|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$100.06 |
$100.06 |
$100.06 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$535.23 |
$535.23 |
$535.23 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$181.86 |
$181.86 |
$181.86 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$147.66 |
$147.66 |
$147.66 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$149.91 |
$149.91 |
$149.91 |
$262.99
|
|
Amylase
|
$57.38 |
$57.38 |
$57.38 |
$85.65
|
|
Anabolic steroid 1 or 2
|
$60.99 |
$60.99 |
$60.99 |
$80.08
|
|
Ana ds-dna
|
$8.74 |
$8.74 |
$8.74 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$58.71 |
$58.71 |
$58.71 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$72.77 |
$72.77 |
$72.77 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$139.65 |
$139.65 |
$139.65 |
$226.50
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$24.70 |
$24.70 |
$24.70 |
$123.84
|
|
Anaplsma phgcytophlm amp prb
|
$21.47 |
$21.47 |
$21.47 |
$88.00
|
|
Anca screen with reflex to titer -quest
|
$226.29 |
$226.29 |
$226.29 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$647.90 |
$647.90 |
$647.90 |
$2,494.35
|
|
An fluoro guide for cvp
|
$270.37 |
$270.37 |
$270.37 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$782.42 |
$782.42 |
$782.42 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$6,282.35 |
$6,282.35 |
$6,282.35 |
$9,074.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,716.18 |
$4,716.18 |
$4,716.18 |
$10,215.00
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,041.17 |
$2,041.17 |
$2,041.17 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,025.69 |
$5,025.69 |
$5,025.69 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$782.42 |
$782.42 |
$782.42 |
$4,976.22
|
|
Angio trnslmnl balloon same artery ini
|
$1,566.17 |
$1,566.17 |
$1,566.17 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$782.42 |
$782.42 |
$782.42 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$1,566.17 |
$1,566.17 |
$1,566.17 |
$8,707.59
|
|
Ankle X-ray
|
$98.42 |
$98.42 |
$98.42 |
$356.32
|
|
Anora (draw only)
|
$7.60 |
$7.60 |
$7.60 |
$35.00
|
|
Anoscopy remove fb 46608
|
$443.65 |
$443.65 |
$443.65 |
$1,496.56
|
|
Antibody bacterium, not elsewhere specified
|
$67.64 |
$67.64 |
$67.64 |
$57.85
|
|
Antibody elution rbc reference
|
$42.75 |
$42.75 |
$42.75 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$26.41 |
$26.41 |
$26.41 |
$127.95
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$169.29 |
$169.29 |
$169.29 |
$220.73
|
|
Antibody id rbc panel
|
$101.46 |
$101.46 |
$101.46 |
$277.50
|
|
Antibody influenza virus
|
$20.52 |
$20.52 |
$20.52 |
$53.95
|
|
Antibody screen rbc
|
$67.26 |
$67.26 |
$67.26 |
$106.00
|
|
Antibody tetanus
|
$8.74 |
$8.74 |
$8.74 |
$52.20
|
|
Antidepressant tricyclic 3-5
|
$31.16 |
$31.16 |
$31.16 |
$23.20
|
|
Anti mog serum - sendout
|
$7.60 |
$7.60 |
$7.60 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$7.60 |
$7.60 |
$7.60 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$7.60 |
$7.60 |
$7.60 |
$36.60
|
|
Antinuclear antibodies
|
$7.60 |
$7.60 |
$7.60 |
$91.70
|
|
Antinuclear antibodies titer
|
$42.75 |
$42.75 |
$42.75 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$50.92 |
$50.92 |
$50.92 |
$65.97
|
|
Antistreptolysin o titer
|
$63.27 |
$63.27 |
$63.27 |
$52.50
|
|
Antithrombin iii activity
|
$135.28 |
$135.28 |
$135.28 |
$114.00
|
|
Apheresis plasma
|
$562.97 |
$562.97 |
$562.97 |
$3,291.00
|
|
Apl(pml-rara) quant - sendout
|
$148.39 |
$148.39 |
$148.39 |
$482.95
|
|
Apomorphine hydrochloride
|
$228.84 |
$228.84 |
$228.84 |
$174.99
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$755.25 |
$755.25 |
$755.25 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$170.24 |
$170.24 |
$170.24 |
$877.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$62.89 |
$62.89 |
$62.89 |
