|
Ampicillin 1 gram solution for injection
|
$31.51 |
$31.51 |
$31.51 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$36.80 |
$36.80 |
$36.80 |
$51.93
|
|
Amylase
|
$54.60 |
$54.60 |
$54.60 |
$95.80
|
|
Ana ds-dna
|
$48.18 |
$48.18 |
$48.18 |
$69.03
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$110.98 |
$110.98 |
$110.98 |
$110.98
|
|
Anal pressure record
|
$249.43 |
$249.43 |
$249.43 |
$1,008.06
|
|
Analysis gene f2 20210g>a variant
|
$61.38 |
$61.38 |
$61.38 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$68.16 |
$68.16 |
$68.16 |
$237.25
|
|
Anca screen with reflex to titer -quest
|
$178.78 |
$178.78 |
$178.78 |
$112.00
|
|
An cholangiogram percutaneous compl
|
$3,027.04 |
$3,027.04 |
$3,027.04 |
$2,478.25
|
|
An fluoro guide for cvp
|
$385.03 |
$385.03 |
$385.03 |
$484.45
|
|
Ankle X-ray
|
$260.49 |
$260.49 |
$260.49 |
$351.20
|
|
Anora (draw only)
|
$11.42 |
$11.42 |
$11.42 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$12.49 |
$12.49 |
$12.49 |
$61.10
|
|
Antibody elution rbc reference
|
$84.57 |
$84.57 |
$84.57 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$70.66 |
$70.66 |
$70.66 |
$141.74
|
|
Antibody htlv-i
|
$74.23 |
$74.23 |
$74.23 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$47.11 |
$47.11 |
$47.11 |
$225.75
|
|
Antibody id rbc panel
|
$86.36 |
$86.36 |
$86.36 |
$283.20
|
|
Antibody influenza virus
|
$47.46 |
$47.46 |
$47.46 |
$54.06
|
|
Antibody screen rbc
|
$58.17 |
$58.17 |
$58.17 |
$107.40
|
|
Antibody tetanus
|
$106.70 |
$106.70 |
$106.70 |
$61.98
|
|
Antidepressant not specified
|
$52.10 |
$52.10 |
$52.10 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$112.81 |
$112.81 |
$112.81 |
$3.94
|
|
Anti mog serum - sendout
|
$6.43 |
$6.43 |
$6.43 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$25.70 |
$25.70 |
$25.70 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$3.22 |
$3.22 |
$3.22 |
$48.00
|
|
Antinuclear antibodies
|
$46.39 |
$46.39 |
$46.39 |
$96.80
|
|
Antinuclear antibodies titer
|
$50.68 |
$50.68 |
$50.68 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$14.99 |
$14.99 |
$14.99 |
$79.20
|
|
Antistreptolysin o screen
|
$33.90 |
$33.90 |
$33.90 |
$60.00
|
|
Antistreptolysin o titer
|
$82.08 |
$82.08 |
$82.08 |
$58.20
|
|
Antithrombin iii activity
|
$36.40 |
$36.40 |
$36.40 |
$125.40
|
|
Antithrombin iii injection
|
$118.11 |
$118.11 |
$118.11 |
$11.85
|
|
Aortic dysfunction/dilation
|
$1,567.23 |
$1,567.23 |
$1,567.23 |
$982.80
|
|
Apheresis plasma
|
$1,279.97 |
$1,279.97 |
$1,279.97 |
$3,411.50
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$684.77 |
$684.77 |
$684.77 |
$2,141.08
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$450.33 |
$450.33 |
$450.33 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$164.15 |
$164.15 |
$164.15 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$684.77 |
$684.77 |
$684.77 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$450.33 |
$450.33 |
$450.33 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$229.81 |
$229.81 |
$229.81 |
$508.18
|
|
Application finger splntstatic 29130
|
$83.86 |
$83.86 |
$83.86 |
$220.25
|
|
Application long leg splint 29505
|
$205.54 |
$205.54 |
$205.54 |
$370.00
|
|
Application lower leg splint 29515
|
$187.34 |
$187.34 |
$187.34 |
$363.10
|
|
Application multi layer compression below knee (both sides)
|
$87.43 |
$87.43 |
$87.43 |
$406.40
|
|
Application of forearm cast 29075
|
$161.65 |
$161.65 |
$161.65 |
$384.59
|
|
Application of paste boot 29580
|
$154.51 |
$154.51 |
$154.51 |
$335.78
|
|
Application short leg cast 29405
|
$185.56 |
$185.56 |
$185.56 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$468.89 |
$468.89 |
$468.89 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$820.73 |
$820.73 |
$820.73 |
