|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$28,661.65 |
$28,661.65 |
$28,661.65 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$22,192.27 |
$22,192.27 |
$22,192.27 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$10,770.92 |
$10,770.92 |
$10,770.92 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$109.20 |
$109.20 |
$109.20 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$109.20 |
$109.20 |
$109.20 |
$75.60
|
|
Appl modality 1+lllt po pain
|
$76.20 |
$76.20 |
$76.20 |
$51.36
|
|
Apply forearm splintdynamic 29126
|
$334.20 |
$334.20 |
$334.20 |
$246.18
|
|
Apply interstit radiat compl
|
$1,369.80 |
$1,369.80 |
$1,369.80 |
$2,910.05
|
|
Apply of finger splint 29131
|
$334.20 |
$334.20 |
$334.20 |
$168.00
|
|
Apply short leg castambul type 29425
|
$761.40 |
$761.40 |
$761.40 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$235.80 |
$235.80 |
$235.80 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$719.40 |
$719.40 |
$719.40 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$213.00 |
$213.00 |
$213.00 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$114.00 |
$114.00 |
$114.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$138.00 |
$138.00 |
$138.00 |
$85.80
|
|
Arch supp att to shoe long/m
|
$158.44 |
$158.44 |
$158.44 |
$96.31
|
|
Arch supp att to shoe metata
|
$123.77 |
$123.77 |
$123.77 |
$76.33
|
|
Arch suprt att to sho longit
|
$123.77 |
$123.77 |
$123.77 |
$75.23
|
|
Arformoterol non-comp unit
|
$24.00 |
$24.00 |
$24.00 |
$25.00
|
|
Argatroban esrd dialysis 1mg
|
$435.60 |
$435.60 |
$435.60 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$1,271.16 |
$1,271.16 |
$1,271.16 |
$218.25
|
|
Argatroban nonesrd use 1mg
|
$1,219.80 |
$1,219.80 |
$1,219.80 |
$866.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$14,394.79 |
$14,394.79 |
$14,394.79 |
$6,387.85
|
|
Arterial blood draw/perc 36620
|
$490.20 |
$490.20 |
$490.20 |
$485.69
|
|
Artery-vein nonautograft
|
$39,301.23 |
$39,301.23 |
$39,301.23 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$4,252.80 |
$4,252.80 |
$4,252.80 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$3,016.20 |
$3,016.20 |
$3,016.20 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,466.20 |
$3,466.20 |
$3,466.20 |
$3,729.00
|
|
Artery x-rays lung
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$3,279.12
|
|
Artery x-rays lung
|
$3,934.80 |
$3,934.80 |
$3,934.80 |
$2,451.75
|
|
Artery x-rays lungs
|
$2,028.60 |
$2,028.60 |
$2,028.60 |
$3,535.57
|
|
Arthrd ant ntrbd min dsc crv
|
$39,181.64 |
$39,181.64 |
$39,181.64 |
$10,629.07
|
|
Arthrd ant ntrbdy cervical
|
$37,829.60 |
$37,829.60 |
$37,829.60 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$105,790.70 |
$105,790.70 |
$105,790.70 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$105,853.39 |
$105,853.39 |
$105,853.39 |
$4,627.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,912.20 |
$1,912.20 |
$1,912.20 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,664.40 |
$1,664.40 |
$1,664.40 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$652.80 |
$652.80 |
$652.80 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$933.00 |
$933.00 |
$933.00 |
$715.37
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$40,897.22 |
$40,897.22 |
$40,897.22 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$39,181.64 |
$39,181.64 |
$39,181.64 |
$822.60
|
|
Arthrodesis/post interbdy/ea add 22632
|
$105,853.39 |
$105,853.39 |
$105,853.39 |
$768.00
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$85,522.25 |
$85,522.25 |
$85,522.25 |
$3,248.42
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$38,074.01 |
$38,074.01 |
$38,074.01 |
$4,240.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$30,837.74 |
$30,837.74 |
$30,837.74 |
$4,627.00
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$27,321.20 |
$27,321.20 |
$27,321.20 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$35,339.02 |
