|
Apply of finger splint 29131
|
$526.40 |
$526.40 |
$526.40 |
$160.23
|
|
Apply rem fixation device
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$555.00
|
|
Apply r&l pulm art bands
|
$5,532.80 |
$5,532.80 |
$5,532.80 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$66.15 |
$66.15 |
$868.00 |
$404.74
|
|
Apply srs headframe add-on
|
$1,017.30 |
$1,017.30 |
$1,017.30 |
$585.00
|
|
Apply surf ldr radionuclide
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$246.25
|
|
App mdlty 1+hubbrd tnk ea 15
|
$153.44 |
$153.44 |
$153.44 |
$145.16
|
|
App mltpln uni xtrnl fix 1st
|
$36,674.40 |
$36,674.40 |
$36,674.40 |
$16,139.55
|
|
App mltpln uni xtrnl fix xch
|
$4,832.80 |
$4,832.80 |
$4,832.80 |
$2,545.26
|
|
App skn cll ssp f/n/g/hf 1st
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$2,837.09
|
|
App skn cl ssp agrft t/a/l 1
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$2,837.09
|
|
App topical fluoride varnish
|
$137.76 |
$137.76 |
$137.76 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$519.59 |
$519.59 |
$519.59 |
$1,021.53
|
|
#aptt mix-1:1 incubated
|
$425.60 |
$425.60 |
$425.60 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$104.72 |
$104.72 |
$104.72 |
$204.00
|
|
Aqmbf pet rest & rx stress
|
$974.40 |
$974.40 |
$974.40 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$29.68 |
$29.68 |
$45.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$1.29 |
$1.29 |
$28.00 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$31.65 |
$31.65 |
$141.68 |
$100.00
|
|
Aquatic exercise - group charge
|
$34.95 |
$34.95 |
$229.60 |
$87.15
|
|
Aqueous shunt eye w/graft
|
$18,082.40 |
$18,082.40 |
$18,082.40 |
$5,716.03
|
|
Aqueous shunt eye without graft
|
$7,302.40 |
$7,302.40 |
$7,302.40 |
$5,855.00
|
|
Architect ecm px fx 1 sq cm
|
$4,379.20 |
$4,379.20 |
$4,379.20 |
$4,254.08
|
|
Arch supp att to shoe long/m
|
$47.60 |
$47.60 |
$47.60 |
$96.31
|
|
Arch supp att to shoe metata
|
$36.40 |
$36.40 |
$36.40 |
$75.23
|
|
Arch suprt att to sho longit
|
$36.40 |
$36.40 |
$36.40 |
$75.23
|
|
Argatroban nonesrd use 1mg
|
$2,068.25 |
$2,068.25 |
$2,068.25 |
$881.10
|
|
Ar gene charac alleles
|
$313.60 |
$313.60 |
$313.60 |
$225.42
|
|
Ar gene full gene sequence
|
$688.80 |
$688.80 |
$688.80 |
$331.49
|
|
Ar gene known famil variant
|
$425.60 |
$425.60 |
$425.60 |
$304.59
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$6,709.62 |
$6,709.62 |
$6,709.62 |
$6,286.51
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,255.11 |
$2,255.11 |
$2,255.11 |
$1,537.95
|
|
Artacent ac 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Artacent wound, per sq cm
|
$0.56 |
$0.56 |
$0.56 |
$127.14
|
|
Art byp aortofemoral 35647
|
$776.40 |
$776.40 |
$776.40 |
$3,313.72
|
|
Art byp aortoiliac 35637
|
$832.20 |
$832.20 |
$832.20 |
$3,339.00
|
|
Arterial blood draw/perc 36620
|
$129.75 |
$129.75 |
$3,819.20 |
$462.39
|
|
Artery to vein shunt
|
$7,789.60 |
$7,789.60 |
$7,789.60 |
$4,316.00
|
|
Artery-vein nonautograft
|
$345.45 |
$345.45 |
$16,587.20 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$1,399.35 |
$1,399.35 |
$3,544.80 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,205.65 |
$3,205.65 |
$14,140.00 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,476.40
|
|
Artery x-rays adrenals
|
$11,715.20 |
$11,715.20 |
$11,715.20 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$2,706.15 |
$2,706.15 |
$8,853.60 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$2,488.95 |
$2,488.95 |
$8,853.60 |
$3,724.63
|
|
Artery x-rays chest
|
$1,933.05 |
$1,933.05 |
$9,643.20 |
$2,628.15
|
|
Artery x-rays lung
|
$1,933.05 |
$1,933.05 |
$8,853.60 |
$3,169.80
|
|
Artery x-rays lung
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$2,427.50
|
|
Artery x-rays lungs
|
$1,933.05 |
$1,933.05 |
$11,121.60 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$4,488.00 |
$4,488.00 |
$15,271.20 |
$4,086.49
|
|
Artery x-rays spine
|
$15,271.20 |
$15,271.20 |
