|
Application long leg splint 29505
|
$276.96 |
$276.96 |
$276.96 |
$338.25
|
|
Application lower leg splint 29515
|
$276.96 |
$276.96 |
$276.96 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$275.04 |
$275.04 |
$275.04 |
$360.00
|
|
Application of cylinder cast 29365
|
$194.40 |
$194.40 |
$194.40 |
$421.50
|
|
Application of forearm cast 29075
|
$137.28 |
$137.28 |
$137.28 |
$331.13
|
|
Application of long arm cast 29065
|
$151.68 |
$151.68 |
$151.68 |
$395.00
|
|
Application of long leg cast
|
$220.32 |
$220.32 |
$220.32 |
$406.75
|
|
Application of long leg cast 29345
|
$210.24 |
$210.24 |
$210.24 |
$455.00
|
|
Application of paste boot 29580
|
$275.04 |
$275.04 |
$275.04 |
$320.00
|
|
Application short leg cast 29405
|
$125.28 |
$125.28 |
$125.28 |
$378.60
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,164.64
|
|
Appl mltpln uni ext fixj sys
|
$1,734.72 |
$1,734.72 |
$1,734.72 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.28 |
$45.28 |
$45.28 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$45.79 |
$45.79 |
$45.79 |
$75.98
|
|
Appl patllr tdn bearing cast
|
$193.44 |
$193.44 |
$193.44 |
$384.59
|
|
Appl unipln uni ext fixj sys
|
$918.24 |
$918.24 |
$918.24 |
$5,754.10
|
|
Apply finger cast 29086
|
$120.48 |
$120.48 |
$120.48 |
$225.29
|
|
Apply forearm splintdynamic 29126
|
$199.45 |
$199.45 |
$199.45 |
$243.60
|
|
Apply hand/wrist cast 29085
|
$150.24 |
$150.24 |
$150.24 |
$258.00
|
|
Apply of finger splint 29131
|
$141.45 |
$141.45 |
$141.45 |
$167.30
|
|
Apply rigid leg cast 29445
|
$481.44 |
$481.44 |
$481.44 |
$535.00
|
|
Apply short leg castambul type 29425
|
$117.12 |
$117.12 |
$117.12 |
$381.00
|
|
App mltpln uni xtrnl fix 1st
|
$1,785.60 |
$1,785.60 |
$1,785.60 |
$16,139.55
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,073.43 |
$1,073.43 |
$1,073.43 |
$1,073.43
|
|
Aquaporin-4 antibody cba each
|
$22.99 |
$22.99 |
$22.99 |
$132.86
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$62.58 |
$62.58 |
$62.58 |
$100.00
|
|
Aquatic exercise - group charge
|
$47.32 |
$47.32 |
$47.32 |
$86.90
|
|
Ar gene charac alleles
|
$279.84 |
$279.84 |
$279.84 |
$225.42
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,188.48 |
$1,188.48 |
$1,188.48 |
$1,349.46
|
|
Arterial blood draw/perc 36620
|
$66.24 |
$66.24 |
$66.24 |
$462.39
|
|
Arthrd wrist complete wo grf
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$7,907.11
|
|
Arthrd wrst iliac/oth agrft
|
$1,340.64 |
$1,340.64 |
$1,340.64 |
$6,411.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$189.27 |
$189.27 |
$189.27 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$459.36 |
$459.36 |
$459.36 |
$1,004.16
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$304.32 |
$304.32 |
$304.32 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$189.27 |
$189.27 |
$189.27 |
$459.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$189.27 |
$189.27 |
$189.27 |
$715.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$304.32 |
$304.32 |
$304.32 |
$682.55
|
|
Arthrodesis big toe joint 28760
|
$1,180.32 |
$1,180.32 |
$1,180.32 |
$5,886.74
|
|
Arthrodesis pantalar
|
$1,868.64 |
$1,868.64 |
$1,868.64 |
$15,372.00
|
|
Arthrodesis subtalar
|
$1,199.04 |
$1,199.04 |
$1,199.04 |
$11,971.85
|
|
Arthrodesis triple
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$12,151.68
|
|
Arthro, loose body + chondro
|
$129.60 |
$129.60 |
$129.60 |
$224.00
|
|
Arthroplasty finger joint 26535
|
$684.96 |
$684.96 |
$684.96 |
$3,959.30
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,047.84 |
$1,047.84 |
$1,047.84 |
$4,240.08
|
|
Arthrotomy carpometacarpal joint 26070
|
$506.88 |
$506.88 |
$506.88 |
$1,893.86
|
|
Arthrotomy/elbow/exp/drain/rmv fb 24000
|
$746.88 |
$746.88 |
$746.88 |
$3,839.54
|
|
Arthrotomy hip w/drainage
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$3,549.00
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$1,288.32 |
