|
Air conduction bilat
|
$69.96 |
$69.96 |
$69.96 |
$121.00
|
|
Air injection into abdomen 49400
|
$198.66 |
$198.66 |
$198.66 |
$526.80
|
|
Airway resistance by impulse oscillometry 94728
|
$19.80 |
$19.80 |
$19.80 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$61.38 |
$61.38 |
$61.38 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$377.78 |
$377.78 |
$377.78 |
$228.15
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$35.64 |
$35.64 |
$35.64 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$58.74 |
$58.74 |
$58.74 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$10.56 |
$10.56 |
$10.56 |
$5.19
|
|
Albuterol non-comp con
|
$17.82 |
$17.82 |
$17.82 |
$6.00
|
|
Albuterol non-comp unit
|
$17.82 |
$17.82 |
$17.82 |
$5.40
|
|
Alginate dressing <=16 sq in
|
$17.16 |
$17.16 |
$17.16 |
$18.20
|
|
Alginate drsg >16 <=48 sq in
|
$37.62 |
$37.62 |
$37.62 |
$40.60
|
|
Alginate drsg wound filler
|
$11.88 |
$11.88 |
$11.88 |
$15.79
|
|
Alkaline phosphatase
|
$62.04 |
$62.04 |
$62.04 |
$45.75
|
|
Allergen alpha lactalbumin ige
|
$26.57 |
$26.57 |
$26.57 |
$48.00
|
|
Allergen egg white ige
|
$17.51 |
$17.51 |
$17.51 |
$37.00
|
|
Allergen specific ige qual multi scrn ea
|
$5.26 |
$5.26 |
$5.26 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$21.12 |
$21.12 |
$21.12 |
$40.05
|
|
Allergy injection; single 95115
|
$18.48 |
$18.48 |
$18.48 |
$42.75
|
|
Allergy Skin Testing
|
$7.92 |
$7.92 |
$7.92 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$9.90 |
$9.90 |
$9.90 |
$387.59
|
|
Allgrft implnt knee w/scope
|
$2,922.48 |
$2,922.48 |
$2,922.48 |
$6,411.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$261.36 |
$261.36 |
$261.36 |
$724.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$400.62 |
$400.62 |
$400.62 |
$1,671.06
|
|
All tstg perq&iq drugs/biol
|
$35.64 |
$35.64 |
$35.64 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$14.52 |
$14.52 |
$14.52 |
$41.34
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$37.79 |
$37.79 |
$37.79 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$103.62 |
$103.62 |
$103.62 |
$100.32
|
|
Als 1
|
$985.18 |
$985.18 |
$985.18 |
$883.92
|
|
Als1-emergency
|
$1,174.17 |
$1,174.17 |
$1,174.17 |
$898.88
|
|
Als 2
|
$1,543.05 |
$1,543.05 |
$1,543.05 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$388.63 |
$388.63 |
$388.63 |
$15,857.45
|
|
Alt/sgpt
|
$80.52 |
$80.52 |
$80.52 |
$47.31
|
|
Alveoloplasty each quadrant
|
$585.42 |
$585.42 |
$585.42 |
$3,837.72
|
|
Alys cplx sp/pn npgt w/prgrm
|
$130.02 |
$130.02 |
$130.02 |
$431.84
|
|
Amantadine (symmetrel)-sendout
|
$168.96 |
$168.96 |
$168.96 |
$169.80
|
|
Ambl bp mntr w/software
|
$95.04 |
$95.04 |
$95.04 |
$108.55
|
|
Aminolevulinic acid delta
|
$9.66 |
$9.66 |
$9.66 |
$82.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$53.84 |
$53.84 |
$53.84 |
$45.00
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$164.45 |
$164.45 |
$164.45 |
$119.63
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$9,084.45
|
|
Ammonia
|
$159.72 |
$159.72 |
$159.72 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$174.24 |
$174.24 |
$174.24 |
$942.60
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,609.74 |
$1,609.74 |
$1,609.74 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$5.67 |
$5.67 |
$5.67 |
$93.61
|
|
Amphetamines 5 or more
|
$240.90 |
$240.90 |
$240.90 |
$77.44
|
|
Ampicillin 1 gram solution for injection
|
$36.11 |
$36.11 |
$36.11 |
$60.48
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$28.54 |
$28.54 |
$28.54 |
$52.99
|
|
Amp metatarsal w/toe single 28810
|
$966.90 |
$966.90 |
$966.90 |
$3,958.50
|
|
Amp thigh through femur re-amp 27596
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$3,342.87
|
|
Amputate leg at thigh
|
$1,490.94 |
$1,490.94 |
$1,490.94 |
$2,854.80
|
|
Amputate lower leg at knee
|
$1,543.08 |
$1,543.08 |
