|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$43.72 |
$43.72 |
$67.90 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$139.64 |
$142.64 |
$142.64 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$7.15 |
$7.15 |
$13.31 |
|
|
Amitriptyline (elavil) -sendout
|
$68.25 |
$81.25 |
$100.10 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$27,156.23 |
$27,156.23 |
$27,156.23 |
|
|
Ammonia
|
$104.65 |
$104.65 |
$124.15 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,361.45 |
$2,361.45 |
$2,361.45 |
|
|
Amphetamine confirm urine -sendout
|
$87.75 |
$104.00 |
$104.00 |
|
|
Amphetamines 5 or more
|
$85.15 |
$101.40 |
$101.40 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$145.08 |
$148.20 |
$148.20 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,012.27 |
$1,012.27 |
$1,012.27 |
|
|
Ampicillin 1 gram solution for injection
|
$14.96 |
$21.48 |
$44.25 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$16.54 |
$27.20 |
$46.31 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$567.45 |
$567.45 |
$616.20 |
|
|
Amp metatarsal w/toe single 28810
|
$873.60 |
$873.60 |
$873.60 |
|
|
Amp thigh through femur re-amp 27596
|
$1,520.35 |
$1,520.35 |
$1,520.35 |
|
|
Amputate thigh through femur 27590
|
$1,698.45 |
$1,698.45 |
$1,698.45 |
|
|
Amputation leg thr tib/fib 27880
|
$1,486.55 |
$1,486.55 |
$1,486.55 |
|
|
Amputation leg; tib/fib f/u 27886
|
$1,264.90 |
$1,264.90 |
$1,264.90 |
|
|
Amputation toe interphalangeal joint
|
$850.85 |
$850.85 |
$850.85 |
|
|
Amputation toe metatarsophalangeal joint
|
$932.75 |
$932.75 |
$932.75 |
|
|
Amylase
|
$70.20 |
$70.20 |
$96.85 |
|
|
Ana ds-dna
|
$46.15 |
$46.15 |
$91.65 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$81.25 |
$81.25 |
$81.25 |
|
|
Analysis gene f2 20210g>a variant
|
$131.95 |
$275.60 |
$275.60 |
|
|
Analysis gene f5 leiden variant
|
$163.80 |
$300.95 |
$300.95 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$61.75 |
$61.75 |
$61.75 |
|
|
Analysis tumor
|
$103.35 |
$103.35 |
$187.85 |
|
|
Anaplsma phgcytophlm amp prb
|
$142.35 |
$157.95 |
$157.95 |
|
|
Anca screen with reflex to titer -quest
|
$112.45 |
$112.45 |
$139.10 |
|
|
An cholangiogram percutaneous compl
|
$1,589.25 |
$1,589.25 |
$1,589.25 |
|
|
An fluoro guide for cvp
|
$298.35 |
$298.35 |
$412.10 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,879.27 |
$7,879.27 |
$7,879.27 |
|
|
Angioplasty fem/pop unilat 37224
|
$18,327.17 |
$18,327.17 |
$18,327.17 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$30,985.38 |
$30,985.38 |
$30,985.38 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$22,566.43 |
$22,566.43 |
$22,566.43 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$21,471.11 |
$21,471.11 |
$21,471.11 |
|
|
Angio trnslmnl balloon same artery ini
|
$21,471.11 |
$21,471.11 |
$21,471.11 |
|
|
Angio trnslmnl balloon same vein ini
|
$22,431.32 |
$22,431.32 |
$22,431.32 |
|
|
Ankle arthroscopy/surgery
|
$16,023.20 |
$16,023.20 |
$16,023.20 |
|
|
Ankle arthroscopy/surgery
|
$9,921.37 |
$9,921.37 |
$9,921.37 |
|
|
Ankle arthroscopy/surgery
|
$4,888.01 |
$4,888.01 |
$4,888.01 |
|
|
Ankle arthroscopy/surgery
|
$13,439.73 |
$13,439.73 |
$13,439.73 |
|
|
Ankle arthroscopy/surgery
|
$9,460.65 |
$9,460.65 |
$9,460.65 |
|
|
Ankle arthroscopy/surgery
|
$19,011.08 |
$19,011.08 |
$19,011.08 |
|
|
Ankle X-ray
|
$396.50 |
$563.55 |
$566.15 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$6,119.64 |
$6,119.64 |
$6,119.64 |
|
|
Anodyne therapy charges pt
|
$34.45 |
$41.60 |
$44.20 |
|
|
