|
Annual Physical, Established Patient (age 18-39)
|
$113.80 |
$113.80 |
$113.80 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$317.34 |
$317.34 |
$317.34 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$128.58 |
$128.58 |
$128.58 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$157.23 |
$157.23 |
$157.23 |
$167.25
|
|
Anora (draw only)
|
$44.18 |
$44.18 |
$44.18 |
$35.00
|
|
Anoscopy and biopsy
|
$2,425.93 |
$2,425.93 |
$2,425.93 |
$2,288.00
|
|
Anoscopy control bleeding 46614
|
$2,425.93 |
$2,425.93 |
$2,425.93 |
$2,140.60
|
|
Antibody bacterium, not elsewhere specified
|
$48.35 |
$48.35 |
$48.35 |
$57.85
|
|
Antibody elution rbc reference
|
$330.25 |
$330.25 |
$330.25 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$384.83 |
$384.83 |
$384.83 |
$224.00
|
|
Antibody id rbc panel
|
$679.55 |
$679.55 |
$679.55 |
$291.75
|
|
Antibody screen rbc
|
$62.56 |
$62.56 |
$62.56 |
$108.55
|
|
Antigen therapy services
|
$49.53 |
$49.53 |
$49.53 |
$73.84
|
|
Antigen therapy services
|
$92.96 |
$92.96 |
$92.96 |
$83.72
|
|
Antigen therapy services
|
$53.45 |
$53.45 |
$53.45 |
$101.40
|
|
Antigen therapy services
|
$59.09 |
$59.09 |
$59.09 |
$96.72
|
|
Antigen therapy services
|
$52.99 |
$52.99 |
$52.99 |
$130.00
|
|
Antigen therapy services
|
$36.75 |
$36.75 |
$36.75 |
$74.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.20 |
$30.20 |
$30.20 |
$38.50
|
|
Antinuclear antibodies
|
$105.57 |
$105.57 |
$105.57 |
$90.00
|
|
Antinuclear antibodies titer
|
$132.92 |
$132.92 |
$132.92 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$210.65 |
$210.65 |
$210.65 |
$67.43
|
|
Antistreptolysin o titer
|
$77.34 |
$77.34 |
$77.34 |
$54.00
|
|
Antithrombin iii activity
|
$267.10 |
$267.10 |
$267.10 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$184.58 |
$184.58 |
$184.58 |
$394.55
|
|
Aortic dysfunction/dilation
|
$1,532.72 |
$1,532.72 |
$1,532.72 |
$1,153.60
|
|
Apl(pml-rara) quant - sendout
|
$447.71 |
$447.71 |
$447.71 |
$513.00
|
|
Application finger splntstatic 29130
|
$290.50 |
$290.50 |
$290.50 |
$208.50
|
|
Application long leg splint 29505
|
$359.91 |
$359.91 |
$359.91 |
$338.25
|
|
Application lower leg splint 29515
|
$364.69 |
$364.69 |
$364.69 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$364.69 |
$364.69 |
$364.69 |
$375.06
|
|
Application of cylinder cast 29365
|
$385.86 |
$385.86 |
$385.86 |
$431.08
|
|
Application of forearm cast 29075
|
$882.71 |
$882.71 |
$882.71 |
$358.20
|
|
Application of long arm cast 29065
|
$210.47 |
$210.47 |
$210.47 |
$396.77
|
|
Application of long leg cast
|
$792.02 |
$792.02 |
$792.02 |
$435.54
|
|
Application of long leg cast 29345
|
$261.42 |
$261.42 |
$261.42 |
$455.00
|
|
Application of paste boot 29580
|
$364.69 |
$364.69 |
$364.69 |
$340.11
|
|
Application short leg cast 29405
|
$203.79 |
$203.79 |
$203.79 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$4,318.05 |
$4,318.05 |
$4,318.05 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$61.20 |
$61.20 |
$61.20 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$55.24 |
$55.24 |
$55.24 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$233.57 |
$233.57 |
$233.57 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$243.05 |
$243.05 |
$243.05 |
$271.80
|
|
Apply short leg castambul type 29425
|
$882.71 |
$882.71 |
$882.71 |
$404.74
|
|
#aptt mix-1:1 incubated
|
$882.71 |
$882.71 |
$882.71 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$30.20 |
$30.20 |
$30.20 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$117.88 |
$117.88 |
$117.88 |
$100.75
|
|
Aquatic exercise - group charge
|
$56.01 |
$56.01 |
$56.01 |
$87.45
|
|
Ar gene charac alleles
|
$295.87 |
$295.87 |
$295.87 |
$287.70
|
|
