|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$323.96 |
$323.96 |
$323.96 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$110.07 |
$110.07 |
$110.07 |
$62.36
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$89.37 |
$89.37 |
$89.37 |
$55.69
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$105.80 |
$105.80 |
$105.80 |
$262.99
|
|
Amylase
|
$36.57 |
$36.57 |
$36.57 |
$84.50
|
|
Anabolic steroid 1 or 2
|
$73.83 |
$73.83 |
$73.83 |
$80.08
|
|
Ana ds-dna
|
$10.58 |
$10.58 |
$10.58 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$71.07 |
$71.07 |
$71.07 |
$117.01
|
|
Anal pressure record
|
$175.72 |
$175.72 |
$175.72 |
$871.21
|
|
Analysis gene f2 20210g>a variant
|
$147.89 |
$147.89 |
$147.89 |
$216.45
|
|
Analysis gene f5 leiden variant
|
$364.78 |
$364.78 |
$364.78 |
$221.13
|
|
Anaplsma phgcytophlm amp prb
|
$25.99 |
$25.99 |
$25.99 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$375.59 |
$375.59 |
$375.59 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$813.74 |
$813.74 |
$813.74 |
$2,494.35
|
|
An fluoro guide for cvp
|
$101.20 |
$101.20 |
$101.20 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,199.45 |
$1,199.45 |
$1,199.45 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$5,928.02 |
$5,928.02 |
$5,928.02 |
$9,050.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,928.02 |
$5,928.02 |
$5,928.02 |
$10,207.85
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,121.14 |
$4,121.14 |
$4,121.14 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,928.02 |
$5,928.02 |
$5,928.02 |
$11,230.18
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,199.45 |
$1,199.45 |
$1,199.45 |
$4,881.00
|
|
Angio trnslmnl balloon same artery ini
|
$2,399.13 |
$2,399.13 |
$2,399.13 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,199.45 |
$1,199.45 |
$1,199.45 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$2,399.13 |
$2,399.13 |
$2,399.13 |
$8,630.79
|
|
Ankle X-ray
|
$88.78 |
$88.78 |
$88.78 |
$353.60
|
|
Anora (draw only)
|
$8.51 |
$8.51 |
$8.51 |
$35.00
|
|
Anoscopy remove fb 46608
|
$588.80 |
$588.80 |
$588.80 |
$1,466.40
|
|
Antibody bacterium, not elsewhere specified
|
$46.23 |
$46.23 |
$46.23 |
$57.85
|
|
Antibody elution rbc reference
|
$60.72 |
$60.72 |
$60.72 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$89.24 |
$89.24 |
$89.24 |
$123.24
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$99.82 |
$99.82 |
$99.82 |
$219.30
|
|
Antibody id rbc panel
|
$126.27 |
$126.27 |
$126.27 |
$279.00
|
|
Antibody influenza virus
|
$12.42 |
$12.42 |
$12.42 |
$53.95
|
|
Antibody screen rbc
|
$65.09 |
$65.09 |
$65.09 |
$103.08
|
|
Antibody tetanus
|
$10.58 |
$10.58 |
$10.58 |
$52.20
|
|
Antidepressant not specified
|
$73.83 |
$73.83 |
$73.83 |
$73.83
|
|
Anti mog serum - sendout
|
$9.20 |
$9.20 |
$9.20 |
$114.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$9.20 |
$9.20 |
$9.20 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$9.20 |
$9.20 |
$9.20 |
$36.60
|
|
Antinuclear antibodies
|
$30.13 |
$30.13 |
$30.13 |
$91.65
|
|
Antinuclear antibodies titer
|
$14.49 |
$14.49 |
$14.49 |
$79.62
|
|
Antiphosphatidylserine antibody
|
$57.73 |
$57.73 |
$57.73 |
$66.00
|
|
Antipsychotics nos 1-3
|
$73.83 |
$73.83 |
$73.83 |
$153.75
|
|
Antistreptolysin o titer
|
$30.13 |
$30.13 |
$30.13 |
$53.00
|
|
Antithrombin iii activity
|
$73.14 |
$73.14 |
$73.14 |
$114.00
|
|
Apc gene dup/delet variants
|
$116.38 |
$116.38 |
$116.38 |
$400.00
|
|
Apc gene full sequence
|
$453.79 |
$453.79 |
$453.79 |
$1,255.20
|
|
Apheresis plasma
|
$681.49 |
$681.49 |
$681.49 |
$3,291.00
|
|
Apomorphine hydrochloride
|
$277.02 |
$277.02 |
$277.02 |
$174.99
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,224.29 |
$1,224.29 |
