|
Angiotensin ii
|
$28.32 |
$28.32 |
$28.32 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$9,136.40 |
$19,642.00 |
$35,038.00 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$228.49 |
$7,070.00 |
$14,988.96 |
|
|
Angio trnslmnl balloon same artery ini
|
$6,658.00 |
$7,826.12 |
$20,147.12 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$193.42 |
$4,287.00 |
$10,768.24 |
|
|
Angio trnslmnl balloon same vein ini
|
$6,174.00 |
$7,826.12 |
$17,199.00 |
|
|
Anidulafungin injection
|
$0.70 |
$0.70 |
$1.66 |
|
|
Ank-foot sys dors-plant flex
|
$30,000.54 |
$30,000.54 |
$30,000.54 |
|
|
Ankle arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ankle arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Ankle arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ankle arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ankle arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ankle arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ankle arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Ankle X-ray
|
$91.84 |
$371.00 |
$986.00 |
|
|
Ankle X-ray (2 views, both ankles)
|
$80.08 |
$358.61 |
$857.00 |
|
|
Ank symes mold sckt sach ft
|
$4,656.12 |
$4,656.12 |
$4,656.12 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$422.32 |
$993.00 |
$1,031.00 |
|
|
Annual alcohol screen 15 min
|
$51.52 |
$51.52 |
$51.52 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$137.00 |
$191.00 |
$271.00 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$147.00 |
$191.00 |
$271.00 |
|
|
Annual Physical, New Patient (age 18-39)
|
$154.00 |
$218.00 |
$311.00 |
|
|
Annual Physical, New Patient (age 40-64)
|
$172.00 |
$218.00 |
$311.00 |
|
|
Anodyne therapy charges pt
|
$9.33 |
$23.00 |
$52.08 |
|
|
Anogenital exam child w imag
|
$150.00 |
$277.99 |
$277.99 |
|
|
Anora (draw only)
|
$8.27 |
$35.00 |
$76.80 |
|
|
Anorectal myomectomy
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Anoscopy
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Anoscopy ablation lesion 46615
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Anoscopy and biopsy
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Anoscopy and dilation 46604
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Anoscopy control bleeding 46614
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Anoscopy remove fb 46608
|
$1,278.72 |
$1,278.72 |
$1,840.00 |
|
|
Anoscopy remove lesion 46610
|
$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 |
|
|
Ans parasymp & symp w/tilt
|
$296.91 |
$296.91 |
$296.91 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Anterior asis pad
|
$134.14 |
$134.14 |
$134.14 |
|
|
Anterior swing band
|
$476.73 |
$476.73 |
$476.73 |
|
|
Anterior thoracic derotation
|
$159.96 |
$159.96 |
$159.96 |
|
|
Anterior thoracic extension
|
$403.87 |
$403.87 |
$403.87 |
|
|
Antibody
|
$22.07 |
$22.07 |
$22.07 |
|
|
Antibody bacterium, not elsewhere specified
|
$15.12 |
$17.77 |
$396.80 |
|
|
Antibody elution rbc reference
|
$60.48 |
$78.00 |
$404.00 |
|
|
Antibody htlv/hiv confirm test
|
$19.60 |
$141.74 |
$568.00 |
|
|
Antibody htlv-i
|
$3.61 |
$12.00 |
$236.80 |
|
|
Antibody htlv-ii
|
$16.24 |
$47.00 |
