|
Angio trnslmnl balloon same artery ini
|
$8,138.76 |
$8,138.76 |
$8,138.76 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$8,138.76 |
$8,138.76 |
$8,138.76 |
$8,745.10
|
|
Ankle X-ray
|
$179.76 |
$179.76 |
$179.76 |
$350.85
|
|
Annual alcohol screen 15 min
|
$11.27 |
$11.27 |
$11.27 |
$33.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$96.60 |
$96.60 |
$96.60 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$102.90 |
$102.90 |
$102.90 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$103.32 |
$103.32 |
$103.32 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$121.38 |
$121.38 |
$121.38 |
$188.15
|
|
Anodyne therapy charges pt
|
$31.92 |
$31.92 |
$31.92 |
$41.02
|
|
Anogenital exam child w imag
|
$246.54 |
$246.54 |
$246.54 |
$238.06
|
|
Anora (draw only)
|
$32.76 |
$32.76 |
$32.76 |
$36.36
|
|
Anoscopy control bleeding 46614
|
$1,255.38 |
$1,255.38 |
$1,255.38 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$963.48 |
$963.48 |
$963.48 |
$1,313.97
|
|
Antibody elution rbc reference
|
$233.10 |
$233.10 |
$233.10 |
$179.62
|
|
Antibody id rbc panel
|
$375.90 |
$375.90 |
$375.90 |
$291.75
|
|
Antibody influenza virus
|
$42.00 |
$42.00 |
$42.00 |
$53.95
|
|
Antibody screen rbc
|
$78.12 |
$78.12 |
$78.12 |
$105.00
|
|
Antinuclear antibodies
|
$103.74 |
$103.74 |
$103.74 |
$91.70
|
|
Antistreptolysin o titer
|
$9.24 |
$9.24 |
$9.24 |
$57.85
|
|
Antithrombin iii activity
|
$113.40 |
$113.40 |
$113.40 |
$106.85
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,364.18 |
$2,364.18 |
$2,364.18 |
$1,300.71
|
|
Appl body cast sho to hips
|
$320.04 |
$320.04 |
$320.04 |
$390.73
|
|
Appl cast figure-of-eight
|
$320.04 |
$320.04 |
$320.04 |
$314.28
|
|
Appl cast plaster velpeau
|
$320.04 |
$320.04 |
$320.04 |
$312.76
|
|
Appl cast shoulder spica
|
$320.04 |
$320.04 |
$320.04 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$320.04 |
$320.04 |
$320.04 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$320.04 |
$320.04 |
$320.04 |
$475.30
|
|
Application clubfoot cast
|
$194.46 |
$194.46 |
$194.46 |
$297.33
|
|
Application finger splntstatic 29130
|
$307.02 |
$307.02 |
$307.02 |
$226.20
|
|
Application long leg splint 29505
|
$298.20 |
$298.20 |
$298.20 |
$370.00
|
|
Application lower leg splint 29515
|
$440.16 |
$440.16 |
$440.16 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$194.46 |
$194.46 |
$194.46 |
$393.75
|
|
Application of cylinder cast 29365
|
$320.04 |
$320.04 |
$320.04 |
$431.08
|
|
Application of forearm cast 29075
|
$187.74 |
$187.74 |
$187.74 |
$386.10
|
|
Application of long arm cast 29065
|
$304.08 |
$304.08 |
$304.08 |
$414.20
|
|
Application of long leg cast 29345
|
$320.04 |
$320.04 |
$320.04 |
$511.68
|
|
Application of paste boot 29580
|
$346.08 |
$346.08 |
$346.08 |
$336.00
|
|
Application short leg cast 29405
|
$355.32 |
$355.32 |
$355.32 |
$397.33
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,508.24 |
$2,508.24 |
$2,508.24 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$1,101.32 |
$1,101.32 |
$1,101.32 |
$1,051.88
|
|
Appl long leg cast brace
|
$490.98 |
$490.98 |
$490.98 |
$375.00
|
|
Apply finger cast 29086
|
$194.46 |
$194.46 |
$194.46 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$367.92 |
$367.92 |
$367.92 |
$263.20
|
|
Apply halo w/removal cranial
|
$131.88 |
$131.88 |
$131.88 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$194.46 |
$194.46 |
$194.46 |
$275.80
|
|
Apply of finger splint 29131
|
$76.86 |
$76.86 |
$76.86 |
$177.45
|
|
Apply rem fixation device
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,980.00
|
|
Apply short leg castambul type 29425
|
$320.04 |
$320.04 |
$320.04 |
$460.92
|
|
Aquatic exercise - group charge
|
$26.46 |
$26.46 |
$26.46 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$1,511.79 |
$1,511.79 |
$1,511.79 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$423.36 |
