|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$17.71 |
$17.71 |
$22.31 |
$57.38
|
|
Amputation toe metatarsophalangeal joint
|
$1,000.39 |
$1,000.39 |
$1,000.39 |
$3,777.93
|
|
Amylase
|
$177.52 |
$177.52 |
$223.66 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$44.72 |
$44.72 |
$56.35 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$69.01 |
$69.01 |
$86.95 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$26.34 |
$26.34 |
$33.18 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$15.44 |
$15.44 |
$19.45 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,314.50 |
$2,314.50 |
$2,916.06 |
$2,426.60
|
|
An fluoro guide for cvp
|
$614.72 |
$614.72 |
$614.72 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,094.40 |
$4,094.40 |
$4,094.40 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$8,838.25 |
$8,838.25 |
$8,838.25 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,463.57 |
$10,463.57 |
$10,463.57 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,623.90 |
$2,623.90 |
$2,623.90 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,284.14 |
$1,284.14 |
$15,547.69 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,288.52 |
$7,288.52 |
$7,288.52 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,718.43 |
$4,718.43 |
$4,718.43 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$4,718.43 |
$4,718.43 |
$4,718.43 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,718.43 |
$4,718.43 |
$4,718.43 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,718.43 |
$4,718.43 |
$4,718.43 |
$8,745.10
|
|
Ankle X-ray
|
$601.33 |
$601.33 |
$757.62 |
$350.85
|
|
Anora (draw only)
|
$173.21 |
$173.21 |
$218.22 |
$36.36
|
|
Antibody bacterium, not elsewhere specified
|
$57.89 |
$57.89 |
$72.93 |
$57.85
|
|
Antibody elution rbc reference
|
$174.34 |
$174.34 |
$219.65 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$20.66 |
$20.66 |
$26.03 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$296.24 |
$296.24 |
$373.23 |
$218.30
|
|
Antibody id rbc panel
|
$259.92 |
$259.92 |
$327.47 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$22.70 |
$22.70 |
$28.60 |
$53.96
|
|
Antibody screen rbc
|
$210.66 |
$210.66 |
$265.41 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$12.26 |
$12.26 |
$12.26 |
$4.00
|
|
Antihemophilic viii/vwf comp
|
$1.59 |
$1.59 |
$1.59 |
$2.75
|
|
Anti-inhibitor
|
$205.89 |
$205.89 |
$205.89 |
$5.63
|
|
Anti mog serum - sendout
|
$136.20 |
$136.20 |
$171.60 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$17.71 |
$17.71 |
$22.31 |
$50.88
|
|
Antinuclear antibodies
|
$41.32 |
$41.32 |
$52.06 |
$91.70
|
|
Antinuclear antibodies titer
|
$33.60 |
$33.60 |
$42.33 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$37.23 |
$37.23 |
$46.91 |
$74.20
|
|
Antistreptolysin o titer
|
$68.33 |
$68.33 |
$86.09 |
$57.85
|
|
Antithrombin iii activity
|
$9.08 |
$9.08 |
$11.44 |
$106.85
|
|
Antithrombin iii injection
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$15.75
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$5,465.25
|
|
Antithymocyte globuln rabbit
|
$812.89 |
$812.89 |
$812.89 |
$2,291.39
|
|
Apc gene dup/delet variants
|
$823.11 |
$823.11 |
$1,037.04 |
$400.00
|
|
Apheresis plasma
|
$1,753.35 |
$1,753.35 |
$2,209.07 |
$3,498.41
|
|
Apheresis platelets
|
$491.01 |
$491.01 |
$618.62 |
$2,302.65
|
|
Apheresis rbc
|
$701.43 |
$701.43 |
$883.74 |
$3,497.90
|
|
Apheresis wbc
|
$876.68 |
$876.68 |
$1,104.54 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$156.63 |
$156.63 |
$197.34 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$441.52 |
$441.52 |
$441.52 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$319.62 |
$319.62 |
$319.62 |
$508.18
|
|
Application multi layer compression below knee (both sides)
|
$307.36 |
$307.36 |
$307.36 |
$393.75
|
|
