|
An cholangiogram percutaneous compl
|
$2,715.20 |
$2,715.20 |
$2,715.20 |
$2,480.94
|
|
An fluoro guide for cvp
|
$688.00 |
$688.00 |
$688.00 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$5,728.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$177.27 |
$177.27 |
$177.27 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$13,320.00 |
$13,320.00 |
$13,320.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$7,856.80 |
$7,856.80 |
$7,856.80 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$12,956.80 |
$12,956.80 |
$12,956.80 |
$8,359.11
|
|
Ankle X-ray
|
$513.60 |
$513.60 |
$513.60 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$348.00 |
$348.00 |
$348.00 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$756.80 |
$756.80 |
$756.80 |
$630.96
|
|
Anoscopy and biopsy
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
$2,288.00
|
|
Anoscopy remove fb 46608
|
$2,742.40 |
$2,742.40 |
$2,742.40 |
$1,375.98
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$46.12 |
$46.12 |
$46.12 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$44.89 |
$44.89 |
$44.89 |
$3.67
|
|
Anti-inhibitor
|
$45.63 |
$45.63 |
$45.63 |
$8.33
|
|
Aortic Aneurysm Screening Ultrasound
|
$488.00 |
$488.00 |
$488.00 |
$394.55
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,174.40 |
$2,174.40 |
$2,174.40 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,361.60 |
$1,361.60 |
$1,361.60 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,985.60 |
$3,985.60 |
$3,985.60 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,762.40 |
$1,762.40 |
$1,762.40 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,039.20 |
$1,039.20 |
$1,039.20 |
$512.20
|
|
Application finger splntstatic 29130
|
$287.20 |
$287.20 |
$287.20 |
$208.50
|
|
Application long leg splint 29505
|
$375.20 |
$375.20 |
$375.20 |
$338.25
|
|
Application lower leg splint 29515
|
$369.60 |
$369.60 |
$369.60 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$392.80 |
$392.80 |
$392.80 |
$375.06
|
|
Application of cylinder cast 29365
|
$532.00 |
$532.00 |
$532.00 |
$431.08
|
|
Application of forearm cast 29075
|
$330.40 |
$330.40 |
$330.40 |
$358.20
|
|
Application of long arm cast 29065
|
$386.40 |
$386.40 |
$386.40 |
$396.77
|
|
Application of long leg cast 29345
|
$520.80 |
$520.80 |
$520.80 |
$455.00
|
|
Application of paste boot 29580
|
$360.00 |
$360.00 |
$360.00 |
$340.11
|
|
Application short leg cast 29405
|
$378.40 |
$378.40 |
$378.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,472.00 |
$3,472.00 |
$3,472.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,574.40 |
$3,574.40 |
$3,574.40 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$342.22 |
$342.22 |
$342.22 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$84.80 |
$84.80 |
$84.80 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$117.60 |
$117.60 |
$117.60 |
$75.98
|
|
Appl unipln uni ext fixj sys
|
$6,196.00 |
$6,196.00 |
$6,196.00 |
$5,810.00
|
|
Apply forearm splintdynamic 29126
|
$244.00 |
$244.00 |
$244.00 |
$255.20
|
|
Apply interstit radiat compl
|
$3,843.20 |
$3,843.20 |
$3,843.20 |
$2,901.80
|
|
Apply of finger splint 29131
|
$250.40 |
$250.40 |
$250.40 |
$177.45
|
|
Apply rigid leg cast 29445
|
$688.00 |
$688.00 |
$688.00 |
$555.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$136.80 |
$136.80 |
$136.80 |
$100.75
|
|
Aquatic exercise - group charge
|
$78.40 |
$78.40 |
$78.40 |
$87.45
|
|
Argatroban esrd dialysis 1mg
|
$348.60 |
$348.60 |
$348.60 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$2,496.68 |
$2,496.68 |
$2,496.68 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$2,151.20 |
$2,151.20 |
$2,151.20 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,744.80 |
$1,744.80 |
$1,744.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$238.40 |
$238.40 |
$238.40 |
$426.00
|
|
Art bypass femoral-femoral 35661
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$5,291.20
|
|
Arterial blood draw/perc 36620
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$478.96
|
|
Artery xray each vessel 7577426
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$5,027.20 |
$5,027.20 |
$5,027.20 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$5,349.60 |
$5,349.60 |
$5,349.60 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$5,244.80 |
$5,244.80 |
$5,244.80 |
$3,860.40
|
|
Artery x-rays chest
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$2,895.07
|
|
Artery x-rays lung
|
$4,957.60 |
$4,957.60 |
$4,957.60 |
$3,296.15
|
|
Artery x-rays lung
|
$2,851.20 |
$2,851.20 |
$2,851.20 |
$2,427.50
|
|
Artery x-rays lungs
|
$5,627.20 |
$5,627.20 |
$5,627.20 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$4,953.60 |
$4,953.60 |
$4,953.60 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$657.60 |
$657.60 |
$657.60 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$924.80 |
$924.80 |
$924.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$956.00 |
$956.00 |
$956.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$666.40 |
$666.40 |
$666.40 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$578.40 |
$578.40 |
$578.40 |
$699.00
|
|
Arthrotomy carpometacarpal joint 26070
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$1,893.86
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$4,685.60 |
$4,685.60 |
$4,685.60 |
$5,241.60
|
|
Ascenda two piece catheter
|
$21,767.20 |
$21,767.20 |
$21,767.20 |
$22,792.00
|
|
Asp core fat pad
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$574.40 |
$574.40 |
$574.40 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,866.40 |
$1,866.40 |
$1,866.40 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$299.20 |
$299.20 |
$299.20 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$844.00 |
$844.00 |
$844.00 |
$872.50
|
|
Asp pq spinal cord cyst/syrinx
|
$1,872.80 |
$1,872.80 |
$1,872.80 |
$1,330.50
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$351.20 |
$351.20 |
$351.20 |
$300.00
|
|
Assess cyst contrast inject
|
$791.20 |
$791.20 |
$791.20 |
$453.04
|
|
Atropine 0.1 mg/ml injection syringe
|
$51.28 |
$51.28 |
$51.28 |
$53.24
|
|
Aud rehab postling hear loss
|
$196.80 |
$196.80 |
$196.80 |
$204.80
|
|
Augment injectable kit 3.0cc
|
$6,607.44 |
$6,607.44 |
$6,607.44 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,918.40 |
$4,918.40 |
$4,918.40 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$11,352.00 |
$11,352.00 |
$11,352.00 |
$10,415.40
|
|
Avul nail plate addl
|
$173.60 |
$173.60 |
$173.60 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$421.60 |
$421.60 |
$421.60 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$5.42 |
$5.42 |
$5.42 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$50.90 |
$50.90 |
$50.90 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$7.11 |
$7.11 |
$7.11 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$74.35 |
$74.35 |
$74.35 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$721.59 |
$721.59 |
$721.59 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$121.44 |
$121.44 |
$121.44 |
$158.07
|
|
Baclofen eval charges
|
$92.00 |
$92.00 |
$92.00 |
$87.50
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$132.80 |
$132.80 |
$132.80 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$886.40 |
$886.40 |
$886.40 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$668.00 |
$668.00 |
$668.00 |
$484.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$4,479.26
|
|
Basic vestibular evaluation
|
$336.00 |
$336.00 |
$336.00 |
$346.09
|
|
Bausch health Ultrasound surg
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$768.50
|