|
An cholangiogram percutaneous compl
|
$522.48 |
$522.48 |
$522.48 |
|
|
An fluoro guide for cvp
|
$204.12 |
$468.16 |
$509.39 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,708.18 |
$3,708.18 |
$3,708.18 |
|
|
Angioplasty fem/pop unilat 37224
|
$12,266.10 |
$12,266.10 |
$12,266.10 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,613.42 |
$11,613.42 |
$11,613.42 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,876.60 |
$3,876.60 |
$3,876.60 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,208.57 |
$3,773.82 |
$4,489.13 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$13,199.34 |
$13,199.34 |
$13,199.34 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,304.60 |
$5,304.60 |
$5,304.60 |
|
|
Angio trnslmnl balloon same artery ini
|
$10,888.50 |
$10,888.50 |
$10,888.50 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,701.08 |
$5,701.08 |
$5,701.08 |
|
|
Angio trnslmnl balloon same vein ini
|
$8,065.26 |
$8,065.26 |
$8,065.26 |
|
|
Ankle X-ray
|
$78.96 |
$331.58 |
$360.79 |
|
|
Ankle X-ray (2 views, both ankles)
|
$73.50 |
$186.56 |
$202.99 |
|
|
Anodyne therapy charges pt
|
$34.54 |
$34.54 |
$34.54 |
|
|
Anoscopy remove fb 46608
|
$106.02 |
$106.02 |
$106.02 |
|
|
Antibody bacterium, not elsewhere specified
|
$64.26 |
$106.49 |
$181.00 |
|
|
Antibody elution rbc reference
|
$143.64 |
$239.42 |
$406.95 |
|
|
Antibody htlv/hiv confirm test
|
$211.26 |
$350.09 |
$595.05 |
|
|
Antibody htlv-i
|
$11.76 |
$11.76 |
$11.76 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$100.38 |
$166.34 |
$282.74 |
|
|
Antibody id rbc panel
|
$300.30 |
$468.85 |
$551.42 |
|
|
Antibody influenza virus
|
$28.56 |
$47.33 |
$80.44 |
|
|
Antibody lymphocytic choriomeningitis
|
$26.04 |
$43.15 |
$73.35 |
|
|
Antibody screen rbc
|
$49.14 |
$70.52 |
$82.94 |
|
|
Antibody tetanus
|
$26.46 |
$43.85 |
$74.53 |
|
|
Antidepressant not specified
|
$43.05 |
$43.05 |
$147.00 |
|
|
Antidepressants class 3-5
|
$40.74 |
$40.74 |
$40.74 |
|
|
Anti mog serum - sendout
|
$351.54 |
$582.55 |
$990.17 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$22.68 |
$37.58 |
$63.88 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$26.04 |
$43.15 |
$73.35 |
|
|
Antinuclear antibodies
|
$22.26 |
$36.89 |
$62.70 |
|
|
Antinuclear antibodies titer
|
$48.30 |
$80.04 |
$136.05 |
|
|
Antiphosphatidylserine antibody
|
$23.94 |
$39.67 |
$67.43 |
|
|
Antistreptolysin o titer
|
$23.94 |
$39.67 |
$67.43 |
|
|
Antithrombin iii activity
|
$26.46 |
$40.07 |
$43.28 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$321.41 |
$321.41 |
$331.01 |
|
|
Apheresis plasma
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
|
|
Apl(pml-rara) quant - sendout
|
$261.24 |
$261.24 |
$447.22 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$811.44 |
$811.44 |
$811.44 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$242.34 |
$242.34 |
$242.34 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$59.22 |
$59.22 |
$104.62 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$755.58 |
$755.58 |
$755.58 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$215.46 |
$215.46 |
$215.46 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$53.34 |
$53.34 |
$53.34 |
|
|
Application finger splntstatic 29130
|
$49.85 |
$55.71 |
$57.01 |
|
|
Application long leg splint 29505
|
$84.15 |
$94.04 |
$96.24 |
|
|
Application lower leg splint 29515
|
$82.54 |
$92.25 |
$94.40 |
|
|
Application multi layer compression below knee (both sides)
|
$191.10 |
$246.33 |
$257.04 |
|
|
Application of forearm cast 29075
|
$102.38 |
$102.38 |
