|
Ant/post colporrhap/enterocele rpr 57265
|
$6,665.90 |
$6,665.90 |
$6,665.90 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$370.22 |
$370.22 |
$370.22 |
$322.40
|
|
Ant sgm img i&r speclr mic
|
$364.18 |
$364.18 |
$364.18 |
$286.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$430.21 |
$430.21 |
$430.21 |
$394.55
|
|
Aortic dysfunction/dilation
|
$587.08 |
$587.08 |
$587.08 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$587.08 |
$587.08 |
$587.08 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$462.00
|
|
Apc gene full sequence
|
$2,849.53 |
$2,849.53 |
$2,849.53 |
$1,255.20
|
|
Apc gene known fam variants
|
$265.51 |
$265.51 |
$265.51 |
$319.20
|
|
Apheresis immunoads slctv
|
$5,365.01 |
$5,365.01 |
$5,365.01 |
$5,794.21
|
|
Apheresis plasma
|
$3,907.45 |
$3,907.45 |
$3,907.45 |
$3,226.34
|
|
Apheresis platelets
|
$2,851.13 |
$2,851.13 |
$2,851.13 |
$2,195.00
|
|
Apheresis rbc
|
$3,146.15 |
$3,146.15 |
$3,146.15 |
$3,290.80
|
|
Apheresis wbc
|
$3,342.71 |
$3,342.71 |
$3,342.71 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$650.81 |
$650.81 |
$650.81 |
$513.00
|
|
Appendectomy
|
$5,787.15 |
$5,787.15 |
$5,787.15 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$2,890.09 |
$2,890.09 |
$2,890.09 |
$206.40
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$605.56 |
$605.56 |
$605.56 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$245.53 |
$245.53 |
$245.53 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,108.85 |
$2,108.85 |
$2,108.85 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$640.49 |
$640.49 |
$640.49 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$273.46 |
$273.46 |
$273.46 |
$512.20
|
|
Appl body cast sho to hips
|
$390.73 |
$390.73 |
$390.73 |
$509.60
|
|
Appl cast figure-of-eight
|
$249.14 |
$249.14 |
$249.14 |
$314.28
|
|
Appl cast plaster velpeau
|
$224.92 |
$224.92 |
$224.92 |
$314.28
|
|
Appl cast shoulder spica
|
$744.63 |
$744.63 |
$744.63 |
$486.03
|
|
Appl hip spica cast1&1/2
|
$516.59 |
$516.59 |
$516.59 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$544.48 |
$544.48 |
$544.48 |
$499.20
|
|
Application clubfoot cast
|
$518.65 |
$518.65 |
$518.65 |
$303.00
|
|
Application finger splntstatic 29130
|
$302.39 |
$302.39 |
$302.39 |
$208.50
|
|
Application halo femoral
|
$4,755.67 |
$4,755.67 |
$4,755.67 |
$4,499.12
|
|
Application long leg splint 29505
|
$472.43 |
$472.43 |
$472.43 |
$338.25
|
|
Application lower leg splint 29515
|
$421.37 |
$421.37 |
$421.37 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$458.33 |
$458.33 |
$458.33 |
$375.06
|
|
Application of body cast
|
$526.92 |
$526.92 |
$526.92 |
$561.60
|
|
Application of body cast
|
$390.73 |
$390.73 |
$390.73 |
$561.60
|
|
Application of cylinder cast 29365
|
$587.83 |
$587.83 |
$587.83 |
$431.08
|
|
Application of forearm cast 29075
|
$386.61 |
$386.61 |
$386.61 |
$358.20
|
|
Application of long arm cast 29065
|
$477.08 |
$477.08 |
$477.08 |
$396.77
|
|
Application of long leg cast
|
$406.75 |
$406.75 |
$406.75 |
$435.54
|
|
Application of long leg cast 29345
|
$535.59 |
$535.59 |
$535.59 |
$455.00
|
|
Application of paste boot 29580
|
$444.71 |
$444.71 |
$444.71 |
$340.11
|
|
Application short leg cast 29405
|
$475.81 |
$475.81 |
$475.81 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,749.81 |
$2,749.81 |
$2,749.81 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,749.81 |
$2,749.81 |
$2,749.81 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$22,932.00 |
$22,932.00 |
$22,932.00 |
$981.75
|
|
Appl long leg cast brace
|
$372.55 |
$372.55 |
$372.55 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$4,447.85 |
$4,447.85 |
$4,447.85 |
$5,855.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$108.19 |
$108.19 |
$108.19 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$147.53 |
$147.53 |
$147.53 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$45.00 |
