|
Appl hip spica cast 1 leg
|
$759.33 |
$759.33 |
$759.33 |
$544.48
|
|
Application clubfoot cast
|
$255.20 |
$255.20 |
$1,109.68 |
$303.00
|
|
Application finger splntstatic 29130
|
$211.64 |
$211.64 |
$881.10 |
$216.80
|
|
Application long leg splint 29505
|
$423.28 |
$423.28 |
$446.05 |
$340.80
|
|
Application lower leg splint 29515
|
$400.95 |
$400.95 |
$423.28 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$102.17 |
$102.17 |
$102.17 |
$397.00
|
|
Application of cylinder cast 29365
|
$552.75 |
$552.75 |
$802.23 |
$431.08
|
|
Application of forearm cast 29075
|
$682.82 |
$682.82 |
$769.45 |
$379.20
|
|
Application of long arm cast 29065
|
$765.05 |
$765.05 |
$769.45 |
$404.63
|
|
Application of long leg cast
|
$792.22 |
$792.22 |
$792.22 |
$406.75
|
|
Application of long leg cast 29345
|
$738.60 |
$738.60 |
$869.00 |
$511.68
|
|
Application of paste boot 29580
|
$70.49 |
$70.49 |
$371.08 |
$331.74
|
|
Application short leg cast 29405
|
$765.05 |
$765.05 |
$769.45 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,831.83 |
$1,831.83 |
$2,979.35 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,831.83 |
$1,831.83 |
$1,831.83 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$101.20 |
$101.20 |
$101.20 |
$69.55
|
|
Appl unipln uni ext fixj sys
|
$7,348.77 |
$7,348.77 |
$11,535.70 |
$5,754.10
|
|
Apply finger cast 29086
|
$441.65 |
$441.65 |
$448.30 |
$225.29
|
|
Apply forearm splintdynamic 29126
|
$233.09 |
$233.09 |
$746.35 |
$263.10
|
|
Apply halo w/removal cranial
|
$855.80 |
$855.80 |
$1,151.15 |
$1,608.36
|
|
Apply hand/wrist cast 29085
|
$520.52 |
$520.52 |
$996.05 |
$272.46
|
|
Apply of finger splint 29131
|
$295.30 |
$295.30 |
$693.55 |
$177.45
|
|
Apply rem fixation device
|
$6,256.80 |
$6,256.80 |
$6,256.80 |
$1,893.86
|
|
Apply rigid leg cast 29445
|
$717.14 |
$717.14 |
$717.14 |
$608.00
|
|
Apply short leg castambul type 29425
|
$425.70 |
$425.70 |
$765.05 |
$408.75
|
|
App mltpln uni xtrnl fix xch
|
$1,625.20 |
$1,625.20 |
$1,625.20 |
$1,893.86
|
|
#aptt mix-1:1 incubated
|
$182.60 |
$182.60 |
$539.55 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$330.00 |
$330.00 |
$330.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$297.00 |
$297.00 |
$770.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$330.00 |
$330.00 |
$497.75 |
$139.59
|
|
Aquatic exercise - group charge
|
$45.10 |
$45.10 |
$87.45 |
$87.60
|
|
Art bypass femoral-popliteal 35656
|
$9,609.60 |
$9,609.60 |
$9,609.60 |
$5,273.60
|
|
Arterial blood draw/perc 36620
|
$935.00 |
$935.00 |
$1,287.93 |
$505.60
|
|
Artery transpose/endovas taa
|
$2,265.45 |
$2,265.45 |
$2,265.45 |
$3,854.40
|
|
Artery xray each vessel 7577426
|
$1,997.05 |
$1,997.05 |
$2,794.22 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$3,309.35 |
$3,309.35 |
$6,115.40 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$3,320.35
|
|
Artery x-rays adrenals
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$2,673.00 |
$2,673.00 |
$3,832.40 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,401.65 |
$4,401.65 |
$4,504.50 |
$3,844.10
|
|
Artery x-rays chest
|
$1,384.35 |
$1,384.35 |
$3,753.75 |
$2,587.20
|
|
Artery x-rays lung
|
$3,813.81 |
$3,813.81 |
$3,841.20 |
$2,921.88
|
|
Artery x-rays lung
|
$2,381.50 |
$2,381.50 |
$4,004.00 |
$2,332.57
|
|
Artery x-rays lungs
|
$4,762.45 |
$4,762.45 |
$5,228.80 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$4,075.50 |
$4,075.50 |
$4,378.55 |
$4,086.49
|
|
Artery x-rays spine
|
$4,022.70 |
$4,022.70 |
$7,411.69 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$677.82 |
$677.82 |
$697.40 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$757.90 |
$757.90 |
$1,215.50 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$842.27 |
$842.27 |
$1,304.60 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$505.50 |
