|
Arthrd wrist with autograft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,855.00
|
|
Arthrd wrist w/sliding graft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Arthrd wrst iliac/oth agrft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$572.80
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$699.00
|
|
Arthrodesis big toe joint 28760
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Arthrodesis elbw joint local
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Arthrodesis glenohumeral jt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,807.24
|
|
Arthrodesis pantalar
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Arthrodesis subtalar
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,560.13
|
|
Arthrodesis triple
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.60
|
|
Arthroplasty finger joint 26535
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,821.05
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,240.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,884.74
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Arthrotomy glenhumrl jt w/bx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Arthrotomy glenohumeral jt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Arthrotomy strnclav joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,086.40
|
|
Arthrp prostc dstl scph crpl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Arthrp w/prostc dstl rds
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,688.80
|
|
Arthrp w/prostc dstl ulna
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,688.80
|
|
Arthrp w/prostc dst rds&crps
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$14,908.82
|
|
Arthrp w/prostc lunate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Arthrp w/prostc trapezium
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Arthrs kne srg drlg ost diss
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,260.32
|
|
Arthrt acrmclv/strnclav jt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Arthrt ac sc jt exp/rmvl fb
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Arthrt elbow w/synovectomy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,786.00
|
|
Arthrt elbw capsl exc rls
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,786.00
|
|
Arthrt elbw jt expl bx rmvl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Arthrt elbw synovial bx only
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,719.72
|
|
Arthrt gh jt expl/drg/rmv fb
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Arthrt glenhumrl jt w/expl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Arthrt hip expl/rmv loose/fb
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,705.27
|
|
Arthrt rdcrpl/midcarpl jt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,743.15
|
|
Artificial insemination
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$336.70
|
|
Artific inseminationintrauterine 58322
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$220.00
|
|
Artiss fibrin sealant
|
$149.02 |
$149.02 |
$149.02 |
$461.99
|
|
Aspa gene
|
$51.98 |
$51.98 |
$51.98 |
$127.86
|
|
Asp core fat pad
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,561.30
|
|
Asp & inj bone cyst
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,434.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$436.10
|
|
Aspirate pleura without imaging 32554
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,286.45
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,293.12
|
|
Aspiration orbital contents
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,702.32
|
|
Aspiration peritonsillar abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$640.00
|
|
Aspir/inj thyroid cyst 60300
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$833.29
|
|
Asp pq spinal cord cyst/syrinx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,133.00
|
|
Assay acid phosphatase
|
$8.40 |
$8.40 |
$8.40 |
$38.62
|
|
Assay alkaline phosphatase
|
$9.09 |
$9.09 |
$9.09 |
$40.10
|
|
Assay blood catecholamines
|
$31.99 |
$31.99 |
$31.99 |
$72.00
|
|
Assay chondroitin sulfate
|
$22.72 |
$22.72 |
$22.72 |
$28.50
|
|
Assay dir meas fr estradiol
|
$30.73 |
$30.73 |
$30.73 |
$82.00
|
|
Assay duodenal fluid trypsin
|
$7.92 |
$7.92 |
$7.92 |
$7.92
|
|
Assay free hydroxyproline
|
$24.92 |
$24.92 |
$24.92 |
$46.15
|
|
Assay malate dehydrogenase
|
$8.11 |
$8.11 |
$8.11 |
$8.11
|
|
Assay myeloperoxidase
|
$55.95 |
$55.95 |
$55.95 |
$87.75
|
|
Assay neurflmnt light chain
|
$85.32 |
$85.32 |
$85.32 |
$380.00
|
|
Assay of adp & amp
|
$28.38 |
$28.38 |
$28.38 |
$132.60
|
|
Assay of androsterone
|
$28.11 |
$28.11 |
$28.11 |
$64.80
|
|
Assay of blood lipoprotein
|
$14.03 |
$14.03 |
$14.03 |
$27.20
|
|
Assay of bradykinin
|
$5.68 |
$5.68 |
$5.68 |
$5.68
|
|
Assay of breath ethanol
|
$33.00 |
$33.00 |
$33.00 |
$45.76
|
|
Assay of cathepsin-d
|
$19.87 |
$19.87 |
$19.87 |
$19.87
|
|
Assay of chloramphenicol
|
$13.94 |
$13.94 |
$13.94 |
$70.56
|
|
Assay of corticosterone
|
$24.77 |
$24.77 |
$24.77 |
$48.75
|
|
Assay of digoxin free
|
$14.61 |
$14.61 |
$14.61 |
$27.00
|
|
Assay of endocrine hormone
|
$78.35 |
$78.35 |
$78.35 |
$143.20
|
|
Assay of estrogen
|
$96.67 |
$96.67 |
$96.67 |
$185.60
|
|
Assay of etiocholanolone
|
$28.86 |
$28.86 |
$28.86 |
$34.94
|
|
Assay of feces for trypsin
|
$10.92 |
$10.92 |
$10.92 |
$13.70
|
|
Assay of feces porphyrins
|
$43.02 |
$43.02 |
$43.02 |
$175.50
|
|
Assay of feces/urobilinogen
|
$18.48 |
$18.48 |
$18.48 |
$20.67
|
|
Assay of fluoride
|
$20.39 |
$20.39 |
$20.39 |
$112.80
|
|
Assay of galactose
|
$12.32 |
$12.32 |
$12.32 |
$49.21
|
|
Assay of gdh enzyme
|
$14.47 |
$14.47 |
$14.47 |
$15.78
|
|
Assay of glucosidase
|
$23.63 |
$23.63 |
$23.63 |
$158.73
|
|
Assay of glutathione
|
$17.00 |
$17.00 |
$17.00 |
$71.25
|
|
Assay of haptoglobins
|
$29.58 |
$29.58 |
$29.58 |
$32.27
|
|
Assay of idh enzyme
|
$9.74 |
$9.74 |
$9.74 |
$12.21
|
|
Assay of interleukin-6 (il-6)
|
$19.00 |
$19.00 |
$19.00 |
$77.35
|
|
Assay of intrinsic factor
|
$21.80 |
$21.80 |
$21.80 |
$23.78
|
|
Assay of lap enzyme
|
$10.79 |
$10.79 |
$10.79 |
$64.00
|
|
Assay of leflunomide
|
$42.43 |
$42.43 |
$42.43 |
$112.70
|
|
Assay of lrh hormone
|
$18.91 |
$18.91 |
$18.91 |
$230.11
|
|
Assay of methemalbumin
|
$11.81 |
$11.81 |
$11.81 |
$27.20
|
|
Assay of neonatal thyroxine
|
$7.12 |
$7.12 |
$7.12 |
$14.61
|
|
Assay of osteocalcin
|
$32.84 |
$32.84 |
$32.84 |
$99.45
|
|
Assay of phenylketones
|
$4.38 |
$4.38 |
$4.38 |
$5.42
|
|
Assay of pregnanediol
|
$23.40 |
$23.40 |
$23.40 |
$29.35
|
|
Assay of pregnanetriol
|
$23.16 |
$23.16 |
$23.16 |
$55.77
|
|
Assay of procainamide w/metab
|
$18.43 |
$18.43 |
$18.43 |
$63.07
|
|
Assay of progesterone
|
$71.37 |
$71.37 |
$71.37 |
$237.00
|
