|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,681.40 |
$5,681.40 |
$5,681.40 |
$3,661.35
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,553.40 |
$1,553.40 |
$12,136.54 |
$549.08
|
|
Application long leg splint 29505
|
$56,336.86 |
$56,336.86 |
$56,336.86 |
$363.00
|
|
Application multi layer compression below knee (both sides)
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$378.00
|
|
Application of paste boot 29580
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$331.74
|
|
Application short leg cast 29405
|
$745.80 |
$745.80 |
$745.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,939.20 |
$12,060.31 |
$31,075.08 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,553.40 |
$5,738.14 |
$6,378.85 |
$2,198.30
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,547.43 |
$6,547.43 |
$6,547.43 |
$1,048.05
|
|
Appl mltpln uni ext fixj sys
|
$48,674.44 |
$70,854.74 |
$78,793.76 |
$6,411.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$55.20 |
$58.20 |
$58.20 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$58.20 |
$58.20 |
$58.20 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$57.60 |
$60.60 |
$60.60 |
$49.92
|
|
Appl unipln uni ext fixj sys
|
$85,851.95 |
$85,851.95 |
$85,851.95 |
$5,964.40
|
|
Apply finger cast 29086
|
$22,670.60 |
$22,670.60 |
$22,670.60 |
$238.15
|
|
Apply halo w/removal cranial
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$1,367.60
|
|
Apply interstit radiat compl
|
$1,903.80 |
$1,903.80 |
$1,903.80 |
$2,901.80
|
|
Apply intrcav radiat interm
|
$987.60 |
$987.60 |
$987.60 |
$1,521.98
|
|
Apply rigid leg cast 29445
|
$955.20 |
$955.20 |
$955.20 |
$585.31
|
|
#aptt mix-1:1 incubated
|
$40.80 |
$40.80 |
$40.80 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$565.80 |
$565.80 |
$565.80 |
$207.20
|
|
Aquaporin-4 antibody cba each
|
$184.80 |
$184.80 |
$184.80 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$150.00 |
$150.00 |
$150.00 |
$132.60
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$80.40 |
$80.40 |
$80.40 |
$100.00
|
|
Aquatic exercise - group charge
|
$66.00 |
$69.60 |
$86.40 |
$87.15
|
|
Arch supp att to shoe long/m
|
$96.31 |
$96.31 |
$96.31 |
$69.03
|
|
Arch supp att to shoe metata
|
$75.23 |
$75.23 |
$75.23 |
$75.23
|
|
Arch suprt att to sho longit
|
$75.23 |
$75.23 |
$75.23 |
$53.93
|
|
Arformoterol non-comp unit
|
$9.84 |
$9.84 |
$10.56 |
$24.24
|
|
Argatroban esrd dialysis 1mg
|
$543.48 |
$831.60 |
$893.40 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$879.84 |
$879.84 |
$893.40 |
$14.44
|
|
Argatroban nonesrd use 1mg
|
$304.38 |
$304.38 |
$304.38 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$5,488.02 |
$5,488.02 |
$5,488.02 |
$1,659.96
|
|
Arterial blood draw/perc 36620
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$496.47
|
|
Artery-vein nonautograft
|
$21,954.04 |
$21,954.04 |
$35,509.49 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$3,439.84
|
|
Artery x-rays adrenals
|
$3,551.40 |
$3,729.00 |
$3,729.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,729.00 |
$3,729.00 |
$3,729.00 |
$3,844.10
|
|
Artery x-rays chest
|
$3,489.00 |
$3,663.60 |
$3,663.60 |
$2,628.15
|
|
Artery x-rays lung
|
$3,450.60 |
$3,450.60 |
$3,450.60 |
$3,191.58
|
|
Artery x-rays lung
|
$3,489.00 |
$3,663.60 |
$3,663.60 |
$2,509.20
|
|
Artery x-rays lungs
|
$3,576.60 |
$3,576.60 |
$3,576.60 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$4,402.30
|
|
Artery x-rays spine
|
$4,062.60 |
$4,062.60 |
$4,062.60 |
$4,306.40
|
|
Arthrd ant ntrbd min dsc crv
|
$36,446.66 |
$36,446.66 |
$36,446.66 |
$14,061.89
|
|
Arthrd ant ntrbd min dsc lum
|
$94,224.98 |
$94,224.98 |
$94,224.98 |
$3,720.00
|
|
Arthrd ant ntrbdy cervical
|
$36,170.81 |
$40,529.43 |
$48,289.85 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$54,339.41 |
