|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Amputation follow-up surgery
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Amputation follow-up surgery
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,342.87
|
|
Amputation leg thr tib/fib 27880
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$1,506.60
|
|
Amputation of foot at ankle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,109.92
|
|
Amputation of foot at ankle
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$1,240.80
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Amputation of hand
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$2,006.40
|
|
Amputation of leg at hip
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
$4,000.80
|
|
Amputation of leg at hip
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
$6,192.00
|
|
Amputation of lower leg
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$2,545.40
|
|
Amputation of lower leg
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,342.87
|
|
Amputation of midtarsal 28800
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$2,285.40
|
|
Amputation of upper arm
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$2,646.80
|
|
Amputation of upper arm
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$13,116.76
|
|
Amputation thru metatarsal
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Amylase
|
$6.48 |
$6.48 |
$6.48 |
$90.00
|
|
Anacaulase-bcdb 8.8% gel 1 g
|
$58.34 |
$58.34 |
$58.34 |
$58.34
|
|
Ana ds-dna
|
$12.11 |
$12.11 |
$12.11 |
$55.24
|
|
Anal pressure record
|
$368.50 |
$368.50 |
$368.50 |
$954.00
|
|
Anal/urinary muscle study
|
$185.15 |
$185.15 |
$185.15 |
$407.00
|
|
Anal/urinary muscle study
|
$287.81 |
$287.81 |
$287.81 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$108.62 |
$108.62 |
$108.62 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$65.69 |
$65.69 |
$65.69 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$73.37 |
$73.37 |
$73.37 |
$249.60
|
|
Analysis nerve
|
$63.23 |
$63.23 |
$63.23 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$44.13 |
$44.13 |
$44.13 |
$122.20
|
|
Analysis tumor
|
$202.78 |
$202.78 |
$202.78 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$108.62 |
$108.62 |
$108.62 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$35.09 |
$35.09 |
$35.09 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$15.05 |
$15.05 |
$15.05 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$2,480.94
|
|
Androstanediol
|
$28.83 |
$28.83 |
$28.83 |
$131.04
|
|
Angioplasty fem/pop unilat 37224
|
$6,746.95 |
$6,746.95 |
$6,746.95 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,746.95 |
$6,746.95 |
$6,746.95 |
$9,765.79
|
|
Angiotensin ii
|
$20.52 |
$20.52 |
$20.52 |
$55.44
|
|
Angio tib/peroneal/init ves/unila 37228
|
$13,419.98 |
$13,419.98 |
$13,419.98 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ini
|
$6,746.95 |
$6,746.95 |
$6,746.95 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$6,746.95 |
$6,746.95 |
$6,746.95 |
$8,359.11
|
|
Ankle arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,334.74
|
|
Ankle X-ray
|
$104.19 |
$104.19 |
$104.19 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$104.19 |
$104.19 |
$104.19 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$354.90 |
$354.90 |
$354.90 |
$630.96
|
|
Annual alcohol screen 15 min
|
$38.28 |
$38.28 |
$38.28 |
$40.00
|
|
Anodyne therapy charges pt
|
$7.95 |
$7.95 |
$7.95 |
$42.00
|
|
Anogenital exam child w imag
|
$238.06 |
$238.06 |
$238.06 |
$277.99
|
|
Anorectal myomectomy
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$4,350.00
|
|
Anoscopy
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,245.23
|
|
Anoscopy and biopsy
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$368.50 |
$368.50 |
$368.50 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$5,841.60
|
|
Antibody
|
$15.99 |
$15.99 |
$15.99 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$12.88 |
$12.88 |
$12.88 |
$57.85
|
|
Antibody elution rbc reference
|
$202.78 |
$202.78 |
$202.78 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$19.35 |
$19.35 |
$19.35 |
$131.56
|
|
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 |
$224.00
|
|
Antibody id rbc panel
|
$425.68 |
$425.68 |
$425.68 |
$291.75
|
|
Antibody influenza virus
|
$13.55 |
$13.55 |
$13.55 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$12.87 |
$12.87 |
$12.87 |
$46.58
|
|
Antibody screen rbc
|
$63.23 |
$63.23 |
$63.23 |
$108.55
|
|
Antibody tetanus
|
$14.80 |
$14.80 |
$14.80 |
$54.15
|
|
Antigen therapy services
|
$54.60 |
$54.60 |
$54.60 |
$73.84
|
|
Antigen therapy services
|
$54.60 |
$54.60 |
$54.60 |
$83.72
|
|
Antigen therapy services
|
$84.22 |
$84.22 |
$84.22 |
$101.40
|
|
Antigen therapy services
|
$84.22 |
$84.22 |
$84.22 |
$96.72
|
|
Antigen therapy services
|
$84.22 |
$84.22 |
$84.22 |
$130.00
|
|
Antigen therapy services
|
$54.60 |
$54.60 |
$54.60 |
$74.00
|
|
Antigen therapy services
|
$54.60 |
$54.60 |
$54.60 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$1.23 |
$1.23 |
$1.23 |
$3.67
|
|
Anti-inhibitor
|
$2.34 |
$2.34 |
$2.34 |
$8.33
|
|
Anti mog serum - sendout
|
$12.05 |
$12.05 |
$12.05 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$12.05 |
$12.05 |
$12.05 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$12.05 |
$12.05 |
$12.05 |
$42.00
|
|
Antinuclear antibodies
|
$12.09 |
$12.09 |
$12.09 |
$90.00
|
|
Antinuclear antibodies titer
|
$11.16 |
$11.16 |
$11.16 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$16.07 |
$16.07 |
$16.07 |
$67.43
|
|
Antistreptolysin o screen
|
$5.77 |
$5.77 |
$5.77 |
$58.56
|
|
Antistreptolysin o titer
|
$7.30 |
$7.30 |
$7.30 |
$54.00
|
|
Antithrombin iii activity
|
$11.85 |
$11.85 |
$11.85 |
$115.15
|