|
Aep hearing status deter i&r
|
$366.43 |
$366.43 |
$366.43 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$689.09 |
$689.09 |
$689.09 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$689.09 |
$689.09 |
$689.09 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$72.57 |
$72.57 |
$72.57 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$21.44 |
$21.44 |
$21.44 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$417.47 |
$417.47 |
$417.47 |
$300.00
|
|
Aflibercept injection
|
$1,542.79 |
$1,542.79 |
$1,542.79 |
$2,738.00
|
|
Afo molded ankle gauntlet
|
$872.39 |
$872.39 |
$872.39 |
$765.51
|
|
Afo molded to patient plasti
|
$1,126.12 |
$1,126.12 |
$1,126.12 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$1,899.72 |
$1,899.72 |
$1,899.72 |
$1,843.53
|
|
Afo tib fx cast molded to pt
|
$2,326.17 |
$2,326.17 |
$2,326.17 |
$2,118.14
|
|
Afo tib fx semi-rigid l2114
|
$1,387.25 |
$1,387.25 |
$1,387.25 |
$817.60
|
|
After cataract laser surgery
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,373.11
|
|
Airway resistance by impulse oscillometry 94728
|
$870.76 |
$870.76 |
$870.76 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$22.82 |
$22.82 |
$22.82 |
$47.45
|
|
Albumin (human), 5%, 250 ml
|
$77.11 |
$77.11 |
$77.11 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$20.93 |
$20.93 |
$20.93 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$17.91 |
$17.91 |
$17.91 |
$43.00
|
|
Alkaline phosphatase
|
$18.74 |
$18.74 |
$18.74 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$64.90 |
$64.90 |
$64.90 |
$48.57
|
|
Allergen egg white ige
|
$18.88 |
$18.88 |
$18.88 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$28.85 |
$28.85 |
$28.85 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$132.75 |
$132.75 |
$132.75 |
$45.00
|
|
Allergy injection; single 95115
|
$132.75 |
$132.75 |
$132.75 |
$46.80
|
|
Allergy Skin Testing
|
$97.10 |
$97.10 |
$97.10 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$97.10 |
$97.10 |
$97.10 |
$423.37
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$47.21 |
$47.21 |
$47.21 |
$4,677.40
|
|
Alloskin ac, 1 cm
|
$71.03 |
$71.03 |
$71.03 |
$1.00
|
|
All tstg perq&iq drugs/biol
|
$114.07 |
$114.07 |
$114.07 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$114.07 |
$114.07 |
$114.07 |
$41.34
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$233.08 |
$233.08 |
$233.08 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$60.71 |
$60.71 |
$60.71 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$60.71 |
$60.71 |
$60.71 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$182.29 |
$182.29 |
$182.29 |
$15,857.45
|
|
Alt/sgpt
|
$19.18 |
$19.18 |
$19.18 |
$47.50
|
|
Aluminum - quest
|
$92.22 |
$92.22 |
$92.22 |
$83.05
|
|
Alveoloplasty each quadrant
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$410.43 |
$410.43 |
$410.43 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$732.82 |
$732.82 |
$732.82 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$335.52 |
$335.52 |
$335.52 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.57 |
$1.57 |
$1.57 |
$39.84
|
|
Amino acids quant 2-5
|
$61.05 |
$61.05 |
$61.05 |
$112.00
|
|
Aminolevulinic acid delta
|
$59.54 |
$59.54 |
$59.54 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$14.74 |
$14.74 |
$14.74 |
$47.06
|
|
Amitriptyline (elavil) -sendout
|
$84.31 |
$84.31 |
$84.31 |
$87.45
|
|
Ammonia
|
$52.74 |
$52.74 |
$52.74 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$2,023.38 |
$2,023.38 |
$2,023.38 |
$942.60
|
|
Amniocentesis therapeutic
|
$958.48 |
$958.48 |
$958.48 |
$791.05
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$195.00 |
$195.00 |
$195.00 |
$93.61
|
|
Amphetamines 5 or more
|
$195.00 |
$195.00 |
$195.00 |
$90.48
|
|
Ampicillin 1 gram solution for injection
|
$1.52 |
$1.52 |
$1.52 |
$56.70
|
|
Amp metatarsal w/toe single 28810
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$3,986.00
|
|
Amp thigh through femur re-amp 27596
|
$10,645.06 |
$10,645.06 |
$10,645.06 |
$3,494.40
|
|
Amputate thigh through femur 27590
|
$10,052.96 |
$10,052.96 |
$10,052.96 |
$3,370.00
|
|
Amputation leg thr tib/fib 27880
|
$13,878.33 |
$13,878.33 |
$13,878.33 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$5,940.88 |
$5,940.88 |
$5,940.88 |
$1,506.60
|
|
Amputation of lower leg
|
$5,940.88 |
$5,940.88 |
$5,940.88 |
$2,545.40
|
|
Amputation thru metatarsal
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$6,787.76 |
$6,787.76 |
$6,787.76 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$3,839.54
|
|
Amylase
|
$425.41 |
$425.41 |
$425.41 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$60.81 |
$60.81 |
$60.81 |
$80.08
|
|
Ana ds-dna
|
$43.81 |
$43.81 |
$43.81 |
$55.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$107.55 |
$107.55 |
$107.55 |
$117.01
|
|
Anal/urinary muscle study
|
$482.35 |
$482.35 |
$482.35 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$265.30 |
$265.30 |
$265.30 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$192.56 |
$192.56 |
$192.56 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$221.14 |
$221.14 |
$221.14 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$410.43 |
$410.43 |
$410.43 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$82.65 |
$82.65 |
$82.65 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$54.49 |
$54.49 |
$54.49 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$8,417.52 |
$8,417.52 |
$8,417.52 |
$2,480.94
|
|
Androstanediol
|
$104.36 |
$104.36 |
$104.36 |
$131.04
|
|
An fluoro guide for cvp
|
$242.37 |
$242.37 |
$242.37 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,808.29 |
$1,808.29 |
$1,808.29 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,765.36 |
$5,765.36 |
$5,765.36 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$10,085.16 |
$10,085.16 |
$10,085.16 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,671.21 |
$4,671.21 |
$4,671.21 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$7,714.69 |
$7,714.69 |
$7,714.69 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$15,429.35 |
$15,429.35 |
$15,429.35 |
$8,359.11
|
|
Ankle X-ray
|
$201.75 |
$201.75 |
$201.75 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$201.75 |
$201.75 |
$201.75 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$205.39 |
$205.39 |
$205.39 |
$630.96
|
|
Annual alcohol screen 15 min
|
$109.25 |
$109.25 |
$109.25 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$291.41 |
$291.41 |
$291.41 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$310.26 |
$310.26 |
$310.26 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$323.10 |
$323.10 |
$323.10 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$374.22 |
$374.22 |
$374.22 |
$167.25
|
|
Anodyne therapy charges pt
|
$20.09 |
$20.09 |
$20.09 |
$42.00
|
|
Anora (draw only)
|
$42.58 |
$42.58 |
$42.58 |
$35.00
|
|
Anorectal myomectomy
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$4,350.00
|
|
Anoscopy and biopsy
|
$2,338.31 |
$2,338.31 |
$2,338.31 |
$2,288.00
|
|
Anoscopy control bleeding 46614
|
$2,598.09 |
$2,598.09 |
$2,598.09 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,985.22 |
$1,985.22 |
$1,985.22 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$7,499.82 |
$7,499.82 |
$7,499.82 |
$3,816.64
|
