|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$15.99 |
$15.99 |
$15.99 |
$57.38
|
|
Amputation toe metatarsophalangeal joint
|
$903.44 |
$903.44 |
$903.44 |
$3,777.93
|
|
Amylase
|
$160.31 |
$160.31 |
$160.31 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$40.39 |
$40.39 |
$40.39 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$62.32 |
$62.32 |
$62.32 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$23.78 |
$23.78 |
$23.78 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$13.94 |
$13.94 |
$13.94 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,090.18 |
$2,090.18 |
$2,090.18 |
$2,426.60
|
|
An fluoro guide for cvp
|
$555.14 |
$555.14 |
$555.14 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,697.59 |
$3,697.59 |
$3,697.59 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$7,981.68 |
$7,981.68 |
$7,981.68 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,449.48 |
$9,449.48 |
$9,449.48 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,582.14 |
$6,582.14 |
$6,582.14 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,261.13 |
$4,261.13 |
$4,261.13 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$4,261.13 |
$4,261.13 |
$4,261.13 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,261.13 |
$4,261.13 |
$4,261.13 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,261.13 |
$4,261.13 |
$4,261.13 |
$8,745.10
|
|
Ankle X-ray
|
$543.05 |
$543.05 |
$543.05 |
$350.85
|
|
Anora (draw only)
|
$156.42 |
$156.42 |
$156.42 |
$36.36
|
|
Antibody bacterium, not elsewhere specified
|
$52.28 |
$52.28 |
$52.28 |
$57.85
|
|
Antibody elution rbc reference
|
$157.44 |
$157.44 |
$157.44 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$18.66 |
$18.66 |
$18.66 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$267.53 |
$267.53 |
$267.53 |
$218.30
|
|
Antibody id rbc panel
|
$234.73 |
$234.73 |
$234.73 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$20.50 |
$20.50 |
$20.50 |
$53.96
|
|
Antibody screen rbc
|
$190.24 |
$190.24 |
$190.24 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$11.07 |
$11.07 |
$11.07 |
$4.00
|
|
Antihemophilic viii/vwf comp
|
$1.44 |
$1.44 |
$1.44 |
$2.75
|
|
Anti-inhibitor
|
$185.94 |
$185.94 |
$185.94 |
$5.63
|
|
Anti mog serum - sendout
|
$205.00 |
$205.00 |
$205.00 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$15.99 |
$15.99 |
$15.99 |
$50.88
|
|
Antinuclear antibodies
|
$37.31 |
$37.31 |
$37.31 |
$91.70
|
|
Antinuclear antibodies titer
|
$30.34 |
$30.34 |
$30.34 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$33.62 |
$33.62 |
$33.62 |
$74.20
|
|
Antistreptolysin o titer
|
$61.71 |
$61.71 |
$61.71 |
$57.85
|
|
Antithrombin iii activity
|
$8.20 |
$8.20 |
$8.20 |
$106.85
|
|
Antithrombin iii injection
|
$920.45 |
$920.45 |
$920.45 |
$15.75
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$920.45 |
$920.45 |
$920.45 |
$5,465.25
|
|
Antithymocyte globuln rabbit
|
$734.11 |
$734.11 |
$734.11 |
$2,291.39
|
|
Apc gene dup/delet variants
|
$743.33 |
$743.33 |
$743.33 |
$400.00
|
|
Apheresis plasma
|
$1,583.42 |
$1,583.42 |
$1,583.42 |
$3,498.41
|
|
Apheresis platelets
|
$443.42 |
$443.42 |
$443.42 |
$2,302.65
|
|
Apheresis rbc
|
$633.45 |
$633.45 |
$633.45 |
$3,497.90
|
|
Apheresis wbc
|
$791.71 |
$791.71 |
$791.71 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$141.45 |
$141.45 |
$141.45 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,656.59 |
$3,656.59 |
$3,656.59 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$934.80 |
$934.80 |
$934.80 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$398.73 |
$398.73 |
$398.73 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,271.80 |
$3,271.80 |
$3,271.80 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$742.31 |
