|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$324.87 |
$324.87 |
$324.87 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$920.47 |
$920.47 |
$920.47 |
$312.00
|
|
Amputation toe interphalangeal joint
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,691.20
|
|
Amylase
|
$394.68 |
$394.68 |
$394.68 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$237.27 |
$237.27 |
$237.27 |
$110.98
|
|
Anal/urinary muscle study
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$407.00
|
|
Anal/urinary muscle study
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$507.26
|
|
Analysis gene f2 20210g>a variant
|
$1,013.92 |
$1,013.92 |
$1,013.92 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,132.47 |
$1,132.47 |
$1,132.47 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$346.63 |
$346.63 |
$346.63 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$128.96 |
$128.96 |
$128.96 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$232.30 |
$232.30 |
$232.30 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$10,758.20 |
$10,758.20 |
$10,758.20 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,582.15 |
$1,582.15 |
$1,582.15 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$8,423.32 |
$8,423.32 |
$8,423.32 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$15,256.47 |
$15,256.47 |
$15,256.47 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,965.82 |
$12,965.82 |
$12,965.82 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$12,977.89 |
$12,977.89 |
$12,977.89 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$17,517.69 |
$17,517.69 |
$17,517.69 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$12,965.82 |
$12,965.82 |
$12,965.82 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$9,222.26 |
$9,222.26 |
$9,222.26 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$13,690.05 |
$13,690.05 |
$13,690.05 |
$8,689.20
|
|
Ankle X-ray
|
$1,669.55 |
$1,669.55 |
$1,669.55 |
$339.44
|
|
Anodyne therapy charges pt
|
$106.94 |
$106.94 |
$106.94 |
$41.02
|
|
Anoscopy remove fb 46608
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,208.35
|
|
Antibody bacterium, not elsewhere specified
|
$198.81 |
$198.81 |
$198.81 |
$57.89
|
|
Antibody elution rbc reference
|
$531.02 |
$531.02 |
$531.02 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$298.67 |
$298.67 |
$298.67 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$283.54 |
$283.54 |
$283.54 |
$220.73
|
|
Antibody id rbc panel
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$291.75
|
|
Antibody influenza virus
|
$209.15 |
$209.15 |
$209.15 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$198.65 |
$198.65 |
$198.65 |
$53.96
|
|
Antibody screen rbc
|
$180.68 |
$180.68 |
$180.68 |
$105.00
|
|
Antidepressant not specified
|
$84.70 |
$84.70 |
$84.70 |
$89.50
|
|
Anti mog serum - sendout
|
$44.29 |
$44.29 |
$44.29 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$46.50 |
$46.50 |
$46.50 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$186.00 |
$186.00 |
$186.00 |
$45.82
|
|
Antinuclear antibodies
|
$113.11 |
$113.11 |
$113.11 |
$91.70
|
|
Antinuclear antibodies titer
|
$172.06 |
$172.06 |
$172.06 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$248.04 |
$248.04 |
$248.04 |
$74.20
|
|
Antistreptolysin o screen
|
$134.54 |
$134.54 |
$134.54 |
$59.40
|
|
Antistreptolysin o titer
|
$36.24 |
$36.24 |
$36.24 |
$57.96
|
|
Antithrombin iii activity
|
$66.27 |
$66.27 |
$66.27 |
$115.23
|
|
Apheresis plasma
|
$4,437.84 |
$4,437.84 |
$4,437.84 |
$3,411.50
|
|
Apheresis rbc
|
$1,795.72 |
$1,795.72 |
$1,795.72 |
$3,348.50
|
|
Apheresis wbc
|
$1,795.72 |
$1,795.72 |
$1,795.72 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$3,199.83 |
$3,199.83 |
$3,199.83 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$11,624.04 |
$11,624.04 |
$11,624.04 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,000.57 |
$2,000.57 |
$2,000.57 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$897.22 |
$897.22 |
$897.22 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$10,318.65 |
$10,318.65 |
$10,318.65 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,600.45 |
$1,600.45 |
$1,600.45 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,290.73 |
$2,290.73 |
$2,290.73 |
$508.18
|
|
Application finger splntstatic 29130
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$216.80
|
|
Application long leg splint 29505
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$340.80
|
|
Application lower leg splint 29515
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$397.00
|
|
Application of forearm cast 29075
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$379.20
|
|
Application of long arm cast 29065
|
$896.10 |
$896.10 |
$896.10 |
$404.63
|
|
Application of long leg cast
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$406.75
|
|
Application of long leg cast 29345
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$511.68
|
|
Application of paste boot 29580
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$331.74
|
|
Application short leg cast 29405
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,557.39 |
$3,557.39 |
$3,557.39 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$5,215.20 |
$5,215.20 |
$5,215.20 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$261.59 |
$261.59 |
$261.59 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$155.38 |
$155.38 |
$155.38 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$339.69
|
|
Apply finger cast 29086
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$225.29
|
|
Apply hand/wrist cast 29085
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$272.46
|
|
Apply interstit radiat compl
|
$10,491.27 |
$10,491.27 |
$10,491.27 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$4,409.66 |
$4,409.66 |
$4,409.66 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,666.28 |
$3,666.28 |
$3,666.28 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,473.39 |
$2,473.39 |
$2,473.39 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$896.10 |
$896.10 |
$896.10 |
$608.00
|
|
Apply short leg castambul type 29425
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$408.75
|
|
Apply surf ldr radionuclide
|
$728.14 |
$728.14 |
$728.14 |
$246.25
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$4,030.06 |
$4,030.06 |
$4,030.06 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$541.61 |
$541.61 |
$541.61 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$186.00 |
$186.00 |
$186.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$106.73 |
$106.73 |
$106.73 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$220.52 |
$220.52 |
$220.52 |
$98.90
|
|
Aquatic exercise - group charge
|
$380.49 |
$380.49 |
$380.49 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,080.99 |
$1,080.99 |
$1,080.99 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$411.00 |
$411.00 |
$411.00 |
$505.60
|
|
Artery xray each vessel 7577426
|
$5,926.74 |
$5,926.74 |
$5,926.74 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$14,552.47 |
$14,552.47 |
$14,552.47 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$9,864.54 |
$9,864.54 |
$9,864.54 |
$3,844.10
|
|
Artery x-rays chest
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$2,587.20
|
|
Artery x-rays lung
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$2,921.88
|
|
Artery x-rays lung
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$2,332.57
|
|
Artery x-rays lungs
|
$9,495.69 |
$9,495.69 |
$9,495.69 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$14,552.47 |
$14,552.47 |
$14,552.47 |
$4,086.49
|
|
Artery x-rays spine
|
$46,619.20 |
$46,619.20 |
$46,619.20 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,062.15 |
$1,062.15 |
$1,062.15 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,529.90 |
$1,529.90 |
$1,529.90 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,699.44 |
$1,699.44 |
$1,699.44 |
$910.79
|
