|
Anidulafungin injection
|
$32.96 |
$32.96 |
$32.96 |
$312.30
|
|
Ankle X-ray
|
$234.89 |
$234.89 |
$234.89 |
$353.60
|
|
Anodyne therapy charges pt
|
$159.36 |
$159.36 |
$159.36 |
$42.00
|
|
Anogenital exam child w imag
|
$382.63 |
$382.63 |
$382.63 |
$292.32
|
|
Anora (draw only)
|
$35.69 |
$35.69 |
$35.69 |
$33.58
|
|
Anoscopy remove fb 46608
|
$732.06 |
$732.06 |
$732.06 |
$1,435.00
|
|
Antibody elution rbc reference
|
$127.82 |
$127.82 |
$127.82 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$187.58 |
$187.58 |
$187.58 |
$130.00
|
|
Antibody htlv-i
|
$97.94 |
$97.94 |
$97.94 |
$49.53
|
|
Antibody htlv-ii
|
$97.94 |
$97.94 |
$97.94 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$335.32 |
$335.32 |
$335.32 |
$218.30
|
|
Antibody id rbc panel
|
$161.02 |
$161.02 |
$161.02 |
$274.56
|
|
Antibody influenza virus
|
$120.35 |
$120.35 |
$120.35 |
$53.95
|
|
Antibody screen rbc
|
$97.94 |
$97.94 |
$97.94 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.92 |
$0.92 |
$0.92 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$110.39 |
$110.39 |
$110.39 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$147.74 |
$147.74 |
$147.74 |
$40.00
|
|
Antinuclear antibodies
|
$102.09 |
$102.09 |
$102.09 |
$89.40
|
|
Antinuclear antibodies titer
|
$52.29 |
$52.29 |
$52.29 |
$77.00
|
|
Antipsychotics nos 1-3
|
$209.16 |
$209.16 |
$209.16 |
$142.42
|
|
Antistreptolysin o titer
|
$145.25 |
$145.25 |
$145.25 |
$51.45
|
|
Antithrombin iii activity
|
$161.85 |
$161.85 |
$161.85 |
$114.00
|
|
Antithrombin iii injection
|
$2.90 |
$2.90 |
$2.90 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$772.16 |
$772.16 |
$772.16 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$929.17 |
$929.17 |
$929.17 |
$2,111.00
|
|
Apheresis plasma
|
$3,480.19 |
$3,480.19 |
$3,480.19 |
$3,188.50
|
|
Apheresis platelets
|
$566.06 |
$566.06 |
$566.06 |
$2,042.95
|
|
Appendectomy
|
$1,435.90 |
$1,435.90 |
$1,435.90 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$185.09 |
$185.09 |
$185.09 |
$189.55
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,961.29 |
$1,961.29 |
$1,961.29 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$1,350.41 |
$1,350.41 |
$1,350.41 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$802.61 |
$802.61 |
$802.61 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$223.27 |
$223.27 |
$223.27 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$75.53 |
$75.53 |
$75.53 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$731.23 |
$731.23 |
$731.23 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$192.56 |
$192.56 |
$192.56 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$57.27 |
$57.27 |
$57.27 |
$498.81
|
|
Application finger splntstatic 29130
|
$195.88 |
$195.88 |
$195.88 |
$208.16
|
|
Application long leg splint 29505
|
$480.57 |
$480.57 |
$480.57 |
$338.25
|
|
Application lower leg splint 29515
|
$289.67 |
$289.67 |
$289.67 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$616.69 |
$616.69 |
$616.69 |
$373.20
|
|
Application of forearm cast 29075
|
$196.71 |
$196.71 |
$196.71 |
$339.30
|
|
Application of long arm cast 29065
|
$218.29 |
$218.29 |
$218.29 |
$395.00
|
|
Application of long leg cast 29345
|
$365.20 |
$365.20 |
$365.20 |
$455.00
|
|
Application of paste boot 29580
|
$227.42 |
$227.42 |
$227.42 |
$331.74
|
|
Application short leg cast 29405
|
$311.25 |
$311.25 |
$311.25 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$374.33 |
$374.33 |
$374.33 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$360.22 |
$360.22 |
$360.22 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.55 |
$70.55 |
$70.55 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$75.53 |
$75.53 |
$75.53 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$136.95 |
