|
Anaplsma phgcytophlm amp prb
|
$298.20 |
$349.80 |
$451.20 |
$85.80
|
|
Anastrozole 1 mg
|
$45.80 |
$53.10 |
$53.10 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$50.40 |
$85.80 |
$548.40 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$3,342.00 |
$3,342.00 |
$8,599.80 |
$2,480.94
|
|
Androstanediol
|
$337.80 |
$337.80 |
$337.80 |
$131.04
|
|
An fluoro guide for cvp
|
$528.00 |
$574.80 |
$897.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,522.20 |
$9,243.60 |
$12,229.20 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$21,640.20 |
$28,228.20 |
$30,797.40 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,970.00 |
$23,329.80 |
$31,723.80 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$16,829.40 |
$19,576.20 |
$41,503.80 |
$5,950.50
|
|
Angiotensin ii
|
$158.40 |
$178.20 |
$1,953.60 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$7,360.80 |
$10,402.80 |
$98,557.20 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$29,775.00 |
$37,499.40 |
$59,645.40 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,205.00 |
$8,307.60 |
$11,307.00 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$7,363.20 |
$8,307.60 |
$18,409.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$9,243.60 |
$11,276.40 |
$12,229.20 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$7,522.20 |
$10,302.60 |
$12,229.20 |
$8,359.11
|
|
Anidulafungin injection
|
$1,222.80 |
$1,222.80 |
$2,876.40 |
$312.30
|
|
Ankle X-ray
|
$405.00 |
$456.60 |
$686.40 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$405.00 |
$456.60 |
$686.40 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$639.00 |
$793.20 |
$1,131.00 |
$630.96
|
|
Annual Physical, Established Patient (age 18-39)
|
$590.40 |
$590.40 |
$590.40 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$590.40 |
$590.40 |
$590.40 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$590.40 |
$590.40 |
$590.40 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$590.40 |
$590.40 |
$590.40 |
$167.25
|
|
Anora (draw only)
|
$28.80 |
$28.80 |
$51.00 |
$35.00
|
|
Anoscopy
|
$2,734.20 |
$2,734.20 |
$4,468.20 |
$1,278.72
|
|
Anoscopy and biopsy
|
$3,726.60 |
$8,398.20 |
$9,897.00 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$2,655.60 |
$2,655.60 |
$2,734.20 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$2,806.20 |
$2,806.20 |
$3,046.80 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$2,579.40 |
$2,579.40 |
$4,468.20 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$3,816.64
|
|
Ans parasymp & symp w/tilt
|
$265.20 |
$312.00 |
$2,622.00 |
$368.50
|
|
Antibody
|
$134.40 |
$134.40 |
$134.40 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$76.80 |
$136.20 |
$285.00 |
$57.85
|
|
Antibody elution rbc reference
|
$74.40 |
$98.40 |
$893.40 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$128.40 |
$175.20 |
$2,738.40 |
$131.56
|
|
Antibody htlv-i
|
$57.60 |
$85.20 |
$441.60 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$274.80 |
$621.00 |
$3,144.00 |
$224.00
|
|
Antibody id rbc panel
|
$112.80 |
$235.80 |
$1,133.40 |
$291.75
|
|
Antibody influenza virus
|
$139.20 |
$147.00 |
$349.80 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$66.00 |
$91.20 |
$229.20 |
$46.58
|
|
Antibody screen rbc
|
$39.60 |
$115.80 |
$202.80 |
$108.55
|
|
Antibody tetanus
|
$108.00 |
$111.60 |
$291.00 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$48.00 |
$48.00 |
$1,485.00 |
$26.40
|
|
Antigen therapy services
|
$112.80 |
$112.80 |
$112.80 |
$73.84
|
|
Antigen therapy services
|
$159.00 |
$159.00 |
$159.00 |
$101.40
|
|
Antigen therapy services
|
$215.40 |
$215.40 |
$215.40 |
$130.00
|
|
Antigen therapy services
|
$129.00 |
$129.00 |
$129.00 |
$74.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$11.40 |
$30.60 |
$30.60 |
$6.10
