|
Adding walker to prev cast
|
$185.64 |
$185.64 |
$185.64 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$27.12 |
$27.12 |
$2,324.97 |
|
|
Adenovirus ag ia
|
$22.62 |
$22.62 |
$22.62 |
|
|
Adenovirus antibody,serum - quest
|
$14.80 |
$104.52 |
$337.00 |
|
|
Adh-sendout
|
$47.36 |
$371.67 |
$733.85 |
|
|
Adj gastric band via subq port
|
$1,666.86 |
$1,666.86 |
$8,655.00 |
|
|
Adjmt/revj ext fixj sys anes
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,786.55 |
$2,786.55 |
$7,906.00 |
|
|
Adjustment gastric band
|
$501.54 |
$501.54 |
$501.54 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$6.09 |
$6.09 |
$1,190.95 |
|
|
Admin ecg contrast agent
|
$187.59 |
$187.59 |
$411.00 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$102.72 |
$198.51 |
$770.25 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$149.19 |
$456.30 |
$811.00 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$355.50 |
$695.37 |
$1,775.97 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$291.27 |
$437.19 |
$1,184.00 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$103.01 |
$442.26 |
$514.43 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$103.01 |
$495.69 |
$797.00 |
|
|
Administration immunization each additional component
|
$261.00 |
$261.00 |
$261.00 |
|
|
Administration immunization each additional vaccine
|
$41.15 |
$112.00 |
$189.38 |
|
|
Administration immunization first component each vaccine
|
$212.00 |
$212.00 |
$212.00 |
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$62.79 |
$62.79 |
$62.79 |
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$62.79 |
$62.79 |
$62.79 |
|
|
Administration vaccine hepatitis b
|
$62.79 |
$62.79 |
$407.06 |
|
|
Administration vaccine influenza virus
|
$62.79 |
$139.00 |
$1,717.88 |
|
|
Administration vaccine pneumococcal
|
$62.79 |
$62.79 |
$150.00 |
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$96.20 |
$96.20 |
$15,320.16 |
|
|
Adrenal cortex & medulla img
|
$710.19 |
$710.19 |
$3,694.00 |
|
|
Adrenalin epinephrine inject
|
$333.98 |
$450.80 |
$450.80 |
|
|
Advance care planning each additional 30 min 99498
|
$121.68 |
$121.68 |
$150.00 |
|
|
Aep hearing status deter i&r
|
$241.41 |
$241.41 |
$241.41 |
|
|
Aep neurodiagnostic i&r
|
$379.08 |
$379.08 |
$635.00 |
|
|
Aep thrshld est mlt freq i&r
|
$379.08 |
$379.08 |
$635.00 |
|
|
Afamitresgene autoleucel
|
$2,995,240.00 |
$2,995,240.00 |
$2,995,240.00 |
|
|
_afb id by dna probe rflx ast
|
$38.22 |
$38.22 |
$344.00 |
|
|
#afb mycobacteria suscep. #1
|
$10.36 |
$73.71 |
$73.71 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$164.88 |
$378.69 |
$6,182.80 |
|
|
Aff2 gen aly detc abnl allel
|
$225.42 |
$225.42 |
$225.42 |
|
|
Aff2 gen alys charac alleles
|
$452.40 |
$452.40 |
$452.40 |
|
|
Afluria vacc, 3 yrs & >, im
|
$83.43 |
$83.43 |
$83.43 |
|
|
Afo rig ant tib tcf/= custom
|
$1,200.70 |
$1,200.70 |
$1,584.16 |
|
|
After cataract laser surgery
|
$721.89 |
$721.89 |
$721.89 |
|
|
Agalsidase beta 35 mg intravenous solution
|
$508.69 |
$508.69 |
$508.69 |
|
|
Air conduction bilat
|
$81.12 |
$81.12 |
$390.00 |
|
|
Air injection into abdomen 49400
|
$1,889.00 |
$2,454.66 |
$2,454.66 |
|
|
Airway resistance by impulse oscillometry 94728
|
$484.38 |
$484.38 |
$1,438.00 |
|
|
Albumin body fluid quantitative each specimen
|
$36.00 |
$59.80 |
$150.34 |
|
|
Albumin (human), 25%, 50ml
|
$68.52 |
$382.39 |
$4,398.18 |
|
|
Albumin, human 25 % intravenous solution
|
$142.94 |
$142.94 |
$2,710.31 |
|
|
