|
Amitriptyline (elavil) -sendout
|
$50.50 |
$50.50 |
$50.50 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$250.16 |
$250.16 |
$271.91 |
$7,994.03
|
|
Ammonia
|
$51.52 |
$51.52 |
$137.50 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$414.92 |
$414.92 |
$451.00 |
$942.60
|
|
Amniocentesis therapeutic
|
$271.40 |
$271.40 |
$295.00 |
$785.85
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,841.50 |
$1,841.50 |
$1,841.50 |
$3,730.53
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$15.97 |
$15.97 |
$17.36 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$133.71 |
$133.71 |
$145.34 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$8.90 |
$8.90 |
$9.67 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$6.72 |
$6.72 |
$7.30 |
$53.86
|
|
Amputate metacarpal bone 26910
|
$300.50 |
$300.50 |
$300.50 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$3,998.20
|
|
Amylase
|
$34.04 |
$34.04 |
$96.00 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$154.50 |
$154.50 |
$154.50 |
$80.08
|
|
Ana ds-dna
|
$51.06 |
$51.06 |
$51.06 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$185.50 |
$185.50 |
$187.68 |
$117.01
|
|
Anal pressure record
|
$854.50 |
$854.50 |
$854.50 |
$834.90
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$68.08 |
$68.08 |
$68.08 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$76.82 |
$76.82 |
$291.50 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$76.82 |
$76.82 |
$291.50 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$26.68 |
$26.68 |
$32.00 |
$122.20
|
|
Analysis tumor
|
$82.00 |
$82.00 |
$82.00 |
$237.89
|
|
Anaplsma phgcytophlm amp prb
|
$50.00 |
$50.00 |
$50.60 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$121.00 |
$121.00 |
$121.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,098.52 |
$2,098.52 |
$2,238.50 |
$2,626.65
|
|
An fluoro guide for cvp
|
$497.26 |
$497.26 |
$714.00 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,215.50 |
$1,215.50 |
$2,651.90 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$4,518.50 |
$4,518.50 |
$6,079.36 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,825.00 |
$6,825.00 |
$18,627.24 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,264.08 |
$1,264.08 |
$1,963.00 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$10.53 |
$10.53 |
$11.44 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,777.60 |
$5,777.60 |
$10,066.00 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,371.50 |
$1,371.50 |
$2,651.90 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$2,651.90 |
$2,651.90 |
$5,270.50 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,651.90 |
$2,651.90 |
$2,966.00 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$5,870.50 |
$5,870.50 |
$7,285.48 |
$8,466.00
|
|
Anidulafungin injection
|
$18.27 |
$18.27 |
$19.85 |
$312.30
|
|
Ankle X-ray
|
$110.40 |
$110.40 |
$253.00 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$564.00 |
$564.00 |
$564.00 |
$627.94
|
|
Anora (draw only)
|
$27.50 |
$27.50 |
$27.50 |
$33.58
|
|
Anoscopy control bleeding 46614
|
$766.00 |
$766.00 |
$766.00 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$552.50 |
$552.50 |
$552.50 |
$1,435.00
|
|
Antibody bacterium, not elsewhere specified
|
$90.50 |
$90.50 |
$90.50 |
$57.81
|
|
Antibody elution rbc reference
|
$104.50 |
$104.50 |
$105.80 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$272.50 |
$272.50 |
$272.50 |
$130.00
|
|
Antibody htlv-i
|
$73.50 |
$73.50 |
$73.50 |
$49.53
|
|
Antibody htlv-ii
|
$249.00 |
$249.00 |
$249.00 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$151.50 |
$151.50 |
$181.70 |
$218.30
|
|
Antibody id rbc panel
|
$132.48 |
$132.48 |
$169.00 |
$274.56
|
|
Antibody screen rbc
|
$84.50 |
$84.50 |
$84.64 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.51 |
$0.51 |
