|
Amputation toe interphalangeal joint
|
$7,352.50 |
$7,352.50 |
$7,352.50 |
$3,998.20
|
|
Amylase
|
$237.00 |
$237.00 |
$237.00 |
$89.04
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.00 |
$45.00 |
$45.00 |
$117.01
|
|
Anal/urinary muscle study
|
$155.50 |
$155.50 |
$155.50 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$346.00 |
$346.00 |
$346.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$226.00 |
$226.00 |
$226.00 |
$230.40
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$272.50 |
$272.50 |
$272.50 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$110.00 |
$110.00 |
$110.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$79.00 |
$79.00 |
$79.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,296.00 |
$3,296.00 |
$3,296.00 |
$2,626.65
|
|
An fluoro guide for cvp
|
$60.00 |
$60.00 |
$60.00 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$781.00 |
$781.00 |
$781.00 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$11,939.50 |
$11,939.50 |
$11,939.50 |
$8,772.38
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$177.00 |
$177.00 |
$177.00 |
$3,080.85
|
|
Angio trnslmnl balloon same artery ini
|
$12,536.50 |
$12,536.50 |
$12,536.50 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$12,536.50 |
$12,536.50 |
$12,536.50 |
$8,466.00
|
|
Ankle X-ray
|
$367.00 |
$367.00 |
$367.00 |
$353.60
|
|
Annual Physical, Established Patient (age 18-39)
|
$132.50 |
$132.50 |
$132.50 |
$141.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$121.50 |
$121.50 |
$121.50 |
$158.76
|
|
Annual Physical, New Patient (age 18-39)
|
$108.50 |
$108.50 |
$108.50 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$116.50 |
$116.50 |
$116.50 |
$165.10
|
|
Anodyne therapy charges pt
|
$20.50 |
$20.50 |
$20.50 |
$42.00
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$5,444.67 |
$5,444.67 |
$5,444.67 |
$5,463.96
|
|
Antibody bacterium, not elsewhere specified
|
$84.00 |
$84.00 |
$84.00 |
$57.81
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$455.00 |
$455.00 |
$455.00 |
$218.30
|
|
Antibody id rbc panel
|
$723.00 |
$723.00 |
$723.00 |
$274.56
|
|
Antibody screen rbc
|
$133.00 |
$133.00 |
$133.00 |
$100.00
|
|
Antibody tetanus
|
$16.00 |
$16.00 |
$16.00 |
$53.95
|
|
Anti mog serum - sendout
|
$228.50 |
$228.50 |
$228.50 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$35.00 |
$35.00 |
$35.00 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$86.00 |
$86.00 |
$86.00 |
$40.00
|
|
Antinuclear antibodies
|
$63.50 |
$63.50 |
$63.50 |
$89.40
|
|
Antinuclear antibodies titer
|
$68.50 |
$68.50 |
$68.50 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$83.50 |
$83.50 |
$83.50 |
$65.97
|
|
Antistreptolysin o titer
|
$38.50 |
$38.50 |
$38.50 |
$51.45
|
|
Antithrombin iii activity
|
$62.50 |
$62.50 |
$62.50 |
$114.00
|
|
Appendix Removal (Laparoscopic)
|
$17,304.38 |
$17,304.38 |
$17,304.38 |
$6,870.89
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,896.50 |
$1,896.50 |
$1,896.50 |
$498.81
|
|
Application finger splntstatic 29130
|
$184.00 |
$184.00 |
$184.00 |
$208.16
|
|
Application long leg splint 29505
|
$368.00 |
$368.00 |
$368.00 |
$338.25
|
|
Application lower leg splint 29515
|
$368.00 |
$368.00 |
$368.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$373.00 |
$373.00 |
$373.00 |
$373.20
|
|
Application of forearm cast 29075
|
$321.50 |
$321.50 |
$321.50 |
$339.30
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,961.50 |
$3,961.50 |
$3,961.50 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$512.00 |
$512.00 |
$512.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$47.50 |
$47.50 |
$47.50 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$51.50 |
$51.50 |
$51.50 |
$75.60
|
|
Apply rigid leg cast 29445
|
$321.50 |
$321.50 |
