|
Art bypass femoral-femoral 35661
|
$8,602.00 |
$8,602.00 |
$8,602.00 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$36,240.00 |
$36,240.00 |
$36,240.00 |
$5,273.60
|
|
Art byp grft aortbifemoral 35540
|
$48,000.00 |
$48,000.00 |
$48,000.00 |
$5,098.80
|
|
Art byp grft fem-popliteal 35556
|
$36,240.00 |
$36,240.00 |
$36,240.00 |
$2,806.20
|
|
Art byp pop-tibl-prl-other 35571
|
$36,240.00 |
$36,240.00 |
$36,240.00 |
$4,244.00
|
|
Arterial blood draw/perc 36620
|
$475.00 |
$475.00 |
$475.00 |
$478.96
|
|
Artery-vein nonautograft
|
$8,701.00 |
$8,701.00 |
$8,701.00 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$6,086.00 |
$6,086.00 |
$6,086.00 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,320.35
|
|
Artery x-rays adrenals
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,860.40
|
|
Artery x-rays chest
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$2,895.07
|
|
Artery x-rays lung
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,296.15
|
|
Artery x-rays lung
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$2,427.50
|
|
Artery x-rays lungs
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$4,306.40
|
|
Artery x-rays spine
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$4,792.33
|
|
Arthrd dst rad/ul jt sgm rsc
|
$8,446.00 |
$8,446.00 |
$8,446.00 |
$8,446.00
|
|
Arthrd si jt prq wo tfxj dev
|
$49,058.00 |
$49,058.00 |
$49,058.00 |
$21,762.05
|
|
Arthrd wrist complete wo grf
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$7,992.89
|
|
Arthrd wrist lmtd without b1 grf
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$8,159.00
|
|
Arthrd wrist with autograft
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$6,605.25
|
|
Arthrd wrst iliac/oth agrft
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$699.00
|
|
Arthrodesis big toe joint 28760
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$7,807.24
|
|
Arthrodesis subtalar
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$13,057.20
|
|
Arthrodesis triple
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$12,151.68
|
|
Arthroplasty finger joint 26535
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
$4,160.64
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$9,445.00 |
$9,445.00 |
$9,445.00 |
$4,627.00
|
|
Arthrotomy carpometacarpal joint 26070
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,839.54
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$4,670.40
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$4,499.12
|
|
Arthrp w/prostc dst rds&crps
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$18,190.19
|
|
Arthrs kne srg drlg ost diss
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$7,807.24
|
|
Arthrt elbow w/synovectomy
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,302.49
|
|
Arthrt elbw capsl exc rls
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$3,839.54
|
|
Arthrt elbw jt expl bx rmvl
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,839.54
|
|
Arthrt gh jt expl/drg/rmv fb
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,241.60
|
|
Artiss fibrin sealant
|
$1,471.80 |
$1,471.80 |
$1,471.80 |
$1,501.22
|
|
Ascenda two piece catheter
|
$16,632.00 |
$16,632.00 |
$16,632.00 |
$22,792.00
|
|
Asp core fat pad
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$5,335.00 |
$5,335.00 |
$5,335.00 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$8,630.00 |
$8,630.00 |
$8,630.00 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$435.00 |
$435.00 |
$435.00 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$1,250.04
|
|
Aspiration orbital contents
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$3,514.71
|
|
Aspir/inj thyroid cyst 60300
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$872.50
|
|
Asp pq spinal cord cyst/syrinx
|
$5,816.00 |
$5,816.00 |
$5,816.00 |
$1,330.50
|
|
Assay acid phosphatase
|
$49.00 |
$49.00 |
$49.00 |
$38.22
|
|
Assay dir meas fr estradiol
|
$145.00 |
$145.00 |
$145.00 |
$68.00
|
|
Assay of breath ethanol
|
$125.00 |
$125.00 |
$125.00 |
$52.62
|
|
Assay of interleukin-6 (il-6)
|
$79.00 |
$79.00 |
$79.00 |
$79.00
|
|
Assay of osteocalcin
|
$658.00 |
$658.00 |
$658.00 |
$93.60
|
|
Assay of procainamide w/metab
|
$117.00 |
$117.00 |
$117.00 |
$73.80
|
|
Assay of prostaglandin
|
$833.00 |
$833.00 |
$833.00 |
$230.00
|
|
Assay of salicylate
|
$125.00 |
$125.00 |
$125.00 |
$96.50
|
|
Assay of somatostatin
|
$409.00 |
$409.00 |
$409.00 |
$170.50
|
|
Assay of thiocyanate
|
$539.00 |
$539.00 |
$539.00 |
$73.71
|
|
Assay of tyrosine
|
$56.00 |
$56.00 |
$56.00 |
$56.10
|
|
Assay of urine urobilinogen
|
$18.00 |
$18.00 |
$18.00 |
$15.20
|
|
Assay phosphatidylglycerol
|
$376.00 |
$376.00 |
$376.00 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$448.00 |
$448.00 |
$448.00 |
$300.00
|
|
Assess cyst contrast inject
|
$680.00 |
$680.00 |
$680.00 |
$453.04
|
|
Assistive tech assessment, ot
|
$297.00 |
$297.00 |
$297.00 |
$90.60
|
|
Ast/sgot
|
$132.00 |
$132.00 |
$132.00 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$219.27 |
$219.27 |
$219.27 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$11,152.00 |
$11,152.00 |
$11,152.00 |
$15,188.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$2.05 |
$2.05 |
$2.05 |
$53.24
|
|
Attach ocular implant
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$5,364.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$646.00 |
$646.00 |
$646.00 |
$188.16
|
|
Audiometry air + bone
|
$765.00 |
$765.00 |
$765.00 |
$185.15
|
|
Auditor evoke potent limit
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$308.40
|
|
Auditory function + 15 min
|
$108.00 |
$108.00 |
$108.00 |
$79.52
|
|
Auditory function 60 min
|
$437.00 |
$437.00 |
$437.00 |
$234.00
|
|
Augmentation of facial bones
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$6,966.64
|
|
Augment injectable kit 3.0cc
|
$5,616.42 |
$5,616.42 |
$5,616.42 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$16,580.00 |
$16,580.00 |
$16,580.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,331.00 |
$14,331.00 |
$14,331.00 |
$10,415.40
|
|
Autgrft implnt knee w/scope
|
$11,063.00 |
$11,063.00 |
$11,063.00 |
$6,311.00
|
|
Autologous blood op salvage
|
$2,233.00 |
$2,233.00 |
$2,233.00 |
$943.80
|
|
Autologous blood process
|
$925.00 |
$925.00 |
$925.00 |
$266.75
|
|
Automated diff wbc count
|
$120.00 |
$120.00 |
$120.00 |
$36.30
|
|
Autonomic nrv syst funj test
|
$336.00 |
$336.00 |
$336.00 |
$365.04
|
|
Avelumab 20 mg/ml intravenous solution
|
$239.29 |
$239.29 |
$239.29 |
$3,721.71
|
|
Av fuse uppr arm basilic
|
$11,689.00 |
$11,689.00 |
$11,689.00 |
$7,740.32
|
|
Av fuse uppr arm cephalic
|
$11,689.00 |
$11,689.00 |
$11,689.00 |
$6,396.89
|
|
Av fusion direct any site
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$5,419.00
|
|
Av fusion/forearm vein 36820
|
$11,689.00 |
$11,689.00 |
$11,689.00 |
$6,396.89
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$326.27
|
|
Axicabtagene ciloleucel car+
|
$2,074,749.60 |
$2,074,749.60 |
$2,074,749.60 |
$1,510,740.00
|
