|
Amputation thru metatarsal
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$1,743.60 |
$1,743.60 |
$1,743.60 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$913.80 |
$913.80 |
$913.80 |
$3,839.54
|
|
Amylase
|
$48.00 |
$48.00 |
$48.00 |
$90.00
|
|
Ana ds-dna
|
$84.00 |
$84.00 |
$84.00 |
$55.24
|
|
Analgesics non-opioid 3-5
|
$52.20 |
$52.20 |
$52.20 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$52.20 |
$52.20 |
$52.20 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$223.20 |
$223.20 |
$223.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$628.80 |
$628.80 |
$628.80 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$79.80 |
$79.80 |
$79.80 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$42.00 |
$42.00 |
$42.00 |
$101.50
|
|
An fluoro guide for cvp
|
$249.60 |
$249.60 |
$249.60 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$8,588.40 |
$8,588.40 |
$8,588.40 |
$2,979.43
|
|
Ankle arthroscopy/surgery
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$945.00 |
$945.00 |
$945.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$903.60 |
$903.60 |
$903.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,936.20 |
$1,936.20 |
$1,936.20 |
$8,334.74
|
|
Ankle X-ray
|
$140.40 |
$140.40 |
$140.40 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$125.40 |
$125.40 |
$125.40 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$97.20 |
$97.20 |
$97.20 |
$630.96
|
|
Anodyne therapy charges pt
|
$91.20 |
$91.20 |
$91.20 |
$42.00
|
|
Anoscopy and biopsy
|
$130.20 |
$130.20 |
$130.20 |
$2,288.00
|
|
Anoscopy remove fb 46608
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$150.60 |
$150.60 |
$150.60 |
$3,816.64
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$780.60 |
$780.60 |
$780.60 |
$5,841.60
|
|
Antibody htlv/hiv confirm test
|
$183.00 |
$183.00 |
$183.00 |
$131.56
|
|
Antibody id rbc panel
|
$103.80 |
$103.80 |
$103.80 |
$291.75
|
|
Antibody influenza virus
|
$73.80 |
$73.80 |
$73.80 |
$54.00
|
|
Ant instr 2-3 vert segm 22845
|
$985.80 |
$985.80 |
$985.80 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$1,430.40
|
|
Antinuclear antibodies
|
$86.40 |
$86.40 |
$86.40 |
$90.00
|
|
Antinuclear antibodies titer
|
$111.00 |
$111.00 |
$111.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$219.00 |
$219.00 |
$219.00 |
$67.43
|
|
Antistreptolysin o titer
|
$73.80 |
$73.80 |
$73.80 |
$54.00
|
|
Antithrombin iii activity
|
$40.80 |
$40.80 |
$40.80 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$337.80 |
$337.80 |
$337.80 |
$394.55
|
|
Appendectomy
|
$902.40 |
$902.40 |
$902.40 |
$5,681.93
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$805.20 |
$805.20 |
$805.20 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$331.80 |
$331.80 |
$331.80 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$84.60 |
$84.60 |
$84.60 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$49.80 |
$49.80 |
$49.80 |
$502.00
|
|
Appl hip spica cast1&1/2
|
$246.00 |
$246.00 |
$246.00 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$218.40 |
$218.40 |
$218.40 |
$499.20
|
|
Application clubfoot cast
|
$184.20 |
$184.20 |
$184.20 |
$303.00
|
|
Application finger splntstatic 29130
|
$126.00 |
$126.00 |
$126.00 |
$208.50
|
|
Application long leg splint 29505
|
$780.60 |
$780.60 |
$780.60 |
$338.25
|
|
Application lower leg splint 29515
|
$307.80 |
$307.80 |
$307.80 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$298.20 |
$298.20 |
$298.20 |
$375.06
|
|
Application of cylinder cast 29365
|
$389.40 |
$389.40 |
$389.40 |
$431.08
|
|
Application of forearm cast 29075
|
$275.40 |
$275.40 |
$275.40 |
$358.20
|
|
Application of long arm cast 29065
|
$125.40 |
$125.40 |
$125.40 |
$396.77
|
|
Application of long leg cast
|
$155.40 |
$155.40 |
$155.40 |
$435.54
|
|
Application of long leg cast 29345
|
$144.60 |
$144.60 |
$144.60 |
$455.00
|
|
Application of paste boot 29580
|
$307.80 |
$307.80 |
$307.80 |
$340.11
|
|
Application short leg cast 29405
|
$307.80 |
$307.80 |
$307.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$900.60 |
$900.60 |
$900.60 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$449.40 |
$449.40 |
$449.40 |
$2,164.64
|
|
Appl long leg cast brace
|
$147.60 |
$147.60 |
$147.60 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$73.80 |
$73.80 |
$73.80 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$94.80 |
$94.80 |
$94.80 |
$75.98
|
|
Appl unipln uni ext fixj sys
|
$869.40 |
$869.40 |
$869.40 |
$5,810.00
|
|
Apply forearm splintdynamic 29126
|
$228.60 |
$228.60 |
$228.60 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$307.80 |
$307.80 |
$307.80 |
$271.80
|
|
Apply of finger splint 29131
|
$177.60 |
$177.60 |
$177.60 |
$177.45
|
|
Apply rigid leg cast 29445
|
$444.60 |
$444.60 |
$444.60 |
$555.00
|
|
Apply short leg castambul type 29425
|
$307.80 |
$307.80 |
$307.80 |
$404.74
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$570.00 |
$570.00 |
$570.00 |
$955.43
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$98.40 |
$98.40 |
$98.40 |
$100.75
|
|
Aquatic exercise - group charge
|
$65.40 |
$65.40 |
$65.40 |
$87.45
|
|
Argatroban esrd dialysis 1mg
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$934.80
|
|
Argatroban nonesrd use 1mg
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$997.80 |
$997.80 |
$997.80 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$792.60 |
$792.60 |
$792.60 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$46.20 |
$46.20 |
$46.20 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$170.40 |
$170.40 |
$170.40 |
$478.96
|
|
Arthrd ant ntrbd min dsc crv
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$1,901.40 |
$1,901.40 |
$1,901.40 |
$3,720.00
|
|
Arthrd ant ntrbdy cervical
|
$3,316.80 |
$3,316.80 |
$3,316.80 |
$9,951.20
|
|
Arthrd pst tq 1ntrspc lum
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$4,627.00
|
|
Arthrd wrist with autograft
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$6,605.25
|
|
Arthrd wrst iliac/oth agrft
|
$1,571.40 |
$1,571.40 |
$1,571.40 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$176.40 |
$176.40 |
$176.40 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$52.20 |
$52.20 |
$52.20 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$88.20 |
$88.20 |
$88.20 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$165.00 |
$165.00 |
$165.00 |
$494.40
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$457.20 |
$457.20 |
$457.20 |
$822.60
|
|
Arthrodesis pantalar
|
$2,287.80 |
$2,287.80 |
$2,287.80 |
$15,372.00
|
|
Arthrodesis/post interbdy/ea add 22632
|
$432.60 |
$432.60 |
$432.60 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$528.00 |
$528.00 |
$528.00 |
$3,099.50
|
|
Arthrodesis subtalar
|
$1,468.20 |
$1,468.20 |
$1,468.20 |
$13,057.20
|
|
Arthrodesis triple
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$12,151.68
|
|
Arthro, loose body + chondro
|
$193.20 |
$193.20 |
$193.20 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$4,627.00
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$910.20 |
$910.20 |
$910.20 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$4,670.40
|
