|
Angio tib/peroneal/init ves/unila 37228
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$10,513.36
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$8,891.50 |
$8,891.50 |
$8,891.50 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,316.00 |
$4,316.00 |
$4,316.00 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$8,891.50 |
$8,891.50 |
$8,891.50 |
$8,466.00
|
|
Ankle X-ray
|
$221.50 |
$221.50 |
$221.50 |
$352.80
|
|
Anterior thoracic extension
|
$612.00 |
$612.00 |
$612.00 |
$496.80
|
|
Antibody elution rbc reference
|
$218.00 |
$218.00 |
$218.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$104.00 |
$104.00 |
$104.00 |
$131.28
|
|
Antibody htlv-i
|
$70.50 |
$70.50 |
$70.50 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$343.50 |
$343.50 |
$343.50 |
$219.30
|
|
Antibody id rbc panel
|
$321.50 |
$321.50 |
$321.50 |
$290.21
|
|
Antibody influenza virus
|
$64.50 |
$64.50 |
$64.50 |
$53.90
|
|
Antibody screen rbc
|
$85.50 |
$85.50 |
$85.50 |
$106.88
|
|
Antidepressant not specified
|
$90.00 |
$90.00 |
$90.00 |
$72.14
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$227.50 |
$227.50 |
$227.50 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$43.50 |
$43.50 |
$43.50 |
$42.00
|
|
Antinuclear antibodies
|
$134.00 |
$134.00 |
$134.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$126.50 |
$126.50 |
$126.50 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$95.50 |
$95.50 |
$95.50 |
$64.50
|
|
Antipsychotics nos 1-3
|
$93.00 |
$93.00 |
$93.00 |
$137.80
|
|
Antistreptolysin o titer
|
$121.00 |
$121.00 |
$121.00 |
$52.50
|
|
Antithrombin iii activity
|
$373.00 |
$373.00 |
$373.00 |
$114.00
|
|
Apheresis plasma
|
$1,454.00 |
$1,454.00 |
$1,454.00 |
$3,188.50
|
|
Apl(pml-rara) quant - sendout
|
$1,230.50 |
$1,230.50 |
$1,230.50 |
$500.80
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$2,112.66
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,116.00 |
$3,116.00 |
$3,116.00 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,181.00 |
$2,181.00 |
$2,181.00 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$899.50 |
$899.50 |
$899.50 |
$508.18
|
|
Application finger splntstatic 29130
|
$216.50 |
$216.50 |
$216.50 |
$208.50
|
|
Application long leg splint 29505
|
$263.00 |
$263.00 |
$263.00 |
$338.25
|
|
Application lower leg splint 29515
|
$263.00 |
$263.00 |
$263.00 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$185.00 |
$185.00 |
$185.00 |
$370.92
|
|
Application of cylinder cast 29365
|
$137.50 |
$137.50 |
$137.50 |
$431.08
|
|
Application of forearm cast 29075
|
$464.50 |
$464.50 |
$464.50 |
$356.50
|
|
Application of long arm cast 29065
|
$464.50 |
$464.50 |
$464.50 |
$395.45
|
|
Application of long leg cast 29345
|
$464.50 |
$464.50 |
$464.50 |
$455.00
|
|
Application of paste boot 29580
|
$130.50 |
$130.50 |
$130.50 |
$336.00
|
|
Application short leg cast 29405
|
$464.50 |
$464.50 |
$464.50 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,241.50 |
$2,241.50 |
$2,241.50 |
$2,123.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$135.50 |
$135.50 |
$135.50 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$130.00 |
$130.00 |
$130.00 |
$76.80
|
|
Apply forearm splintdynamic 29126
|
$125.00 |
$125.00 |
$125.00 |
$248.95
|
|
Apply hand/wrist cast 29085
|
$263.00 |
$263.00 |
$263.00 |
$267.20
|
|
Apply of finger splint 29131
|
$237.50 |
$237.50 |
$237.50 |
$177.45
|
|
Apply rigid leg cast 29445
|
$367.00 |
$367.00 |
$367.00 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$441.50 |
$441.50 |
$441.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$510.50 |
$510.50 |
$510.50 |
$244.50
