|
Art bypass fem-ant-post tib/prl 35666
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$3,313.72
|
|
Art bypass femoral-femoral 35661
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$1,019.70 |
$1,019.70 |
$1,019.70 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$2,457.18
|
|
Art bypass subclav-subclavian 35612
|
$996.30 |
$996.30 |
$996.30 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$970.50 |
$970.50 |
$970.50 |
$1,099.50
|
|
Art byp grft aor/carot/innom
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$1,507.68
|
|
Art byp grft aorcel/aormesen
|
$1,842.90 |
$1,842.90 |
$1,842.90 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$4,336.80
|
|
Art byp grft aortobi-iliac 35538
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$2,630.50
|
|
Art byp grft aortofemoral
|
$2,069.40 |
$2,069.40 |
$2,069.40 |
$2,431.00
|
|
Art byp grft aortoiliac
|
$1,968.90 |
$1,968.90 |
$1,968.90 |
$2,312.00
|
|
Art byp grft axillary-axilry
|
$1,083.90 |
$1,083.90 |
$1,083.90 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$1,428.30 |
$1,428.30 |
$1,428.30 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$1,044.60 |
$1,044.60 |
$1,044.60 |
$1,724.40
|
|
Art byp grft brchl-ulnr-rdl
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$1,361.00
|
|
Art byp grft carotid-vertbrl
|
$1,264.20 |
$1,264.20 |
$1,264.20 |
$1,137.78
|
|
Art byp grft contral carotid
|
$1,337.10 |
$1,337.10 |
$1,337.10 |
$1,203.39
|
|
Art byp grft fem-femoral 35558
|
$1,166.70 |
$1,166.70 |
$1,166.70 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,672.40
|
|
Art byp grft ilioiliac
|
$1,257.30 |
$1,257.30 |
$1,257.30 |
$1,465.50
|
|
Art byp grft ipsilat carotid
|
$1,380.90 |
$1,380.90 |
$1,380.90 |
$1,380.90
|
|
Art byp grft subclav-axilary
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$1,352.00
|
|
Art byp grft subclav-brchial
|
$1,143.30 |
$1,143.30 |
$1,143.30 |
$1,696.81
|
|
Art byp grft subclav-carotid
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$1,412.00
|
|
Art byp grft subclav-subclav
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$1,205.50
|
|
Art byp grft subclav-vertbrl
|
$1,264.20 |
$1,264.20 |
$1,264.20 |
$842.80
|
|
Art byp ilioiliac 35663
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$1,257.30 |
$1,257.30 |
$1,257.30 |
$2,674.20
|
|
Art byp tibial-tib/peroneal
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$253.20 |
$253.20 |
$253.20 |
$486.42
|
|
Artery by graft; iliofemoral 35565
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$1,875.00
|
|
Artery-vein nonautograft
|
$642.60 |
$642.60 |
$642.60 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$53.10 |
$53.10 |
$53.10 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$109.20 |
$109.20 |
$109.20 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$63.90 |
$63.90 |
$63.90 |
$3,439.84
|
|
Artery x-rays arm/leg 75710-26
|
$92.70 |
$92.70 |
$92.70 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$105.30 |
$105.30 |
$105.30 |
$3,729.00
|
|
Artery x-rays chest
|
$63.30 |
$63.30 |
$63.30 |
$2,870.00
|
|
Artery x-rays lung
|
$69.30 |
$69.30 |
$69.30 |
$3,279.12
|
|
Artery x-rays lung
|
$60.90 |
$60.90 |
$60.90 |
$2,451.75
|
|
Artery x-rays lungs
|
$89.40 |
$89.40 |
$89.40 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$59.70 |
$59.70 |
$59.70 |
$4,134.14
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$1,827.90 |
$1,827.90 |
$1,827.90 |
$7,152.60
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$4,958.40
|
|
Arthrd ant dfrm 8+ vrt sgm
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$4,950.00
|
|
Arthrd ant ntrbd min dsc crv
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$1,705.50 |
$1,705.50 |
$1,705.50 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$1,820.40 |
