|
Application long leg splint 29505
|
$63.07 |
$287.50 |
$1,798.42 |
|
|
Application lower leg splint 29515
|
$114.40 |
$225.00 |
$1,064.78 |
|
|
Application multi layer compression below knee (both sides)
|
$172.33 |
$270.83 |
$702.90 |
|
|
Application of cylinder cast 29365
|
$80.56 |
$80.56 |
$493.60 |
|
|
Application of forearm cast 29075
|
$54.59 |
$277.20 |
$1,578.53 |
|
|
Application of long arm cast 29065
|
$272.50 |
$306.90 |
$720.80 |
|
|
Application of long leg cast
|
$493.60 |
$493.60 |
$493.60 |
|
|
Application of long leg cast 29345
|
$287.50 |
$534.05 |
$758.34 |
|
|
Application of paste boot 29580
|
$147.40 |
$231.42 |
$715.00 |
|
|
Application short leg cast 29405
|
$77.91 |
$225.00 |
$633.60 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$142.04 |
$1,110.45 |
$2,112.66 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$149.46 |
$1,167.10 |
$1,837.44 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$423.40 |
$895.00 |
$895.00 |
|
|
Appl long leg cast brace
|
$493.60 |
$493.60 |
$493.60 |
|
|
Appl mltpln uni ext fixj sys
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$21.09 |
$35.00 |
$102.85 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$41.04 |
$77.50 |
$106.53 |
|
|
Appl modality 1+lllt po pain
|
$17.50 |
$17.50 |
$17.50 |
|
|
Appl multlay comprs arm/hand
|
$150.00 |
$164.73 |
$388.00 |
|
|
Appl patllr tdn bearing cast
|
$395.20 |
$395.20 |
$395.20 |
|
|
Appl unipln uni ext fixj sys
|
$1,681.60 |
$1,681.60 |
$8,251.32 |
|
|
Apply finger cast 29086
|
$53.53 |
$167.50 |
$304.41 |
|
|
Apply forearm splintdynamic 29126
|
$55.12 |
$195.00 |
$246.18 |
|
|
Apply hand/wrist cast 29085
|
$57.77 |
$167.50 |
$924.21 |
|
|
Apply interstit radiat compl
|
$2,637.39 |
$6,590.00 |
$6,590.00 |
|
|
Apply intrcav radiat compl
|
$1,509.42 |
$5,899.43 |
$9,218.31 |
|
|
Apply intrcav radiat interm
|
$1,358.28 |
$1,358.28 |
$7,013.06 |
|
|
Apply intrcav radiat simple
|
$1,207.14 |
$1,740.00 |
$7,013.06 |
|
|
Apply of finger splint 29131
|
$39.22 |
$160.60 |
$246.18 |
|
|
Apply rigid leg cast 29445
|
$402.50 |
$418.38 |
$1,261.93 |
|
|
Apply short leg castambul type 29425
|
$225.00 |
$474.88 |
$1,790.41 |
|
|
Apply surf ldr radionuclide
|
$414.48 |
$414.48 |
$414.48 |
|
|
App topical fluoride varnish
|
$19.38 |
$19.38 |
$44.80 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$16.70 |
$16.70 |
$457.14 |
|
|
#aptt mix-1:1 incubated
|
$90.00 |
$90.00 |
$139.92 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$62.15 |
$542.30 |
$635.00 |
|
|
Aqmbf pet rest & rx stress
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
|
|
Aquaporin-4 antibody cba each
|
$75.96 |
$160.00 |
$593.45 |
|
|
Aquaporin-4 antibody elisa
|
$34.25 |
$117.15 |
$431.64 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$73.70 |
$100.00 |
$176.80 |
|
|
Aquatic exercise - group charge
|
$39.22 |
$70.40 |
$213.08 |
|
|
Arformoterol non-comp unit
|
$5.44 |
$5.44 |
$6.47 |
|
|
Argatroban esrd dialysis 1mg
|
$320.92 |
$320.92 |
$320.92 |
|
|
Argatroban nonesrd (accord)
|
$7.64 |
$7.64 |
$7.64 |
|
|
Argatroban nonesrd use 1mg
|
$1.50 |
$2.13 |
$6.71 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$2.67 |
$5.49 |
$10.53 |
|
|
Arm CT Scan (with contrast, both arms)
|
$334.59 |
$1,570.00 |
$4,905.25 |
|
|
Arm CT Scan (without contrast, both arms)
|
$269.61 |
$1,470.00 |
$3,187.15 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$83.22 |
$505.45 |
$919.47 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$69.21 |
$76.36 |
$772.22 |
|
|
Art byp aor celiac msn and renal 35631
|
$12,480.80 |
$12,480.80 |
$12,480.80 |
