|
Application of forearm cast 29075
|
$233.60 |
$233.60 |
$233.60 |
$358.20
|
|
Application of long arm cast 29065
|
$263.20 |
$263.20 |
$263.20 |
$396.77
|
|
Application of long leg cast 29345
|
$341.60 |
$341.60 |
$341.60 |
$455.00
|
|
Application of paste boot 29580
|
$276.00 |
$276.00 |
$276.00 |
$340.11
|
|
Application short leg cast 29405
|
$281.60 |
$281.60 |
$281.60 |
$393.98
|
|
Applicator tag rfid localizer 12gx7cm
|
$158.40 |
$158.40 |
$158.40 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$100.00 |
$100.00 |
$100.00 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$111.20 |
$111.20 |
$111.20 |
$75.98
|
|
Apply hand/wrist cast 29085
|
$182.40 |
$182.40 |
$182.40 |
$271.80
|
|
Apply of finger splint 29131
|
$190.40 |
$190.40 |
$190.40 |
$177.45
|
|
Apply short leg castambul type 29425
|
$251.20 |
$251.20 |
$251.20 |
$404.74
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$140.00 |
$140.00 |
$140.00 |
$100.75
|
|
Arm CT Scan (with contrast, both arms)
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,920.80 |
$1,920.80 |
$1,920.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$462.40 |
$462.40 |
$462.40 |
$426.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$689.60 |
$689.60 |
$689.60 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$868.00 |
$868.00 |
$868.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$664.00 |
$664.00 |
$664.00 |
$494.40
|
|
Asp & inj w/heparin pleurx cath
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
$1,546.46
|
|
Aspirate pleura without imaging 32554
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,195.15
|
|
Assay of feces porphyrins
|
$122.40 |
$122.40 |
$122.40 |
$134.38
|
|
Assay of salicylate
|
$100.80 |
$100.80 |
$100.80 |
$96.50
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$388.80 |
$388.80 |
$388.80 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$57.60 |
$57.60 |
$57.60 |
$46.80
|
|
Ast/sgot
|
$33.60 |
$33.60 |
$33.60 |
$45.90
|
|
Atropine 0.1 mg/ml injection syringe
|
$63.40 |
$63.40 |
$63.40 |
$53.24
|
|
Automated diff wbc count
|
$37.60 |
$37.60 |
$37.60 |
$36.30
|
|
Avul nail plate addl
|
$155.20 |
$155.20 |
$155.20 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$348.80 |
$348.80 |
$348.80 |
$326.27
|
|
Azacitidine injection
|
$926.12 |
$926.12 |
$926.12 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$4.47 |
$4.47 |
$4.47 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$65.52 |
$65.52 |
$65.52 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$47.16 |
$47.16 |
$47.16 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$100.48 |
$100.48 |
$100.48 |
$157.30
|
|
Baclofen eval charges
|
$142.40 |
$142.40 |
$142.40 |
$87.50
|
|
Bacterial meningitis antigen
|
$89.60 |
$89.60 |
$89.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$363.20 |
$363.20 |
$363.20 |
$287.04
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$126.40 |
$126.40 |
$126.40 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,442.40 |
$1,442.40 |
$1,442.40 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$744.00 |
$744.00 |
$744.00 |
$484.80
|
|
B cells total count
|
$205.60 |
$205.60 |
$205.60 |
$132.48
|
|
Bcg vaccine intravesical
|
$396.68 |
$396.68 |
$396.68 |
$371.84
|
|
Behavior counsel obesity 15min medicare g0447
|
$88.00 |
$88.00 |
$88.00 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$1,498.26 |
$1,498.26 |
$1,498.26 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$2,644.32 |
$2,644.32 |
$2,644.32 |
$4,047.32
|
|
Beta 2 glycoprotein 1 antibody iga
|
$136.00 |
$136.00 |
$136.00 |
$82.55
|
|
Beta-2 microglobulin
|
$138.40 |
$138.40 |
$138.40 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$65.95 |
$65.95 |
$65.95 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$2,680.32 |
