|
Ant/post colporrhap/enterocele rpr 57265
|
$40,495.76 |
$40,495.76 |
$40,495.76 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$1,088.50
|
|
Aortic dysfunction/dilation
|
$3,275.30 |
$3,275.30 |
$3,275.30 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$462.00 |
$462.00 |
$462.00 |
$462.00
|
|
Apc gene full sequence
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$1,255.20
|
|
Apheresis immunoads slctv
|
$8,842.40 |
$8,842.40 |
$8,842.40 |
$5,794.21
|
|
Apheresis plasma
|
$5,313.70 |
$5,313.70 |
$5,313.70 |
$3,188.50
|
|
Apheresis platelets
|
$1,496.60 |
$1,496.60 |
$1,496.60 |
$2,195.00
|
|
Apheresis rbc
|
$5,313.70 |
$5,313.70 |
$5,313.70 |
$3,290.80
|
|
Apheresis wbc
|
$4,558.40 |
$4,558.40 |
$4,558.40 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$949.20 |
$949.20 |
$949.20 |
$500.80
|
|
Appendix Removal (Laparoscopic)
|
$30,072.48 |
$30,072.48 |
$30,072.48 |
$6,904.15
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,857.30 |
$4,857.30 |
$4,857.30 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,429.70 |
$2,429.70 |
$2,429.70 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,599.50 |
$1,599.50 |
$1,599.50 |
$508.18
|
|
Application finger splntstatic 29130
|
$297.50 |
$297.50 |
$297.50 |
$208.50
|
|
Application long leg splint 29505
|
$450.10 |
$450.10 |
$450.10 |
$338.25
|
|
Application lower leg splint 29515
|
$442.40 |
$442.40 |
$442.40 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$390.60 |
$390.60 |
$390.60 |
$370.92
|
|
Application of cylinder cast 29365
|
$401.80 |
$401.80 |
$401.80 |
$431.08
|
|
Application of forearm cast 29075
|
$434.00 |
$434.00 |
$434.00 |
$356.50
|
|
Application of paste boot 29580
|
$637.70 |
$637.70 |
$637.70 |
$336.00
|
|
Application short leg cast 29405
|
$434.70 |
$434.70 |
$434.70 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,289.70 |
$2,289.70 |
$2,289.70 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,018.40 |
$3,018.40 |
$3,018.40 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$361.20 |
$361.20 |
$361.20 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$123.90 |
$123.90 |
$123.90 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$185.50 |
$185.50 |
$185.50 |
$76.80
|
|
Apply finger cast 29086
|
$257.60 |
$257.60 |
$257.60 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$550.20 |
$550.20 |
$550.20 |
$248.95
|
|
Apply halo w/removal cranial
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$471.10 |
$471.10 |
$471.10 |
$267.20
|
|
Apply of finger splint 29131
|
$556.50 |
$556.50 |
$556.50 |
$177.45
|
|
Apply rigid leg cast 29445
|
$690.90 |
$690.90 |
$690.90 |
$555.00
|
|
Apply surf ldr radionuclide
|
$282.80 |
$282.80 |
$282.80 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$191.10 |
$191.10 |
$191.10 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$841.40 |
$841.40 |
$841.40 |
$244.50
|
|
Aqmbf pet rest & rx stress
|
$2,957.50 |
$2,957.50 |
$2,957.50 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$1,191.40 |
$1,191.40 |
$1,191.40 |
$140.84
|
|
Aquaporin-4 antibody elisa
|
$924.70 |
$924.70 |
$924.70 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$205.80 |
$205.80 |
$205.80 |
$100.00
|
|
Aquatic exercise - group charge
|
$103.60 |
$103.60 |
$103.60 |
$87.15
|
|
Aqueous shunt eye w/graft
|
$33,962.12 |
$33,962.12 |
$33,962.12 |
$5,741.00
|
|
Argatroban nonesrd use 1mg
|
$846.12 |
$846.12 |
$846.12 |
$881.10
|
|
Ar gene charac alleles
|
$287.70 |
$287.70 |
$287.70 |
$287.70
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$444.32 |
$444.32 |
$444.32 |
$1,342.85
|
|
Arterial blood draw/perc 36620
|
$710.50 |
$710.50 |
$710.50 |
$485.69
|
|
Artery-vein nonautograft
|
$51,712.14 |
$51,712.14 |
$51,712.14 |
$6,934.40
|
