|
Ammonia
|
$25.50 |
$25.50 |
$25.50 |
$115.80
|
|
Amniocentesisdiagnostic 59000
|
$202.20 |
$202.20 |
$202.20 |
$943.50
|
|
Amniocentesis therapeutic
|
$143.10 |
$143.10 |
$143.10 |
$778.57
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,518.15 |
$1,518.15 |
$1,518.15 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$11.70 |
$11.70 |
$11.70 |
$93.61
|
|
Amphetamines 5 or more
|
$25.80 |
$25.80 |
$25.80 |
$87.75
|
|
Ampicillin 1 gram solution for injection
|
$32.77 |
$32.77 |
$32.77 |
$63.28
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$23.23 |
$23.23 |
$23.23 |
$58.29
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$75.15 |
$75.15 |
$75.15 |
$262.99
|
|
Amputation toe interphalangeal joint
|
$835.35 |
$835.35 |
$835.35 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$1,343.25 |
$1,343.25 |
$1,343.25 |
$3,814.50
|
|
Amylase
|
$11.40 |
$11.40 |
$11.40 |
$83.20
|
|
Ana ds-dna
|
$21.15 |
$21.15 |
$21.15 |
$58.63
|
|
Analgesics non-opioid 6/more
|
$33.60 |
$33.60 |
$33.60 |
$20.80
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$14.70 |
$14.70 |
$14.70 |
$117.01
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$61.80 |
$61.80 |
$61.80 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$86.10 |
$86.10 |
$86.10 |
$210.26
|
|
Analysis gene f5 leiden variant
|
$106.95 |
$106.95 |
$106.95 |
$219.13
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$59.85 |
$59.85 |
$59.85 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$61.50 |
$61.50 |
$61.50 |
$88.00
|
|
Anca screen with reflex to titer -quest
|
$25.35 |
$25.35 |
$25.35 |
$100.89
|
|
An cholangiogram percutaneous compl
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$2,547.00
|
|
An fluoro guide for cvp
|
$69.30 |
$69.30 |
$69.30 |
$510.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,618.55 |
$2,618.55 |
$2,618.55 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$2,483.55 |
$2,483.55 |
$2,483.55 |
$8,838.25
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$2,483.55 |
$2,483.55 |
$2,483.55 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$5,950.50
|
|
Angiotensin ii
|
$22.05 |
$22.05 |
$22.05 |
$55.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$2,483.55 |
$2,483.55 |
$2,483.55 |
$11,285.00
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,059.15 |
$1,059.15 |
$1,059.15 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$2,648.25 |
$2,648.25 |
$2,648.25 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,059.15 |
$1,059.15 |
$1,059.15 |
$4,438.34
|
|
Angio trnslmnl balloon same vein ini
|
$2,648.25 |
$2,648.25 |
$2,648.25 |
$8,466.00
|
|
Ankle X-ray
|
$76.35 |
$76.35 |
$76.35 |
$351.20
|
|
Anodyne therapy charges pt
|
$17.70 |
$17.70 |
$17.70 |
$41.02
|
|
Anora (draw only)
|
$2.10 |
$2.10 |
$2.10 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$22.50 |
$22.50 |
$22.50 |
$57.85
|
|
Antibody elution rbc reference
|
$47.40 |
$47.40 |
$47.40 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$33.90 |
$33.90 |
$33.90 |
$118.30
|
|
Antibody htlv-i
|
$14.70 |
$14.70 |
$14.70 |
$48.57
|
|
Antibody htlv-ii
|
$15.60 |
$15.60 |
$15.60 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$31.05 |
$31.05 |
$31.05 |
$218.30
|
|
Antibody id rbc panel
|
$93.75 |
$93.75 |
$93.75 |
$283.80
|
|
Antibody influenza virus
|
$23.70 |
$23.70 |
$23.70 |
$53.28
|
|
Antibody screen rbc
|
$19.80 |
$19.80 |
$19.80 |
$102.60
|
|
Antibody tetanus
|
$25.95 |
$25.95 |
$25.95 |
$52.20
|
|
Antidepressant not specified
|
$13.20 |
$13.20 |
$13.20 |
$72.14
|
|
Antidepressants class 6/more
|
$29.70 |
$29.70 |
$29.70 |
$29.68
|
|
Antiepileptics nos 7/more
|
$11.10 |
$11.10 |
$11.10 |
$18.85
|
|
Anti-inhibitor
|
$10,171.61 |
$10,171.61 |
$10,171.61 |
$8.33
|
|
Anti mog serum - sendout
