|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$67.84 |
$67.84 |
$67.84 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$25.97 |
$25.97 |
$25.97 |
$508.18
|
|
Application finger splntstatic 29130
|
$25.97 |
$25.97 |
$25.97 |
$226.20
|
|
Application long leg splint 29505
|
$63.07 |
$63.07 |
$63.07 |
$370.00
|
|
Application lower leg splint 29515
|
$438.84 |
$438.84 |
$438.84 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$449.44 |
$449.44 |
$449.44 |
$393.75
|
|
Application of cylinder cast 29365
|
$80.56 |
$80.56 |
$80.56 |
$431.08
|
|
Application of forearm cast 29075
|
$54.59 |
$54.59 |
$54.59 |
$386.10
|
|
Application of paste boot 29580
|
$673.10 |
$673.10 |
$673.10 |
$336.00
|
|
Application short leg cast 29405
|
$77.91 |
$77.91 |
$77.91 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$142.04 |
$142.04 |
$142.04 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$149.46 |
$149.46 |
$149.46 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$69.96 |
$69.96 |
$69.96 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$106.53 |
$106.53 |
$106.53 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$340.26 |
$340.26 |
$340.26 |
$339.69
|
|
Apply finger cast 29086
|
$53.53 |
$53.53 |
$53.53 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$55.12 |
$55.12 |
$55.12 |
$263.20
|
|
Apply hand/wrist cast 29085
|
$57.77 |
$57.77 |
$57.77 |
$275.80
|
|
Apply of finger splint 29131
|
$39.22 |
$39.22 |
$39.22 |
$177.45
|
|
Apply rigid leg cast 29445
|
$953.47 |
$953.47 |
$953.47 |
$608.00
|
|
Apply short leg castambul type 29425
|
$695.36 |
$695.36 |
$695.36 |
$460.92
|
|
#aptt mix-1:1 incubated
|
$110.24 |
$110.24 |
$110.24 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$129.32 |
$129.32 |
$129.32 |
$100.00
|
|
Aquatic exercise - group charge
|
$87.45 |
$87.45 |
$87.45 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$2.67 |
$2.67 |
$2.67 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$3.18 |
$3.18 |
$3.18 |
$9,553.74
|
|
Arterial blood draw/perc 36620
|
$279.31 |
$279.31 |
$279.31 |
$500.82
|
|
Artery xray each vessel 7577426
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,210.74 |
$3,210.74 |
$3,210.74 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$1,610.14 |
$1,610.14 |
$1,610.14 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,362.74 |
$2,362.74 |
$2,362.74 |
$4,029.72
|
|
Artery x-rays chest
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$2,628.15
|
|
Artery x-rays lung
|
$1,690.70 |
$1,690.70 |
$1,690.70 |
$3,150.00
|
|
Artery x-rays lung
|
$1,685.40 |
$1,685.40 |
$1,685.40 |
$2,483.00
|
|
Artery x-rays lungs
|
$2,236.07 |
$2,236.07 |
$2,236.07 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$2,885.85 |
$2,885.85 |
$2,885.85 |
$4,551.20
|
|
Artery x-rays spine
|
$2,885.85 |
$2,885.85 |
$2,885.85 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$525.23 |
$525.23 |
$525.23 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$580.88 |
$580.88 |
$580.88 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$636.53 |
$636.53 |
$636.53 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$469.58 |
$469.58 |
$469.58 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$580.88 |
$580.88 |
$580.88 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$502.97 |
$502.97 |
$502.97 |
$700.80
|
|
Artific inseminationintrauterine 58322
|
$60.95 |
$60.95 |
$60.95 |
$222.67
|
|
Artiss fibrin sealant
|
$677.89 |
$677.89 |
$677.89 |
$1,145.23
|
|
Art pressure waveform analys
|
$108.12 |
$108.12 |
$108.12 |