$742.31 |
$742.31 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$288.64 |
$288.64 |
$288.64 |
$508.18
|
|
Application multi layer compression below knee (both sides)
|
$277.57 |
$277.57 |
$277.57 |
$393.75
|
|
Application of paste boot 29580
|
$142.89 |
$142.89 |
$142.89 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,567.02 |
$1,567.02 |
$1,567.02 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,374.73 |
$1,374.73 |
$1,374.73 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$44.69 |
$44.69 |
$44.69 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$50.02 |
$50.02 |
$50.02 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$349.73 |
$349.73 |
$349.73 |
$339.69
|
|
Apply rigid leg cast 29445
|
$298.07 |
$298.07 |
$298.07 |
$608.00
|
|
Aquaporin-4 antibody cba each
|
$91.64 |
$91.64 |
$91.64 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$235.75 |
$235.75 |
$235.75 |
$155.00
|
|
Aquatic exercise - group charge
|
$62.53 |
$62.53 |
$62.53 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$552.27 |
$552.27 |
$552.27 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$656.21 |
$656.21 |
$656.21 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$243.54 |
$243.54 |
$243.54 |
$500.82
|
|
Artery xray each vessel 7577426
|
$533.41 |
$533.41 |
$533.41 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$1,774.48 |
$1,774.48 |
$1,774.48 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,261.57 |
$1,261.57 |
$1,261.57 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,399.95 |
$1,399.95 |
$1,399.95 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$2,551.02 |
$2,551.02 |
$2,551.02 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,966.35 |
$2,966.35 |
$2,966.35 |
$4,029.72
|
|
Artery x-rays chest
|
$648.62 |
$648.62 |
$648.62 |
$2,628.15
|
|
Artery x-rays lung
|
$1,875.75 |
$1,875.75 |
$1,875.75 |
$3,150.00
|
|
Artery x-rays lung
|
$743.54 |
$743.54 |
$743.54 |
$2,483.00
|
|
Artery x-rays lungs
|
$1,689.82 |
$1,689.82 |
$1,689.82 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$1,892.36 |
$1,892.36 |
$1,892.36 |
$4,551.20
|
|
Artery x-rays spine
|
$2,233.89 |
$2,233.89 |
$2,233.89 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$225.71 |
$225.71 |
$225.71 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$309.35 |
$309.35 |
$309.35 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$365.11 |
$365.11 |
$365.11 |
$956.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$278.80 |
$278.80 |
$278.80 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$273.27 |
$273.27 |
$273.27 |
$700.80
|
|
Artiss fibrin sealant
|
$362.24 |
$362.24 |
$362.24 |
$1,145.23
|
|
Ascenda two piece catheter
|
$11,123.92 |
$11,123.92 |
$11,123.92 |
$22,951.20
|
|
Asp core fat pad
|
$140.43 |
$140.43 |
$140.43 |
$1,139.82
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,679.57 |
$1,679.57 |
$1,679.57 |
$3,199.51
|
|
Aspirate pleura without imaging 32554
|
$1,195.15 |
$1,195.15 |
$1,195.15 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
$1,306.50
|
|
Assay acid phosphatase
|
$5.13 |
$5.13 |
$5.13 |
$38.22
|
|
Assay dir meas fr estradiol
|
$84.87 |
$84.87 |
$84.87 |
$75.11
|
|
Assay myeloperoxidase
|
$22.76 |
$22.76 |
$22.76 |
$84.19
|
|
Assay of corticosterone
|
$29.52 |
$29.52 |
$29.52 |
$47.10
|
|
Assay of interleukin-6 (il-6)
|
$15.99 |
$15.99 |
$15.99 |
$77.35
|
|
Assay of osteocalcin
|
$20.71 |
$20.71 |
$20.71 |
$93.60
|
|
Assay of procainamide w/metab
|
$15.99 |
$15.99 |
$15.99 |
$63.07
|
|
Assay of somatostatin
|
$90.00 |
$90.00 |
$90.00 |
$165.75
|
|
Assay of thiocyanate
|
$13.74 |
$13.74 |
$13.74 |
$56.55
|
|
Assay of urine sulfate
|
$12.30 |
$12.30 |
$12.30 |
$31.35
|
