|
Anoscopy
|
$1,067.25 |
$1,067.25 |
$1,067.25 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$3,245.23
|
|
Anoscopy and biopsy
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,254.70
|
|
Anoscopy control bleeding 46614
|
$3,172.50 |
$3,172.50 |
$3,172.50 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$2,797.50 |
$2,797.50 |
$2,797.50 |
$1,424.80
|
|
Anoscopy remove lesion 46610
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$1,380.75 |
$1,380.75 |
$1,380.75 |
$368.50
|
|
Antibody bacterium, not elsewhere specified
|
$164.25 |
$164.25 |
$164.25 |
$57.85
|
|
Antibody elution rbc reference
|
$175.50 |
$175.50 |
$175.50 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$325.50 |
$325.50 |
$325.50 |
$131.56
|
|
Antibody htlv-i
|
$210.75 |
$210.75 |
$210.75 |
$49.53
|
|
Antibody htlv-ii
|
$210.75 |
$210.75 |
$210.75 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$224.00
|
|
Antibody id rbc panel
|
$291.75 |
$291.75 |
$291.75 |
$290.27
|
|
Antibody lymphocytic choriomeningitis
|
$222.00 |
$222.00 |
$222.00 |
$46.58
|
|
Antibody screen rbc
|
$136.50 |
$136.50 |
$136.50 |
$107.20
|
|
Antidepressant not specified
|
$276.75 |
$276.75 |
$276.75 |
$75.00
|
|
Antigen therapy services
|
$60.75 |
$60.75 |
$60.75 |
$74.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,102.55 |
$5,102.55 |
$5,102.55 |
$6.10
|
|
Anti-inhibitor
|
$18,764.82 |
$18,764.82 |
$18,764.82 |
$8.33
|
|
Anti mog serum - sendout
|
$355.50 |
$355.50 |
$355.50 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$147.75 |
$147.75 |
$147.75 |
$39.00
|
|
Antinuclear antibodies
|
$98.25 |
$98.25 |
$98.25 |
$90.00
|
|
Antinuclear antibodies titer
|
$80.25 |
$80.25 |
$80.25 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$90.00 |
$90.00 |
$90.00 |
$67.60
|
|
Antipsychotics nos 1-3
|
$336.00 |
$336.00 |
$336.00 |
$135.30
|
|
Antistreptolysin o titer
|
$83.25 |
$83.25 |
$83.25 |
$54.00
|
|
Antithrombin iii activity
|
$216.00 |
$216.00 |
$216.00 |
$114.00
|
|
Antithrombin iii injection
|
$6,858.87 |
$6,858.87 |
$6,858.87 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$17,349.88 |
$17,349.88 |
$17,349.88 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$4,139.25 |
$4,139.25 |
$4,139.25 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$473.25 |
$473.25 |
$473.25 |
$394.20
|
|
Apheresis immunoads slctv
|
$7,110.75 |
$7,110.75 |
$7,110.75 |
$5,794.21
|
|
Apl(pml-rara) quant - sendout
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$512.40
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,589.00 |
$2,589.00 |
$2,589.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$552.00 |
$552.00 |
$552.00 |
$505.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,978.25 |
$2,978.25 |
$2,978.25 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,072.25 |
$2,072.25 |
$2,072.25 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$693.75 |
$693.75 |
$693.75 |
$514.00
|
|
Application clubfoot cast
|
$254.25 |
$254.25 |
$254.25 |
$303.00
|
|
Application finger splntstatic 29130
|
$208.50 |
$208.50 |
$208.50 |
$208.50
|
|
Application long leg splint 29505
|
$338.25 |
$338.25 |
$338.25 |
$343.80
|
|
Application lower leg splint 29515
|
$471.75 |
$471.75 |
$471.75 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$393.75 |
$393.75 |
$393.75 |
$377.25
|
|
Application of forearm cast 29075
|
$303.00 |
$303.00 |
$303.00 |
$367.65
|
|
Application of long arm cast 29065
|
$321.00 |
$321.00 |
$321.00 |
$401.40
|
|
Application of long leg cast
|
$480.75 |
$480.75 |
$480.75 |
$426.00
|
|
Application of long leg cast 29345
|
$390.75 |
$390.75 |
$390.75 |
$455.00
|
|
Application of paste boot 29580
|
$390.75 |
$390.75 |
$390.75 |
$342.75
|
|
Application short leg cast 29405
|
$265.50 |
$265.50 |