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$137.50 |
$137.50 |
$137.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$104.50 |
$104.50 |
$104.50 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$373.00 |
$373.00 |
$373.00 |
$485.69
|
|
Artery-vein nonautograft
|
$9,213.00 |
$9,213.00 |
$9,213.00 |
$6,934.40
|
|
Artery xray each vessel 7577426
|
$735.00 |
$735.00 |
$735.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$4,515.50
|
|
Artery x-rays arm/leg 75710-26
|
$3,011.50 |
$3,011.50 |
$3,011.50 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,854.50 |
$3,854.50 |
$3,854.50 |
$3,729.00
|
|
Artery x-rays chest
|
$852.00 |
$852.00 |
$852.00 |
$2,785.15
|
|
Artery x-rays lung
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$3,286.20
|
|
Artery x-rays lung
|
$933.00 |
$933.00 |
$933.00 |
$2,380.80
|
|
Artery x-rays lungs
|
$2,662.00 |
$2,662.00 |
$2,662.00 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$4,306.40
|
|
Artery x-rays spine
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$4,500.95
|
|
Arthrd si jt perq/min nvas
|
$13,705.00 |
$13,705.00 |
$13,705.00 |
$15,959.91
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$319.50 |
$319.50 |
$319.50 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$413.50 |
$413.50 |
$413.50 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$556.00 |
$556.00 |
$556.00 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$308.50 |
$308.50 |
$308.50 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$556.00 |
$556.00 |
$556.00 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$191.50 |
$191.50 |
$191.50 |
$699.00
|
|
Ascenda two piece catheter
|
$25,778.50 |
$25,778.50 |
$25,778.50 |
$23,074.63
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$534.00 |
$534.00 |
$534.00 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$959.00 |
$959.00 |
$959.00 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$550.50 |
$550.50 |
$550.50 |
$1,226.87
|
|
Assay of corticosterone
|
$92.50 |
$92.50 |
$92.50 |
$55.20
|
|
Assay of interleukin-6 (il-6)
|
$330.00 |
$330.00 |
$330.00 |
$79.68
|
|
Assay of leflunomide
|
$49.00 |
$49.00 |
$49.00 |
$92.50
|
|
Assay of osteocalcin
|
$110.00 |
$110.00 |
$110.00 |
$92.50
|
|
Assay of prostaglandin
|
$805.00 |
$805.00 |
$805.00 |
$222.60
|
|
Assay of salicylate
|
$139.50 |
$139.50 |
$139.50 |
$95.00
|
|
Assay of thiocyanate
|
$92.00 |
$92.00 |
$92.00 |
$72.60
|
|
Assay of tyrosine
|
$18.00 |
$18.00 |
$18.00 |
$56.10
|
|
Assay of urine sulfate
|
$46.00 |
$46.00 |
$46.00 |
$28.20
|
|
Assay toxin or antitoxin
|
$200.00 |
$200.00 |
$200.00 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$152.00 |
$152.00 |
$152.00 |
$300.00
|
|
Assess care plan pt w/cog impair 99483
|
$86.00 |
$86.00 |
$86.00 |
$165.30
|
|
Assess cyst contrast inject
|
$95.50 |
$95.50 |
$95.50 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$26.50 |
$26.50 |
$26.50 |
$46.90
|
|
Ast/sgot
|
$110.00 |
$110.00 |
$110.00 |
$45.60
|
|
Asxl1 gene target seq alys
|
$303.00 |
$303.00 |
$303.00 |
$378.00
|
|
Athrectomy fem/pop/unilateral 37225
|
$11,509.00 |
$11,509.00 |
$11,509.00 |
$16,409.51
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$11,509.00 |
$11,509.00 |
$11,509.00 |
$15,188.25
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$137.50 |
$137.50 |
$137.50 |
$188.16
|
|
Augment injectable kit 3.0cc
|
$10,123.50 |
$10,123.50 |
$10,123.50 |
$7,157.00
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$6,044.00 |
$6,044.00 |
$6,044.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$10,072.50 |
$10,072.50 |
$10,072.50 |
$10,384.40
|
|
Avul nail plate addl
|
$118.50 |
$118.50 |
$118.50 |
$187.20
|
