|
Amifostine
|
$2,945.56 |
$2,945.56 |
$2,945.56 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$40.28 |
$40.28 |
$40.28 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$52.20 |
$52.20 |
$52.20 |
$37.33
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$34.46 |
$34.46 |
$34.46 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$55.68 |
$55.68 |
$55.68 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$23.12 |
$23.12 |
$23.12 |
$55.86
|
|
Amniocentesisdiagnostic 59000
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$942.60
|
|
Amniocentesis therapeutic
|
$966.40 |
$966.40 |
$966.40 |
$791.05
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,835.20 |
$3,835.20 |
$3,835.20 |
$3,786.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$40.48 |
$40.48 |
$40.48 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$622.23 |
$622.23 |
$622.23 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$64.28 |
$64.28 |
$64.28 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$27.66 |
$27.66 |
$27.66 |
$54.57
|
|
Amputation toe interphalangeal joint
|
$4,482.40 |
$4,482.40 |
$4,482.40 |
$4,196.50
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$309.60 |
$309.60 |
$309.60 |
$320.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$133.60 |
$133.60 |
$133.60 |
$122.20
|
|
Analysis tumor
|
$222.40 |
$222.40 |
$222.40 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$586.40 |
$586.40 |
$586.40 |
$375.00
|
|
Anastrozole 1 mg
|
$1.79 |
$1.79 |
$1.79 |
$22.40
|
|
An cholangiogram percutaneous compl
|
$4,163.20 |
$4,163.20 |
$4,163.20 |
$2,480.94
|
|
An fluoro guide for cvp
|
$877.60 |
$877.60 |
$877.60 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$11,648.80 |
$11,648.80 |
$11,648.80 |
$5,728.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,559.76 |
$1,559.76 |
$1,559.76 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,871.20 |
$7,871.20 |
$7,871.20 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$11,862.40 |
$11,862.40 |
$11,862.40 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$7,950.40 |
$7,950.40 |
$7,950.40 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$11,399.20 |
$11,399.20 |
$11,399.20 |
$8,359.11
|
|
Ankle X-ray
|
$408.00 |
$408.00 |
$408.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$404.00 |
$404.00 |
$404.00 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$630.96
|
|
Anodyne therapy charges pt
|
$61.60 |
$61.60 |
$61.60 |
$42.00
|
|
Anogenital exam child w imag
|
$320.00 |
$320.00 |
$320.00 |
$277.99
|
|
Anoscopy and biopsy
|
$4,436.80 |
$4,436.80 |
$4,436.80 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$2,108.80 |
$2,108.80 |
$2,108.80 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$2,809.60 |
$2,809.60 |
$2,809.60 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$1,652.80 |
$1,652.80 |
$1,652.80 |
$1,375.98
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$5,017.60 |
$5,017.60 |
$5,017.60 |
$3,816.64
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$16.80 |
$16.80 |
$16.80 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$16.80 |
$16.80 |
$16.80 |
$3.67
|
|
Anti-inhibitor
|
$16.80 |
$16.80 |
$16.80 |
$8.33
|
|
Antithrombin iii injection
|
$16.80 |
$16.80 |
$16.80 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$4,275.68 |
$4,275.68 |
$4,275.68 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,800.11 |
$1,800.11 |
$1,800.11 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$458.40 |
$458.40 |
$458.40 |
$394.55
|
|
Apheresis immunoads slctv
|
$5,686.40 |
$5,686.40 |
$5,686.40 |
$5,794.21
|
|
Apheresis plasma
|
$3,900.80 |
$3,900.80 |
$3,900.80 |
$3,226.34
|
|
Apheresis rbc
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,290.80
|
|
Apheresis wbc
|
$1,959.20 |
$1,959.20 |
$1,959.20 |
$3,347.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,569.60 |
