|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$226.00 |
$226.00 |
$226.00 |
$123.84
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$364.40 |
$364.40 |
$364.40 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$62.40 |
$62.40 |
$62.40 |
$82.65
|
|
Anca screen with reflex to titer -quest
|
$37.60 |
$37.60 |
$79.76 |
$99.00
|
|
An cholangiogram percutaneous compl
|
$1,645.31 |
$1,926.00 |
$1,926.00 |
$2,494.35
|
|
Androstanediol
|
$67.60 |
$67.60 |
$238.78 |
$131.04
|
|
An fluoro guide for cvp
|
$355.20 |
$355.20 |
$444.73 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$5,500.00
|
|
Angiotensin ii
|
$51.60 |
$51.60 |
$51.60 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$37.20 |
$37.20 |
$274.20 |
$2,792.09
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,754.80 |
$1,754.80 |
$4,504.70 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$3,998.00 |
$3,998.00 |
$6,986.87 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,754.80 |
$1,754.80 |
$4,596.63 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$3,998.00 |
$3,998.00 |
$4,596.63 |
$8,466.00
|
|
Ankle X-ray
|
$250.40 |
$250.40 |
$250.40 |
$352.80
|
|
Ank symes mold sckt sach ft
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$2,996.00
|
|
Anl sp inf pmp w/mdreprg&fil
|
$350.18 |
$696.40 |
$696.40 |
$627.94
|
|
Annual Physical, Established Patient (age 18-39)
|
$187.48 |
$187.48 |
$187.48 |
$148.50
|
|
Annual Physical, Established Patient (age 40-64)
|
$218.72 |
$218.72 |
$218.72 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$187.48 |
$187.48 |
$187.48 |
$151.50
|
|
Annual Physical, New Patient (age 40-64)
|
$218.72 |
$218.72 |
$218.72 |
$167.25
|
|
Anogenital exam child w imag
|
$430.80 |
$430.80 |
$430.80 |
$277.99
|
|
Anora (draw only)
|
$88.41 |
$88.41 |
$88.41 |
$35.00
|
|
Anoscopy and biopsy
|
$2,810.00 |
$2,810.00 |
$2,810.00 |
$1,670.25
|
|
Anoscopy control bleeding 46614
|
$1,800.21 |
$1,800.21 |
$1,800.21 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$415.58 |
$415.58 |
$415.58 |
$1,374.60
|
|
Anterior swing band
|
$142.40 |
$142.40 |
$142.40 |
$506.45
|
|
Anterior thoracic extension
|
$158.80 |
$158.80 |
$158.80 |
$496.80
|
|
Antibody bacterium, not elsewhere specified
|
$32.40 |
$32.40 |
$34.69 |
$57.81
|
|
Antibody elution rbc reference
|
$112.30 |
$170.40 |
$170.40 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$48.40 |
$48.40 |
$103.64 |
$131.28
|
|
Antibody htlv-i
|
$32.86 |
$32.86 |
$32.86 |
$49.53
|
|
Antibody htlv-ii
|
$48.77 |
$48.77 |
$48.77 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$43.20 |
$43.20 |
$192.11 |
$219.30
|
|
Antibody id rbc panel
|
$192.72 |
$236.40 |
$236.40 |
$290.21
|
|
Antibody influenza virus
|
$34.00 |
$34.00 |
$54.10 |
$53.90
|
|
Antibody lymphocytic choriomeningitis
|
$35.20 |
$35.20 |
$35.20 |
$46.20
|
|
Antibody screen rbc
|
$54.88 |
$70.00 |
$70.00 |
$106.88
|
|
Antibody tetanus
|
$24.00 |
$24.00 |
$24.00 |
$54.00
|
|
Antidepressant not specified
|
$119.60 |
$119.60 |
$119.60 |
$72.14
|
|
Antidepressants class 3-5
|
$122.00 |
$122.00 |
$122.00 |
$72.14
|
|
Antidepressants class 6/more
|
$10.40 |
$10.40 |
$10.40 |
$25.35
|
|
Antidepressant tricyclic 3-5
|
$122.00 |
$122.00 |
$122.00 |
$23.20
|
|
Antiepileptics nos 4-6
|
$122.00 |
$122.00 |
$122.00 |
$16.24
|
|
Antiepileptics nos 7/more
|
$10.40 |
$10.40 |
$10.40 |
$16.24
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2.14 |
$2.32 |
$295.43 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.70 |
$3.70 |
$3.70 |
$3.67
|
|
Anti-inhibitor
|
$35,471.26 |
$35,471.26 |
$35,471.26 |
$8.33
|
|
Anti mog serum - sendout
|
$25.60 |
$25.60 |
$41.74 |
$133.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$26.00 |
$26.00 |
$43.75 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$13.18 |