Albumin (human), 5%, 250 ml
|
$353.88 |
$353.88 |
$4,371.42 |
|
|
Albumin, human 5 % intravenous solution
|
$90.74 |
$90.74 |
$1,728.00 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$10.66 |
$139.62 |
$309.79 |
|
|
Albumin serum plasma or whole blood
|
$24.00 |
$53.82 |
$211.43 |
|
|
Albuterol ipratrop non-comp
|
$8.03 |
$8.26 |
$63.32 |
|
|
Albuterol non-comp con
|
$1.86 |
$1.86 |
$202.86 |
|
|
Albuterol non-comp unit
|
$3.84 |
$3.84 |
$14.54 |
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$36.27 |
$36.27 |
$925.60 |
|
|
Alcohol/subs interv 15-30mn
|
$82.00 |
$82.00 |
$82.00 |
|
|
Alcohol/subs interv >30 min
|
$402.00 |
$402.00 |
$402.00 |
|
|
Aldesleukin injection
|
$1.03 |
$1.03 |
$1,156.91 |
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$0.06 |
$0.06 |
$0.06 |
|
|
Alkaline phosphatase
|
$15.69 |
$65.91 |
$232.65 |
|
|
Allergen alpha lactalbumin ige
|
$6.52 |
$33.93 |
$231.68 |
|
|
Allergen egg white ige
|
$7.40 |
$47.00 |
$279.77 |
|
|
Allergen specific ige qual multi scrn ea
|
$53.82 |
$53.82 |
$53.82 |
|
|
Allergy injections; 2 or more 95117
|
$37.44 |
$37.44 |
$174.00 |
|
|
Allergy injection; single 95115
|
$51.48 |
$51.48 |
$174.00 |
|
|
Allergy Skin Testing
|
$53.43 |
$53.43 |
$53.43 |
|
|
Allg patch or app # of tests 95044
|
$39.00 |
$39.00 |
$39.00 |
|
|
Allograft amnioexcel plus 17mm disk
|
$138.05 |
$138.05 |
$138.05 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$10,612.09 |
$22,121.61 |
$49,280.00 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$217.68 |
$217.68 |
$5,291.40 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$740.90 |
$1,974.40 |
$18,284.60 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,609.35 |
$1,609.35 |
$1,994.30 |
|
|
All tstg perq&iq drugs/biol
|
$39.67 |
$41.34 |
$41.34 |
|
|
All tstg perq&iq w/venoms
|
$41.34 |
$41.34 |
$41.34 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$13.53 |
$13.53 |
$1,280.00 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$222.00 |
$222.00 |
$3,452.10 |
|
|
Alpha-fetoprotein tumor marker
|
$27.24 |
$199.68 |
$898.81 |
|
|
Alprostadil for injection
|
$1.58 |
$1.58 |
$711.24 |
|
|
Als 1
|
$331.23 |
$892.32 |
$3,506.36 |
|
|
Als1-emergency
|
$525.70 |
$1,288.56 |
$3,680.90 |
|
|
Als 2
|
$760.43 |
$1,288.56 |
$4,793.44 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$509.75 |
$509.75 |
$1,829,398.30 |
|
|
Alt/sgpt
|
$8.00 |
$62.01 |
$590.95 |
|
|
Aluminum - quest
|
$37.60 |
$227.76 |
$1,365.62 |
|
|
Alveoloplasty each quadrant
|
$7,852.00 |
$7,852.00 |
$7,852.00 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$696.00 |
$1,743.30 |
$1,743.30 |
|
|
Amantadine (symmetrel)-sendout
|
$104.79 |
$292.00 |
$292.00 |
|
|
Ambl bp mntr w/software
|
$282.00 |
$282.00 |
$282.00 |
|
|
Ambl bp mntr w/sw a/r
|
$161.46 |
$161.46 |
$635.00 |
|
|
Ambl bp mntr w/sw i&r
|
$110.00 |
$110.00 |
$110.00 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$10.82 |
$10.82 |
$102.94 |
|
|
Amino acid screen, urine
|
$314.73 |
$314.73 |
$314.73 |
|
|
Amino acid single qual
|
$585.00 |
$585.00 |
$585.00 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$33.37 |
$33.37 |
$33.37 |
|
|
Aminolevulinic acid delta
|
$19.24 |
$194.61 |
$376.00 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.13 |
$63.94 |
$99.87 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$30.02 |
$30.02 |
$1,137.68 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$11.27 |
$11.27 |
$242.54 |
|
|
Amitriptyline (elavil) -sendout
|
$40.26 |
$253.00 |
$253.00 |
|