|
Amiodarone 50 mg/ml intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$13.33 |
$13.33 |
$13.33 |
$87.45
|
|
Ammonia
|
$41.75 |
$41.75 |
$131.59 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$538.49 |
$538.49 |
$538.49 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,279.49 |
$1,279.49 |
$1,279.49 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$30.58 |
$30.58 |
$30.58 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$103.99 |
$103.99 |
$103.99 |
$123.53
|
|
Amphotericin b lipid complex
|
$514.03 |
$514.03 |
$514.03 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$675.63 |
$675.63 |
$675.63 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$36.18 |
$36.18 |
$36.18 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$153.30 |
$153.30 |
$153.30 |
$54.57
|
|
Amylase
|
$66.84 |
$66.84 |
$156.25 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$87.42 |
$87.42 |
$87.42 |
$117.01
|
|
Anal pressure record
|
$208.51 |
$208.51 |
$355.76 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$70.42 |
$70.42 |
$96.68 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$78.66 |
$78.66 |
$107.97 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$37.62 |
$37.62 |
$37.62 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$7.51 |
$7.51 |
$19.08 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$647.19 |
$647.19 |
$1,480.97 |
$2,480.94
|
|
An fluoro guide for cvp
|
$144.46 |
$144.46 |
$236.11 |
$525.85
|
|
Angioplasty fem/pop unilat 37224
|
$4,136.32 |
$4,136.32 |
$8,210.00 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,818.72 |
$9,818.72 |
$9,818.72 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,087.10 |
$3,087.10 |
$4,303.44 |
$5,950.50
|
|
Angiotensin ii
|
$17.44 |
$17.44 |
$116.24 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,590.70 |
$1,590.70 |
$2,957.92 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,607.46 |
$4,607.46 |
$9,013.69 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,707.59 |
$8,707.59 |
$8,707.59 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,172.33 |
$3,172.33 |
$8,707.59 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$8,630.79 |
$8,630.79 |
$8,707.59 |
$8,359.11
|
|
Ankle X-ray
|
$115.63 |
$115.63 |
$115.63 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$105.09 |
$105.09 |
$105.09 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$53.09 |
$53.09 |
$53.09 |
$57.85
|
|
Antibody elution rbc reference
|
$126.65 |
$126.65 |
$195.91 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$20.75 |
$20.75 |
$174.54 |
$131.56
|
|
Antibody htlv-i
|
$9.72 |
$9.72 |
$9.72 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$82.93 |
$82.93 |
$105.86 |
$224.00
|
|
Antibody id rbc panel
|
$256.79 |
$256.79 |
$411.12 |
$291.75
|
|
Antibody influenza virus
|
$23.60 |
$23.60 |
$23.60 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$13.80 |
$13.80 |
$21.51 |
$46.58
|
|
Antibody screen rbc
|
$58.64 |
$58.64 |
$82.01 |
$108.55
|
|
Antibody tetanus
|
$21.86 |
$21.86 |
$21.86 |
$54.15
|
|
Antidepressant not specified
|
$13.72 |
$13.72 |
$13.72 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.29 |
$4.29 |
$4.29 |
$6.10
|
|
Anti-inhibitor
|
$6.97 |
$6.97 |
$6.97 |
$8.33
|
|
Anti mog serum - sendout
|
$187.60 |
$187.60 |
$290.44 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$12.92 |
$12.92 |
$19.78 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$21.51 |
$21.51 |
$21.51 |
$42.00
|
|
Antinuclear antibodies
|
$18.39 |
$18.39 |
$107.20 |
$90.00
|
|
Antinuclear antibodies titer
|
$11.97 |
$11.97 |
$39.90 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$17.23 |
$17.23 |
$19.78 |
$67.43
|
|
Antistreptolysin o screen
|
$91.12 |
$91.12 |
$91.12 |
$58.56
|
|
Antistreptolysin o titer
|
$19.78 |
$19.78 |
$54.94 |
$54.00
