|
Anoscopy
|
$2,734.20 |
$2,734.20 |
$4,468.20 |
|
|
Anoscopy and biopsy
|
$130.20 |
$3,726.60 |
$9,897.00 |
|
|
Anoscopy and dilation 46604
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
|
|
Anoscopy control bleeding 46614
|
$991.20 |
$3,812.40 |
$3,812.40 |
|
|
Anoscopy remove fb 46608
|
$1,249.60 |
$2,551.20 |
$3,046.80 |
|
|
Anoscopy remove lesion 46610
|
$150.60 |
$2,579.40 |
$4,468.20 |
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
|
|
Ans parasymp & symp w/tilt
|
$265.20 |
$312.00 |
$2,622.00 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$780.60 |
$780.60 |
$1,754.83 |
|
|
Anterior thoracic extension
|
$496.80 |
$496.80 |
$496.80 |
|
|
Antibody
|
$134.40 |
$134.40 |
$134.40 |
|
|
Antibody bacterium, not elsewhere specified
|
$34.00 |
$72.00 |
$285.00 |
|
|
Antibody elution rbc reference
|
$54.00 |
$143.20 |
$893.40 |
|
|
Antibody htlv/hiv confirm test
|
$81.00 |
$107.40 |
$2,738.40 |
|
|
Antibody htlv-i
|
$46.20 |
$85.20 |
$441.60 |
|
|
Antibody htlv-ii
|
$110.40 |
$110.40 |
$110.40 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$62.40 |
$156.60 |
$3,144.00 |
|
|
Antibody id rbc panel
|
$103.80 |
$367.20 |
$1,403.20 |
|
|
Antibody influenza virus
|
$54.60 |
$111.20 |
$3,164.40 |
|
|
Antibody lymphocytic choriomeningitis
|
$46.20 |
$91.80 |
$229.20 |
|
|
Antibody screen rbc
|
$39.60 |
$115.80 |
$240.80 |
|
|
Antibody tetanus
|
$20.50 |
$97.20 |
$402.40 |
|
|
Anticoag mgmt pt warfarin
|
$16.00 |
$39.00 |
$1,485.00 |
|
|
Antidepressant not specified
|
$5.00 |
$5.00 |
$5.00 |
|
|
Antidepressants class 3-5
|
$5.00 |
$5.00 |
$5.00 |
|
|
Antiepileptics nos 4-6
|
$5.00 |
$5.00 |
$5.00 |
|
|
Antigen therapy services
|
$54.00 |
$54.00 |
$112.80 |
|
|
Antigen therapy services
|
$54.00 |
$54.00 |
$54.00 |
|
|
Antigen therapy services
|
$83.00 |
$83.00 |
$159.00 |
|
|
Antigen therapy services
|
$83.00 |
$83.00 |
$83.00 |
|
|
Antigen therapy services
|
$83.00 |
$83.00 |
$215.40 |
|
|
Antigen therapy services
|
$6.00 |
$6.00 |
$129.00 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.60 |
$15.20 |
$1,152.00 |
|
|
Antihemophilic viii/vwf comp
|
$10.20 |
$10.20 |
$10.20 |
|
|
Anti-inhibitor
|
$8.70 |
$11.60 |
$1,248.00 |
|
|
Anti mog serum - sendout
|
$49.60 |
$115.80 |
$785.00 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$10.00 |
$85.80 |
$548.40 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$42.00 |
$86.00 |
$548.40 |
|
|
Ant instr 2-3 vert segm 22845
|
$985.80 |
$985.80 |
$3,224.88 |
|
|
Ant instrumentation/4-7 vert seg 22846
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
|
|
Antinuclear antibodies
|
$47.00 |
$67.80 |
$1,444.80 |
|
|
Antinuclear antibodies titer
|
$28.50 |
$63.00 |
$336.00 |
|
|
Antiphosphatidylserine antibody
|
$22.50 |
$219.60 |
$513.00 |
|
|
Antipsychotics nos 7/more
|
$5.00 |
$5.00 |
$5.00 |
|
|
Antistreptolysin o screen
|
$29.40 |
$60.00 |
$222.60 |
|
|
Antistreptolysin o titer
|
$10.00 |
$41.40 |
$1,373.40 |
|
|
Antithrombin iii activity
|
$39.50 |
$89.40 |
$2,674.80 |
|
|
Antithrombin iii injection
|
$5.00 |
$70.20 |
$70.20 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,726.60 |
$3,726.60 |
$3,726.60 |
|
|
Antithymocyte globuln rabbit
|
$639.60 |
$639.60 |
$4,183.80 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$248.40 |
$288.00 |
$855.40 |
|
|
Aortic dysfunction/dilation
|
$6,552.00 |
$8,846.40 |
$9,324.60 |
|
|