|
|
Anti-inhibitor
|
$8.70 |
$8.70 |
$11.60 |
$8.33
|
|
Anti mog serum - sendout
|
$88.20 |
$192.60 |
$383.40 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$50.40 |
$85.80 |
$548.40 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$50.40 |
$85.80 |
$548.40 |
$42.00
|
|
Antinuclear antibodies
|
$83.40 |
$298.20 |
$1,444.80 |
$90.00
|
|
Antinuclear antibodies titer
|
$104.40 |
$123.00 |
$336.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$265.20 |
$307.80 |
$513.00 |
$67.43
|
|
Antistreptolysin o screen
|
$29.40 |
$66.60 |
$222.60 |
$58.56
|
|
Antistreptolysin o titer
|
$63.60 |
$83.40 |
$1,373.40 |
$54.00
|
|
Antithrombin iii activity
|
$50.40 |
$125.40 |
$2,674.80 |
$115.15
|
|
Antithrombin iii injection
|
$15.20 |
$70.20 |
$70.20 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,726.60 |
$3,726.60 |
$3,726.60 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$4,183.80 |
$4,183.80 |
$4,183.80 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$248.40 |
$248.40 |
$248.40 |
$394.55
|
|
Aortic dysfunction/dilation
|
$7,431.60 |
$9,101.40 |
$9,324.60 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$9,101.40 |
$9,243.00 |
$9,324.60 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$462.00
|
|
Apc gene full sequence
|
$399.00 |
$399.00 |
$600.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$40.80 |
$40.80 |
$40.80 |
$319.20
|
|
Apheresis plasma
|
$3,292.80 |
$4,390.20 |
$28,527.60 |
$3,226.34
|
|
Apheresis platelets
|
$1,177.80 |
$3,625.20 |
$24,550.80 |
$2,195.00
|
|
Apheresis rbc
|
$4,380.60 |
$4,380.60 |
$25,375.20 |
$3,290.80
|
|
Apheresis wbc
|
$976.20 |
$1,168.80 |
$66,013.80 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$765.00 |
$1,396.80 |
$1,812.60 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,381.80 |
$4,381.80 |
$4,381.80 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$3,272.40 |
$3,272.40 |
$3,272.40 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$345.60 |
$384.00 |
$634.80 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,326.20 |
$3,154.80 |
$5,403.00 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,272.40 |
$3,272.40 |
$3,272.40 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$345.60 |
$384.00 |
$433.20 |
$512.20
|
|
Application finger splntstatic 29130
|
$158.40 |
$319.20 |
$369.60 |
$208.50
|
|
Application long leg splint 29505
|
$945.60 |
$1,233.00 |
$2,184.00 |
$338.25
|
|
Application lower leg splint 29515
|
$366.60 |
$477.00 |
$852.60 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$322.80 |
$405.00 |
$765.00 |
$375.06
|
|
Application of cylinder cast 29365
|
$615.60 |
$615.60 |
$718.80 |
$431.08
|
|
Application of forearm cast 29075
|
$355.80 |
$424.20 |
$609.00 |
$358.20
|
|
Application of long arm cast 29065
|
$966.00 |
$966.00 |
$1,172.40 |
$396.77
|
|
Application of long leg cast 29345
|
$901.80 |
$901.80 |
$913.20 |
$455.00
|
|
Application of paste boot 29580
|
$366.60 |
$405.00 |
$771.60 |
$340.11
|
|
Application short leg cast 29405
|
$366.60 |
$543.00 |
$901.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,561.40 |
$2,682.00 |
$4,429.20 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,561.40 |
$2,682.00 |
$4,427.40 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$15,901.80 |
$15,901.80 |
$15,901.80 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$80.40 |
$87.60 |
$198.60 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$141.60 |
$141.60 |
$141.60 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$456.00 |
$456.00 |
$456.00 |
$289.60
|
|
Apply forearm splintdynamic 29126
|
$237.00 |
$388.80 |
$516.00 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$535.80 |
$672.00 |
$970.20 |
$271.80
|
|
Apply interstit radiat compl
|
$4,419.00 |
$4,427.40 |
$10,167.00 |
$2,901.80
|
