|
An cholangiogram percutaneous compl
|
$1,646.10 |
$1,646.10 |
$1,810.71 |
$2,626.65
|
|
An fluoro guide for cvp
|
$61.50 |
$61.50 |
$67.65 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,677.30 |
$1,677.30 |
$1,845.03 |
$5,341.83
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,280.40 |
$1,280.40 |
$1,408.44 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$1,280.40 |
$1,280.40 |
$1,408.44 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,677.30 |
$1,677.30 |
$1,845.03 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$1,677.30 |
$1,677.30 |
$1,845.03 |
$8,466.00
|
|
Anidulafungin injection
|
$195.17 |
$195.17 |
$214.68 |
$312.30
|
|
Ankle X-ray
|
$131.10 |
$131.10 |
$144.21 |
$353.60
|
|
Antibody bacterium, not elsewhere specified
|
$14.85 |
$14.85 |
$28.35 |
$57.81
|
|
Antibody elution rbc reference
|
$200.31 |
$200.31 |
$382.41 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$81.84 |
$81.84 |
$81.84 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$57.75 |
$57.75 |
$110.25 |
$218.30
|
|
Antibody id rbc panel
|
$595.65 |
$595.65 |
$1,137.15 |
$274.56
|
|
Antibody screen rbc
|
$24.75 |
$24.75 |
$47.25 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.47 |
$3.47 |
$3.81 |
$6.10
|
|
Anti-inhibitor
|
$5.68 |
$5.68 |
$6.24 |
$8.33
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$7.92 |
$7.92 |
$15.12 |
$37.05
|
|
Antinuclear antibodies
|
$11.55 |
$11.55 |
$22.05 |
$89.40
|
|
Antinuclear antibodies titer
|
$10.56 |
$10.56 |
$20.16 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$123.09 |
$123.09 |
$123.09 |
$65.97
|
|
Antistreptolysin o titer
|
$19.47 |
$19.47 |
$37.17 |
$51.45
|
|
Antithrombin iii activity
|
$39.27 |
$39.27 |
$74.97 |
$114.00
|
|
Antithrombin iii injection
|
$9.65 |
$9.65 |
$10.62 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,174.68 |
$5,174.68 |
$5,692.15 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$1,144.55 |
$1,144.55 |
$1,259.00 |
$2,111.00
|
|
Apheresis plasma
|
$1,110.60 |
$1,110.60 |
$1,221.66 |
$3,188.50
|
|
Apheresis platelets
|
$531.96 |
$531.96 |
$531.96 |
$2,042.95
|
|
Apheresis rbc
|
$737.70 |
$737.70 |
$811.47 |
$3,146.15
|
|
Apheresis wbc
|
$737.70 |
$737.70 |
$811.47 |
$2,968.80
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,412.07 |
$1,412.07 |
$1,412.07 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,258.62 |
$1,258.62 |
$1,258.62 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$463.65 |
$463.65 |
$463.65 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,812.03 |
$1,812.03 |
$1,812.03 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,258.62 |
$1,258.62 |
$1,258.62 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$463.65 |
$463.65 |
$463.65 |
$498.81
|
|
Application finger splntstatic 29130
|
$61.80 |
$61.80 |
$67.98 |
$208.16
|
|
Application long leg splint 29505
|
$74.70 |
$74.70 |
$82.17 |
$338.25
|
|
Application lower leg splint 29515
|
$74.70 |
$74.70 |
$82.17 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$164.34 |
$164.34 |
$164.34 |
$373.20
|
|
Application of cylinder cast 29365
|
$128.70 |
$128.70 |
$141.57 |
$420.00
|
|
Application of long leg cast 29345
|
$128.70 |
$128.70 |
$141.57 |
$455.00
|
|
Application of paste boot 29580
|
$164.34 |
$164.34 |
$164.34 |
$331.74
|
|
Application short leg cast 29405
|
$128.70 |
$128.70 |
$141.57 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$905.52 |
$905.52 |
$905.52 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$905.52 |
$905.52 |
$905.52 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$692.43 |
$692.43 |
$692.43 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$10.80 |
$10.80 |
$11.88 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$10.80 |
$10.80 |
$11.88 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$61.80 |
