|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$38.50
|
|
Ant instr 2-3 vert segm 22845
|
$102,018.03 |
$102,018.03 |
$102,018.03 |
$1,748.00
|
|
Antinuclear antibodies
|
$151.20 |
$151.20 |
$151.20 |
$91.65
|
|
Antinuclear antibodies titer
|
$156.00 |
$156.00 |
$156.00 |
$75.60
|
|
Antiphosphatidylserine antibody
|
$111.60 |
$111.60 |
$111.60 |
$58.24
|
|
Antistreptolysin o screen
|
$96.60 |
$96.60 |
$96.60 |
$59.40
|
|
Antistreptolysin o titer
|
$36.60 |
$36.60 |
$36.60 |
$52.50
|
|
Antithrombin iii activity
|
$213.00 |
$213.00 |
$213.00 |
$114.00
|
|
Antithrombin iii injection
|
$35,724.60 |
$35,724.60 |
$35,724.60 |
$12.34
|
|
Antithymocyte globuln rabbit
|
$9,873.78 |
$9,873.78 |
$9,873.78 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$73,837.31 |
$73,837.31 |
$73,837.31 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$991.87
|
|
Aortic dysfunction/dilation
|
$1,031.40 |
$1,031.40 |
$1,031.40 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$463.20 |
$463.20 |
$463.20 |
$400.00
|
|
Apc gene full sequence
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,102.34
|
|
Apc gene known fam variants
|
$319.20 |
$319.20 |
$319.20 |
$316.20
|
|
Apl(pml-rara) quant - sendout
|
$382.20 |
$382.20 |
$382.20 |
$458.85
|
|
Appendix Removal (Laparoscopic)
|
$132,354.23 |
$132,354.23 |
$132,354.23 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,002.20 |
$2,002.20 |
$2,002.20 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$834.60 |
$834.60 |
$834.60 |
$825.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$10,097.71 |
$10,097.71 |
$10,097.71 |
$510.25
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$76,731.41 |
$76,731.41 |
$76,731.41 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$53,210.18 |
$53,210.18 |
$53,210.18 |
$1,078.65
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$46,923.88 |
$46,923.88 |
$46,923.88 |
$498.81
|
|
Application finger splntstatic 29130
|
$655.20 |
$655.20 |
$655.20 |
$204.00
|
|
Application long leg splint 29505
|
$655.20 |
$655.20 |
$655.20 |
$338.25
|
|
Application lower leg splint 29515
|
$660.60 |
$660.60 |
$660.60 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$373.20 |
$373.20 |
$373.20 |
$360.00
|
|
Application of cylinder cast 29365
|
$816.60 |
$816.60 |
$816.60 |
$421.50
|
|
Application of forearm cast 29075
|
$1,369.80 |
$1,369.80 |
$1,369.80 |
$331.13
|
|
Application of long arm cast 29065
|
$644.40 |
$644.40 |
$644.40 |
$395.00
|
|
Application of long leg cast 29345
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$455.00
|
|
Application of paste boot 29580
|
$373.20 |
$373.20 |
$373.20 |
$320.00
|
|
Application short leg cast 29405
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$378.60
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$75,902.96 |
$75,902.96 |
$75,902.96 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$46,923.88 |
$46,923.88 |
$46,923.88 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$7,534.25 |
$7,534.25 |
$7,534.25 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$40.80 |
$40.80 |
$40.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$84.60 |
$84.60 |
$84.60 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$63.60 |
$63.60 |
$63.60 |
$49.92
|
|
Apply forearm splintdynamic 29126
|
$655.20 |
$655.20 |
$655.20 |
$243.60
|
|
Apply halo w/removal cranial
|
$2,447.40 |
$2,447.40 |
$2,447.40 |
$1,367.60
|
|
Apply interstit radiat compl
|
$8,436.60 |
$8,436.60 |
$8,436.60 |
$2,901.80
|
|
Apply of finger splint 29131
|
$106.20 |
$106.20 |
$106.20 |
$167.30
|
|
Apply rigid leg cast 29445
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$535.00
|
|
Apply short leg castambul type 29425
|
$492.00 |
$492.00 |
$492.00 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$42.00 |
$42.00 |
$42.00 |
$152.75
|
|
Aqaprn-4 antb flo cytmtry ea
|
$165.60 |
$165.60 |
$165.60 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$314.40 |
$314.40 |
$314.40 |
$132.86
|
|
Aquaporin-4 antibody elisa
|
$148.80 |
$148.80 |
$148.80 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$193.80 |
$193.80 |
$193.80 |
