|
Amylase
|
$118.30 |
$118.30 |
$118.30 |
$93.00
|
|
Ana ds-dna
|
$21.00 |
$21.00 |
$21.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$167.30 |
$167.30 |
$167.30 |
$117.01
|
|
Anal/urinary muscle study
|
$405.65 |
$405.65 |
$405.65 |
$575.00
|
|
Anca screen with reflex to titer -quest
|
$95.68 |
$95.68 |
$95.68 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,277.80 |
$2,277.80 |
$2,277.80 |
$2,426.60
|
|
An fluoro guide for cvp
|
$695.80 |
$695.80 |
$695.80 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,573.45 |
$4,573.45 |
$4,573.45 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$5,334.35 |
$5,334.35 |
$5,334.35 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,334.35 |
$5,334.35 |
$5,334.35 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$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
|
$8,910.30 |
$8,910.30 |
$8,910.30 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,392.60 |
$2,392.60 |
$2,392.60 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$5,980.80 |
$5,980.80 |
$5,980.80 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,392.60 |
$2,392.60 |
$2,392.60 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$6,133.40 |
$6,133.40 |
$6,133.40 |
$8,745.10
|
|
Ankle X-ray
|
$229.60 |
$229.60 |
$229.60 |
$350.85
|
|
Anl sp inf pmp w/mdreprg&fil
|
$849.80 |
$849.80 |
$849.80 |
$693.75
|
|
Anodyne therapy charges pt
|
$80.85 |
$80.85 |
$80.85 |
$41.02
|
|
Anogenital exam child w imag
|
$312.90 |
$312.90 |
$312.90 |
$238.06
|
|
Anoscopy control bleeding 46614
|
$1,017.10 |
$1,017.10 |
$1,017.10 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$778.75 |
$778.75 |
$778.75 |
$1,313.97
|
|
Antibody elution rbc reference
|
$239.40 |
$239.40 |
$239.40 |
$179.62
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$189.35 |
$189.35 |
$189.35 |
$218.30
|
|
Antibody id rbc panel
|
$353.50 |
$353.50 |
$353.50 |
$291.75
|
|
Antibody screen rbc
|
$122.15 |
$122.15 |
$122.15 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7,360.78 |
$7,360.78 |
$7,360.78 |
$4.00
|
|
Anti-inhibitor
|
$6,669.64 |
$6,669.64 |
$6,669.64 |
$5.63
|
|
Antinuclear antibodies
|
$210.35 |
$210.35 |
$210.35 |
$91.70
|
|
Antinuclear antibodies titer
|
$36.75 |
$36.75 |
$36.75 |
$80.25
|
|
Antistreptolysin o screen
|
$80.15 |
$80.15 |
$80.15 |
$59.40
|
|
Antistreptolysin o titer
|
$80.15 |
$80.15 |
$80.15 |
$57.85
|
|
Antithrombin iii activity
|
$115.15 |
$115.15 |
$115.15 |
$106.85
|
|
Apheresis plasma
|
$2,093.35 |
$2,093.35 |
$2,093.35 |
$3,498.41
|
|
Apheresis platelets
|
$2,302.65 |
$2,302.65 |
$2,302.65 |
$2,302.65
|
|
Apheresis rbc
|
$2,302.65 |
$2,302.65 |
$2,302.65 |
$3,497.90
|
|
Apheresis wbc
|
$2,093.35 |
$2,093.35 |
$2,093.35 |
$3,342.71
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$440.30 |
$440.30 |
$440.30 |
$1,300.71
|
|
Appl body cast sho to hips
|
$242.20 |
$242.20 |
$242.20 |
$390.73
|
|
Appl cast figure-of-eight
|
$242.20 |
$242.20 |
$242.20 |
$314.28
|
|
Appl cast plaster velpeau
|
$242.20 |
$242.20 |
$242.20 |
$312.76
|
|
Appl cast shoulder spica
|
$242.20 |
$242.20 |
$242.20 |
$406.70
|
|
Appl hip spica cast1&1/2
|
$242.20 |
$242.20 |
$242.20 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$242.20 |
$242.20 |
$242.20 |
$475.30
|
|
Application clubfoot cast
|
$242.20 |
$242.20 |
$242.20 |
$297.33
|
|
Application finger splntstatic 29130
|
$275.80 |
$275.80 |
$275.80 |
$226.20
|
|
Application long leg splint 29505
|
$275.80 |
$275.80 |
$275.80 |
$370.00
|
|
Application lower leg splint 29515
|
$275.80 |
$275.80 |
$275.80 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$98.35 |
$98.35 |
$98.35 |
$393.75
|
|
Application of cylinder cast 29365
