|
Anidulafungin injection
|
$18.27 |
$83.37 |
$168.73 |
|
|
Ankle X-ray
|
$110.40 |
$234.89 |
$373.15 |
|
|
Ankle X-ray (2 views, both ankles)
|
$89.24 |
$167.58 |
$263.73 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$293.13 |
$293.13 |
$564.00 |
|
|
Anodyne therapy charges pt
|
$25.87 |
$42.00 |
$159.36 |
|
|
Anogenital exam child w imag
|
$213.78 |
$213.78 |
$391.85 |
|
|
Anora (draw only)
|
$10.08 |
$10.08 |
$35.69 |
|
|
Anoscopy control bleeding 46614
|
$766.00 |
$766.00 |
$766.00 |
|
|
Anoscopy remove fb 46608
|
$96.11 |
$674.05 |
$732.06 |
|
|
Antibody bacterium, not elsewhere specified
|
$34.02 |
$54.60 |
$119.18 |
|
|
Antibody elution rbc reference
|
$104.50 |
$137.34 |
$264.19 |
|
|
Antibody htlv/hiv confirm test
|
$96.99 |
$566.58 |
$922.25 |
|
|
Antibody htlv-i
|
$21.50 |
$218.82 |
$303.78 |
|
|
Antibody htlv-ii
|
$89.04 |
$218.82 |
$303.78 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$31.11 |
$133.56 |
$335.32 |
|
|
Antibody id rbc panel
|
$123.83 |
$141.96 |
$468.85 |
|
|
Antibody influenza virus
|
$28.67 |
$42.84 |
$120.35 |
|
|
Antibody lymphocytic choriomeningitis
|
$40.32 |
$40.32 |
$105.40 |
|
|
Antibody screen rbc
|
$76.40 |
$82.60 |
$124.95 |
|
|
Antibody tetanus
|
$48.38 |
$48.38 |
$48.38 |
|
|
Antidepressants class 3-5
|
$59.46 |
$59.46 |
$59.46 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.51 |
$41.79 |
$84.58 |
|
|
Anti mog serum - sendout
|
$642.82 |
$642.82 |
$642.82 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$41.47 |
$67.62 |
$113.05 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$47.62 |
$61.74 |
$180.20 |
|
|
Antinuclear antibodies
|
$29.40 |
$36.50 |
$170.00 |
|
|
Antinuclear antibodies titer
|
$16.50 |
$49.14 |
$88.32 |
|
|
Antiphosphatidylserine antibody
|
$43.78 |
$43.78 |
$43.78 |
|
|
Antipsychotics nos 1-3
|
$69.50 |
$89.04 |
$209.16 |
|
|
Antistreptolysin o screen
|
$86.10 |
$86.10 |
$109.65 |
|
|
Antistreptolysin o titer
|
$34.16 |
$104.58 |
$166.60 |
|
|
Antithrombin iii activity
|
$37.93 |
$126.42 |
$170.00 |
|
|
Antithrombin iii injection
|
$1.61 |
$41.79 |
$84.58 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$427.95 |
$9,768.24 |
$19,769.05 |
|
|
Antithymocyte globuln rabbit
|
$514.96 |
$2,350.89 |
$4,757.75 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$185.26 |
$199.50 |
$448.20 |
|
|
Apheresis immunoads slctv
|
$3,155.88 |
$3,155.88 |
$5,753.65 |
|
|
Apheresis plasma
|
$1,767.64 |
$2,270.52 |
$3,480.19 |
|
|
Apheresis platelets
|
$298.54 |
$1,523.97 |
$1,703.10 |
|
|
Apheresis wbc
|
$2,089.08 |
$2,089.08 |
$2,089.08 |
|
|
Appendectomy
|
$1,435.90 |
$1,453.20 |
$1,470.50 |
|
|
Appendectomy add-on 44955
|
$185.09 |
$187.32 |
$189.55 |
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$1,961.29 |
$1,984.92 |
$2,008.55 |
|
|
Appendix Removal (Laparoscopic)
|
$1,350.41 |
$3,937.08 |
$4,360.89 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$802.61 |
$1,500.66 |
$1,853.79 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$132.94 |
$228.65 |
$492.66 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$75.53 |
$508.50 |
$797.16 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$731.23 |
$2,198.00 |
$2,531.76 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$110.86 |
$197.20 |
$457.38 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$57.27 |
$223.02 |
$363.72 |
|
|
Appl hip spica cast1&1/2
|
$621.00 |
$621.00 |
$621.00 |
|
|
Appl hip spica cast 1 leg
|
$513.00 |
$513.00 |
$513.00 |
