|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$123.55 |
$123.55 |
$123.55 |
$130.08
|
|
Amphotericin b lipid complex
|
$17.18 |
$17.18 |
$17.18 |
$272.40
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$317.94 |
$317.94 |
$317.94 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$6.36 |
$6.36 |
$6.36 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$11.13 |
$11.13 |
$11.13 |
$56.63
|
|
Amylase
|
$122.00 |
$122.00 |
$122.00 |
$93.00
|
|
Anabolic steroid 1 or 2
|
$455.00 |
$455.00 |
$455.00 |
$74.80
|
|
Anacaulase-bcdb 8.8% gel 1 g
|
$200.46 |
$200.46 |
$200.46 |
$58.34
|
|
Ana ds-dna
|
$382.00 |
$382.00 |
$382.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$242.00 |
$242.00 |
$242.00 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$687.00 |
$687.00 |
$687.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$687.00 |
$687.00 |
$687.00 |
$226.60
|
|
Analysis nerve
|
$705.00 |
$705.00 |
$705.00 |
$223.19
|
|
Anca screen with reflex to titer -quest
|
$247.00 |
$247.00 |
$247.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,402.00 |
$2,402.00 |
$2,402.00 |
$2,426.60
|
|
Androstanediol
|
$225.00 |
$225.00 |
$225.00 |
$98.58
|
|
An fluoro guide for cvp
|
$2,111.00 |
$2,111.00 |
$2,111.00 |
$509.60
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$630.00 |
$630.00 |
$630.00 |
$5,128.65
|
|
Angio tib/peroneal/init ves/unila 37228
|
$30,935.13 |
$30,935.13 |
$30,935.13 |
$13,351.25
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$6,542.00 |
$6,542.00 |
$6,542.00 |
$8,745.10
|
|
Ankle X-ray
|
$3,042.00 |
$3,042.00 |
$3,042.00 |
$350.85
|
|
Anl sp inf pmp w/mdreprg&fil
|
$972.00 |
$972.00 |
$972.00 |
$693.75
|
|
Antibody bacterium, not elsewhere specified
|
$353.00 |
$353.00 |
$353.00 |
$57.85
|
|
Antibody elution rbc reference
|
$16.00 |
$16.00 |
$16.00 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$102.00 |
$102.00 |
$102.00 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$210.00 |
$210.00 |
$210.00 |
$218.30
|
|
Antibody id rbc panel
|
$507.00 |
$507.00 |
$507.00 |
$291.75
|
|
Antibody influenza virus
|
$306.00 |
$306.00 |
$306.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$26.00 |
$26.00 |
$26.00 |
$53.96
|
|
Antibody screen rbc
|
$42.00 |
$42.00 |
$42.00 |
$105.00
|
|
Antibody tetanus
|
$26.00 |
$26.00 |
$26.00 |
$58.50
|
|
Antidepressant not specified
|
$277.00 |
$277.00 |
$277.00 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.05 |
$4.05 |
$4.05 |
$7.00
|
|
Antihemophilic viii/vwf comp
|
$3.35 |
$3.35 |
$3.35 |
$3.32
|
|
Anti-inhibitor
|
$6.73 |
$6.73 |
$6.73 |
$7.00
|
|
Anti mog serum - sendout
|
$89.00 |
$89.00 |
$89.00 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$14.00 |
$14.00 |
$14.00 |
$50.88
|
|
Antinuclear antibodies
|
$406.00 |
$406.00 |
$406.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$461.00 |
$461.00 |
$461.00 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$17.00 |
$17.00 |
$17.00 |
$74.20
|
|
Antipsychotics nos 1-3
|
$286.00 |
$286.00 |
$286.00 |
$161.39
|
|
Antistreptolysin o screen
|
$229.00 |
$229.00 |
$229.00 |
$59.40
|
|
Antistreptolysin o titer
|
$167.00 |
$167.00 |
$167.00 |
$57.85
|
|
Antithrombin iii activity
|
$530.00 |
$530.00 |
$530.00 |
$106.85
|
|
Antithrombin iii injection
|
$14.99 |
$14.99 |
$14.99 |
$10.74
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$2,743.35 |
$2,743.35 |
$2,743.35 |
$7,544.81
|
|
Antithymocyte globuln rabbit
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$2,245.01
|
|
Apheresis platelets
|
$2,582.00 |
$2,582.00 |
$2,582.00 |
$2,302.65
|
|
Apl(pml-rara) quant - sendout
