|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$70.52 |
$70.52 |
$70.52 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$103.94 |
$103.94 |
$103.94 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$84.18 |
$84.18 |
$84.18 |
$50.85
|
|
Ammonia
|
$203.70 |
$203.70 |
$203.70 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$1,056.65 |
$1,056.65 |
$1,056.65 |
$963.79
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,985.85 |
$2,985.85 |
$2,985.85 |
$3,969.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$135.63 |
$135.63 |
$135.63 |
$135.63
|
|
Amphotericin b lipid complex
|
$377.26 |
$377.26 |
$377.26 |
$337.94
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$382.55 |
$382.55 |
$382.55 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$117.60 |
$117.60 |
$117.60 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$188.98 |
$188.98 |
$188.98 |
$57.38
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$194.25 |
$194.25 |
$194.25 |
$280.20
|
|
Amp metatarsal w/toe single 28810
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$3,839.54
|
|
Amylase
|
$148.75 |
$148.75 |
$148.75 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$97.65 |
$97.65 |
$97.65 |
$117.01
|
|
Anal/urinary muscle study
|
$469.35 |
$469.35 |
$469.35 |
$407.00
|
|
Anal/urinary muscle study
|
$748.30 |
$748.30 |
$748.30 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$71.40 |
$71.40 |
$71.40 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$71.40 |
$71.40 |
$71.40 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$95.68 |
$95.68 |
$95.68 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,421.30 |
$2,421.30 |
$2,421.30 |
$2,426.60
|
|
An fluoro guide for cvp
|
$88.90 |
$88.90 |
$88.90 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,750.70 |
$1,750.70 |
$1,750.70 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$2,928.45 |
$2,928.45 |
$2,928.45 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$2,286.90 |
$2,286.90 |
$2,286.90 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,388.80 |
$1,388.80 |
$1,388.80 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,979.43 |
$2,979.43 |
$2,979.43 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,519.55 |
$4,519.55 |
$4,519.55 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$915.60 |
$915.60 |
$915.60 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$2,289.35 |
$2,289.35 |
$2,289.35 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$915.60 |
$915.60 |
$915.60 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$2,289.35 |
$2,289.35 |
$2,289.35 |
$8,745.10
|
|
Ankle X-ray
|
$364.00 |
$364.00 |
$364.00 |
$350.85
|
|
Anogenital exam child w imag
|
$145.60 |
$145.60 |
$145.60 |
$238.06
|
|
Anoscopy and biopsy
|
$1,409.10 |
$1,409.10 |
$1,409.10 |
$1,380.00
|
|
Anoscopy control bleeding 46614
|
$1,310.75 |
$1,310.75 |
$1,310.75 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$1,409.10 |
$1,409.10 |
$1,409.10 |
$1,313.97
|
|
Antibody elution rbc reference
|
$190.40 |
$190.40 |
$190.40 |
$179.62
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$189.35 |
$189.35 |
$189.35 |
$218.30
|
|
Antibody id rbc panel
|
$265.30 |
$265.30 |
$265.30 |
$291.75
|
|
Antibody screen rbc
|
$139.30 |
$139.30 |
$139.30 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$8,957.05 |
$8,957.05 |
$8,957.05 |
$4.00
|
|
Anti-inhibitor
|
$16,747.49 |
$16,747.49 |
$16,747.49 |
$5.63
|
|
Antistreptolysin o titer
|
$179.55 |
$179.55 |
$179.55 |
$57.85
|
|
Antithrombin iii activity
|
$147.00 |
$147.00 |
$147.00 |
$106.85
|
|
Apheresis plasma
|
$4,474.75 |
$4,474.75 |
$4,474.75 |
$3,498.41
|
|
Apheresis wbc
|
$3,113.60 |
$3,113.60 |
$3,113.60 |
$3,342.71
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$714.00 |
$714.00 |
$714.00 |
$1,300.71
|
|
Appl body cast sho to hips
|
$330.40 |
