|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$177.31 |
$177.31 |
$177.31 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$11.80 |
$11.80 |
$11.80 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$8.90 |
$8.90 |
$8.90 |
$53.86
|
|
Amputation toe interphalangeal joint
|
$1,294.42 |
$1,294.42 |
$1,294.42 |
$3,998.20
|
|
Amylase
|
$65.27 |
$65.27 |
$65.27 |
$89.04
|
|
Ana ds-dna
|
$14.03 |
$14.03 |
$14.03 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$235.46 |
$235.46 |
$235.46 |
$117.01
|
|
Anal/urinary muscle study
|
$381.86 |
$381.86 |
$381.86 |
$407.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$90.28 |
$90.28 |
$90.28 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$198.25 |
$198.25 |
$198.25 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$198.25 |
$198.25 |
$198.25 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$35.38 |
$35.38 |
$35.38 |
$122.20
|
|
Anaplsma phgcytophlm amp prb
|
$61.00 |
$61.00 |
$61.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$147.62 |
$147.62 |
$147.62 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,212.26 |
$3,212.26 |
$3,212.26 |
$2,626.65
|
|
An fluoro guide for cvp
|
$941.84 |
$941.84 |
$941.84 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$887.55 |
$887.55 |
$887.55 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$7,355.99 |
$7,355.99 |
$7,355.99 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,620.90 |
$12,620.90 |
$12,620.90 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,857.03 |
$3,857.03 |
$3,857.03 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$33.50 |
$33.50 |
$33.50 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,384.26 |
$6,384.26 |
$6,384.26 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,188.28 |
$1,188.28 |
$1,188.28 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$8,237.44 |
$8,237.44 |
$8,237.44 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,108.98 |
$1,108.98 |
$1,108.98 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$7,920.85 |
$7,920.85 |
$7,920.85 |
$8,466.00
|
|
Anidulafungin injection
|
$24.22 |
$24.22 |
$24.22 |
$312.30
|
|
Ankle X-ray
|
$330.01 |
$330.01 |
$330.01 |
$353.60
|
|
Anoscopy remove fb 46608
|
$674.05 |
$674.05 |
$674.05 |
$1,435.00
|
|
Antibody bacterium, not elsewhere specified
|
$110.41 |
$110.41 |
$110.41 |
$57.81
|
|
Antibody elution rbc reference
|
$172.02 |
$172.02 |
$172.02 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$96.99 |
$96.99 |
$96.99 |
$130.00
|
|
Antibody htlv-i
|
$303.78 |
$303.78 |
$303.78 |
$49.53
|
|
Antibody htlv-ii
|
$303.78 |
$303.78 |
$303.78 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$31.11 |
$31.11 |
$31.11 |
$218.30
|
|
Antibody id rbc panel
|
$123.83 |
$123.83 |
$123.83 |
$274.56
|
|
Antibody influenza virus
|
$28.67 |
$28.67 |
$28.67 |
$53.95
|
|
Antibody screen rbc
|
$85.40 |
$85.40 |
$85.40 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.68 |
$0.68 |
$0.68 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$89.67 |
$89.67 |
$89.67 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$73.81 |
$73.81 |
$73.81 |
$40.00
|
|
Antinuclear antibodies
|
$80.52 |
$80.52 |
$80.52 |
$89.40
|
|
Antinuclear antibodies titer
|
$20.13 |
$20.13 |
$20.13 |
$77.00
|
|
Antipsychotics nos 1-3
|
$159.21 |
$159.21 |
$159.21 |
$142.42
|
|
Antistreptolysin o titer
|
$34.16 |
$34.16 |
$34.16 |
$51.45
|
|
Antithrombin iii activity
|
$117.73 |
$117.73 |
$117.73 |
$114.00
|
|
Antithrombin iii injection
|
$2.13 |
$2.13 |
$2.13 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$567.49 |
$567.49 |
$567.49 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$682.88 |
$682.88 |
$682.88 |
$2,111.00
|
|
Apheresis immunoads slctv
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$5,561.12
|
|
Apheresis plasma
|
$1,826.95 |
$1,826.95 |
$1,826.95 |
$3,188.50
|
|
Appendix Removal (Laparoscopic)
|