$54,339.41 |
$54,339.41 |
$8,434.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$903.60 |
$948.60 |
$948.60 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,054.20 |
$2,325.60 |
$2,325.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,322.00 |
$2,322.00 |
$2,438.40 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$948.60 |
$5,580.90 |
$29,290.92 |
$488.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,387.44 |
$6,226.38 |
$45,279.89 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$903.60 |
$903.60 |
$903.60 |
$747.60
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$36,170.81 |
$46,691.99 |
$48,289.85 |
$952.80
|
|
Arthrodesis pantalar
|
$56,463.65 |
$56,463.65 |
$56,463.65 |
$15,372.00
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$73,017.62 |
$73,017.62 |
$73,017.62 |
$3,248.42
|
|
Arthrodesis subtalar
|
$77,253.82 |
$77,253.82 |
$98,205.56 |
$13,057.20
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$27,913.46 |
$33,195.64 |
$37,035.32 |
$4,240.08
|
|
Arthro/shoul surg; w/spacer
|
$45,746.92 |
$45,746.92 |
$45,746.92 |
$15,226.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$17,760.43 |
$17,760.43 |
$29,290.92 |
$4,499.12
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$21,382.61 |
$21,382.61 |
$38,242.42 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$25,971.04 |
$44,210.93 |
$51,993.75 |
$5,241.60
|
|
Artiss fibrin sealant
|
$2,143.33 |
$2,143.33 |
$2,143.33 |
$1,369.62
|
|
Ascenda two piece catheter
|
$29,391.26 |
$29,391.26 |
$29,391.26 |
$22,951.20
|
|
Aspa gene
|
$316.20 |
$316.20 |
$316.20 |
$140.00
|
|
Asp core fat pad
|
$466.20 |
$466.20 |
$52,834.59 |
$1,189.32
|
|
Asp & inj bone cyst
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,440.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$12,193.56 |
$14,754.38 |
$18,330.48 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$865.80 |
$865.80 |
$865.80 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,289.12
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,267.59
|
|
Aspir/inj thyroid cyst 60300
|
$306.60 |
$643.80 |
$643.80 |
$873.00
|
|
Asp pq spinal cord cyst/syrinx
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,322.40
|
|
Assay dir meas fr estradiol
|
$90.00 |
$90.00 |
$90.00 |
$70.20
|
|
Assay of corticosterone
|
$48.60 |
$48.60 |
$48.60 |
$53.29
|
|
Assay of fluoride
|
$39.60 |
$39.60 |
$39.60 |
$115.83
|
|
Assay of glutathione
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Assay of interleukin-6 (il-6)
|
$84.00 |
$84.00 |
$84.00 |
$77.35
|
|
Assay of osteocalcin
|
$43.20 |
$43.20 |
$43.20 |
$93.00
|
|
Assay of procainamide w/metab
|
$45.60 |
$57.00 |
$57.00 |
$63.07
|
|
Assay of prostaglandin
|
$349.20 |
$349.20 |
$349.20 |
$218.50
|
|
Assay of salicylate
|
$123.00 |
$123.00 |
$123.00 |
$95.00
|
|
Assay of somatostatin
|
$502.20 |
$502.20 |
$502.20 |
$165.00
|
|
Assay of tyrosine
|
$52.80 |
$52.80 |
$52.80 |
$56.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$288.60 |
$303.00 |
$303.00 |
$292.50
|
|
Assess cyst contrast inject
|
$392.40 |
$392.40 |
$392.40 |
$465.50
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$40,612.82 |
$40,612.82 |
$40,612.82 |
$1,003.60
|
|
Ast/sgot
|
$48.00 |
$48.00 |
$48.00 |
$45.36
|
|
Augment injectable kit 3.0cc
|
$8,712.41 |
$8,712.41 |
$8,712.41 |
$6,607.44
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$14,446.20 |
$14,446.20 |
$14,446.20 |
$7,366.70
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,446.20 |
$14,446.20 |
$14,446.20 |
$10,530.57
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$924.72
|
|
Autolog prp diab wound ulcer
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$2,164.64
|
|
Autolog prp not diab ulcer
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$2,164.64
|
