|
Aphakia prosth service temp
|
$70.29 |
$70.29 |
$70.29 |
|
|
Apheresis immunoads slctv
|
$5,544.24 |
$5,544.24 |
$12,197.00 |
|
|
Apheresis plasma
|
$1,231.72 |
$1,939.86 |
$7,649.00 |
|
|
Apheresis platelets
|
$517.34 |
$517.34 |
$2,582.00 |
|
|
Apheresis rbc
|
$1,231.72 |
$1,939.86 |
$6,973.00 |
|
|
Apheresis wbc
|
$1,939.86 |
$1,939.86 |
$5,296.00 |
|
|
Apl(pml-rara) quant - sendout
|
$207.31 |
$207.31 |
$1,362.00 |
|
|
Appendectomy
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
|
|
Appendix Removal (Laparoscopic)
|
$5,552.85 |
$6,904.15 |
$6,904.15 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,053.97 |
$2,164.64 |
$5,816.00 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$626.96 |
$2,154.48 |
$4,190.00 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$78.00 |
$262.16 |
$3,280.00 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$320.40 |
$4,332.25 |
$11,439.00 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$211.20 |
$1,429.95 |
$4,107.00 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$78.00 |
$311.96 |
$2,453.00 |
|
|
Appl bdy cst sho to hip 1thi
|
$186.72 |
$186.72 |
$186.72 |
|
|
Appl bdy cst sho to hip b th
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl bdy cst sho to hip head
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl body cast sho to hips
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl cast figure-of-eight
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl cast plaster velpeau
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl cast shoulder spica
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl halo cranial 6+pins
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
|
|
Appl halo type body cast
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl hip spica cast1&1/2
|
$314.28 |
$314.28 |
$314.28 |
|
|
Appl hip spica cast 1 leg
|
$314.28 |
$314.28 |
$314.28 |
|
|
Application clubfoot cast
|
$186.72 |
$186.72 |
$1,199.00 |
|
|
Application finger splntstatic 29130
|
$70.20 |
$152.54 |
$625.00 |
|
|
Application halo femoral
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Application halo pelvic
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Application long leg splint 29505
|
$70.20 |
$186.72 |
$1,654.00 |
|
|
Application lower leg splint 29515
|
$70.20 |
$186.72 |
$942.00 |
|
|
Application multi layer compression below knee (both sides)
|
$81.00 |
$186.72 |
$813.00 |
|
|
Application of body cast
|
$314.28 |
$314.28 |
$314.28 |
|
|
Application of body cast
|
$314.28 |
$314.28 |
$314.28 |
|
|
Application of cylinder cast 29365
|
$314.28 |
$314.28 |
$850.82 |
|
|
Application of forearm cast 29075
|
$154.80 |
$314.28 |
$1,420.00 |
|
|
Application of long arm cast 29065
|
$210.47 |
$314.28 |
$1,420.00 |
|
|
Application of long leg cast
|
$314.28 |
$314.28 |
$850.82 |
|
|
Application of long leg cast 29345
|
$261.42 |
$314.28 |
$1,420.00 |
|
|
Application of paste boot 29580
|
$72.00 |
$186.72 |
$813.00 |
|
|
Application short leg cast 29405
|
$165.60 |
$314.28 |
$1,420.00 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$211.20 |
$2,164.64 |
$9,232.00 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$211.20 |
$2,164.64 |
$9,232.00 |
|
|
Appl long leg cast brace
|
$314.28 |
$314.28 |
$1,199.00 |
|
|
Appl mltpln uni ext fixj sys
|
$15,226.08 |
$15,226.08 |
$16,289.68 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$7.13 |
$7.34 |
$208.00 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$13.15 |
$13.59 |
$190.00 |
|
|
Appl modality 1+lllt po pain
|
$46.45 |
$46.45 |
$46.45 |
|
|
Appl multlay comprs arm/hand
|