Anora (draw only)
|
$14.95 |
$16.25 |
$20.15 |
|
|
Anoscopy control bleeding 46614
|
$360.10 |
$360.10 |
$360.10 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$8,012.32 |
$8,012.32 |
$8,012.32 |
|
|
Antibody
|
$39.65 |
$39.65 |
$39.65 |
|
|
Antibody bacterium, not elsewhere specified
|
$53.30 |
$55.25 |
$55.25 |
|
|
Antibody elution rbc reference
|
$61.75 |
$94.90 |
$94.90 |
|
|
Antibody htlv/hiv confirm test
|
$110.50 |
$114.40 |
$114.40 |
|
|
Antibody htlv-i
|
$48.75 |
$50.70 |
$50.70 |
|
|
Antibody htlv-ii
|
$31.85 |
$37.70 |
$37.70 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$281.45 |
$331.50 |
$331.50 |
|
|
Antibody id rbc panel
|
$204.10 |
$204.10 |
$231.40 |
|
|
Antibody influenza virus
|
$63.70 |
$82.55 |
$82.55 |
|
|
Antibody lymphocytic choriomeningitis
|
$59.15 |
$59.15 |
$61.75 |
|
|
Antibody screen rbc
|
$27.95 |
$66.30 |
$84.50 |
|
|
Antibody tetanus
|
$76.05 |
$76.05 |
$76.05 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4,134.78 |
$4,134.78 |
$4,134.78 |
|
|
Anti mog serum - sendout
|
$395.20 |
$409.50 |
$453.05 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$55.25 |
$55.25 |
$87.75 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$159.90 |
$159.90 |
$174.20 |
|
|
Antinuclear antibodies
|
$64.35 |
$64.35 |
$113.10 |
|
|
Antinuclear antibodies titer
|
$70.85 |
$70.85 |
$87.10 |
|
|
Antiphosphatidylserine antibody
|
$65.00 |
$67.60 |
$67.60 |
|
|
Antistreptolysin o screen
|
$53.30 |
$53.30 |
$63.05 |
|
|
Antistreptolysin o titer
|
$58.50 |
$58.50 |
$65.65 |
|
|
Antithrombin iii activity
|
$163.80 |
$163.80 |
$193.70 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$10,708.47 |
$10,708.47 |
$10,708.47 |
|
|
Apheresis plasma
|
$1,896.70 |
$1,896.70 |
$1,896.70 |
|
|
Apheresis platelets
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
|
|
Apheresis rbc
|
$2,318.55 |
$2,318.55 |
$2,318.55 |
|
|
Apheresis wbc
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
|
|
Apl(pml-rara) quant - sendout
|
$439.40 |
$455.00 |
$484.25 |
|
|
Appendectomy
|
$1,262.30 |
$1,262.30 |
$1,262.30 |
|
|
Appendix Removal (Laparoscopic)
|
$1,248.00 |
$1,248.00 |
$8,190.38 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$612.95 |
$612.95 |
$723.45 |
|
|
Application finger splntstatic 29130
|
$92.95 |
$92.95 |
$135.85 |
|
|
Application long leg splint 29505
|
$188.50 |
$188.50 |
$262.60 |
|
|
Application lower leg splint 29515
|
$182.00 |
$182.00 |
$243.10 |
|
|
Application multi layer compression below knee (both sides)
|
$65.65 |
$65.65 |
$65.65 |
|
|
Application of forearm cast 29075
|
$211.90 |
$211.90 |
$211.90 |
|
|
Application of long arm cast 29065
|
$226.85 |
$226.85 |
$226.85 |
|
|
Application of long leg cast
|
$261.95 |
$261.95 |
$261.95 |
|
|
Application of paste boot 29580
|
$93.60 |
$93.60 |
$93.60 |
|
|
Application short leg cast 29405
|
$180.05 |
$180.05 |
$180.05 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$37.05 |
$71.50 |
$72.80 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$42.90 |
$42.90 |
$58.50 |
|
|
Apply forearm splintdynamic 29126
|
$163.80 |
$211.25 |
$248.95 |
|
|
Apply interstit radiat compl
|
$2,910.05 |
$2,910.05 |
$2,910.05 |
|
|
Apply intrcav radiat compl
|
$2,747.55 |
$2,747.55 |
$2,747.55 |
|
|
Apply intrcav radiat interm
|
$2,185.30 |
$2,185.30 |
$2,185.30 |
|
|
Apply intrcav radiat simple
|
$1,639.95 |
$1,639.95 |
$1,639.95 |
|
|
Apply of finger splint 29131
|
$164.45 |
$164.45 |
$164.45 |
|
|
Apply short leg castambul type 29425
|
$230.10 |
$230.10 |
$230.10 |
|