|
|
Art byp aortofemoral 35647
|
$13,111.20 |
$13,111.20 |
$13,111.20 |
|
|
Art bypass aortobifemoral 35646
|
$9,624.00 |
$9,624.00 |
$9,624.00 |
|
|
Art bypass aortobi-iliac 35638
|
$8,888.80 |
$8,888.80 |
$8,888.80 |
|
|
Art bypass axillary-femoral 35621
|
$7,897.60 |
$7,897.60 |
$7,897.60 |
|
|
Art bypass axill-fem-femoral 35654
|
$8,712.80 |
$8,712.80 |
$8,712.80 |
|
|
Art bypass carotid-subclavian 35606
|
$8,655.20 |
$8,655.20 |
$8,655.20 |
|
|
Art bypass common ipsi carotid 35601
|
$7,561.60 |
$7,561.60 |
$7,561.60 |
|
|
Art bypass fem-ant-post tib/prl 35666
|
$10,782.40 |
$10,782.40 |
$10,782.40 |
|
|
Art bypass femoral-femoral 35661
|
$706.20 |
$706.20 |
$10,420.00 |
|
|
Art bypass femoral-popliteal 35656
|
$13,648.81 |
$13,648.81 |
$13,648.81 |
|
|
Art bypass iliofemoral 35665
|
$11,200.00 |
$11,200.00 |
$11,200.00 |
|
|
Art bypass subclav-subclavian 35612
|
$12,057.10 |
$12,057.10 |
$12,057.10 |
|
|
Art byp grft aortobi-iliac 35538
|
$11,477.60 |
$11,477.60 |
$11,477.60 |
|
|
Art byp grft brchl-ulnr-rdl
|
$9,449.60 |
$9,449.60 |
$9,449.60 |
|
|
Art byp grft fem-femoral 35558
|
$6,662.40 |
$6,662.40 |
$6,662.40 |
|
|
Art byp grft fem-popliteal 35556
|
$11,215.20 |
$11,215.20 |
$11,215.20 |
|
|
Art byp pop-tibl-prl-other 35571
|
$11,022.40 |
$11,022.40 |
$11,022.40 |
|
|
Arterial blood draw/perc 36620
|
$174.35 |
$205.00 |
$658.35 |
|
|
Artery by graft; iliofemoral 35565
|
$7,071.20 |
$7,071.20 |
$7,071.20 |
|
|
Artery transpose/endovas taa
|
$5,820.00 |
$7,485.72 |
$7,485.72 |
|
|
Artery-vein nonautograft
|
$6,154.40 |
$6,154.40 |
$7,013.82 |
|
|
Artery xray each vessel 7577426
|
$702.24 |
$1,415.00 |
$3,616.80 |
|
|
Artery xray of abdomen 75726-26
|
$2,145.44 |
$2,865.00 |
$9,303.80 |
|
|
Artery x-rays adrenal gland
|
$1,674.80 |
$1,845.00 |
$9,879.65 |
|
|
Artery x-rays adrenals
|
$1,674.80 |
$5,283.96 |
$5,283.96 |
|
|
Artery x-rays arm/leg 75710-26
|
$1,102.20 |
$2,310.00 |
$7,481.22 |
|
|
Artery x-rays arms/legs 75716-26
|
$1,358.39 |
$3,465.00 |
$7,481.22 |
|
|
Artery x-rays chest
|
$1,480.00 |
$1,480.00 |
$8,981.68 |
|
|
Artery x-rays lung
|
$1,640.00 |
$1,690.70 |
$6,718.96 |
|
|
Artery x-rays lung
|
$1,094.50 |
$1,225.00 |
$3,635.28 |
|
|
Artery x-rays lungs
|
$1,739.46 |
$2,460.00 |
$5,560.50 |
|
|
Artery xrays of pelvis 75736 26
|
$1,350.25 |
$2,735.00 |
$6,718.96 |
|
|
Artery x-rays spine
|
$2,158.75 |
$2,913.94 |
$11,597.16 |
|
|
Art expos/graft artery perfusion 33987
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
|
|
Arthrd ant dfrm 2-3 vrt sgm
|
$8,732.00 |
$8,732.00 |
$8,732.00 |
|
|
Arthrd ant dfrm 4-7 vrt sgm
|
$9,751.20 |
$9,751.20 |
$9,751.20 |
|
|
Arthrd ant dfrm 8+ vrt sgm
|
$10,944.80 |
$10,944.80 |
$10,944.80 |
|
|
Arthrd ant ntrbd min dsc crv
|
$7,260.00 |
$7,260.00 |
$7,260.00 |
|
|
Arthrd ant ntrbd min dsc lum
|
$10,819.20 |
$10,819.20 |
$10,819.20 |
|
|
Arthrd ant ntrbd min dsc thc
|
$9,585.60 |
$9,585.60 |
$9,585.60 |
|
|
Arthrd ant ntrbdy cervical
|
$8,052.80 |
$8,052.80 |
$8,052.80 |
|
|
Arthrd cmbn 1ntrspc lumbar
|
$8,732.00 |
$8,732.00 |
$8,732.00 |
|
|
Arthrd dst rad/ul jt sgm rsc
|
$7,136.00 |
$7,136.00 |
$7,136.00 |
|
|
Arthrd elbow jt autog graft
|
$15,319.20 |
$15,319.20 |
$15,319.20 |
|
|
Arthrd glenohumeral jt w/grf
|
$16,803.20 |
$16,803.20 |
$16,803.20 |
|
|
Arthrd lat xtrcvtry tq lmbr
|
$7,803.20 |
$7,803.20 |
$7,803.20 |
|
|
Arthrd pst dfrm 13+ vrt sgm
|
$11,936.80 |
$11,936.80 |
$11,936.80 |
|
|
Arthrd pst dfrm<6 vrt sgm
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
|
|
Arthrd pst dfrm 7-12 vrt sgm
|
$10,944.80 |
$10,944.80 |
$10,944.80 |
|