|
$242.20 |
$242.20 |
$242.20 |
$431.08
|
|
Application of forearm cast 29075
|
$242.20 |
$242.20 |
$242.20 |
$386.10
|
|
Application of long arm cast 29065
|
$242.20 |
$242.20 |
$242.20 |
$414.20
|
|
Application of long leg cast 29345
|
$242.20 |
$242.20 |
$242.20 |
$511.68
|
|
Application of paste boot 29580
|
$98.35 |
$98.35 |
$98.35 |
$336.00
|
|
Application short leg cast 29405
|
$242.20 |
$242.20 |
$242.20 |
$397.33
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$440.30 |
$440.30 |
$440.30 |
$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
|
$242.20 |
$242.20 |
$242.20 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$80.85 |
$80.85 |
$80.85 |
$68.00
|
|
Appl multlay comprs arm/hand
|
$98.35 |
$98.35 |
$98.35 |
$339.69
|
|
Apply finger cast 29086
|
$242.20 |
$242.20 |
$242.20 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$258.65 |
$258.65 |
$258.65 |
$263.20
|
|
Apply halo w/removal cranial
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$275.80 |
$275.80 |
$275.80 |
$275.80
|
|
Apply interstit radiat compl
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,206.05 |
$2,206.05 |
$2,206.05 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$1,324.75 |
$1,324.75 |
$1,324.75 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$893.20 |
$893.20 |
$893.20 |
$1,001.00
|
|
Apply of finger splint 29131
|
$165.90 |
$165.90 |
$165.90 |
$177.45
|
|
Apply rem fixation device
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$1,980.00
|
|
Apply short leg castambul type 29425
|
$275.80 |
$275.80 |
$275.80 |
$460.92
|
|
Apply surf ldr radionuclide
|
$342.30 |
$342.30 |
$342.30 |
$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
|
$172.20 |
$172.20 |
$172.20 |
$91.68
|
|
Argatroban nonesrd (auromed)
|
$273.04 |
$273.04 |
$273.04 |
$1.49
|
|
Argatroban nonesrd use 1mg
|
$4,791.57 |
$4,791.57 |
$4,791.57 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,315.30 |
$2,315.30 |
$2,315.30 |
$1,301.04
|
|
Art bypass femoral-femoral 35661
|
$7,517.30 |
$7,517.30 |
$7,517.30 |
$5,291.20
|
|
Art byp grft aortbifemoral 35540
|
$23,217.95 |
$23,217.95 |
$23,217.95 |
$11,902.40
|
|
Arterial blood draw/perc 36620
|
$475.30 |
$475.30 |
$475.30 |
$500.82
|
|
Artery xray each vessel 7577426
|
$1,215.55 |
$1,215.55 |
$1,215.55 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$4,063.50 |
$4,063.50 |
$4,063.50 |
$3,476.40
|
|
Artery x-rays adrenals
|
$5,223.05 |
$5,223.05 |
$5,223.05 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$2,164.05 |
$2,164.05 |
$2,164.05 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$4,029.72
|
|
Artery x-rays chest
|
$4,357.50 |
$4,357.50 |
$4,357.50 |
$2,628.15
|
|
Artery x-rays lung
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$3,150.00
|
|
Artery x-rays lung
|
$3,486.35 |
$3,486.35 |
$3,486.35 |
$2,483.00
|
|
Artery x-rays lungs
|
$5,223.05 |
$5,223.05 |
$5,223.05 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$3,413.90 |
$3,413.90 |
$3,413.90 |
$4,551.20
|
|
Artery x-rays spine
|
$8,284.85 |
$8,284.85 |
$8,284.85 |
$4,830.61
|
|
Arthrd wrist lmtd without b1 grf
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$7,807.24
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$280.00 |
$280.00 |
$280.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$944.30 |
$944.30 |
$944.30 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$308.00 |
$308.00 |
$308.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$250.60 |
$250.60 |
$250.60 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$308.00 |
$308.00 |
$308.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$242.20 |
$242.20 |
$242.20 |
$700.80
|