$35,339.02 |
$35,339.02 |
$4,194.13
|
|
Artiss fibrin sealant
|
$3,525.91 |
$3,525.91 |
$3,525.91 |
$1,583.11
|
|
Ascenda two piece catheter
|
$48,350.40 |
$48,350.40 |
$48,350.40 |
$22,951.20
|
|
Aspa gene
|
$432.60 |
$432.60 |
$432.60 |
$133.84
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,871.80 |
$3,871.80 |
$3,871.80 |
$3,162.72
|
|
Aspirate pleura without imaging 32554
|
$992.40 |
$992.40 |
$992.40 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,226.87
|
|
Aspiration peritonsillar abscess
|
$289.20 |
$289.20 |
$289.20 |
$431.20
|
|
Asp pq spinal cord cyst/syrinx
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,270.92
|
|
Assay acid phosphatase
|
$52.80 |
$52.80 |
$52.80 |
$38.22
|
|
Assay dir meas fr estradiol
|
$102.00 |
$102.00 |
$102.00 |
$67.44
|
|
Assay duodenal fluid trypsin
|
$33.60 |
$33.60 |
$33.60 |
$18.40
|
|
Assay myeloperoxidase
|
$160.20 |
$160.20 |
$160.20 |
$100.98
|
|
Assay of adp & amp
|
$217.20 |
$217.20 |
$217.20 |
$169.65
|
|
Assay of feces porphyrins
|
$130.80 |
$130.80 |
$130.80 |
$166.20
|
|
Assay of fluoride
|
$91.20 |
$91.20 |
$91.20 |
$112.80
|
|
Assay of glucosidase
|
$447.00 |
$447.00 |
$447.00 |
$161.58
|
|
Assay of interleukin-6 (il-6)
|
$60.60 |
$60.60 |
$60.60 |
$79.97
|
|
Assay of lrh hormone
|
$220.80 |
$220.80 |
$220.80 |
$189.50
|
|
Assay of osteocalcin
|
$126.00 |
$126.00 |
$126.00 |
$92.50
|
|
Assay of salicylate
|
$72.00 |
$72.00 |
$72.00 |
$95.00
|
|
Assay phosphatidylglycerol
|
$135.60 |
$135.60 |
$135.60 |
$134.16
|
|
Assay toxin or antitoxin
|
$28.80 |
$28.80 |
$28.80 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$311.40 |
$311.40 |
$311.40 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$71.40 |
$71.40 |
$71.40 |
$49.80
|
|
Ast/sgot
|
$70.80 |
$70.80 |
$70.80 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$45,546.19 |
$45,546.19 |
$45,546.19 |
$23,166.53
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$186.60 |
$186.60 |
$186.60 |
$186.60
|
|
Augment injectable kit 3.0cc
|
$14,332.44 |
$14,332.44 |
$14,332.44 |
$7,469.28
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$12,063.00 |
$12,063.00 |
$12,063.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$18,933.60 |
$18,933.60 |
$18,933.60 |
$10,384.40
|
|
Autopsy (necropsy) complete
|
$229.20 |
$229.20 |
$229.20 |
$1,187.34
|
|
Autopsy (necropsy) complete
|
$413.40 |
$413.40 |
$413.40 |
$1,064.00
|
|
Av fistula revision
|
$90,382.91 |
$90,382.91 |
$90,382.91 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$20,379.46 |
$20,379.46 |
$20,379.46 |
$7,651.38
|
|
Av fusion direct any site
|
$26,027.87 |
$26,027.87 |
$26,027.87 |
$4,804.00
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$366.00 |
$366.00 |
$366.00 |
$318.75
|
|
Azathioprine 50 mg tablet
|
$9.00 |
$9.00 |
$9.00 |
$3.46
|
|
Aztreonam 1 gram solution for injection
|
$330.31 |
$330.31 |
$330.31 |
$157.30
|
|
Baclofen eval charges
|
$75.00 |
$75.00 |
$75.00 |
$85.00
|
|
Bacterial vaginosis pcr
|
$375.60 |
$375.60 |
$375.60 |
$278.40
|
|
Bartonella dna pcr-sendout
|
$181.80 |
$181.80 |
$181.80 |
$195.66
|
|
Bausch health Ultrasound surg
|
$672.75 |
$672.75 |
$672.75 |
$744.25
|
|
B cells total count
|
$216.00 |
$216.00 |
$216.00 |
$131.30
|
|
Belimumab 120 mg intravenous solution
|
$8,092.54 |
$8,092.54 |
$8,092.54 |
$4,243.90
|
|
Below knee total contact
|
$1,229.92 |
$1,229.92 |
$1,229.92 |
$650.75
|
|
Bendamustine 100 mg intravenous powder for solution
|
$2,391.34 |
$2,391.34 |
$2,391.34 |
$4,844.85
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$9,196.20 |
$9,196.20 |
$9,196.20 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$9,722.03 |
$9,722.03 |
$9,722.03 |
$4,702.68
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$12,865.77 |
$12,865.77 |
$12,865.77 |
$10,390.86
|
|
#_benzodiazconfur
|
$90.60 |
$90.60 |
$90.60 |
$114.40
|
|
Benztropine 1 mg/ml injection solution
|
$96.30 |
$96.30 |
$96.30 |
$103.20
|
