|
Art byp grft aortofemoral
|
$3,083.62 |
$3,083.62 |
$3,083.62 |
$2,431.00
|
|
Art byp grft aortoiliac
|
$2,932.83 |
$2,932.83 |
$2,932.83 |
$2,312.00
|
|
Art byp grft aortorenal
|
$2,398.99 |
$2,398.99 |
$2,398.99 |
$8,297.60
|
|
Art byp grft axillary-axilry
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$1,645.42 |
$1,645.42 |
$1,645.42 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$2,118.77 |
$2,118.77 |
$2,118.77 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$1,728.11 |
$1,728.11 |
$1,728.11 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$1,546.65 |
$1,546.65 |
$1,546.65 |
$2,298.12
|
|
Art byp grft brchl-ulnr-rdl
|
$1,729.44 |
$1,729.44 |
$1,729.44 |
$1,387.00
|
|
Art byp grft carotid-brchial
|
$1,730.05 |
$1,730.05 |
$1,730.05 |
$1,730.05
|
|
Art byp grft carotid-vertbrl
|
$1,869.57 |
$1,869.57 |
$1,869.57 |
$1,137.78
|
|
Art byp grft contral carotid
|
$1,987.85 |
$1,987.85 |
$1,987.85 |
$1,203.39
|
|
Art byp grft fem-femoral 35558
|
$1,694.32 |
$1,694.32 |
$1,694.32 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$1,942.53 |
$1,942.53 |
$1,942.53 |
$2,806.20
|
|
Art byp grft hepatorenal
|
$2,677.75 |
$2,677.75 |
$2,677.75 |
$2,677.75
|
|
Art byp grft ilioiliac
|
$1,861.05 |
$1,861.05 |
$1,861.05 |
$1,465.50
|
|
Art byp grft ipsilat carotid
|
$2,054.21 |
$2,054.21 |
$2,054.21 |
$1,380.90
|
|
Art byp grft splenorenal
|
$2,376.97 |
$2,376.97 |
$2,376.97 |
$2,376.97
|
|
Art byp grft subclav-axilary
|
$1,716.54 |
$1,716.54 |
$1,716.54 |
$1,352.00
|
|
Art byp grft subclav-brchial
|
$1,696.81 |
$1,696.81 |
$1,696.81 |
$1,696.81
|
|
Art byp grft subclav-carotid
|
$1,793.01 |
$1,793.01 |
$1,793.01 |
$1,412.00
|
|
Art byp grft subclav-subclav
|
$1,576.68 |
$1,576.68 |
$1,576.68 |
$1,205.50
|
|
Art byp grft subclav-vertbrl
|
$1,869.57 |
$1,869.57 |
$1,869.57 |
$842.80
|
|
Art byp ilioiliac 35663
|
$1,714.11 |
$1,714.11 |
$1,714.11 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$1,850.44 |
$1,850.44 |
$1,850.44 |
$4,244.00
|
|
Art byp tibial-tib/peroneal
|
$2,073.22 |
$2,073.22 |
$2,073.22 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$58.51 |
$58.51 |
$58.51 |
$478.96
|
|
Artery by graft; iliofemoral 35565
|
$1,794.14 |
$1,794.14 |
$1,794.14 |
$1,875.00
|
|
Artery to vein shunt
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,316.00
|
|
Artery-vein nonautograft
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$67.94 |
$67.94 |
$67.94 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,320.35
|
|
Artery x-rays adrenals
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,860.40
|
|
Artery x-rays chest
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$2,895.07
|
|
Artery x-rays lung
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,296.15
|
|
Artery x-rays lung
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$2,427.50
|
|
Artery x-rays lungs
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$4,306.40
|
|
Artery x-rays spine
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$4,792.33
|
|
Art expos/graft artery perfusion 33987
|
$291.47 |
$291.47 |
$291.47 |
$446.41
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$7,152.60
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,958.40
|
|
Arthrd ant dfrm 8+ vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,950.00
|
|
Arthrd ant ntrbd min dsc crv
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$37,310.30 |
$37,310.30 |
$37,310.30 |
$3,720.00
|
|
Arthrd ant ntrbd min dsc thc
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,013.60
|
|
Arthrd ant ntrbdy cervical
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$9,951.20
|
|
Arthrd ant toral/xoral c1-c2
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$13,116.76
|
|
Arthrd cmbn 1ntrspc lumbar
|
$37,310.30 |
$37,310.30 |
$37,310.30 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,446.00
|
|
Arthrd elbow jt autog graft
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$15,152.74
|
|
Arthrd glenohumeral jt w/grf
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$15,226.08
|
|
Arthrd hip jt sbtrchc osteot
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$13,116.76
|
|
Arthrd lat xtrcvtry tq ea ad
|
$503.91 |
$503.91 |
$503.91 |
$503.91
|
|
Arthrd lat xtrcvtry tq lmbr
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$6,445.40
|
|
Arthrd lat xtrcvtry tq thrc
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$4,312.80
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$10,725.00
|
|
Arthrd pst dfrm<6 vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$3,297.60
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$9,183.20
|
|
Arthrd pst tq 1ntrspc lum
|
$37,310.30 |
$37,310.30 |
$37,310.30 |
$4,627.00
|
|
Arthrd pst tq atlas-axis
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$3,580.80
|
|
Arthrd pst tq craniocervical
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$3,752.00
|
|
Arthrd si jt perq/min nvas
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$15,959.91
|
|
Arthrd si jt prq wo tfxj dev
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$21,762.05
|
|
Arthrd wrist complete wo grf
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,992.89
|
|
Arthrd wrist lmtd without b1 grf
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,159.00
|
|
Arthrd wrist with autograft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,605.25
|
|
Arthrd wrist w/sliding graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,419.00
|
|
Arthrd wrst iliac/oth agrft
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$422.07 |
$422.07 |
$422.07 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$970.61 |
$970.61 |
$970.61 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$422.07 |
$422.07 |
$422.07 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$422.07 |
$422.07 |
$422.07 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$422.07 |
$422.07 |
$422.07 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$550.16 |
$550.16 |
$550.16 |
$952.80
|
|
Arthrodesis big toe joint 28760
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$445.16 |
$445.16 |
$445.16 |
$822.60
|
|
Arthrodesis/combine app/ea add 22634
|
$674.28 |
$674.28 |
$674.28 |
$1,193.60
|
|
Arthrodesis elbw joint local
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Arthrodesis glenohumeral jt
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Arthrodesis hip joint
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$13,116.76
|
|
Arthrodesis pantalar
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$15,372.00
|
|
Arthrodesis/post interbdy/ea add 22632
|
$450.67 |
$450.67 |
$450.67 |
$768.00
|
|
Arthrodesis presacral intrbod with instr l5-s1 22586
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$7,694.40
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$544.51 |
$544.51 |
$544.51 |
$3,099.50
|
|
Arthrodesis subtalar
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$13,057.20
|
|
Arthrodesis symphysis pubis
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$1,818.60
|
|
Arthrodesis triple
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$12,151.68
|
|
Arthro, loose body + chondro
|
$108.92 |
$108.92 |
$108.92 |
$224.00
|
|
Arthroplasty finger joint 26535
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,160.64
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,627.00
|
|
Arthro/shoul surg; w/spacer
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$15,226.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Arthrotomy glenhumrl jt w/bx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Arthrotomy glenohumeral jt
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|