|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$239.00 |
$239.00 |
$239.00 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,047.50 |
$3,047.50 |
$3,047.50 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$313.50 |
$313.50 |
$313.50 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$239.00 |
$239.00 |
$239.00 |
$498.81
|
|
Application clubfoot cast
|
$187.00 |
$187.00 |
$187.00 |
$297.33
|
|
Application finger splntstatic 29130
|
$153.00 |
$153.00 |
$153.00 |
$208.16
|
|
Application long leg splint 29505
|
$216.00 |
$216.00 |
$216.00 |
$338.25
|
|
Application lower leg splint 29515
|
$289.00 |
$289.00 |
$289.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$639.00 |
$639.00 |
$639.00 |
$373.20
|
|
Application of cylinder cast 29365
|
$321.50 |
$321.50 |
$321.50 |
$420.00
|
|
Application of forearm cast 29075
|
$356.50 |
$356.50 |
$356.50 |
$339.30
|
|
Application of long arm cast 29065
|
$356.50 |
$356.50 |
$356.50 |
$395.00
|
|
Application of long leg cast
|
$356.50 |
$356.50 |
$356.50 |
$426.00
|
|
Application of long leg cast 29345
|
$429.00 |
$429.00 |
$429.00 |
$455.00
|
|
Application of paste boot 29580
|
$425.00 |
$425.00 |
$425.00 |
$331.74
|
|
Application short leg cast 29405
|
$356.50 |
$356.50 |
$356.50 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$527.50 |
$527.50 |
$527.50 |
$744.90
|
|
Appl mltpln uni ext fixj sys
|
$2,929.00 |
$2,929.00 |
$2,929.00 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.50 |
$33.50 |
$33.50 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$66.50 |
$66.50 |
$66.50 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$210.00 |
$210.00 |
$210.00 |
$292.60
|
|
Appl patllr tdn bearing cast
|
$321.50 |
$321.50 |
$321.50 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$5,800.50 |
$5,800.50 |
$5,800.50 |
$5,801.00
|
|
Apply finger cast 29086
|
$187.00 |
$187.00 |
$187.00 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$224.50 |
$224.50 |
$224.50 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$240.00 |
$240.00 |
$240.00 |
$259.20
|
|
Apply rigid leg cast 29445
|
$550.00 |
$550.00 |
$550.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$426.50 |
$426.50 |
$426.50 |
$381.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$390.00 |
$390.00 |
$390.00 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$165.00 |
$165.00 |
$165.00 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$846.50 |
$846.50 |
$846.50 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$603.50 |
$603.50 |
$603.50 |
$148.80
|
|
Aquatic exercise - group charge
|
$481.00 |
$481.00 |
$481.00 |
$85.80
|
|
Aqueous shunt eye w/graft
|
$3,427.00 |
$3,427.00 |
$3,427.00 |
$5,716.03
|
|
Arterial blood draw/perc 36620
|
$201.00 |
$201.00 |
$201.00 |
$485.69
|
|
Artery-vein nonautograft
|
$5,490.00 |
$5,490.00 |
$5,490.00 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$6,552.00 |
$6,552.00 |
$6,552.00 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,413.00 |
$3,413.00 |
$3,413.00 |
$3,729.00
|
|
Artery x-rays lung
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,279.12
|
|
Artery x-rays lung
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$2,451.75
|
|
Artery x-rays lungs
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$4,134.14
|
|
Arthrd ant ntrbd min dsc crv
|
$8,474.75 |
$8,474.75 |
$8,474.75 |
$10,629.07
|
|
Arthrd ant ntrbdy cervical
|
$6,449.75 |
$6,449.75 |
$6,449.75 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$10,666.47 |
$10,666.47 |