$15,271.20 |
$4,294.50
|
|
Art expos/graft artery perfusion 33987
|
$520.80 |
$520.80 |
$520.80 |
$370.50
|
|
Arthrd ant ntrbd min dsc crv
|
$705.00 |
$705.00 |
$16,548.00 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$843.00 |
$843.00 |
$843.00 |
$3,720.00
|
|
Arthrd ant ntrbdy cervical
|
$934.35 |
$934.35 |
$9,951.20 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$997.95 |
$997.95 |
$15,372.00 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$9,587.20 |
$9,587.20 |
$9,587.20 |
$7,907.11
|
|
Arthrd elbow jt autog graft
|
$20,641.60 |
$20,641.60 |
$20,641.60 |
$14,254.12
|
|
Arthrd glenohumeral jt w/grf
|
$20,641.60 |
$20,641.60 |
$20,641.60 |
$14,254.12
|
|
Arthrd pst tq 1ntrspc lum
|
$862.35 |
$862.35 |
$862.35 |
$5,339.00
|
|
Arthrd si jt perq/min nvas
|
$15,372.00 |
$15,372.00 |
$15,372.00 |
$15,959.91
|
|
Arthrd si jt prq wo tfxj dev
|
$32,933.60 |
$32,933.60 |
$32,933.60 |
$21,762.05
|
|
Arthrd wrist complete wo grf
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,907.11
|
|
Arthrd wrist lmtd without b1 grf
|
$8,271.20 |
$8,271.20 |
$8,271.20 |
$7,907.11
|
|
Arthrd wrist with autograft
|
$475.20 |
$475.20 |
$19,185.60 |
$5,741.00
|
|
Arthrd wrist w/sliding graft
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$6,223.20
|
|
Arthrd wrst iliac/oth agrft
|
$511.20 |
$511.20 |
$24,768.80 |
$6,411.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$361.50 |
$361.50 |
$1,024.80 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$615.90 |
$615.90 |
$1,685.60 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$76.35 |
$76.35 |
$856.80 |
$459.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$534.45 |
$534.45 |
$1,271.20 |
$696.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$700.80
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$208.80 |
$208.80 |
$7,263.20 |
$952.80
|
|
Arthrodesis big toe joint 28760
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$5,886.74
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$171.15 |
$171.15 |
$823.20 |
$792.80
|
|
Arthrodesis/combine app/ea add 22634
|
$255.60 |
$255.60 |
$6,165.60 |
$1,193.60
|
|
Arthrodesis elbw joint local
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$7,913.97
|
|
Arthrodesis glenohumeral jt
|
$19,465.60 |
$19,465.60 |
$19,465.60 |
$6,311.00
|
|
Arthrodesis pantalar
|
$15,372.00 |
$15,372.00 |
$15,372.00 |
$15,372.00
|
|
Arthrodesis presacral intrbod with instr l5-s1 22586
|
$7,694.40 |
$7,694.40 |
$7,694.40 |
$7,311.20
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$733.65 |
$733.65 |
$733.65 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$206.40 |
$206.40 |
$9,128.00 |
$2,806.94
|
|
Arthrodesis subtalar
|
$20,176.80 |
$20,176.80 |
$20,176.80 |
$13,057.20
|
|
Arthrodesis triple
|
$24,169.60 |
$24,169.60 |
$24,169.60 |
$10,629.07
|
|
Arthro, loose body + chondro
|
$33.90 |
$33.90 |
$224.00 |
$224.00
|
|
Arthroplasty finger joint 26535
|
$10,925.60 |
$10,925.60 |
$10,925.60 |
$4,160.64
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$399.90 |
$399.90 |
$4,788.00 |
$3,986.00
|
|
Arthrotomy carpometacarpal joint 26070
|
$398.55 |
$398.55 |
$5,112.80 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$287.40 |
$287.40 |
$10,925.60 |
$3,839.54
|
|
Arthrotomy glenhumrl jt w/bx
|
$5,213.60 |
$5,213.60 |
$5,213.60 |
$3,839.54
|
|
Arthrotomy glenohumeral jt
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$6,711.20
|
|
Arthrotomy hip w/drainage
|
$538.95 |
$538.95 |
$538.95 |
$3,549.00
|
|
Arthrotomy strnclav joint
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$475.50 |
$475.50 |
$4,670.40 |
$4,086.40
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$388.65 |
$388.65 |
$5,779.20 |
$3,839.54
|
|
Arthrp prostc dstl scph crpl
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,913.97
|
|
Arthrp w/prostc dstl rds
|
$24,640.00 |
$24,640.00 |
$24,640.00 |
$10,629.07
|
|
Arthrp w/prostc dstl ulna
|
$28,672.00 |
$28,672.00 |
$28,672.00 |
$16,139.55
|