$1,543.08 |
$3,480.00
|
|
Amputate metacarpal bone 26910
|
$1,784.64 |
$1,784.64 |
$1,784.64 |
$3,821.05
|
|
Amputate thigh through femur 27590
|
$1,706.10 |
$1,706.10 |
$1,706.10 |
$3,370.00
|
|
Amputation follow-up surgery
|
$1,859.88 |
$1,859.88 |
$1,859.88 |
$3,766.40
|
|
Amputation follow-up surgery
|
$1,143.12 |
$1,143.12 |
$1,143.12 |
$3,839.54
|
|
Amputation follow-up surgery
|
$1,296.24 |
$1,296.24 |
$1,296.24 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$1,962.18 |
$1,962.18 |
$1,962.18 |
$2,446.80
|
|
Amputation leg; tib/fib f/u 27886
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,445.40
|
|
Amputation of foot at ankle
|
$1,417.02 |
$1,417.02 |
$1,417.02 |
$5,886.74
|
|
Amputation of foot at ankle
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,240.80
|
|
Amputation of hand
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$2,363.40
|
|
Amputation of lower leg
|
$1,298.88 |
$1,298.88 |
$1,298.88 |
$2,545.40
|
|
Amputation of lower leg
|
$1,832.82 |
$1,832.82 |
$1,832.82 |
$3,342.87
|
|
Amputation of midtarsal 28800
|
$1,215.06 |
$1,215.06 |
$1,215.06 |
$2,285.40
|
|
Amputation of upper arm
|
$1,770.78 |
$1,770.78 |
$1,770.78 |
$2,646.80
|
|
Amputation thru metatarsal
|
$1,601.82 |
$1,601.82 |
$1,601.82 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$670.56 |
$670.56 |
$670.56 |
$3,986.50
|
|
Amputation toe metatarsophalangeal joint
|
$683.76 |
$683.76 |
$683.76 |
$3,821.05
|
|
Amylase
|
$121.44 |
$121.44 |
$121.44 |
$88.83
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$3.96 |
$3.96 |
$3.96 |
$101.20
|
|
Anal/urinary muscle study
|
$177.54 |
$177.54 |
$177.54 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$93.72 |
$93.72 |
$93.72 |
$314.00
|
|
Analysis gene f2 20210g>a variant
|
$25.01 |
$25.01 |
$25.01 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$25.07 |
$25.07 |
$25.07 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$70.62 |
$70.62 |
$70.62 |
$113.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$78.54 |
$78.54 |
$78.54 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$19.90 |
$19.90 |
$19.90 |
$92.40
|
|
Anca screen with reflex to titer -quest
|
$8.83 |
$8.83 |
$8.83 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,562.12 |
$2,562.12 |
$2,562.12 |
$2,562.12
|
|
Androstanediol
|
$189.92 |
$189.92 |
$189.92 |
$103.80
|
|
An fluoro guide for cvp
|
$136.62 |
$136.62 |
$136.62 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$314.16 |
$314.16 |
$314.16 |
$5,341.83
|
|
Angiotensin ii
|
$78.54 |
$78.54 |
$78.54 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$5,643.69 |
$5,643.69 |
$5,643.69 |
$2,987.62
|
|
Angio trnslmnl balloon same artery ea addl
|
$370.26 |
$370.26 |
$370.26 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$738.54 |
$738.54 |
$738.54 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$637.56 |
$637.56 |
$637.56 |
$8,466.00
|
|
Ankle arthroscopy/surgery
|
$1,564.86 |
$1,564.86 |
$1,564.86 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,172.16 |
$1,172.16 |
$1,172.16 |
$3,821.05
|
|
Ankle arthroscopy/surgery
|
$1,066.56 |
$1,066.56 |
$1,066.56 |
$3,797.90
|
|
Ankle arthroscopy/surgery
|
$1,141.14 |
$1,141.14 |
$1,141.14 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,296.24 |
$1,296.24 |
$1,296.24 |
$3,839.54
|
|
Ankle X-ray
|
$415.80 |
$415.80 |
$415.80 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$215.16 |
$215.16 |
$215.16 |
$627.94
|
|
Annual alcohol screen 15 min
|
$29.70 |
$29.70 |
$29.70 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$151.14 |
$151.14 |
$151.14 |
$148.50
|
|
Annual Physical, Established Patient (age 40-64)
|
$171.60 |
$171.60 |
$171.60 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$169.62 |
$169.62 |
$169.62 |
$151.50
|
|
Annual Physical, New Patient (age 40-64)
|
$208.56 |
$208.56 |
$208.56 |
$167.25
|