$505.50 |
$607.20 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$966.35 |
$966.35 |
$1,036.20 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$673.53 |
$673.53 |
$852.50 |
$686.37
|
|
Arthroplasty finger joint 26535
|
$5,715.05 |
$5,715.05 |
$5,715.05 |
$3,839.54
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$12,552.10 |
$12,552.10 |
$12,552.10 |
$3,839.54
|
|
Arthrt ac sc jt exp/rmvl fb
|
$12,552.10 |
$12,552.10 |
$12,552.10 |
$3,839.54
|
|
Ascenda two piece catheter
|
$11,465.37 |
$11,465.37 |
$30,345.73 |
$22,538.68
|
|
Aspa gene
|
$246.40 |
$246.40 |
$246.40 |
$127.86
|
|
Asp core fat pad
|
$359.15 |
$359.15 |
$359.15 |
$1,214.75
|
|
Asp & inj bone cyst
|
$1,453.10 |
$1,453.10 |
$1,494.35 |
$973.71
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,862.72 |
$4,862.72 |
$8,689.45 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$300.30 |
$300.30 |
$528.38 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,714.57 |
$1,714.57 |
$2,450.25 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,533.40 |
$1,533.40 |
$1,651.65 |
$1,273.63
|
|
Aspiration peritonsillar abscess
|
$296.01 |
$296.01 |
$498.30 |
$508.13
|
|
Aspir/inj thyroid cyst 60300
|
$1,129.15 |
$1,129.15 |
$1,193.34 |
$833.29
|
|
Assay acid phosphatase
|
$110.55 |
$110.55 |
$127.05 |
$38.22
|
|
Assay myeloperoxidase
|
$108.90 |
$108.90 |
$108.90 |
$84.19
|
|
Assay of chloramphenicol
|
$35.75 |
$35.75 |
$114.95 |
$45.60
|
|
Assay of feces porphyrins
|
$147.40 |
$147.40 |
$259.05 |
$168.62
|
|
Assay of galactose
|
$27.50 |
$27.50 |
$27.50 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$24.75 |
$24.75 |
$199.65 |
$77.35
|
|
Assay of leflunomide
|
$30.25 |
$30.25 |
$193.60 |
$112.70
|
|
Assay of osteocalcin
|
$63.25 |
$63.25 |
$109.45 |
$97.21
|
|
Assay of procainamide w/metab
|
$59.95 |
$59.95 |
$167.75 |
$61.20
|
|
Assay of prostaglandin
|
$253.00 |
$253.00 |
$253.00 |
$216.45
|
|
Assay of somatostatin
|
$187.55 |
$187.55 |
$187.55 |
$165.75
|
|
Assay of thiocyanate
|
$57.20 |
$57.20 |
$270.05 |
$57.00
|
|
Assay of tyrosine
|
$75.90 |
$75.90 |
$242.55 |
$56.10
|
|
Assay of urine sulfate
|
$25.30 |
$25.30 |
$34.10 |
$31.35
|
|
Assay phosphatidylglycerol
|
$266.20 |
$266.20 |
$266.20 |
$87.20
|
|
Assay toxin or antitoxin
|
$177.10 |
$177.10 |
$177.10 |
$72.75
|
|
Assess cyst contrast inject
|
$97.35 |
$97.35 |
$629.04 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$15.40 |
$15.40 |
$15.40 |
$49.80
|
|
Assistive tech assessment, ot
|
$194.19 |
$194.19 |
$194.19 |
$76.93
|
|
Ast/sgot
|
$39.60 |
$39.60 |
$49.50 |
$45.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$17,600.00 |
$17,600.00 |
$24,424.26 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$14,952.30 |
$14,952.30 |
$24,424.26 |
$19,892.81
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$344.43 |
$344.43 |
$344.43 |
$222.15
|
|
Audiometry air + bone
|
$42.90 |
$42.90 |
$237.38 |
$176.93
|
|
Augment injectable kit 3.0cc
|
$8,486.74 |
$8,486.74 |
$8,486.74 |
$6,285.56
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,995.00 |
$5,995.00 |
$5,995.00 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,834.05 |
$14,834.05 |
$14,834.05 |
$10,578.36
|
|
Autologous blood process
|
$294.25 |
$294.25 |
$294.25 |
$234.27
|
|
Autonomic nrv parasym inervj
|
$360.25 |
$360.25 |
$360.25 |
$191.20
|
|
Autonomic nrv syst funj test
|
$310.20 |
$310.20 |
$310.20 |
$358.40
|
|
Avul nail plate addl
|
$328.90 |
$328.90 |
$338.91 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$369.66 |
$369.66 |
$609.95 |
$342.55
|
|
Axicabtagene ciloleucel car+
|
$1,816,815.00 |
$1,816,815.00 |
$1,816,815.00 |
$533,076.48
|
|
Baclofen eval charges
|
$66.55 |
$66.55 |
$66.55 |
$86.14
|
|
Bacterial meningitis antigen
|
$55.00 |
$55.00 |
$99.00 |
$68.40
|