$2,680.32 |
$2,680.32 |
$5,737.97
|
|
Bilateral n block inj trigeminal 64400
|
$577.60 |
$577.60 |
$577.60 |
$587.60
|
|
Bilicheck
|
$41.60 |
$41.60 |
$41.60 |
$27.60
|
|
Bilirubin direct
|
$24.00 |
$24.00 |
$24.00 |
$51.35
|
|
Bilirubin total
|
$37.60 |
$37.60 |
$37.60 |
$54.60
|
|
Biopsy abdominal mass
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
$1,722.60
|
|
Biopsy needle liver percutaneous
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$1,895.76
|
|
Biotinidase - quest
|
$100.00 |
$100.00 |
$100.00 |
$64.40
|
|
Bladder Catheter Insertion (simple)
|
$224.80 |
$224.80 |
$224.80 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$412.80 |
$412.80 |
$412.80 |
$412.80
|
|
Bld prd mix
|
$166.40 |
$166.40 |
$166.40 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$252.18 |
$252.18 |
$252.18 |
$220.56
|
|
Bln 30frx10mmx12cm renal nephromax
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$5,330.60
|
|
Bln dil 900ml preperitnl
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,320.21
|
|
Blood Clotting (PT/INR) Test
|
$48.80 |
$48.80 |
$48.80 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$44.00 |
$44.00 |
$44.00 |
$74.00
|
|
Blood Count (CBC) Test
|
$57.60 |
$57.60 |
$57.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$36.00 |
$36.00 |
$36.00 |
$62.28
|
|
Blood count spun microhematocrit
|
$30.40 |
$30.40 |
$30.40 |
$25.00
|
|
Blood Culture Test
|
$119.20 |
$119.20 |
$119.20 |
$146.16
|
|
Blood draw capillary 36416
|
$17.60 |
$17.60 |
$17.60 |
$20.00
|
|
Blood Draw (Venipuncture)
|
$20.00 |
$20.00 |
$20.00 |
$21.66
|
|
Blood gases ph venous
|
$50.40 |
$50.40 |
$50.40 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$25.60 |
$25.60 |
$25.60 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$55.20 |
$55.20 |
$55.20 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$33.60 |
$33.60 |
$33.60 |
$34.98
|
|
Blood smear microscopic w manual differential wbc count
|
$27.20 |
$27.20 |
$27.20 |
$38.35
|
|
Blood Transfusion
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$989.60
|
|
Blood typing abo
|
$32.80 |
$32.80 |
$32.80 |
$86.45
|
|
Blood typing ag donor ea ag
|
$116.00 |
$116.00 |
$116.00 |
$207.60
|
|
Blood typing rh (d)
|
$32.80 |
$32.80 |
$32.80 |
$57.60
|
|
Bone Age X-ray (hand and wrist)
|
$224.00 |
$224.00 |
$224.00 |
$252.75
|
|
Bone Density Scan (DEXA)
|
$472.00 |
$472.00 |
$472.00 |
$407.94
|
|
Bone/joint imaging ltd area
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$1,037.40
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$1,728.00
|
|
Boot softgait shrt m
|
$151.20 |
$151.20 |
$151.20 |
$139.20
|
|
Boot walker genesis full shell 3-strap s
|
$180.00 |
$180.00 |
$180.00 |
$439.09
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$166.40 |
$166.40 |
$166.40 |
$93.60
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,161.51 |
$2,161.51 |
$2,161.51 |
$2,915.40
|
|
(both sides) smear without diff wbc count
|
$31.20 |
$31.20 |
$31.20 |
$30.68
|
|
Bowel imaging
|
$1,536.80 |
$1,536.80 |
$1,536.80 |
$1,074.00
|
|
Brace afo lg left 6607
|
$135.20 |
$135.20 |
$135.20 |
$461.76
|
|
Brace ank air stirrup univ
|
$94.40 |
$94.40 |
$94.40 |
$108.67
|
|
Brace ankle stablizing lg
|
$56.00 |
$56.00 |
$56.00 |
$122.82
|
|
Brace knee extender plus 22-30in
|
$172.00 |
$172.00 |
$172.00 |
$767.20
|
|
Brace knee support neoprene padded open patella med
|
$126.40 |
$126.40 |
$126.40 |
$215.70
|
|
Brace m arm board
|
$97.60 |
$97.60 |
$97.60 |
$162.50
|
|
Brace or Splint Fitting and Training (each 15 minutes)
|
$134.40 |
$134.40 |
$134.40 |
$105.30
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$995.20 |
$995.20 |
$995.20 |
$1,759.07
|
|
Brace oths wrist hnd fngr without
|
$89.60 |
$89.60 |
$89.60 |
$257.45
|
