|
Amputation toe interphalangeal joint
|
$3,816.60 |
$3,816.60 |
$3,816.60 |
$4,196.50
|
|
Amylase
|
$15.60 |
$15.60 |
$15.60 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$561.00 |
$561.00 |
$561.00 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$85.80 |
$85.80 |
$85.80 |
$85.80
|
|
Anastrozole 1 mg
|
$0.40 |
$0.40 |
$0.40 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$36.60 |
$36.60 |
$36.60 |
$101.50
|
|
An fluoro guide for cvp
|
$222.00 |
$222.00 |
$222.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$3,420.60 |
$3,420.60 |
$3,420.60 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$3,420.60 |
$3,420.60 |
$3,420.60 |
$9,765.79
|
|
Angiotensin ii
|
$231.00 |
$231.00 |
$231.00 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$20,790.00 |
$20,790.00 |
$20,790.00 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ini
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$8,359.11
|
|
Ankle X-ray
|
$122.40 |
$122.40 |
$122.40 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$108.60 |
$108.60 |
$108.60 |
$282.96
|
|
Anoscopy control bleeding 46614
|
$749.40 |
$749.40 |
$749.40 |
$2,140.60
|
|
Antibody bacterium, not elsewhere specified
|
$51.00 |
$51.00 |
$51.00 |
$57.85
|
|
Antibody elution rbc reference
|
$81.00 |
$81.00 |
$81.00 |
$177.29
|
|
Antibody htlv-i
|
$79.80 |
$79.80 |
$79.80 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$45.00 |
$45.00 |
$45.00 |
$224.00
|
|
Antibody id rbc panel
|
$56.40 |
$56.40 |
$56.40 |
$291.75
|
|
Antibody influenza virus
|
$33.00 |
$33.00 |
$33.00 |
$54.00
|
|
Antibody screen rbc
|
$21.60 |
$21.60 |
$21.60 |
$108.55
|
|
Antibody tetanus
|
$102.60 |
$102.60 |
$102.60 |
$54.15
|
|
Anti mog serum - sendout
|
$29.40 |
$29.40 |
$29.40 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$36.60 |
$36.60 |
$36.60 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$36.60 |
$36.60 |
$36.60 |
$42.00
|
|
Antinuclear antibodies
|
$29.40 |
$29.40 |
$29.40 |
$90.00
|
|
Antinuclear antibodies titer
|
$27.00 |
$27.00 |
$27.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$39.60 |
$39.60 |
$39.60 |
$67.43
|
|
Antistreptolysin o screen
|
$30.60 |
$30.60 |
$30.60 |
$58.56
|
|
Antistreptolysin o titer
|
$17.40 |
$17.40 |
$17.40 |
$54.00
|
|
Antithrombin iii activity
|
$28.80 |
$28.80 |
$28.80 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$248.40 |
$248.40 |
$248.40 |
$394.55
|
|
Aortic dysfunction/dilation
|
$7,011.00 |
$7,011.00 |
$7,011.00 |
$1,153.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,378.80 |
$4,378.80 |
$4,378.80 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$3,269.40 |
$3,269.40 |
$3,269.40 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$78.00 |
$78.00 |
$78.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$320.40 |
$320.40 |
$320.40 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$211.20 |
$211.20 |
$211.20 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$78.00 |
$78.00 |
$78.00 |
$512.20
|
|
Application finger splntstatic 29130
|
$70.20 |
$70.20 |
$70.20 |
$208.50
|
|
Application long leg splint 29505
|
$70.20 |
$70.20 |
$70.20 |
$338.25
|
|
Application lower leg splint 29515
|
$70.20 |
$70.20 |
$70.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$81.00 |
$81.00 |
$81.00 |
$375.06
|
|
Application of forearm cast 29075
|
$154.80 |
$154.80 |
$154.80 |
$358.20
|
|
Application of paste boot 29580
|
$72.00 |
$72.00 |
$72.00 |
$340.11
|
|
Application short leg cast 29405
|
$165.60 |
$165.60 |
$165.60 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$211.20 |
