|
Annual alcohol screen 15 min
|
$35.08 |
$35.08 |
$35.08 |
$32.97
|
|
Anodyne therapy charges pt
|
$8.81 |
$8.81 |
$8.81 |
$41.02
|
|
Anogenital exam child w imag
|
$236.91 |
$236.91 |
$236.91 |
$195.96
|
|
Anorectal myomectomy
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,997.10
|
|
Anoscopy
|
$1,073.68 |
$1,073.68 |
$1,073.68 |
$1,056.92
|
|
Anoscopy ablation lesion 46615
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$2,367.00
|
|
Anoscopy and biopsy
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,288.59
|
|
Anoscopy and dilation 46604
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$1,388.56 |
$1,388.56 |
$1,388.56 |
$1,306.21
|
|
Anoscopy remove fb 46608
|
$1,073.68 |
$1,073.68 |
$1,073.68 |
$1,278.72
|
|
Anoscopy remove lesion 46610
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$3,035.44
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$3,229.60 |
$3,229.60 |
$3,229.60 |
$755.20
|
|
Ans parasymp & symp w/tilt
|
$366.72 |
$366.72 |
$366.72 |
$344.98
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$4,760.24
|
|
Antibody
|
$15.99 |
$15.99 |
$15.99 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$12.88 |
$12.88 |
$12.88 |
$57.85
|
|
Antibody elution rbc reference
|
$201.80 |
$201.80 |
$201.80 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$19.35 |
$19.35 |
$19.35 |
$154.85
|
|
Antibody htlv-i
|
$9.09 |
$9.09 |
$9.09 |
$49.53
|
|
Antibody htlv-ii
|
$14.00 |
$14.00 |
$14.00 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$18.37 |
$18.37 |
$18.37 |
$216.24
|
|
Antibody id rbc panel
|
$423.63 |
$423.63 |
$423.63 |
$250.90
|
|
Antibody influenza virus
|
$13.55 |
$13.55 |
$13.55 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$12.87 |
$12.87 |
$12.87 |
$57.85
|
|
Antibody screen rbc
|
$62.92 |
$62.92 |
$62.92 |
$99.99
|
|
Antibody tetanus
|
$14.80 |
$14.80 |
$14.80 |
$74.53
|
|
Antigen therapy services
|
$54.34 |
$54.34 |
$54.34 |
$69.43
|
|
Antigen therapy services
|
$54.34 |
$54.34 |
$54.34 |
$82.78
|
|
Antigen therapy services
|
$83.81 |
$83.81 |
$83.81 |
$99.86
|
|
Antigen therapy services
|
$83.81 |
$83.81 |
$83.81 |
$99.00
|
|
Antigen therapy services
|
$83.81 |
$83.81 |
$83.81 |
$135.20
|
|
Antigen therapy services
|
$54.34 |
$54.34 |
$54.34 |
$64.39
|
|
Antigen therapy services
|
$54.34 |
$54.34 |
$54.34 |
$51.11
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$2.69
|
|
Antihemophilic viii/vwf comp
|
$1.23 |
$1.23 |
$1.23 |
$2.95
|
|
Anti-inhibitor
|
$2.34 |
$2.34 |
$2.34 |
$3.44
|
|
Anti mog serum - sendout
|
$12.05 |
$12.05 |
$12.05 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$12.05 |
$12.05 |
$12.05 |
$56.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$12.05 |
$12.05 |
$12.05 |
$48.57
|
|
Antinuclear antibodies
|
$12.09 |
$12.09 |
$12.09 |
$97.50
|
|
Antinuclear antibodies titer
|
$11.16 |
$11.16 |
$11.16 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$16.07 |
$16.07 |
$16.07 |
$72.15
|
|
Antistreptolysin o screen
|
$5.77 |
$5.77 |
$5.77 |
$57.20
|
|
Antistreptolysin o titer
|
$7.30 |
$7.30 |
$7.30 |
$58.50
|
|
Antithrombin iii activity
|
$11.85 |
$11.85 |
$11.85 |
$135.20
|
|
Antithrombin iii injection
|
$3.85 |
$3.85 |
$3.85 |
$6.36
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,968.45 |
$3,968.45 |
$3,968.45 |
$6,946.62
|
|
Antithymocyte globuln rabbit
|
$956.74 |
$956.74 |
$956.74 |
$996.39
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$5,463.96
|
|
Ant sgm img ir flrscn angrph
|
$151.80 |
$151.80 |
$151.80 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$151.80 |