$23.20 |
$23.20 |
$42.00
|
|
Antinuclear antibodies
|
$32.40 |
$32.40 |
$43.61 |
$90.00
|
|
Antinuclear antibodies titer
|
$28.00 |
$28.00 |
$33.58 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$40.00 |
$40.00 |
$53.17 |
$64.50
|
|
Antipsychotics nos 1-3
|
$60.00 |
$60.00 |
$60.00 |
$137.80
|
|
Antipsychotics nos 7/more
|
$122.00 |
$122.00 |
$122.00 |
$16.24
|
|
Antistreptolysin o screen
|
$19.75 |
$20.40 |
$20.40 |
$59.40
|
|
Antistreptolysin o titer
|
$18.00 |
$18.00 |
$78.35 |
$52.50
|
|
Antithrombin iii activity
|
$30.40 |
$30.40 |
$119.99 |
$114.00
|
|
Antithrombin iii injection
|
$2,873.14 |
$2,873.14 |
$2,873.14 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$74,332.63 |
$74,332.63 |
$74,332.63 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$1,202.47 |
$1,202.47 |
$1,202.47 |
$1,958.74
|
|
Aortic dysfunction/dilation
|
$955.20 |
$955.20 |
$955.20 |
$1,088.50
|
|
Apheresis plasma
|
$1,637.88 |
$3,290.80 |
$3,290.80 |
$3,188.50
|
|
Apheresis platelets
|
$2,749.60 |
$2,749.60 |
$2,749.60 |
$2,195.00
|
|
Apheresis rbc
|
$1,654.26 |
$3,290.80 |
$3,290.80 |
$3,290.80
|
|
Apheresis wbc
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$283.41 |
$361.20 |
$361.20 |
$500.80
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,551.60 |
$1,551.60 |
$3,058.21 |
$2,112.66
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$774.80 |
$774.80 |
$3,058.21 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$326.00 |
$326.00 |
$640.09 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,758.00 |
$1,758.00 |
$3,058.21 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$774.80 |
$774.80 |
$3,058.21 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$326.00 |
$326.00 |
$640.09 |
$508.18
|
|
Appl bdy cst sho to hip b th
|
$747.60 |
$747.60 |
$747.60 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$747.60 |
$747.60 |
$747.60 |
$501.28
|
|
Application clubfoot cast
|
$374.40 |
$374.40 |
$374.40 |
$303.00
|
|
Application finger splntstatic 29130
|
$173.60 |
$173.60 |
$210.60 |
$208.50
|
|
Application long leg splint 29505
|
$320.80 |
$320.80 |
$320.80 |
$338.25
|
|
Application lower leg splint 29515
|
$326.00 |
$326.00 |
$326.00 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$249.20 |
$249.20 |
$249.20 |
$370.92
|
|
Application of cylinder cast 29365
|
$594.40 |
$594.40 |
$594.40 |
$431.08
|
|
Application of forearm cast 29075
|
$368.40 |
$368.40 |
$368.40 |
$356.50
|
|
Application of long arm cast 29065
|
$409.60 |
$409.60 |
$409.60 |
$395.45
|
|
Application of long leg cast
|
$635.60 |
$635.60 |
$635.60 |
$435.54
|
|
Application of long leg cast 29345
|
$635.60 |
$635.60 |
$635.60 |
$455.00
|
|
Application of paste boot 29580
|
$328.40 |
$328.40 |
$328.40 |
$336.00
|
|
Application short leg cast 29405
|
$456.40 |
$456.40 |
$456.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,066.40 |
$1,066.40 |
$1,280.18 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,066.40 |
$1,066.40 |
$1,185.35 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$49.38 |
$1,018.80 |
$1,018.80 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$19.20 |
$19.20 |
$19.20 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$24.80 |
$24.80 |
$24.80 |
$76.80
|
|
Appl multlay comprs arm/hand
|
$261.20 |
$261.20 |
$261.20 |
$297.70
|
|
Apply halo w/removal cranial
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$374.40 |
$374.40 |
$374.40 |
$267.20
|
|
Apply interstit radiat compl
|
$2,524.00 |
$2,524.00 |
$2,555.33 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$1,718.80 |
$1,718.80 |
$1,718.80 |
$1,773.02
|
|
Apply of finger splint 29131
|
$94.77 |
$94.77 |
$94.77 |
$177.45
|
|
Apply rem fixation device
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$2,021.04
|
