|
Amputation follow-up surgery
|
$10,050.51 |
$10,050.51 |
$10,050.51 |
|
|
Amputation leg; tib/fib f/u 27886
|
$10,252.70 |
$10,252.70 |
$10,252.70 |
|
|
Amputation of midtarsal 28800
|
$6,182.80 |
$6,182.80 |
$6,182.80 |
|
|
Amputation thru metatarsal
|
$15,865.65 |
$15,865.65 |
$15,865.65 |
|
|
Amputation toe interphalangeal joint
|
$13,839.17 |
$13,839.17 |
$14,059.26 |
|
|
Amputation toe metatarsophalangeal joint
|
$2,868.00 |
$3,965.50 |
$9,693.60 |
|
|
Amylase
|
$46.00 |
$104.00 |
$284.50 |
|
|
Anabolic steroid 1 or 2
|
$180.00 |
$194.00 |
$194.00 |
|
|
Ana ds-dna
|
$540.00 |
$540.00 |
$540.00 |
|
|
Analgesics non-opioid 6/more
|
$9.75 |
$9.75 |
$9.75 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$581.00 |
$581.00 |
$581.00 |
|
|
Anal pressure record
|
$787.50 |
$1,025.00 |
$2,358.00 |
|
|
Anal/urinary muscle study
|
$798.50 |
$1,104.00 |
$1,104.00 |
|
|
Anal/urinary muscle study
|
$798.50 |
$1,104.00 |
$1,104.00 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$116.00 |
$143.50 |
$488.50 |
|
|
Analysis gene f2 20210g>a variant
|
$78.00 |
$364.50 |
$581.50 |
|
|
Analysis gene f5 leiden variant
|
$356.00 |
$452.50 |
$611.50 |
|
|
Analysis nerve
|
$119.50 |
$130.50 |
$148.50 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$37.00 |
$45.50 |
$407.00 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$138.50 |
$171.00 |
$218.00 |
|
|
Anca screen with reflex to titer -quest
|
$219.00 |
$288.50 |
$435.00 |
|
|
An cholangiogram percutaneous compl
|
$590.00 |
$2,235.00 |
$8,500.80 |
|
|
An fluoro guide for cvp
|
$257.50 |
$661.50 |
$1,164.50 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,640.00 |
$5,728.50 |
$30,965.89 |
|
|
Angioplasty fem/pop unilat 37224
|
$5,421.50 |
$6,703.50 |
$89,498.43 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,421.50 |
$6,895.00 |
$14,770.50 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,421.50 |
$6,707.00 |
$14,770.50 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$255.12 |
$285.51 |
$8,298.55 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,421.50 |
$7,547.50 |
$63,563.21 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,012.50 |
$5,728.50 |
$34,889.00 |
|
|
Angio trnslmnl balloon same artery ini
|
$3,901.50 |
$8,891.50 |
$30,974.00 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,372.00 |
$5,728.50 |
$23,846.50 |
|
|
Angio trnslmnl balloon same vein ini
|
$2,372.00 |
$8,155.00 |
$108,704.86 |
|
|
Anidulafungin injection
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
|
|
Ankle arthroscopy/surgery
|
$35,808.43 |
$35,808.43 |
$35,808.43 |
|
|
Ankle arthroscopy/surgery
|
$40,692.73 |
$40,692.73 |
$40,692.73 |
|
|
Ankle arthroscopy/surgery
|
$37,445.08 |
$37,445.08 |
$37,445.08 |
|
|
Ankle X-ray
|
$163.00 |
$313.50 |
$1,107.00 |
|
|
Ankle X-ray (2 views, both ankles)
|
$147.50 |
$241.00 |
$972.00 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$279.50 |
$380.00 |
$380.00 |
|
|
Annual Physical, New Patient (age 18-39)
|
$115.70 |
$115.70 |
$115.70 |
|
|
Anodyne therapy charges pt
|
$60.00 |
$60.00 |
$66.95 |
|
|
Anogenital exam child w imag
|
$84.50 |
$84.50 |
$84.50 |
|
|
Anora (draw only)
|
$14.50 |
$15.00 |
$223.00 |
|
|
Ans parasymp & symp w/tilt
|
$125.00 |
$125.00 |
$125.00 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$26,739.40 |
$26,739.40 |
$42,989.65 |
|
|
Anterior asis pad
|
$447.11 |
$447.11 |
$447.11 |
|
|
Anterior swing band
|
$1,589.20 |
$1,589.20 |
$1,589.20 |
|
|
Anterior thoracic derotation
|
$533.20 |
$533.20 |