$0.55 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$67.62 |
$67.62 |
$73.50 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$61.18 |
$61.18 |
$64.50 |
$40.00
|
|
Antinuclear antibodies
|
$35.88 |
$35.88 |
$36.50 |
$89.40
|
|
Antinuclear antibodies titer
|
$16.50 |
$16.50 |
$34.96 |
$77.00
|
|
Antipsychotics nos 1-3
|
$69.50 |
$69.50 |
$69.50 |
$142.42
|
|
Antistreptolysin o titer
|
$103.96 |
$103.96 |
$113.00 |
$51.45
|
|
Antithrombin iii activity
|
$45.54 |
$45.54 |
$145.00 |
$114.00
|
|
Antithrombin iii injection
|
$1.61 |
$1.61 |
$1.75 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$427.95 |
$427.95 |
$465.16 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$514.96 |
$514.96 |
$559.74 |
$2,111.00
|
|
Apheresis immunoads slctv
|
$3,708.06 |
$3,708.06 |
$3,813.50 |
$5,561.12
|
|
Apheresis plasma
|
$3,344.66 |
$3,344.66 |
$3,435.50 |
$3,188.50
|
|
Apheresis platelets
|
$298.54 |
$298.54 |
$309.00 |
$2,042.95
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,129.76 |
$1,129.76 |
$1,270.50 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$132.94 |
$132.94 |
$152.50 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$448.50 |
$448.50 |
$508.50 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,954.54 |
$1,954.54 |
$2,198.00 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$110.86 |
$110.86 |
$127.00 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$188.60 |
$188.60 |
$216.00 |
$498.81
|
|
Appl hip spica cast1&1/2
|
$621.00 |
$621.00 |
$621.00 |
$501.28
|
|
Appl hip spica cast 1 leg
|
$513.00 |
$513.00 |
$513.00 |
$499.20
|
|
Application finger splntstatic 29130
|
$175.50 |
$175.50 |
$175.50 |
$208.16
|
|
Application long leg splint 29505
|
$322.50 |
$322.50 |
$322.50 |
$338.25
|
|
Application lower leg splint 29515
|
$184.00 |
$184.00 |
$184.00 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$138.46 |
$138.46 |
$187.50 |
$373.20
|
|
Application of forearm cast 29075
|
$259.00 |
$259.00 |
$259.00 |
$339.30
|
|
Application of long arm cast 29065
|
$171.12 |
$171.12 |
$204.50 |
$395.00
|
|
Application of long leg cast 29345
|
$226.00 |
$226.00 |
$226.00 |
$455.00
|
|
Application of paste boot 29580
|
$99.36 |
$99.36 |
$119.00 |
$331.74
|
|
Application short leg cast 29405
|
$171.12 |
$171.12 |
$210.50 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,129.76 |
$1,129.76 |
$1,270.50 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,129.76 |
$1,129.76 |
$1,270.50 |
$2,164.64
|
|
Appl multlay comprs arm/hand
|
$127.42 |
$127.42 |
$172.50 |
$292.60
|
|
Apply hand/wrist cast 29085
|
$223.00 |
$223.00 |
$223.00 |
$259.20
|
|
Apply rigid leg cast 29445
|
$209.00 |
$209.00 |
$209.00 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,898.94 |
$1,898.94 |
$2,064.06 |
$955.43
|
|
Aquaporin-4 antibody elisa
|
$48.50 |
$48.50 |
$49.22 |
$148.80
|
|
Aquatic exercise - group charge
|
$37.26 |
$37.26 |
$56.50 |
$85.80
|
|
Argatroban dialysis, auromed
|
$1.65 |
$1.65 |
$1.79 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$55.47 |
$55.47 |
$60.29 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$418.67 |
$418.67 |
$455.08 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$6.41 |
$6.41 |
$6.96 |
$1,313.89
|
|
Art bypass aortobifemoral 35646
|
$3,225.98 |
$3,225.98 |
$3,225.98 |
$3,443.40
|
|
Art bypass femoral-popliteal 35656
|
$7,309.40 |
$7,309.40 |
$7,309.40 |
$4,717.50
|
|
Art bypass iliofemoral 35665
|
$1,617.36 |
$1,617.36 |
$1,617.36 |
$2,457.18
|
|
Arterial blood draw/perc 36620
|
$277.84 |
$277.84 |
$503.50 |
$485.69
|
|
Artery xray each vessel 7577426
|
$906.66 |
$906.66 |
$964.50 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$2,338.18 |
$2,338.18 |
$2,739.00 |
$4,446.00
|
|
Artery x-rays adrenal gland
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$3,439.84
|