$136.95 |
$136.95 |
$292.60
|
|
Apply finger cast 29086
|
$173.47 |
$173.47 |
$173.47 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$305.44 |
$305.44 |
$305.44 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$230.74 |
$230.74 |
$230.74 |
$259.20
|
|
Apply of finger splint 29131
|
$181.77 |
$181.77 |
$181.77 |
$168.00
|
|
Apply short leg castambul type 29425
|
$172.64 |
$172.64 |
$172.64 |
$381.00
|
|
Apply srs headframe add-on
|
$207.50 |
$207.50 |
$207.50 |
$585.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$3,426.34 |
$3,426.34 |
$3,426.34 |
$955.43
|
|
Aquaporin-4 antibody elisa
|
$156.04 |
$156.04 |
$156.04 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$91.30 |
$91.30 |
$91.30 |
$100.00
|
|
Aquatic exercise - group charge
|
$58.93 |
$58.93 |
$58.93 |
$85.80
|
|
Argatroban dialysis, auromed
|
$2.97 |
$2.97 |
$2.97 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$100.08 |
$100.08 |
$100.08 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$755.43 |
$755.43 |
$755.43 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$11.56 |
$11.56 |
$11.56 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$276.39 |
$276.39 |
$276.39 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$420.81 |
$420.81 |
$420.81 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$351.92 |
$351.92 |
$351.92 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$786.84 |
$786.84 |
$786.84 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$718.78 |
$718.78 |
$718.78 |
$715.37
|
|
Arthroplasty finger joint 26535
|
$4,297.74 |
$4,297.74 |
$4,297.74 |
$3,981.06
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$864.86 |
$864.86 |
$864.86 |
$4,194.13
|
|
Artiss fibrin sealant
|
$2,521.13 |
$2,521.13 |
$2,521.13 |
$1,583.11
|
|
Ascenda two piece catheter
|
$57,718.20 |
$57,718.20 |
$57,718.20 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,225.23 |
$2,225.23 |
$2,225.23 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$263.94 |
$263.94 |
$263.94 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$656.53 |
$656.53 |
$656.53 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,122.99 |
$1,122.99 |
$1,122.99 |
$1,226.87
|
|
Assay blood catecholamines
|
$40.67 |
$40.67 |
$40.67 |
$148.00
|
|
Assay of estrogen
|
$170.98 |
$170.98 |
$170.98 |
$208.74
|
|
Assay of galactose
|
$19.09 |
$19.09 |
$19.09 |
$49.21
|
|
Assay of neonatal thyroxine
|
$24.90 |
$24.90 |
$24.90 |
$19.06
|
|
Assay of progesterone
|
$139.44 |
$139.44 |
$139.44 |
$285.19
|
|
Assay of salicylate
|
$103.75 |
$103.75 |
$103.75 |
$95.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$53.12 |
$53.12 |
$53.12 |
$49.80
|
|
Ast/sgot
|
$58.10 |
$58.10 |
$58.10 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$466.96 |
$466.96 |
$466.96 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$5.68 |
$5.68 |
$5.68 |
$51.28
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$175.13 |
$175.13 |
$175.13 |
$186.60
|
|
Auditor evoke potent limit
|
$322.87 |
$322.87 |
$322.87 |
$293.72
|
|
Automated diff wbc count
|
$83.83 |
$83.83 |
$83.83 |
$38.28
|
|
Avelumab 20 mg/ml intravenous solution
|
$167.12 |
$167.12 |
$167.12 |
$3,683.86
|
|
Avul nail plate addl
|
$78.85 |
$78.85 |
$78.85 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$290.50 |
$290.50 |
$290.50 |
$318.75
|
|
Azacitidine injection
|
$485.75 |
$485.75 |
$485.75 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$0.52 |
$0.52 |
$0.52 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$7.13 |
$7.13 |
$7.13 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$45.13 |
$45.13 |
$45.13 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$60.96 |
$60.96 |
$60.96 |
$1,800.33
|
|
Baclofen eval charges
|
$104.58 |
$104.58 |
$104.58 |
$85.00
|