$533.20 |
|
|
Anterior thoracic extension
|
$294.50 |
$525.00 |
$1,231.37 |
|
|
Antibody bacterium, not elsewhere specified
|
$75.40 |
$75.40 |
$75.40 |
|
|
Antibody elution rbc reference
|
$121.00 |
$189.50 |
$234.00 |
|
|
Antibody htlv/hiv confirm test
|
$104.00 |
$147.00 |
$245.00 |
|
|
Antibody htlv-i
|
$56.50 |
$72.00 |
$113.00 |
|
|
Antibody htlv-ii
|
$66.60 |
$66.60 |
$66.60 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$270.00 |
$381.50 |
$600.50 |
|
|
Antibody id rbc panel
|
$189.00 |
$232.00 |
$417.00 |
|
|
Antibody influenza virus
|
$64.50 |
$91.50 |
$149.00 |
|
|
Antibody lymphocytic choriomeningitis
|
$72.15 |
$72.15 |
$72.15 |
|
|
Antibody screen rbc
|
$83.00 |
$92.00 |
$174.00 |
|
|
Antidepressant not specified
|
$90.00 |
$151.00 |
$170.50 |
|
|
Antigen therapy services
|
$30.00 |
$41.50 |
$41.50 |
|
|
Antigen therapy services
|
$43.00 |
$59.50 |
$59.50 |
|
|
Antigen therapy services
|
$34.00 |
$47.50 |
$47.50 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7,200.00 |
$7,200.00 |
$9,504.00 |
|
|
Anti-inhibitor
|
$11,340.00 |
$11,340.00 |
$12,960.00 |
|
|
Anti mog serum - sendout
|
$495.00 |
$495.00 |
$660.00 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$36.60 |
$299.50 |
$400.50 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$32.50 |
$37.50 |
$47.50 |
|
|
Ant instr 2-3 vert segm 22845
|
$47,489.02 |
$47,489.02 |
$47,489.02 |
|
|
Antinuclear antibodies
|
$58.00 |
$95.00 |
$447.00 |
|
|
Antinuclear antibodies titer
|
$63.50 |
$84.00 |
$338.00 |
|
|
Antiphosphatidylserine antibody
|
$58.00 |
$83.00 |
$189.60 |
|
|
Antipsychotics nos 1-3
|
$93.00 |
$157.00 |
$177.00 |
|
|
Antistreptolysin o screen
|
$298.00 |
$298.00 |
$298.00 |
|
|
Antistreptolysin o titer
|
$43.00 |
$103.00 |
$441.00 |
|
|
Antithrombin iii activity
|
$117.50 |
$229.80 |
$1,306.00 |
|
|
Antithrombin iii injection
|
$1,200.00 |
$1,200.00 |
$10,704.00 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,552.00 |
$3,552.00 |
$24,294.29 |
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$37,170.19 |
$37,170.19 |
$37,170.19 |
|
|
Ant sgm img i&r speclr mic
|
$133.50 |
$185.00 |
$185.00 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$114.00 |
$267.50 |
$819.00 |
|
|
Aortic dysfunction/dilation
|
$982.80 |
$2,316.60 |
$2,316.60 |
|
|
Aphakia prosth service temp
|
$79.00 |
$108.50 |
$108.50 |
|
|
Apheresis immunoads slctv
|
$3,144.50 |
$4,348.00 |
$15,157.50 |
|
|
Apheresis plasma
|
$1,454.00 |
$2,962.50 |
$13,026.00 |
|
|
Apheresis platelets
|
$1,868.00 |
$3,550.50 |
$3,853.50 |
|
|
Apheresis rbc
|
$1,592.50 |
$2,202.00 |
$13,026.00 |
|
|
Apheresis wbc
|
$1,868.00 |
$3,502.20 |
$13,026.00 |
|
|
Apl(pml-rara) quant - sendout
|
$344.50 |
$591.50 |
$1,230.50 |
|
|
Appendix Removal (Laparoscopic)
|
$38,575.04 |
$38,575.04 |
$42,596.98 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$983.50 |
$1,755.00 |
$4,931.55 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$983.50 |
$1,095.00 |
$1,755.00 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$469.50 |
$1,061.00 |
$1,486.50 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$983.50 |
$3,215.50 |
$4,809.00 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$983.50 |
$2,181.00 |
$3,056.00 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$405.60 |
$1,095.00 |
$1,943.50 |
|
|
Appl hip spica cast1&1/2
|
$305.50 |
$422.00 |
$422.00 |
|
|
Application clubfoot cast
|
$212.50 |
$293.50 |
$293.50 |
|
|
Application finger splntstatic 29130
|
$187.20 |
$216.50 |
$672.50 |
|
