|
Application short leg cast 29405
|
$428.80 |
$428.80 |
$428.80 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$2,164.64
|
|
Appl mltpln uni ext fixj sys
|
$1,895.20 |
$1,895.20 |
$1,895.20 |
$5,668.20
|
|
Appl multlay comprs arm/hand
|
$24.00 |
$24.00 |
$24.00 |
$292.60
|
|
Appl unipln uni ext fixj sys
|
$996.80 |
$996.80 |
$996.80 |
$5,801.00
|
|
Apply forearm splintdynamic 29126
|
$80.80 |
$80.80 |
$80.80 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$113.60 |
$113.60 |
$113.60 |
$259.20
|
|
Apply rigid leg cast 29445
|
$428.80 |
$428.80 |
$428.80 |
$555.00
|
|
Apply short leg castambul type 29425
|
$90.40 |
$90.40 |
$90.40 |
$381.00
|
|
App topical fluoride varnish
|
$15.20 |
$15.20 |
$15.20 |
$27.20
|
|
#aptt mix-1:1 incubated
|
$178.40 |
$178.40 |
$178.40 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$624.00 |
$624.00 |
$624.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$228.00 |
$228.00 |
$228.00 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$323.20 |
$323.20 |
$323.20 |
$100.00
|
|
Art byp aortofemoral 35647
|
$2,651.20 |
$2,651.20 |
$2,651.20 |
$2,358.00
|
|
Art byp aortoiliac 35637
|
$2,942.40 |
$2,942.40 |
$2,942.40 |
$2,942.40
|
|
Art bypass aortobifemoral 35646
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$3,443.40
|
|
Art bypass aortobi-iliac 35638
|
$3,063.20 |
$3,063.20 |
$3,063.20 |
$3,525.00
|
|
Art bypass axillary-femoral 35621
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
$2,208.60
|
|
Art bypass axill-fem-femoral 35654
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$3,058.80
|
|
Art bypass fem-ant-post tib/prl 35666
|
$2,247.20 |
$2,247.20 |
$2,247.20 |
$3,313.72
|
|
Art bypass femoral-femoral 35661
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$2,062.40 |
$2,062.40 |
$2,062.40 |
$2,457.18
|
|
Art bypass subclav-subclavian 35612
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
$2,272.80
|
|
Art byp axillary-axillary 35650
|
$1,811.20 |
$1,811.20 |
$1,811.20 |
$1,099.50
|
|
Art byp grft aortbifemoral 35540
|
$4,336.80 |
$4,336.80 |
$4,336.80 |
$4,336.80
|
|
Art byp grft aortobi-iliac 35538
|
$4,144.00 |
$4,144.00 |
$4,144.00 |
$2,630.50
|
|
Art byp grft aortofemoral
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$2,431.00
|
|
Art byp grft aortoiliac
|
$3,699.20 |
$3,699.20 |
$3,699.20 |
$2,312.00
|
|
Art byp grft aortorenal
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$8,297.60
|
|
Art byp grft axillary-axilry
|
$2,024.80 |
$2,024.80 |
$2,024.80 |
$1,231.00
|
|
Art byp grft axill-brachial
|
$2,074.40 |
$2,074.40 |
$2,074.40 |
$1,644.28
|
|
Art byp grft axill/fem/fem
|
$2,672.80 |
$2,672.80 |
$2,672.80 |
$1,670.50
|
|
Art byp grft axill-femoral
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
$1,728.11
|
|
Art byp grft brachial-brchl
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$1,724.40
|
|
Art byp grft brchl-ulnr-rdl
|
$2,177.60 |
$2,177.60 |
$2,177.60 |
$1,361.00
|
|
Art byp grft fem-femoral 35558
|
$2,134.40 |
$2,134.40 |
$2,134.40 |
$2,477.40
|
|
Art byp grft fem-popliteal 35556
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$2,672.40
|
|
Art byp grft ilioiliac
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
$1,465.50
|
|
Art byp grft subclav-axilary
|
$2,163.20 |
$2,163.20 |
$2,163.20 |
$1,352.00
|
|
Art byp grft subclav-brchial
|
$2,137.60 |
$2,137.60 |
$2,137.60 |
$1,696.81
|
|
Art byp grft subclav-carotid
|
$2,259.20 |
$2,259.20 |
$2,259.20 |
$1,412.00
|
|
Art byp grft subclav-subclav
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$1,205.50
|
|
Art byp ilioiliac 35663
|
$2,158.40 |
$2,158.40 |
$2,158.40 |
$1,714.11
|
|
Art byp pop-tibl-prl-other 35571
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,674.20
|
|
Art byp tibial-tib/peroneal
|
$2,612.80 |
$2,612.80 |
$2,612.80 |
$1,633.00
|
|
Arterial blood draw/perc 36620
|
$75.20 |
$75.20 |
$75.20 |