$10,666.47 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$1,499.95 |
$1,499.95 |
$1,499.95 |
$4,627.00
|
|
Arthrd si jt perq/min nvas
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$15,372.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$790.00 |
$790.00 |
$790.00 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$404.50 |
$404.50 |
$404.50 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$706.00 |
$706.00 |
$706.00 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$790.00 |
$790.00 |
$790.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$383.50 |
$383.50 |
$383.50 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$3,749.88 |
$3,749.88 |
$3,749.88 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$2,195.25 |
$2,195.25 |
$2,195.25 |
$822.60
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$11,924.50 |
$11,924.50 |
$11,924.50 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$1,687.46 |
$1,687.46 |
$1,687.46 |
$3,248.42
|
|
Arthrodesis subtalar
|
$4,887.50 |
$4,887.50 |
$4,887.50 |
$13,057.20
|
|
Arthro, loose body + chondro
|
$868.83 |
$868.83 |
$868.83 |
$224.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$2,677.33 |
$2,677.33 |
$2,677.33 |
$4,240.08
|
|
Arthro/shoul surg; w/spacer
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
$15,226.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$4,581.50 |
$4,581.50 |
$4,581.50 |
$4,627.00
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$1,597.33 |
$1,597.33 |
$1,597.33 |
$4,194.13
|
|
Ascvd rsk mng clin stf pr mo
|
$104.00 |
$104.00 |
$104.00 |
$109.46
|
|
Asp core fat pad
|
$692.50 |
$692.50 |
$692.50 |
$939.95
|
|
Asp & inj w/heparin pleurx cath
|
$976.50 |
$976.50 |
$976.50 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$379.00 |
$379.00 |
$379.00 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$309.00 |
$309.00 |
$309.00 |
$431.20
|
|
Asp pq spinal cord cyst/syrinx
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$1,270.92
|
|
Assay alkaline phosphatase
|
$18.50 |
$18.50 |
$18.50 |
$51.60
|
|
Assay of androsterone
|
$195.00 |
$195.00 |
$195.00 |
$194.79
|
|
Assay of corticosterone
|
$176.50 |
$176.50 |
$176.50 |
$56.80
|
|
Assay of interleukin-6 (il-6)
|
$172.21 |
$172.21 |
$172.21 |
$79.97
|
|
Assay of leflunomide
|
$114.00 |
$114.00 |
$114.00 |
$100.65
|
|
Assay of neonatal thyroxine
|
$8.50 |
$8.50 |
$8.50 |
$19.06
|
|
Assay of osteocalcin
|
$21.60 |
$21.60 |
$21.60 |
$92.50
|
|
Assay of prostaglandin
|
$320.00 |
$320.00 |
$320.00 |
$218.50
|
|
Assay of salicylate
|
$102.00 |
$102.00 |
$102.00 |
$95.00
|
|
Assay of somatostatin
|
$89.37 |
$89.37 |
$89.37 |
$165.00
|
|
Assay of thiocyanate
|
$104.00 |
$104.00 |
$104.00 |
$65.00
|
|
Assay of tyrosine
|
$338.00 |
$338.00 |
$338.00 |
$60.00
|
|
Assay of urine sulfate
|
$24.50 |
$24.50 |
$24.50 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$160.50 |
$160.50 |
$160.50 |
$292.50
|
|
Assess care plan pt w/cog impair 99483
|
$117.00 |
$117.00 |
$117.00 |
$165.30
|
|
Assess cyst contrast inject
|
$920.50 |
$920.50 |
$920.50 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$29.00 |
$29.00 |
$29.00 |
$49.80
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$2,356.67 |
$2,356.67 |
$2,356.67 |
$920.00
|
|
Ast/sgot
|
$11.50 |
$11.50 |
$11.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$21,848.20 |
$21,848.20 |
$21,848.20 |
$23,166.53
|
|
Atomic absorption
|
$226.00 |
$226.00 |
$226.00 |
$71.50
|
|
Atropine 0.1 mg/ml injection syringe
|
$26.60 |
$26.60 |
$26.60 |
$51.28
|