$3,569.60 |
$3,569.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$852.00 |
$852.00 |
$852.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$875.20 |
$875.20 |
$875.20 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,767.20 |
$3,767.20 |
$3,767.20 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$868.00 |
$868.00 |
$868.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$852.00 |
$852.00 |
$852.00 |
$512.20
|
|
Application finger splntstatic 29130
|
$274.40 |
$274.40 |
$274.40 |
$208.50
|
|
Application long leg splint 29505
|
$417.60 |
$417.60 |
$417.60 |
$338.25
|
|
Application lower leg splint 29515
|
$383.20 |
$383.20 |
$383.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$324.80 |
$324.80 |
$324.80 |
$375.06
|
|
Application of forearm cast 29075
|
$356.00 |
$356.00 |
$356.00 |
$358.20
|
|
Application of long arm cast 29065
|
$366.40 |
$366.40 |
$366.40 |
$396.77
|
|
Application of long leg cast 29345
|
$380.00 |
$380.00 |
$380.00 |
$455.00
|
|
Application of paste boot 29580
|
$251.20 |
$251.20 |
$251.20 |
$340.11
|
|
Application short leg cast 29405
|
$424.00 |
$424.00 |
$424.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,618.40 |
$2,618.40 |
$2,618.40 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,521.60 |
$2,521.60 |
$2,521.60 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$289.66 |
$289.66 |
$289.66 |
$981.75
|
|
Appl long leg cast brace
|
$440.80 |
$440.80 |
$440.80 |
$468.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$91.20 |
$91.20 |
$91.20 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$106.40 |
$106.40 |
$106.40 |
$75.98
|
|
Apply finger cast 29086
|
$280.00 |
$280.00 |
$280.00 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$249.60 |
$249.60 |
$249.60 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$275.20 |
$275.20 |
$275.20 |
$271.80
|
|
Apply interstit radiat compl
|
$3,843.20 |
$3,843.20 |
$3,843.20 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$1,269.97
|
|
Apply of finger splint 29131
|
$264.00 |
$264.00 |
$264.00 |
$177.45
|
|
Apply rigid leg cast 29445
|
$428.00 |
$428.00 |
$428.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$380.00 |
$380.00 |
$380.00 |
$404.74
|
|
Apply surf ldr radionuclide
|
$222.40 |
$222.40 |
$222.40 |
$282.80
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$995.12 |
$995.12 |
$995.12 |
$955.43
|
|
Aqmbf pet rest & rx stress
|
$386.40 |
$386.40 |
$386.40 |
$974.40
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$124.80 |
$124.80 |
$124.80 |
$100.75
|
|
Aquatic exercise - group charge
|
$128.00 |
$128.00 |
$128.00 |
$87.45
|
|
Argatroban dialysis (accord)
|
$640.32 |
$640.32 |
$640.32 |
$196.11
|
|
Argatroban dialysis, auromed
|
$511.56 |
$511.56 |
$511.56 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$629.00 |
$629.00 |
$629.00 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$9,101.88 |
$9,101.88 |
$9,101.88 |
$6,387.85
|
|
Arm CT Scan (with contrast, both arms)
|
$2,123.20 |
$2,123.20 |
$2,123.20 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$248.00 |
$248.00 |
$248.00 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,197.05 |
$1,197.05 |
$1,197.05 |
$1,303.25
|
|
Art bypass femoral-femoral 35661
|
$3,454.40 |
$3,454.40 |
$3,454.40 |
$5,291.20
|
|
Art bypass iliofemoral 35665
|
$3,454.40 |
$3,454.40 |
$3,454.40 |
$2,933.07
|
|
Arterial blood draw/perc 36620
|
$710.40 |
$710.40 |
$710.40 |
$478.96
|
|
Artery xray each vessel 7577426
|
$2,569.60 |
$2,569.60 |
$2,569.60 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
$4,618.71
|
|
Artery x-rays arm/leg 75710-26
|
$5,014.40 |
$5,014.40 |
$5,014.40 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,875.20 |
$4,875.20 |
$4,875.20 |
$3,860.40
|
|
Artery x-rays chest
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
$2,895.07
|