$485.69
|
|
Artery by graft; iliofemoral 35565
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$1,875.00
|
|
Artery to vein shunt
|
$881.60 |
$881.60 |
$881.60 |
$4,316.00
|
|
Artery-vein nonautograft
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$6,396.89
|
|
Arthrd pst tq 1ntrspc lum
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$4,627.00
|
|
Arthrd si jt perq/min nvas
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$15,372.00
|
|
Arthrd si jt prq wo tfxj dev
|
$789.60 |
$789.60 |
$789.60 |
$21,762.05
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,053.86 |
$1,053.86 |
$1,053.86 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$83.20 |
$83.20 |
$83.20 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$470.40 |
$470.40 |
$470.40 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$931.20 |
$931.20 |
$931.20 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,470.66 |
$2,470.66 |
$2,470.66 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$470.40 |
$470.40 |
$470.40 |
$699.00
|
|
Arthrodes/ant/cerv below c2 ea add 22552
|
$684.80 |
$684.80 |
$684.80 |
$952.80
|
|
Arthrodesis big toe joint 28760
|
$962.40 |
$962.40 |
$962.40 |
$5,886.74
|
|
Arthrodesis subtalar
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$13,057.20
|
|
Arthro, loose body + chondro
|
$137.60 |
$137.60 |
$137.60 |
$224.00
|
|
Arthroplasty finger joint 26535
|
$745.60 |
$745.60 |
$745.60 |
$3,981.06
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$4,240.08
|
|
Arthro/shoul surg; w/spacer
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$15,226.08
|
|
Arthrotomy hip w/drainage
|
$1,572.80 |
$1,572.80 |
$1,572.80 |
$3,549.00
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$6,988.00 |
$6,988.00 |
$6,988.00 |
$4,627.00
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$3,839.54
|
|
Arthr si jt opn b1grf instrm
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$5,200.00
|
|
Arthrt ac sc jt exp/rmvl fb
|
$980.80 |
$980.80 |
$980.80 |
$3,786.00
|
|
Arthrt gh jt expl/drg/rmv fb
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$3,839.54
|
|
Arthrt rdcrpl/midcarpl jt
|
$944.00 |
$944.00 |
$944.00 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$4,194.13
|
|
Asp core fat pad
|
$308.00 |
$308.00 |
$308.00 |
$939.95
|
|
Aspirate bladder/sprapubic cath 51102
|
$232.80 |
$232.80 |
$232.80 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$470.40 |
$470.40 |
$470.40 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$973.60 |
$973.60 |
$973.60 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$77.60 |
$77.60 |
$77.60 |
$850.78
|
|
Asp pq spinal cord cyst/syrinx
|
$610.40 |
$610.40 |
$610.40 |
$1,270.92
|
|
Assay of androsterone
|
$312.00 |
$312.00 |
$312.00 |
$194.79
|
|
Assay of breath ethanol
|
$30.40 |
$30.40 |
$30.40 |
$47.30
|
|
Assay of corticosterone
|
$282.40 |
$282.40 |
$282.40 |
$56.80
|
|
Assay of interleukin-6 (il-6)
|
$164.80 |
$164.80 |
$164.80 |
$79.97
|
|
Assay of neonatal thyroxine
|
$28.00 |
$28.00 |
$28.00 |
$19.06
|
|
Assay of prostaglandin
|
$341.60 |
$341.60 |
$341.60 |
$218.50
|
|
Assay of salicylate
|
$24.80 |
$24.80 |
$24.80 |
$95.00
|
|
Assay of somatostatin
|
$184.80 |
$184.80 |
$184.80 |
$165.00
|
|
Assay of tyrosine
|
$540.80 |
$540.80 |
$540.80 |
$60.00
|
|
Assay of urine sulfate
|
$17.60 |
$17.60 |
$17.60 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$202.40 |
$202.40 |
$202.40 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$8.80 |
$8.80 |
$8.80 |
$49.80
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$399.20 |
$399.20 |
$399.20 |
$920.00
|
|
Ast/sgot
|
$9.60 |
$9.60 |
$9.60 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$26,217.84 |
$26,217.84 |
$26,217.84 |
$23,166.53
|
|
Atomic absorption
|
$361.60 |
$361.60 |
$361.60 |
$71.50
|
|
Atropine 0.1 mg/ml injection syringe
|
$40.61 |
$40.61 |
$40.61 |
$51.28
|
