|
Alveoloplasty each quadrant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,589.62
|
|
Amantadine (symmetrel)-sendout
|
$24.89 |
$24.89 |
$24.89 |
$199.58
|
|
Amino acid screen, urine
|
$15.26 |
$15.26 |
$15.26 |
$76.05
|
|
Amino acid single qual
|
$15.60 |
$15.60 |
$15.60 |
$36.00
|
|
Amino acids quant 2-5
|
$21.57 |
$21.57 |
$21.57 |
$141.00
|
|
Aminolevulinic acid delta
|
$18.10 |
$18.10 |
$18.10 |
$95.80
|
|
Amitriptyline (elavil) -sendout
|
$37.02 |
$37.02 |
$37.02 |
$102.40
|
|
Ammonia
|
$16.03 |
$16.03 |
$16.03 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$876.60
|
|
Amniocentesis therapeutic
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$791.05
|
|
Amniotic fluid scan
|
$10.29 |
$10.29 |
$10.29 |
$33.15
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,735.51
|
|
Amphetamines 5 or more
|
$37.02 |
$37.02 |
$37.02 |
$101.40
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$46.18 |
$46.18 |
$46.18 |
$362.93
|
|
Amp metatarsal w/toe single 28810
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,594.44
|
|
Amputate hand at wrist
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,086.40
|
|
Amputate metacarpal bone 26910
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,666.29
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,545.97
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,705.22
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,627.00
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,934.40
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,766.40
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,743.15
|
|
Amputation follow-up surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,743.15
|
|
Amputation of foot at ankle
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Amputation thru metatarsal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,622.40
|
|
Amputation toe interphalangeal joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,624.50
|
|
Amputation toe metatarsophalangeal joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,635.57
|
|
Amylase
|
$7.13 |
$7.13 |
$7.13 |
$95.80
|
|
Ana ds-dna
|
$13.32 |
$13.32 |
$13.32 |
$69.03
|
|
Anal pressure record
|
$164.08 |
$164.08 |
$164.08 |
$984.75
|
|
Anal/urinary muscle study
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$407.61
|
|
Anal/urinary muscle study
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$72.26 |
$72.26 |
$72.26 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$80.71 |
$80.71 |
$80.71 |
$253.11
|
|
Anaplsma phgcytophlm amp prb
|
$38.60 |
$38.60 |
$38.60 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$16.56 |
$16.56 |
$16.56 |
$112.45
|
|
An cholangiogram percutaneous compl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,478.25
|
|
Androstanediol
|
$31.71 |
$31.71 |
$31.71 |
$103.80
|
|
An fluoro guide for cvp
|
$105.26 |
$105.26 |
$105.26 |
$482.46
|
|
Angioplasty fem/pop unilat 37224
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,344.88
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,513.10
|
|
Angiotensin ii
|
$22.57 |
$22.57 |
$22.57 |
$55.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$12,672.89
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$9,275.00
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$8,766.15
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,072.40
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,743.15
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,786.00
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,786.00
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,821.05
|
|
Ankle arthroscopy/surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,311.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$693.75
|
|
Anora (draw only)
|
$11.22 |
$11.22 |
$11.22 |
$36.00
|
|
Anorectal myomectomy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,038.07
|
|
Anoscopy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,067.25
|
|
Anoscopy ablation lesion 46615
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,367.00
|
|
Anoscopy and biopsy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,364.66
|
|
Anoscopy and dilation 46604
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,645.43
|
|
Anoscopy remove fb 46608
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,278.72
|
|
Anoscopy remove lesion 46610
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,246.99
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,038.07
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,760.24
|
|
Antibody
|
$17.59 |
$17.59 |
$17.59 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$14.17 |
$14.17 |
$14.17 |
$61.45
|
|
Antibody elution rbc reference
|
$38.57 |
$38.57 |
$38.57 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$21.29 |
$21.29 |
$21.29 |
$141.74
|
|
Antibody htlv-i
|
$10.00 |
$10.00 |
$10.00 |
$49.53
|
|
Antibody htlv-ii
|
$15.40 |
$15.40 |
$15.40 |
$37.20
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$20.21 |
$20.21 |
$20.21 |
$227.00
|
|
Antibody id rbc panel
|
$77.65 |
$77.65 |
$77.65 |
$281.30
|
|
Antibody influenza virus
|
$14.91 |
$14.91 |
$14.91 |
$54.60
|
|
Antibody lymphocytic choriomeningitis
|
$14.16 |
$14.16 |
$14.16 |
$55.44
|
|
Antibody screen rbc
|
$10.75 |
$10.75 |
$10.75 |
$105.00
|
|
Antibody tetanus
|
$16.28 |
$16.28 |
$16.28 |
$61.98
|
|
Antidepressant not specified
|
$37.02 |
$37.02 |
$37.02 |
$89.50
|
|
Anti mog serum - sendout
|
$13.26 |
$13.26 |
$13.26 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$13.26 |
$13.26 |
$13.26 |
$52.80
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$13.26 |
$13.26 |
$13.26 |
$47.62
|
|
Antinuclear antibodies
|
$13.30 |
$13.30 |
$13.30 |
$94.25
|
|
Antinuclear antibodies titer
|
$12.28 |
$12.28 |
$12.28 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$17.68 |
$17.68 |
$17.68 |
$79.20
|
|
Antistreptolysin o screen
|
$6.35 |
$6.35 |
$6.35 |
$58.56
|
|
Antistreptolysin o titer
|
$8.03 |
$8.03 |
$8.03 |
$57.96
|
|
Antithrombin iii activity
|
$13.04 |
$13.04 |
$13.04 |
$126.25
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,394.95
|
|
Aortic dysfunction/dilation
|
$554.40 |
$554.40 |
$554.40 |
$982.80
|
|
Aortic dysfunction/dilation
|
$1,485.21 |
$1,485.21 |
$1,485.21 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$220.00 |
$220.00 |
$220.00 |
$400.00
|
|
Apc gene full sequence
|
$858.00 |
$858.00 |
$858.00 |
$1,528.20
|
|
Apc gene known fam variants
|
$308.00 |
$308.00 |
$308.00 |
$308.00
|
|
Apheresis immunoads slctv
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,365.01
|
|
Apheresis plasma
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,374.23
|
|
Apheresis platelets
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,427.52
|
|
Apheresis rbc
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,348.50
|