|
Angio trnslmnl balloon same vein ini
|
$7,709.20 |
$7,709.20 |
$7,709.20 |
$8,466.00
|
|
Ankle X-ray
|
$183.60 |
$183.60 |
$183.60 |
$352.80
|
|
Anodyne therapy charges pt
|
$14.40 |
$14.40 |
$14.40 |
$42.00
|
|
Antibody bacterium, not elsewhere specified
|
$71.60 |
$71.60 |
$71.60 |
$57.81
|
|
Antibody elution rbc reference
|
$160.00 |
$160.00 |
$160.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$158.40 |
$158.40 |
$158.40 |
$131.28
|
|
Antibody htlv-i
|
$24.80 |
$24.80 |
$24.80 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$207.60 |
$207.60 |
$207.60 |
$219.30
|
|
Antibody id rbc panel
|
$414.40 |
$414.40 |
$414.40 |
$290.21
|
|
Antibody influenza virus
|
$34.40 |
$34.40 |
$34.40 |
$53.90
|
|
Antibody screen rbc
|
$117.20 |
$117.20 |
$117.20 |
$106.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$48.00 |
$48.00 |
$48.00 |
$42.00
|
|
Antinuclear antibodies
|
$267.20 |
$267.20 |
$267.20 |
$90.00
|
|
Antinuclear antibodies titer
|
$81.60 |
$81.60 |
$81.60 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$94.40 |
$94.40 |
$94.40 |
$64.50
|
|
Antistreptolysin o titer
|
$128.40 |
$128.40 |
$128.40 |
$52.50
|
|
Antithrombin iii activity
|
$41.20 |
$41.20 |
$41.20 |
$114.00
|
|
Apheresis plasma
|
$13,066.40 |
$13,066.40 |
$13,066.40 |
$3,188.50
|
|
Apheresis wbc
|
$15,026.40 |
$15,026.40 |
$15,026.40 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$729.20 |
$729.20 |
$729.20 |
$500.80
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$976.80 |
$976.80 |
$976.80 |
$2,112.66
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$500.40 |
$500.40 |
$500.40 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$309.20 |
$309.20 |
$309.20 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,619.60 |
$1,619.60 |
$1,619.60 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$547.60 |
$547.60 |
$547.60 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$355.60 |
$355.60 |
$355.60 |
$508.18
|
|
Application lower leg splint 29515
|
$204.40 |
$204.40 |
$204.40 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$445.20 |
$445.20 |
$445.20 |
$370.92
|
|
Application of cylinder cast 29365
|
$984.80 |
$984.80 |
$984.80 |
$431.08
|
|
Application of forearm cast 29075
|
$984.80 |
$984.80 |
$984.80 |
$356.50
|
|
Application of long arm cast 29065
|
$984.80 |
$984.80 |
$984.80 |
$395.45
|
|
Application of long leg cast 29345
|
$984.80 |
$984.80 |
$984.80 |
$455.00
|
|
Application of paste boot 29580
|
$426.00 |
$426.00 |
$426.00 |
$336.00
|
|
Application short leg cast 29405
|
$984.80 |
$984.80 |
$984.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$966.40 |
$966.40 |
$966.40 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$966.40 |
$966.40 |
$966.40 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$1,218.42 |
$1,218.42 |
$1,218.42 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$86.40 |
$86.40 |
$86.40 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$98.00 |
$98.00 |
$98.00 |
$76.80
|
|
Appl modality 1+lllt po pain
|
$61.60 |
$61.60 |
$61.60 |
$54.61
|
|
Apply finger cast 29086
|
$563.20 |
$563.20 |
$563.20 |
$242.20
|
|
Apply hand/wrist cast 29085
|
$563.20 |
$563.20 |
$563.20 |
$267.20
|
|
Apply interstit radiat compl
|
$7,488.80 |
$7,488.80 |
$7,488.80 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$1,939.60 |
$1,939.60 |
$1,939.60 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$1,368.40 |
$1,368.40 |
$1,368.40 |
$1,368.40
|
|
Apply intrcav radiat simple
|
$923.20 |
$923.20 |
$923.20 |
$1,207.44
|
|
Apply rigid leg cast 29445
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$555.00
|
|
Apply short leg castambul type 29425
|
$522.00 |
$522.00 |
$522.00 |
$404.74
|
|
#aptt mix-1:1 incubated
|
$290.40 |
$290.40 |
$290.40 |
$157.30
|
|
