|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$148.20 |
$148.20 |
$148.20 |
$108.00
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,012.27 |
$1,012.27 |
$1,012.27 |
$178.45
|
|
Ampicillin 1 gram solution for injection
|
$21.94 |
$21.94 |
$21.94 |
$34.64
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$46.31 |
$46.31 |
$46.31 |
$45.20
|
|
Amylase
|
$81.90 |
$81.90 |
$81.90 |
$85.65
|
|
Ana ds-dna
|
$55.25 |
$55.25 |
$55.25 |
$69.03
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$81.25 |
$81.25 |
$81.25 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$131.95 |
$131.95 |
$131.95 |
$242.90
|
|
Analysis gene f5 leiden variant
|
$163.80 |
$163.80 |
$163.80 |
$253.11
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$61.75 |
$61.75 |
$61.75 |
$166.00
|
|
Analysis tumor
|
$103.35 |
$103.35 |
$103.35 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$157.30 |
$157.30 |
$157.30 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$132.60 |
$132.60 |
$132.60 |
$112.45
|
|
An cholangiogram percutaneous compl
|
$1,589.25 |
$1,589.25 |
$1,589.25 |
$2,417.63
|
|
An fluoro guide for cvp
|
$298.35 |
$298.35 |
$298.35 |
$484.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,879.27 |
$7,879.27 |
$7,879.27 |
$5,536.00
|
|
Angioplasty fem/pop unilat 37224
|
$18,327.17 |
$18,327.17 |
$18,327.17 |
$10,522.96
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$30,985.38 |
$30,985.38 |
$30,985.38 |
$12,138.33
|
|
Angio tib/peroneal/init ves/unila 37228
|
$22,566.43 |
$22,566.43 |
$22,566.43 |
$14,806.05
|
|
Angio trnslmnl balloon same artery ea addl
|
$21,471.11 |
$21,471.11 |
$21,471.11 |
$5,855.20
|
|
Angio trnslmnl balloon same artery ini
|
$21,471.11 |
$21,471.11 |
$21,471.11 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ini
|
$22,431.32 |
$22,431.32 |
$22,431.32 |
$8,766.15
|
|
Ankle arthroscopy/surgery
|
$16,023.20 |
$16,023.20 |
$16,023.20 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$9,921.37 |
$9,921.37 |
$9,921.37 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$4,888.01 |
$4,888.01 |
$4,888.01 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$13,439.73 |
$13,439.73 |
$13,439.73 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$9,460.65 |
$9,460.65 |
$9,460.65 |
$3,594.44
|
|
Ankle arthroscopy/surgery
|
$19,011.08 |
$19,011.08 |
$19,011.08 |
$7,913.97
|
|
Ankle X-ray
|
$396.50 |
$396.50 |
$396.50 |
$325.59
|
|
Anl sp inf pmp w/mdreprg&fil
|
$6,119.64 |
$6,119.64 |
$6,119.64 |
$693.75
|
|
Anodyne therapy charges pt
|
$41.60 |
$41.60 |
$41.60 |
$41.02
|
|
Anora (draw only)
|
$14.95 |
$14.95 |
$14.95 |
$36.36
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$8,012.32 |
$8,012.32 |
$8,012.32 |
$4,760.24
|
|
Antibody
|
$39.65 |
$39.65 |
$39.65 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$53.30 |
$53.30 |
$53.30 |
$57.85
|
|
Antibody elution rbc reference
|
$61.75 |
$61.75 |
$61.75 |
$163.80
|
|
Antibody htlv/hiv confirm test
|
$110.50 |
$110.50 |
$110.50 |
$154.85
|
|
Antibody htlv-i
|
$48.75 |
$48.75 |
$48.75 |
$49.53
|
|
Antibody htlv-ii
|
$36.40 |
$36.40 |
$36.40 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$319.80 |
$319.80 |
$319.80 |
$218.30
|
|
Antibody id rbc panel
|
$231.40 |
$231.40 |
$231.40 |
$265.05
|
|
Antibody influenza virus
|
$79.95 |
$79.95 |
$79.95 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$61.75 |
$61.75 |
$61.75 |
$57.85
|
|
Antibody screen rbc
|
$27.95 |
$27.95 |
$27.95 |
$102.60
|
|
Antibody tetanus
|
$76.05 |
$76.05 |
$76.05 |
$82.20
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4,134.78 |
$4,134.78 |
$4,134.78 |
$3.12
|
|
Anti mog serum - sendout
|
$395.20 |
$395.20 |
$395.20 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$59.15 |
$59.15 |
$59.15 |
$58.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$168.35 |
$168.35 |
$168.35 |
$48.57
|
|
Antinuclear antibodies
|
$76.05 |
$76.05 |
$76.05 |
$97.60
|
|
Antinuclear antibodies titer
|
