|
An cholangiogram percutaneous compl
|
$1,523.10 |
$1,523.10 |
$1,523.10 |
$2,626.65
|
|
Androstanediol
|
$42.90 |
$42.90 |
$42.90 |
$98.58
|
|
An fluoro guide for cvp
|
$143.85 |
$143.85 |
$143.85 |
$484.45
|
|
Angioplasty fem/pop unilat 37224
|
$7,146.75 |
$7,146.75 |
$7,146.75 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,676.10 |
$4,676.10 |
$4,676.10 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,844.60 |
$2,844.60 |
$2,844.60 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$95.09 |
$95.09 |
$95.09 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,650.90 |
$7,650.90 |
$7,650.90 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$2,544.15 |
$2,544.15 |
$2,544.15 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$527.85 |
$527.85 |
$527.85 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$1,649.70 |
$1,649.70 |
$1,649.70 |
$8,689.20
|
|
Ankle X-ray
|
$264.30 |
$264.30 |
$264.30 |
$339.44
|
|
Anodyne therapy charges pt
|
$7.95 |
$7.95 |
$7.95 |
$41.02
|
|
Antibody bacterium, not elsewhere specified
|
$44.64 |
$44.64 |
$44.64 |
$57.89
|
|
Antibody elution rbc reference
|
$84.17 |
$84.17 |
$84.17 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$26.32 |
$26.32 |
$26.32 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$61.50 |
$61.50 |
$61.50 |
$220.73
|
|
Antibody id rbc panel
|
$199.50 |
$199.50 |
$199.50 |
$291.75
|
|
Antibody influenza virus
|
$14.25 |
$14.25 |
$14.25 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$17.85 |
$17.85 |
$17.85 |
$53.96
|
|
Antibody screen rbc
|
$65.10 |
$65.10 |
$65.10 |
$105.00
|
|
Antibody tetanus
|
$54.15 |
$54.15 |
$54.15 |
$61.98
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$49.32 |
$49.32 |
$49.32 |
$50.88
|
|
Antinuclear antibodies
|
$74.70 |
$74.70 |
$74.70 |
$91.70
|
|
Antinuclear antibodies titer
|
$60.00 |
$60.00 |
$60.00 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$19.05 |
$19.05 |
$19.05 |
$74.20
|
|
Antistreptolysin o screen
|
$44.77 |
$44.77 |
$44.77 |
$59.40
|
|
Antithrombin iii activity
|
$91.83 |
$91.83 |
$91.83 |
$115.23
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,135.75 |
$3,135.75 |
$3,135.75 |
$2,164.64
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$354.30 |
$354.30 |
$354.30 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$236.25 |
$236.25 |
$236.25 |
$508.18
|
|
Application long leg splint 29505
|
$116.70 |
$116.70 |
$116.70 |
$340.80
|
|
Application lower leg splint 29515
|
$122.56 |
$122.56 |
$122.56 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$116.10 |
$116.10 |
$116.10 |
$397.00
|
|
Application of paste boot 29580
|
$219.90 |
$219.90 |
$219.90 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,312.05 |
$1,312.05 |
$1,312.05 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,167.75 |
$1,167.75 |
$1,167.75 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$27.30 |
$27.30 |
$27.30 |
$69.55
|
|
Apply intrcav radiat compl
|
$850.65 |
$850.65 |
$850.65 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$618.90 |
$618.90 |
$618.90 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$458.55 |
$458.55 |
$458.55 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$132.15 |
$132.15 |
$132.15 |
$608.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$36.90 |
$36.90 |
$36.90 |
$98.90
|
|
Argatroban nonesrd (auromed)
|
$13.54 |
$13.54 |
$13.54 |
$1.49
|
|
Argatroban nonesrd use 1mg
|
$2,051.27 |
$2,051.27 |
$2,051.27 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$25.80 |
$25.80 |
$25.80 |
$505.60
|
|
Artery-vein nonautograft
|
$1,449.45 |
$1,449.45 |
$1,449.45 |
$6,325.50
|
|
Artery xray each vessel 7577426
|
$138.30 |
$138.30 |
