|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,101.80 |
$3,101.80 |
$3,101.80 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,291.90 |
$2,291.90 |
$2,291.90 |
$508.18
|
|
Application finger splntstatic 29130
|
$897.00 |
$897.00 |
$897.00 |
$216.80
|
|
Application multi layer compression below knee (both sides)
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$397.00
|
|
Application of forearm cast 29075
|
$552.50 |
$552.50 |
$552.50 |
$379.20
|
|
Application of long arm cast 29065
|
$552.50 |
$552.50 |
$552.50 |
$404.63
|
|
Application of paste boot 29580
|
$1,199.90 |
$1,199.90 |
$1,199.90 |
$331.74
|
|
Application short leg cast 29405
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,120.95 |
$2,120.95 |
$2,120.95 |
$2,120.95
|
|
Applicator tag rfid localizer 12gx7cm
|
$59.07 |
$59.07 |
$59.07 |
$168.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$69.55 |
$69.55 |
$69.55 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$81.25 |
$81.25 |
$81.25 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$339.69
|
|
Apply finger cast 29086
|
$400.40 |
$400.40 |
$400.40 |
$225.29
|
|
Apply hand/wrist cast 29085
|
$795.60 |
$795.60 |
$795.60 |
$272.46
|
|
Apply interstit radiat compl
|
$3,207.75 |
$3,207.75 |
$3,207.75 |
$2,877.50
|
|
Apply rigid leg cast 29445
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$608.00
|
|
Apply short leg castambul type 29425
|
$1,647.10 |
$1,647.10 |
$1,647.10 |
$408.75
|
|
#aptt mix-1:1 incubated
|
$146.25 |
$146.25 |
$146.25 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$345.80 |
$345.80 |
$345.80 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$120.25 |
$120.25 |
$120.25 |
$98.90
|
|
Aquatic exercise - group charge
|
$85.80 |
$85.80 |
$85.80 |
$87.60
|
|
Argatroban nonesrd (auromed)
|
$4.97 |
$4.97 |
$4.97 |
$1.49
|
|
Argatroban nonesrd use 1mg
|
$368.06 |
$383.14 |
$412.20 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$9,612.72 |
$11,591.94 |
$11,591.94 |
$6,920.52
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$18.92 |
$90.97 |
$148.23 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$649.35 |
$649.35 |
$649.35 |
$505.60
|
|
Artery xray each vessel 7577426
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$5,526.30 |
$5,526.30 |
$5,526.30 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$2,198.95 |
$2,198.95 |
$2,198.95 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,409.25 |
$3,409.25 |
$3,409.25 |
$3,844.10
|
|
Artery x-rays chest
|
$1,785.55 |
$1,785.55 |
$1,785.55 |
$2,587.20
|
|
Artery x-rays lung
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$2,921.88
|
|
Artery x-rays lung
|
$3,115.45 |
$3,115.45 |
$3,115.45 |
$2,332.57
|
|
Artery x-rays lungs
|
$3,378.05 |
$3,378.05 |
$3,378.05 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$5,526.30 |
$5,526.30 |
$5,526.30 |
$4,086.49
|
|
Artery x-rays spine
|
$5,526.30 |
$5,526.30 |
$5,526.30 |
$4,306.40
|
|
Arthrd si jt perq/min nvas
|
$98,961.20 |
$98,961.20 |
$98,961.20 |
$17,150.30
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$3,706.30 |
$3,706.30 |
$3,706.30 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$5,710.90 |
$5,710.90 |
$5,710.90 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$6,267.30 |
$6,267.30 |
$6,267.30 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$3,370.90 |
$3,370.90 |
$3,370.90 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$4,041.70 |
$4,041.70 |
$4,041.70 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$4,598.10 |
$4,598.10 |
$4,598.10 |
$686.37
|
|
Artiss fibrin sealant
|
$461.99 |
$461.99 |
$461.99 |
$342.99
|
|
Ascenda two piece catheter
|
$22,538.68 |
$22,538.68 |
$22,538.68 |
$22,538.68
