|
App topical fluoride varnish
|
$11.88 |
$11.88 |
$11.88 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$30.78 |
$30.78 |
$30.78 |
$955.43
|
|
Aquaporin-4 antibody cba each
|
$81.00 |
$81.00 |
$81.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$3.11 |
$3.11 |
$3.11 |
$148.80
|
|
Aquatic exercise - group charge
|
$52.65 |
$52.65 |
$52.65 |
$85.80
|
|
Art byp aor celiac msn and renal 35631
|
$1,577.07 |
$1,577.07 |
$1,577.07 |
$5,701.80
|
|
Art byp aortofemoral 35647
|
$1,313.01 |
$1,313.01 |
$1,313.01 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$1,413.72 |
$1,413.72 |
$1,413.72 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$1,384.56 |
$1,384.56 |
$1,384.56 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$1,454.76 |
$1,454.76 |
$1,454.76 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$1,494.45 |
$1,494.45 |
$1,494.45 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$937.17 |
$937.17 |
$937.17 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$1,169.64 |
$1,169.64 |
$1,169.64 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$1,006.83 |
$1,006.83 |
$1,006.83 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$1,205.01 |
$1,205.01 |
$1,205.01 |
$1,958.50
|
|
Art bypass fem-ant-post tib/prl 35666
|
$1,106.19 |
$1,106.19 |
$1,106.19 |
$3,313.72
|
|
Art bypass femoral-femoral 35661
|
$930.42 |
$930.42 |
$930.42 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$917.73 |
$917.73 |
$917.73 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$1,005.21 |
$1,005.21 |
$1,005.21 |
$2,457.18
|
|
Art bypass subclav-subclavian 35612
|
$896.67 |
$896.67 |
$896.67 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$873.45 |
$873.45 |
$873.45 |
$1,099.50
|
|
Art byp grft aor/carot/innom
|
$1,507.68 |
$1,507.68 |
$1,507.68 |
$1,507.68
|
|
Art byp grft aorcel/aormesen
|
$1,658.61 |
$1,658.61 |
$1,658.61 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$2,074.14 |
$2,074.14 |
$2,074.14 |
$4,336.80
|
|
Art byp grft aortobi-iliac 35538
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$2,630.50
|
|
Art byp grft aortofemoral
|
$1,862.46 |
$1,862.46 |
$1,862.46 |
$2,431.00
|
|
Art byp grft aortoiliac
|
$1,772.01 |
$1,772.01 |
$1,772.01 |
$2,312.00
|
|
Art byp grft axillary-axilry
|
$975.51 |
$975.51 |
$975.51 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$999.00 |
$999.00 |
$999.00 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$1,285.47 |
$1,285.47 |
$1,285.47 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$1,050.84 |
$1,050.84 |
$1,050.84 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$940.14 |
$940.14 |
$940.14 |
$1,724.40
|
|
Art byp grft brchl-ulnr-rdl
|
$1,052.46 |
$1,052.46 |
$1,052.46 |
$1,361.00
|
|
Art byp grft carotid-vertbrl
|
$1,137.78 |
$1,137.78 |
$1,137.78 |
$1,137.78
|
|
Art byp grft contral carotid
|
$1,203.39 |
$1,203.39 |
$1,203.39 |
$1,203.39
|
|
Art byp grft fem-femoral 35558
|
$1,050.03 |
$1,050.03 |
$1,050.03 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$1,192.59 |
$1,192.59 |
$1,192.59 |
$2,672.40
|
|
Art byp grft ilioiliac
|
$1,131.57 |
$1,131.57 |
$1,131.57 |
$1,465.50
|
|
Art byp grft ipsilat carotid
|
$1,242.81 |
$1,242.81 |
$1,242.81 |
$1,380.90
|
|
Art byp grft subclav-axilary
|
$1,041.39 |
$1,041.39 |
$1,041.39 |
$1,352.00
|
|
Art byp grft subclav-brchial
|
$1,028.97 |
$1,028.97 |
$1,028.97 |
$1,696.81
|
|
Art byp grft subclav-carotid
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,412.00
|
|
Art byp grft subclav-subclav
|
$956.34 |
$956.34 |
$956.34 |
$1,205.50
|
|
Art byp grft subclav-vertbrl
|
$1,137.78 |
$1,137.78 |
$1,137.78 |
$842.80
|
|
Art byp ilioiliac 35663
|
$1,042.74 |
$1,042.74 |
$1,042.74 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$1,131.57 |
$1,131.57 |
$1,131.57 |
$2,674.20
|
|
Art byp tibial-tib/peroneal
|
$1,258.20 |
$1,258.20 |
$1,258.20 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$277.83 |
$277.83 |
$277.83 |
$485.69
|
|
Artery by graft; iliofemoral 35565
|
$1,121.85 |
$1,121.85 |
$1,121.85 |
$1,875.00
|
|
Artery-vein nonautograft