$61.80 |
$67.98 |
$246.18
|
|
Apply interstit radiat compl
|
$2,277.60 |
$2,277.60 |
$2,505.36 |
$2,910.05
|
|
Apply of finger splint 29131
|
$61.80 |
$61.80 |
$67.98 |
$168.00
|
|
Apply rem fixation device
|
$813.12 |
$813.12 |
$813.12 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$128.70 |
$128.70 |
$141.57 |
$555.00
|
|
Apply short leg castambul type 29425
|
$128.70 |
$128.70 |
$141.57 |
$381.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$792.06 |
$792.06 |
$871.27 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$106.59 |
$106.59 |
$203.49 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$15.00 |
$15.00 |
$16.50 |
$100.00
|
|
Aquatic exercise - group charge
|
$10.80 |
$10.80 |
$11.88 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$521.42 |
$521.42 |
$573.57 |
$866.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,304.87 |
$1,304.87 |
$1,435.35 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$515.70 |
$515.70 |
$567.27 |
$485.69
|
|
Artery xray each vessel 7577426
|
$228.60 |
$228.60 |
$251.46 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,558.40 |
$2,558.40 |
$2,814.24 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$349.20 |
$349.20 |
$384.12 |
$3,439.84
|
|
Artery x-rays arm/leg 75710-26
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,729.00
|
|
Artery x-rays chest
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$2,870.00
|
|
Artery x-rays lung
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,279.12
|
|
Artery x-rays lung
|
$248.70 |
$248.70 |
$273.57 |
$2,451.75
|
|
Artery x-rays lungs
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,558.40 |
$2,558.40 |
$2,814.24 |
$4,134.14
|
|
Artery x-rays spine
|
$2,558.40 |
$2,558.40 |
$2,814.24 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$740.40 |
$740.40 |
$814.44 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$324.60 |
$324.60 |
$357.06 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$347.40 |
$347.40 |
$382.14 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$370.20 |
$370.20 |
$407.22 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$740.40 |
$740.40 |
$814.44 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$141.00 |
$141.00 |
$155.10 |
$699.00
|
|
Ascenda two piece catheter
|
$21,872.40 |
$21,872.40 |
$21,872.40 |
$22,951.20
|
|
Asp & inj w/heparin pleurx cath
|
$550.20 |
$550.20 |
$605.22 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$617.40 |
$617.40 |
$679.14 |
$3,162.72
|
|
Aspirate pleura without imaging 32554
|
$606.60 |
$606.60 |
$606.60 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$588.00 |
$588.00 |
$646.80 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$325.50 |
$325.50 |
$358.05 |
$850.78
|
|
Assay neurflmnt light chain
|
$425.37 |
$425.37 |
$425.37 |
$380.00
|
|
Assay of galactose
|
$10.56 |
$10.56 |
$20.16 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$46.20 |
$46.20 |
$88.20 |
$79.97
|
|
Assay of procainamide
|
$15.18 |
$15.18 |
$28.98 |
$114.91
|
|
Assay of procainamide w/metab
|
$44.55 |
$44.55 |
$85.05 |
$70.50
|
|
Assay of prostaglandin
|
$62.37 |
$62.37 |
$62.37 |
$218.50
|
|
Assay of salicylate
|
$23.76 |
$23.76 |
$45.36 |
$95.00
|
|
Assay of urine sulfate
|
$4.62 |
$4.62 |
$4.62 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$54.60 |
$54.60 |
$60.06 |
$292.50
|
|
Assess cyst contrast inject
|
$40.20 |
$40.20 |
$44.22 |
$447.33
|
|
Assistive tech assessment, ot
|
$12.90 |
$12.90 |
$14.19 |
$96.08
|
|
Ast/sgot
|
$16.50 |
$16.50 |
$31.50 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,503.85 |
$11,503.85 |
$12,654.24 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$41.00 |
$41.00 |
$45.10 |
$51.28
|
|
Augment injectable kit 3.0cc
|
$4,980.00 |
$4,980.00 |
$5,478.00 |
$7,469.28
|
