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Description Amout Charged CPT CODE HCPCS ACIDOPHILUS 2

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Description Amout Charged CPT CODE HCPCS ACIDOPHILUS 2 TABLET $11.00 RHYTHM STRIP ALONE $102.00 93041 DERMOPLAST PAIN SPRAY $29.36 FLU PED 0.25ML VAC $112.18 90685 FLU HD 0.5ML VAC(65YRS & UP) $257.50 90662 HEPARIN 5 UNIT/5ML FLUSH $34.90 FEMORAL NERVE BLOCK, SINGLE $560.00 64447 FEMORAL NERVE BLOCK, SINGLE $560.00 64447 VENTILATOR INIT/SUP $1,062.00 94002 PULSE OX OVERNIGHT STUDY $500.00 94762 ECHO, T.E.E. $1,210.00 93312 INTBAT ICU KIT SUP $78.00 CPT TX EVAL/DEMON $206.00 94667 UPDRFT 1ST TREATMENT $433.00 94640 O2 PER HOUR $24.00 SIMPLE SPIOMETRY (PFT) $135.00 94010 PRE/POST SPIRO EVAL (PFT) $478.00 94060 VENTILATOR SUBSEQ DA $754.00 94003 MED BRONCHO-DILATOR $19.00 HEATED MIST PER HR. $10.00 MDI INTIAL TREATMENT $433.00 94640 E.C.G. $154.00 93005 LIVER/SPLEEN SCAN $900.00 78216 SPLEEN SCAN W/WO VSF $811.00 78185 G.I. BLEEDING SCAN $1,152.00 78278 LUNG PERFUSION SCAN $840.00 78580 THYROID SCAN $551.00 78013 THYROID SCAN (123 I) $416.00 78012 THYROID SCN UPT MULT $697.00 78014 THYROID CA WHLE BODY $708.00 78018 BONE SCAN LIMIT AREA $918.00 78300 BONE SCAN WHOLE BODY $1,293.00 78306 BONE MARROW SCAN MLT $532.00 78103 RENAL SCAN W/VASFLOW $637.00 78701 MECKELS SCAN $465.00 78290 GALLIUM SCAN $2,337.00 78802 HEPATOBILIARY SCAN $792.00 78226 GASTRIC EMPTY SCAN $974.00 78264 THALLOUS CHLORI 4MCI $200.00 A9505 CISTERNOGRAPH $1,490.00 78630 MUGA SCAN $1,122.00 78472 MYO PERF TREADMILL $2,637.00 78452 RIBS UNIL INCLD CHST LT 3 V $281.83 71101 XRAY RIBS UNIL INCLD CHEST 3 V $281.83 71101 XRAY SPINE LUMBOSAC BND 2-3 V $149.65 72120 X-RAY HAND 2 VIEWS RT $281.83 73120 BONE SCAN, 3 PHASE $1,771.00 78315 X-RAY HAND 2 VIEWS LT $281.83 73120 GALLIUM SCAN 24HR $2,337.00 78802 GALLIUM SCAN 48HR $1,681.00 78804 GALLIUM SCAN 72HR $1,681.00 78804 MAA PER VIAL $82.00 A9540 BONE SPECT $1,164.00 78320 BRAIN SPECT $1,524.00 78607 MYOVIEW PER DOSE $761.00 A9502 CERETEC PER DOSE $1,887.00 A9521 LUNG/VENT/PERF QUANT $533.00 78598 RENOGRAM $921.00 78707 MDP UP TO 30 MCI $330.00 A9503 DTPA PER STUDY DOSE UP 25 MCI $227.00 A9539 SKELTL SRVY MORE 1YR $572.00 77075 SCAPULA, RIGHT $148.00 73010 XRAY CERVICAL SPINE 4 OR 5 V $376.00 72050 RAD EX STERNOCLAV (S) MIN 3 VI $160.00 71130 X-RAY CLAVICLE, RIGHT $175.00 73000 STERNUM MIN 2 VIEWS $189.00 71120 RIBS UNI 2 VIEWS RT $340.00 71100 X-RAY RIBS, BILAT 3 VIEWS $310.00 71110 SHOULDER 1 VIEW RIGHT $193.00 73020 SHOULDER 2 VIEWS, RT $244.00 73030 SHOULDER COMPLETE, RT MIN 2 V $305.00 73030 ELBOW RT 2 VIEWS $191.00 73070 FOREARM RT 2 VIEWS $282.00 73090 FINGER/FINGERS RT MIN 2 VIEWS $151.00 