$50.40 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$25.35 |
$283.00 |
$1,416.00 |
|
|
Antibody id rbc panel
|
$52.08 |
$374.00 |
$492.88 |
|
|
Antibody influenza virus
|
$7.62 |
$18.70 |
$327.20 |
|
|
Antibody lymphocytic choriomeningitis
|
$9.13 |
$17.76 |
$56.80 |
|
|
Antibody screen rbc
|
$14.00 |
$70.00 |
$431.20 |
|
|
Antibody tetanus
|
$13.63 |
$20.42 |
$200.80 |
|
|
Anticoag mgmt pt warfarin
|
$16.19 |
$16.19 |
$16.19 |
|
|
Antidepressant not specified
|
$133.00 |
$133.00 |
$134.00 |
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
|
|
Antigen therapy services
|
$99.00 |
$99.00 |
$99.00 |
|
|
Antigen therapy services
|
$64.39 |
$74.00 |
$154.00 |
|
|
Antigen therapy services
|
$64.39 |
$64.39 |
$64.39 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.59 |
$2.06 |
$2.06 |
|
|
Antihemophilic viii/vwf comp
|
$1.71 |
$1.71 |
$1.71 |
|
|
Anti-inhibitor
|
$1.44 |
$3.36 |
$57.57 |
|
|
Anti mog serum - sendout
|
$16.63 |
$16.63 |
$16.63 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$16.63 |
$86.00 |
$86.00 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$15.68 |
$16.63 |
$16.63 |
|
|
Ant instr 2-3 vert segm 22845
|
$1,009.19 |
$1,009.19 |
$1,009.19 |
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,049.49 |
$1,049.49 |
$1,049.49 |
|
|
Antinuclear antibodies
|
$12.69 |
$113.00 |
$184.00 |
|
|
Antinuclear antibodies titer
|
$11.75 |
$87.00 |
$183.20 |
|
|
Antiphosphatidylserine antibody
|
$6.83 |
$20.72 |
$477.60 |
|
|
Antipsychotics nos 1-3
|
$27.56 |
$164.00 |
$164.00 |
|
|
Antistreptolysin o screen
|
$2.82 |
$7.96 |
$157.60 |
|
|
Antistreptolysin o titer
|
$7.52 |
$60.00 |
$187.20 |
|
|
Antithrombin iii activity
|
$8.93 |
$51.00 |
$224.80 |
|
|
Antithrombin iii injection
|
$4.08 |
$5.59 |
$5.59 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$4,503.24 |
$7,324.94 |
$7,324.94 |
|
|
Antithymocyte globuln rabbit
|
$761.49 |
$1,393.46 |
$1,393.46 |
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Ant sgm img ir flrscn angrph
|
$182.95 |
$182.95 |
$182.95 |
|
|
Ant sgm img i&r speclr mic
|
$182.95 |
$484.00 |
$484.00 |
|
|
Ant thrc vrt body tethrg <7
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
|
|
Ant thrc vrt body tethrg 8+
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
|
|
Aoi transducer/actuator repl
|
$1,604.76 |
$1,604.76 |
$1,604.76 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$122.64 |
$432.00 |
$733.00 |
|
|
Aortic circulation assist 33971
|
$1,004.96 |
$1,004.96 |
$1,004.96 |
|
|
Aortic dysfunction/dilation
|
$386.96 |
$695.52 |
$11,298.40 |
|
|
Aortic dysfunction/dilation
|
$1,036.56 |
$1,863.26 |
$1,863.26 |
|
|
Aortic hemiarch graft 33866
|
$1,284.05 |
$1,284.05 |
$1,284.05 |
|
|
Aortic suspension
|
$1,414.87 |
$1,414.87 |
$1,414.87 |
|
|
Apc gene dup/delet variants
|
$42.56 |
$94.00 |
$276.00 |
|
|
Apc gene full sequence
|
$366.60 |
$502.32 |
$1,076.40 |
|
|
Apc gene known fam variants
|
$131.60 |
$386.40 |
$386.40 |
|
|
Aphakia prosth service temp
|
$81.12 |
$81.12 |
$81.12 |
|
|
Apheresis immunoads slctv
|
$3,306.24 |
$5,988.98 |
$5,988.98 |
|
|
Apheresis plasma
|
$1,726.48 |
$2,153.52 |
$13,154.00 |
|
|
Apheresis platelets
|
$606.63 |
$1,726.48 |
$3,693.00 |
|