$1,820.40 |
$1,820.40 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$1,087.50 |
$1,087.50 |
$1,087.50 |
$8,412.89
|
|
Arthrd lat xtrcvtry tq ea ad
|
$353.70 |
$353.70 |
$353.70 |
$503.91
|
|
Arthrd lat xtrcvtry tq lmbr
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$6,445.40
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$10,725.00
|
|
Arthrd pst dfrm<6 vrt sgm
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$3,297.60
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$2,128.50 |
$2,128.50 |
$2,128.50 |
$9,183.20
|
|
Arthrd pst tq 1ntrspc lum
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$1,536.90 |
$1,536.90 |
$1,536.90 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$3,752.00
|
|
Arthrd wrist complete wo grf
|
$772.80 |
$772.80 |
$772.80 |
$7,913.97
|
|
Arthrd wrist lmtd without b1 grf
|
$692.70 |
$692.70 |
$692.70 |
$8,252.80
|
|
Arthrd wrist with autograft
|
$843.90 |
$843.90 |
$843.90 |
$6,311.00
|
|
Arthrd wrst iliac/oth agrft
|
$915.90 |
$915.90 |
$915.90 |
$6,413.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$720.90 |
$720.90 |
$720.90 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$311.70 |
$311.70 |
$311.70 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$337.20 |
$337.20 |
$337.20 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$784.50 |
$784.50 |
$784.50 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$997.20 |
$997.20 |
$997.20 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$116.40 |
$116.40 |
$116.40 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$386.40 |
$386.40 |
$386.40 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$317.10 |
$317.10 |
$317.10 |
$822.60
|
|
Arthrodesis/combine app/ea add 22634
|
$472.80 |
$472.80 |
$472.80 |
$1,193.60
|
|
Arthrodesis glenohumeral jt
|
$145.20 |
$145.20 |
$145.20 |
$7,807.24
|
|
Arthrodesis/post interbdy/ea add 22632
|
$311.40 |
$311.40 |
$311.40 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$1,327.50 |
$1,327.50 |
$1,327.50 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$381.90 |
$381.90 |
$381.90 |
$3,248.42
|
|
Arthrodesis subtalar
|
$818.10 |
$818.10 |
$818.10 |
$13,057.20
|
|
Arthrodesis symphysis pubis
|
$900.90 |
$900.90 |
$900.90 |
$1,818.60
|
|
Arthrodesis triple
|
$987.30 |
$987.30 |
$987.30 |
$12,275.04
|
|
Arthro, loose body + chondro
|
$60.90 |
$60.90 |
$60.90 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$714.90 |
$714.90 |
$714.90 |
$4,240.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$350.10 |
$350.10 |
$350.10 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$511.80 |
$511.80 |
$511.80 |
$3,839.54
|
|
Arthrotomy hip w/drainage
|
$972.00 |
$972.00 |
$972.00 |
$3,549.00
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$848.70 |
$848.70 |
$848.70 |
$4,627.00
|
|
Arthrp w/prostc dstl ulna
|
$855.30 |
$855.30 |
$855.30 |
$20,355.21
|
|
Arthrp w/prostc trapezium
|
$761.70 |
$761.70 |
$761.70 |
$5,376.00
|
|
Arthrs kne srg drlg ost diss
|
$796.50 |
$796.50 |
$796.50 |
$6,260.32
|
|
Arthrt ac sc jt exp/rmvl fb
|
$589.50 |
$589.50 |
$589.50 |
$3,786.00
|
|
Arthrt elbow w/synovectomy
|
$654.30 |
$654.30 |
$654.30 |
$3,839.54
|
|
Arthrt elbw capsl exc rls
|
$754.80 |
$754.80 |
$754.80 |
$3,839.54
|
|
Arthrt elbw jt expl bx rmvl
|
$539.10 |
$539.10 |
$539.10 |
$3,839.54
|
|
Arthrt gh jt expl/drg/rmv fb
|
$755.10 |
$755.10 |
$755.10 |
$3,839.54
|
|
Arthrt glenhumrl jt w/expl
|
$702.30 |
$702.30 |
$702.30 |
$5,886.74
|
|
Arthrt hip expl/rmv loose/fb
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$5,741.00
|
|
Arthrt rdcrpl/midcarpl jt
|
$593.70 |
$593.70 |
$593.70 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$312.30 |
$312.30 |
$312.30 |
$4,194.13
|