$186.72 |
$186.72 |
$373.76 |
|
|
Appl patllr tdn bearing cast
|
$314.28 |
$314.28 |
$655.97 |
|
|
Appl unipln uni ext fixj sys
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Apply finger cast 29086
|
$186.72 |
$186.72 |
$949.00 |
|
|
Apply forearm splintdynamic 29126
|
$70.20 |
$152.54 |
$884.00 |
|
|
Apply halo w/removal cranial
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
|
|
Apply hand/wrist cast 29085
|
$186.72 |
$186.72 |
$1,420.00 |
|
|
Apply interstit radiat compl
|
$821.03 |
$821.03 |
$12,609.00 |
|
|
Apply intrcav radiat compl
|
$821.03 |
$821.03 |
$5,865.00 |
|
|
Apply intrcav radiat interm
|
$684.54 |
$684.54 |
$4,032.00 |
|
|
Apply intrcav radiat simple
|
$684.54 |
$684.54 |
$3,872.00 |
|
|
Apply of finger splint 29131
|
$70.20 |
$70.29 |
$699.00 |
|
|
Apply rem fixation device
|
$1,893.86 |
$1,893.86 |
$4,572.13 |
|
|
Apply rigid leg cast 29445
|
$314.28 |
$314.28 |
$1,629.00 |
|
|
Apply short leg castambul type 29425
|
$314.28 |
$314.28 |
$1,420.00 |
|
|
Apply surf ldr radionuclide
|
$129.58 |
$129.58 |
$1,107.00 |
|
|
App mdlty 1+hubbrd tnk ea 15
|
$39.22 |
$40.15 |
$40.36 |
|
|
App mltpln uni xtrnl fix 1st
|
$21,762.05 |
$21,762.05 |
$27,721.73 |
|
|
App mltpln uni xtrnl fix xch
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
App skn cll ssp f/n/g/hf 1st
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
|
|
App skn cl ssp agrft t/a/l 1
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
|
|
App topical fluoride varnish
|
$38.83 |
$38.83 |
$441.00 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1.77 |
$1.77 |
$45.59 |
|
|
#aptt mix-1:1 incubated
|
$35.09 |
$35.09 |
$882.71 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$25.47 |
$37.73 |
$220.00 |
|
|
Aqmbf pet rest & rx stress
|
$767.54 |
$767.54 |
$3,214.00 |
|
|
Aquaporin-4 antibody cba each
|
$12.05 |
$12.05 |
$221.00 |
|
|
Aquaporin-4 antibody elisa
|
$11.53 |
$11.53 |
$29.40 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$41.21 |
$42.30 |
$599.00 |
|
|
Aquatic exercise - group charge
|
$19.58 |
$20.46 |
$212.00 |
|
|
Aqueous shunt eye w/graft
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
|
|
Aqueous shunt eye without graft
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
|
|
Architect ecm px fx 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Arformoterol non-comp unit
|
$7.00 |
$7.37 |
$7.37 |
|
|
Argatroban nonesrd (accord)
|
$4.20 |
$4.20 |
$12.99 |
|
|
Argatroban nonesrd (auromed)
|
$1.49 |
$1.49 |
$1.49 |
|
|
Argatroban nonesrd use 1mg
|
$1.26 |
$1.26 |
$591.60 |
|
|
Ar gene charac alleles
|
$137.00 |
$137.00 |
$350.99 |
|
|
Ar gene full gene sequence
|
$301.35 |
$301.35 |
$301.35 |
|
|
Ar gene known famil variant
|
$185.20 |
$185.20 |
$952.00 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$3.23 |
$3.23 |
$3,161.71 |
|
|
Arm CT Scan (with contrast, both arms)
|
$422.61 |
$422.61 |
$4,220.00 |
|
|
Arm CT Scan (without contrast, both arms)
|
$125.84 |
$125.84 |
$3,358.00 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$122.40 |
$125.84 |
$676.00 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$7.20 |
$7.20 |
$85.80 |
|
|
Artacent ac 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Artacent wound, per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Art byp aor celiac msn and renal 35631
|
$12,051.32 |
$12,051.32 |
$14,832.40 |
|
|
Art bypass aorsubcl/carot/innom 35626
|
$12,051.32 |
$12,051.32 |
$14,832.40 |
|
|
Art bypass axill-fem-femoral 35654
|
$11,171.29 |
$11,171.29 |
$13,749.28 |
|
|
Art bypass carotid-subclavian 35606
|
$6,088.23 |
$6,088.23 |
$7,493.21 |
|