|
App mdlty 1+hubbrd tnk ea 15
|
$188.50 |
$188.50 |
$188.50 |
$141.39
|
|
App mltpln uni xtrnl fix xch
|
$5,504.20 |
$5,504.20 |
$5,504.20 |
$3,526.50
|
|
App skn cll ssp f/n/g/hf 1st
|
$552.50 |
$552.50 |
$552.50 |
$3,567.20
|
|
App skn cl ssp agrft t/a/l 1
|
$453.05 |
$453.05 |
$453.05 |
$3,567.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$60.27 |
$60.27 |
$60.27 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$328.25 |
$328.25 |
$328.25 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$275.60 |
$275.60 |
$275.60 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$2,770.95 |
$2,770.95 |
$2,770.95 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$256.10 |
$256.10 |
$256.10 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$137.15 |
$137.15 |
$137.15 |
$100.75
|
|
Aquatic exercise - group charge
|
$190.45 |
$190.45 |
$190.45 |
$87.45
|
|
Aqueous shunt eye w/graft
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$6,105.79
|
|
Aqueous shunt eye without graft
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$6,105.79
|
|
Argatroban nonesrd use 1mg
|
$1,106.49 |
$1,106.49 |
$1,106.49 |
$881.10
|
|
Ar gene charac alleles
|
$523.25 |
$523.25 |
$523.25 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$2,328.61 |
$2,328.61 |
$2,328.61 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$882.70 |
$882.70 |
$882.70 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$794.30 |
$794.30 |
$794.30 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$117.62 |
$117.62 |
$117.62 |
$1,303.25
|
|
Art byp aor celiac msn and renal 35631
|
$9,367.80 |
$9,367.80 |
$9,367.80 |
$5,926.00
|
|
Art byp aortofemoral 35647
|
$7,729.80 |
$7,729.80 |
$7,729.80 |
$2,358.00
|
|
Art bypass aorsubcl/carot/innom 35626
|
$7,576.40 |
$7,576.40 |
$7,576.40 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$8,574.80 |
$8,574.80 |
$8,574.80 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$8,736.00 |
$8,736.00 |
$8,736.00 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$5,467.80 |
$5,467.80 |
$5,467.80 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$6,832.80 |
$6,832.80 |
$6,832.80 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$23,105.55 |
$23,105.55 |
$23,105.55 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$7,043.40 |
$7,043.40 |
$7,043.40 |
$1,958.50
|
|
Art bypass fem-ant-post tib/prl 35666
|
$6,151.60 |
$6,151.60 |
$6,151.60 |
$4,735.49
|
|
Art bypass femoral-femoral 35661
|
$17,195.75 |
$17,195.75 |
$17,195.75 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$5,322.20 |
$5,322.20 |
$5,322.20 |
$5,273.60
|
|
Art bypass iliofemoral 35665
|
$5,811.00 |
$5,811.00 |
$5,811.00 |
$2,933.07
|
|
Art bypass subclav-subclavian 35612
|
$5,291.00 |
$5,291.00 |
$5,291.00 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$5,241.60 |
$5,241.60 |
$5,241.60 |
$1,099.50
|
|
Art byp grft aorcel/aormesen
|
$10,168.60 |
$10,168.60 |
$10,168.60 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$12,825.80 |
$12,825.80 |
$12,825.80 |
$5,098.80
|
|
Art byp grft aortofemoral
|
$11,468.60 |
$11,468.60 |
$11,468.60 |
$2,431.00
|
|
Art byp grft aortorenal
|
$8,847.80 |
$8,847.80 |
$8,847.80 |
$8,297.60
|
|
Art byp grft axillary-axilry
|
$6,477.90 |
$6,477.90 |
$6,477.90 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$6,019.00 |
$6,019.00 |
$6,019.00 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$7,779.20 |
$7,779.20 |
$7,779.20 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$6,901.05 |
$6,901.05 |
$6,901.05 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$2,298.12
|
|
Art byp grft brchl-ulnr-rdl
|
$6,273.80 |
$6,273.80 |
$6,273.80 |
$1,387.00
|
|
Art byp grft contral carotid
|
$7,303.40 |
$7,303.40 |
$7,303.40 |
$1,203.39
|
|
Art byp grft fem-femoral 35558
|
$6,013.80 |
$6,013.80 |
$6,013.80 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$6,955.00 |
$6,955.00 |
$6,955.00 |
