|
88334 ap bill cytologic exam each additional site
|
$518.46 |
$518.46 |
$518.46 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$7,552.13 |
$7,552.13 |
$7,552.13 |
$3,634.61
|
|
Abdominal CT scan (with and without contrast)
|
$22,485.79 |
$22,485.79 |
$22,485.79 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$21,381.64 |
$21,381.64 |
$21,381.64 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$19,324.58 |
$19,324.58 |
$19,324.58 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$8,522.88 |
$8,522.88 |
$8,522.88 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$6,860.46 |
$6,860.46 |
$6,860.46 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,860.46 |
$6,860.46 |
$6,860.46 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$4,316.75 |
$4,316.75 |
$4,316.75 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$3,159.28 |
$3,159.28 |
$3,159.28 |
$603.33
|
|
Ablate arrhythmia add on
|
$59,169.33 |
$59,169.33 |
$59,169.33 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$67,896.20 |
$67,896.20 |
$67,896.20 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$39.90 |
$39.90 |
$39.90 |
$125.63
|
|
Acetaminophen level
|
$1,484.18 |
$1,484.18 |
$1,484.18 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$278.51 |
$278.51 |
$278.51 |
$133.60
|
|
Acetone qualitative
|
$1,271.74 |
$1,271.74 |
$1,271.74 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$228.22 |
$228.22 |
$228.22 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$25.20 |
$25.20 |
$25.20 |
$42.28
|
|
Adenovirus antibody,serum - quest
|
$12.96 |
$12.96 |
$12.96 |
$63.00
|
|
Adh-sendout
|
$32.40 |
$32.40 |
$32.40 |
$109.28
|
|
Administration immunization each additional vaccine
|
$159.56 |
$159.56 |
$159.56 |
$46.23
|
|
Administration vaccine influenza virus
|
$97.43 |
$97.43 |
$97.43 |
$49.50
|
|
Administration vaccine pneumococcal
|
$97.43 |
$97.43 |
$97.43 |
$51.11
|
|
#afb mycobacteria suscep. #1
|
$1,020.04 |
$1,020.04 |
$1,020.04 |
$38.58
|
|
Air conduction bilat
|
$128.90 |
$128.90 |
$128.90 |
$106.50
|
|
Albumin, human 5 % intravenous solution
|
$538.02 |
$538.02 |
$538.02 |
$248.88
|
|
Albuterol ipratrop non-comp
|
$3.75 |
$3.75 |
$3.75 |
$22.45
|
|
Albuterol non-comp unit
|
$3.75 |
$3.75 |
$3.75 |
$9.59
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,217.74 |
$2,217.74 |
$2,217.74 |
$4,101.14
|
|
Alprostadil for injection
|
$603.59 |
$603.59 |
$603.59 |
$533.06
|
|
Alt/sgpt
|
$2,070.10 |
$2,070.10 |
$2,070.10 |
$49.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.33 |
$37.33 |
$37.33 |
$42.84
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$160.52 |
$160.52 |
$160.52 |
$202.10
|
|
Ammonia
|
$2,466.46 |
$2,466.46 |
$2,466.46 |
$120.90
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$246.96 |
$246.96 |
$246.96 |
$130.08
|
|
Anal pressure record
|
$5,659.03 |
$5,659.03 |
$5,659.03 |
$955.86
|
|
Analysis tumor
|
$118.20 |
$118.20 |
$118.20 |
$240.00
|
|
An fluoro guide for cvp
|
$6,735.34 |
$6,735.34 |
$6,735.34 |
$484.45
|
|
Antibody elution rbc reference
|
$698.80 |
$698.80 |
$698.80 |
$176.54
|
|
Antibody id rbc panel
|
$757.05 |
$757.05 |
$757.05 |
$291.75
|
|
Antibody screen rbc
|
$604.88 |
$604.88 |
$604.88 |
$105.00
|
|
Antistreptolysin o screen
|
$56.94 |
$56.94 |
$56.94 |
$59.40
|
|
Antistreptolysin o titer
|
$4.86 |
$4.86 |
$4.86 |
$57.96
|
|
Antithrombin iii activity
|
$55.75 |
$55.75 |
$55.75 |
$115.23
|
|
Apheresis platelets
|
$8,128.10 |
$8,128.10 |
$8,128.10 |
$2,345.00
|
|
Apheresis wbc
|
$8,128.10 |
$8,128.10 |
$8,128.10 |
$3,342.71
|
|
Application of paste boot 29580
|
$811.38 |
$811.38 |
$811.38 |
$331.74
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$7,361.39 |
$7,361.39 |
$7,361.39 |
$1,303.25
|
|
Artery xray each vessel 7577426
|
$5,309.73 |
$5,309.73 |
$5,309.73 |
$1,752.53
|
|
Artery x-rays adrenals
|
$16,561.99 |
$16,561.99 |
$16,561.99 |
$3,706.68
|
|