$100.00
|
|
Aquatic exercise - group charge
|
$102.00 |
$102.00 |
$102.00 |
$86.90
|
|
Arch supp att to shoe long/m
|
$110.83 |
$110.83 |
$110.83 |
$96.31
|
|
Arch supp att to shoe metata
|
$86.57 |
$86.57 |
$86.57 |
$76.80
|
|
Arch suprt att to sho longit
|
$86.57 |
$86.57 |
$86.57 |
$75.23
|
|
Arformoterol non-comp unit
|
$42.48 |
$42.48 |
$42.48 |
$25.00
|
|
Argatroban esrd dialysis 1mg
|
$1,748.94 |
$1,748.94 |
$1,748.94 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$218.25
|
|
Argatroban nonesrd use 1mg
|
$2,952.48 |
$2,952.48 |
$2,952.48 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$0.06 |
$0.06 |
$0.06 |
$6,230.36
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$9,061.62 |
$9,061.62 |
$9,061.62 |
$1,349.46
|
|
Art bypass axill-fem-femoral 35654
|
$11,673.00 |
$11,673.00 |
$11,673.00 |
$3,058.80
|
|
Art bypass carotid-subclavian 35606
|
$19,841.40 |
$19,841.40 |
$19,841.40 |
$5,724.80
|
|
Art bypass femoral-femoral 35661
|
$12,970.20 |
$12,970.20 |
$12,970.20 |
$5,291.20
|
|
Art bypass iliofemoral 35665
|
$12,970.20 |
$12,970.20 |
$12,970.20 |
$2,444.00
|
|
Arterial blood draw/perc 36620
|
$282.00 |
$282.00 |
$282.00 |
$462.39
|
|
Artery-vein nonautograft
|
$82,882.64 |
$82,882.64 |
$82,882.64 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$3,870.60 |
$3,870.60 |
$3,870.60 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$9,087.00 |
$9,087.00 |
$9,087.00 |
$4,324.80
|
|
Artery x-rays adrenal gland
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$3,320.35
|
|
Artery x-rays adrenals
|
$4,681.80 |
$4,681.80 |
$4,681.80 |
$3,729.00
|
|
Artery x-rays arm/leg 75710-26
|
$142,883.51 |
$142,883.51 |
$142,883.51 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$8,482.20 |
$8,482.20 |
$8,482.20 |
$3,724.63
|
|
Artery x-rays chest
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$2,628.15
|
|
Artery x-rays lung
|
$3,703.80 |
$3,703.80 |
$3,703.80 |
$3,158.72
|
|
Artery x-rays lung
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$2,427.50
|
|
Artery x-rays lungs
|
$7,975.80 |
$7,975.80 |
$7,975.80 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$8,083.20 |
$8,083.20 |
$8,083.20 |
$4,086.49
|
|
Artery x-rays spine
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$4,294.50
|
|
Arthrd ant ntrbd min dsc crv
|
$73,670.18 |
$73,670.18 |
$73,670.18 |
$9,174.75
|
|
Arthrd ant ntrbdy cervical
|
$79,176.74 |
$79,176.74 |
$79,176.74 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$112,771.03 |
$112,771.03 |
$112,771.03 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$141,923.20 |
$141,923.20 |
$141,923.20 |
$4,627.00
|
|
Arthrd si jt perq/min nvas
|
$110,456.48 |
$110,456.48 |
$110,456.48 |
$15,372.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$39,990.85 |
$39,990.85 |
$39,990.85 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,004.16
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$3,178.80 |
$3,178.80 |
$3,178.80 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$459.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$101,202.44 |
$101,202.44 |
$101,202.44 |
$715.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$910.20 |
$910.20 |
$910.20 |
$682.55
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$93,333.75 |
$93,333.75 |
$93,333.75 |
$952.80
|
|
Arthrodesis/combine app/ea add 22634
|
$142,259.44 |
$142,259.44 |
$142,259.44 |
$1,193.60
|
|
Arthrodesis pantalar
|
$75,604.58 |
$75,604.58 |
$75,604.58 |
$15,372.00
|
|
Arthrodesis/post interbdy/ea add 22632
|
$146,950.24 |
$146,950.24 |
$146,950.24 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$82,246.24 |
$82,246.24 |
$82,246.24 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$111,199.99 |
$111,199.99 |
$111,199.99 |
$2,806.94
|
|
Arthrodesis subtalar
|
$136,938.29 |
$136,938.29 |
$136,938.29 |
$11,971.85
|
|
Arthrodesis triple
|
$77,453.75 |
$77,453.75 |
$77,453.75 |
$12,151.68
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$51,137.31 |
$51,137.31 |
$51,137.31 |
$4,240.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$23,635.68 |
$23,635.68 |
$23,635.68 |
$4,499.12
|
