|
Aortic Aneurysm Screening Ultrasound
|
$326.95 |
$326.95 |
$545.28 |
$394.55
|
|
Aortic circulation assist 33971
|
$1,719.20 |
$1,719.20 |
$2,302.00 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$2,700.80 |
$2,700.80 |
$2,700.80 |
$1,700.16
|
|
Aortic hemiarch graft 33866
|
$2,260.80 |
$2,260.80 |
$2,966.00 |
$2,609.60
|
|
Apc gene dup/delet variants
|
$400.00 |
$400.00 |
$400.00 |
$462.00
|
|
Apc gene full sequence
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$268.80 |
$268.80 |
$268.80 |
$319.20
|
|
Aphakia prosth service temp
|
$25.60 |
$25.60 |
$25.60 |
$81.12
|
|
Apheresis immunoads slctv
|
$4,728.80 |
$4,728.80 |
$4,728.80 |
$5,794.21
|
|
Apheresis plasma
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,226.34
|
|
Apheresis platelets
|
$3,639.99 |
$3,639.99 |
$3,639.99 |
$2,195.00
|
|
Apheresis rbc
|
$277.60 |
$277.60 |
$277.60 |
$3,290.80
|
|
Apheresis wbc
|
$280.80 |
$280.80 |
$280.80 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$465.60 |
$465.60 |
$778.05 |
$513.00
|
|
Appendectomy
|
$1,576.80 |
$1,576.80 |
$2,298.00 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$206.40 |
$206.40 |
$206.40 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$2,149.60 |
$2,149.60 |
$3,134.00 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$1,472.80 |
$1,472.80 |
$35,271.38 |
$7,202.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,996.48 |
$1,996.48 |
$1,996.48 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,758.10 |
$1,758.10 |
$1,758.10 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,638.91 |
$1,638.91 |
$2,082.60 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,135.25 |
$2,135.25 |
$4,055.79 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$144.00 |
$144.00 |
$1,758.10 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,351.35 |
$1,351.35 |
$1,638.91 |
$512.20
|
|
Appl bdy cst sho to hip 1thi
|
$682.40 |
$682.40 |
$682.40 |
$353.60
|
|
Appl bdy cst sho to hip b th
|
$748.00 |
$748.00 |
$748.00 |
$561.60
|
|
Appl bdy cst sho to hip head
|
$696.00 |
$696.00 |
$696.00 |
$561.60
|
|
Appl body cast sho to hips
|
$608.00 |
$608.00 |
$608.00 |
$509.60
|
|
Appl cast figure-of-eight
|
$237.60 |
$237.60 |
$237.60 |
$314.28
|
|
Appl cast plaster velpeau
|
$298.40 |
$298.40 |
$298.40 |
$314.28
|
|
Appl cast shoulder spica
|
$530.40 |
$530.40 |
$530.40 |
$486.03
|
|
Appl halo type body cast
|
$808.80 |
$808.80 |
$808.80 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$654.40 |
$654.40 |
$654.40 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$590.40 |
$590.40 |
$590.40 |
$499.20
|
|
Application clubfoot cast
|
$718.40 |
$718.40 |
$718.40 |
$303.00
|
|
Application finger splntstatic 29130
|
$362.99 |
$362.99 |
$362.99 |
$208.50
|
|
Application halo femoral
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$4,499.12
|
|
Application halo pelvic
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$2,211.05
|
|
Application long leg splint 29505
|
$470.28 |
$470.28 |
$470.28 |
$338.25
|
|
Application lower leg splint 29515
|
$171.00 |
$171.00 |
$373.26 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$443.20 |
$443.20 |
$3,671.60 |
$375.06
|
|
Application of body cast
|
$650.40 |
$650.40 |
$650.40 |
$561.60
|
|
Application of body cast
|
$700.00 |
$700.00 |
$700.00 |
$561.60
|
|
Application of cylinder cast 29365
|
$592.00 |
$592.00 |
$592.00 |
$431.08
|
|
Application of forearm cast 29075
|
$416.00 |
$416.00 |
$416.00 |
$358.20
|
|
Application of long arm cast 29065
|
$462.40 |
$462.40 |
$462.40 |
$396.77
|
|
Application of long leg cast
|
$689.60 |
$689.60 |
$689.60 |
$435.54
|
|
Application of long leg cast 29345
|
$657.60 |
$657.60 |
$657.60 |
$455.00
|
|
Application of paste boot 29580
|
$440.20 |
$440.20 |
$3,799.80 |
$340.11
|
|
Application short leg cast 29405
|
$1,028.23 |
$1,028.23 |
