|
Appl halo cranial 6+pins
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,211.05
|
|
Appl halo type body cast
|
$384.59 |
$384.59 |
$384.59 |
$561.60
|
|
Appl hip spica cast1&1/2
|
$384.59 |
$384.59 |
$384.59 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$384.59 |
$384.59 |
$384.59 |
$499.20
|
|
Application clubfoot cast
|
$223.45 |
$223.45 |
$223.45 |
$303.00
|
|
Application finger splntstatic 29130
|
$182.95 |
$182.95 |
$182.95 |
$208.50
|
|
Application halo femoral
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Application halo pelvic
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,211.05
|
|
Application long leg splint 29505
|
$223.45 |
$223.45 |
$223.45 |
$338.25
|
|
Application lower leg splint 29515
|
$223.45 |
$223.45 |
$223.45 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$223.45 |
$223.45 |
$223.45 |
$375.06
|
|
Application of body cast
|
$384.59 |
$384.59 |
$384.59 |
$561.60
|
|
Application of body cast
|
$384.59 |
$384.59 |
$384.59 |
$561.60
|
|
Application of cylinder cast 29365
|
$384.59 |
$384.59 |
$384.59 |
$431.08
|
|
Application of forearm cast 29075
|
$384.59 |
$384.59 |
$384.59 |
$358.20
|
|
Application of long arm cast 29065
|
$384.59 |
$384.59 |
$384.59 |
$396.77
|
|
Application of long leg cast
|
$384.59 |
$384.59 |
$384.59 |
$435.54
|
|
Application of long leg cast 29345
|
$384.59 |
$384.59 |
$384.59 |
$455.00
|
|
Application of paste boot 29580
|
$223.45 |
$223.45 |
$223.45 |
$340.11
|
|
Application short leg cast 29405
|
$384.59 |
$384.59 |
$384.59 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$2,164.64
|
|
Appl long leg cast brace
|
$384.59 |
$384.59 |
$384.59 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$8.43 |
$8.43 |
$8.43 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$16.63 |
$16.63 |
$16.63 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$51.36 |
$51.36 |
$51.36 |
$54.61
|
|
Appl multlay comprs arm/hand
|
$223.45 |
$223.45 |
$223.45 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$384.59 |
$384.59 |
$384.59 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,810.00
|
|
Apply finger cast 29086
|
$223.45 |
$223.45 |
$223.45 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$182.95 |
$182.95 |
$182.95 |
$255.20
|
|
Apply halo w/removal cranial
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$223.45 |
$223.45 |
$223.45 |
$271.80
|
|
Apply interstit radiat compl
|
$957.68 |
$957.68 |
$957.68 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$957.68 |
$957.68 |
$957.68 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$759.77 |
$759.77 |
$759.77 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$759.77 |
$759.77 |
$759.77 |
$1,269.97
|
|
Apply of finger splint 29131
|
$81.12 |
$81.12 |
$81.12 |
$177.45
|
|
Apply rem fixation device
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$384.59 |
$384.59 |
$384.59 |
$555.00
|
|
Apply r&l pulm art bands
|
$2,339.86 |
$2,339.86 |
$2,339.86 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$384.59 |
$384.59 |
$384.59 |
$404.74
|
|
Apply srs headframe add-on
|
$228.05 |
$228.05 |
$228.05 |
$585.00
|
|
Apply surf ldr radionuclide
|
$140.29 |
$140.29 |
$140.29 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$47.04 |
$47.04 |
$47.04 |
$141.39
|
|
App mltpln uni xtrnl fix 1st
|
$37,310.30 |
$37,310.30 |
$37,310.30 |
$16,139.55
|
|
App mltpln uni xtrnl fix xch
|
$2,545.26 |
$2,545.26 |
$2,545.26 |
$3,526.50
|
|
App skn cll ssp f/n/g/hf 1st
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$3,567.20
|
|
App skn cl ssp agrft t/a/l 1
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$3,567.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2.36 |
$2.36 |
$2.36 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$48.42 |
$48.42 |
$48.42 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$52.07 |