$2,806.20
|
|
Art byp grft ipsilat carotid
|
$7,563.40 |
$7,563.40 |
$7,563.40 |
$1,380.90
|
|
Art byp grft splenorenal
|
$8,769.80 |
$8,769.80 |
$8,769.80 |
$2,376.97
|
|
Art byp grft subclav-carotid
|
$6,585.80 |
$6,585.80 |
$6,585.80 |
$1,412.00
|
|
Art byp ilioiliac 35663
|
$6,221.80 |
$6,221.80 |
$6,221.80 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$7,298.85 |
$7,298.85 |
$7,298.85 |
$4,244.00
|
|
Arterial blood draw/perc 36620
|
$1,209.65 |
$1,209.65 |
$1,209.65 |
$478.96
|
|
Artery by graft; iliofemoral 35565
|
$6,533.80 |
$6,533.80 |
$6,533.80 |
$1,875.00
|
|
Artery-vein nonautograft
|
$3,127.80 |
$3,127.80 |
$3,127.80 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$30,838.60 |
$30,838.60 |
$30,838.60 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$17,972.50 |
$17,972.50 |
$17,972.50 |
$3,320.35
|
|
Artery x-rays adrenals
|
$18,020.60 |
$18,020.60 |
$18,020.60 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$18,101.20 |
$18,101.20 |
$18,101.20 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$18,158.40 |
$18,158.40 |
$18,158.40 |
$3,860.40
|
|
Artery x-rays chest
|
$17,942.60 |
$17,942.60 |
$17,942.60 |
$2,895.07
|
|
Artery x-rays lung
|
$17,986.80 |
$17,986.80 |
$17,986.80 |
$3,296.15
|
|
Artery x-rays lung
|
$17,972.50 |
$17,972.50 |
$17,972.50 |
$2,427.50
|
|
Artery x-rays lungs
|
$18,077.80 |
$18,077.80 |
$18,077.80 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$30,602.00 |
$30,602.00 |
$30,602.00 |
$4,306.40
|
|
Artery x-rays spine
|
$30,872.40 |
$30,872.40 |
$30,872.40 |
$4,792.33
|
|
Art expos/graft artery perfusion 33987
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$446.41
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$7,152.60 |
$7,152.60 |
$7,152.60 |
$7,152.60
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$8,190.00 |
$8,190.00 |
$8,190.00 |
$4,958.40
|
|
Arthrd ant ntrbd min dsc crv
|
$5,059.60 |
$5,059.60 |
$5,059.60 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$6,729.45 |
$6,729.45 |
$6,729.45 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$6,422.00 |
$6,422.00 |
$6,422.00 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$7,664.80 |
$7,664.80 |
$7,664.80 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$8,446.00
|
|
Arthrd lat xtrcvtry tq ea ad
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$503.91
|
|
Arthrd lat xtrcvtry tq lmbr
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$6,445.40
|
|
Arthrd lat xtrcvtry tq thrc
|
$6,757.40 |
$6,757.40 |
$6,757.40 |
$4,312.80
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$10,725.00 |
$10,725.00 |
$10,725.00 |
$10,725.00
|
|
Arthrd pst dfrm<6 vrt sgm
|
$5,577.00 |
$5,577.00 |
$5,577.00 |
$3,297.60
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$9,183.20 |
$9,183.20 |
$9,183.20 |
$9,183.20
|
|
Arthrd pst tq 1ntrspc lum
|
$6,318.00 |
$6,318.00 |
$6,318.00 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$5,366.40 |
$5,366.40 |
$5,366.40 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$5,657.60 |
$5,657.60 |
$5,657.60 |
$3,752.00
|
|
Arthrd si jt perq/min nvas
|
$3,153.80 |
$3,153.80 |
$3,153.80 |
$15,959.91
|
|
Arthrd si jt prq wo tfxj dev
|
$2,247.70 |
$2,247.70 |
$2,247.70 |
$21,762.05
|
|
Arthrd wrist complete wo grf
|
$2,880.15 |
$2,880.15 |
$2,880.15 |
$7,992.89
|
|
Arthrd wrist lmtd without b1 grf
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$8,159.00
|
|
Arthrd wrist with autograft
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$6,605.25
|
|
Arthrd wrist w/sliding graft
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$5,419.00
|
|
Arthrd wrst iliac/oth agrft
|
$3,107.00 |
$3,107.00 |
$3,107.00 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,588.95 |
$2,588.95 |
$2,588.95 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$952.80
|
|
Arthrodesis big toe joint 28760
|
$2,376.40 |
$2,376.40 |
$2,376.40 |
$7,807.24
|
