|
Amphetamine confirm urine -sendout
|
$108.00 |
$108.00 |
$108.00 |
$93.61
|
|
Amphetamines 5 or more
|
$53.45 |
$53.45 |
$53.45 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$468.47 |
$468.47 |
$468.47 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,346.74 |
$1,346.74 |
$1,346.74 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$82.42 |
$82.42 |
$82.42 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$168.96 |
$168.96 |
$168.96 |
$54.57
|
|
Amylase
|
$116.30 |
$116.30 |
$116.30 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$242.90 |
$242.90 |
$242.90 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$163.00 |
$163.00 |
$163.00 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$479.15 |
$479.15 |
$479.15 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$125.95 |
$125.95 |
$125.95 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$2,480.94
|
|
An fluoro guide for cvp
|
$784.25 |
$784.25 |
$784.25 |
$525.85
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,727.65 |
$14,727.65 |
$14,727.65 |
$9,765.79
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,328.70 |
$1,328.70 |
$1,328.70 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
$8,359.11
|
|
Ankle X-ray
|
$566.90 |
$566.90 |
$566.90 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$413.05 |
$413.05 |
$413.05 |
$282.96
|
|
Anoscopy control bleeding 46614
|
$1,405.05 |
$1,405.05 |
$1,405.05 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$146.40 |
$146.40 |
$146.40 |
$57.85
|
|
Antibody elution rbc reference
|
$154.85 |
$154.85 |
$154.85 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$103.30 |
$103.30 |
$103.30 |
$224.00
|
|
Antibody id rbc panel
|
$851.65 |
$851.65 |
$851.65 |
$291.75
|
|
Antibody screen rbc
|
$113.40 |
$113.40 |
$113.40 |
$108.55
|
|
Antibody tetanus
|
$37.00 |
$37.00 |
$37.00 |
$54.15
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$58.00 |
$58.00 |
$58.00 |
$38.50
|
|
Antinuclear antibodies
|
$49.00 |
$49.00 |
$49.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$28.15 |
$28.15 |
$28.15 |
$80.04
|
|
Antipsychotics nos 1-3
|
$278.65 |
$278.65 |
$278.65 |
$136.61
|
|
Antistreptolysin o titer
|
$10.90 |
$10.90 |
$10.90 |
$54.00
|
|
Antithrombin iii activity
|
$134.40 |
$134.40 |
$134.40 |
$115.15
|
|
Antithrombin iii injection
|
$532.48 |
$532.48 |
$532.48 |
$11.85
|
|
Aortic Aneurysm Screening Ultrasound
|
$854.15 |
$854.15 |
$854.15 |
$394.55
|
|
Apheresis plasma
|
$2,666.05 |
$2,666.05 |
$2,666.05 |
$3,226.34
|
|
Apl(pml-rara) quant - sendout
|
$539.00 |
$539.00 |
$539.00 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,268.30 |
$3,268.30 |
$3,268.30 |
$2,114.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$135.75 |
$135.75 |
$135.75 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,377.15 |
$5,377.15 |
$5,377.15 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,751.95 |
$1,751.95 |
$1,751.95 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$762.60 |
$762.60 |
$762.60 |
$512.20
|
|
Application finger splntstatic 29130
|
$191.65 |
$191.65 |
$191.65 |
$208.50
|
|
Application long leg splint 29505
|
$325.25 |
$325.25 |
$325.25 |
$338.25
|
|
Application lower leg splint 29515
|
$363.10 |
$363.10 |
$363.10 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$253.75 |
$253.75 |
$253.75 |
$375.06
|
|
Application of forearm cast 29075
|
$546.60 |
$546.60 |
$546.60 |
$358.20
|
|
Application of long arm cast 29065
|
$546.60 |
$546.60 |
$546.60 |
$396.77
|
|
Application of long leg cast 29345
|
$507.45 |
$507.45 |
$507.45 |
$455.00
|
|
Application of paste boot 29580
|
$260.45 |
$260.45 |
$260.45 |
$340.11
|
|
Application short leg cast 29405
|
$533.10 |
$533.10 |
$533.10 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,710.30 |
$3,710.30 |
$3,710.30 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,331.05 |
$3,331.05 |
$3,331.05 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$468.30 |
$468.30 |
$468.30 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$167.35 |
$167.35 |
$167.35 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$82.95 |
$82.95 |
$82.95 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$57.95 |
$57.95 |
$57.95 |
$54.61
|
|
Appl multlay comprs arm/hand
|
$143.00 |
$143.00 |
$143.00 |
$289.60
|
|
Apply hand/wrist cast 29085
|
$430.50 |
$430.50 |
$430.50 |
$271.80
|
|
Apply of finger splint 29131
|
$249.70 |
$249.70 |
$249.70 |
$177.45
|
|
Apply rigid leg cast 29445
|
$485.85 |
$485.85 |
$485.85 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,885.55 |
$1,885.55 |
$1,885.55 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$585.20 |
$585.20 |
$585.20 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$202.25 |
$202.25 |
$202.25 |
$100.75
|
|
Aquatic exercise - group charge
|
$225.40 |
$225.40 |
$225.40 |
$87.45
|
|
Argatroban esrd dialysis 1mg
|
$1,932.44 |
$1,932.44 |
$1,932.44 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$5,702.81 |
$5,702.81 |
$5,702.81 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$2,262.10 |
$2,262.10 |
$2,262.10 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,876.10 |
$1,876.10 |
$1,876.10 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$589.30 |
$589.30 |
$589.30 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$3,047.50 |
$3,047.50 |
$3,047.50 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$1,467.10 |
$1,467.10 |
$1,467.10 |
$478.96
|
|
Artery xray each vessel 7577426
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$3,975.20 |
$3,975.20 |
$3,975.20 |
$3,320.35
|
|
Artery x-rays adrenals
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$8,782.60 |
$8,782.60 |
$8,782.60 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
$3,860.40
|
|
Artery x-rays chest
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
$2,895.07
|
|
Artery x-rays lung
|
$3,975.20 |
$3,975.20 |
$3,975.20 |
$3,296.15
|
|
Artery x-rays lung
|
$2,615.75 |
$2,615.75 |
$2,615.75 |
$2,427.50
|
|
Artery x-rays lungs
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$9,234.35 |
$9,234.35 |
$9,234.35 |
$4,306.40
|
|
Artery x-rays spine
|
$2,615.75 |
$2,615.75 |
$2,615.75 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,430.70 |
$1,430.70 |
$1,430.70 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,990.35 |
$1,990.35 |
$1,990.35 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,360.75 |
$2,360.75 |
$2,360.75 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$659.35 |
$659.35 |
$659.35 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$522.35 |
$522.35 |
$522.35 |
$699.00
|
|
Ashkenazi jewish assoc dis
|
$6,799.15 |
$6,799.15 |
$6,799.15 |
$2,693.42
|
|
Aspa gene
|
$158.10 |
$158.10 |
$158.10 |
$133.84
|
|
Asp core fat pad
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,248.80 |
$4,248.80 |
$4,248.80 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$530.40 |
$530.40 |
$530.40 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,609.25 |
$1,609.25 |
$1,609.25 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,945.50 |
$1,945.50 |
$1,945.50 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$1,641.65 |
$1,641.65 |
$1,641.65 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$1,786.65 |
$1,786.65 |
$1,786.65 |
$872.50
|
|
Assay neurflmnt light chain
|
$149.40 |
$149.40 |
$149.40 |
$380.00
|