$45.00 |
$45.00 |
$54.61
|
|
Appl multlay comprs arm/hand
|
$196.93 |
$196.93 |
$196.93 |
$289.60
|
|
Appl patllr tdn bearing cast
|
$499.21 |
$499.21 |
$499.21 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$4,933.64 |
$4,933.64 |
$4,933.64 |
$5,810.00
|
|
Apply finger cast 29086
|
$213.97 |
$213.97 |
$213.97 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$271.52 |
$271.52 |
$271.52 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$309.71 |
$309.71 |
$309.71 |
$271.80
|
|
Apply interstit radiat compl
|
$3,725.57 |
$3,725.57 |
$3,725.57 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,717.51 |
$1,717.51 |
$1,717.51 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$1,521.98 |
$1,521.98 |
$1,521.98 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,203.12 |
$1,203.12 |
$1,203.12 |
$1,269.97
|
|
Apply of finger splint 29131
|
$203.30 |
$203.30 |
$203.30 |
$177.45
|
|
Apply rem fixation device
|
$1,891.09 |
$1,891.09 |
$1,891.09 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$593.57 |
$593.57 |
$593.57 |
$555.00
|
|
Apply short leg castambul type 29425
|
$486.39 |
$486.39 |
$486.39 |
$404.74
|
|
Apply srs headframe add-on
|
$244.10 |
$244.10 |
$244.10 |
$585.00
|
|
Apply surf ldr radionuclide
|
$285.42 |
$285.42 |
$285.42 |
$282.80
|
|
App mdlty 1+hubbrd tnk ea 15
|
$145.16 |
$145.16 |
$145.16 |
$141.39
|
|
App mltpln uni xtrnl fix 1st
|
$4,955.11 |
$4,955.11 |
$4,955.11 |
$16,139.55
|
|
App mltpln uni xtrnl fix xch
|
$1,555.21 |
$1,555.21 |
$1,555.21 |
$3,526.50
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,179.71 |
$1,179.71 |
$1,179.71 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$236.08 |
$236.08 |
$236.08 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$525.09 |
$525.09 |
$525.09 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$134.48 |
$134.48 |
$134.48 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$375.00 |
$375.00 |
$375.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$232.50 |
$232.50 |
$232.50 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$108.55 |
$108.55 |
$108.55 |
$100.75
|
|
Aquatic exercise - group charge
|
$117.76 |
$117.76 |
$117.76 |
$87.45
|
|
Aqueous shunt eye w/graft
|
$6,859.33 |
$6,859.33 |
$6,859.33 |
$6,105.79
|
|
Arformoterol non-comp unit
|
$24.24 |
$24.24 |
$24.24 |
$24.24
|
|
Argatroban esrd dialysis 1mg
|
$934.80 |
$934.80 |
$934.80 |
$934.80
|
|
Arm CT Scan (with contrast, both arms)
|
$1,824.46 |
$1,824.46 |
$1,824.46 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,408.54 |
$1,408.54 |
$1,408.54 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$405.68 |
$405.68 |
$405.68 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,129.92 |
$2,129.92 |
$2,129.92 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$850.87 |
$850.87 |
$850.87 |
$478.96
|
|
Artery-vein nonautograft
|
$7,740.32 |
$7,740.32 |
$7,740.32 |
$7,236.06
|
|
Artery xray each vessel 7577426
|
$1,710.91 |
$1,710.91 |
$1,710.91 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$5,218.92 |
$5,218.92 |
$5,218.92 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$6,385.15 |
$6,385.15 |
$6,385.15 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,764.59 |
$3,764.59 |
$3,764.59 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$4,355.92 |
$4,355.92 |
$4,355.92 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,442.19 |
$4,442.19 |
$4,442.19 |
$3,860.40
|
|
Artery x-rays chest
|
$2,498.28 |
$2,498.28 |
$2,498.28 |
$2,895.07
|
|
Artery x-rays lung
|
$3,402.00 |
$3,402.00 |
$3,402.00 |
$3,296.15
|
|
Artery x-rays lung
|
$2,168.15 |
$2,168.15 |
$2,168.15 |
$2,427.50
|
|
Artery x-rays lungs
|
$4,805.17 |
$4,805.17 |
$4,805.17 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$5,219.35 |
$5,219.35 |
$5,219.35 |
$4,306.40
|
|
Artery x-rays spine
|
$4,255.45 |
$4,255.45 |
$4,255.45 |
$4,792.33
|
