|
Anl sp inf pmp w/mdreprg&fil
|
$422.32 |
$422.32 |
$422.32 |
$630.96
|
|
Annual alcohol screen 15 min
|
$51.52 |
$51.52 |
$51.52 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$137.00 |
$137.00 |
$137.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$147.00 |
$147.00 |
$147.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$154.00 |
$154.00 |
$154.00 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$172.00 |
$172.00 |
$172.00 |
$167.25
|
|
Anodyne therapy charges pt
|
$9.33 |
$9.33 |
$9.33 |
$42.00
|
|
Anogenital exam child w imag
|
$277.99 |
$277.99 |
$277.99 |
$277.99
|
|
Anorectal myomectomy
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$4,350.00
|
|
Anoscopy
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Anoscopy and biopsy
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$296.91 |
$296.91 |
$296.91 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Anterior asis pad
|
$134.14 |
$134.14 |
$134.14 |
$171.02
|
|
Anterior swing band
|
$476.73 |
$476.73 |
$476.73 |
$506.45
|
|
Anterior thoracic derotation
|
$159.96 |
$159.96 |
$159.96 |
$203.90
|
|
Anterior thoracic extension
|
$403.87 |
$403.87 |
$403.87 |
$454.00
|
|
Antibody
|
$22.07 |
$22.07 |
$22.07 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$17.77 |
$17.77 |
$17.77 |
$57.85
|
|
Antibody elution rbc reference
|
$234.27 |
$234.27 |
$234.27 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$26.70 |
$26.70 |
$26.70 |
$131.56
|
|
Antibody htlv-i
|
$12.54 |
$12.54 |
$12.54 |
$49.53
|
|
Antibody htlv-ii
|
$19.32 |
$19.32 |
$19.32 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$25.35 |
$25.35 |
$25.35 |
$224.00
|
|
Antibody id rbc panel
|
$492.88 |
$492.88 |
$492.88 |
$291.75
|
|
Antibody influenza virus
|
$18.70 |
$18.70 |
$18.70 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$17.76 |
$17.76 |
$17.76 |
$46.58
|
|
Antibody screen rbc
|
$71.65 |
$71.65 |
$71.65 |
$108.55
|
|
Antibody tetanus
|
$20.42 |
$20.42 |
$20.42 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$16.19 |
$16.19 |
$16.19 |
$26.40
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
$73.84
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
$83.72
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
$101.40
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
$96.72
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
$130.00
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
$74.00
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2.06 |
$2.06 |
$2.06 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$1.71 |
$1.71 |
$1.71 |
$3.67
|
|
Anti-inhibitor
|
$3.36 |
$3.36 |
$3.36 |
$8.33
|
|
Anti mog serum - sendout
|
$16.63 |
$16.63 |
$16.63 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$16.63 |
$16.63 |
$16.63 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$16.63 |
$16.63 |
$16.63 |
$42.00
|
|
Ant instr 2-3 vert segm 22845
|
$1,009.19 |
$1,009.19 |
$1,009.19 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,049.49 |
$1,049.49 |
$1,049.49 |
$1,430.40
|
|
Antinuclear antibodies
|
$16.68 |
$16.68 |
$16.68 |
$90.00
|
|
Antinuclear antibodies titer
|
$15.40 |
$15.40 |
$15.40 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$22.18 |
$22.18 |
$22.18 |
$67.43
|
|
Antistreptolysin o screen
|
$7.96 |
$7.96 |
$7.96 |
$58.56
|
|
Antistreptolysin o titer
|
$10.07 |
$10.07 |
$10.07 |
$54.00
|
|
Antithrombin iii activity
|
$16.35 |
$16.35 |
$16.35 |
$115.15
|
|
Antithrombin iii injection
|
$5.59 |
$5.59 |
$5.59 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$7,324.94 |
$7,324.94 |
$7,324.94 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,393.46 |
$1,393.46 |
$1,393.46 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$182.95 |
$182.95 |
$182.95 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$182.95 |
$182.95 |
$182.95 |
$286.00
|
|
Ant thrc vrt body tethrg <7
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,508.80
|
|
Ant thrc vrt body tethrg 8+
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,968.00
|
|
Aoi transducer/actuator repl
|
$1,604.76 |
$1,604.76 |
$1,604.76 |
$0.56
|
|
Aortic Aneurysm Screening Ultrasound
|
$143.75 |
$143.75 |
$143.75 |
$394.55
|
|
Aortic circulation assist 33971
|
$1,004.96 |
$1,004.96 |
$1,004.96 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$695.52 |
$695.52 |
$695.52 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,863.26 |
$1,863.26 |
$1,863.26 |
$1,700.16
|
|
Aortic hemiarch graft 33866
|
$1,284.05 |
$1,284.05 |
$1,284.05 |
$2,609.60
|
|
Aortic suspension
|
$1,414.87 |
$1,414.87 |
$1,414.87 |
$1,414.87
|
|
Apc gene dup/delet variants
|
$276.00 |
$276.00 |
$276.00 |
$462.00
|
|
Apc gene full sequence
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,255.20
|
|
Apc gene known fam variants
|
$386.40 |
$386.40 |
$386.40 |
$319.20
|
|
Aphakia prosth service temp
|
$81.12 |
$81.12 |
$81.12 |
$81.12
|
|
Apheresis immunoads slctv
|
$5,988.98 |
$5,988.98 |
$5,988.98 |
$5,794.21
|
|
Apheresis plasma
|
$2,141.53 |
$2,141.53 |
$2,141.53 |
$3,226.34
|
|
Apheresis platelets
|
$606.63 |
$606.63 |
$606.63 |
$2,195.00
|
|
Apheresis rbc
|
$2,141.53 |
$2,141.53 |
$2,141.53 |
$3,290.80
|
|
Apheresis wbc
|
$2,141.53 |
$2,141.53 |
$2,141.53 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$286.09 |
$286.09 |
$286.09 |
$513.00
|
|
Appendectomy
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$114.00 |
$114.00 |
$114.00 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,243.77 |
$1,243.77 |
$1,243.77 |
$1,562.44
|
|
Appendico-vesicostomy
|
$1,632.03 |
$1,632.03 |
$1,632.03 |
$1,632.03
|
|
Appendix Removal (Laparoscopic)
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$73.17 |
$73.17 |
$73.17 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$32.47 |
$32.47 |
$32.47 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$58.95 |
$58.95 |
$58.95 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$21.75 |
$21.75 |
$21.75 |
$512.20
|
|
Appl bdy cst sho to hip 1thi
|
$231.14 |
$231.14 |
$231.14 |
$353.60
|
|
Appl bdy cst sho to hip b th
|
$384.59 |
$384.59 |
$384.59 |
$561.60
|
|
Appl bdy cst sho to hip head
|
$384.59 |
$384.59 |
$384.59 |
$561.60
|
|
Appl body cast sho to hips
|
$384.59 |
$384.59 |
$384.59 |
$509.60
|
|
Appl cast figure-of-eight
|
$384.59 |
$384.59 |
$384.59 |
$314.28
|
|
Appl cast plaster velpeau
|
$384.59 |
$384.59 |
$384.59 |
$314.28
|
|
Appl cast shoulder spica
|
$384.59 |
$384.59 |
$384.59 |
$486.03
|