Artery x-rays lungs
|
$14,215.11 |
$14,215.11 |
$14,215.11 |
$3,686.58
|
|
Assay of breath ethanol
|
$50.00 |
$50.00 |
$50.00 |
$45.76
|
|
Assay of procainamide w/metab
|
$21.75 |
$21.75 |
$21.75 |
$61.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$739.38 |
$739.38 |
$739.38 |
$312.00
|
|
Ast/sgot
|
$1,848.44 |
$1,848.44 |
$1,848.44 |
$45.65
|
|
Azacitidine injection
|
$7,398.88 |
$7,398.88 |
$7,398.88 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$17.64 |
$17.64 |
$17.64 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$170.89 |
$170.89 |
$170.89 |
$52.69
|
|
Baclofen eval charges
|
$920.94 |
$920.94 |
$920.94 |
$86.14
|
|
Bacterial meningitis antigen
|
$16.53 |
$16.53 |
$16.53 |
$68.40
|
|
Bacterial vaginosis pcr
|
$43.20 |
$43.20 |
$43.20 |
$298.04
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$12.25 |
$12.25 |
$12.25 |
$3.00
|
|
Benztropine 1 mg/ml injection solution
|
$187.04 |
$187.04 |
$187.04 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$507.15 |
$507.15 |
$507.15 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$13,607.06 |
$13,607.06 |
$13,607.06 |
$4,905.00
|
|
Blood Count (CBC) Test (without differential)
|
$1,514.06 |
$1,514.06 |
$1,514.06 |
$62.28
|
|
Blood count spun microhematocrit
|
$435.81 |
$435.81 |
$435.81 |
$20.40
|
|
Blood Culture Test
|
$1,777.05 |
$1,777.05 |
$1,777.05 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$1,367.47 |
$1,367.47 |
$1,367.47 |
$220.35
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$37.80 |
$37.80 |
$37.80 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$695.05 |
$695.05 |
$695.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$360.69 |
$360.69 |
$360.69 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$740.14 |
$740.14 |
$740.14 |
$37.44
|
|
Blood typing abo
|
$165.30 |
$165.30 |
$165.30 |
$83.82
|
|
Blood typing rbc ag non abo/rh ea
|
$211.41 |
$211.41 |
$211.41 |
$181.74
|
|
Blood typing rh (d)
|
$364.43 |
$364.43 |
$364.43 |
$56.24
|
|
Bone/joint imaging ltd area
|
$3,059.14 |
$3,059.14 |
$3,059.14 |
$1,151.16
|
|
Bone marrow imaging body
|
$5,160.77 |
$5,160.77 |
$5,160.77 |
$973.73
|
|
Bone marrow imaging ltd
|
$2,833.05 |
$2,833.05 |
$2,833.05 |
$723.00
|
|
Bone survey-lead poisoning
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$346.28
|
|
Boot j walker l
|
$210.25 |
$210.25 |
$210.25 |
$291.75
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$22,166.87 |
$22,166.87 |
$22,166.87 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$659.36 |
$659.36 |
$659.36 |
$33.57
|
|
Bowel imaging
|
$4,688.79 |
$4,688.79 |
$4,688.79 |
$1,186.25
|
|
Brace back pinnacle tlso 464
|
$4,387.05 |
$4,387.05 |
$4,387.05 |
$2,223.92
|
|
Brace halo bremer l2830
|
$642.16 |
$642.16 |
$642.16 |
$291.75
|
|
Brain image w/flow < 4 views
|
$4,877.83 |
$4,877.83 |
$4,877.83 |
$828.39
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$11,212.34 |
$11,212.34 |
$11,212.34 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$8,522.88 |
$8,522.88 |
$8,522.88 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,746.98 |
$7,746.98 |
$7,746.98 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$10,451.93 |
$10,451.93 |
$10,451.93 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$10,240.60 |
$10,240.60 |
$10,240.60 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$8,195.08 |
$8,195.08 |
$8,195.08 |
$1,927.04
|
|
Bronchial challenge
|
$7,594.97 |
$7,594.97 |
$7,594.97 |
$835.20
|
|
Butorphanol tartrate 1 mg
|
$28.67 |
$28.67 |
$28.67 |
$39.89
|
|
Cadd pump refill
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$340.33
|
|
Calcium 24 hour urine
|
$4.87 |
$4.87 |
$4.87 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$59.40 |
$59.40 |
$59.40 |
$59.40
|
|
Calculus analysis qual
|
$11.93 |
$11.93 |
$11.93 |
$29.60
|
|
Carbamazepine total therapeutic drug level
|
$4,831.51 |
$4,831.51 |
$4,831.51 |
$113.25
|
