|
Alt/sgpt
|
$75.40 |
$75.40 |
$75.40 |
$47.50
|
|
Altuviiio per factor viii iu
|
$13.32 |
$13.32 |
$13.32 |
$13.32
|
|
Aluminum - quest
|
$11.00 |
$11.00 |
$28.60 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$514.15 |
$514.15 |
$514.15 |
$411.45
|
|
Ambl bp mntr w/software
|
$108.55 |
$108.55 |
$108.55 |
$178.20
|
|
Ambl bp mntr w/sw a/r
|
$601.90 |
$601.90 |
$601.90 |
$320.45
|
|
Ambl bp mntr w/sw i&r
|
$108.55 |
$108.55 |
$108.55 |
$57.00
|
|
Amifostine
|
$2,507.10 |
$2,507.10 |
$2,507.10 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$9.36 |
$9.36 |
$9.36 |
$39.84
|
|
Amino acid screen, urine
|
$22.75 |
$22.75 |
$22.75 |
$77.00
|
|
Amino acid single qual
|
$42.00 |
$42.00 |
$42.00 |
$36.00
|
|
Amino acids quant 2-5
|
$284.05 |
$284.05 |
$284.05 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$1.27 |
$1.27 |
$1.27 |
$37.33
|
|
Aminolevulinic acid, 10% gel
|
$297.18 |
$297.18 |
$297.18 |
$1.81
|
|
Aminolevulinic acid delta
|
$8.00 |
$8.00 |
$128.05 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$613.42 |
$613.42 |
$613.42 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$58.50 |
$58.50 |
$129.00 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$15.00 |
$15.00 |
$15.00 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$1,696.68 |
$1,696.68 |
$1,696.68 |
$9,084.45
|
|
Ammonia
|
$298.35 |
$298.35 |
$298.35 |
$119.70
|
|
Amnioarmor 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amniocentesisdiagnostic 59000
|
$2,830.10 |
$2,830.10 |
$2,830.10 |
$942.60
|
|
Amniocentesis therapeutic
|
$780.00 |
$780.00 |
$780.00 |
$791.05
|
|
Amniocore per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amnio-maxx or lite per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amniowrap2 per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,786.00
|
|
Amphetamines 5 or more
|
$26.00 |
$26.00 |
$26.00 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$744.84 |
$744.84 |
$744.84 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$210.15 |
$210.15 |
$210.15 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$170.37 |
$170.37 |
$170.37 |
$54.57
|
|
Amp metatarsal w/toe single 28810
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,986.00
|
|
Amp thigh through femur re-amp 27596
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
$3,494.40
|
|
Amputate leg at thigh
|
$60,152.95 |
$60,152.95 |
$60,152.95 |
$2,854.80
|
|
Amputate lower leg at knee
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$3,342.87
|
|
Amputate metacarpal bone 26910
|
$2,025.40 |
$2,025.40 |
$2,025.40 |
$3,839.54
|
|
Amputate thigh through femur 27590
|
$3,852.55 |
$3,852.55 |
$3,852.55 |
$3,370.00
|
|
Amputation follow-up surgery
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$2,934.40
|
|
Amputation follow-up surgery
|
$1,895.40 |
$1,895.40 |
$1,895.40 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$3,996.20 |
$3,996.20 |
$3,996.20 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$1,506.60
|
|
Amputation of lower leg
|
$2,545.40 |
$2,545.40 |
$2,545.40 |
$2,545.40
|
|
Amputation of upper arm
|
$2,646.80 |
$2,646.80 |
$2,646.80 |
$2,646.80
|
|
Amputation thru metatarsal
|
$3,304.60 |
$3,304.60 |
$3,304.60 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$12,051.65 |
$12,051.65 |
$12,051.65 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$3,839.54
|
|
Amylase
|
$118.30 |
$118.30 |
$118.30 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$45.00 |
$45.00 |
$45.00 |
$80.08
|
|
Ana ds-dna
|
$27.00 |
$27.00 |
$96.85 |
$55.24
|
|
Anal/urinary muscle study
|
$632.00 |
$632.00 |
$799.50 |
$407.00
|
|
Anal/urinary muscle study
|
$437.45 |
$437.45 |
$632.00 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$514.15 |
$514.15 |
$514.15 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$520.00 |
$520.00 |
$520.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$65.65 |
$65.65 |
$65.65 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$208.65 |
$208.65 |
$208.65 |
$122.20
|
|
Analysis tumor
|
$42.00 |
$42.00 |
$42.00 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$514.15 |
$514.15 |
$514.15 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$63.05 |
$63.05 |
$63.05 |
$85.80
|
|
Anastamo/extrahep bil duct/gi trac 47760
|
$9,963.20 |
$9,963.20 |
$9,963.20 |
$5,524.80
|
|
Anastamo/roux-en-y/extrahep bil/gi 47780
|
$11,003.20 |
$11,003.20 |
$11,003.20 |
$6,068.00
|
|
Anca screen with reflex to titer -quest
|
$120.25 |
$120.25 |
$120.25 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$2,480.94
|
|
An fluoro guide for cvp
|
$668.85 |
$668.85 |
$668.85 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$13,184.60 |
$13,184.60 |
$13,184.60 |
$5,728.50
|
|
Angioscopy
|
$780.00 |
$780.00 |
$780.00 |
$363.20
|
|
Angiotensin ii
|
$409.50 |
$409.50 |
$409.50 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,263.33 |
$1,263.33 |
$1,263.33 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,390.75 |
$4,390.75 |
$4,390.75 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,359.11
|
|
Anidulafungin injection
|
$446.69 |
$446.69 |
$446.69 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$2,514.20 |
$2,514.20 |
$2,514.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,428.40 |
$2,428.40 |
$2,428.40 |
$3,839.54
|
|
Ankle X-ray
|
$542.75 |
$542.75 |
$542.75 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$535.60 |
$535.60 |
$535.60 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$257.40 |
$257.40 |
$257.40 |
$630.96
|
|
Annual alcohol screen 15 min
|
$167.70 |
$167.70 |
$167.70 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$455.00 |
$455.00 |
$455.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$494.00 |
$494.00 |
$494.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$499.20 |
$499.20 |
$499.20 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$605.80 |
$605.80 |
$605.80 |
$167.25
|
|
Anodyne therapy charges pt
|
$39.00 |
$39.00 |
$39.00 |
$42.00
|
|
Anogenital exam child w imag
|
$939.90 |
$939.90 |
$939.90 |
$277.99
|
|
Anora (draw only)
|
$31.20 |
$31.20 |
$31.20 |
$35.00
|
|
Anoscopy
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$390.00 |
$390.00 |
$390.00 |
$3,245.23
|
|
Anoscopy and biopsy
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$390.00 |
$390.00 |
$390.00 |
$3,816.64
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$5,841.60
|
|
Antibody bacterium, not elsewhere specified
|
$50.05 |
$50.05 |
$50.05 |
$57.85
|
|
Antibody elution rbc reference
|
$356.85 |
$356.85 |
$1,231.00 |
$177.29
|
