|
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
|
$35.25 |
$35.25 |
$35.25 |
$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
|
|
Antithrombin iii injection
|
$3.85 |
$3.85 |
$3.85 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,968.45 |
$3,968.45 |
$3,968.45 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$956.74 |
$956.74 |
$956.74 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$152.54 |
$152.54 |
$152.54 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$152.54 |
$152.54 |
$152.54 |
$286.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$125.84 |
$125.84 |
$125.84 |
$394.55
|
|
Aortic dysfunction/dilation
|
$504.00 |
$504.00 |
$504.00 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,350.19 |
$1,350.19 |
$1,350.19 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$200.00 |
$200.00 |
$200.00 |
$462.00
|
|
Apc gene full sequence
|
$780.00 |
$780.00 |
$780.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$280.00 |
$280.00 |
$280.00 |
$319.20
|
|
Aphakia prosth service temp
|
$70.29 |
$70.29 |
$70.29 |
$81.12
|
|
Apheresis immunoads slctv
|
$5,544.24 |
$5,544.24 |
$5,544.24 |
$5,794.21
|
|
Apheresis plasma
|
$1,939.86 |
$1,939.86 |
$1,939.86 |
$3,226.34
|
|
Apheresis platelets
|
$517.34 |
$517.34 |
$517.34 |
$2,195.00
|
|
Apheresis rbc
|
$1,939.86 |
$1,939.86 |
$1,939.86 |
$3,290.80
|
|
Apheresis wbc
|
$1,939.86 |
$1,939.86 |
$1,939.86 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$207.31 |
$207.31 |
$207.31 |
$513.00
|
|
Appendectomy
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
$5,681.93
|
|
Appendix Removal (Laparoscopic)
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,114.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$3,593.46
|
|
Appl bdy cst sho to hip 1thi
|
$186.72 |
$186.72 |
$186.72 |
$353.60
|
|
Appl bdy cst sho to hip b th
|
$314.28 |
$314.28 |
$314.28 |
$561.60
|
|
Appl bdy cst sho to hip head
|
$314.28 |
$314.28 |
$314.28 |
$561.60
|
|
Appl body cast sho to hips
|
$314.28 |
$314.28 |
$314.28 |
$509.60
|
|
Appl cast figure-of-eight
|
$314.28 |
$314.28 |
$314.28 |
$314.28
|
|
Appl cast plaster velpeau
|
$314.28 |
$314.28 |
$314.28 |
$314.28
|
|
Appl cast shoulder spica
|
$314.28 |
$314.28 |
$314.28 |
$486.03
|
|
Appl halo type body cast
|
$314.28 |
$314.28 |
$314.28 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$314.28 |
$314.28 |
$314.28 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$314.28 |
$314.28 |
$314.28 |
$499.20
|
|
Application clubfoot cast
|
$186.72 |
$186.72 |
$186.72 |
$303.00
|
|
Application finger splntstatic 29130
|
$152.54 |
$152.54 |
$152.54 |
$208.50
|
|
Application halo femoral
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Application halo pelvic
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Application long leg splint 29505
|
$186.72 |
$186.72 |
$186.72 |
$338.25
|