$151.80 |
$151.80 |
$147.72
|
|
Aortic dysfunction/dilation
|
$504.00 |
$504.00 |
$504.00 |
$587.08
|
|
Aortic dysfunction/dilation
|
$1,350.19 |
$1,350.19 |
$1,350.19 |
$1,863.26
|
|
Apc gene dup/delet variants
|
$200.00 |
$200.00 |
$200.00 |
$468.75
|
|
Apc gene full sequence
|
$780.00 |
$780.00 |
$780.00 |
$1,560.00
|
|
Apc gene known fam variants
|
$280.00 |
$280.00 |
$280.00 |
$268.80
|
|
Aphakia prosth service temp
|
$69.95 |
$69.95 |
$69.95 |
$65.75
|
|
Apheresis immunoads slctv
|
$5,517.54 |
$5,517.54 |
$5,517.54 |
$5,517.54
|
|
Apheresis plasma
|
$1,930.51 |
$1,930.51 |
$1,930.51 |
$3,411.50
|
|
Apheresis platelets
|
$514.85 |
$514.85 |
$514.85 |
$2,195.00
|
|
Apheresis rbc
|
$1,930.51 |
$1,930.51 |
$1,930.51 |
$2,884.05
|
|
Apheresis wbc
|
$1,930.51 |
$1,930.51 |
$1,930.51 |
$2,906.15
|
|
Apl(pml-rara) quant - sendout
|
$207.31 |
$207.31 |
$207.31 |
$465.60
|
|
Appendectomy
|
$7,348.30 |
$7,348.30 |
$7,348.30 |
$2,756.00
|
|
Appendix Removal (Laparoscopic)
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,604.91
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,078.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$2,978.25
|
|
Appl bdy cst sho to hip 1thi
|
$185.82 |
$185.82 |
$185.82 |
$231.14
|
|
Appl bdy cst sho to hip b th
|
$312.76 |
$312.76 |
$312.76 |
$384.59
|
|
Appl bdy cst sho to hip head
|
$312.76 |
$312.76 |
$312.76 |
$384.59
|
|
Appl body cast sho to hips
|
$312.76 |
$312.76 |
$312.76 |
$390.73
|
|
Appl cast figure-of-eight
|
$312.76 |
$312.76 |
$312.76 |
$278.22
|
|
Appl cast plaster velpeau
|
$312.76 |
$312.76 |
$312.76 |
$293.96
|
|
Appl cast shoulder spica
|
$312.76 |
$312.76 |
$312.76 |
$384.59
|
|
Appl halo type body cast
|
$312.76 |
$312.76 |
$312.76 |
$384.59
|
|
Appl hip spica cast1&1/2
|
$312.76 |
$312.76 |
$312.76 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$312.76 |
$312.76 |
$312.76 |
$544.48
|
|
Application clubfoot cast
|
$185.82 |
$185.82 |
$185.82 |
$370.58
|
|
Application finger splntstatic 29130
|
$151.80 |
$151.80 |
$151.80 |
$208.16
|
|
Application halo femoral
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Application halo pelvic
|
$1,884.74 |
$1,884.74 |
$1,884.74 |
$1,771.43
|
|
Application long leg splint 29505
|
$185.82 |
$185.82 |
$185.82 |
$325.60
|
|
Application lower leg splint 29515
|
$185.82 |
$185.82 |
$185.82 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$185.82 |
$185.82 |
$185.82 |
$384.80
|
|
Application of body cast
|
$312.76 |
$312.76 |
$312.76 |
$526.92
|
|
Application of body cast
|
$312.76 |
$312.76 |
$312.76 |
$390.73
|
|
Application of cylinder cast 29365
|
$312.76 |
$312.76 |
$312.76 |
$431.08
|
|
Application of forearm cast 29075
|
$312.76 |
$312.76 |
$312.76 |
$370.80
|
|
Application of long arm cast 29065
|
$312.76 |
$312.76 |
$312.76 |
$404.63
|
|
Application of long leg cast
|
$312.76 |
$312.76 |
$312.76 |
$406.75
|
|
Application of long leg cast 29345
|
$312.76 |
$312.76 |
$312.76 |
$464.51
|
|
Application of paste boot 29580
|
$185.82 |
$185.82 |
$185.82 |
$331.74
|
|
Application short leg cast 29405
|
$312.76 |
$312.76 |
$312.76 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,087.50
|
|
Appl long leg cast brace
|
$312.76 |
$312.76 |
$312.76 |
$375.00
|
|
Appl mltpln uni ext fixj sys
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$4,447.85
|
|
Appl modality 1/> areas paraffin bath 97018
|
$7.89 |
$7.89 |
$7.89 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$14.87 |
$14.87 |
$14.87 |
$71.50
|
|
Appl modality 1+lllt po pain
|
$46.22 |
$46.22 |
$46.22 |
$49.92
|