|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$15.05 |
$15.05 |
$15.05 |
$36.30
|
|
Aminolevulinic acid delta
|
$32.64 |
$32.64 |
$32.64 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$28.41 |
$28.41 |
$28.41 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$60.24 |
$60.24 |
$60.24 |
$123.03
|
|
Amiodarone 50 mg/ml intravenous solution
|
$7.95 |
$7.95 |
$7.95 |
$56.70
|
|
Amitriptyline (elavil) -sendout
|
$105.60 |
$105.60 |
$105.60 |
$91.08
|
|
Ammonia
|
$59.20 |
$59.20 |
$59.20 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$495.36 |
$495.36 |
$495.36 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$75.52 |
$75.52 |
$75.52 |
$93.61
|
|
Amphetamines 5 or more
|
$14.08 |
$14.08 |
$14.08 |
$85.15
|
|
Ampicillin 1 gram solution for injection
|
$18.86 |
$18.86 |
$18.86 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$15.02 |
$15.02 |
$15.02 |
$54.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$88.64 |
$88.64 |
$88.64 |
$262.99
|
|
Amputate metacarpal bone 26910
|
$644.48 |
$644.48 |
$644.48 |
$3,839.54
|
|
Amputation of lower leg
|
$457.60 |
$457.60 |
$457.60 |
$2,545.40
|
|
Amylase
|
$71.04 |
$71.04 |
$71.04 |
$85.65
|
|
Anabolic steroid 1 or 2
|
$28.80 |
$28.80 |
$28.80 |
$80.08
|
|
Ana ds-dna
|
$146.56 |
$146.56 |
$146.56 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1.92 |
$1.92 |
$1.92 |
$113.28
|
|
Analysis gene f2 20210g>a variant
|
$44.80 |
$44.80 |
$44.80 |
$219.00
|
|
Analysis gene f5 leiden variant
|
$114.56 |
$114.56 |
$114.56 |
$223.60
|
|
Analysis tumor
|
$158.08 |
$158.08 |
$158.08 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$19.20 |
$19.20 |
$19.20 |
$76.70
|
|
Anastrozole 1 mg
|
$12.98 |
$12.98 |
$12.98 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$28.16 |
$28.16 |
$28.16 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$3,383.36 |
$3,383.36 |
$3,383.36 |
$2,494.35
|
|
An fluoro guide for cvp
|
$440.96 |
$440.96 |
$440.96 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,975.36 |
$1,975.36 |
$1,975.36 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$290.84 |
$290.84 |
$290.84 |
$4,550.62
|
|
Angio trnslmnl balloon same artery ea addl
|
$128.32 |
$128.32 |
$128.32 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$6,620.80 |
$6,620.80 |
$6,620.80 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$3,552.96 |
$3,552.96 |
$3,552.96 |
$8,466.00
|
|
Ankle X-ray
|
$188.80 |
$188.80 |
$188.80 |
$353.60
|
|
Annual Physical, Established Patient (age 18-39)
|
$30.08 |
$30.08 |
$30.08 |
$152.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$32.64 |
$32.64 |
$32.64 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$32.96 |
$32.96 |
$32.96 |
$154.80
|
|
Annual Physical, New Patient (age 40-64)
|
$40.00 |
$40.00 |
$40.00 |
$167.25
|
|
Anora (draw only)
|
$27.20 |
$27.20 |
$27.20 |
$35.00
|
|
Anoscopy and biopsy
|
$51.84 |
$51.84 |
$51.84 |
$1,395.28
|
|
Anoscopy control bleeding 46614
|
$56.64 |
$56.64 |
$56.64 |
$2,030.25
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$493.76 |
$493.76 |
$493.76 |
$5,463.96
|
|
Antibody bacterium, not elsewhere specified
|
$18.88 |
$18.88 |
$18.88 |
$57.85
|
|
Antibody elution rbc reference
|
$105.60 |
$105.60 |
$105.60 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$120.32 |
$120.32 |
$120.32 |
$127.95
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$84.16 |
$84.16 |
$84.16 |
$219.30
|
|
Antibody id rbc panel
|
$172.16 |
$172.16 |
$172.16 |
$267.00
|
|
Antibody influenza virus
|
$13.76 |
$13.76 |
$13.76 |
$53.90
|
|
Antibody screen rbc
|
$64.64 |
$64.64 |
$64.64 |
$102.75
|
|
Antidepressants class 6/more
|
$1.60 |
$1.60 |
$1.60 |
$29.68
|
|
Antiepileptics nos 7/more
|
$1.28 |
$1.28 |
$1.28 |
$16.24
|
|
Anti mog serum - sendout
|
$85.12 |
$85.12 |
