|
Aortic Aneurysm Screening Ultrasound
|
$428.73 |
$428.73 |
$989.00 |
|
|
Aortic dysfunction/dilation
|
$2,415.00 |
$2,415.00 |
$4,014.00 |
|
|
Apheresis plasma
|
$2,110.00 |
$3,613.00 |
$3,613.00 |
|
|
Apheresis platelets
|
$2,809.50 |
$2,809.50 |
$2,809.50 |
|
|
Apheresis rbc
|
$2,110.00 |
$3,666.50 |
$3,666.50 |
|
|
Apheresis wbc
|
$2,110.00 |
$3,723.00 |
$3,723.00 |
|
|
Apl(pml-rara) quant - sendout
|
$664.00 |
$1,054.55 |
$2,136.59 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,733.00 |
$1,733.00 |
$2,941.50 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,941.50 |
$2,941.50 |
$2,941.50 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$549.08 |
$549.08 |
$2,941.50 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$741.18 |
$741.18 |
$5,075.00 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$741.18 |
$741.18 |
$5,075.00 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$549.08 |
$549.08 |
$2,941.50 |
|
|
Appl bdy cst sho to hip 1thi
|
$264.50 |
$264.50 |
$264.50 |
|
|
Appl bdy cst sho to hip b th
|
$264.50 |
$264.50 |
$264.50 |
|
|
Appl bdy cst sho to hip head
|
$149.50 |
$149.50 |
$149.50 |
|
|
Appl body cast sho to hips
|
$264.50 |
$264.50 |
$264.50 |
|
|
Appl cast figure-of-eight
|
$149.50 |
$149.50 |
$149.50 |
|
|
Appl cast plaster velpeau
|
$149.50 |
$149.50 |
$149.50 |
|
|
Appl cast shoulder spica
|
$264.50 |
$264.50 |
$264.50 |
|
|
Appl halo type body cast
|
$149.50 |
$149.50 |
$149.50 |
|
|
Appl hip spica cast1&1/2
|
$264.50 |
$501.28 |
$501.28 |
|
|
Appl hip spica cast 1 leg
|
$264.50 |
$688.90 |
$688.90 |
|
|
Application clubfoot cast
|
$120.00 |
$468.00 |
$468.00 |
|
|
Application finger splntstatic 29130
|
$143.96 |
$191.88 |
$876.00 |
|
|
Application long leg splint 29505
|
$261.83 |
$261.83 |
$2,141.00 |
|
|
Application lower leg splint 29515
|
$228.33 |
$228.33 |
$1,268.00 |
|
|
Application multi layer compression below knee (both sides)
|
$268.90 |
$268.90 |
$873.00 |
|
|
Application of body cast
|
$264.50 |
$557.18 |
$557.18 |
|
|
Application of body cast
|
$264.50 |
$264.50 |
$264.50 |
|
|
Application of forearm cast 29075
|
$260.50 |
$425.55 |
$1,879.00 |
|
|
Application of long arm cast 29065
|
$343.50 |
$404.63 |
$745.00 |
|
|
Application of long leg cast
|
$444.75 |
$444.75 |
$1,879.00 |
|
|
Application of long leg cast 29345
|
$319.00 |
$511.68 |
$2,484.00 |
|
|
Application of paste boot 29580
|
$168.53 |
$168.53 |
$452.00 |
|
|
Application short leg cast 29405
|
$393.98 |
$393.98 |
$1,142.00 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$549.08 |
$549.08 |
$2,941.50 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$549.08 |
$549.08 |
$6,219.00 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$600.00 |
$600.00 |
$600.00 |
|
|
Appl long leg cast brace
|
$264.50 |
$861.48 |
$861.48 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$42.84 |
$83.28 |
$106.50 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$75.98 |
$75.98 |
$98.07 |
|
|
Appl modality 1+lllt po pain
|
$64.18 |
$64.18 |
$64.18 |
|
|
Appl multlay comprs arm/hand
|
$164.23 |
$164.23 |
$208.00 |
|
|
Appl patllr tdn bearing cast
|
$264.50 |
$264.50 |
$264.50 |
|
|
Apply finger cast 29086
|
$143.96 |
$179.90 |
$179.90 |
|
|
Apply forearm splintdynamic 29126
|
$108.00 |
$187.83 |
$187.83 |
|
|
Apply hand/wrist cast 29085
|
$166.00 |
$279.40 |
$279.40 |
|
|
Apply interstit radiat compl
|
$2,957.00 |
$3,837.98 |
$3,837.98 |
|
|
Apply intrcav radiat compl
|
$1,813.50 |
$1,813.50 |
$8,779.00 |
|
|
Apply intrcav radiat interm
|
$1,592.00 |
$1,592.00 |
