|
Amputate thigh through femur 27590
|
$6,744.00 |
$6,744.00 |
$6,744.00 |
$3,370.00
|
|
Amputate upper arm & implant
|
$8,733.60 |
$8,733.60 |
$8,733.60 |
$13,116.76
|
|
Amputation follow-up surgery
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,951.20 |
$3,951.20 |
$3,951.20 |
$3,839.54
|
|
Amputation follow-up surgery
|
$7,660.80 |
$7,660.80 |
$7,660.80 |
$7,413.38
|
|
Amputation leg thr tib/fib 27880
|
$6,561.60 |
$6,561.60 |
$6,561.60 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$6,609.60 |
$6,609.60 |
$6,609.60 |
$1,506.60
|
|
Amputation of foot at ankle
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$7,109.92
|
|
Amputation of lower leg
|
$5,196.80 |
$5,196.80 |
$5,196.80 |
$2,545.40
|
|
Amputation of upper arm
|
$7,660.80 |
$7,660.80 |
$7,660.80 |
$2,646.80
|
|
Amputation of upper arm
|
$6,132.00 |
$6,132.00 |
$6,132.00 |
$13,116.76
|
|
Amputation thru metatarsal
|
$4,527.80 |
$4,527.80 |
$4,527.80 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$2,927.20 |
$2,927.20 |
$2,927.20 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$9,768.77 |
$9,768.77 |
$9,768.77 |
$3,839.54
|
|
Amylase
|
$110.00 |
$110.00 |
$344.32 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$156.00 |
$156.00 |
$156.00 |
$80.08
|
|
Anabolic steroid 3 or more
|
$156.00 |
$156.00 |
$156.00 |
$27.20
|
|
Ana ds-dna
|
$86.40 |
$86.40 |
$86.40 |
$55.24
|
|
Analgesics non-opioid 3-5
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$85.25 |
$85.25 |
$156.00 |
$117.01
|
|
Anal pressure record
|
$787.20 |
$787.20 |
$787.20 |
$954.00
|
|
Anal/urinary muscle study
|
$553.60 |
$553.60 |
$553.60 |
$407.00
|
|
Anal/urinary muscle study
|
$713.90 |
$713.90 |
$892.33 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$132.80 |
$132.80 |
$398.75 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$124.00 |
$124.00 |
$135.30 |
$249.60
|
|
Analysis nerve
|
$997.60 |
$997.60 |
$997.60 |
$262.40
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$360.80 |
$360.80 |
$360.80 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$100.65 |
$100.65 |
$147.20 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$63.20 |
$63.20 |
$63.20 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,403.50 |
$2,403.50 |
$2,687.60 |
$2,480.94
|
|
An fluoro guide for cvp
|
$382.80 |
$382.80 |
$596.82 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,770.35 |
$2,770.35 |
$6,665.64 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,191.45 |
$5,191.45 |
$12,526.80 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,843.85 |
$4,843.85 |
$16,928.05 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,678.40 |
$3,678.40 |
$16,928.05 |
$5,950.50
|
|
Angioscopy
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$363.20
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,633.00 |
$6,633.00 |
$21,378.71 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,753.45 |
$6,753.45 |
$7,672.76 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$3,963.30 |
$3,963.30 |
$15,344.30 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,689.50 |
$2,689.50 |
$7,672.76 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$3,314.30 |
$3,314.30 |
$15,344.30 |
$8,359.11
|
|
Ankle arthroscopy/surgery
|
$4,733.60 |
$4,733.60 |
$4,733.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$7,468.80 |
$7,468.80 |
$7,468.80 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$3,549.60 |
$3,549.60 |
$3,549.60 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$6,108.80 |
$6,108.80 |
$6,108.80 |
$3,839.54
|
|
Ankle X-ray
|
$351.45 |
$351.45 |
$601.04 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$266.20 |
$266.20 |