$512.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,244.31 |
$1,244.31 |
$1,244.31 |
$3,786.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$170.24 |
$170.24 |
$170.24 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$60.42 |
$60.42 |
$60.42 |
$508.18
|
|
Application finger splntstatic 29130
|
$53.39 |
$53.39 |
$53.39 |
$216.80
|
|
Application long leg splint 29505
|
$35.53 |
$35.53 |
$35.53 |
$356.85
|
|
Application lower leg splint 29515
|
$35.53 |
$35.53 |
$35.53 |
$354.00
|
|
Application multi layer compression below knee (both sides)
|
$44.65 |
$44.65 |
$44.65 |
$369.00
|
|
Application of cylinder cast 29365
|
$67.26 |
$67.26 |
$67.26 |
$468.00
|
|
Application of forearm cast 29075
|
$62.32 |
$62.32 |
$62.32 |
$365.30
|
|
Application of long leg cast 29345
|
$62.32 |
$62.32 |
$62.32 |
$480.00
|
|
Application of paste boot 29580
|
$67.26 |
$67.26 |
$67.26 |
$331.74
|
|
Application short leg cast 29405
|
$62.32 |
$62.32 |
$62.32 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$755.25 |
$755.25 |
$755.25 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$755.25 |
$755.25 |
$755.25 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$30.59 |
$30.59 |
$30.59 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$53.58 |
$53.58 |
$53.58 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$30.78 |
$30.78 |
$30.78 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$53.39 |
$53.39 |
$53.39 |
$265.00
|
|
Apply interstit radiat compl
|
$580.26 |
$580.26 |
$580.26 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$199.12 |
$199.12 |
$199.12 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$199.12 |
$199.12 |
$199.12 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$199.12 |
$199.12 |
$199.12 |
$1,269.97
|
|
Apply of finger splint 29131
|
$53.39 |
$53.39 |
$53.39 |
$171.00
|
|
Apply rigid leg cast 29445
|
$229.14 |
$229.14 |
$229.14 |
$579.77
|
|
Apply short leg castambul type 29425
|
$62.32 |
$62.32 |
$62.32 |
$452.20
|
|
Apply surf ldr radionuclide
|
$48.07 |
$48.07 |
$48.07 |
$251.55
|
|
App mdlty 1+hubbrd tnk ea 15
|
$55.86 |
$55.86 |
$55.86 |
$145.16
|
|
#aptt mix-1:1 incubated
|
$28.69 |
$28.69 |
$28.69 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$13.11 |
$13.11 |
$13.11 |
$220.00
|
|
Aquaporin-4 antibody cba each
|
$7.60 |
$7.60 |
$7.60 |
$128.00
|
|
Aquaporin-4 antibody elisa
|
$7.22 |
$7.22 |
$7.22 |
$138.87
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$20.90 |
$20.90 |
$20.90 |
$100.00
|
|
Aquatic exercise - group charge
|
$26.41 |
$26.41 |
$26.41 |
$87.60
|
|
Argatroban nonesrd (accord)
|
$173.99 |
$173.99 |
$173.99 |
$14.44
|
|
Argatroban nonesrd (auromed)
|
$70.30 |
$70.30 |
$70.30 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$181.08 |
$181.08 |
$181.08 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$500.94 |
$500.94 |
$500.94 |
$1,563.75
|
|
Arterial blood draw/perc 36620
|
$156.18 |
$156.18 |
$156.18 |
$486.85
|
|
Artery xray each vessel 7577426
|
$358.72 |
$358.72 |
$358.72 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$1,242.98 |
$1,242.98 |
$1,242.98 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$850.63 |
$850.63 |
$850.63 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,160.14 |
$1,160.14 |
$1,160.14 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$1,014.79 |
$1,014.79 |
$1,014.79 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,014.79 |
$1,014.79 |
$1,014.79 |
$3,729.00
|
|
Artery x-rays chest
|
$1,126.51 |
$1,126.51 |
$1,126.51 |
$2,628.15
|
|
Artery x-rays lung
|
$1,498.15 |
$1,498.15 |
$1,498.15 |
$3,296.15
|
|
Artery x-rays lungs
|
$1,014.79 |
$1,014.79 |
$1,014.79 |
$3,706.68
|
|
Artery xrays of pelvis 75736 26
|
$1,160.14 |
$1,160.14 |
$1,160.14 |
$4,294.50
|
|
Artery x-rays spine
|
$1,242.98 |
$1,242.98 |
$1,242.98 |
$4,294.50
|