$114.41 |
|
|
Application of long arm cast 29065
|
$113.63 |
$113.63 |
$126.99 |
|
|
Application of long leg cast
|
$199.47 |
$199.47 |
$199.47 |
|
|
Application of long leg cast 29345
|
$166.70 |
$186.29 |
$190.64 |
|
|
Application of paste boot 29580
|
$149.52 |
$243.57 |
$254.16 |
|
|
Application short leg cast 29405
|
$98.09 |
$109.62 |
$112.18 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$405.72 |
$405.72 |
$716.77 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$429.66 |
$429.66 |
$429.66 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,564.10 |
$2,564.10 |
$2,564.10 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.70 |
$46.80 |
$51.02 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$75.92 |
$75.92 |
$84.78 |
|
|
Appl modality 1+lllt po pain
|
$59.34 |
$60.46 |
$61.92 |
|
|
Appl patllr tdn bearing cast
|
$152.74 |
$152.74 |
$152.74 |
|
|
Apply hand/wrist cast 29085
|
$111.49 |
$111.49 |
$124.59 |
|
|
Apply interstit radiat compl
|
$1,666.56 |
$1,666.56 |
$1,666.56 |
|
|
Apply intrcav radiat compl
|
$1,125.18 |
$1,125.18 |
$1,125.18 |
|
|
Apply intrcav radiat interm
|
$787.50 |
$787.50 |
$787.50 |
|
|
Apply intrcav radiat simple
|
$596.40 |
$596.40 |
$596.40 |
|
|
Apply of finger splint 29131
|
$64.09 |
$64.09 |
$64.09 |
|
|
Apply rigid leg cast 29445
|
$266.28 |
$830.07 |
$866.16 |
|
|
Apply short leg castambul type 29425
|
$92.73 |
$103.63 |
$106.05 |
|
|
#aptt mix-1:1 incubated
|
$50.40 |
$75.48 |
$84.96 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$49.56 |
$82.13 |
$139.59 |
|
|
Aquaporin-4 antibody cba each
|
$147.00 |
$243.60 |
$414.05 |
|
|
Aquaporin-4 antibody elisa
|
$112.56 |
$186.53 |
$317.04 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$77.33 |
$79.20 |
$86.35 |
|
|
Aquatic exercise - group charge
|
$26.04 |
$52.39 |
$62.32 |
|
|
Arm CT Scan (with contrast, both arms)
|
$577.08 |
$1,698.00 |
$1,944.21 |
|
|
Arm CT Scan (without contrast, both arms)
|
$461.58 |
$1,358.40 |
$1,555.37 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$182.28 |
$490.48 |
$528.57 |
|
|
Arterial blood draw/perc 36620
|
$137.75 |
$154.20 |
$333.48 |
|
|
Artery xray each vessel 7577426
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
|
|
Artery xray of abdomen 75726-26
|
$2,985.78 |
$2,985.78 |
$2,985.78 |
|
|
Artery x-rays adrenal gland
|
$2,454.90 |
$2,454.90 |
$2,454.90 |
|
|
Artery x-rays adrenals
|
$3,682.56 |
$3,682.56 |
$3,682.56 |
|
|
Artery x-rays arm/leg 75710-26
|
$1,394.25 |
$1,394.25 |
$1,985.34 |
|
|
Artery x-rays arms/legs 75716-26
|
$1,490.37 |
$1,490.37 |
$2,436.42 |
|
|
Artery x-rays chest
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
|
|
Artery x-rays lung
|
$3,368.40 |
$3,368.40 |
$3,368.40 |
|
|
Artery x-rays lung
|
$3,406.20 |
$3,406.20 |
$3,406.20 |
|
|
Artery x-rays lungs
|
$5,677.14 |
$5,677.14 |
$5,677.14 |
|
|
Artery xrays of pelvis 75736 26
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
|
|
Artery x-rays spine
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$296.94 |
$528.53 |
$580.99 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$653.52 |
$653.52 |
$984.09 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$708.96 |
$912.24 |
$1,130.53 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$288.54 |
$426.16 |
$528.13 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$366.24 |
$366.24 |
$686.37 |
|
|
Ascenda two piece catheter
|
$3,949.94 |
$21,525.00 |
$50,993.75 |
|
|
Asp core fat pad
|
$4,465.44 |
$4,465.44 |
$4,465.44 |
|
|
Asp & inj w/heparin pleurx cath
|
$695.10 |
$695.10 |
$695.10 |
|