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$5,552.85 |
$5,552.85 |
$5,552.85 |
$6,376.26
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$5,816.00 |
$5,816.00 |
$5,816.00 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$4,190.00 |
$4,190.00 |
$4,190.00 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$11,439.00 |
$11,439.00 |
$11,439.00 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,107.00 |
$4,107.00 |
$4,107.00 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,453.00 |
$2,453.00 |
$2,453.00 |
$508.18
|
|
Application finger splntstatic 29130
|
$625.00 |
$625.00 |
$625.00 |
$226.20
|
|
Application long leg splint 29505
|
$1,654.00 |
$1,654.00 |
$1,654.00 |
$370.00
|
|
Application lower leg splint 29515
|
$942.00 |
$942.00 |
$942.00 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$669.00 |
$669.00 |
$669.00 |
$393.75
|
|
Application of paste boot 29580
|
$623.00 |
$623.00 |
$623.00 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$2,164.64
|
|
Appl mltpln uni ext fixj sys
|
$16,289.68 |
$16,289.68 |
$16,289.68 |
$4,881.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$91.00 |
$91.00 |
$91.00 |
$68.00
|
|
Apply finger cast 29086
|
$529.00 |
$529.00 |
$529.00 |
$242.20
|
|
Apply of finger splint 29131
|
$699.00 |
$699.00 |
$699.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$45.59 |
$45.59 |
$45.59 |
$1,091.17
|
|
#aptt mix-1:1 incubated
|
$78.00 |
$78.00 |
$78.00 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$221.00 |
$221.00 |
$221.00 |
$114.60
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$259.00 |
$259.00 |
$259.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$132.00 |
$132.00 |
$132.00 |
$91.68
|
|
Arformoterol non-comp unit
|
$7.37 |
$7.37 |
$7.37 |
$24.24
|
|
Argatroban nonesrd (accord)
|
$12.99 |
$12.99 |
$12.99 |
$4.20
|
|
Argatroban nonesrd use 1mg
|
$169.57 |
$169.57 |
$169.57 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$3,161.71 |
$3,161.71 |
$3,161.71 |
$5,702.81
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$36.66 |
$36.66 |
$36.66 |
$1,642.18
|
|
Arterial blood draw/perc 36620
|
$924.00 |
$924.00 |
$924.00 |
$500.82
|
|
Artery-vein nonautograft
|
$7,686.88 |
$7,686.88 |
$7,686.88 |
$6,325.50
|
|
Artery xray of abdomen 75726-26
|
$8,727.00 |
$8,727.00 |
$8,727.00 |
$4,658.99
|
|
Artery x-rays arm/leg 75710-26
|
$8,727.00 |
$8,727.00 |
$8,727.00 |
$3,513.67
|
|
Artery x-rays lung
|
$8,574.00 |
$8,574.00 |
$8,574.00 |
$3,150.00
|
|
Arthrd ant ntrbdy cervical
|
$10,936.83 |
$10,936.83 |
$10,936.83 |
$7,023.52
|
|
Arthrd si jt perq/min nvas
|
$6,378.54 |
$6,378.54 |
$6,378.54 |
$17,150.30
|
|
Arthrd wrst iliac/oth agrft
|
$13,278.70 |
$13,278.70 |
$13,278.70 |
$7,389.50
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$6,400.61 |
$6,400.61 |
$6,400.61 |
$715.37
|
|
Arthrodesis triple
|
$12,275.04 |
$12,275.04 |
$12,275.04 |
$10,629.07
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$8,260.40 |
$8,260.40 |
$8,260.40 |
$4,086.40
|
|
Aspirate bladder/sprapubic cath 51102
|
$10,689.00 |
$10,689.00 |
$10,689.00 |
$3,199.51
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$6,610.37 |
$6,610.37 |
$6,610.37 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$850.78
|
|
Assay blood catecholamines
|
$130.00 |
$130.00 |
$130.00 |
$72.00
|
|
Assay duodenal fluid trypsin
|
$326.00 |
$326.00 |
$326.00 |
$7.92
|
|
Assay of corticosterone
|
$82.00 |
$82.00 |
$82.00 |
$47.10
|
|
Assay of feces porphyrins
|
$158.00 |
$158.00 |
$158.00 |
$166.20
|
|
Assay of glucosidase
|
$309.00 |
$309.00 |
$309.00 |
$158.73
|
|
Assay of interleukin-6 (il-6)
|
$435.00 |
$435.00 |
$435.00 |
$77.35
|
