|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$49.45 |
$49.45 |
$38,189.57 |
|
|
Ammonia
|
$67.00 |
$249.21 |
$731.30 |
|
|
Amniocentesisdiagnostic 59000
|
$1,733.55 |
$1,733.55 |
$3,649.00 |
|
|
Amniocentesis therapeutic
|
$453.57 |
$453.57 |
$453.57 |
|
|
Amniocore per sq cm
|
$1,286.21 |
$1,286.21 |
$1,286.21 |
|
|
Amniotic fluid scan
|
$33.15 |
$33.15 |
$33.15 |
|
|
Amobarbital 125 mg inj
|
$1,759.32 |
$1,759.32 |
$1,759.32 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Amphetamine confirm urine -sendout
|
$102.08 |
$140.00 |
$150.08 |
|
|
Amphetamines 5 or more
|
$393.38 |
$393.38 |
$393.38 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$59.44 |
$216.30 |
$216.30 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$134.01 |
$153.04 |
$1,336.90 |
|
|
Ampicillin 1 gram solution for injection
|
$15.55 |
$15.55 |
$377.21 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$34.14 |
$34.14 |
$500.34 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$320.28 |
$789.00 |
$789.00 |
|
|
Amp metatarsal w/toe single 28810
|
$1,555.48 |
$1,555.48 |
$1,555.48 |
|
|
Amp thigh through femur re-amp 27596
|
$3,430.64 |
$7,906.00 |
$7,906.00 |
|
|
Amputate metacarpal bone 26910
|
$3,214.86 |
$6,653.00 |
$6,653.00 |
|
|
Amputate thigh through femur 27590
|
$3,378.25 |
$3,378.25 |
$3,378.25 |
|
|
Amputation follow-up surgery
|
$3,220.19 |
$3,220.19 |
$3,220.19 |
|
|
Amputation leg thr tib/fib 27880
|
$975.92 |
$5,989.00 |
$5,989.00 |
|
|
Amputation leg; tib/fib f/u 27886
|
$1,022.98 |
$1,022.98 |
$1,022.98 |
|
|
Amputation of foot at ankle
|
$7,109.92 |
$7,109.92 |
$7,109.92 |
|
|
Amputation of lower leg
|
$975.92 |
$975.92 |
$975.92 |
|
|
Amputation thru metatarsal
|
$1,723.91 |
$6,307.00 |
$6,307.00 |
|
|
Amputation toe interphalangeal joint
|
$1,705.26 |
$5,507.00 |
$5,507.00 |
|
|
Amputation toe metatarsophalangeal joint
|
$1,024.46 |
$3,777.93 |
$7,367.00 |
|
|
Amylase
|
$15.40 |
$132.60 |
$961.81 |
|
|
Ana ds-dna
|
$56.00 |
$69.03 |
$200.40 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$253.00 |
$253.00 |
$253.00 |
|
|
Anal pressure record
|
$1,131.00 |
$1,131.00 |
$3,420.00 |
|
|
Anal/urinary muscle study
|
$146.23 |
$461.37 |
$461.37 |
|
|
Anal/urinary muscle study
|
$671.97 |
$671.97 |
$1,184.00 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$292.00 |
$340.47 |
$340.47 |
|
|
Analysis gene f2 20210g>a variant
|
$79.63 |
$302.00 |
$3,520.69 |
|
|
Analysis gene f5 leiden variant
|
$69.86 |
$338.00 |
$3,932.32 |
|
|
Analysis nerve
|
$214.00 |
$214.00 |
$214.00 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$99.00 |
$107.64 |
$107.64 |
|
|
Analysis tumor
|
$661.00 |
$661.00 |
$661.00 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$696.00 |
$1,692.21 |
$1,692.21 |
|
|
Anaplsma phgcytophlm amp prb
|
$41.44 |
$47.97 |
$161.00 |
|
|
Anca screen with reflex to titer -quest
|
$69.00 |
$152.49 |
$174.73 |
|
|
An cholangiogram percutaneous compl
|
$431.57 |
$1,991.34 |
$37,788.55 |
|
|
An fluoro guide for cvp
|
$258.41 |
$469.17 |
$1,982.67 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,568.51 |
$5,341.83 |
$6,886.00 |
|
|
Angioplasty fem/pop unilat 37224
|
$3,655.31 |
$8,013.72 |
$17,250.00 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,886.00 |
$11,524.11 |
