|
Application of long arm cast 29065
|
$77.47 |
$81.48 |
$386.40 |
|
|
Application of long leg cast 29345
|
$139.44 |
$146.61 |
$520.80 |
|
|
Application of paste boot 29580
|
$144.80 |
$184.66 |
$744.00 |
|
|
Application short leg cast 29405
|
$139.44 |
$146.61 |
$378.40 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$738.77 |
$2,909.60 |
$3,472.00 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$738.77 |
$738.77 |
$3,574.40 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$88.80 |
$4,901.14 |
$5,717.99 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$32.00 |
$81.48 |
$108.00 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$63.20 |
$81.48 |
$117.60 |
|
|
Appl modality 1+lllt po pain
|
$65.60 |
$65.60 |
$65.60 |
|
|
Appl multlay comprs arm/hand
|
$117.77 |
$198.69 |
$271.20 |
|
|
Appl unipln uni ext fixj sys
|
$6,196.00 |
$6,196.00 |
$6,196.00 |
|
|
Apply finger cast 29086
|
$77.47 |
$81.48 |
$81.48 |
|
|
Apply forearm splintdynamic 29126
|
$192.92 |
$240.35 |
$279.20 |
|
|
Apply hand/wrist cast 29085
|
$146.61 |
$188.93 |
$340.80 |
|
|
Apply interstit radiat compl
|
$878.83 |
$1,532.44 |
$3,843.20 |
|
|
Apply intrcav radiat compl
|
$832.22 |
$1,459.86 |
$1,459.86 |
|
|
Apply intrcav radiat interm
|
$680.83 |
$1,194.42 |
$1,194.42 |
|
|
Apply intrcav radiat simple
|
$529.63 |
$929.10 |
$929.10 |
|
|
Apply of finger splint 29131
|
$159.49 |
$198.69 |
$250.40 |
|
|
Apply rigid leg cast 29445
|
$197.85 |
$281.90 |
$696.00 |
|
|
Apply short leg castambul type 29425
|
$138.14 |
$138.14 |
$394.40 |
|
|
Apply surf ldr radionuclide
|
$339.31 |
$595.28 |
$595.28 |
|
|
App mdlty 1+hubbrd tnk ea 15
|
$77.47 |
$81.48 |
$81.48 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$281.91 |
$503.56 |
$523.00 |
|
|
#aptt mix-1:1 incubated
|
$133.34 |
$133.34 |
$352.80 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$190.40 |
$486.81 |
$743.90 |
|
|
Aqmbf pet rest & rx stress
|
$3,072.38 |
$3,072.38 |
$3,072.38 |
|
|
Aquaporin-4 antibody cba each
|
$372.10 |
$434.11 |
$468.83 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$65.46 |
$81.48 |
$146.40 |
|
|
Aquatic exercise - group charge
|
$78.40 |
$120.80 |
$240.35 |
|
|
Arch supp att to shoe long/m
|
$64.46 |
$88.03 |
$88.03 |
|
|
Arch supp att to shoe metata
|
$50.34 |
$68.71 |
$68.71 |
|
|
Arch suprt att to sho longit
|
$50.34 |
$68.71 |
$68.71 |
|
|
Argatroban esrd dialysis 1mg
|
$348.60 |
$348.60 |
$348.60 |
|
|
Argatroban nonesrd use 1mg
|
$809.70 |
$2,348.04 |
$2,348.04 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$2,496.68 |
$3,758.04 |
$5,789.43 |
|
|
Arm CT Scan (with contrast, both arms)
|
$863.71 |
$1,824.98 |
$2,773.60 |
|
|
Arm CT Scan (without contrast, both arms)
|
$647.76 |
$1,731.20 |
$2,307.20 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$227.18 |
$300.72 |
$592.00 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$212.97 |
$269.28 |
$2,019.96 |
|
|
Art bypass femoral-femoral 35661
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
|
|
Arterial blood draw/perc 36620
|
$191.02 |
$505.60 |
$1,023.20 |
|
|
Artery xray each vessel 7577426
|
$1,743.07 |
$1,743.07 |
$2,606.40 |
|
|
Artery xray of abdomen 75726-26
|
$3,050.98 |
$3,050.98 |
$5,027.20 |
|
|
Artery x-rays adrenal gland
|
$2,000.78 |
$2,000.78 |
$2,000.78 |
|
|
Artery x-rays arm/leg 75710-26
|
$2,515.20 |
$2,515.20 |
$5,349.60 |
|
|
Artery x-rays arms/legs 75716-26
|
$3,099.65 |
$3,099.65 |
$5,244.80 |
|
|
Artery x-rays chest
|
