|
Apheresis platelets
|
$993.06 |
$993.06 |
$993.06 |
$2,042.95
|
|
Apheresis rbc
|
$993.06 |
$993.06 |
$993.06 |
$3,146.15
|
|
Apheresis wbc
|
$993.06 |
$993.06 |
$993.06 |
$2,968.80
|
|
Apl(pml-rara) quant - sendout
|
$37.32 |
$37.32 |
$37.32 |
$482.95
|
|
Appendectomy add-on 44955
|
$44.82 |
$44.82 |
$44.82 |
$189.55
|
|
Appendix Removal (Laparoscopic)
|
$392.04 |
$392.04 |
$392.04 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$572.22 |
$572.22 |
$572.22 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$165.78 |
$165.78 |
$165.78 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$307.08 |
$307.08 |
$307.08 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$879.12 |
$879.12 |
$879.12 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$124.74 |
$124.74 |
$124.74 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$216.00 |
$216.00 |
$216.00 |
$498.81
|
|
Application clubfoot cast
|
$257.22 |
$257.22 |
$257.22 |
$297.33
|
|
Application finger splntstatic 29130
|
$159.84 |
$159.84 |
$159.84 |
$208.16
|
|
Application long leg splint 29505
|
$139.68 |
$139.68 |
$139.68 |
$338.25
|
|
Application lower leg splint 29515
|
$113.22 |
$113.22 |
$113.22 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$82.08 |
$82.08 |
$82.08 |
$373.20
|
|
Application of cylinder cast 29365
|
$58.68 |
$58.68 |
$58.68 |
$420.00
|
|
Application of forearm cast 29075
|
$288.90 |
$288.90 |
$288.90 |
$339.30
|
|
Application of long arm cast 29065
|
$46.26 |
$46.26 |
$46.26 |
$395.00
|
|
Application of long leg cast
|
$70.56 |
$70.56 |
$70.56 |
$426.00
|
|
Application of long leg cast 29345
|
$257.22 |
$257.22 |
$257.22 |
$455.00
|
|
Application of paste boot 29580
|
$235.80 |
$235.80 |
$235.80 |
$331.74
|
|
Application short leg cast 29405
|
$174.78 |
$174.78 |
$174.78 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,243.62 |
$1,243.62 |
$1,243.62 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,224.54 |
$1,224.54 |
$1,224.54 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$40.32 |
$40.32 |
$40.32 |
$744.90
|
|
Appl mltpln uni ext fixj sys
|
$758.16 |
$758.16 |
$758.16 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.36 |
$45.36 |
$45.36 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$56.70 |
$56.70 |
$56.70 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$56.88 |
$56.88 |
$56.88 |
$297.70
|
|
Appl unipln uni ext fixj sys
|
$398.16 |
$398.16 |
$398.16 |
$5,801.00
|
|
Apply finger cast 29086
|
$155.52 |
$155.52 |
$155.52 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$187.02 |
$187.02 |
$187.02 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$168.66 |
$168.66 |
$168.66 |
$259.20
|
|
Apply interstit radiat compl
|
$1,394.64 |
$1,394.64 |
$1,394.64 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$520.74 |
$520.74 |
$520.74 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$287.28 |
$287.28 |
$287.28 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$215.64 |
$215.64 |
$215.64 |
$1,207.44
|
|
Apply of finger splint 29131
|
$80.82 |
$80.82 |
$80.82 |
$169.50
|
|
Apply rigid leg cast 29445
|
$257.22 |
$257.22 |
$257.22 |
$555.00
|
|
Apply short leg castambul type 29425
|
$122.76 |
$122.76 |
$122.76 |
$381.00
|
|
Apply surf ldr radionuclide
|
$225.90 |
$225.90 |
$225.90 |
$251.55
|
|
Aprotonin, 10,000 kiu
|
$595.98 |
$595.98 |
$595.98 |
$18.60
|
|
Aquaporin-4 antibody cba each
|
$54.00 |
$54.00 |
$54.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$2.08 |
$2.08 |
$2.08 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$64.98 |
$64.98 |
$64.98 |
$100.00
|
|
Aquatic exercise - group charge
|
$131.40 |
$131.40 |
$131.40 |
$85.80
|
|
Art bypass femoral-popliteal 35656
|
$648.90 |
$648.90 |
$648.90 |
$4,717.50
|
|
Art byp grft fem-popliteal 35556
|
$843.12 |
$843.12 |
$843.12 |
$2,672.40
|
|
Arterial blood draw/perc 36620
