|
Appl modality 1/> areas paraffin bath 97018
|
$28.22 |
$28.22 |
$28.22 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$23.46 |
$23.46 |
$23.46 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$9.18 |
$9.18 |
$9.18 |
$292.60
|
|
Appl patllr tdn bearing cast
|
$92.99 |
$92.99 |
$92.99 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$352.07 |
$352.07 |
$352.07 |
$5,801.00
|
|
Apply forearm splintdynamic 29126
|
$49.47 |
$49.47 |
$49.47 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$60.35 |
$60.35 |
$60.35 |
$259.20
|
|
Apply of finger splint 29131
|
$33.83 |
$33.83 |
$33.83 |
$168.00
|
|
Apply rem fixation device
|
$133.45 |
$133.45 |
$133.45 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$227.97 |
$227.97 |
$227.97 |
$555.00
|
|
Apply r&l pulm art bands
|
$902.87 |
$902.87 |
$902.87 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$54.57 |
$54.57 |
$54.57 |
$381.00
|
|
App topical fluoride varnish
|
$7.48 |
$7.48 |
$7.48 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$904.16 |
$904.16 |
$904.16 |
$955.43
|
|
Aquaporin-4 antibody cba each
|
$51.00 |
$51.00 |
$51.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$1.96 |
$1.96 |
$1.96 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$24.82 |
$24.82 |
$24.82 |
$100.00
|
|
Aquatic exercise - group charge
|
$45.22 |
$45.22 |
$45.22 |
$85.80
|
|
Art byp aor celiac msn and renal 35631
|
$992.97 |
$992.97 |
$992.97 |
$5,701.80
|
|
Art byp aortofemoral 35647
|
$826.71 |
$826.71 |
$826.71 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$890.12 |
$890.12 |
$890.12 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$871.76 |
$871.76 |
$871.76 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$915.96 |
$915.96 |
$915.96 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$940.95 |
$940.95 |
$940.95 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$590.07 |
$590.07 |
$590.07 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$736.44 |
$736.44 |
$736.44 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$633.93 |
$633.93 |
$633.93 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$758.71 |
$758.71 |
$758.71 |
$1,958.50
|
|
Art bypass fem-ant-post tib/prl 35666
|
$696.49 |
$696.49 |
$696.49 |
$3,313.72
|
|
Art bypass femoral-femoral 35661
|
$585.82 |
$585.82 |
$585.82 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$577.83 |
$577.83 |
$577.83 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$632.91 |
$632.91 |
$632.91 |
$2,457.18
|
|
Art bypass subclav-subclavian 35612
|
$564.57 |
$564.57 |
$564.57 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$549.95 |
$549.95 |
$549.95 |
$1,099.50
|
|
Art byp grft aor/carot/innom
|
$949.28 |
$949.28 |
$949.28 |
$1,507.68
|
|
Art byp grft aorcel/aormesen
|
$1,044.31 |
$1,044.31 |
$1,044.31 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$1,305.94 |
$1,305.94 |
$1,305.94 |
$4,336.80
|
|
Art byp grft aortobi-iliac 35538
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$2,630.50
|
|
Art byp grft aortofemoral
|
$1,172.66 |
$1,172.66 |
$1,172.66 |
$2,431.00
|
|
Art byp grft aortoiliac
|
$1,115.71 |
$1,115.71 |
$1,115.71 |
$2,312.00
|
|
Art byp grft axillary-axilry
|
$614.21 |
$614.21 |
$614.21 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$629.00 |
$629.00 |
$629.00 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$809.37 |
$809.37 |
$809.37 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$661.64 |
$661.64 |
$661.64 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$591.94 |
$591.94 |
$591.94 |
$1,724.40
|
|
Art byp grft brchl-ulnr-rdl
|
$662.66 |
$662.66 |
$662.66 |
$1,361.00
|
|
Art byp grft carotid-vertbrl
|
$716.38 |
$716.38 |
$716.38 |
$1,137.78
|
|
Art byp grft contral carotid
|
$757.69 |
$757.69 |
$757.69 |
$1,203.39
|
|
Art byp grft fem-femoral 35558
|
$661.13 |
$661.13 |
$661.13 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$750.89 |
$750.89 |
$750.89 |
$2,672.40
|
|
Art byp grft ilioiliac