$36.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,652.87 |
$4,652.87 |
$4,652.87 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$36.57 |
$36.57 |
$36.57 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,249.21 |
$1,249.21 |
$1,249.21 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,872.49 |
$1,872.49 |
$1,872.49 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$1,365.81 |
$1,365.81 |
$1,365.81 |
$850.78
|
|
Assay acid phosphatase
|
$55.12 |
$55.12 |
$55.12 |
$38.22
|
|
Assay alkaline phosphatase
|
$14.31 |
$14.31 |
$14.31 |
$33.57
|
|
Assay blood catecholamines
|
$85.86 |
$85.86 |
$85.86 |
$72.00
|
|
Assay duodenal fluid trypsin
|
$24.38 |
$24.38 |
$24.38 |
$7.92
|
|
Assay free hydroxyproline
|
$99.11 |
$99.11 |
$99.11 |
$46.15
|
|
Assay myeloperoxidase
|
$39.75 |
$39.75 |
$39.75 |
$84.19
|
|
Assay of adp & amp
|
$83.74 |
$83.74 |
$83.74 |
$127.40
|
|
Assay of androsterone
|
$95.93 |
$95.93 |
$95.93 |
$64.80
|
|
Assay of blood lipoprotein
|
$60.95 |
$60.95 |
$60.95 |
$27.20
|
|
Assay of breath ethanol
|
$45.58 |
$45.58 |
$45.58 |
$45.76
|
|
Assay of chloramphenicol
|
$94.34 |
$94.34 |
$94.34 |
$56.55
|
|
Assay of endocrine hormone
|
$169.07 |
$169.07 |
$169.07 |
$98.30
|
|
Assay of estrogen
|
$208.82 |
$208.82 |
$208.82 |
$185.60
|
|
Assay of feces porphyrins
|
$102.29 |
$102.29 |
$102.29 |
$166.20
|
|
Assay of galactose
|
$96.46 |
$96.46 |
$96.46 |
$48.13
|
|
Assay of glutathione
|
$64.13 |
$64.13 |
$64.13 |
$69.55
|
|
Assay of haptoglobins
|
$32.33 |
$32.33 |
$32.33 |
$29.58
|
|
Assay of idh enzyme
|
$28.62 |
$28.62 |
$28.62 |
$9.74
|
|
Assay of interleukin-6 (il-6)
|
$41.34 |
$41.34 |
$41.34 |
$77.35
|
|
Assay of intrinsic factor
|
$64.13 |
$64.13 |
$64.13 |
$21.80
|
|
Assay of lap enzyme
|
$68.37 |
$68.37 |
$68.37 |
$56.25
|
|
Assay of leflunomide
|
$66.78 |
$66.78 |
$66.78 |
$112.70
|
|
Assay of lrh hormone
|
$64.13 |
$64.13 |
$64.13 |
$210.60
|
|
Assay of neonatal thyroxine
|
$21.20 |
$21.20 |
$21.20 |
$13.33
|
|
Assay of osteocalcin
|
$222.07 |
$222.07 |
$222.07 |
$93.60
|
|
Assay of phenylketones
|
$16.96 |
$16.96 |
$16.96 |
$4.38
|
|
Assay of pregnanediol
|
$51.94 |
$51.94 |
$51.94 |
$28.36
|
|
Assay of procainamide w/metab
|
$155.29 |
$155.29 |
$155.29 |
$63.07
|
|
Assay of prostaglandin
|
$1,291.61 |
$1,291.61 |
$1,291.61 |
$220.00
|
|
Assay of salicylate
|
$153.17 |
$153.17 |
$153.17 |
$104.00
|
|
Assay of semen fructose
|
$53.00 |
$53.00 |
$53.00 |
$53.00
|
|
Assay of somatostatin
|
$834.75 |
$834.75 |
$834.75 |
$165.75
|
|
Assay of thiocyanate
|
$77.91 |
$77.91 |
$77.91 |
$56.55
|
|
Assay of troponin qual
|
$25.44 |
$25.44 |
$25.44 |
$22.40
|
|
Assay of tyrosine
|
$68.37 |
$68.37 |
$68.37 |
$56.10
|
|
Assay of urine sulfate
|
$18.02 |
$18.02 |
$18.02 |
$31.35
|
|
Assay of urine urobilinogen
|
$25.97 |
$25.97 |
$25.97 |
$10.51
|
|
Assay phosphatidylglycerol
|
$120.84 |
$120.84 |
$120.84 |
$89.40
|
|
Assay rbc glutathione
|
$24.38 |
$24.38 |
$24.38 |
$10.38
|
|
Assay toxin or antitoxin
|
$54.06 |
$54.06 |
$54.06 |
$77.55
|
|
Assess cyst contrast inject
|
$927.50 |
$927.50 |
$927.50 |
$456.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$31.27 |
$31.27 |
$31.27 |
$47.25
|
|
Ast/sgot
|
$51.94 |
$51.94 |
$51.94 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$136.59 |
$136.59 |
$136.59 |
$31,198.64
|
|
Athrectomy fem/pop/unilateral 37225
|
$20,498.28 |
$20,498.28 |
$20,498.28 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$27,316.20 |
$27,316.20 |
$27,316.20 |
$19,875.58
|
|
Atomic absorption
|
$47.17 |
$47.17 |
$47.17 |
$40.00
|