|
Artery xray each vessel 7577426
|
$2,585.10 |
$2,585.10 |
$2,585.10 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,462.20 |
$3,462.20 |
$3,462.20 |
$4,515.50
|
|
Artery x-rays adrenal gland
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$6,422.50 |
$6,422.50 |
$6,422.50 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,183.20 |
$4,183.20 |
$4,183.20 |
$3,729.00
|
|
Artery x-rays chest
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$2,785.15
|
|
Artery x-rays lung
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,286.20
|
|
Artery x-rays lung
|
$2,020.90 |
$2,020.90 |
$2,020.90 |
$2,380.80
|
|
Artery x-rays lungs
|
$7,009.10 |
$7,009.10 |
$7,009.10 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$4,306.40 |
$4,306.40 |
$4,306.40 |
$4,306.40
|
|
Artery x-rays spine
|
$5,770.10 |
$5,770.10 |
$5,770.10 |
$4,500.95
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$585.90 |
$585.90 |
$585.90 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$993.30 |
$993.30 |
$993.30 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$587.30 |
$587.30 |
$587.30 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$900.90 |
$900.90 |
$900.90 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$945.70 |
$945.70 |
$945.70 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$45,284.67 |
$45,284.67 |
$45,284.67 |
$4,350.00
|
|
Arthrt glenhumrl jt w/expl
|
$16,329.60 |
$16,329.60 |
$16,329.60 |
$7,807.24
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$52,610.89 |
$52,610.89 |
$52,610.89 |
$4,469.75
|
|
Artificial larynx
|
$31.33 |
$31.33 |
$31.33 |
$713.44
|
|
Artiss fibrin sealant
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$1,583.11
|
|
Ascenda two piece catheter
|
$2,455.21 |
$2,455.21 |
$2,455.21 |
$23,074.63
|
|
Aspa gene
|
$1,662.50 |
$1,662.50 |
$1,662.50 |
$133.84
|
|
Asp core fat pad
|
$10,215.80 |
$10,215.80 |
$10,215.80 |
$1,123.50
|
|
Asp & inj bone cyst
|
$3,620.40 |
$3,620.40 |
$3,620.40 |
$1,044.00
|
|
Asp & inj w/heparin pleurx cath
|
$3,252.20 |
$3,252.20 |
$3,252.20 |
$1,436.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$15,984.77 |
$15,984.77 |
$15,984.77 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$535.50 |
$535.50 |
$535.50 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$3,676.40 |
$3,676.40 |
$3,676.40 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$21,285.37 |
$21,285.37 |
$21,285.37 |
$440.96
|
|
Aspir/inj thyroid cyst 60300
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$865.20
|
|
Asp pq spinal cord cyst/syrinx
|
$1,634.50 |
$1,634.50 |
$1,634.50 |
$1,322.40
|
|
Assay dir meas fr estradiol
|
$85.40 |
$85.40 |
$85.40 |
$67.62
|
|
Assay duodenal fluid trypsin
|
$15.40 |
$15.40 |
$15.40 |
$16.80
|
|
Assay myeloperoxidase
|
$98.70 |
$98.70 |
$98.70 |
$97.41
|
|
Assay neurflmnt light chain
|
$1,528.10 |
$1,528.10 |
$1,528.10 |
$380.00
|
|
Assay of adp & amp
|
$217.70 |
$217.70 |
$217.70 |
$174.60
|
|
Assay of androsterone
|
$56.70 |
$56.70 |
$56.70 |
$114.00
|
|
Assay of corticosterone
|
$47.60 |
$47.60 |
$47.60 |
$55.20
|
|
Assay of etiocholanolone
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Assay of feces porphyrins
|
$105.00 |
$105.00 |
$105.00 |
$136.50
|
|
Assay of fluoride
|
$39.20 |
$39.20 |
$39.20 |
$102.60
|
|
Assay of galactose
|
$494.20 |
$494.20 |
$494.20 |
$47.26
|
|
Assay of glucosidase
|
$791.00 |
$791.00 |
$791.00 |
$161.58
|
|
Assay of glutathione
|
$154.00 |
$154.00 |
$154.00 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$252.70 |
$252.70 |
$252.70 |
$79.68
|
|
Assay of leflunomide
|
$81.20 |
$81.20 |
$81.20 |
$92.50
|
|
Assay of osteocalcin
|
$111.30 |
$111.30 |
$111.30 |
$92.50
|
|
Assay of pregnanediol
|
$46.90 |
$46.90 |
$46.90 |
$53.60
|
