|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$32.95 |
$32.95 |
$32.95 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$8.64 |
$8.64 |
$8.64 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$90.00 |
$90.00 |
$90.00 |
$87.45
|
|
Ammonia
|
$138.24 |
$138.24 |
$138.24 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,880.64 |
$1,880.64 |
$1,880.64 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$785.85
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$136.08 |
$136.08 |
$136.08 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$216.00 |
$216.00 |
$216.00 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,833.28 |
$1,833.28 |
$1,833.28 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$329.54 |
$329.54 |
$329.54 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$43.20 |
$43.20 |
$43.20 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$378.72 |
$378.72 |
$378.72 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,271.00
|
|
Amputation toe interphalangeal joint
|
$9,734.00 |
$9,734.00 |
$9,734.00 |
$3,998.20
|
|
Amputation toe metatarsophalangeal joint
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Amylase
|
$86.40 |
$86.40 |
$86.40 |
$89.04
|
|
Ana ds-dna
|
$38.16 |
$38.16 |
$38.16 |
$56.50
|
|
Anal pressure record
|
$2,092.32 |
$2,092.32 |
$2,092.32 |
$834.90
|
|
Analysis gene f2 20210g>a variant
|
$226.80 |
$226.80 |
$226.80 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$226.80 |
$226.80 |
$226.80 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$174.24 |
$174.24 |
$174.24 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$207.36 |
$207.36 |
$207.36 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$7,622.64 |
$7,622.64 |
$7,622.64 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,375.92 |
$1,375.92 |
$1,375.92 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,181.12 |
$5,181.12 |
$5,181.12 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$29,700.00 |
$29,700.00 |
$29,700.00 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$41,207.04 |
$41,207.04 |
$41,207.04 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$25,341.12 |
$25,341.12 |
$25,341.12 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$864.00 |
$864.00 |
$864.00 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$30,296.88 |
$30,296.88 |
$30,296.88 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,181.12 |
$5,181.12 |
$5,181.12 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$23,443.20 |
$23,443.20 |
$23,443.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,698.80 |
$5,698.80 |
$5,698.80 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$23,443.20 |
$23,443.20 |
$23,443.20 |
$8,466.00
|
|
Ankle X-ray
|
$578.88 |
$578.88 |
$578.88 |
$353.60
|
|
Anora (draw only)
|
$45.36 |
$45.36 |
$45.36 |
$33.58
|
|
Antibody bacterium, not elsewhere specified
|
$82.08 |
$82.08 |
$82.08 |
$57.81
|
|
Antibody elution rbc reference
|
$262.80 |
$262.80 |
$262.80 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$98.64 |
$98.64 |
$98.64 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$579.60 |
$579.60 |
$579.60 |
$218.30
|
|
Antibody id rbc panel
|
$393.84 |
$393.84 |
$393.84 |
$274.56
|
|
Antibody influenza virus
|
$43.20 |
$43.20 |
$43.20 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$85.68 |
$85.68 |
$85.68 |
$48.57
|
|
Antibody screen rbc
|
$118.08 |
$118.08 |
$118.08 |
$100.00
|
|
Antibody tetanus
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.28 |
$4.28 |
$4.28 |
$6.10
|
|
Anti mog serum - sendout
|
$900.00 |
$900.00 |
$900.00 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$129.60 |
$129.60 |
$129.60 |
$37.05
|
|
Antinuclear antibodies
|
$55.44 |
$55.44 |
$55.44 |
$89.40
|
|
Antinuclear antibodies titer
|
$18.00 |
$18.00 |
$18.00 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$81.36 |
$81.36 |
$81.36 |
$65.97
|
|
Antipsychotics nos 1-3
|
$156.24 |
$156.24 |
$156.24 |
$142.42
|
|
Antistreptolysin o titer
|
$77.04 |
$77.04 |
$77.04 |
$51.45
|
|
Antithrombin iii activity
|
$64.80 |
$64.80 |
$64.80 |
$114.00
|
|
Antithrombin iii injection
|
$11.56 |
$11.56 |
$11.56 |
$12.34
|
|
Aortic circulation assist 33971
|
$20,121.12 |
$20,121.12 |
$20,121.12 |
$1,719.20
|
|
Apheresis plasma
|
$6,998.40 |
$6,998.40 |
$6,998.40 |
$3,188.50
|
|
Apheresis platelets
|
$6,998.40 |
$6,998.40 |
$6,998.40 |
$2,042.95
|
|
Apheresis rbc
|
$6,998.40 |
$6,998.40 |
$6,998.40 |
$3,146.15
|
|
Apheresis wbc
|
$6,998.40 |
$6,998.40 |
$6,998.40 |
$2,968.80
|
|
Apl(pml-rara) quant - sendout
|
$873.36 |
$873.36 |
$873.36 |
$482.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,142.72 |
$2,142.72 |
$2,142.72 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$7,907.76 |
$7,907.76 |
$7,907.76 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,142.72 |
$2,142.72 |
$2,142.72 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$498.81
|
|
Application finger splntstatic 29130
|
$412.56 |
$412.56 |
$412.56 |
$208.16
|
|
Application long leg splint 29505
|
$521.28 |
$521.28 |
$521.28 |
$338.25
|
|
Application lower leg splint 29515
|
$539.28 |
$539.28 |
$539.28 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$930.96 |
$930.96 |
$930.96 |
$373.20
|
|
Application of forearm cast 29075
|
$907.20 |
$907.20 |
$907.20 |
$339.30
|
|
Application of long arm cast 29065
|
$725.04 |
$725.04 |
$725.04 |
$395.00
|
|
Application of long leg cast
|
$968.40 |
$968.40 |
$968.40 |
$426.00
|
|
Application of long leg cast 29345
|
$774.00 |
$774.00 |
$774.00 |
$455.00
|
|
Application of paste boot 29580
|
$926.64 |
$926.64 |
$926.64 |
$331.74
|
|
Application short leg cast 29405
|
$738.72 |
$738.72 |
$738.72 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,854.88 |
$3,854.88 |
$3,854.88 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,908.88 |
$3,908.88 |
$3,908.88 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$455.04 |
$455.04 |
$455.04 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$202.32 |
$202.32 |
$202.32 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$243.36 |
$243.36 |
$243.36 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$437.04 |
$437.04 |
$437.04 |
$292.60
|
|
Appl unipln uni ext fixj sys
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$5,801.00
|
|
Apply finger cast 29086
|
$360.00 |
$360.00 |
$360.00 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$379.44 |
$379.44 |
$379.44 |
$246.18
|
|
Apply halo w/removal cranial
|
$503.28 |
$503.28 |
$503.28 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$435.60 |
$435.60 |
$435.60 |
$259.20
|
|
Apply of finger splint 29131
|
$358.56 |
$358.56 |
$358.56 |
$168.00
|
|
Apply rem fixation device
|
$4,397.76 |
$4,397.76 |
$4,397.76 |
$2,021.04
|
|
Apply rigid leg cast 29445
|
$2,018.16 |
$2,018.16 |
$2,018.16 |
$555.00
|
|
Apply short leg castambul type 29425
|
$820.08 |
$820.08 |
$820.08 |
$381.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$12.09 |
$12.09 |
$12.09 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$341.28 |
$341.28 |
$341.28 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$385.20 |
$385.20 |
$385.20 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$400.32 |
$400.32 |
$400.32 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$170.64 |
$170.64 |
$170.64 |
$100.00
|
|
Aquatic exercise - group charge
|
$187.20 |
$187.20 |
$187.20 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$7.05 |
$7.05 |
$7.05 |
$866.80
|