|
|
Application finger splntstatic 29130
|
$50.50 |
$131.46 |
$267.75 |
|
|
Application long leg splint 29505
|
$85.25 |
$266.28 |
$480.57 |
|
|
Application lower leg splint 29515
|
$83.62 |
$150.78 |
$370.60 |
|
|
Application multi layer compression below knee (both sides)
|
$138.46 |
$378.42 |
$616.69 |
|
|
Application of forearm cast 29075
|
$103.71 |
$163.80 |
$315.98 |
|
|
Application of long arm cast 29065
|
$115.12 |
$171.12 |
$500.20 |
|
|
Application of long leg cast
|
$180.82 |
$180.82 |
$180.82 |
|
|
Application of long leg cast 29345
|
$168.87 |
$178.92 |
$365.20 |
|
|
Application of paste boot 29580
|
$99.36 |
$233.94 |
$647.21 |
|
|
Application short leg cast 29405
|
$99.37 |
$171.12 |
$311.25 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$374.33 |
$1,129.76 |
$1,270.50 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$360.22 |
$1,102.08 |
$1,270.50 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$484.98 |
$484.98 |
$484.98 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$34.02 |
$34.02 |
$210.80 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$38.22 |
$38.22 |
$75.53 |
|
|
Appl modality 1+lllt po pain
|
$54.61 |
$54.61 |
$54.61 |
|
|
Appl multlay comprs arm/hand
|
$127.42 |
$134.30 |
$172.50 |
|
|
Appl patllr tdn bearing cast
|
$138.46 |
$138.46 |
$138.46 |
|
|
Apply finger cast 29086
|
$163.80 |
$163.80 |
$180.20 |
|
|
Apply forearm splintdynamic 29126
|
$213.78 |
$213.78 |
$428.34 |
|
|
Apply hand/wrist cast 29085
|
$112.94 |
$163.80 |
$230.74 |
|
|
Apply interstit radiat compl
|
$3,240.30 |
$3,240.30 |
$3,489.26 |
|
|
Apply intrcav radiat compl
|
$1,247.82 |
$1,247.82 |
$1,247.82 |
|
|
Apply intrcav radiat interm
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
|
|
Apply intrcav radiat simple
|
$837.06 |
$837.06 |
$837.06 |
|
|
Apply of finger splint 29131
|
$58.10 |
$310.80 |
$310.80 |
|
|
Apply rigid leg cast 29445
|
$205.80 |
$205.80 |
$763.90 |
|
|
Apply short leg castambul type 29425
|
$93.94 |
$133.56 |
$265.50 |
|
|
Apply srs headframe add-on
|
$207.50 |
$207.50 |
$207.50 |
|
|
Apply surf ldr radionuclide
|
$396.48 |
$396.48 |
$396.48 |
|
|
App mdlty 1+hubbrd tnk ea 15
|
$54.60 |
$54.60 |
$85.00 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,898.94 |
$8,669.06 |
$17,544.51 |
|
|
#aptt mix-1:1 incubated
|
$82.44 |
$407.82 |
$742.90 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$90.62 |
$90.62 |
$90.62 |
|
|
Aquaporin-4 antibody cba each
|
$268.80 |
$268.80 |
$268.80 |
|
|
Aquaporin-4 antibody elisa
|
$48.50 |
$50.82 |
$205.82 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$60.90 |
$60.90 |
$91.30 |
|
|
Aquatic exercise - group charge
|
$37.26 |
$60.90 |
$99.45 |
|
|
Argatroban dialysis, auromed
|
$1.65 |
$374.54 |
$757.99 |
|
|
Argatroban esrd dialysis 1mg
|
$55.47 |
$1,466.96 |
$2,968.84 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$418.67 |
$5,215.25 |
$10,554.67 |
|
|
Arm CT Scan (with contrast, both arms)
|
$1,045.38 |
$1,325.26 |
$2,468.42 |
|
|
Arm CT Scan (without contrast, both arms)
|
$893.34 |
$1,212.00 |
$2,289.05 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$198.83 |
$330.28 |
$607.75 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$6.41 |
$175.40 |
$354.96 |
|
|
Art bypass aortobifemoral 35646
|
$3,225.98 |
$3,225.98 |
$3,225.98 |
|
|
Art bypass femoral-popliteal 35656
|
$7,309.40 |
$7,309.40 |
$7,309.40 |
|
|
Art bypass iliofemoral 35665
|
$1,617.36 |
$1,617.36 |
$1,617.36 |
|