|
Ammonia
|
$145.00 |
$145.00 |
$145.00 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$753.00 |
$753.00 |
$753.00 |
$963.79
|
|
Amniocentesis therapeutic
|
$1,087.00 |
$1,087.00 |
$1,087.00 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$217.00 |
$217.00 |
$217.00 |
$94.50
|
|
Amphetamines 5 or more
|
$217.00 |
$217.00 |
$217.00 |
$93.60
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,681.50 |
$1,681.50 |
$1,681.50 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$88.50 |
$88.50 |
$88.50 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$96.25 |
$96.25 |
$96.25 |
$56.63
|
|
Amylase
|
$121.00 |
$121.00 |
$121.00 |
$93.00
|
|
Ana ds-dna
|
$156.00 |
$156.00 |
$156.00 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$697.00 |
$697.00 |
$697.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$783.00 |
$783.00 |
$783.00 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$523.00 |
$523.00 |
$523.00 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$194.00 |
$194.00 |
$194.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$536.00 |
$536.00 |
$536.00 |
$2,426.60
|
|
An fluoro guide for cvp
|
$765.00 |
$765.00 |
$765.00 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$20,272.00 |
$20,272.00 |
$20,272.00 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,461.00 |
$9,461.00 |
$9,461.00 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$515.75 |
$515.75 |
$515.75 |
$5,128.65
|
|
Angio tib/peroneal/init ves/unila 37228
|
$19,298.00 |
$19,298.00 |
$19,298.00 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,162.00 |
$6,162.00 |
$6,162.00 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$12,540.00 |
$12,540.00 |
$12,540.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,297.00 |
$5,297.00 |
$5,297.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$10,810.00 |
$10,810.00 |
$10,810.00 |
$8,745.10
|
|
Antibody
|
$170.00 |
$170.00 |
$170.00 |
$27.41
|
|
Antibody bacterium, not elsewhere specified
|
$183.00 |
$183.00 |
$183.00 |
$57.85
|
|
Antibody elution rbc reference
|
$698.00 |
$698.00 |
$698.00 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$249.00 |
$249.00 |
$249.00 |
$141.26
|
|
Antibody htlv-i
|
$108.00 |
$108.00 |
$108.00 |
$49.53
|
|
Antibody htlv-ii
|
$181.00 |
$181.00 |
$181.00 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$280.00 |
$280.00 |
$280.00 |
$218.30
|
|
Antibody id rbc panel
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$291.75
|
|
Antibody influenza virus
|
$174.00 |
$174.00 |
$174.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$165.00 |
$165.00 |
$165.00 |
$53.96
|
|
Antibody screen rbc
|
$426.00 |
$426.00 |
$426.00 |
$105.00
|
|
Antidepressants class 3-5
|
$175.00 |
$175.00 |
$175.00 |
$82.68
|
|
Antidepressant tricyclic 3-5
|
$125.00 |
$125.00 |
$125.00 |
$23.20
|
|
Anti mog serum - sendout
|
$39.00 |
$39.00 |
$39.00 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$199.00 |
$199.00 |
$199.00 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$199.00 |
$199.00 |
$199.00 |
$40.00
|
|
Antinuclear antibodies
|
$164.00 |
$164.00 |
$164.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$143.00 |
$143.00 |
$143.00 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$150.00 |
$150.00 |
$150.00 |
$74.20
|
|
Antipsychotics nos 1-3
|
$232.00 |
$232.00 |
$232.00 |
$161.39
|
|
Antistreptolysin o screen
|
$74.00 |
$74.00 |
$74.00 |
$59.40
|
|
Antistreptolysin o titer
|
$87.00 |
$87.00 |
$87.00 |
$57.85
|
|
Antithrombin iii activity
|
$166.00 |
$166.00 |
$166.00 |
$106.85
|
|
Apheresis plasma
|
$9,050.00 |
$9,050.00 |
$9,050.00 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,365.00 |
$4,365.00 |
$4,365.00 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$494.00 |
$494.00 |
$494.00 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$859.00 |
$859.00 |
$859.00 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$347.00 |
$347.00 |
$347.00 |
$508.18
|
|
Application lower leg splint 29515
|
$378.00 |
$378.00 |
$378.00 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$174.00 |
$174.00 |
$174.00 |
$393.75
|
|
Application of paste boot 29580
|
$300.00 |
$300.00 |
$300.00 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$2,164.64
|
|
Apply halo w/removal cranial
|
$1,814.00 |
$1,814.00 |
$1,814.00 |
$1,367.60
|
|
Apply interstit radiat compl
|
$6,915.00 |
$6,915.00 |
$6,915.00 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$4,526.00 |
$4,526.00 |
$4,526.00 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$323.00 |
$323.00 |
$323.00 |
$608.00
|
|
#aptt mix-1:1 incubated
|
$450.00 |
$450.00 |
$450.00 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$155.00 |
$155.00 |
$155.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$39.00 |
$39.00 |
$39.00 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$155.00 |
$155.00 |
$155.00 |
$155.00
|
|
Argatroban nonesrd use 1mg
|
$816.25 |
$816.25 |
$816.25 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,563.75 |
$1,563.75 |
$1,563.75 |
$1,642.18
|
|
Arterial blood draw/perc 36620
|
$959.00 |
$959.00 |
$959.00 |
$500.82
|
|
Artery xray each vessel 7577426
|
$2,071.00 |
$2,071.00 |
$2,071.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$5,397.00 |
$5,397.00 |
$5,397.00 |
$4,658.99
|
|
Artery x-rays adrenals
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,724.63
|
|
Artery x-rays arms/legs 75716-26
|
$4,735.00 |
$4,735.00 |
$4,735.00 |
$4,029.72
|
|
Artery x-rays chest
|
$3,229.00 |
$3,229.00 |
$3,229.00 |
$2,628.15
|
|
Artery x-rays lung
|
$2,711.00 |
$2,711.00 |
$2,711.00 |
$2,483.00
|
|
Artery x-rays lungs
|
$4,303.00 |
$4,303.00 |
$4,303.00 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$4,826.00 |
$4,826.00 |
$4,826.00 |
$4,551.20
|
|
Artery x-rays spine
|
$3,182.00 |
$3,182.00 |
$3,182.00 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$656.00 |
$656.00 |
$656.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$635.00 |
$635.00 |
$635.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$508.00 |
$508.00 |
$508.00 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$487.00 |
$487.00 |
$487.00 |
$700.80
|
|
Asp & inj bone cyst
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$974.90
|
|
Asp & inj w/heparin pleurx cath
|
$771.00 |
$771.00 |
$771.00 |
$1,411.99
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,651.00 |
$2,651.00 |
$2,651.00 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$681.00 |
$681.00 |
$681.00 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,039.00 |
$1,039.00 |
$1,039.00 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$715.00 |
$715.00 |
$715.00 |
$850.78
|
|
Assay of adp & amp
|
$332.00 |
$332.00 |
$332.00 |
$127.40
|
|
Assay of feces porphyrins
|
$328.00 |
$328.00 |
$328.00 |
$166.20
|
|
Assay of galactose
|
$104.00 |
$104.00 |
$104.00 |
$48.13
|