$78.65 |
$78.65 |
$78.65 |
$79.95
|
|
Antiphosphatidylserine antibody
|
$65.00 |
$65.00 |
$65.00 |
$79.20
|
|
Antistreptolysin o screen
|
$63.05 |
$63.05 |
$63.05 |
$57.20
|
|
Antistreptolysin o titer
|
$65.65 |
$65.65 |
$65.65 |
$58.50
|
|
Antithrombin iii activity
|
$193.70 |
$193.70 |
$193.70 |
$135.20
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$10,708.47 |
$10,708.47 |
$10,708.47 |
$6,946.62
|
|
Apl(pml-rara) quant - sendout
|
$439.40 |
$439.40 |
$439.40 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$8,190.38 |
$8,190.38 |
$8,190.38 |
$6,604.91
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$723.45 |
$723.45 |
$723.45 |
$1,051.25
|
|
Application long leg splint 29505
|
$262.60 |
$262.60 |
$262.60 |
$325.60
|
|
Application lower leg splint 29515
|
$243.10 |
$243.10 |
$243.10 |
$345.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$72.80 |
$72.80 |
$72.80 |
$70.15
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$44.20 |
$44.20 |
$44.20 |
$72.60
|
|
Apply forearm splintdynamic 29126
|
$248.95 |
$248.95 |
$248.95 |
$249.60
|
|
Apply interstit radiat compl
|
$2,910.05 |
$2,910.05 |
$2,910.05 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$2,747.55 |
$2,747.55 |
$2,747.55 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$2,185.30 |
$2,185.30 |
$2,185.30 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$1,639.95 |
$1,639.95 |
$1,639.95 |
$796.97
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,431.61 |
$1,431.61 |
$1,431.61 |
$7.80
|
|
#aptt mix-1:1 incubated
|
$184.60 |
$184.60 |
$184.60 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$260.65 |
$260.65 |
$260.65 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$231.40 |
$231.40 |
$231.40 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$178.75 |
$178.75 |
$178.75 |
$142.04
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$68.25 |
$68.25 |
$68.25 |
$90.52
|
|
Aquatic exercise - group charge
|
$74.10 |
$74.10 |
$74.10 |
$87.00
|
|
Argatroban nonesrd use 1mg
|
$1,027.65 |
$1,027.65 |
$1,027.65 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$347.75 |
$347.75 |
$347.75 |
$347.75
|
|
Arterial blood draw/perc 36620
|
$492.05 |
$492.05 |
$492.05 |
$529.19
|
|
Artery-vein nonautograft
|
$15,278.60 |
$15,278.60 |
$15,278.60 |
$6,325.50
|
|
Artery xray each vessel 7577426
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,718.65 |
$3,718.65 |
$3,718.65 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,247.70 |
$2,247.70 |
$2,247.70 |
$3,483.84
|
|
Artery x-rays arm/leg 75710-26
|
$1,921.40 |
$1,921.40 |
$1,921.40 |
$3,458.54
|
|
Artery x-rays arms/legs 75716-26
|
$2,437.50 |
$2,437.50 |
$2,437.50 |
$3,936.00
|
|
Artery x-rays chest
|
$995.80 |
$995.80 |
$995.80 |
$2,498.28
|
|
Artery x-rays lung
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$3,150.00
|
|
Artery x-rays lung
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$2,138.37
|
|
Artery x-rays lungs
|
$2,085.20 |
$2,085.20 |
$2,085.20 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,598.05 |
$2,598.05 |
$2,598.05 |
$3,993.41
|
|
Artery x-rays spine
|
$2,748.85 |
$2,748.85 |
$2,748.85 |
$4,094.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$41.60 |
$41.60 |
$41.60 |
$567.78
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$31.20 |
$31.20 |
$31.20 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$48.10 |
$48.10 |
$48.10 |
$696.00
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$64.35 |
$64.35 |
$64.35 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$7,255.12 |
$7,255.12 |
$7,255.12 |
$3,594.44
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$7,253.04 |
$7,253.04 |
$7,253.04 |
$1,060.80
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,027.91 |
$4,027.91 |
$4,027.91 |
$3,162.90
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,261.65 |
$1,261.65 |
$1,261.65 |
$1,219.50
|
|
Assay of adp & amp
|
$156.00 |
$156.00 |
$156.00 |
$169.65
|
