|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$3.57 |
$3.57 |
$3.57 |
$41.00
|
|
Adrenal cortex & medulla img
|
$9.66 |
$9.66 |
$9.66 |
$1,818.05
|
|
Advance care planning each additional 30 min 99498
|
$12.46 |
$12.46 |
$12.46 |
$108.00
|
|
_afb id by dna probe rflx ast
|
$17.50 |
$17.50 |
$17.50 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$0.51 |
$0.51 |
$0.51 |
$35.73
|
|
_afb org id by sequencing rflx ast-sendout
|
$7.18 |
$7.18 |
$7.18 |
$291.00
|
|
Afo tib fx semi-rigid l2114
|
$152.60 |
$152.60 |
$152.60 |
$817.60
|
|
After cataract laser surgery
|
$76.86 |
$76.86 |
$76.86 |
$1,373.11
|
|
Air conduction bilat
|
$14.91 |
$14.91 |
$14.91 |
$121.00
|
|
Air injection into abdomen 49400
|
$21.07 |
$21.07 |
$21.07 |
$526.80
|
|
Airway resistance by impulse oscillometry 94728
|
$2.17 |
$2.17 |
$2.17 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$40.74 |
$40.74 |
$40.74 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$227.59 |
$227.59 |
$227.59 |
$228.15
|
|
Albumin (human), 5%, 250 ml
|
$101.64 |
$101.64 |
$101.64 |
$231.94
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$27.86 |
$27.86 |
$27.86 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$41.02 |
$41.02 |
$41.02 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$3.08 |
$3.08 |
$3.08 |
$5.19
|
|
Albuterol non-comp con
|
$4.69 |
$4.69 |
$4.69 |
$6.00
|
|
Albuterol non-comp unit
|
$2.03 |
$2.03 |
$2.03 |
$5.40
|
|
Alginate dressing <=16 sq in
|
$1.82 |
$1.82 |
$1.82 |
$18.20
|
|
Alginate drsg >16 <=48 sq in
|
$3.99 |
$3.99 |
$3.99 |
$40.60
|
|
Alginate drsg wound filler
|
$1.26 |
$1.26 |
$1.26 |
$15.79
|
|
Alkaline phosphatase
|
$43.33 |
$43.33 |
$43.33 |
$45.75
|
|
Allergen alpha lactalbumin ige
|
$2.82 |
$2.82 |
$2.82 |
$48.00
|
|
Allergen egg white ige
|
$2.38 |
$2.38 |
$2.38 |
$37.00
|
|
Allergen specific ige qual multi scrn ea
|
$0.56 |
$0.56 |
$0.56 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$4.34 |
$4.34 |
$4.34 |
$40.05
|
|
Allergy injection; single 95115
|
$4.34 |
$4.34 |
$4.34 |
$42.75
|
|
Allergy Skin Testing
|
$0.84 |
$0.84 |
$0.84 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$1.05 |
$1.05 |
$1.05 |
$387.59
|
|
Allgrft implnt knee w/scope
|
$309.96 |
$309.96 |
$309.96 |
$6,411.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$97.23 |
$97.23 |
$97.23 |
$724.00
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$11.83 |
$11.83 |
$11.83 |
$4,677.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$89.25 |
$89.25 |
$89.25 |
$4,561.83
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$97.23 |
$97.23 |
$97.23 |
$1,671.06
|
|
All tstg perq&iq drugs/biol
|
$3.78 |
$3.78 |
$3.78 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$1.54 |
$1.54 |
$1.54 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.40 |
$0.40 |
$0.40 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$4.01 |
$4.01 |
$4.01 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$0.84 |
$0.84 |
$0.84 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$19.39 |
$19.39 |
$19.39 |
$100.32
|
|
Alteplase 100 mg infusion from pyxis vial
|
$4,047.29 |
$4,047.29 |
$4,047.29 |
$15,857.45
|
|
Alt/sgpt
|
$45.64 |
$45.64 |
$45.64 |
$47.31
|
|
Aluminum - quest
|
$1.78 |
$1.78 |
$1.78 |
$81.49
|
|
Alveoloplasty each quadrant
|
$62.09 |
$62.09 |
$62.09 |
$3,837.72
|
|
Alys cplx sp/pn npgt w/prgrm
|
$13.79 |
$13.79 |
$13.79 |
$431.84
|
|
Amantadine (symmetrel)-sendout
|
$17.92 |
$17.92 |
$17.92 |
$169.80
|
|
Ambl bp mntr w/software
|
$10.08 |
$10.08 |
$10.08 |
$108.55
|
|
Amino acids quant 2-5
|
$1.10 |
$1.10 |
$1.10 |
$113.60
|
|
Aminolevulinic acid delta
|
$1.15 |
$1.15 |
$1.15 |
$82.50
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$101.27 |