73140 HAND 3 VIEW RT $360.00 73130 HUMERUS 2 VIEW RT $233.00 73060 THORACIC SPINE 3VIEW $347.00 72072 LUMBOSAC SPINE >=4 $291.00 72110 X-RAY PELVIS 1-2 VIEWS $198.00 72170 PELVIS, 3 VIEWS $238.00 72190 LEG, RT 2 VIEWS $208.00 73590 TOE/TOES 2 VIEWS RT $150.00 73660 BONE AGE $172.00 77072 HEEL-OS CALCIS MIN 2 VIEWS RT $176.00 73650 WRIST COMPLETE RT MIN 3 V $257.00 73110 WRIST RT 2 VIEWS $170.00 73100 ANKLE COMPLETE RT MIN 3 V RT $307.00 73610 FEMUR, RT MIN 2 VIEWS $182.00 73552 FOOT COMPLETE MIN 3 VIEWS RT $329.00 73630 HIP 1 VIEW RT $131.00 73501 PROMETHAZINE HCL 50MG CREAM $16.00 HIP 2 - 3 VIEWS RT $182.00 73502 KNEE 1-2 VIEWS RT $140.00 73560 RAD EX KNEE, COM => 4 VIEWS RT $179.00 73564 X-RAY EYE/FOREIGN BODY RT $169.00 70030 RAD EX FACIAL BONES, MIN 3 VI $322.00 70150 MANDIBLE, PARTIAL < 4 VIEWS $126.00 70100 MANDIBLE COMPLETE MIN 4 VIEWS $145.00 70110 MASTOIDS 3 OR MORE $294.00 70130 RAD EX NASAL BONE, COM MIN 3 V $211.00 70160 SELLA TURCICA $193.00 70240 RAD EX SINUS, PARANASAL < 3 VI $195.00 70210 XRAY SINUSES PARANASAL MIN 3 V $247.00 70220 SKULL < 4 $231.00 70250 RAD EX SKULL, COM MIN 4 VIEWS $292.00 70260 T-M JOINT, BILATERAL $648.00 70330 RAD EXAM, FACIAL < 3 VIEWS $229.00 70140 PYELOGRAM (IVP) $1,279.00 74400 PYELOGRAM RETROGRADE $748.00 74420 ACUTE ABDOMEN SERIES $382.00 74022 ABDOMEN (KUB) 1 VIEW $191.00 74018 ABDOMEN 2 VIEWS $197.00 74019 ESOPHAGRAM $453.00 74220 CHOLANGIOGRAM OPERAT $438.00 74300 FLUOROSCOPY $398.00 76000 CHOLANGIOGRAM T-TUBE $5,871.00 47531 SMALL BOWEL SERIES $317.00 74250 BARIUM ENEMA $418.00 74270 BE COLON W AIR & BARIUM $586.00 74280 UPPER/GI SERIES $552.00 74240 X-RAY CHEST 1 VIEW $183.00 71045 CHEST PA & LAT 2 VIEWS $216.00 71046 INSERT LEADLESS C PM/RPL VENTR $42,895.00 33274 INS TRANSCATH PACEMAKER LEADLE $40,651.00 TOMOGRAMS $351.00 76100 METASTATIC SURVY LMT $196.00 77074 IVP/TOMOS $1,279.00 74400 X-RAY CERVICAL SPINE 2-3 VIEWS $348.00 72040 XRAY THORACIC SPINE AP&L 2 VIE $340.00 72070 LUMBAR SPINE AP&LAT 2 OR 3 V $259.00 72100 HIPS, BILATERAL $175.00 73521 FLUOROSCOPY OVER 60M $398.00 76000 SCANOGRAM $242.00 77073 ASPIRTION/INJCTION MAJOR JOINT $1,159.00 REM, NON-BIO DRUG DEL IMPLANT $767.00 ANOSCOPY W/POLYPECTOMY $5,385.00 X-RAY NECK, SOFT TISSUE $203.00 70360 CT SELLA/EAR/ORB WO $1,402.00 70480 CT CHEST WO CNTRST $930.00 71250 CT CHEST WI CNTRST $1,977.00 71260 CT CERV SPINE WO CNT $1,834.00 72125 CT CERV SPINE WI CNT $5,204.00 72126 CT THORACIC SPINE WI CONTRAST $3,301.00 72129 CT LUMBOSPINE WI CNT $5,204.00 72132 CT PELVIS WI CNTRST $1,784.00 72193 CT UP EXT RT WO/CONT $1,479.00 73200 CT UP EXT RT W/CONTR $1,479.00 73201 CT UP EXT RTW/WO CON $1,833.00 73202 CT LO EXT WO/CONTRAS $1,377.00 73700 CT LO EXT RT W/CONTR $1,734.00 73701 CT LO EXT RTW/WO CON $2,106.00 73702 CT ABDMN WI CNTRST $2,197.00 74160 EXECUTIVE CHEST 2 VIEWS $216.00 71046 CT NECK WI/WO CNTRST $2,431.00 70492 CT NECK WI CNTRST $2,294.00 70491 CT NECK WO CNTRST $1,882.00 70490 CT LIMITED STUDY $622.00 76380 INSRT/REP SGL CHAM PM VENTRICU $15,821.00 33207 CT HEAD WI CONTRAST $1,995.00 70460 CT HEAD WO/WI CNTRST $3,000.00 70470 CT SELL/EAR/ORB WO/W $1,887.00 70482 CT CHEST WO/WI CNTRS $2,886.00 71270 CT PELVIS WO/WI CNTR $1,971.00 72194 CT ABD WO/WI CNTRST $2,494.00 74170 CT HEAD WO CONTRAST $2,000.00 70450 CT PELVIS WO CNTRST $1,778.00 72192 CT THOR SPINE WO CNT $1,957.00 72128 CT LUMBOSPINE WO CNT $1,685.00 72131 CT MAXILLOFACIAL WI $1,730.00 70487 CT MAXILLOFACIAL W/O $1,441.00 70486 CT ABDMN WO CNTRST $1,426.00 74150 VIDEO FLUOR. SWA.STY $362.00 74230 US HEPATIC $472.00 76705 US EXTREMITY RT $193.00 76882 US SCROTUM $618.00 76870 US PELVIS COMPLETE $473.00 76856 US OB COMPLETE $271.00 76805 MAMMO SURG SPECIMEN $564.00 76098 US ABDOMEN $637.00 76700 US GALLBLADDER $472.00 76705 MAMMOGRAM BILATERAL $187.00 77066 CT 3D RENDER W/O WS $268.00 76376 PULSE OX SINGLE DETERMINE $70.00 94760 MAMMO SCRN/INDUSTRY $155.00 77067 MRI BRAIN W/O CONT $2,429.00 70551 MRI ORB/FAC/NECK WO $1,568.00 70540 MRI CERV SPINE WO $2,051.00 72141 MRI THROAC SP WO $2,644.00 72146 MRI LUMB SPINE WO $2,105.00 72148 MRI ABDOMEN WO CONT $1,490.00 74181 MRI CHEST WO CONT $2,200.00 71550 DLCO TEST (PFT) $266.00 94729 VENOUS PH $48.00 83986 O2 PER 24 HRS. $442.00 CPAP INITIAL $318.00 94660 INFER VENCAV GRM S&I $5,838.00 75825 IVC FILTER PLACEMENT $5,548.00 37191 INSRT PM PULSE GEN SNGL LEAD $7,960.00 33212 PERCSTNT REN PLVS RT $5,404.00 50695 PERCCATH REN PLVS RT $4,540.00 50433 MRI UP EXT JNT RT W/O CONTRAST $2,838.00 73221 MRI LO EXT JNT RT WO $2,904.00 73721 OXYGEN SATURATIN SDY $92.00 82810 AMNISURE $245.00 84112 PLSEOX MULTI/CONT DY $102.00 94761 INSRT/REP DUAL CHAM PM ATRL VE $17,012.00 33208 ART. DUPLEX BILAT $1,164.00 93925 ART. UNILAT STUDY RT $674.00 93926 ECHO, 2D/M MODE $1,200.00 93306 US PELVIS TRANS.VAG. $675.00 76830 US RENAL, UNI RT $377.00 76775 US AORTA $377.00 76775 US OB LIMITED 1 + FETUS $233.00 76815 US FTL AGE FLUP Q FS $494.00 76816 US THYROID $530.00 76536 US BABY HEAD $241.00 76506 ULTRASOUND BREAST LIMITED,UNIL $484.00 76642 US CHEST $316.00 76604 MYOCARDIAL BIOPSY $3,024.00 93505 STRESS W/RHYTHM STRP $678.00 93017 GLUCOSE $44.00 82947 GLUCOSE - 2 HR $44.00 82947 GLUCOSE PC /GLUCOLA $51.00 82950 BUN $46.00 84520 SODIUM $47.00 84295 POTASSIUM $40.00 84132 CHLORIDES $61.00 82435 CO 2 $31.00 82374 CALCIUM $47.00 82310 PHOSPHORUS $54.00 84100 URIC ACID $40.00 84550 AMYLASE $60.00 82150 BILIRUBIN (TOTAL) $52.00 82247 BILIRUBIN (DIRECT) $55.00 82248 ALKALINE PHOSPHATASE $75.00 84075 PROTEIN/SERUM $41.00 84155 ALBUMIN / SERUM $39.00 82040 ALPHA-1-ANTITRYPSIN MUT ANA SO $174.00 81332 SGOT $45.00 84450 SGPT $28.00 84460 LDH $43.00 83615 CPK $66.00 82550 CHOLESTEROL $54.00 82465 CREATININE (SERUM) $50.00 82565 EXC TR-EXT B9+MAR 3.1-4 CM LES $374.00 11404 T4 FREE $78.00 84439 IRON $48.00 83540 IRON BINDING (TOTAL) $63.00 83550 TRIGLYCERIDES $38.00 84478 ANTI QGIB AB SO $463.00 83520 MTB COMPLEX PCR SO $818.00 87801 URINE CREAT.
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  • Femoral and Sciatic Nerve Blocks for Total Knee Replacement in an Obese Patient with a Previous History of Failed Endotracheal Intubation −A Case Report−

    Femoral and Sciatic Nerve Blocks for Total Knee Replacement in an Obese Patient with a Previous History of Failed Endotracheal Intubation −A Case Report−

    Anesth Pain Med 2011; 6: 270～274 ￭Case Report￭ Femoral and sciatic nerve blocks for total knee replacement in an obese patient with a previous history of failed endotracheal intubation −A case report− Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea Jong Hae Kim, Woon Seok Roh, Jin Yong Jung, Seok Young Song, Jung Eun Kim, and Baek Jin Kim Peripheral nerve block has frequently been used as an alternative are situations in which spinal or epidural anesthesia cannot be to epidural analgesia for postoperative pain control in patients conducted, such as coagulation disturbances, sepsis, local undergoing total knee replacement. However, there are few reports infection, immune deficiency, severe spinal deformity, severe demonstrating that the combination of femoral and sciatic nerve blocks (FSNBs) can provide adequate analgesia and muscle decompensated hypovolemia and shock. Moreover, factors relaxation during total knee replacement. We experienced a case associated with technically difficult neuraxial blocks influence of successful FSNBs for a total knee replacement in a 66 year-old the anesthesiologist’s decision to perform the procedure [1]. In female patient who had a previous cancelled surgery due to a failed tracheal intubation followed by a difficult mask ventilation for 50 these cases, peripheral nerve block can provide a good solution minutes, 3 days before these blocks. FSNBs were performed with for operations on a lower extremity. The combination of 50 ml of 1.5% mepivacaine because she had conditions precluding femoral and sciatic nerve blocks (FSNBs) has frequently been neuraxial blocks including a long distance from the skin to the used for postoperative pain control after total knee replacement epidural space related to a high body mass index and nonpalpable lumbar spinous processes.
