|
Application of long arm cast 29065
|
$295.10 |
$295.10 |
$295.10 |
$404.63
|
|
Application of paste boot 29580
|
$285.35 |
$285.35 |
$285.35 |
$331.74
|
|
Application short leg cast 29405
|
$219.70 |
$219.70 |
$219.70 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$801.45 |
$801.45 |
$801.45 |
$2,087.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$86.45 |
$86.45 |
$86.45 |
$70.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$92.95 |
$92.95 |
$92.95 |
$71.50
|
|
Apply finger cast 29086
|
$159.25 |
$159.25 |
$159.25 |
$213.97
|
|
Apply halo w/removal cranial
|
$36,328.50 |
$36,328.50 |
$36,328.50 |
$2,202.50
|
|
Apply hand/wrist cast 29085
|
$200.85 |
$200.85 |
$200.85 |
$264.75
|
|
Apply interstit radiat compl
|
$5,378.75 |
$5,378.75 |
$5,378.75 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$6,435.00 |
$6,435.00 |
$6,435.00 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$5,141.50 |
$5,141.50 |
$5,141.50 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$796.97
|
|
Apply rigid leg cast 29445
|
$518.70 |
$518.70 |
$518.70 |
$585.31
|
|
Apply short leg castambul type 29425
|
$369.85 |
$369.85 |
$369.85 |
$380.00
|
|
Apply surf ldr radionuclide
|
$828.10 |
$828.10 |
$828.10 |
$251.55
|
|
#aptt mix-1:1 incubated
|
$181.35 |
$181.35 |
$181.35 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$187.20 |
$187.20 |
$187.20 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$382.85 |
$382.85 |
$382.85 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$216.45 |
$216.45 |
$216.45 |
$138.87
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$127.40 |
$127.40 |
$127.40 |
$90.52
|
|
Aquatic exercise - group charge
|
$107.90 |
$107.90 |
$107.90 |
$87.00
|
|
Aqueous shunt eye w/graft
|
$13,598.45 |
$13,598.45 |
$13,598.45 |
$5,656.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$833.18 |
$833.18 |
$833.18 |
$292.80
|
|
Arterial blood draw/perc 36620
|
$2,157.35 |
$2,157.35 |
$2,157.35 |
$529.19
|
|
Artery-vein nonautograft
|
$17,708.84 |
$17,708.84 |
$17,708.84 |
$6,325.50
|
|
Artery xray each vessel 7577426
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,515.20 |
$3,515.20 |
$3,515.20 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$6,072.95 |
$6,072.95 |
$6,072.95 |
$3,439.84
|
|
Artery x-rays adrenals
|
$7,221.50 |
$7,221.50 |
$7,221.50 |
$3,483.84
|
|
Artery x-rays arm/leg 75710-26
|
$2,265.90 |
$2,265.90 |
$2,265.90 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,936.00
|
|
Artery x-rays chest
|
$2,068.95 |
$2,068.95 |
$2,068.95 |
$2,498.28
|
|
Artery x-rays lung
|
$2,232.75 |
$2,232.75 |
$2,232.75 |
$3,150.00
|
|
Artery x-rays lung
|
$6,602.70 |
$6,602.70 |
$6,602.70 |
$2,138.37
|
|
Artery x-rays lungs
|
$3,399.50 |
$3,399.50 |
$3,399.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$3,808.35 |
$3,808.35 |
$3,808.35 |
$3,993.41
|
|
Artery x-rays spine
|
$2,843.75 |
$2,843.75 |
$2,843.75 |
$4,094.60
|
|
Art expos/graft artery perfusion 33987
|
$579.80 |
$579.80 |
$579.80 |
$1,050.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$678.60 |
$678.60 |
$678.60 |
$561.45
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$743.60 |
$743.60 |
$743.60 |
$959.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$627.25 |
$627.25 |
$627.25 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$520.00 |
$520.00 |
$520.00 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$864.50 |
$864.50 |
$864.50 |
$696.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$707.85 |
$707.85 |
$707.85 |
$686.37
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$22,452.96 |
$22,452.96 |
$22,452.96 |
$3,594.44
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$21,401.85 |
$21,401.85 |
$21,401.85 |
$1,060.80
|
|
Asp core fat pad
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
$1,589.40
|
|
Asp & inj bone cyst
|
$772.85 |
$772.85 |
$772.85 |
$894.73
|
|
Asp & inj w/heparin pleurx cath