$138.30 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$1,187.25 |
$1,187.25 |
$1,187.25 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$1,219.50 |
$1,219.50 |
$1,219.50 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$1,325.40 |
$1,325.40 |
$1,325.40 |
$3,844.10
|
|
Artery x-rays chest
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$2,587.20
|
|
Artery x-rays spine
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$108.15 |
$108.15 |
$108.15 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$152.10 |
$152.10 |
$152.10 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$172.20 |
$172.20 |
$172.20 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$105.45 |
$105.45 |
$105.45 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$133.50 |
$133.50 |
$133.50 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$133.50 |
$133.50 |
$133.50 |
$686.37
|
|
Ascenda two piece catheter
|
$982.96 |
$982.96 |
$982.96 |
$22,538.68
|
|
Aspirate pleura without imaging 32554
|
$611.70 |
$611.70 |
$611.70 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$526.20 |
$526.20 |
$526.20 |
$1,273.63
|
|
Aspiration peritonsillar abscess
|
$80.70 |
$80.70 |
$80.70 |
$508.13
|
|
Aspir/inj thyroid cyst 60300
|
$942.60 |
$942.60 |
$942.60 |
$833.29
|
|
Assay free hydroxyproline
|
$34.35 |
$34.35 |
$34.35 |
$46.15
|
|
Assay of breath ethanol
|
$21.72 |
$21.72 |
$21.72 |
$45.76
|
|
Assay of corticosterone
|
$47.10 |
$47.10 |
$47.10 |
$47.10
|
|
Assay of endocrine hormone
|
$60.15 |
$60.15 |
$60.15 |
$98.30
|
|
Assay of feces porphyrins
|
$52.65 |
$52.65 |
$52.65 |
$168.62
|
|
Assay of glutathione
|
$17.10 |
$17.10 |
$17.10 |
$69.55
|
|
Assay of leflunomide
|
$53.25 |
$53.25 |
$53.25 |
$112.70
|
|
Assay of lrh hormone
|
$76.50 |
$76.50 |
$76.50 |
$210.60
|
|
Assay of osteocalcin
|
$28.65 |
$28.65 |
$28.65 |
$97.21
|
|
Assay of procainamide w/metab
|
$44.10 |
$44.10 |
$44.10 |
$61.20
|
|
Assay of salicylate
|
$36.72 |
$36.72 |
$36.72 |
$105.95
|
|
Assay of sialic acid
|
$24.90 |
$24.90 |
$24.90 |
$60.45
|
|
Assay of somatostatin
|
$99.45 |
$99.45 |
$99.45 |
$165.75
|
|
Assay of tyrosine
|
$55.35 |
$55.35 |
$55.35 |
$56.10
|
|
Assay of urine sulfate
|
$56.77 |
$56.77 |
$56.77 |
$31.35
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$94.50 |
$94.50 |
$94.50 |
$312.00
|
|
Assess cyst contrast inject
|
$27.90 |
$27.90 |
$27.90 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$22.65 |
$22.65 |
$22.65 |
$49.80
|
|
Ast/sgot
|
$60.30 |
$60.30 |
$60.30 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$1,751.66 |
$1,751.66 |
$1,751.66 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$9,657.60 |
$9,657.60 |
$9,657.60 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$9,808.80 |
$9,808.80 |
$9,808.80 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$65.39 |
$65.39 |
$65.39 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,508.45 |
$2,508.45 |
$2,508.45 |
$10,578.36
|
|
Autologous blood process
|
$67.95 |
$67.95 |
$67.95 |
$234.27
|
|
Autolog prp diab wound ulcer
|
$829.80 |
$829.80 |
$829.80 |
$2,026.46
|
|
Avul nail plate addl
|
$55.95 |
$55.95 |
$55.95 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$109.89 |
$109.89 |
$109.89 |
$342.55
|
|
Azacitidine injection
|
$2,031.03 |
$2,031.03 |
$2,031.03 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$21.92 |
$21.92 |
$21.92 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$99.46 |
$99.46 |
$99.46 |
$52.69
|
|
Aztreonam 1 gram solution for injection
|
$254.41 |
$254.41 |
$254.41 |
$157.30
|
|
Bacterial meningitis antigen
|
$52.80 |
$52.80 |
$52.80 |
$68.40
|
|
Balloon dilate urtrl strix
|
$122.10 |
$122.10 |
$122.10 |
$2,044.97
|
