|
Administration vaccine hepatitis b
|
$16.74 |
$16.74 |
$16.74 |
$51.35
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$17.67 |
$17.67 |
$17.67 |
$41.00
|
|
Adrenal cortex & medulla img
|
$37.26 |
$37.26 |
$37.26 |
$1,780.19
|
|
Advance care planning each additional 30 min 99498
|
$47.25 |
$47.25 |
$47.25 |
$108.00
|
|
_afb id by dna probe rflx ast
|
$4.38 |
$4.38 |
$4.38 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$27.69 |
$27.69 |
$27.69 |
$295.94
|
|
Afo tib fx semi-rigid l2114
|
$588.60 |
$588.60 |
$588.60 |
$817.60
|
|
After cataract laser surgery
|
$296.46 |
$296.46 |
$296.46 |
$1,373.11
|
|
Air conduction bilat
|
$53.73 |
$53.73 |
$53.73 |
$122.40
|
|
Air injection into abdomen 49400
|
$81.27 |
$81.27 |
$81.27 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$8.10 |
$8.10 |
$8.10 |
$269.36
|
|
Albumin body fluid quantitative each specimen
|
$15.66 |
$15.66 |
$15.66 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$342.13 |
$342.13 |
$342.13 |
$222.61
|
|
Albumin (human), 5%, 250 ml
|
$112.75 |
$112.75 |
$112.75 |
$237.90
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$11.34 |
$11.34 |
$11.34 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$31.86 |
$31.86 |
$31.86 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$8.10 |
$8.10 |
$8.10 |
$5.40
|
|
Albuterol non-comp con
|
$7.29 |
$7.29 |
$7.29 |
$6.00
|
|
Albuterol non-comp unit
|
$7.29 |
$7.29 |
$7.29 |
$5.61
|
|
Alginate dressing <=16 sq in
|
$7.02 |
$7.02 |
$7.02 |
$18.20
|
|
Alginate drsg >16 <=48 sq in
|
$15.39 |
$15.39 |
$15.39 |
$40.89
|
|
Alginate drsg wound filler
|
$4.86 |
$4.86 |
$4.86 |
$15.79
|
|
Alkaline phosphatase
|
$17.55 |
$17.55 |
$17.55 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$10.87 |
$10.87 |
$10.87 |
$48.57
|
|
Allergen egg white ige
|
$9.19 |
$9.19 |
$9.19 |
$37.05
|
|
Allergen specific ige qual multi scrn ea
|
$2.15 |
$2.15 |
$2.15 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$8.64 |
$8.64 |
$8.64 |
$40.05
|
|
Allergy injection; single 95115
|
$7.56 |
$7.56 |
$7.56 |
$42.75
|
|
Allergy Skin Testing
|
$3.24 |
$3.24 |
$3.24 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$4.05 |
$4.05 |
$4.05 |
$387.59
|
|
Allgrft implnt knee w/scope
|
$1,195.56 |
$1,195.56 |
$1,195.56 |
$6,411.60
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$5,994.00 |
$5,994.00 |
$5,994.00 |
$8,800.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$608.58 |
$608.58 |
$608.58 |
$23,373.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$106.92 |
$106.92 |
$106.92 |
$676.69
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,531.52 |
$2,531.52 |
$2,531.52 |
$4,474.69
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,444.66 |
$3,444.66 |
$3,444.66 |
$1,616.79
|
|
All tstg perq&iq drugs/biol
|
$14.58 |
$14.58 |
$14.58 |
$64.50
|
|
All tstg perq&iq w/venoms
|
$5.94 |
$5.94 |
$5.94 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.67 |
$0.67 |
$0.67 |
$13.50
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$15.46 |
$15.46 |
$15.46 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$3.25 |
$3.25 |
$3.25 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$28.08 |
$28.08 |
$28.08 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$386.97 |
$386.97 |
$386.97 |
$15,857.45
|
|
Alt/sgpt
|
$75.33 |
$75.33 |
$75.33 |
$47.80
|
|
Aluminum - quest
|
$5.32 |
$5.32 |
$5.32 |
$81.49
|
|
Alveoloplasty each quadrant
|
$239.49 |
$239.49 |
$239.49 |
$3,837.72
|
|
Alys cplx sp/pn npgt w/prgrm
|
$53.19 |
$53.19 |
$53.19 |
$431.84
|
|
Amantadine (symmetrel)-sendout
|
$69.12 |
$69.12 |
$69.12 |
$174.75
|
|
Ambl bp mntr w/software
|
$38.88 |
$38.88 |
$38.88 |
$108.55
|
|
Amino acids quant 2-5
|
$4.24 |
$4.24 |
$4.24 |
$113.60
|
|
Aminolevulinic acid delta
