 |
$80,481.39 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$646.00 |
$9,058.70 |
$43,302.40 |
|
|
Angioscopy
|
$363.20 |
$363.20 |
$363.20 |
|
|
Angiotensin ii
|
$55.00 |
$55.00 |
$90.65 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$149.61 |
$1,836.80 |
$1,836.80 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$910.80 |
$23,945.60 |
$46,106.57 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,116.80 |
$3,510.40 |
$5,890.80 |
|
|
Angio trnslmnl balloon same artery ini
|
$4,234.20 |
$10,708.44 |
$41,271.19 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,102.80 |
$6,013.76 |
$19,431.75 |
|
|
Angio trnslmnl balloon same vein ini
|
$2,933.40 |
$8,750.70 |
$40,054.95 |
|
|
Anidulafungin injection
|
$83.37 |
$97.27 |
$367.72 |
|
|
Ankle arthroscopy/surgery
|
$938.40 |
$3,328.00 |
$3,328.00 |
|
|
Ankle arthroscopy/surgery
|
$3,268.80 |
$3,268.80 |
$56,726.28 |
|
|
Ankle arthroscopy/surgery
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
|
|
Ankle arthroscopy/surgery
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
|
|
Ankle arthroscopy/surgery
|
$2,483.20 |
$2,483.20 |
$60,716.68 |
|
|
Ankle arthroscopy/surgery
|
$787.80 |
$2,804.80 |
$72,278.70 |
|
|
Ankle arthroscopy/surgery
|
$3,467.00 |
$5,096.00 |
$5,096.00 |
|
|
Ankle X-ray
|
$190.96 |
$350.85 |
$44,899.30 |
|
|
Ankle X-ray (2 views, both ankles)
|
$105.60 |
$245.25 |
$26,952.60 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$145.00 |
$593.77 |
$964.60 |
|
|
Annual alcohol screen 15 min
|
$22.20 |
$40.00 |
$47.02 |
|
|
Annual nursing fac assessmnt
|
$175.80 |
$184.80 |
$184.80 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$155.40 |
$212.80 |
$2,283.00 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$166.20 |
$226.40 |
$2,208.00 |
|
|
Annual Physical, New Patient (age 18-39)
|
$174.60 |
$235.20 |
$1,069.00 |
|
|
Annual Physical, New Patient (age 40-64)
|
$200.40 |
$272.80 |
$363.00 |
|
|
Anodyne therapy charges pt
|
$12.80 |
$12.80 |
$57.84 |
|
|
Anogenital exam child w imag
|
$213.78 |
$345.60 |
$358.87 |
|
|
Anora (draw only)
|
$10.08 |
$36.00 |
$94.80 |
|
|
Anorectal myomectomy
|
$906.40 |
$906.40 |
$906.40 |
|
|
Anoscopy
|
$496.00 |
$496.00 |
$496.00 |
|
|
Anoscopy ablation lesion 46615
|
$295.20 |
$396.00 |
$396.00 |
|
|
Anoscopy and biopsy
|
$402.60 |
$625.60 |
$17,797.00 |
|
|
Anoscopy and dilation 46604
|
$1,075.80 |
$1,621.60 |
$1,621.60 |
|
|
Anoscopy control bleeding 46614
|
$231.00 |
$361.60 |
$2,409.58 |
|
|
Anoscopy remove fb 46608
|
$406.08 |
$962.40 |
$1,915.51 |
|
|
Anoscopy remove lesion 46610
|
$424.20 |
$622.40 |
$622.40 |
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$474.60 |
$755.20 |
$755.20 |
|
|
Ans parasymp & symp w/tilt
|
$329.60 |
$329.60 |
$329.60 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$1,240.20 |
$1,513.60 |
$45,472.96 |
|
|
Anthrax vaccine sc or im
|
$156.80 |
$156.80 |
$156.80 |
|
|
Antibody
|
$30.00 |
$38.40 |
$38.40 |
|
|
Antibody bacterium, not elsewhere specified
|
$31.20 |
$48.57 |
$159.60 |
|
|
Antibody elution rbc reference
|
$72.96 |
$156.24 |
$393.00 |
|
|
Antibody htlv/hiv confirm test
|
$48.57 |
$48.57 |
$566.58 |
|
|
Antibody htlv-i
|
$39.60 |
$48.57 |
$218.82 |
|
|
Antibody htlv-ii
|
$28.00 |
$28.00 |
$218.82 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$48.57 |
$165.75 |
$632.00 |
|
|
Antibody id rbc panel
|
$109.44 |
$328.79 |
$52,462.38 |
|
|
Antibody influenza virus
|
$42.84 |
$48.57 |
$100.20 |
|
|
Antibody lymphocytic choriomeningitis
|
$40.32 |
$48.57 |
$60.76 |
|
|
Antibody screen rbc
|
$57.14 |
$85.80 |
$18,661.97 |
|
|
Antibody tetanus
|
$48.57 |
$48.57 |
$183.00 |
|
|
Anticoag mgmt pt warfarin
|
$25.35 |
$26.40 |
$689.00 |
|
|
Antidepressant not specified
|
$48.75 |
$72.14 |
$75.00 |
|
|
Antidepressants class 3-5
|
$72.14 |
$72.14 |
$72.14 |
|
|
Antidepressants class 6/more
|
$72.14 |
$72.14 |
$72.14 |
|
|
Antidepressant tricyclic 3-5
|
$23.20 |
$23.20 |
$23.20 |
|
|
Antiepileptics nos 4-6
|
$12.80 |
$12.80 |
$12.80 |
|
|
Antiepileptics nos 7/more
|
$12.80 |
$12.80 |
$12.80 |
|
|
Antigen therapy services
|
$92.00 |
$92.00 |
$92.00 |
|
|
Antigen therapy services
|
$168.80 |
$168.80 |
$168.80 |
|
|
Antigen therapy services
|
$169.60 |
$169.60 |
$169.60 |
|
|
Antigen therapy services
|
$247.20 |
$247.20 |
$1,640.00 |
|
|
Antigen therapy services
|
$135.20 |
$328.80 |
$328.80 |
|