$85.12 |
$110.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$36.80 |
$36.80 |
$36.80 |
$37.58
|
|
Ant instr 2-3 vert segm 22845
|
$547.52 |
$547.52 |
$547.52 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$508.16 |
$508.16 |
$508.16 |
$1,430.40
|
|
Antinuclear antibodies
|
$76.80 |
$76.80 |
$76.80 |
$91.70
|
|
Antinuclear antibodies titer
|
$43.20 |
$43.20 |
$43.20 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$20.48 |
$20.48 |
$20.48 |
$58.24
|
|
Antipsychotics nos 1-3
|
$63.04 |
$63.04 |
$63.04 |
$153.75
|
|
Antipsychotics nos 7/more
|
$1.28 |
$1.28 |
$1.28 |
$16.80
|
|
Antistreptolysin o titer
|
$22.72 |
$22.72 |
$22.72 |
$52.50
|
|
Antithrombin iii activity
|
$68.48 |
$68.48 |
$68.48 |
$114.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$693.44 |
$693.44 |
$693.44 |
$4,155.20
|
|
Aortic hemiarch graft 33866
|
$674.24 |
$674.24 |
$674.24 |
$2,260.80
|
|
Appendectomy
|
$499.84 |
$499.84 |
$499.84 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$63.04 |
$63.04 |
$63.04 |
$206.40
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$680.64 |
$680.64 |
$680.64 |
$1,644.60
|
|
Appendix Removal (Laparoscopic)
|
$474.24 |
$474.24 |
$474.24 |
$6,463.42
|
|
Application finger splntstatic 29130
|
$75.20 |
$75.20 |
$75.20 |
$208.50
|
|
Application long leg splint 29505
|
$89.92 |
$89.92 |
$89.92 |
$356.85
|
|
Application lower leg splint 29515
|
$89.92 |
$89.92 |
$89.92 |
$345.60
|
|
Application of paste boot 29580
|
$89.92 |
$89.92 |
$89.92 |
$330.00
|
|
Application short leg cast 29405
|
$151.04 |
$151.04 |
$151.04 |
$388.80
|
|
Applicator tag rfid localizer 12gx7cm
|
$164.80 |
$164.80 |
$164.80 |
$895.00
|
|
Appl mltpln uni ext fixj sys
|
$917.44 |
$917.44 |
$917.44 |
$5,668.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$15.36 |
$15.36 |
$15.36 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$39.04 |
$39.04 |
$39.04 |
$75.98
|
|
Appl unipln uni ext fixj sys
|
$439.36 |
$439.36 |
$439.36 |
$5,754.10
|
|
Apply forearm splintdynamic 29126
|
$148.80 |
$148.80 |
$148.80 |
$255.20
|
|
Apply of finger splint 29131
|
$79.04 |
$79.04 |
$79.04 |
$160.23
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$488.76 |
$488.76 |
$488.76 |
$1,021.53
|
|
#aptt mix-1:1 incubated
|
$32.96 |
$32.96 |
$32.96 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$132.16 |
$132.16 |
$132.16 |
$204.00
|
|
Aquaporin-4 antibody cba each
|
$38.40 |
$38.40 |
$38.40 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$3.69 |
$3.69 |
$3.69 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$57.60 |
$57.60 |
$57.60 |
$100.00
|
|
Aquatic exercise - group charge
|
$74.56 |
$74.56 |
$74.56 |
$87.15
|
|
Art bypass aortobi-iliac 35638
|
$1,268.16 |
$1,268.16 |
$1,268.16 |
$3,653.10
|
|
Art bypass carotid-subclavian 35606
|
$853.76 |
$853.76 |
$853.76 |
$5,724.80
|
|
Art bypass femoral-femoral 35661
|
$789.76 |
$789.76 |
$789.76 |
$5,291.20
|
|
Art bypass femoral-popliteal 35656
|
$778.24 |
$778.24 |
$778.24 |
$5,273.60
|
|
Art bypass iliofemoral 35665
|
$408.96 |
$408.96 |
$408.96 |
$3,454.40
|
|
Art byp grft axillary-axilry
|
$393.92 |
$393.92 |
$393.92 |
$722.60
|
|
Art byp grft fem-popliteal 35556
|
$1,010.88 |
$1,010.88 |
$1,010.88 |
$2,806.20
|
|
Arterial blood draw/perc 36620
|
$375.04 |
$375.04 |
$375.04 |
$469.30
|
|
Artery xray each vessel 7577426
|
$814.08 |
$814.08 |
$814.08 |
$1,846.10
|
|
Artery xray of abdomen 75726-26
|
$4,688.00 |
$4,688.00 |
$4,688.00 |
$4,324.80
|
|
Artery x-rays arm/leg 75710-26
|
$1,395.20 |
$1,395.20 |
$1,395.20 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,669.12 |
$1,669.12 |
$1,669.12 |
$3,724.63
|
|
Artery x-rays chest
|
$1,221.12 |
$1,221.12 |
$1,221.12 |
$2,628.15
|
|
Artery x-rays lung
|
$2,984.96 |
$2,984.96 |
$2,984.96 |
$3,279.12
|