$4,360.89 |
$4,360.89 |
$4,360.89 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,853.79 |
$1,853.79 |
$1,853.79 |
$2,114.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$732.00 |
$732.00 |
$732.00 |
$463.65
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$230.58 |
$230.58 |
$230.58 |
$498.81
|
|
Application finger splntstatic 29130
|
$185.44 |
$185.44 |
$185.44 |
$208.16
|
|
Application long leg splint 29505
|
$420.29 |
$420.29 |
$420.29 |
$338.25
|
|
Application lower leg splint 29515
|
$274.50 |
$274.50 |
$274.50 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$258.64 |
$258.64 |
$258.64 |
$373.20
|
|
Application of forearm cast 29075
|
$315.98 |
$315.98 |
$315.98 |
$339.30
|
|
Application of long arm cast 29065
|
$500.20 |
$500.20 |
$500.20 |
$395.00
|
|
Application of long leg cast 29345
|
$250.71 |
$250.71 |
$250.71 |
$455.00
|
|
Application of paste boot 29580
|
$647.21 |
$647.21 |
$647.21 |
$331.74
|
|
Application short leg cast 29405
|
$231.19 |
$231.19 |
$231.19 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$692.35 |
$692.35 |
$692.35 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$795.44 |
$795.44 |
$795.44 |
$2,164.64
|
|
Apply forearm splintdynamic 29126
|
$425.17 |
$425.17 |
$425.17 |
$246.18
|
|
Apply rigid leg cast 29445
|
$549.61 |
$549.61 |
$549.61 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2,518.16 |
$2,518.16 |
$2,518.16 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$393.45 |
$393.45 |
$393.45 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$59.17 |
$59.17 |
$59.17 |
$148.80
|
|
Aquatic exercise - group charge
|
$72.59 |
$72.59 |
$72.59 |
$85.80
|
|
Argatroban dialysis, auromed
|
$2.18 |
$2.18 |
$2.18 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$73.55 |
$73.55 |
$73.55 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$555.19 |
$555.19 |
$555.19 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$8.50 |
$8.50 |
$8.50 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$625.86 |
$625.86 |
$625.86 |
$485.69
|
|
Artery xray each vessel 7577426
|
$1,415.20 |
$1,415.20 |
$1,415.20 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,599.00 |
$3,599.00 |
$3,599.00 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$1,833.05 |
$1,833.05 |
$1,833.05 |
$3,439.84
|
|
Artery x-rays arm/leg 75710-26
|
$3,559.96 |
$3,559.96 |
$3,559.96 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$3,880.82 |
$3,880.82 |
$3,880.82 |
$3,729.00
|
|
Artery x-rays lung
|
$1,529.27 |
$1,529.27 |
$1,529.27 |
$3,279.12
|
|
Artery x-rays lungs
|
$1,833.05 |
$1,833.05 |
$1,833.05 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$3,308.03 |
$3,308.03 |
$3,308.03 |
$4,134.14
|
|
Artery x-rays spine
|
$3,273.26 |
$3,273.26 |
$3,273.26 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$309.88 |
$309.88 |
$309.88 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$591.09 |
$591.09 |
$591.09 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$591.09 |
$591.09 |
$591.09 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$247.66 |
$247.66 |
$247.66 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$907.68 |
$907.68 |
$907.68 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$371.49 |
$371.49 |
$371.49 |
$699.00
|
|
Artiss fibrin sealant
|
$1,852.88 |
$1,852.88 |
$1,852.88 |
$1,583.11
|
|
Ascenda two piece catheter
|
$42,419.40 |
$42,419.40 |
$42,419.40 |
$22,951.20
|
|
Asp core fat pad
|
$118.95 |
$118.95 |
$118.95 |
$939.95
|
|
Asp & inj w/heparin pleurx cath
|
$1,110.20 |
$1,110.20 |
$1,110.20 |
$1,432.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,690.92 |
$1,690.92 |
$1,690.92 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$336.72 |
$336.72 |
$336.72 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$402.60 |
$402.60 |
$402.60 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$788.12 |
$788.12 |
$788.12 |
$1,226.87
|