|
|
Aspa gene
|
$336.70 |
$336.70 |
$336.70 |
$127.86
|
|
Asp core fat pad
|
$1,561.30 |
$1,561.30 |
$1,561.30 |
$1,214.75
|
|
Asp & inj bone cyst
|
$1,166.75 |
$1,166.75 |
$1,166.75 |
$973.71
|
|
Asp & inj w/heparin pleurx cath
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,710.20 |
$3,710.20 |
$3,710.20 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$1,442.35 |
$1,442.35 |
$1,442.35 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$4,823.00 |
$4,823.00 |
$4,823.00 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$3,331.90 |
$3,331.90 |
$3,331.90 |
$1,273.63
|
|
Aspir/inj thyroid cyst 60300
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$833.29
|
|
Asp pq spinal cord cyst/syrinx
|
$14,833.00 |
$14,833.00 |
$14,833.00 |
$1,133.00
|
|
Assay dir meas fr estradiol
|
$506.35 |
$506.35 |
$506.35 |
$76.80
|
|
Assay myeloperoxidase
|
$87.75 |
$87.75 |
$87.75 |
$84.19
|
|
Assay of adp & amp
|
$117.00 |
$117.00 |
$117.00 |
$127.40
|
|
Assay of blood lipoprotein
|
$50.05 |
$50.05 |
$50.05 |
$27.20
|
|
Assay of corticosterone
|
$46.15 |
$46.15 |
$46.15 |
$47.10
|
|
Assay of digoxin free
|
$511.55 |
$511.55 |
$511.55 |
$24.52
|
|
Assay of feces porphyrins
|
$246.35 |
$246.35 |
$246.35 |
$168.62
|
|
Assay of fluoride
|
$125.45 |
$125.45 |
$125.45 |
$96.85
|
|
Assay of galactose
|
$723.45 |
$723.45 |
$723.45 |
$48.13
|
|
Assay of glucosidase
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$143.24
|
|
Assay of glutathione
|
$685.10 |
$685.10 |
$685.10 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$146.90 |
$146.90 |
$146.90 |
$77.35
|
|
Assay of leflunomide
|
$66.95 |
$66.95 |
$66.95 |
$112.70
|
|
Assay of lrh hormone
|
$490.75 |
$490.75 |
$490.75 |
$210.60
|
|
Assay of osteocalcin
|
$89.05 |
$89.05 |
$89.05 |
$97.21
|
|
Assay of procainamide w/metab
|
$96.20 |
$96.20 |
$96.20 |
$61.20
|
|
Assay of prostaglandin
|
$898.30 |
$898.30 |
$898.30 |
$216.45
|
|
Assay of salicylate
|
$130.65 |
$130.65 |
$130.65 |
$105.95
|
|
Assay of semen fructose
|
$201.50 |
$201.50 |
$201.50 |
$53.00
|
|
Assay of silica
|
$372.45 |
$372.45 |
$372.45 |
$64.00
|
|
Assay of somatostatin
|
$339.30 |
$339.30 |
$339.30 |
$165.75
|
|
Assay of thiocyanate
|
$102.70 |
$102.70 |
$102.70 |
$57.00
|
|
Assay of tyrosine
|
$146.90 |
$146.90 |
$146.90 |
$56.10
|
|
Assay of urine sulfate
|
$72.80 |
$72.80 |
$72.80 |
$31.35
|
|
Assay phosphatidylglycerol
|
$163.15 |
$163.15 |
$163.15 |
$87.20
|
|
Assay phosphohexose enzymes
|
$477.10 |
$477.10 |
$477.10 |
$73.60
|
|
Assay toxin or antitoxin
|
$83.85 |
$83.85 |
$83.85 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$318.50 |
$318.50 |
$318.50 |
$312.00
|
|
Assess cyst contrast inject
|
$624.00 |
$624.00 |
$624.00 |
$447.33
|
|
Assistive tech assessment, ot
|
$59.80 |
$59.80 |
$59.80 |
$76.93
|
|
Ast/sgot
|
$6.50 |
$6.50 |
$6.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$31,301.37 |
$31,301.37 |
$31,301.37 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$32,888.70 |
$32,888.70 |
$32,888.70 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$28,918.50 |
$28,918.50 |
$28,918.50 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$24.05 |
$24.34 |
$24.57 |
$43.01
|
|
Audiometry air + bone
|
$86.45 |
$86.45 |
$86.45 |
$176.93
|
|
Augment injectable kit 3.0cc
|
$4,574.99 |
$4,574.99 |
$4,574.99 |
$6,285.56
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$8,812.70 |
$8,812.70 |
$8,812.70 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$17,314.05 |
$17,314.05 |
$17,314.05 |
$10,578.36
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$3,027.05 |
$3,027.05 |
$3,027.05 |
$924.72
|
|
Autologous blood op salvage
|
$6,072.95 |
$6,072.95 |
$6,072.95 |
$910.70
|