|
Appendico-vesicostomy
|
$38,325.50 |
$38,325.50 |
$38,325.50 |
$1,632.03
|
|
Appendix Removal (Laparoscopic)
|
$10,856.50 |
$10,856.50 |
$10,856.50 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,572.50 |
$4,572.50 |
$4,572.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$4,572.50 |
$4,572.50 |
$4,572.50 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,266.50 |
$2,266.50 |
$2,266.50 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,498.75 |
$4,498.75 |
$4,498.75 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,498.75 |
$4,498.75 |
$4,498.75 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,216.75 |
$2,216.75 |
$2,216.75 |
$498.81
|
|
Appl bdy cst sho to hip b th
|
$5,315.00 |
$5,315.00 |
$5,315.00 |
$561.60
|
|
Appl body cast sho to hips
|
$9,341.50 |
$9,341.50 |
$9,341.50 |
$509.60
|
|
Appl halo cranial 6+pins
|
$6,998.00 |
$6,998.00 |
$6,998.00 |
$2,211.05
|
|
Appl hip spica cast1&1/2
|
$4,718.34 |
$4,718.34 |
$4,718.34 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$6,461.50 |
$6,461.50 |
$6,461.50 |
$499.20
|
|
Application clubfoot cast
|
$3,694.00 |
$3,694.00 |
$3,694.00 |
$297.33
|
|
Application finger splntstatic 29130
|
$241.50 |
$241.50 |
$241.50 |
$208.16
|
|
Application long leg splint 29505
|
$289.00 |
$289.00 |
$289.00 |
$338.25
|
|
Application lower leg splint 29515
|
$4,883.13 |
$4,883.13 |
$4,883.13 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$502.00 |
$502.00 |
$502.00 |
$373.20
|
|
Application of body cast
|
$6,158.00 |
$6,158.00 |
$6,158.00 |
$557.18
|
|
Application of cylinder cast 29365
|
$421.50 |
$421.50 |
$421.50 |
$420.00
|
|
Application of forearm cast 29075
|
$959.00 |
$959.00 |
$959.00 |
$339.30
|
|
Application of long arm cast 29065
|
$519.50 |
$519.50 |
$519.50 |
$395.00
|
|
Application of long leg cast
|
$961.00 |
$961.00 |
$961.00 |
$426.00
|
|
Application of long leg cast 29345
|
$516.00 |
$516.00 |
$516.00 |
$455.00
|
|
Application of paste boot 29580
|
$578.00 |
$578.00 |
$578.00 |
$331.74
|
|
Application short leg cast 29405
|
$6,712.50 |
$6,712.50 |
$6,712.50 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,309.76 |
$5,309.76 |
$5,309.76 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,462.00 |
$2,462.00 |
$2,462.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$527.50 |
$527.50 |
$527.50 |
$744.90
|
|
Appl long leg cast brace
|
$392.50 |
$392.50 |
$392.50 |
$468.00
|
|
Appl mltpln uni ext fixj sys
|
$9,820.26 |
$9,820.26 |
$9,820.26 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$75.50 |
$75.50 |
$75.50 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$127.00 |
$127.00 |
$127.00 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$245.50 |
$245.50 |
$245.50 |
$292.60
|
|
Appl patllr tdn bearing cast
|
$357.50 |
$357.50 |
$357.50 |
$420.21
|
|
Appl unipln uni ext fixj sys
|
$6,445.50 |
$6,445.50 |
$6,445.50 |
$5,801.00
|
|
Apply finger cast 29086
|
$225.50 |
$225.50 |
$225.50 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$241.50 |
$241.50 |
$241.50 |
$246.18
|
|
Apply halo w/removal cranial
|
$1,958.00 |
$1,958.00 |
$1,958.00 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$258.00 |
$258.00 |
$258.00 |
$259.20
|
|
Apply interstit radiat compl
|
$568.00 |
$568.00 |
$568.00 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,207.00 |
$1,207.00 |
$1,207.00 |
$1,207.44
|
|
Apply of finger splint 29131
|
$90.50 |
$90.50 |
$90.50 |
$168.00
|
|
Apply rem fixation device
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$381.00
|
|
Apply srs headframe add-on
|
$299.00 |
$299.00 |
$299.00 |
$585.00
|
|
App topical fluoride varnish
|
$3.00 |
$3.00 |
$3.00 |
$27.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$543.68 |
$543.68 |
$543.68 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$111.50 |