$423.36 |
$423.36 |
$500.82
|
|
Artery xray each vessel 7577426
|
$3,033.66 |
$3,033.66 |
$3,033.66 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$11,183.34 |
$11,183.34 |
$11,183.34 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$6,708.66 |
$6,708.66 |
$6,708.66 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$6,708.66 |
$6,708.66 |
$6,708.66 |
$4,029.72
|
|
Artery xrays of pelvis 75736 26
|
$11,183.34 |
$11,183.34 |
$11,183.34 |
$4,551.20
|
|
Arthrd wrist lmtd without b1 grf
|
$8,819.16 |
$8,819.16 |
$8,819.16 |
$7,807.24
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$649.74 |
$649.74 |
$649.74 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,424.64 |
$1,424.64 |
$1,424.64 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,238.58 |
$1,238.58 |
$1,238.58 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$315.42 |
$315.42 |
$315.42 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$649.74 |
$649.74 |
$649.74 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,062.18 |
$1,062.18 |
$1,062.18 |
$700.80
|
|
Arthroplasty finger joint 26535
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,160.64
|
|
Artiss fibrin sealant
|
$1,842.41 |
$1,842.41 |
$1,842.41 |
$1,145.23
|
|
Ascenda two piece catheter
|
$23,835.00 |
$23,835.00 |
$23,835.00 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,581.76 |
$3,581.76 |
$3,581.76 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$315.42 |
$315.42 |
$315.42 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,625.82 |
$1,625.82 |
$1,625.82 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$752.22 |
$752.22 |
$752.22 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$865.20 |
$865.20 |
$865.20 |
$850.78
|
|
Assay of breath ethanol
|
$174.30 |
$174.30 |
$174.30 |
$45.76
|
|
Ast/sgot
|
$30.66 |
$30.66 |
$30.66 |
$46.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$56.70 |
$56.70 |
$56.70 |
$43.85
|
|
Augment injectable kit 3.0cc
|
$6,394.75 |
$6,394.75 |
$6,394.75 |
$6,394.75
|
|
Avul nail plate addl
|
$120.54 |
$120.54 |
$120.54 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$262.08 |
$262.08 |
$262.08 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$4.62 |
$4.62 |
$4.62 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$55.63
|
|
Aztreonam 1 gram solution for injection
|
$330.53 |
$330.53 |
$330.53 |
$175.89
|
|
Baclofen eval charges
|
$61.32 |
$61.32 |
$61.32 |
$85.00
|
|
Bacterial meningitis antigen
|
$99.12 |
$99.12 |
$99.12 |
$66.76
|
|
Bacterial vaginosis pcr
|
$123.48 |
$123.48 |
$123.48 |
$284.00
|
|
Bartholin gland cyst/marsupializat 56440
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,762.53
|
|
Bausch health Ultrasound surg
|
$2,755.37 |
$2,755.37 |
$2,755.37 |
$2,054.61
|
|
B cells total count
|
$324.24 |
$324.24 |
$324.24 |
$128.13
|
|
Behavior counsel obesity 15min medicare g0447
|
$32.10 |
$32.10 |
$32.10 |
$102.47
|
|
Benign lesion paring 2-4
|
$240.66 |
$240.66 |
$240.66 |
$280.20
|
|
Benign lesion paring 4+
|
$240.66 |
$240.66 |
$240.66 |
$307.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$61.64 |
$61.64 |
$61.64 |
$70.37
|
|
Bilateral n blobk inj pudendal 64430
|
$1,136.10 |
$1,136.10 |
$1,136.10 |
$1,584.16
|
|
Bilateral n block inj occipital 64405
|
$700.98 |
$700.98 |
$700.98 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$700.98 |
$700.98 |
$700.98 |
$667.26
|
|
Bilicheck
|
$6.72 |
$6.72 |
$6.72 |
$22.75
|
|
Bilirubin direct
|
$29.82 |
$29.82 |
$29.82 |
$49.31
|
|
Bilirubin total
|
$29.82 |
$29.82 |
$29.82 |
$51.50
|
|
Binder abdominal lg 12 x 62-74
|
$31.07 |
$31.07 |
$31.07 |
$31.07
|
|
Biopsy abdominal mass
|
$1,051.68 |
$1,051.68 |
$1,051.68 |
$1,917.33
|
|
Biopsy cervixsingle/multiple 57500
|
$938.28 |
$938.28 |
$938.28 |
$1,268.54
|
|
Biopsy conjunctiva
|
$155.40 |
$155.40 |
$155.40 |
$2,582.26
|