$321.50 |
$555.00
|
|
App topical fluoride varnish
|
$17.50 |
$17.50 |
$17.50 |
$27.20
|
|
Aqaprn-4 antb flo cytmtry ea
|
$390.00 |
$390.00 |
$390.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$238.50 |
$238.50 |
$238.50 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$638.50 |
$638.50 |
$638.50 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$111.00 |
$111.00 |
$111.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$90.50 |
$90.50 |
$90.50 |
$85.80
|
|
Arterial blood draw/perc 36620
|
$179.50 |
$179.50 |
$179.50 |
$485.69
|
|
Artery xray each vessel 7577426
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$4,841.50 |
$4,841.50 |
$4,841.50 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$7,104.50 |
$7,104.50 |
$7,104.50 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$7,104.50 |
$7,104.50 |
$7,104.50 |
$3,729.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$624.00 |
$624.00 |
$624.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$814.50 |
$814.50 |
$814.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$351.50 |
$351.50 |
$351.50 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$624.00 |
$624.00 |
$624.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,735.50 |
$2,735.50 |
$2,735.50 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$332.00 |
$332.00 |
$332.00 |
$699.00
|
|
Aspirate/inj ganglion cyst 20612
|
$353.00 |
$353.00 |
$353.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$1,226.87
|
|
Assay dir meas fr estradiol
|
$36.00 |
$36.00 |
$36.00 |
$67.44
|
|
Assay neurflmnt light chain
|
$242.00 |
$242.00 |
$242.00 |
$380.00
|
|
Assay of androsterone
|
$80.50 |
$80.50 |
$80.50 |
$194.79
|
|
Assay of breath ethanol
|
$15.50 |
$15.50 |
$15.50 |
$47.30
|
|
Assay of corticosterone
|
$176.50 |
$176.50 |
$176.50 |
$56.80
|
|
Assay of leflunomide
|
$114.00 |
$114.00 |
$114.00 |
$100.65
|
|
Assay of neonatal thyroxine
|
$37.50 |
$37.50 |
$37.50 |
$19.06
|
|
Assay of prostaglandin
|
$300.00 |
$300.00 |
$300.00 |
$218.50
|
|
Assay of salicylate
|
$106.50 |
$106.50 |
$106.50 |
$95.00
|
|
Assay of tyrosine
|
$338.00 |
$338.00 |
$338.00 |
$60.00
|
|
Assay of urine sulfate
|
$21.50 |
$21.50 |
$21.50 |
$29.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$33.50 |
$33.50 |
$33.50 |
$49.80
|
|
Ast/sgot
|
$38.50 |
$38.50 |
$38.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$29,495.02 |
$29,495.02 |
$29,495.02 |
$23,166.53
|
|
Athrectomy fem/pop/unilateral 37225
|
$10,269.00 |
$10,269.00 |
$10,269.00 |
$16,409.51
|
|
Atomic absorption
|
$226.00 |
$226.00 |
$226.00 |
$71.50
|
|
Atropine 0.1 mg/ml injection syringe
|
$9.71 |
$9.71 |
$9.71 |
$51.28
|
|
Audiometry air + bone
|
$27.50 |
$27.50 |
$27.50 |
$185.15
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$2,900.50 |
$2,900.50 |
$2,900.50 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$6,418.50 |
$6,418.50 |
$6,418.50 |
$10,384.40
|
|
Autologous blood op salvage
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$910.70
|
|
Av fuse uppr arm cephalic
|
$17,433.00 |
$17,433.00 |
$17,433.00 |
$6,396.89
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$451.00 |
$451.00 |
$451.00 |
$318.75
|
|
Azacitidine injection
|
$77.53 |
$77.53 |
$77.53 |
$1,042.91
|
|
Azithromycin 500 mg intravenous solution
|
$4.01 |
$4.01 |
$4.01 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$49.62 |
$49.62 |
$49.62 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$532.00 |
$532.00 |
$532.00 |
$1,800.33
|
|
Baclofen eval charges
|
$984.00 |
$984.00 |
$984.00 |
$85.00
|
|
Bacterial meningitis antigen
|
$56.50 |
$56.50 |
$56.50 |
$66.30
|
|
Bacterial vaginosis pcr
|
$348.00 |
$348.00 |
$348.00 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$76.00 |
$76.00 |
$76.00 |
$105.00
|