Application of paste boot 29580
|
$158.22 |
$158.22 |
$158.22 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,735.19 |
$1,735.19 |
$1,735.19 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,522.27 |
$1,522.27 |
$1,522.27 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$62.35 |
$62.35 |
$62.35 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$69.79 |
$69.79 |
$69.79 |
$75.98
|
|
Apply rigid leg cast 29445
|
$330.06 |
$330.06 |
$330.06 |
$608.00
|
|
Aquaporin-4 antibody cba each
|
$101.47 |
$101.47 |
$127.85 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$261.05 |
$261.05 |
$328.90 |
$155.00
|
|
Aquatic exercise - group charge
|
$47.22 |
$47.22 |
$87.23 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$611.54 |
$611.54 |
$611.54 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$726.63 |
$726.63 |
$726.63 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$269.68 |
$269.68 |
$339.77 |
$500.82
|
|
Artery xray each vessel 7577426
|
$590.66 |
$590.66 |
$590.66 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$1,964.92 |
$1,964.92 |
$1,964.92 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$2,824.79 |
$2,824.79 |
$2,824.79 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$3,284.69 |
$3,284.69 |
$3,284.69 |
$4,029.72
|
|
Artery x-rays chest
|
$683.96 |
$683.96 |
$683.96 |
$2,628.15
|
|
Artery x-rays lung
|
$1,609.21 |
$1,609.21 |
$1,609.21 |
$3,150.00
|
|
Artery x-rays lungs
|
$1,871.17 |
$1,871.17 |
$1,871.17 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$2,095.44 |
$2,095.44 |
$2,095.44 |
$4,551.20
|
|
Artery x-rays spine
|
$2,473.62 |
$2,473.62 |
$2,473.62 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$249.93 |
$249.93 |
$249.93 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$342.55 |
$342.55 |
$431.58 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$404.29 |
$404.29 |
$509.37 |
$956.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$308.72 |
$308.72 |
$388.96 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$302.60 |
$302.60 |
$302.60 |
$700.80
|
|
Artiss fibrin sealant
|
$401.11 |
$401.11 |
$401.11 |
$1,145.23
|
|
Ascenda two piece catheter
|
$12,317.71 |
$12,317.71 |
$12,317.71 |
$22,951.20
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,859.82 |
$1,859.82 |
$2,343.20 |
$3,199.51
|
|
Aspirate pleura without imaging 32554
|
$1,323.41 |
$1,323.41 |
$1,323.41 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,319.10 |
$1,319.10 |
$1,661.95 |
$1,306.50
|
|
Assay acid phosphatase
|
$5.68 |
$5.68 |
$7.15 |
$38.22
|
|
Assay dir meas fr estradiol
|
$93.98 |
$93.98 |
$118.41 |
$75.11
|
|
Assay myeloperoxidase
|
$25.20 |
$25.20 |
$31.75 |
$84.19
|
|
Assay of corticosterone
|
$32.69 |
$32.69 |
$41.19 |
$47.10
|
|
Assay of interleukin-6 (il-6)
|
$17.71 |
$17.71 |
$22.31 |
$77.35
|
|
Assay of osteocalcin
|
$22.93 |
$22.93 |
$28.89 |
$93.60
|
|
Assay of procainamide w/metab
|
$17.71 |
$17.71 |
$22.31 |
$63.07
|
|
Assay of somatostatin
|
$99.66 |
$99.66 |
$125.56 |
$165.75
|
|
Assay of thiocyanate
|
$15.21 |
$15.21 |
$19.17 |
$56.55
|
|
Assay of urine sulfate
|
$13.62 |
$13.62 |
$17.16 |
$31.35
|
|
Assay toxin or antitoxin
|
$20.21 |
$20.21 |
$25.46 |
$77.55
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$266.84 |
$266.84 |
$266.84 |
$312.00
|
|
Assess cyst contrast inject
|
$338.23 |
$338.23 |
$338.23 |
$456.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$24.29 |
$24.29 |
$30.61 |
$47.25
|
|
Assistive tech assessment, ot
|
$40.90 |
$40.90 |
$40.90 |
$94.50
|
|
Ast/sgot
|
$77.64 |
$77.64 |
$97.82 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$3,522.14 |
$3,522.14 |
$3,522.14 |
$31,198.64
|
|
Athrectomy fem/pop/unilateral 37225
|
$12,100.01 |
$12,100.01 |
$12,100.01 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$9,329.25 |
$9,329.25 |
$9,329.25 |
$19,875.58
|
