|
Amputation of upper arm
|
$2,646.80 |
$2,646.80 |
$2,646.80 |
$2,646.80
|
|
Amputation of upper arm
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$13,116.76
|
|
Amputation thru metatarsal
|
$3,304.60 |
$3,304.60 |
$3,304.60 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$9,641.45 |
$9,641.45 |
$9,641.45 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,003.60 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Amylase
|
$29.25 |
$29.25 |
$29.25 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$149.50 |
$149.50 |
$149.50 |
$80.08
|
|
Ana ds-dna
|
$54.60 |
$54.60 |
$54.60 |
$55.24
|
|
Analgesics non-opioid 6/more
|
$20.80 |
$20.80 |
$20.80 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$150.80 |
$150.80 |
$150.80 |
$117.01
|
|
Anal/urinary muscle study
|
$468.00 |
$468.00 |
$682.50 |
$407.00
|
|
Anal/urinary muscle study
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$411.45 |
$411.45 |
$411.45 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$294.45 |
$294.45 |
$294.45 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$328.90 |
$328.90 |
$328.90 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$167.05 |
$167.05 |
$208.65 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$411.45 |
$411.45 |
$411.45 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$157.30 |
$157.30 |
$157.30 |
$85.80
|
|
Anastamo/extrahep bil duct/gi trac 47760
|
$9,963.20 |
$9,963.20 |
$9,963.20 |
$5,524.80
|
|
Anastamo/roux-en-y/extrahep bil/gi 47780
|
$11,003.20 |
$11,003.20 |
$11,003.20 |
$6,068.00
|
|
Anast cavopulm sec sup v/c
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$580.35
|
|
Anastomosis/artery-aorta
|
$8,197.80 |
$8,197.80 |
$8,197.80 |
$2,540.61
|
|
Anastomosis of facial/other nerve 64868
|
$3,874.00 |
$3,874.00 |
$3,874.00 |
$2,004.60
|
|
Anca screen with reflex to titer -quest
|
$67.60 |
$67.60 |
$67.60 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$2,480.94
|
|
An fluoro guide for cvp
|
$534.95 |
$534.95 |
$643.50 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$10,547.55 |
$10,547.55 |
$10,547.55 |
$5,728.50
|
|
Angioscopy
|
$780.00 |
$780.00 |
$780.00 |
$363.20
|
|
Angiotensin ii
|
$92.30 |
$92.30 |
$92.30 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,263.33 |
$1,263.33 |
$38,025.65 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,683.90 |
$4,683.90 |
$4,683.90 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,512.60 |
$3,512.60 |
$3,512.60 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$8,359.11
|
|
Anidulafungin injection
|
$446.69 |
$446.69 |
$446.69 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$2,514.20 |
$2,514.20 |
$2,514.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,670.20 |
$2,670.20 |
$2,670.20 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,428.40 |
$2,428.40 |
$2,428.40 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$4,006.60 |
$4,006.60 |
$4,006.60 |
$8,334.74
|
|
Ankle X-ray
|
$395.20 |
$395.20 |
$443.95 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$395.20 |
$395.20 |
$436.80 |
$282.96
|
|
Ank symes mold sckt sach ft
|
$2,100.57 |
$2,100.57 |
$2,100.57 |
$2,996.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$630.96
|
|
Annual alcohol screen 15 min
|
$133.90 |
$133.90 |
$133.90 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$203.45 |
$203.45 |
$455.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$149.50 |
$149.50 |
$494.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$119.60 |
$119.60 |
$499.20 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$165.10 |
$165.10 |
$605.80 |
$167.25
|
|
Anodyne therapy charges pt
|
$31.20 |
$31.20 |
$31.20 |
$42.00
|
|
Anogenital exam child w imag
|
$752.05 |
$752.05 |
$752.05 |
$277.99
|
|
Anora (draw only)
|
$38.35 |
$38.35 |
$38.35 |
$35.00
|
|
Anorectal myomectomy
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$4,350.00
|
|
Anoscopy
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,245.23
|
|
Anoscopy and biopsy
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$390.00 |
$390.00 |
$390.00 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$5,841.60
|
|
Antibody
|
$71.50 |
$71.50 |
$71.50 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Antibody elution rbc reference
|
$768.30 |
$768.30 |
$768.30 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$87.10 |
$87.10 |
$87.10 |
$131.56
|
|
Antibody htlv-i
|
$40.95 |
$40.95 |
$40.95 |
$49.53
|
|
Antibody htlv-ii
|
$63.05 |
$63.05 |
$63.05 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$82.55 |
$82.55 |
$82.55 |
$224.00
|
|
Antibody id rbc panel
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$291.75
|
|
Antibody influenza virus
|
$60.45 |
$60.45 |
$60.45 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$57.85 |
$57.85 |
$57.85 |
$46.58
|
|
Antibody screen rbc
|
$43.55 |
$43.55 |
$43.55 |
$108.55
|
|
Antibody tetanus
|
$66.30 |
$66.30 |
$66.30 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$51.35 |
$51.35 |
$51.35 |
$26.40
|
|
Antidepressant not specified
|
$23.40 |
$23.40 |
$23.40 |
$72.14
|
|
Antidepressants class 3-5
|
$163.80 |
$163.80 |
$163.80 |
$72.14
|
|
Antidepressants class 6/more
|
$23.40 |
$23.40 |
$23.40 |
$25.35
|
|
Antiepileptics nos 7/more
|
$20.80 |
$20.80 |
$20.80 |
$16.24
|
|
Antigen therapy services
|
$89.70 |
$89.70 |
$89.70 |
$73.84
|
|
Antigen therapy services
|
$89.70 |
$89.70 |
$89.70 |
$83.72
|
|
Antigen therapy services
|
$139.10 |
$139.10 |
$139.10 |
$101.40
|
|
Antigen therapy services
|
$139.10 |
$139.10 |
$139.10 |
$96.72
|
|
Antigen therapy services
|
$139.10 |
$139.10 |
$139.10 |
$130.00
|
|
Antigen therapy services
|
$80.60 |
$80.60 |
$80.60 |
$74.00
|
|
Antigen therapy services
|
$89.70 |
$89.70 |
$89.70 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.32 |
$3.32 |
$3.32 |
$3.67
|
|
Anti-inhibitor
|
$6.32 |
$6.32 |
$6.32 |
$8.33
|
|
Anti mog serum - sendout
|
$53.95 |
$53.95 |
$53.95 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$53.95 |
$53.95 |
$53.95 |
$38.50
|
|
Ant instr 2-3 vert segm 22845
|
$3,415.10 |
$3,415.10 |
$3,415.10 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$1,430.40
|
|
Antinuclear antibodies
|
$53.95 |
$53.95 |
$53.95 |
$90.00
|
|
Antinuclear antibodies titer
|
$50.05 |
$50.05 |
$50.05 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$72.15 |
$72.15 |
$72.15 |
$67.43
|
|
Antipsychotics nos 7/more
|
$23.40 |
$23.40 |
$23.40 |
$16.24
|