$111.50 |
$111.50 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$780.00 |
$780.00 |
$780.00 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$235.00 |
$235.00 |
$235.00 |
$920.63
|
|
Aquaporin-4 antibody cba each
|
$895.00 |
$895.00 |
$895.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$638.50 |
$638.50 |
$638.50 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$255.00 |
$255.00 |
$255.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$260.00 |
$260.00 |
$260.00 |
$85.80
|
|
Aqueous shunt eye w/graft
|
$10,784.00 |
$10,784.00 |
$10,784.00 |
$5,716.03
|
|
Ar gene charac alleles
|
$871.00 |
$871.00 |
$871.00 |
$225.42
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$5,747.27 |
$5,747.27 |
$5,747.27 |
$6,387.85
|
|
Arterial blood draw/perc 36620
|
$1,088.50 |
$1,088.50 |
$1,088.50 |
$485.69
|
|
Artery-vein nonautograft
|
$13,481.00 |
$13,481.00 |
$13,481.00 |
$6,396.89
|
|
Artery xray each vessel 7577426
|
$12,759.00 |
$12,759.00 |
$12,759.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$4,841.50 |
$4,841.50 |
$4,841.50 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$3,439.84
|
|
Artery x-rays adrenals
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$4,039.00 |
$4,039.00 |
$4,039.00 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$2,830.50 |
$2,830.50 |
$2,830.50 |
$3,729.00
|
|
Artery x-rays chest
|
$662.00 |
$662.00 |
$662.00 |
$2,870.00
|
|
Artery x-rays lung
|
$4,143.00 |
$4,143.00 |
$4,143.00 |
$3,279.12
|
|
Artery x-rays lung
|
$4,047.00 |
$4,047.00 |
$4,047.00 |
$2,451.75
|
|
Artery x-rays lungs
|
$3,104.50 |
$3,104.50 |
$3,104.50 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$4,134.14
|
|
Artery x-rays spine
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$4,306.40
|
|
Art expos/graft artery perfusion 33987
|
$278.00 |
$278.00 |
$278.00 |
$406.07
|
|
Arthrd ant ntrbd min dsc crv
|
$7,044.75 |
$7,044.75 |
$7,044.75 |
$10,629.07
|
|
Arthrd ant ntrbd min dsc lum
|
$34,708.00 |
$34,708.00 |
$34,708.00 |
$3,720.00
|
|
Arthrd ant ntrbdy cervical
|
$25,793.50 |
$25,793.50 |
$25,793.50 |
$9,951.20
|
|
Arthrd ant toral/xoral c1-c2
|
$30,330.50 |
$30,330.50 |
$30,330.50 |
$13,116.76
|
|
Arthrd cmbn 1ntrspc lumbar
|
$31,745.50 |
$31,745.50 |
$31,745.50 |
$8,434.40
|
|
Arthrd dst rad/ul jt sgm rsc
|
$10,994.00 |
$10,994.00 |
$10,994.00 |
$8,412.89
|
|
Arthrd pst tq 1ntrspc lum
|
$26,071.76 |
$26,071.76 |
$26,071.76 |
$4,627.00
|
|
Arthrd si jt perq/min nvas
|
$33,920.50 |
$33,920.50 |
$33,920.50 |
$15,372.00
|
|
Arthrd wrist complete wo grf
|
$15,834.00 |
$15,834.00 |
$15,834.00 |
$7,913.97
|
|
Arthrd wrist with autograft
|
$26,584.00 |
$26,584.00 |
$26,584.00 |
$6,311.00
|
|
Arthrd wrst iliac/oth agrft
|
$18,277.50 |
$18,277.50 |
$18,277.50 |
$6,413.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$4,569.38 |
$4,569.38 |
$4,569.38 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$4,056.67 |
$4,056.67 |
$4,056.67 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$2,793.50 |
$2,793.50 |
$2,793.50 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$6,168.00 |
$6,168.00 |
$6,168.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$11,596.75 |
$11,596.75 |
$11,596.75 |
$952.80
|
|
Arthrodesis/cerv/thor/lumb/ea add 22585
|
$6,932.07 |
$6,932.07 |
$6,932.07 |
$822.60
|
|
Arthrodesis/combine app/ea add 22634
|
$3,219.29 |
$3,219.29 |
$3,219.29 |
$1,193.60
|
|
Arthrodesis/post interbdy/ea add 22632
|
$4,521.15 |
$4,521.15 |
$4,521.15 |
$768.00
|
|
Arthrodesis/sg level/cerv/below c2 22600
|
$28,620.00 |
$28,620.00 |
$28,620.00 |
$3,083.20
|
|
Arthrodesis/sng lev/ea add ver seg 22614
|
$3,300.63 |
$3,300.63 |
$3,300.63 |
$3,248.42
|
|
Arthrodesis subtalar
|
$20,811.50 |
$20,811.50 |
$20,811.50 |
$13,057.20
|