|
$578.34 |
$578.34 |
$578.34 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$47.79 |
$47.79 |
$47.79 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$98.28 |
$98.28 |
$98.28 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$57.51 |
$57.51 |
$57.51 |
$3,439.84
|
|
Artery x-rays arm/leg 75710-26
|
$83.43 |
$83.43 |
$83.43 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$94.77 |
$94.77 |
$94.77 |
$3,729.00
|
|
Artery x-rays chest
|
$56.97 |
$56.97 |
$56.97 |
$2,870.00
|
|
Artery x-rays lung
|
$62.37 |
$62.37 |
$62.37 |
$3,279.12
|
|
Artery x-rays lung
|
$54.81 |
$54.81 |
$54.81 |
$2,451.75
|
|
Artery x-rays lungs
|
$80.46 |
$80.46 |
$80.46 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$53.73 |
$53.73 |
$53.73 |
$4,134.14
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$1,645.11 |
$1,645.11 |
$1,645.11 |
$7,152.60
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$1,846.26 |
$1,846.26 |
$1,846.26 |
$4,958.40
|
|
Arthrd ant dfrm 8+ vrt sgm
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$4,950.00
|
|
Arthrd ant ntrbd min dsc crv
|
$1,151.82 |
$1,151.82 |
$1,151.82 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$1,385.10 |
$1,385.10 |
$1,385.10 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$1,530.36 |
$1,530.36 |
$1,530.36 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$1,534.95 |
$1,534.95 |
$1,534.95 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$1,638.36 |
$1,638.36 |
$1,638.36 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$978.75 |
$978.75 |
$978.75 |
$8,412.89
|
|
Arthrd lat xtrcvtry tq ea ad
|
$318.33 |
$318.33 |
$318.33 |
$503.91
|
|
Arthrd lat xtrcvtry tq lmbr
|
$1,523.34 |
$1,523.34 |
$1,523.34 |
$6,445.40
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$2,196.45 |
$2,196.45 |
$2,196.45 |
$10,725.00
|
|
Arthrd pst dfrm<6 vrt sgm
|
$1,257.12 |
$1,257.12 |
$1,257.12 |
$3,297.60
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$1,915.65 |
$1,915.65 |
$1,915.65 |
$9,183.20
|
|
Arthrd pst tq 1ntrspc lum
|
$1,413.72 |
$1,413.72 |
$1,413.72 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$1,383.21 |
$1,383.21 |
$1,383.21 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$1,445.85 |
$1,445.85 |
$1,445.85 |
$3,752.00
|
|
Arthrd wrist complete wo grf
|
$695.52 |
$695.52 |
$695.52 |
$7,913.97
|
|
Arthrd wrist lmtd without b1 grf
|
$623.43 |
$623.43 |
$623.43 |
$8,252.80
|
|
Arthrd wrist with autograft
|
$759.51 |
$759.51 |
$759.51 |
$6,311.00
|
|
Arthrd wrst iliac/oth agrft
|
$824.31 |
$824.31 |
$824.31 |
$6,413.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$78.30 |
$78.30 |
$78.30 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$85.59 |
$85.59 |
$85.59 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$94.23 |
$94.23 |
$94.23 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$76.95 |
$76.95 |
$76.95 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$92.07 |
$92.07 |
$92.07 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$79.38 |
$79.38 |
$79.38 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$347.76 |
$347.76 |
$347.76 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$285.39 |
$285.39 |
$285.39 |
$822.60
|
|
Arthrodesis/combine app/ea add 22634
|
$425.52 |
$425.52 |
$425.52 |
$1,193.60
|
|
Arthrodesis glenohumeral jt
|
$130.68 |
$130.68 |
$130.68 |
$7,807.24
|
|
Arthrodesis/post interbdy/ea add 22632
|
$280.26 |
$280.26 |
$280.26 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$1,194.75 |
$1,194.75 |
$1,194.75 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$343.71 |
$343.71 |
$343.71 |
$3,248.42
|
|
Arthrodesis subtalar
|
$736.29 |
$736.29 |
$736.29 |
$13,057.20
|
|
Arthrodesis symphysis pubis
|
$810.81 |
$810.81 |
$810.81 |
$1,818.60
|
|
Arthrodesis triple
|
$888.57 |
$888.57 |
$888.57 |
$12,275.04
|
|
Arthro, loose body + chondro
|
$54.81 |
$54.81 |
$54.81 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$643.41 |
$643.41 |
$643.41 |
$4,240.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$315.09 |
$315.09 |
$315.09 |
$1,893.86
|