Aqmbf pet rest & rx stress
|
$324.80 |
$324.80 |
$324.80 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$688.80 |
$688.80 |
$688.80 |
$140.84
|
|
Aquaporin-4 antibody elisa
|
$162.40 |
$162.40 |
$162.40 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$86.40 |
$86.40 |
$86.40 |
$100.00
|
|
Aquatic exercise - group charge
|
$110.00 |
$110.00 |
$110.00 |
$87.15
|
|
Art bypass femoral-femoral 35661
|
$11,061.60 |
$11,061.60 |
$11,061.60 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$4,489.60 |
$4,489.60 |
$4,489.60 |
$4,489.60
|
|
Arterial blood draw/perc 36620
|
$189.60 |
$189.60 |
$189.60 |
$485.69
|
|
Artery-vein nonautograft
|
$6,934.40 |
$6,934.40 |
$6,934.40 |
$6,934.40
|
|
Artery xray each vessel 7577426
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,255.20 |
$2,255.20 |
$2,255.20 |
$4,515.50
|
|
Artery x-rays adrenal gland
|
$1,677.20 |
$1,677.20 |
$1,677.20 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$1,872.40 |
$1,872.40 |
$1,872.40 |
$3,729.00
|
|
Artery x-rays chest
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$2,785.15
|
|
Artery x-rays lung
|
$1,404.80 |
$1,404.80 |
$1,404.80 |
$3,286.20
|
|
Artery x-rays lung
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$2,380.80
|
|
Artery x-rays lungs
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$2,003.60 |
$2,003.60 |
$2,003.60 |
$4,306.40
|
|
Artery x-rays spine
|
$3,624.00 |
$3,624.00 |
$3,624.00 |
$4,500.95
|
|
Arthrd si jt perq/min nvas
|
$21,432.40 |
$21,432.40 |
$21,432.40 |
$15,959.91
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,426.80 |
$2,426.80 |
$2,426.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,594.40 |
$2,594.40 |
$2,594.40 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$861.60 |
$861.60 |
$861.60 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,327.60 |
$1,327.60 |
$1,327.60 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$699.00
|
|
Ascenda two piece catheter
|
$18,446.40 |
$18,446.40 |
$18,446.40 |
$23,074.63
|
|
Aspirate bladder/sprapubic cath 51102
|
$12,573.20 |
$12,573.20 |
$12,573.20 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$1,485.60 |
$1,485.60 |
$1,485.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$3,383.20 |
$3,383.20 |
$3,383.20 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$699.20 |
$699.20 |
$699.20 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$2,067.20 |
$2,067.20 |
$2,067.20 |
$865.20
|
|
Asp pq spinal cord cyst/syrinx
|
$904.80 |
$904.80 |
$904.80 |
$1,322.40
|
|
Assay dir meas fr estradiol
|
$41.26 |
$41.26 |
$41.26 |
$67.62
|
|
Assay of interleukin-6 (il-6)
|
$70.00 |
$70.00 |
$70.00 |
$79.68
|
|
Assay of osteocalcin
|
$94.00 |
$94.00 |
$94.00 |
$92.50
|
|
Assay of prostaglandin
|
$324.00 |
$324.00 |
$324.00 |
$222.60
|
|
Assay of PSA complexed
|
$65.60 |
$65.60 |
$65.60 |
$64.28
|
|
Assay of somatostatin
|
$204.00 |
$204.00 |
$204.00 |
$167.12
|
|
Assay of urine sulfate
|
$31.20 |
$31.20 |
$31.20 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$542.00 |
$542.00 |
$542.00 |
$300.00
|
|
Assess cyst contrast inject
|
$607.20 |
$607.20 |
$607.20 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$30.00 |
$30.00 |
$30.00 |
$46.90
|
|
Ast/sgot
|
$35.60 |
$35.60 |
$35.60 |
$45.60
|
|
Athrectomy fem/pop/unilateral 37225
|
$7,000.00 |
$7,000.00 |
$7,000.00 |
$16,409.51
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$10,794.40 |
$10,794.40 |
$10,794.40 |
$15,188.25
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$289.60 |
$289.60 |
$289.60 |
$188.16
|
|
Augment injectable kit 3.0cc
|
$4,000.50 |
$4,000.50 |
$4,000.50 |
$7,157.00
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,208.00 |
$4,208.00 |
$4,208.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$10,384.40
|