|
$164.34 |
$164.34 |
$164.34 |
$486.42
|
|
Artery xray each vessel 7577426
|
$1,493.82 |
$1,493.82 |
$1,493.82 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,826.44 |
$3,826.44 |
$3,826.44 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$1,898.28 |
$1,898.28 |
$1,898.28 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,088.18 |
$2,088.18 |
$2,088.18 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$2,745.72 |
$2,745.72 |
$2,745.72 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,020.40 |
$3,020.40 |
$3,020.40 |
$3,729.00
|
|
Artery x-rays chest
|
$928.80 |
$928.80 |
$928.80 |
$2,870.00
|
|
Artery x-rays lung
|
$1,898.28 |
$1,898.28 |
$1,898.28 |
$3,279.12
|
|
Artery x-rays lung
|
$934.56 |
$934.56 |
$934.56 |
$2,451.75
|
|
Artery x-rays lungs
|
$2,192.58 |
$2,192.58 |
$2,192.58 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,552.40 |
$2,552.40 |
$2,552.40 |
$4,134.14
|
|
Artery x-rays spine
|
$2,924.46 |
$2,924.46 |
$2,924.46 |
$4,306.40
|
|
Arthrd ant ntrbd min dsc crv
|
$824.40 |
$824.40 |
$824.40 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$987.48 |
$987.48 |
$987.48 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$1,093.68 |
$1,093.68 |
$1,093.68 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$1,097.28 |
$1,097.28 |
$1,097.28 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$1,170.54 |
$1,170.54 |
$1,170.54 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$991.80 |
$991.80 |
$991.80 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$1,036.62 |
$1,036.62 |
$1,036.62 |
$3,752.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$428.04 |
$428.04 |
$428.04 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$291.06 |
$291.06 |
$291.06 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$308.34 |
$308.34 |
$308.34 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$278.64 |
$278.64 |
$278.64 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$611.28 |
$611.28 |
$611.28 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$146.70 |
$146.70 |
$146.70 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$247.86 |
$247.86 |
$247.86 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$203.04 |
$203.04 |
$203.04 |
$822.60
|
|
Arthrodesis/combine app/ea add 22634
|
$303.30 |
$303.30 |
$303.30 |
$1,193.60
|
|
Arthrodesis/post interbdy/ea add 22632
|
$199.98 |
$199.98 |
$199.98 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$856.44 |
$856.44 |
$856.44 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$244.98 |
$244.98 |
$244.98 |
$3,248.42
|
|
Arthrodesis subtalar
|
$523.98 |
$523.98 |
$523.98 |
$13,057.20
|
|
Arthro, loose body + chondro
|
$39.78 |
$39.78 |
$39.78 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$459.36 |
$459.36 |
$459.36 |
$4,240.08
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$329.40 |
$329.40 |
$329.40 |
$3,839.54
|
|
Arthrotomy hip w/drainage
|
$623.16 |
$623.16 |
$623.16 |
$3,549.00
|
|
Arthrt ac sc jt exp/rmvl fb
|
$378.72 |
$378.72 |
$378.72 |
$3,786.00
|
|
Arthrt elbw capsl exc rls
|
$484.74 |
$484.74 |
$484.74 |
$3,839.54
|
|
Arthrt elbw jt expl bx rmvl
|
$346.86 |
$346.86 |
$346.86 |
$3,839.54
|
|
Arthrt gh jt expl/drg/rmv fb
|
$484.92 |
$484.92 |
$484.92 |
$3,839.54
|
|
Arthrt glenhumrl jt w/expl
|
$451.26 |
$451.26 |
$451.26 |
$5,886.74
|
|
Arthrt hip expl/rmv loose/fb
|
$648.36 |
$648.36 |
$648.36 |
$5,741.00
|
|
Arthrt rdcrpl/midcarpl jt
|
$381.42 |
$381.42 |
$381.42 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$109.98 |
$109.98 |
$109.98 |
$4,194.13
|
|
Ascenda two piece catheter
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$23,074.63
|
|
Ashkenazi jewish assoc dis
|
$440.74 |
$440.74 |
$440.74 |
$2,574.40
|
|
Aspa gene
|
$8.51 |
$8.51 |
$8.51 |
$133.84
|
|
Aspirate/inj ganglion cyst 20612
|
$137.16 |
$137.16 |
$137.16 |
$433.07
|