$1,224.29 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$611.80 |
$611.80 |
$611.80 |
$934.80
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$611.80 |
$611.80 |
$611.80 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,185.92 |
$2,185.92 |
$2,185.92 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,092.96 |
$1,092.96 |
$1,092.96 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$611.80 |
$611.80 |
$611.80 |
$549.08
|
|
Application finger splntstatic 29130
|
$33.81 |
$33.81 |
$33.81 |
$219.00
|
|
Application long leg splint 29505
|
$43.01 |
$43.01 |
$43.01 |
$356.85
|
|
Application lower leg splint 29515
|
$43.01 |
$43.01 |
$43.01 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$159.85 |
$159.85 |
$159.85 |
$377.25
|
|
Application of cylinder cast 29365
|
$81.42 |
$81.42 |
$81.42 |
$468.00
|
|
Application of forearm cast 29075
|
$75.44 |
$75.44 |
$75.44 |
$367.65
|
|
Application of long arm cast 29065
|
$93.38 |
$93.38 |
$93.38 |
$404.63
|
|
Application of long leg cast 29345
|
$75.44 |
$75.44 |
$75.44 |
$486.03
|
|
Application of paste boot 29580
|
$159.85 |
$159.85 |
$159.85 |
$331.74
|
|
Application short leg cast 29405
|
$75.44 |
$75.44 |
$75.44 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,224.29 |
$1,224.29 |
$1,224.29 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,224.29 |
$1,224.29 |
$1,224.29 |
$2,189.70
|
|
Appl modality 1/> areas paraffin bath 97018
|
$57.96 |
$57.96 |
$57.96 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$43.47 |
$43.47 |
$43.47 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$33.81 |
$33.81 |
$33.81 |
$259.20
|
|
Apply interstit radiat compl
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
$1,269.97
|
|
Apply of finger splint 29131
|
$33.81 |
$33.81 |
$33.81 |
$171.00
|
|
Apply rigid leg cast 29445
|
$271.63 |
$271.63 |
$271.63 |
$585.31
|
|
Apply short leg castambul type 29425
|
$75.44 |
$75.44 |
$75.44 |
$452.20
|
|
#aptt mix-1:1 incubated
|
$34.73 |
$34.73 |
$34.73 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$15.87 |
$15.87 |
$15.87 |
$220.00
|
|
Aquaporin-4 antibody cba each
|
$9.20 |
$9.20 |
$9.20 |
$116.80
|
|
Aquaporin-4 antibody elisa
|
$8.74 |
$8.74 |
$8.74 |
$138.87
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$25.30 |
$25.30 |
$25.30 |
$100.00
|
|
Aquatic exercise - group charge
|
$89.93 |
$89.93 |
$89.93 |
$87.23
|
|
Argatroban nonesrd (accord)
|
$126.37 |
$126.37 |
$126.37 |
$14.44
|
|
Argatroban nonesrd (auromed)
|
$51.06 |
$51.06 |
$51.06 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$131.52 |
$131.52 |
$131.52 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$363.84 |
$363.84 |
$363.84 |
$1,659.96
|
|
Arterial blood draw/perc 36620
|
$235.06 |
$235.06 |
$235.06 |
$495.00
|
|
Artery xray each vessel 7577426
|
$667.23 |
$667.23 |
$667.23 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$1,793.54 |
$1,793.54 |
$1,793.54 |
$4,412.00
|
|
Artery x-rays adrenals
|
$1,883.24 |
$1,883.24 |
$1,883.24 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$1,309.39 |
$1,309.39 |
$1,309.39 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,883.24 |
$1,883.24 |
$1,883.24 |
$3,729.00
|
|
Artery x-rays lung
|
$1,883.24 |
$1,883.24 |
$1,883.24 |
$3,286.20
|
|
Artery x-rays lungs
|
$1,883.24 |
$1,883.24 |
$1,883.24 |
$3,707.88
|
|
Artery xrays of pelvis 75736 26
|
$1,793.54 |
$1,793.54 |
$1,793.54 |
$4,369.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$123.97 |
$123.97 |
$123.97 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$441.60 |
$441.60 |
$441.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$495.65 |
$495.65 |
$495.65 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$123.97 |
$123.97 |
$123.97 |
$471.34
|