$6,679.00 |
|
|
Apply intrcav radiat simple
|
$1,376.00 |
$1,376.00 |
$6,679.00 |
|
|
Apply of finger splint 29131
|
$160.23 |
$160.23 |
$217.50 |
|
|
Apply rigid leg cast 29445
|
$395.50 |
$770.05 |
$1,267.00 |
|
|
Apply short leg castambul type 29425
|
$241.50 |
$501.40 |
$501.40 |
|
|
Apply surf ldr radionuclide
|
$246.00 |
$246.00 |
$246.00 |
|
|
App mltpln uni xtrnl fix xch
|
$707.58 |
$707.58 |
$707.58 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$663.80 |
$663.80 |
$1,080.99 |
|
|
#aptt mix-1:1 incubated
|
$225.48 |
$225.48 |
$225.48 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$413.30 |
$413.30 |
$413.30 |
|
|
Aqmbf pet rest & rx stress
|
$920.63 |
$920.63 |
$920.63 |
|
|
Aquaporin-4 antibody cba each
|
$134.00 |
$302.25 |
$401.00 |
|
|
Aquaporin-4 antibody elisa
|
$215.98 |
$215.98 |
$353.00 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$56.83 |
$56.83 |
$196.46 |
|
|
Aquatic exercise - group charge
|
$66.00 |
$138.00 |
$138.00 |
|
|
Argatroban nonesrd (accord)
|
$218.25 |
$218.25 |
$218.25 |
|
|
Argatroban nonesrd (auromed)
|
$463.25 |
$463.25 |
$463.25 |
|
|
Argatroban nonesrd use 1mg
|
$762.90 |
$762.90 |
$762.90 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$6,387.85 |
$6,387.85 |
$6,387.85 |
|
|
Arm CT Scan (with contrast, both arms)
|
$1,687.88 |
$1,687.88 |
$4,562.00 |
|
|
Arm CT Scan (without contrast, both arms)
|
$1,411.00 |
$1,607.53 |
$2,985.00 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$323.50 |
$479.30 |
$1,051.00 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$462.93 |
$2,384.85 |
$2,384.85 |
|
|
Art bypass femoral-femoral 35661
|
$11,863.93 |
$11,863.93 |
$11,863.93 |
|
|
Art bypass femoral-popliteal 35656
|
$5,921.35 |
$5,921.35 |
$5,921.35 |
|
|
Arterial blood draw/perc 36620
|
$517.00 |
$763.13 |
$1,443.44 |
|
|
Artery xray each vessel 7577426
|
$1,278.63 |
$1,278.63 |
$1,898.00 |
|
|
Artery xray of abdomen 75726-26
|
$2,364.93 |
$2,364.93 |
$7,980.00 |
|
|
Artery x-rays adrenal gland
|
$2,615.50 |
$4,872.53 |
$4,872.53 |
|
|
Artery x-rays adrenals
|
$3,662.50 |
$9,745.08 |
$9,745.08 |
|
|
Artery x-rays arm/leg 75710-26
|
$2,427.55 |
$2,427.55 |
$3,837.50 |
|
|
Artery x-rays arms/legs 75716-26
|
$3,837.50 |
$4,855.13 |
$4,855.13 |
|
|
Artery x-rays chest
|
$576.43 |
$576.43 |
$1,622.50 |
|
|
Artery x-rays lung
|
$1,354.55 |
$1,354.55 |
$4,578.00 |
|
|
Artery x-rays lung
|
$1,114.10 |
$1,114.10 |
$2,268.50 |
|
|
Artery x-rays lungs
|
$2,709.08 |
$2,709.08 |
$4,578.00 |
|
|
Artery xrays of pelvis 75736 26
|
$2,327.08 |
$2,327.08 |
$2,716.00 |
|
|
Artery x-rays spine
|
$1,588.43 |
$1,588.43 |
$2,851.50 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$366.50 |
$567.78 |
$1,342.00 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,128.35 |
$1,128.35 |
$1,973.00 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,180.38 |
$1,180.38 |
$2,170.00 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$399.50 |
$451.48 |
$1,302.00 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$887.00 |
$1,012.03 |
$1,756.00 |
|
|
Arthrodesis glenohumeral jt
|
$4,786.50 |
$4,786.50 |
$4,786.50 |
|
|
Arthrotomy carpometacarpal joint 26070
|
$2,482.53 |
$2,482.53 |
$2,482.53 |
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$2,667.50 |
$2,667.50 |
$2,667.50 |
|
|
Artific inseminationintrauterine 58322
|
$103.00 |
$103.00 |
$103.00 |
|
|
Art pressure waveform analys
|
$55.00 |
$55.00 |
$55.00 |
|
|
Ascenda two piece catheter
|
$5,250.00 |
$5,250.00 |
$5,250.00 |
|
|
Aspa gene
|
$124.00 |
$124.00 |
$124.00 |
|