|
$3.95 |
$3.95 |
$3.95 |
$85.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$107.64 |
$107.64 |
$107.64 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$31.05 |
$31.05 |
$31.05 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$9.39 |
$9.39 |
$9.39 |
$89.05
|
|
Ammonia
|
$108.54 |
$108.54 |
$108.54 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$71.28 |
$71.28 |
$71.28 |
$894.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$658.53 |
$658.53 |
$658.53 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$61.83 |
$61.83 |
$61.83 |
$93.61
|
|
Amphetamines 5 or more
|
$58.32 |
$58.32 |
$58.32 |
$77.44
|
|
Ampicillin 1 gram solution for injection
|
$24.90 |
$24.90 |
$24.90 |
$59.05
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$31.05 |
$31.05 |
$31.05 |
$52.65
|
|
Amp metatarsal w/toe single 28810
|
$395.55 |
$395.55 |
$395.55 |
$3,958.50
|
|
Amp thigh through femur re-amp 27596
|
$645.30 |
$645.30 |
$645.30 |
$3,342.87
|
|
Amputate leg at thigh
|
$609.93 |
$609.93 |
$609.93 |
$2,854.80
|
|
Amputate lower leg at knee
|
$631.26 |
$631.26 |
$631.26 |
$3,480.00
|
|
Amputate metacarpal bone 26910
|
$730.08 |
$730.08 |
$730.08 |
$3,666.29
|
|
Amputate thigh through femur 27590
|
$697.95 |
$697.95 |
$697.95 |
$3,370.00
|
|
Amputation follow-up surgery
|
$760.86 |
$760.86 |
$760.86 |
$3,766.40
|
|
Amputation follow-up surgery
|
$467.64 |
$467.64 |
$467.64 |
$3,839.54
|
|
Amputation follow-up surgery
|
$530.28 |
$530.28 |
$530.28 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$802.71 |
$802.71 |
$802.71 |
$2,446.80
|
|
Amputation leg; tib/fib f/u 27886
|
$591.30 |
$591.30 |
$591.30 |
$1,445.40
|
|
Amputation of foot at ankle
|
$579.69 |
$579.69 |
$579.69 |
$5,886.74
|
|
Amputation of foot at ankle
|
$507.60 |
$507.60 |
$507.60 |
$1,240.80
|
|
Amputation of hand
|
$820.80 |
$820.80 |
$820.80 |
$2,363.40
|
|
Amputation of lower leg
|
$531.36 |
$531.36 |
$531.36 |
$2,545.40
|
|
Amputation of lower leg
|
$749.79 |
$749.79 |
$749.79 |
$3,342.87
|
|
Amputation of midtarsal 28800
|
$497.07 |
$497.07 |
$497.07 |
$2,285.40
|
|
Amputation of upper arm
|
$724.41 |
$724.41 |
$724.41 |
$2,646.80
|
|
Amputation thru metatarsal
|
$655.29 |
$655.29 |
$655.29 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$274.32 |
$274.32 |
$274.32 |
$3,969.00
|
|
Amputation toe metatarsophalangeal joint
|
$279.72 |
$279.72 |
$279.72 |
$3,821.05
|
|
Amylase
|
$88.83 |
$88.83 |
$88.83 |
$89.04
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$16.74 |
$16.74 |
$16.74 |
$106.70
|
|
Anal/urinary muscle study
|
$72.63 |
$72.63 |
$72.63 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$38.34 |
$38.34 |
$38.34 |
$292.00
|
|
Analysis gene f2 20210g>a variant
|
$10.23 |
$10.23 |
$10.23 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$10.26 |
$10.26 |
$10.26 |
$236.00
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$28.89 |
$28.89 |
$28.89 |
$113.60
|
|
Analysis tumor
|
$50.76 |
$50.76 |
$50.76 |
$237.89
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$32.13 |
$32.13 |
$32.13 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$8.14 |
$8.14 |
$8.14 |
$92.07
|
|
Anca screen with reflex to titer -quest
|
$3.61 |
$3.61 |
$3.61 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$64.26 |
$64.26 |
$64.26 |
$2,494.35
|
|
Androstanediol
|
$77.69 |
$77.69 |
$77.69 |
$115.10
|
|
An fluoro guide for cvp
|
$18.90 |
$18.90 |
$18.90 |
$520.20
|
|
Angio balloon ctrl dialysis seg add-on
|
$128.52 |
$128.52 |
$128.52 |
$5,341.83
|
|
Angiotensin ii
|
$32.13 |
$32.13 |
$32.13 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$886.41 |
$886.41 |
$886.41 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$151.47 |
$151.47 |
$151.47 |
$4,683.90
|