$601.04 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$659.20 |
$659.20 |
$659.20 |
$630.96
|
|
Annual Physical, Established Patient (age 18-39)
|
$278.40 |
$278.40 |
$278.40 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$292.00 |
$292.00 |
$292.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$356.00 |
$356.00 |
$356.00 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$370.40 |
$370.40 |
$370.40 |
$167.25
|
|
Anora (draw only)
|
$88.32 |
$88.32 |
$88.32 |
$35.00
|
|
Anoscopy
|
$1,169.60 |
$1,169.60 |
$1,169.60 |
$1,278.72
|
|
Anoscopy and biopsy
|
$1,364.80 |
$1,364.80 |
$1,364.80 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$628.80 |
$628.80 |
$628.80 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$2,140.60 |
$2,140.60 |
$2,140.60 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$471.20 |
$471.20 |
$471.20 |
$3,816.64
|
|
Antibody
|
$72.05 |
$72.05 |
$72.05 |
$38.40
|
|
Antibody bacterium, not elsewhere specified
|
$44.80 |
$44.80 |
$154.55 |
$57.85
|
|
Antibody elution rbc reference
|
$188.10 |
$188.10 |
$211.39 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$114.40 |
$114.40 |
$181.92 |
$131.56
|
|
Antibody htlv-i
|
$120.00 |
$120.00 |
$120.00 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$220.73 |
$220.73 |
$344.85 |
$224.00
|
|
Antibody id rbc panel
|
$140.80 |
$140.80 |
$215.38 |
$291.75
|
|
Antibody influenza virus
|
$12.10 |
$12.10 |
$167.44 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$36.77 |
$36.77 |
$36.77 |
$46.58
|
|
Antibody screen rbc
|
$95.48 |
$95.48 |
$159.50 |
$108.55
|
|
Antibody tetanus
|
$159.20 |
$159.20 |
$159.20 |
$54.15
|
|
Antidepressant not specified
|
$29.70 |
$29.70 |
$156.00 |
$72.14
|
|
Antidepressants class 3-5
|
$156.00 |
$156.00 |
$156.00 |
$72.14
|
|
Antidepressants class 6/more
|
$156.00 |
$156.00 |
$156.00 |
$25.35
|
|
Antidepressant tricyclic 3-5
|
$156.00 |
$156.00 |
$156.00 |
$23.20
|
|
Antiepileptics nos 4-6
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Antiepileptics nos 7/more
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$6.10
|
|
Anti mog serum - sendout
|
$113.91 |
$113.91 |
$241.45 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$42.35 |
$42.35 |
$113.91 |
$38.50
|
|
Ant instr 2-3 vert segm 22845
|
$3,884.00 |
$3,884.00 |
$3,884.00 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$3,884.00 |
$3,884.00 |
$3,884.00 |
$1,430.40
|
|
Antinuclear antibodies
|
$68.75 |
$68.75 |
$126.48 |
$90.00
|
|
Antinuclear antibodies titer
|
$50.60 |
$50.60 |
$115.20 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$47.75 |
$47.75 |
$47.75 |
$67.43
|
|
Antipsychotics nos 1-3
|
$156.00 |
$156.00 |
$235.40 |
$136.61
|
|
Antipsychotics nos 4-6
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Antipsychotics nos 7/more
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Antistreptolysin o screen
|
$44.55 |
$44.55 |
$96.00 |
$58.56
|
|
Antistreptolysin o titer
|
$26.95 |
$26.95 |
$121.60 |
$54.00
|
|
Antithrombin iii activity
|
$67.10 |
$67.10 |
$126.25 |
$115.15
|
|
Ant thrc vrt body tethrg <7
|
$4,504.80 |
$4,504.80 |
$4,504.80 |
$4,508.80
|
|
Ant thrc vrt body tethrg 8+
|
$4,964.00 |
$4,964.00 |
$4,964.00 |
$4,968.00
|
|
Aoi transducer/actuator repl
|
$5,783.20 |
$5,783.20 |
$5,783.20 |
$0.56
|
|
Aortic Aneurysm Screening Ultrasound
|
$430.40 |
$430.40 |
$597.85 |
$394.55
|
|
Aortic circulation assist 33971
|
$6,088.00 |
$6,088.00 |
$6,088.00 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$1,525.60 |
$1,525.60 |
$1,525.60 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,525.60 |
$1,525.60 |
$1,525.60 |
$1,700.16
|
|
Aortic suspension
|
$9,415.20 |
$9,415.20 |
$9,415.20 |
$1,414.87
|