$2,785.15 |
$2,785.15 |
$2,980.00 |
|
|
Artery x-rays lung
|
$2,746.66 |
$2,746.66 |
$4,957.60 |
|
|
Artery x-rays lung
|
$2,346.43 |
$2,346.43 |
$2,851.20 |
|
|
Artery x-rays lungs
|
$2,802.62 |
$2,802.62 |
$5,627.20 |
|
|
Artery xrays of pelvis 75736 26
|
$2,789.57 |
$2,789.57 |
$4,953.60 |
|
|
Artery x-rays spine
|
$3,597.50 |
$3,597.50 |
$3,597.50 |
|
|
Art expos/graft artery perfusion 33987
|
$1,931.18 |
$1,931.18 |
$1,931.18 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$488.80 |
$726.40 |
$1,313.42 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$411.77 |
$414.06 |
$968.00 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$348.82 |
$647.09 |
$956.00 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$457.60 |
$688.00 |
$1,313.42 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$335.78 |
$335.78 |
$578.40 |
|
|
Arthrotomy carpometacarpal joint 26070
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
|
|
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 |
|
|
Ascenda two piece catheter
|
$21,767.20 |
$21,767.20 |
$21,767.20 |
|
|
Aspa gene
|
$173.49 |
$173.49 |
$224.95 |
|
|
Asp core fat pad
|
$752.42 |
$895.10 |
$3,920.00 |
|
|
Asp & inj w/heparin pleurx cath
|
$377.16 |
$738.67 |
$738.67 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,540.00 |
$3,141.31 |
$4,813.60 |
|
|
Aspirate/inj ganglion cyst 20612
|
$353.60 |
$564.09 |
$659.62 |
|
|
Aspirate pleura without imaging 32554
|
$745.34 |
$1,134.40 |
$1,524.80 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$931.62 |
$1,161.50 |
$1,866.40 |
|
|
Aspiration peritonsillar abscess
|
$299.20 |
$299.20 |
$299.20 |
|
|
Aspir/inj thyroid cyst 60300
|
$298.37 |
$348.82 |
$844.00 |
|
|
Asp pq spinal cord cyst/syrinx
|
$1,416.91 |
$1,416.91 |
$1,872.80 |
|
|
Assay dir meas fr estradiol
|
$68.00 |
$68.00 |
$68.00 |
|
|
Assay myeloperoxidase
|
$44.86 |
$44.86 |
$133.60 |
|
|
Assay neurflmnt light chain
|
$287.90 |
$287.90 |
$387.18 |
|
|
Assay of breath ethanol
|
$44.80 |
$84.00 |
$84.80 |
|
|
Assay of digoxin free
|
$48.94 |
$48.94 |
$53.90 |
|
|
Assay of feces porphyrins
|
$108.30 |
$119.38 |
$144.09 |
|
|
Assay of galactose
|
$19.71 |
$19.71 |
$30.13 |
|
|
Assay of interleukin-6 (il-6)
|
$101.60 |
$137.60 |
$160.38 |
|
|
Assay of osteocalcin
|
$66.40 |
$89.71 |
$355.20 |
|
|
Assay of salicylate
|
$25.65 |
$28.13 |
$188.00 |
|
|
Assay of thiocyanate
|
$61.06 |
$71.23 |
$76.94 |
|
|
Assay of troponin qual
|
$80.86 |
$80.86 |
$96.66 |
|
|
Assay of tyrosine
|
$18.93 |
$18.93 |
$194.40 |
|
|
Assay of urine sulfate
|
$10.47 |
$12.10 |
$44.00 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$192.92 |
$240.35 |
$359.20 |
|
|
Assess cyst contrast inject
|
$110.15 |
$203.14 |
$860.50 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$29.12 |
$31.92 |
$78.40 |
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$164.26 |
$164.26 |
$164.26 |
|
|
Assistive tech assessment, ot
|
$77.47 |
$81.48 |
$81.48 |
|
|
Ast/sgot
|
$23.46 |
$25.68 |
$85.60 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$10,728.44 |
$12,516.52 |
$14,947.47 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$27.40 |
$60.07 |
$63.40 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$370.40 |
$370.40 |
$370.40 |
|
|
Audiometry air + bone
|
$169.57 |
$169.57 |
$240.00 |
|
|
Audit/dast 15-30 min
|
$192.19 |
$192.19 |
$192.19 |
|
|
Auditory function + 15 min
|
$40.94 |
$40.94 |
$40.94 |
|
|
Auditory function 60 min
|
$164.26 |
$164.26 |
$164.26 |
|