Aortic dysfunction/dilation
|
$8,846.40 |
$9,243.00 |
$9,324.60 |
|
|
Apc gene dup/delet variants
|
$1,528.20 |
$2,299.20 |
$2,299.20 |
|
|
Apc gene full sequence
|
$399.00 |
$600.00 |
$1,848.00 |
|
|
Apc gene known fam variants
|
$40.80 |
$40.80 |
$40.80 |
|
|
Apheresis plasma
|
$1,532.00 |
$4,390.20 |
$28,527.60 |
|
|
Apheresis platelets
|
$1,177.80 |
$1,857.00 |
$24,550.80 |
|
|
Apheresis rbc
|
$474.00 |
$4,380.60 |
$25,375.20 |
|
|
Apheresis wbc
|
$976.20 |
$1,168.80 |
$66,013.80 |
|
|
Apl(pml-rara) quant - sendout
|
$415.80 |
$862.40 |
$2,235.60 |
|
|
Appendectomy
|
$869.40 |
$869.40 |
$902.40 |
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
|
|
Appendix Removal (Laparoscopic)
|
$805.20 |
$1,580.40 |
$5,634.00 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$331.80 |
$2,895.60 |
$4,381.80 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$84.60 |
$2,895.60 |
$3,272.40 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$49.80 |
$315.20 |
$634.80 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$845.60 |
$3,441.60 |
$6,088.00 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$213.60 |
$1,772.40 |
$3,682.80 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$168.60 |
$345.00 |
$1,472.40 |
|
|
Appl cast figure-of-eight
|
$613.80 |
$613.80 |
$613.80 |
|
|
Appl hip spica cast1&1/2
|
$246.00 |
$246.00 |
$246.00 |
|
|
Appl hip spica cast 1 leg
|
$218.40 |
$218.40 |
$218.40 |
|
|
Application clubfoot cast
|
$184.20 |
$184.20 |
$187.00 |
|
|
Application finger splntstatic 29130
|
$103.20 |
$226.20 |
$569.60 |
|
|
Application long leg splint 29505
|
$216.00 |
$789.00 |
$2,184.00 |
|
|
Application lower leg splint 29515
|
$226.20 |
$477.00 |
$852.60 |
|
|
Application multi layer compression below knee (both sides)
|
$236.80 |
$554.40 |
$1,000.80 |
|
|
Application of cylinder cast 29365
|
$321.50 |
$615.60 |
$801.60 |
|
|
Application of forearm cast 29075
|
$216.00 |
$379.20 |
$998.40 |
|
|
Application of long arm cast 29065
|
$125.40 |
$440.40 |
$1,371.00 |
|
|
Application of long leg cast
|
$155.40 |
$155.40 |
$356.50 |
|
|
Application of long leg cast 29345
|
$73.20 |
$520.80 |
$913.20 |
|
|
Application of paste boot 29580
|
$122.40 |
$471.00 |
$897.00 |
|
|
Application short leg cast 29405
|
$62.40 |
$520.80 |
$901.80 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$170.40 |
$1,904.80 |
$4,429.20 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$130.80 |
$2,460.00 |
$4,908.80 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$38.28 |
$168.60 |
$15,901.80 |
|
|
Appl long leg cast brace
|
$147.60 |
$147.60 |
$147.60 |
|
|
Appl mltpln uni ext fixj sys
|
$1,596.60 |
$2,929.00 |
$6,347.40 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$24.60 |
$80.80 |
$198.60 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$49.80 |
$76.80 |
$189.60 |
|
|
Appl multlay comprs arm/hand
|
$210.00 |
$508.20 |
$536.40 |
|
|
Appl patllr tdn bearing cast
|
$321.50 |
$321.50 |
$321.50 |
|
|
Appl unipln uni ext fixj sys
|
$869.40 |
$4,493.40 |
$5,800.50 |
|
|
Apply finger cast 29086
|
$187.00 |
$187.00 |
$187.00 |
|
|
Apply forearm splintdynamic 29126
|
$224.50 |
$245.40 |
$569.60 |
|
|
Apply hand/wrist cast 29085
|
$240.00 |
$520.80 |
$970.20 |
|
|
Apply interstit radiat compl
|
$2,441.40 |
$2,563.20 |
$10,167.00 |
|
|
Apply intrcav radiat compl
|
$1,959.60 |
$1,959.60 |
$4,170.60 |
|