$52.07 |
$52.07 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$39.90 |
$39.90 |
$39.90 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$16.63 |
$16.63 |
$16.63 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$15.91 |
$15.91 |
$15.91 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$50.48 |
$50.48 |
$50.48 |
$100.75
|
|
Aquatic exercise - group charge
|
$24.83 |
$24.83 |
$24.83 |
$87.45
|
|
Aqueous shunt eye w/graft
|
$7,316.99 |
$7,316.99 |
$7,316.99 |
$6,105.79
|
|
Aqueous shunt eye without graft
|
$7,316.99 |
$7,316.99 |
$7,316.99 |
$6,105.79
|
|
Architect ecm px fx 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
$171.12
|
|
Arch supp att to shoe long/m
|
$69.03 |
$69.03 |
$69.03 |
$88.03
|
|
Arch supp att to shoe metata
|
$53.93 |
$53.93 |
$53.93 |
$75.23
|
|
Arch suprt att to sho longit
|
$53.93 |
$53.93 |
$53.93 |
$68.71
|
|
Arformoterol non-comp unit
|
$0.99 |
$0.99 |
$0.99 |
$24.24
|
|
Argatroban dialysis, auromed
|
$2.01 |
$2.01 |
$2.01 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$0.84 |
$0.84 |
$0.84 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$2.50 |
$2.50 |
$2.50 |
$218.25
|
|
Argatroban nonesrd (auromed)
|
$2.01 |
$2.01 |
$2.01 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$0.84 |
$0.84 |
$0.84 |
$881.10
|
|
Ar gene charac alleles
|
$189.06 |
$189.06 |
$189.06 |
$287.70
|
|
Ar gene full gene sequence
|
$415.86 |
$415.86 |
$415.86 |
$331.49
|
|
Ar gene known famil variant
|
$255.58 |
$255.58 |
$255.58 |
$304.59
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$4.61 |
$4.61 |
$4.61 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$479.72 |
$479.72 |
$479.72 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$143.75 |
$143.75 |
$143.75 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$143.75 |
$143.75 |
$143.75 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$10.20 |
$10.20 |
$10.20 |
$1,303.25
|
|
Artacent ac 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Artacent wound, per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Art byp aor celiac msn and renal 35631
|
$2,582.78 |
$2,582.78 |
$2,582.78 |
$5,926.00
|
|
Art byp aortofemoral 35647
|
$2,103.24 |
$2,103.24 |
$2,103.24 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$2,333.98 |
$2,333.98 |
$2,333.98 |
$2,942.40
|
|
Art bypass aorsubcl/carot/innom 35626
|
$2,252.81 |
$2,252.81 |
$2,252.81 |
$7,576.40
|
|
Art bypass aortobifemoral 35646
|
$2,378.37 |
$2,378.37 |
$2,378.37 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$2,433.70 |
$2,433.70 |
$2,433.70 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$1,525.38 |
$1,525.38 |
$1,525.38 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$1,904.66 |
$1,904.66 |
$1,904.66 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$1,638.46 |
$1,638.46 |
$1,638.46 |
$5,724.80
|
|
Art bypass common ipsi carotid 35601
|
$1,958.50 |
$1,958.50 |
$1,958.50 |
$1,958.50
|
|
Art bypass fem-ant-post tib/prl 35666
|
$1,787.98 |
$1,787.98 |
$1,787.98 |
$4,735.49
|
|
Art bypass femoral-femoral 35661
|
$1,507.66 |
$1,507.66 |
$1,507.66 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$1,495.06 |
$1,495.06 |
$1,495.06 |
$5,273.60
|
|
Art bypass iliofemoral 35665
|
$1,638.07 |
$1,638.07 |
$1,638.07 |
$2,933.07
|
|
Art bypass subclav-subclavian 35612
|
$1,469.63 |
$1,469.63 |
$1,469.63 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$1,438.65 |
$1,438.65 |
$1,438.65 |
$1,099.50
|
|
Art byp grft aor/carot/innom
|
$2,471.73 |
$2,471.73 |
$2,471.73 |
$1,507.68
|
|
Art byp grft aorcel/aormesen
|
$2,743.65 |
$2,743.65 |
$2,743.65 |
$7,865.20
|
|
Art byp grft aortbifemoral 35540
|
$3,439.06 |
$3,439.06 |
$3,439.06 |
$5,098.80
|
|
Art byp grft aortobi-iliac 35538
|
$3,285.38 |
$3,285.38 |
$3,285.38 |
$2,630.50
|