$11,524.11 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,598.00 |
$5,370.69 |
$9,106.00 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$80.72 |
$6,083.51 |
$14,937.12 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,810.89 |
$10,233.99 |
$33,920.57 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,185.37 |
$3,655.86 |
$3,655.86 |
|
|
Angio trnslmnl balloon same artery ini
|
$4,370.44 |
$5,341.83 |
$35,623.89 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,808.00 |
$3,660.93 |
$3,660.93 |
|
|
Angio trnslmnl balloon same vein ini
|
$4,370.44 |
$5,350.02 |
$7,233.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle arthroscopy/surgery
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Ankle X-ray
|
$250.42 |
$280.78 |
$1,237.24 |
|
|
Ankle X-ray (2 views, both ankles)
|
$180.27 |
$333.85 |
$901.24 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$331.23 |
$591.24 |
$1,224.00 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$501.00 |
$501.00 |
$501.00 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$532.00 |
$532.00 |
$532.00 |
|
|
Annual Physical, New Patient (age 18-39)
|
$557.00 |
$557.00 |
$557.00 |
|
|
Annual Physical, New Patient (age 40-64)
|
$642.00 |
$642.00 |
$642.00 |
|
|
Anodyne therapy charges pt
|
$433.15 |
$433.15 |
$433.15 |
|
|
Anogenital exam child w imag
|
$106.86 |
$106.86 |
$106.86 |
|
|
Anora (draw only)
|
$8.58 |
$8.58 |
$86.00 |
|
|
Anoscopy ablation lesion 46615
|
$5,544.00 |
$5,544.00 |
$5,544.00 |
|
|
Anoscopy and biopsy
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
|
|
Anoscopy and dilation 46604
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
|
|
Anoscopy remove fb 46608
|
$1,054.95 |
$1,054.95 |
$3,029.00 |
|
|
Anoscopy remove lesion 46610
|
$7,384.00 |
$7,384.00 |
$7,384.00 |
|
|
Ans parasymp & symp w/tilt
|
$826.00 |
$826.00 |
$826.00 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Antibody
|
$78.00 |
$78.00 |
$78.00 |
|
|
Antibody bacterium, not elsewhere specified
|
$22.80 |
$55.38 |
$304.00 |
|
|
Antibody elution rbc reference
|
$93.54 |
$231.27 |
$1,963.89 |
|
|
Antibody htlv/hiv confirm test
|
$144.75 |
$166.92 |
$807.00 |
|
|
Antibody htlv-i
|
$49.53 |
$49.53 |
$49.53 |
|
|
Antibody htlv-ii
|
$49.53 |
$49.53 |
$49.53 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$44.11 |
$249.99 |
$1,717.40 |
|
|
Antibody id rbc panel
|
$131.13 |
$480.03 |
$1,181.00 |
|
|
Antibody influenza virus
|
$29.01 |
$119.34 |
$538.00 |
|
|
Antibody lymphocytic choriomeningitis
|
$38.19 |
$118.17 |
$166.00 |
|
|
Antibody screen rbc
|
$83.48 |
$246.87 |
$544.86 |
|
|
Antibody tetanus
|
$68.00 |
$109.98 |
$109.98 |
|
|
Antidepressant not specified
|
$164.00 |
$164.00 |
$355.16 |
|
|
Antigen therapy services
|
$109.00 |
$109.00 |
$109.00 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.44 |
$3.44 |
$3,340.00 |
|
|
Antihemophilic viii/vwf comp
|
$105.96 |
$105.96 |
$105.96 |
|
|
Anti-inhibitor
|
$108.55 |
$16,200.00 |
$16,200.00 |
|
|
Anti mog serum - sendout
|
$16.38 |
$16.38 |
$427.68 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$17.17 |
$54.00 |
$645.84 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$17.17 |
$22.23 |
$22.23 |
|
|
Antinuclear antibodies
|
$24.28 |
$175.89 |
$724.39 |
|
|
Antinuclear antibodies titer
|
$52.00 |
$101.79 |
$598.13 |
|