$1,028.23 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,996.48 |
$1,996.48 |
$9,380.70 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,877.29 |
$1,877.29 |
$7,361.90 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$292.08 |
$292.08 |
$2,783.02 |
$981.75
|
|
Appl long leg cast brace
|
$769.60 |
$769.60 |
$769.60 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$2,767.20 |
$2,767.20 |
$2,767.20 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$55.25 |
$55.25 |
$93.79 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$164.33 |
$164.33 |
$164.33 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$440.20 |
$440.20 |
$440.20 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$556.80 |
$556.80 |
$556.80 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$1,470.40 |
$1,470.40 |
$1,470.40 |
$5,810.00
|
|
Apply finger cast 29086
|
$382.40 |
$382.40 |
$382.40 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$376.00 |
$376.00 |
$376.00 |
$255.20
|
|
Apply halo w/removal cranial
|
$1,201.60 |
$1,201.60 |
$1,201.60 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$459.20 |
$459.20 |
$459.20 |
$271.80
|
|
Apply interstit radiat compl
|
$4,563.84 |
$4,563.84 |
$4,563.84 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$3,066.60 |
$3,066.60 |
$3,066.60 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$880.20 |
$880.20 |
$880.20 |
$1,269.97
|
|
Apply of finger splint 29131
|
$254.40 |
$254.40 |
$254.40 |
$177.45
|
|
Apply rem fixation device
|
$580.00 |
$580.00 |
$580.00 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$646.40 |
$646.40 |
$896.35 |
$555.00
|
|
Apply short leg castambul type 29425
|
$374.40 |
$374.40 |
$374.40 |
$404.74
|
|
Apply srs headframe add-on
|
$719.20 |
$719.20 |
$719.20 |
$585.00
|
|
Apply surf ldr radionuclide
|
$243.20 |
$243.20 |
$243.20 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$257.97 |
$257.97 |
$257.97 |
$141.39
|
|
App mltpln uni xtrnl fix 1st
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$16,139.55
|
|
App mltpln uni xtrnl fix xch
|
$4,927.20 |
$4,927.20 |
$4,927.20 |
$3,526.50
|
|
App topical fluoride varnish
|
$27.20 |
$27.20 |
$27.20 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,185.25 |
$1,185.25 |
$1,185.25 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$88.80 |
$88.80 |
$88.80 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$76.00 |
$76.00 |
$330.85 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$548.52 |
$548.52 |
$548.52 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$48.57 |
$48.57 |
$48.57 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$48.57 |
$48.57 |
$48.57 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$111.15 |
$111.15 |
$194.27 |
$100.75
|
|
Aquatic exercise - group charge
|
$100.70 |
$100.70 |
$100.70 |
$87.45
|
|
Aqueous shunt eye w/graft
|
$5,656.00 |
$5,656.00 |
$5,656.00 |
$6,105.79
|
|
Aqueous shunt eye without graft
|
$5,356.80 |
$5,356.80 |
$5,356.80 |
$6,105.79
|
|
Arch supp att to shoe metata
|
$76.80 |
$76.80 |
$76.80 |
$75.23
|
|
Arformoterol non-comp unit
|
$20.28 |
$20.28 |
$20.28 |
$24.24
|
|
Argatroban nonesrd (accord)
|
$7.73 |
$7.73 |
$7.73 |
$218.25
|
|
Ar gene charac alleles
|
$153.56 |
$153.56 |
$153.56 |
$287.70
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$4.00 |
$4.00 |
$18,713.10 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$2,177.22 |
$2,177.22 |
$4,230.90 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,743.95 |
$1,743.95 |
$1,975.03 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$619.68 |
$619.68 |
$621.40 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$118.29 |
$118.29 |
$2,478.30 |
$1,303.25
|
|
Art byp aor celiac msn and renal 35631
|
$5,926.00 |
$5,926.00 |
$9,028.80 |
$5,926.00
|
|
Art byp aortofemoral 35647
|
$7,550.40 |
$7,550.40 |
$7,550.40 |
$2,358.00
|