|
$19,550.68 |
$19,550.68 |
$19,550.68 |
$1,434.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,942.85 |
$1,942.85 |
$1,942.85 |
$3,158.40
|
|
Aspirate pleura without imaging 32554
|
$557.05 |
$557.05 |
$557.05 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,376.05 |
$1,376.05 |
$1,376.05 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$9,536.42 |
$9,536.42 |
$9,536.42 |
$640.00
|
|
Asp pq spinal cord cyst/syrinx
|
$4,152.04 |
$4,152.04 |
$4,152.04 |
$1,054.06
|
|
Assay of adp & amp
|
$146.90 |
$146.90 |
$146.90 |
$169.65
|
|
Assay of breath ethanol
|
$50.70 |
$50.70 |
$50.70 |
$45.76
|
|
Assay of corticosterone
|
$135.85 |
$135.85 |
$135.85 |
$49.20
|
|
Assay of feces porphyrins
|
$185.90 |
$185.90 |
$185.90 |
$175.50
|
|
Assay of galactose
|
$108.55 |
$108.55 |
$108.55 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$160.55 |
$160.55 |
$160.55 |
$82.80
|
|
Assay of leflunomide
|
$240.50 |
$240.50 |
$240.50 |
$112.70
|
|
Assay of osteocalcin
|
$100.75 |
$100.75 |
$100.75 |
$133.20
|
|
Assay of prostaglandin
|
$239.20 |
$239.20 |
$239.20 |
$183.60
|
|
Assay of salicylate
|
$116.35 |
$116.35 |
$116.35 |
$83.85
|
|
Assay of thiocyanate
|
$76.70 |
$76.70 |
$76.70 |
$55.25
|
|
Assay of tyrosine
|
$53.30 |
$53.30 |
$53.30 |
$56.00
|
|
Assay of urine sulfate
|
$37.05 |
$37.05 |
$37.05 |
$33.60
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$172.25 |
$172.25 |
$172.25 |
$300.80
|
|
Assess cyst contrast inject
|
$375.70 |
$375.70 |
$375.70 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$38.35 |
$38.35 |
$38.35 |
$44.20
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$21,237.93 |
$21,237.93 |
$21,237.93 |
$920.00
|
|
Assistive tech assessment, ot
|
$129.35 |
$129.35 |
$129.35 |
$96.08
|
|
Ast/sgot
|
$71.50 |
$71.50 |
$71.50 |
$43.40
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$18,202.87 |
$18,202.87 |
$18,202.87 |
$16,692.06
|
|
Athrectomy fem/pop/unilateral 37225
|
$28,877.20 |
$28,877.20 |
$28,877.20 |
$22,107.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$99.18 |
$99.18 |
$99.18 |
$24.19
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$206.70 |
$206.70 |
$206.70 |
$200.40
|
|
Audiometry air + bone
|
$243.10 |
$243.10 |
$243.10 |
$178.81
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$2,616.90 |
$2,616.90 |
$2,616.90 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$5,826.60 |
$5,826.60 |
$5,826.60 |
$11,566.33
|
|
Autologous blood process
|
$256.10 |
$256.10 |
$256.10 |
$262.50
|
|
Avelumab 20 mg/ml intravenous solution
|
$4,704.32 |
$4,704.32 |
$4,704.32 |
$2,517.93
|
|
Av fistula revision
|
$17,899.19 |
$17,899.19 |
$17,899.19 |
$7,651.38
|
|
Av fusion direct any site
|
$17,078.75 |
$17,078.75 |
$17,078.75 |
$4,044.69
|
|
Avul nail plate addl
|
$161.20 |
$161.20 |
$161.20 |
$241.36
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$185.25 |
$185.25 |
$185.25 |
$351.20
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$25,541.16 |
$25,541.16 |
$25,541.16 |
$54.08
|
|
Axillary lymphadenect/superficial 38740
|
$11,251.55 |
$11,251.55 |
$11,251.55 |
$6,094.22
|
|
Azacitidine injection
|
$1,282.16 |
$1,282.16 |
$1,282.16 |
$370.50
|
|
Azithromycin 500 mg intravenous solution
|
$18.74 |
$18.74 |
$18.74 |
$26.19
|
|
Aztreonam 1 gram solution for injection
|
$109.06 |
$109.06 |
$109.06 |
$158.89
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,167.96 |
$2,167.96 |
$2,167.96 |
$1,062.64
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$289.65 |
$289.65 |
$289.65 |
$191.55
|
|
Baclofen eval charges
|
$124.80 |
$124.80 |
$124.80 |
$85.00
|
|
Bacterial meningitis antigen
|
$308.75 |
$308.75 |
$308.75 |
$66.30
|
|
Bacterial vaginosis pcr
|
$274.30 |
$274.30 |
$274.30 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$125.45 |
$125.45 |
$125.45 |
$137.80
|
|
Balloon dilate urtrl strix
|
$5,593.10 |
$5,593.10 |
$5,593.10 |
$1,958.25
|