  • MASSHEALTH TRANSMITTAL LETTER LAB-22 July 2002 TO

    MASSHEALTH TRANSMITTAL LETTER LAB-22 July 2002 TO

    Commonwealth of Massachusetts Executive Office of Health and Human Services Division of Medical Assistance 600 Washington Street Boston, MA 02111 www.mass.gov/dma MASSHEALTH TRANSMITTAL LETTER LAB-22 July 2002 TO: Independent Clinical Laboratories Participating in MassHealth FROM: Wendy E. Warring, Commissioner RE: Independent Clinical Laboratory Manual (Laboratory HCPCS) The federal government has revised the HCFA Common Procedure Coding System (HCPCS) for MassHealth billing. This letter transmits changes for your provider manual that contain the new and revised codes. The revised Subchapter 6 is effective for dates of service on or after April 30, 2002. The codes introduced under the 2002 HCPCS code book are effective for dates of service on or after April 30, 2002. We will accept either the new or the old codes for dates of service through July 28, 2002. For dates of service on or after July 29, 2002, you must use the new codes to receive payment. If you wish to obtain a fee schedule, you may purchase Division of Health Care Finance and Policy regulations from either the Massachusetts State Bookstore or from the Division of Health Care Finance and Policy (see addresses and telephone numbers below). You must contact them first to find out the price of the publication. The Division of Health Care Finance and Policy also has the regulations available on disk. The regulation title for laboratory is 114.3 CMR 20.00: Laboratory. Massachusetts State Bookstore Division of Health Care Finance and Policy State House, Room 116 Two Boylston Street
  • Jared J. Wallen MD MBA

    Jared J. Wallen MD MBA

    Jared J. Wallen MD MBA Education Post American Board of Urology – Board Certification (Expires 02/28/2029) Massachusetts Institute of Technology – Certificate Commercial Real Estate Analysis and Investing (Class of 2019) London School of Economics and Political Science – Certificate Masters of Business Administration Essentials (Class of 2019) Masters in Real Estate Fortune Builders (Class of 2020) Florida Real Estate Sales Associate License Certification (09/2020) Designation as National Commercial Real Estate Advisor and Certified Real Estate Investment Planning Specialist (01/2021) Fell. Boston Scientific Men’s Sexual Health Research Fellow, Class of 2018 P.G. University of Southern Florida – Morsani College of Medicine, Urologic Surgery Residency, Class of 2017 University of Southern Florida – Morsani College of Medicine, General Surgery Internship, Class of 2013 M.D. Rush Medical College, Doctorate in Medicine, Class of 2012 B.S. University of Illinois Urbana/Champaign, Bachelors with Honors in Molecular and Cellular Biology and Psychology, Class of 2008 A.A. Rock Valley Community College, Associates in Arts, Concentration in Psychology, Class of 2004 Experience • Manager and Lead Urologic Surgeon – YOU & WEE Urologic 10/2020 – present Surgery and Wellness • Manager – RUFF & RESTORE EcoFriendly Properties 11/2019 – present • Founder Men’s Health Survivorship Foundation 10/2018 - present • Board Certified Urologic Surgeon – Advent Health Tampa 10/2017 - 10/2020 Physician Group Urology • Adjunct Faculty - Lincoln Memorial University DCOM 02/2018 – 10/2020 • Consultant Boston Scientific 05/2019 – present 05/2019 - present • Consultant Myriad Genetics • Aquatics Student Coordinator Campus Recreation at University 06/2006 - 06/2008 of Illinois • Assistant Store Manager Valvoline Instant Oil Change 06/2001 - 08/2004 Jared J.