|
Ammonia
|
$85.44 |
$85.44 |
$85.44 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$819.36 |
$819.36 |
$819.36 |
$963.79
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$4,752.48 |
$4,752.48 |
$4,752.48 |
$3,969.00
|
|
Amphetamine confirm urine -sendout
|
$276.00 |
$276.00 |
$276.00 |
$94.50
|
|
Amphetamines 5 or more
|
$5.24 |
$5.24 |
$5.24 |
$93.60
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$141.17 |
$141.17 |
$141.17 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$323.47 |
$323.47 |
$323.47 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$122.40 |
$122.40 |
$122.40 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$44.76 |
$44.76 |
$44.76 |
$57.38
|
|
Amp metatarsal w/toe single 28810
|
$4,919.04 |
$4,919.04 |
$4,919.04 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,839.54
|
|
Amylase
|
$41.16 |
$41.16 |
$41.16 |
$93.00
|
|
Anal pressure record
|
$1,207.68 |
$1,207.68 |
$1,207.68 |
$954.00
|
|
Anal/urinary muscle study
|
$353.28 |
$353.28 |
$353.28 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$96.00 |
$96.00 |
$96.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$123.22 |
$123.22 |
$123.22 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$277.44 |
$277.44 |
$277.44 |
$396.48
|
|
Anca screen with reflex to titer -quest
|
$48.00 |
$48.00 |
$48.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,031.68 |
$3,031.68 |
$3,031.68 |
$2,426.60
|
|
An fluoro guide for cvp
|
$760.80 |
$760.80 |
$760.80 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,268.16 |
$4,268.16 |
$4,268.16 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$4,720.80 |
$4,720.80 |
$4,720.80 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,720.80 |
$4,720.80 |
$4,720.80 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,720.80 |
$4,720.80 |
$4,720.80 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,188.97 |
$2,188.97 |
$2,188.97 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,650.08 |
$5,650.08 |
$5,650.08 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$5,036.64 |
$5,036.64 |
$5,036.64 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,616.64 |
$1,616.64 |
$1,616.64 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$5,038.08 |
$5,038.08 |
$5,038.08 |
$8,745.10
|
|
Ankle X-ray
|
$481.44 |
$481.44 |
$481.44 |
$350.85
|
|
Anogenital exam child w imag
|
$405.12 |
$405.12 |
$405.12 |
$238.06
|
|
Anoscopy control bleeding 46614
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$1,522.56 |
$1,522.56 |
$1,522.56 |
$1,313.97
|
|
Antibody bacterium, not elsewhere specified
|
$19.25 |
$19.25 |
$19.25 |
$57.85
|
|
Antibody elution rbc reference
|
$208.32 |
$208.32 |
$208.32 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$26.40 |
$26.40 |
$26.40 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$124.80 |
$124.80 |
$124.80 |
$218.30
|
|
Antibody id rbc panel
|
$362.88 |
$362.88 |
$362.88 |
$291.75
|
|
Antibody influenza virus
|
$47.64 |
$47.64 |
$47.64 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$41.19 |
$41.19 |
$41.19 |
$53.96
|
|
Antibody screen rbc
|
$142.56 |
$142.56 |
$142.56 |
$105.00
|
|
Antibody tetanus
|
$43.77 |
$43.77 |
$43.77 |
$58.50
|
|
Antidepressant not specified
|
$5.24 |
$5.24 |
$5.24 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4,506.60 |
$4,506.60 |
$4,506.60 |
$4.00
|
|
Anti-inhibitor
|
$4,290.14 |
$4,290.14 |
$4,290.14 |
$5.63
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$48.00 |
$48.00 |
$48.00 |
$50.88
|
|
Antinuclear antibodies
|
$148.80 |
$148.80 |
$148.80 |
$91.70
|
|
Antinuclear antibodies titer
|
$249.60 |
$249.60 |