$101.27 |
$101.27 |
$119.63
|
|
Amiodarone 50 mg/ml intravenous solution
|
$5.05 |
$5.05 |
$5.05 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$2.43 |
$2.43 |
$2.43 |
$86.10
|
|
Ammonia
|
$64.12 |
$64.12 |
$64.12 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$18.48 |
$18.48 |
$18.48 |
$942.60
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$170.73 |
$170.73 |
$170.73 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$16.03 |
$16.03 |
$16.03 |
$93.61
|
|
Amphetamines 5 or more
|
$17.08 |
$17.08 |
$17.08 |
$77.44
|
|
Ampicillin 1 gram solution for injection
|
$24.37 |
$24.37 |
$24.37 |
$60.48
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$23.53 |
$23.53 |
$23.53 |
$52.99
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$100.45 |
$100.45 |
$100.45 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$761.11 |
$761.11 |
$761.11 |
$3,958.50
|
|
Amp thigh through femur re-amp 27596
|
$167.30 |
$167.30 |
$167.30 |
$3,342.87
|
|
Amputate leg at thigh
|
$158.13 |
$158.13 |
$158.13 |
$2,854.80
|
|
Amputate lower leg at knee
|
$163.66 |
$163.66 |
$163.66 |
$3,480.00
|
|
Amputate metacarpal bone 26910
|
$189.28 |
$189.28 |
$189.28 |
$3,821.05
|
|
Amputate thigh through femur 27590
|
$180.95 |
$180.95 |
$180.95 |
$3,370.00
|
|
Amputation follow-up surgery
|
$197.26 |
$197.26 |
$197.26 |
$3,766.40
|
|
Amputation follow-up surgery
|
$121.24 |
$121.24 |
$121.24 |
$3,839.54
|
|
Amputation follow-up surgery
|
$137.48 |
$137.48 |
$137.48 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$208.11 |
$208.11 |
$208.11 |
$2,446.80
|
|
Amputation leg; tib/fib f/u 27886
|
$153.30 |
$153.30 |
$153.30 |
$1,445.40
|
|
Amputation of foot at ankle
|
$150.29 |
$150.29 |
$150.29 |
$5,886.74
|
|
Amputation of foot at ankle
|
$131.60 |
$131.60 |
$131.60 |
$1,240.80
|
|
Amputation of hand
|
$212.80 |
$212.80 |
$212.80 |
$2,363.40
|
|
Amputation of lower leg
|
$137.76 |
$137.76 |
$137.76 |
$2,545.40
|
|
Amputation of lower leg
|
$194.39 |
$194.39 |
$194.39 |
$3,342.87
|
|
Amputation of midtarsal 28800
|
$128.87 |
$128.87 |
$128.87 |
$2,285.40
|
|
Amputation of upper arm
|
$187.81 |
$187.81 |
$187.81 |
$2,646.80
|
|
Amputation thru metatarsal
|
$169.89 |
$169.89 |
$169.89 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$71.12 |
$71.12 |
$71.12 |
$3,986.50
|
|
Amputation toe metatarsophalangeal joint
|
$72.52 |
$72.52 |
$72.52 |
$3,821.05
|
|
Amylase
|
$57.96 |
$57.96 |
$57.96 |
$88.83
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$4.34 |
$4.34 |
$4.34 |
$101.20
|
|
Anal/urinary muscle study
|
$18.83 |
$18.83 |
$18.83 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$9.94 |
$9.94 |
$9.94 |
$314.00
|
|
Analysis gene f2 20210g>a variant
|
$4.60 |
$4.60 |
$4.60 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$5.14 |
$5.14 |
$5.14 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$7.49 |
$7.49 |
$7.49 |
$113.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$8.33 |
$8.33 |
$8.33 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$2.11 |
$2.11 |
$2.11 |
$92.40
|
|
Anca screen with reflex to titer -quest
|
$1.05 |
$1.05 |
$1.05 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$407.40 |
$407.40 |
$407.40 |
$2,562.12
|
|
Androstanediol
|
$20.14 |
$20.14 |
$20.14 |
$103.80
|
|
An fluoro guide for cvp
|
$160.37 |
$160.37 |
$160.37 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,575.42 |
$1,575.42 |
$1,575.42 |
$5,341.83
|
|
Angiotensin ii
|
$8.33 |
$8.33 |
$8.33 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$915.20 |
$915.20 |
$915.20 |
$2,987.62
|
|
Angio trnslmnl balloon same artery ea addl
|
$39.27 |
$39.27 |
$39.27 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$9,074.63
|