$2,109.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$46.75 |
$46.75 |
$46.75 |
$69.96
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$88.14 |
$88.14 |
$88.14 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$73.87 |
$73.87 |
$73.87 |
$265.00
|
|
Apply hand/wrist cast 29085
|
$133.46 |
$133.46 |
$133.46 |
$279.40
|
|
Apply interstit radiat compl
|
$1,571.86 |
$1,571.86 |
$1,571.86 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$530.98 |
$530.98 |
$530.98 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$530.98 |
$530.98 |
$530.98 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$530.98 |
$530.98 |
$530.98 |
$1,203.12
|
|
Apply of finger splint 29131
|
$169.50 |
$169.50 |
$169.50 |
$183.20
|
|
Apply rigid leg cast 29445
|
$138.10 |
$138.10 |
$138.10 |
$646.40
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$554.30 |
$554.30 |
$554.30 |
$979.52
|
|
#aptt mix-1:1 incubated
|
$178.78 |
$178.78 |
$178.78 |
$162.65
|
|
Aquaporin-4 antibody cba each
|
$72.09 |
$72.09 |
$72.09 |
$121.45
|
|
Aquaporin-4 antibody elisa
|
$165.58 |
$165.58 |
$165.58 |
$151.45
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$41.40 |
$41.40 |
$41.40 |
$100.00
|
|
Aquatic exercise - group charge
|
$37.12 |
$37.12 |
$37.12 |
$90.52
|
|
Argatroban nonesrd use 1mg
|
$283.46 |
$283.46 |
$283.46 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$451.40 |
$451.40 |
$451.40 |
$505.60
|
|
Artery xray of abdomen 75726-26
|
$1,824.86 |
$1,824.86 |
$1,824.86 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$1,214.32 |
$1,214.32 |
$1,214.32 |
$3,320.35
|
|
Artery x-rays adrenals
|
$1,420.92 |
$1,420.92 |
$1,420.92 |
$3,588.40
|
|
Artery x-rays arm/leg 75710-26
|
$1,294.96 |
$1,294.96 |
$1,294.96 |
$3,332.55
|
|
Artery x-rays arms/legs 75716-26
|
$1,576.15 |
$1,576.15 |
$1,576.15 |
$3,936.00
|
|
Artery x-rays lung
|
$1,197.54 |
$1,197.54 |
$1,197.54 |
$2,921.88
|
|
Artery x-rays lung
|
$1,197.54 |
$1,197.54 |
$1,197.54 |
$2,279.20
|
|
Artery x-rays lungs
|
$1,628.60 |
$1,628.60 |
$1,628.60 |
$3,598.65
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$194.12 |
$194.12 |
$194.12 |
$572.80
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$704.04 |
$704.04 |
$704.04 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$125.61 |
$125.61 |
$125.61 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$215.89 |
$215.89 |
$215.89 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$196.26 |
$196.26 |
$196.26 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$262.64 |
$262.64 |
$262.64 |
$699.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$506.00 |
$506.00 |
$506.00 |
$3,199.51
|
|
Aspirate pleura without imaging 32554
|
$595.92 |
$595.92 |
$595.92 |
$1,286.45
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$273.34 |
$273.34 |
$273.34 |
$1,293.12
|
|
Assay acid phosphatase
|
$34.62 |
$34.62 |
$34.62 |
$38.62
|
|
Assay alkaline phosphatase
|
$10.35 |
$10.35 |
$10.35 |
$40.10
|
|
Assay blood catecholamines
|
$144.52 |
$144.52 |
$144.52 |
$72.00
|
|
Assay dir meas fr estradiol
|
$59.95 |
$59.95 |
$59.95 |
$82.00
|
|
Assay neurflmnt light chain
|
$54.60 |
$54.60 |
$54.60 |
$380.00
|
|
Assay of digoxin free
|
$61.02 |
$61.02 |
$61.02 |
$27.00
|
|
Assay of endocrine hormone
|
$48.18 |
$48.18 |
$48.18 |
$143.20
|
|
Assay of estrogen
|
$157.37 |
$157.37 |
$157.37 |
$185.60
|
|
Assay of feces for trypsin
|
$38.54 |
$38.54 |
$38.54 |
$13.70
|
|
Assay of feces porphyrins
|
$294.39 |
$294.39 |
$294.39 |
$175.50
|
|
Assay of fluoride
|
$64.24 |
$64.24 |
$64.24 |
$112.80
|
|
Assay of galactose
|
$169.14 |
$169.14 |
$169.14 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$41.75 |
$41.75 |
$41.75 |
$77.35
|
|
Assay of lrh hormone
|
$181.99 |
$181.99 |
$181.99 |
$230.11
|