$330.40 |
$330.40 |
$390.73
|
|
Appl cast figure-of-eight
|
$330.40 |
$330.40 |
$330.40 |
$314.28
|
|
Appl cast plaster velpeau
|
$330.40 |
$330.40 |
$330.40 |
$312.76
|
|
Appl cast shoulder spica
|
$330.40 |
$330.40 |
$330.40 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$330.40 |
$330.40 |
$330.40 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$330.40 |
$330.40 |
$330.40 |
$475.30
|
|
Application clubfoot cast
|
$163.10 |
$163.10 |
$163.10 |
$297.33
|
|
Application finger splntstatic 29130
|
$193.90 |
$193.90 |
$193.90 |
$226.20
|
|
Application long leg splint 29505
|
$232.75 |
$232.75 |
$232.75 |
$370.00
|
|
Application lower leg splint 29515
|
$193.90 |
$193.90 |
$193.90 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$163.10 |
$163.10 |
$163.10 |
$393.75
|
|
Application of cylinder cast 29365
|
$330.40 |
$330.40 |
$330.40 |
$431.08
|
|
Application of forearm cast 29075
|
$330.40 |
$330.40 |
$330.40 |
$386.10
|
|
Application of long arm cast 29065
|
$330.40 |
$330.40 |
$330.40 |
$414.20
|
|
Application of long leg cast 29345
|
$330.40 |
$330.40 |
$330.40 |
$511.68
|
|
Application of paste boot 29580
|
$163.10 |
$163.10 |
$163.10 |
$336.00
|
|
Application short leg cast 29405
|
$330.40 |
$330.40 |
$330.40 |
$397.33
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,702.05 |
$1,702.05 |
$1,702.05 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,084.95 |
$2,084.95 |
$2,084.95 |
$1,051.88
|
|
Appl long leg cast brace
|
$330.40 |
$330.40 |
$330.40 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$35.70 |
$35.70 |
$35.70 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$43.40 |
$43.40 |
$43.40 |
$75.98
|
|
Apply finger cast 29086
|
$163.10 |
$163.10 |
$163.10 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$161.35 |
$161.35 |
$161.35 |
$263.20
|
|
Apply halo w/removal cranial
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$222.25 |
$222.25 |
$222.25 |
$275.80
|
|
Apply interstit radiat compl
|
$2,399.95 |
$2,399.95 |
$2,399.95 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,410.85 |
$1,410.85 |
$1,410.85 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$852.25 |
$852.25 |
$852.25 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$716.45 |
$716.45 |
$716.45 |
$1,001.00
|
|
Apply of finger splint 29131
|
$184.10 |
$184.10 |
$184.10 |
$177.45
|
|
Apply rem fixation device
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$1,980.00
|
|
Apply short leg castambul type 29425
|
$222.25 |
$222.25 |
$222.25 |
$460.92
|
|
Apply surf ldr radionuclide
|
$328.30 |
$328.30 |
$328.30 |
$251.55
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$900.98 |
$900.98 |
$900.98 |
$943.40
|
|
Aquatic exercise - group charge
|
$50.75 |
$50.75 |
$50.75 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$740.68 |
$740.68 |
$740.68 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,315.30 |
$2,315.30 |
$2,315.30 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$247.45 |
$247.45 |
$247.45 |
$500.82
|
|
Artery transpose/endovas taa
|
$642.95 |
$642.95 |
$642.95 |
$3,854.40
|
|
Artery xray each vessel 7577426
|
$1,766.10 |
$1,766.10 |
$1,766.10 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,129.70 |
$3,129.70 |
$3,129.70 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,527.05 |
$1,527.05 |
$1,527.05 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$1,822.45 |
$1,822.45 |
$1,822.45 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,854.25 |
$2,854.25 |
$2,854.25 |
$4,029.72
|
|
Artery x-rays chest
|
$1,430.45 |
$1,430.45 |
$1,430.45 |
$2,628.15
|
|
Artery x-rays lung
|
$1,325.45 |
$1,325.45 |
$1,325.45 |
$3,150.00
|
|
Artery x-rays lung
|
$1,924.30 |
$1,924.30 |
$1,924.30 |
$2,483.00
|
|
Artery x-rays lungs
|
$1,325.45 |
$1,325.45 |
$1,325.45 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$4,551.20
|