$249.60 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$4.32 |
$4.32 |
$4.32 |
$74.20
|
|
Antistreptolysin o titer
|
$21.53 |
$21.53 |
$21.53 |
$57.85
|
|
Antithrombin iii activity
|
$94.32 |
$94.32 |
$94.32 |
$106.85
|
|
Antithrombin iii injection
|
$4,313.47 |
$4,313.47 |
$4,313.47 |
$15.75
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$11,137.61 |
$11,137.61 |
$11,137.61 |
$5,465.25
|
|
Antithymocyte globuln rabbit
|
$2,648.76 |
$2,648.76 |
$2,648.76 |
$2,291.39
|
|
Apheresis plasma
|
$5,682.24 |
$5,682.24 |
$5,682.24 |
$3,498.41
|
|
Apheresis platelets
|
$7,622.88 |
$7,622.88 |
$7,622.88 |
$2,302.65
|
|
Apheresis rbc
|
$2,741.76 |
$2,741.76 |
$2,741.76 |
$3,497.90
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$547.68 |
$547.68 |
$547.68 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$532.32 |
$532.32 |
$532.32 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,874.08 |
$3,874.08 |
$3,874.08 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$601.92 |
$601.92 |
$601.92 |
$508.18
|
|
Appl body cast sho to hips
|
$576.96 |
$576.96 |
$576.96 |
$390.73
|
|
Appl cast figure-of-eight
|
$576.96 |
$576.96 |
$576.96 |
$314.28
|
|
Appl cast plaster velpeau
|
$576.96 |
$576.96 |
$576.96 |
$312.76
|
|
Appl cast shoulder spica
|
$576.96 |
$576.96 |
$576.96 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$576.96 |
$576.96 |
$576.96 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$576.96 |
$576.96 |
$576.96 |
$475.30
|
|
Application clubfoot cast
|
$290.40 |
$290.40 |
$290.40 |
$297.33
|
|
Application finger splntstatic 29130
|
$334.08 |
$334.08 |
$334.08 |
$226.20
|
|
Application long leg splint 29505
|
$774.72 |
$774.72 |
$774.72 |
$370.00
|
|
Application lower leg splint 29515
|
$589.44 |
$589.44 |
$589.44 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$277.92 |
$277.92 |
$277.92 |
$393.75
|
|
Application of cylinder cast 29365
|
$576.96 |
$576.96 |
$576.96 |
$431.08
|
|
Application of forearm cast 29075
|
$663.84 |
$663.84 |
$663.84 |
$386.10
|
|
Application of long arm cast 29065
|
$663.84 |
$663.84 |
$663.84 |
$414.20
|
|
Application of long leg cast 29345
|
$663.84 |
$663.84 |
$663.84 |
$511.68
|
|
Application of paste boot 29580
|
$277.92 |
$277.92 |
$277.92 |
$336.00
|
|
Application short leg cast 29405
|
$663.84 |
$663.84 |
$663.84 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,406.64 |
$4,406.64 |
$4,406.64 |
$1,051.88
|
|
Appl long leg cast brace
|
$576.96 |
$576.96 |
$576.96 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$49.92 |
$49.92 |
$49.92 |
$68.00
|
|
Apply finger cast 29086
|
$334.08 |
$334.08 |
$334.08 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$334.08 |
$334.08 |
$334.08 |
$263.20
|
|
Apply halo w/removal cranial
|
$1,841.28 |
$1,841.28 |
$1,841.28 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$290.40 |
$290.40 |
$290.40 |
$275.80
|
|
Apply interstit radiat compl
|
$8,246.40 |
$8,246.40 |
$8,246.40 |
$2,901.80
|
|
Apply of finger splint 29131
|
$334.08 |
$334.08 |
$334.08 |
$177.45
|
|
Apply rem fixation device
|
$1,720.32 |
$1,720.32 |
$1,720.32 |
$1,980.00
|
|
Apply rigid leg cast 29445
|
$437.28 |
$437.28 |
$437.28 |
$608.00
|
|
Apply short leg castambul type 29425
|
$650.40 |
$650.40 |
$650.40 |
$460.92
|
|
Aquaporin-4 antibody elisa
|
$268.80 |
$268.80 |
$268.80 |
$155.00
|
|
Aquatic exercise - group charge
|
$140.16 |
$140.16 |
$140.16 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$400.51 |
$400.51 |
$400.51 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$192.44 |
$192.44 |
$192.44 |
$1,301.04
|
|
Art bypass femoral-femoral 35661
|
$7,365.12 |
$7,365.12 |
$7,365.12 |
$5,291.20
|