|
$28.95 |
$28.95 |
$28.95 |
$113.83
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$28.20 |
$28.20 |
$28.20 |
$42.35
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$29.70 |
$29.70 |
$29.70 |
$36.60
|
|
Antinuclear antibodies
|
$21.15 |
$21.15 |
$21.15 |
$90.00
|
|
Antinuclear antibodies titer
|
$19.50 |
$19.50 |
$19.50 |
$77.40
|
|
Antiphosphatidylserine antibody
|
$27.15 |
$27.15 |
$27.15 |
$67.60
|
|
Antipsychotics nos 1-3
|
$11.10 |
$11.10 |
$11.10 |
$153.45
|
|
Antipsychotics nos 7/more
|
$25.80 |
$25.80 |
$25.80 |
$18.85
|
|
Antistreptolysin o screen
|
$10.05 |
$10.05 |
$10.05 |
$58.30
|
|
Antistreptolysin o titer
|
$12.75 |
$12.75 |
$12.75 |
$54.94
|
|
Antithrombin iii activity
|
$20.70 |
$20.70 |
$20.70 |
$113.40
|
|
Apc gene dup/delet variants
|
$96.75 |
$96.75 |
$96.75 |
$400.00
|
|
Apc gene full sequence
|
$96.75 |
$96.75 |
$96.75 |
$1,255.20
|
|
Apheresis plasma
|
$638.85 |
$638.85 |
$638.85 |
$3,292.80
|
|
Apl(pml-rara) quant - sendout
|
$363.00 |
$363.00 |
$363.00 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$2,401.65 |
$2,401.65 |
$2,401.65 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$272.10 |
$272.10 |
$272.10 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$137.55 |
$137.55 |
$137.55 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$26.25 |
$26.25 |
$26.25 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$860.70 |
$860.70 |
$860.70 |
$3,661.35
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$137.55 |
$137.55 |
$137.55 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$26.25 |
$26.25 |
$26.25 |
$549.08
|
|
Application finger splntstatic 29130
|
$51.60 |
$51.60 |
$51.60 |
$222.28
|
|
Application long leg splint 29505
|
$77.85 |
$77.85 |
$77.85 |
$363.00
|
|
Application lower leg splint 29515
|
$64.65 |
$64.65 |
$64.65 |
$363.00
|
|
Application multi layer compression below knee (both sides)
|
$110.40 |
$110.40 |
$110.40 |
$378.00
|
|
Application of forearm cast 29075
|
$130.20 |
$130.20 |
$130.20 |
$370.80
|
|
Application of long leg cast 29345
|
$93.75 |
$93.75 |
$93.75 |
$499.20
|
|
Application of paste boot 29580
|
$60.30 |
$60.30 |
$60.30 |
$331.74
|
|
Application short leg cast 29405
|
$99.60 |
$99.60 |
$99.60 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$373.50 |
$373.50 |
$373.50 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$373.50 |
$373.50 |
$373.50 |
$2,198.30
|
|
Appl mltpln uni ext fixj sys
|
$5,668.20 |
$5,668.20 |
$5,668.20 |
$6,411.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$18.75 |
$18.75 |
$18.75 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$25.20 |
$25.20 |
$25.20 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$65.85 |
$65.85 |
$65.85 |
$297.50
|
|
Apply finger cast 29086
|
$43.95 |
$43.95 |
$43.95 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$133.35 |
$133.35 |
$133.35 |
$255.20
|
|
Apply interstit radiat compl
|
$501.75 |
$501.75 |
$501.75 |
$2,901.80
|
|
Apply of finger splint 29131
|
$32.70 |
$32.70 |
$32.70 |
$177.45
|
|
Apply rigid leg cast 29445
|
$129.75 |
$129.75 |
$129.75 |
$585.31
|
|
#aptt mix-1:1 incubated
|
$61.50 |
$61.50 |
$61.50 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$28.20 |
$28.20 |
$28.20 |
$207.20
|
|
Aquaporin-4 antibody cba each
|
$28.20 |
$28.20 |
$28.20 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$34.20 |
$34.20 |
$34.20 |
$132.60
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$40.95 |
$40.95 |
$40.95 |
$100.00
|
|
Aquatic exercise - group charge
|
$16.80 |
$16.80 |
$16.80 |
$87.15
|
|
Argatroban esrd dialysis 1mg
|
$465.85 |
$465.85 |
$465.85 |
$934.80
|
|
Ar gene full gene sequence
|
$236.70 |
$236.70 |
$236.70 |
$331.49
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,659.96
|