Arm CT Scan (with contrast, both arms)
|
$1,249.39 |
$1,249.39 |
$1,249.39 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,080.36 |
$1,080.36 |
$1,080.36 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$300.13 |
$300.13 |
$300.13 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$524.40 |
$524.40 |
$524.40 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$366.16 |
$366.16 |
$366.16 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$883.82 |
$883.82 |
$883.82 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$680.24 |
$680.24 |
$680.24 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$680.28 |
$680.28 |
$680.28 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$649.06 |
$649.06 |
$649.06 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,640.84 |
$4,640.84 |
$4,640.84 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$313.59 |
$313.59 |
$313.59 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,002.42 |
$1,002.42 |
$1,002.42 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,661.11 |
$1,661.11 |
$1,661.11 |
$1,250.04
|
|
Assay acid phosphatase
|
$19.14 |
$19.14 |
$19.14 |
$38.22
|
|
Assay alkaline phosphatase
|
$20.69 |
$20.69 |
$20.69 |
$42.60
|
|
Assay of breath ethanol
|
$43.76 |
$43.76 |
$43.76 |
$52.62
|
|
Assay of glutathione
|
$38.71 |
$38.71 |
$38.71 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$43.27 |
$43.27 |
$43.27 |
$79.00
|
|
Assay of prostaglandin
|
$127.04 |
$127.04 |
$127.04 |
$230.00
|
|
Assay of PSA complexed
|
$65.89 |
$65.89 |
$65.89 |
$64.28
|
|
Assay of salicylate
|
$49.04 |
$49.04 |
$49.04 |
$96.50
|
|
Assay of tyrosine
|
$39.05 |
$39.05 |
$39.05 |
$56.10
|
|
Assay of urine sulfate
|
$17.82 |
$17.82 |
$17.82 |
$28.20
|
|
Assay of urine urobilinogen
|
$15.17 |
$15.17 |
$15.17 |
$15.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$233.75 |
$233.75 |
$233.75 |
$300.00
|
|
Ast/sgot
|
$69.08 |
$69.08 |
$69.08 |
$45.90
|
|
Audit/dast 15-30 min
|
$173.45 |
$173.45 |
$173.45 |
$79.80
|
|
Audit/dast over 30 min
|
$297.16 |
$297.16 |
$297.16 |
$110.95
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$1,160.10
|
|
Automated diff wbc count
|
$14.88 |
$14.88 |
$14.88 |
$36.30
|
|
Avul nail plate addl
|
$198.56 |
$198.56 |
$198.56 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$451.81 |
$451.81 |
$451.81 |
$326.27
|
|
Baclofen eval charges
|
$61.20 |
$61.20 |
$61.20 |
$87.50
|
|
Bacterial meningitis antigen
|
$28.91 |
$28.91 |
$28.91 |
$66.30
|
|
Bacterial vaginosis pcr
|
$442.99 |
$442.99 |
$442.99 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$141.15 |
$141.15 |
$141.15 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$98.83 |
$98.83 |
$98.83 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$340.14 |
$340.14 |
$340.14 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$541.59 |
$541.59 |
$541.59 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$410.88 |
$410.88 |
$410.88 |
$484.80
|
|
B cells total count
|
$99.12 |
$99.12 |
$99.12 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$5.35 |
$5.35 |
$5.35 |
$404.04
|
|
Bebtelovimab injection
|
$585.48 |
$585.48 |
$585.48 |
$450.00
|
|
Belatacept 250 mg intravenous solution
|
$6.98 |
$6.98 |
$6.98 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$80.59 |
$80.59 |
$80.59 |
$4,047.32
|
|
Benign lesion paring 2-4
|
$451.81 |
$451.81 |
$451.81 |
$264.60
|
|
Benign lesion paring 4+
|
$195.44 |
$195.44 |
$195.44 |
$298.50
|
|
#_benzodiazconfur
|
$173.22 |
$173.22 |
$173.22 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$134.63 |
$134.63 |
$134.63 |
$82.55
|
|
Beta-2 microglobulin
|
$170.72 |
$170.72 |
$170.72 |
$85.20
|
|
Beta-amyloid 1-42
|
$37.30 |
$37.30 |
$37.30 |
$333.00
|