|
$712.47 |
$712.47 |
$712.47 |
$1,465.50
|
|
Art byp grft ipsilat carotid
|
$782.51 |
$782.51 |
$782.51 |
$1,380.90
|
|
Art byp grft subclav-axilary
|
$655.69 |
$655.69 |
$655.69 |
$1,352.00
|
|
Art byp grft subclav-brchial
|
$647.87 |
$647.87 |
$647.87 |
$1,696.81
|
|
Art byp grft subclav-carotid
|
$684.42 |
$684.42 |
$684.42 |
$1,412.00
|
|
Art byp grft subclav-subclav
|
$602.14 |
$602.14 |
$602.14 |
$1,205.50
|
|
Art byp grft subclav-vertbrl
|
$716.38 |
$716.38 |
$716.38 |
$842.80
|
|
Art byp ilioiliac 35663
|
$656.54 |
$656.54 |
$656.54 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$712.47 |
$712.47 |
$712.47 |
$2,674.20
|
|
Art byp tibial-tib/peroneal
|
$792.20 |
$792.20 |
$792.20 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$267.58 |
$267.58 |
$267.58 |
$485.69
|
|
Artery by graft; iliofemoral 35565
|
$706.35 |
$706.35 |
$706.35 |
$1,875.00
|
|
Artery-vein nonautograft
|
$364.14 |
$364.14 |
$364.14 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$1,019.15 |
$1,019.15 |
$1,019.15 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$1,250.18 |
$1,250.18 |
$1,250.18 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$777.58 |
$777.58 |
$777.58 |
$3,439.84
|
|
Artery x-rays adrenals
|
$1,066.24 |
$1,066.24 |
$1,066.24 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$1,019.15 |
$1,019.15 |
$1,019.15 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,528.64 |
$1,528.64 |
$1,528.64 |
$3,729.00
|
|
Artery x-rays chest
|
$1,066.24 |
$1,066.24 |
$1,066.24 |
$2,870.00
|
|
Artery x-rays lung
|
$836.06 |
$836.06 |
$836.06 |
$3,279.12
|
|
Artery x-rays lung
|
$1,066.24 |
$1,066.24 |
$1,066.24 |
$2,451.75
|
|
Artery x-rays lungs
|
$959.99 |
$959.99 |
$959.99 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$1,250.18 |
$1,250.18 |
$1,250.18 |
$4,134.14
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$1,035.81 |
$1,035.81 |
$1,035.81 |
$7,152.60
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$1,162.46 |
$1,162.46 |
$1,162.46 |
$4,958.40
|
|
Arthrd ant dfrm 8+ vrt sgm
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$4,950.00
|
|
Arthrd ant ntrbd min dsc crv
|
$725.22 |
$725.22 |
$725.22 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$872.10 |
$872.10 |
$872.10 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$963.56 |
$963.56 |
$963.56 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$966.45 |
$966.45 |
$966.45 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$1,031.56 |
$1,031.56 |
$1,031.56 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$616.25 |
$616.25 |
$616.25 |
$8,412.89
|
|
Arthrd lat xtrcvtry tq ea ad
|
$200.43 |
$200.43 |
$200.43 |
$503.91
|
|
Arthrd lat xtrcvtry tq lmbr
|
$959.14 |
$959.14 |
$959.14 |
$6,445.40
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$1,382.95 |
$1,382.95 |
$1,382.95 |
$10,725.00
|
|
Arthrd pst dfrm<6 vrt sgm
|
$791.52 |
$791.52 |
$791.52 |
$3,297.60
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$1,206.15 |
$1,206.15 |
$1,206.15 |
$9,183.20
|
|
Arthrd pst tq 1ntrspc lum
|
$890.12 |
$890.12 |
$890.12 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$870.91 |
$870.91 |
$870.91 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$910.35 |
$910.35 |
$910.35 |
$3,752.00
|
|
Arthrd wrist complete wo grf
|
$437.92 |
$437.92 |
$437.92 |
$7,913.97
|
|
Arthrd wrist lmtd without b1 grf
|
$392.53 |
$392.53 |
$392.53 |
$8,252.80
|
|
Arthrd wrist with autograft
|
$478.21 |
$478.21 |
$478.21 |
$6,311.00
|
|
Arthrd wrst iliac/oth agrft
|
$519.01 |
$519.01 |
$519.01 |
$6,413.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$233.41 |
$233.41 |
$233.41 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$212.33 |
$212.33 |
$212.33 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$90.95 |
$90.95 |
$90.95 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$155.55 |
$155.55 |
$155.55 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$233.41 |
$233.41 |
$233.41 |
$715.37
|
