|
2nd order venous cath
|
$2,421.60 |
$2,421.60 |
$2,421.60 |
$1,532.04
|
|
3d recon without postprocess indpndt
|
$598.40 |
$598.40 |
$598.40 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$80.00 |
$80.00 |
$80.00 |
$48.00
|
|
Abd aorta w/runoff s&i
|
$4,833.60 |
$4,833.60 |
$4,833.60 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,120.80 |
$2,120.80 |
$2,120.80 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,623.20 |
$1,623.20 |
$1,623.20 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$958.40 |
$958.40 |
$958.40 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$2,429.60 |
$2,429.60 |
$2,429.60 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,937.60 |
$3,937.60 |
$3,937.60 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$2,902.40 |
$2,902.40 |
$2,902.40 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$952.80 |
$952.80 |
$952.80 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$741.60 |
$741.60 |
$741.60 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$385.60 |
$385.60 |
$385.60 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$571.20 |
$571.20 |
$571.20 |
$418.63
|
|
Abdominal X-ray (single view)
|
$303.20 |
$303.20 |
$303.20 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$1,148.40
|
|
Ablate bone tumor(s) perq
|
$11,768.00 |
$11,768.00 |
$11,768.00 |
$9,511.44
|
|
Ablate pulm tumor perq rf
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,594.40 |
$1,594.40 |
$1,594.40 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$9,210.40 |
$9,210.40 |
$9,210.40 |
$2,312.80
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$3,445.60 |
$3,445.60 |
$3,445.60 |
$441.09
|
|
Ablation cryo retro lymph node
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$857.60
|
|
Ablation cryo thigh/knee
|
$4,324.80 |
$4,324.80 |
$4,324.80 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$2,614.40 |
$2,614.40 |
$2,614.40 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$3,902.40 |
$3,902.40 |
$3,902.40 |
$3,050.40
|
|
Acetylcysteine non-comp unit
|
$43.42 |
$43.42 |
$43.42 |
$31.21
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$412.80 |
$412.80 |
$412.80 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$33.60 |
$33.60 |
$33.60 |
$38.50
|
|
Acyclovir 400 mg tablet
|
$317.63 |
$317.63 |
$317.63 |
$54.77
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$33.97 |
$33.97 |
$33.97 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$299.20 |
$299.20 |
$299.20 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$337.60 |
$337.60 |
$337.60 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$720.00 |
$720.00 |
$720.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$369.60 |
$369.60 |
$369.60 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$212.80 |
$212.80 |
$212.80 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$220.00 |
$220.00 |
$220.00 |
$256.49
|
|
Administration immunization each additional vaccine
|
$55.20 |
$55.20 |
$55.20 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$33.60 |
$33.60 |
$33.60 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$32.80 |
$32.80 |
$32.80 |
$30.24
|
|
Aep hearing status deter i&r
|
$144.00 |
$144.00 |
$144.00 |
$303.00
|
|
Air injection into abdomen 49400
|
$967.20 |
$967.20 |
$967.20 |
$525.60
|
|
Albuterol ipratrop non-comp
|
$4.50 |
$4.50 |
$4.50 |
$5.67
|
|
Albuterol non-comp con
|
$3.60 |
$3.60 |
$3.60 |
$6.07
|
|
Albuterol non-comp unit
|
$4.93 |
$4.93 |
$4.93 |
$5.40
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$479.20 |
$479.20 |
$479.20 |
$6,285.56
|
|
Amniocentesisdiagnostic 59000
|
$675.20 |
$675.20 |
$675.20 |
$942.60
|
|
Amniocentesis therapeutic
|
$751.20 |
$751.20 |
$751.20 |
$791.05
|
|
Amputation toe metatarsophalangeal joint
|
$4,535.20 |
$4,535.20 |
$4,535.20 |
$3,839.54
|
|
Analysis tumor
|
$208.80 |
$208.80 |
$208.80 |
$248.80
|
|
Anastrozole 1 mg
|
$1.20 |
$1.20 |
$1.20 |
$22.40
|
|
An cholangiogram percutaneous compl
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$2,480.94
|
|
An fluoro guide for cvp
|
$785.60 |
$785.60 |
$785.60 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$10,348.80 |
$10,348.80 |
$10,348.80 |
$5,728.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$165.33 |
$165.33 |
$165.33 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,900.00 |
$7,900.00 |
$7,900.00 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$14,962.40 |
$14,962.40 |
$14,962.40 |
$9,074.63
|
|
Ankle X-ray
|
$380.00 |
$380.00 |
$380.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$304.00 |
$304.00 |
$304.00 |
$282.96
|
|
Anodyne therapy charges pt
|
$76.00 |
$76.00 |
$76.00 |
$42.00
|
|
Anoscopy remove fb 46608
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$1,375.98
|
|
Aortic Aneurysm Screening Ultrasound
|
$462.40 |
$462.40 |
$462.40 |
$394.55
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,481.60 |
$3,481.60 |
$3,481.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,055.20 |
$2,055.20 |
$2,055.20 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,763.20 |
$1,763.20 |
$1,763.20 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,224.80 |
$5,224.80 |
$5,224.80 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,763.20 |
$1,763.20 |
$1,763.20 |
$512.20
|
|
Application finger splntstatic 29130
|
$200.80 |
$200.80 |
$200.80 |
$208.50
|
|
Application long leg splint 29505
|
$301.60 |
$301.60 |
$301.60 |
$338.25
|
|
Application lower leg splint 29515
|
$278.40 |
$278.40 |
$278.40 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$382.40 |
$382.40 |
$382.40 |
$375.06
|
|
Application of forearm cast 29075
|
$256.80 |
$256.80 |
$256.80 |
$358.20
|
|
Application of long arm cast 29065
|
$264.00 |
$264.00 |
$264.00 |
$396.77
|
|
Application of paste boot 29580
|
$267.20 |
$267.20 |
$267.20 |
$340.11
|
|
Application short leg cast 29405
|
$266.40 |
$266.40 |
$266.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,965.60 |
$2,965.60 |
$2,965.60 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,871.20 |
$2,871.20 |
$2,871.20 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$328.80 |
$328.80 |
$328.80 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$89.60 |
$89.60 |
$89.60 |
$69.00
|
|
Apply forearm splintdynamic 29126
|
$286.40 |
$286.40 |
$286.40 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$171.20 |
$171.20 |
$171.20 |
$271.80
|
|
Apply of finger splint 29131
|
$188.80 |
$188.80 |
$188.80 |
$177.45
|
|
Apply short leg castambul type 29425
|
$252.00 |
$252.00 |
$252.00 |
$404.74
|
|
Aquatic exercise - group charge
|
$115.20 |
$115.20 |
$115.20 |
$87.45
|
|
Argatroban esrd dialysis 1mg
|
$533.84 |
$533.84 |
$533.84 |
$934.80
|
|
Arm CT Scan (with contrast, both arms)
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$449.60 |
$449.60 |
$449.60 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$718.40 |
$718.40 |
$718.40 |
$478.96
|
|
Artery xray each vessel 7577426
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$6,733.60 |
$6,733.60 |
$6,733.60 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$4,728.80 |
$4,728.80 |
$4,728.80 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$3,860.40
|
|
Artery x-rays lung
|
$4,458.40 |
$4,458.40 |
$4,458.40 |
$3,296.15
|