|
|
Antithrombin iii activity
|
$12.71 |
$12.71 |
$17.45 |
$115.15
|
|
Antithrombin iii injection
|
$2,904.59 |
$2,904.59 |
$2,904.59 |
$11.85
|
|
Aortic Aneurysm Screening Ultrasound
|
$156.02 |
$156.02 |
$156.02 |
$394.55
|
|
Aortic dysfunction/dilation
|
$540.29 |
$540.29 |
$540.29 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,447.41 |
$1,447.41 |
$1,447.41 |
$1,700.16
|
|
Apheresis plasma
|
$1,477.44 |
$1,477.44 |
$1,784.62 |
$3,226.34
|
|
Apl(pml-rara) quant - sendout
|
$222.24 |
$222.24 |
$304.70 |
$513.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$363.41 |
$363.41 |
$363.41 |
$502.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$726.55 |
$726.55 |
$726.55 |
$512.20
|
|
Application finger splntstatic 29130
|
$32.14 |
$32.14 |
$83.89 |
$208.50
|
|
Application lower leg splint 29515
|
$59.23 |
$59.23 |
$59.23 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$250.85 |
$250.85 |
$250.85 |
$375.06
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,453.10 |
$1,453.10 |
$1,453.10 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,453.10 |
$1,453.10 |
$1,453.10 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,959.29 |
$4,959.29 |
$4,959.29 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$12.94 |
$12.94 |
$12.94 |
$69.00
|
|
Apply forearm splintdynamic 29126
|
$126.81 |
$126.81 |
$126.81 |
$255.20
|
|
Apply of finger splint 29131
|
$29.79 |
$29.79 |
$29.79 |
$177.45
|
|
Apply rigid leg cast 29445
|
$157.59 |
$157.59 |
$157.59 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$40.32 |
$40.32 |
$40.32 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$40.95 |
$40.95 |
$40.95 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$121.45 |
$121.45 |
$214.40 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$85.76 |
$85.76 |
$93.00 |
$150.00
|
|
Aquatic exercise - group charge
|
$36.30 |
$36.30 |
$36.30 |
$87.45
|
|
Arformoterol non-comp unit
|
$53.87 |
$53.87 |
$53.87 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$1,394.14 |
$1,394.14 |
$1,394.14 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$570.55 |
$570.55 |
$570.55 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$456.33 |
$456.33 |
$456.33 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$132.10 |
$132.10 |
$132.10 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,623.82 |
$1,623.82 |
$1,623.82 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$310.29 |
$310.29 |
$1,000.45 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,111.55 |
$1,111.55 |
$1,204.66 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$2,482.76 |
$2,482.76 |
$4,252.60 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$4,465.45 |
$4,465.45 |
$4,465.45 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,956.58 |
$2,956.58 |
$4,627.15 |
$3,860.40
|
|
Artery x-rays chest
|
$2,454.08 |
$2,454.08 |
$2,454.08 |
$2,895.07
|
|
Artery x-rays lung
|
$2,746.15 |
$2,746.15 |
$2,746.15 |
$3,296.15
|
|
Artery x-rays lung
|
$2,817.22 |
$2,817.22 |
$2,817.22 |
$2,427.50
|
|
Artery x-rays lungs
|
$3,085.50 |
$3,085.50 |
$3,521.52 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$2,370.73 |
$2,370.73 |
$3,306.60 |
$4,306.40
|
|
Artery x-rays spine
|
$5,220.91 |
$5,220.91 |
$5,220.91 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$345.02 |
$345.02 |
$611.58 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$478.12 |
$478.12 |
$604.79 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$496.88 |
$496.88 |
$686.87 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$332.39 |
$332.39 |
$332.39 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$496.88 |
$496.88 |
$526.32 |
$699.00
|
|
Ascenda two piece catheter
|
$14,503.75 |
$14,503.75 |
$27,033.43 |
$22,792.00
|
|
Aspa gene
|
$50.66 |
$50.66 |
$50.66 |
$133.84
|