$265.50 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$470.25 |
$470.25 |
$470.25 |
$938.52
|
|
Appl modality 1/> areas paraffin bath 97018
|
$102.00 |
$102.00 |
$102.00 |
$67.20
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$123.75 |
$123.75 |
$123.75 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$409.50 |
$409.50 |
$409.50 |
$284.05
|
|
Appl patllr tdn bearing cast
|
$429.00 |
$429.00 |
$429.00 |
$420.21
|
|
Apply forearm splintdynamic 29126
|
$333.00 |
$333.00 |
$333.00 |
$259.00
|
|
Apply hand/wrist cast 29085
|
$249.00 |
$249.00 |
$249.00 |
$279.40
|
|
Apply rem fixation device
|
$5,230.50 |
$5,230.50 |
$5,230.50 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$555.00 |
$555.00 |
$555.00 |
$564.36
|
|
Apply short leg castambul type 29425
|
$333.00 |
$333.00 |
$333.00 |
$404.74
|
|
App mltpln uni xtrnl fix xch
|
$3,526.50 |
$3,526.50 |
$3,526.50 |
$3,526.50
|
|
Aqaprn-4 antb flo cytmtry ea
|
$564.75 |
$564.75 |
$564.75 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$140.25 |
$140.25 |
$140.25 |
$100.75
|
|
Aquatic exercise - group charge
|
$111.00 |
$111.00 |
$111.00 |
$87.00
|
|
Argatroban nonesrd (auromed)
|
$668.52 |
$668.52 |
$668.52 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$881.10 |
$881.10 |
$881.10 |
$881.10
|
|
Ar gene charac alleles
|
$402.00 |
$402.00 |
$402.00 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$11,842.72 |
$11,842.72 |
$11,842.72 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$1,614.75 |
$1,614.75 |
$1,614.75 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,473.75 |
$1,473.75 |
$1,473.75 |
$1,358.40
|
|
Arm or Leg Ultrasound (limited, left side)
|
$542.25 |
$542.25 |
$542.25 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$4,375.05 |
$4,375.05 |
$4,375.05 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$978.00 |
$978.00 |
$978.00 |
$485.69
|
|
Artery-vein nonautograft
|
$6,325.50 |
$6,325.50 |
$6,325.50 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$3,282.75 |
$3,282.75 |
$3,282.75 |
$1,896.00
|
|
Artery xray of abdomen 75726-26
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$4,035.00 |
$4,035.00 |
$4,035.00 |
$3,320.35
|
|
Artery x-rays adrenals
|
$5,043.00 |
$5,043.00 |
$5,043.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,650.25 |
$3,650.25 |
$3,650.25 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,206.00 |
$4,206.00 |
$4,206.00 |
$3,880.82
|
|
Artery x-rays chest
|
$4,255.50 |
$4,255.50 |
$4,255.50 |
$2,911.80
|
|
Artery x-rays lung
|
$4,931.25 |
$4,931.25 |
$4,931.25 |
$3,296.15
|
|
Artery x-rays lung
|
$3,405.00 |
$3,405.00 |
$3,405.00 |
$2,483.00
|
|
Artery x-rays lungs
|
$5,836.50 |
$5,836.50 |
$5,836.50 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$4,725.75 |
$4,725.75 |
$4,725.75 |
$4,350.06
|
|
Artery x-rays spine
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$5,004.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$609.00 |
$609.00 |
$609.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$619.50 |
$619.50 |
$619.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$803.25 |
$803.25 |
$803.25 |
$927.71
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$493.50 |
$493.50 |
$493.50 |
$499.62
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$514.50 |
$514.50 |
$514.50 |
$700.80
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$3,509.25 |
$3,509.25 |
$3,509.25 |
$2,806.94
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$4,670.40
|
|
Artiss fibrin sealant
|
$3,217.53 |
$3,217.53 |
$3,217.53 |
$1,501.22
|
|
Ascenda two piece catheter
|
$32,280.75 |
$32,280.75 |
$32,280.75 |
$22,713.60
|
|
Asp core fat pad
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,139.82
|
|
Asp & inj bone cyst
|
$756.75 |
$756.75 |
$756.75 |
$974.90
|