$211.20 |
$211.20 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$211.20 |
$211.20 |
$211.20 |
$2,164.64
|
|
Apply forearm splintdynamic 29126
|
$70.20 |
$70.20 |
$70.20 |
$255.20
|
|
Apply of finger splint 29131
|
$70.20 |
$70.20 |
$70.20 |
$177.45
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$10.40 |
$10.40 |
$10.40 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$324.60 |
$324.60 |
$324.60 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$29.40 |
$29.40 |
$29.40 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$29.40 |
$29.40 |
$29.40 |
$150.00
|
|
Aquatic exercise - group charge
|
$50.40 |
$50.40 |
$50.40 |
$87.45
|
|
Arformoterol non-comp unit
|
$7.00 |
$7.00 |
$7.00 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$591.60 |
$591.60 |
$591.60 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$7.60 |
$7.60 |
$7.60 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$659.40 |
$659.40 |
$659.40 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$507.60 |
$507.60 |
$507.60 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$122.40 |
$122.40 |
$122.40 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$85.80 |
$85.80 |
$85.80 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$49.80 |
$49.80 |
$49.80 |
$478.96
|
|
Artery xray of abdomen 75726-26
|
$3,860.40 |
$3,860.40 |
$3,860.40 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$3,860.40 |
$3,860.40 |
$3,860.40 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,860.40 |
$3,860.40 |
$3,860.40 |
$3,860.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$168.60 |
$168.60 |
$168.60 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$285.60 |
$285.60 |
$285.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$285.60 |
$285.60 |
$285.60 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$168.60 |
$168.60 |
$168.60 |
$494.40
|
|
Asp core fat pad
|
$27.00 |
$27.00 |
$27.00 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$561.60 |
$561.60 |
$561.60 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$558.60 |
$558.60 |
$558.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$360.60 |
$360.60 |
$360.60 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$810.00 |
$810.00 |
$810.00 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$70.80 |
$70.80 |
$70.80 |
$431.20
|
|
Asp pq spinal cord cyst/syrinx
|
$3,037.20 |
$3,037.20 |
$3,037.20 |
$1,330.50
|
|
Assay dir meas fr estradiol
|
$110.40 |
$110.40 |
$110.40 |
$68.00
|
|
Assay free hydroxyproline
|
$162.00 |
$162.00 |
$162.00 |
$57.60
|
|
Assay myeloperoxidase
|
$200.40 |
$200.40 |
$200.40 |
$97.41
|
|
Assay of feces porphyrins
|
$229.80 |
$229.80 |
$229.80 |
$134.38
|
|
Assay of fluoride
|
$281.40 |
$281.40 |
$281.40 |
$96.85
|
|
Assay of glutathione
|
$83.40 |
$83.40 |
$83.40 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$31.80 |
$31.80 |
$31.80 |
$79.00
|
|
Assay of osteocalcin
|
$169.20 |
$169.20 |
$169.20 |
$93.60
|
|
Assay of prostaglandin
|
$795.60 |
$795.60 |
$795.60 |
$230.00
|
|
Assay of sialic acid
|
$191.40 |
$191.40 |
$191.40 |
$92.50
|
|
Assay of somatostatin
|
$218.40 |
$218.40 |
$218.40 |
$170.50
|
|
Assay of tyrosine
|
$144.60 |
$144.60 |
$144.60 |
$56.10
|
|
Assay of urine sulfate
|
$15.60 |
$15.60 |
$15.60 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$171.00 |
$171.00 |
$171.00 |
$300.00
|
|
Assess cyst contrast inject
|
$201.00 |
$201.00 |
$201.00 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$37.20 |
$37.20 |
$37.20 |
$46.80
|
|
Ast/sgot
|
$12.60 |
$12.60 |
$12.60 |
$45.90
|
