|
Angio trnslmnl balloon same vein ini
|
$7,674.75 |
$7,674.75 |
$7,674.75 |
$8,359.11
|
|
Anidulafungin injection
|
$116.22 |
$116.22 |
$116.22 |
$312.30
|
|
Ankle X-ray
|
$393.00 |
$393.00 |
$393.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$353.25 |
$353.25 |
$353.25 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$543.75 |
$543.75 |
$543.75 |
$630.96
|
|
Annual Physical, Established Patient (age 18-39)
|
$141.00 |
$141.00 |
$141.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$141.00 |
$141.00 |
$141.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$138.00 |
$138.00 |
$138.00 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$141.00 |
$141.00 |
$141.00 |
$167.25
|
|
Anodyne therapy charges pt
|
$92.25 |
$92.25 |
$92.25 |
$42.00
|
|
Anora (draw only)
|
$228.00 |
$228.00 |
$228.00 |
$35.00
|
|
Anoscopy
|
$1,067.25 |
$1,067.25 |
$1,067.25 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$1,833.75 |
$1,833.75 |
$1,833.75 |
$3,245.23
|
|
Anoscopy and biopsy
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,288.00
|
|
Anoscopy control bleeding 46614
|
$3,348.75 |
$3,348.75 |
$3,348.75 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$2,167.50 |
$2,167.50 |
$2,167.50 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$1,104.75 |
$1,104.75 |
$1,104.75 |
$368.50
|
|
Antibody bacterium, not elsewhere specified
|
$174.75 |
$174.75 |
$174.75 |
$57.85
|
|
Antibody elution rbc reference
|
$170.25 |
$170.25 |
$170.25 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$289.50 |
$289.50 |
$289.50 |
$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
|
$276.75 |
$276.75 |
$276.75 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$189.00 |
$189.00 |
$189.00 |
$46.58
|
|
Antibody screen rbc
|
$105.00 |
$105.00 |
$105.00 |
$108.55
|
|
Antidepressant not specified
|
$279.00 |
$279.00 |
$279.00 |
$72.14
|
|
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 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$147.75 |
$147.75 |
$147.75 |
$38.50
|
|
Antinuclear antibodies
|
$103.50 |
$103.50 |
$103.50 |
$90.00
|
|
Antinuclear antibodies titer
|
$84.75 |
$84.75 |
$84.75 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$86.25 |
$86.25 |
$86.25 |
$67.43
|
|
Antipsychotics nos 1-3
|
$404.25 |
$404.25 |
$404.25 |
$136.61
|
|
Antistreptolysin o titer
|
$83.25 |
$83.25 |
$83.25 |
$54.00
|
|
Antithrombin iii activity
|
$216.00 |
$216.00 |
$216.00 |
$115.15
|
|
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
|
$532.50 |
$532.50 |
$532.50 |
$394.55
|
|
Apheresis immunoads slctv
|
$7,110.75 |
$7,110.75 |
$7,110.75 |
$5,794.21
|
|
Apheresis plasma
|
$2,893.50 |
$2,893.50 |
$2,893.50 |
$3,226.34
|
|
Apheresis platelets
|
$3,141.75 |
$3,141.75 |
$3,141.75 |
$2,195.00
|
|
Apheresis rbc
|
$2,896.50 |
$2,896.50 |
$2,896.50 |
$3,290.80
|
|
Apheresis wbc
|
$2,897.25 |
$2,897.25 |
$2,897.25 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,913.00 |
$2,913.00 |
$2,913.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,151.25 |
$1,151.25 |
$1,151.25 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$567.00 |
$567.00 |
$567.00 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,122.25 |
$3,122.25 |
$3,122.25 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$589.50 |
$589.50 |
$589.50 |
$512.20
|
|
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
|
$274.50 |
$274.50 |
$274.50 |
$338.25
|
|
Application lower leg splint 29515
|
$294.00 |
$294.00 |
$294.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$308.25 |
$308.25 |
$308.25 |
$375.06
|
|
Application of forearm cast 29075
|
$300.75 |
$300.75 |
$300.75 |
$358.20
|
|
Application of long arm cast 29065
|
$342.00 |
$342.00 |
$342.00 |
$396.77
|
|
Application of long leg cast
|
$480.75 |
$480.75 |
$480.75 |
$435.54
|
|
Application of long leg cast 29345
|
$420.75 |
$420.75 |
$420.75 |
$455.00
|
|
Application of paste boot 29580
|
$297.00 |
$297.00 |
$297.00 |
$340.11
|
|
Application short leg cast 29405
|
$359.25 |
$359.25 |
$359.25 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,559.25 |
$1,559.25 |
$1,559.25 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,467.75 |
$1,467.75 |
$1,467.75 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$470.25 |
$470.25 |
$470.25 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$79.50 |
$79.50 |
$79.50 |
$69.00
|
|
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 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$426.75 |
$426.75 |
$426.75 |
$420.21
|
|
Apply forearm splintdynamic 29126
|
$374.25 |
$374.25 |
$374.25 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$249.00 |
$249.00 |
$249.00 |
$271.80
|
|
Apply interstit radiat compl
|
$9,868.50 |
$9,868.50 |
$9,868.50 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$4,053.00 |
$4,053.00 |
$4,053.00 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$2,747.25 |
$2,747.25 |
$2,747.25 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,353.75 |
$1,353.75 |
$1,353.75 |
$1,269.97
|
|
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 |
$555.00
|
|
Apply short leg castambul type 29425
|
$323.25 |
$323.25 |
$323.25 |
$404.74
|
|
Apply surf ldr radionuclide
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$282.80
|
|
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
|
$219.75 |
$219.75 |
$219.75 |
$87.45
|
|
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)
|
$1,583.25 |
$1,583.25 |
$1,583.25 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,445.25 |
$1,445.25 |
$1,445.25 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$565.50 |
$565.50 |
$565.50 |
$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
|
$731.25 |
$731.25 |
$731.25 |
$478.96
|
|
Artery-vein nonautograft
|
$6,325.50 |
$6,325.50 |
$6,325.50 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$2,744.25 |
$2,744.25 |
$2,744.25 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$5,144.25 |
$5,144.25 |
$5,144.25 |
$3,320.35
|