$1,288.32 |
$1,288.32 |
$4,499.12
|
|
Arthrs kne srg drlg ost diss
|
$1,170.24 |
$1,170.24 |
$1,170.24 |
$6,260.32
|
|
Arthrt elbow w/synovectomy
|
$959.04 |
$959.04 |
$959.04 |
$3,839.54
|
|
Arthrt elbw capsl exc rls
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$3,839.54
|
|
Arthrt elbw jt expl bx rmvl
|
$784.80 |
$784.80 |
$784.80 |
$3,839.54
|
|
Arthrt glenhumrl jt w/expl
|
$1,031.52 |
$1,031.52 |
$1,031.52 |
$5,886.74
|
|
Arthrt rdcrpl/midcarpl jt
|
$868.32 |
$868.32 |
$868.32 |
$3,821.05
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$259.68 |
$259.68 |
$259.68 |
$4,035.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$364.32 |
$364.32 |
$364.32 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$99.84 |
$99.84 |
$99.84 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$357.12 |
$357.12 |
$357.12 |
$1,132.59
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,184.16 |
$1,184.16 |
$1,184.16 |
$1,219.50
|
|
Aspiration peritonsillar abscess
|
$364.80 |
$364.80 |
$364.80 |
$376.20
|
|
Aspir/inj thyroid cyst 60300
|
$450.72 |
$450.72 |
$450.72 |
$844.00
|
|
Assay acid phosphatase
|
$37.14 |
$37.14 |
$37.14 |
$38.22
|
|
Assay of breath ethanol
|
$45.28 |
$45.28 |
$45.28 |
$45.76
|
|
Assay of glutathione
|
$32.56 |
$32.56 |
$32.56 |
$72.75
|
|
Assay of procainamide w/metab
|
$42.23 |
$42.23 |
$42.23 |
$70.50
|
|
Assay of prostaglandin
|
$209.12 |
$209.12 |
$209.12 |
$222.04
|
|
Assay of tyrosine
|
$20.89 |
$20.89 |
$20.89 |
$60.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$287.04 |
$287.04 |
$287.04 |
$288.60
|
|
Assess care plan pt w/cog impair 99483
|
$349.92 |
$349.92 |
$349.92 |
$165.30
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$30.02 |
$30.02 |
$30.02 |
$47.60
|
|
Assistive tech assessment, ot
|
$62.58 |
$62.58 |
$62.58 |
$96.08
|
|
Ast/sgot
|
$23.91 |
$23.91 |
$23.91 |
$46.59
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$21,651.49 |
$21,651.49 |
$21,651.49 |
$23,233.77
|
|
Atropine 0.1 mg/ml injection syringe
|
$48.14 |
$48.14 |
$48.14 |
$52.65
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$92.16 |
$92.16 |
$92.16 |
$186.60
|
|
Audiometry air + bone
|
$70.56 |
$70.56 |
$70.56 |
$181.65
|
|
Audit/dast 15-30 min
|
$43.68 |
$43.68 |
$43.68 |
$76.65
|
|
Audit/dast over 30 min
|
$84.48 |
$84.48 |
$84.48 |
$109.20
|
|
Aud rehab postling hear loss
|
$102.78 |
$102.78 |
$102.78 |
$237.09
|
|
Aud rehab pre-ling hear loss
|
$102.78 |
$102.78 |
$102.78 |
$203.45
|
|
Autgrft implnt knee w/scope
|
$1,621.92 |
$1,621.92 |
$1,621.92 |
$5,855.00
|
|
Autochondrocyte implant knee
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$8,123.20
|
|
Autologous blood op salvage
|
$475.20 |
$475.20 |
$475.20 |
$910.70
|
|
Avelumab 20 mg/ml intravenous solution
|
$3,913.88 |
$3,913.88 |
$3,913.88 |
$3,721.71
|
|
Avul nail plate addl
|
$50.40 |
$50.40 |
$50.40 |
$180.00
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$345.60 |
$345.60 |
$345.60 |
$318.75
|
|
Axillary lymphadenect/superficial 38740
|
$1,079.04 |
$1,079.04 |
$1,079.04 |
$6,094.22
|
|
Azacitidine injection
|
$1,171.66 |
$1,171.66 |
$1,171.66 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$5.46 |
$5.46 |
$5.46 |
$3.53
|
|
Azithromycin 500 mg intravenous solution
|
$70.52 |
$70.52 |
$70.52 |
$36.45
|
|
Azithromycin dihydrate, oral
|
$20.16 |
$20.16 |
$20.16 |
$47.66
|
|
Aztreonam 1 gram solution for injection
|
$127.67 |
$127.67 |
$127.67 |
$157.83
|
|
Baclofen eval charges
|
$65.64 |
$65.64 |
$65.64 |
$85.00
|
|
Bacterial meningitis antigen
|
$40.70 |
$40.70 |
$40.70 |
$66.30
|
|
Bacterial vaginosis pcr
|
$257.28 |
$257.28 |
$257.28 |
$264.95
|
|
#bac vag cand-c. albicans naa
|
$47.32 |
$47.32 |
$47.32 |
$105.00
|
|
Bartholin gland cyst/marsupializat 56440
|
$279.36 |
$279.36 |
$279.36 |
$3,982.44
|
|
B cells total count
|
$51.39 |
$51.39 |
$51.39 |
$121.90
|