|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$1.27 |
$1.27 |
$1.27 |
$37.33
|
|
Aminolevulinic acid, 10% gel
|
$297.18 |
$297.18 |
$297.18 |
$1.81
|
|
Aminolevulinic acid delta
|
$74.10 |
$74.10 |
$74.10 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$613.42 |
$613.42 |
$613.42 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$5.15 |
$5.15 |
$5.15 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$1,696.68 |
$1,696.68 |
$1,696.68 |
$9,084.45
|
|
Ammonia
|
$65.65 |
$65.65 |
$65.65 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$2,263.95 |
$2,263.95 |
$2,263.95 |
$942.60
|
|
Amniocentesis therapeutic
|
$791.05 |
$791.05 |
$791.05 |
$791.05
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,786.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$744.84 |
$744.84 |
$744.84 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$210.15 |
$210.15 |
$210.15 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$170.37 |
$170.37 |
$170.37 |
$54.57
|
|
Amp metatarsal w/toe single 28810
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$3,986.00
|
|
Amp thigh through femur re-amp 27596
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
$3,494.40
|
|
Amputate hand at wrist
|
$2,347.80 |
$2,347.80 |
$2,347.80 |
$3,342.87
|
|
Amputate leg at thigh
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,854.80
|
|
Amputate metacarpal bone 26910
|
$2,025.40 |
$2,025.40 |
$2,025.40 |
$3,839.54
|
|
Amputate thigh through femur 27590
|
$3,852.55 |
$3,852.55 |
$3,852.55 |
$3,370.00
|
|
Amputation follow-up surgery
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$3,839.54
|
|
Amputation follow-up surgery
|
$1,895.40 |
$1,895.40 |
$1,895.40 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$7,413.38
|
|
Amputation leg thr tib/fib 27880
|
$3,996.20 |
$3,996.20 |
$3,996.20 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$1,506.60
|
|
Amputation of foot at ankle
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$1,240.80
|
|
Amputation of forearm
|
$2,498.60 |
$2,498.60 |
$2,498.60 |
$7,413.38
|
|
Amputation of leg at hip
|
$5,111.60 |
$5,111.60 |
$5,111.60 |
$6,192.00
|
|
Amputation of lower leg
|
$2,545.40 |
$2,545.40 |
$2,545.40 |
$2,545.40
|
|
Amputation of lower leg
|
$3,502.20 |
$3,502.20 |
$3,502.20 |
$3,342.87
|
|
Amputation of midtarsal 28800
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$2,285.40
|
|
Amputation of upper arm
|
$2,646.80 |
$2,646.80 |
$2,646.80 |
$2,646.80
|
|
Amputation of upper arm
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$13,116.76
|
|
Amputation thru metatarsal
|
$3,304.60 |
$3,304.60 |
$3,304.60 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$9,641.45 |
$9,641.45 |
$9,641.45 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$3,839.54
|
|
Amylase
|
$29.25 |
$29.25 |
$29.25 |
$90.00
|
|
Ana ds-dna
|
$54.60 |
$54.60 |
$54.60 |
$55.24
|
|
Anal/urinary muscle study
|
$682.50 |
$682.50 |
$682.50 |
$407.00
|
|
Anal/urinary muscle study
|
$437.45 |
$437.45 |
$437.45 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$411.45 |
$411.45 |
$411.45 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$294.45 |
$294.45 |
$294.45 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$328.90 |
$328.90 |
$328.90 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$208.65 |
$208.65 |
$208.65 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$411.45 |
$411.45 |
$411.45 |
$375.00
|
|
Anastamo/extrahep bil duct/gi trac 47760
|
$9,963.20 |
$9,963.20 |
$9,963.20 |
$5,524.80
|
|
Anastamo/roux-en-y/extrahep bil/gi 47780
|
$11,003.20 |
$11,003.20 |
$11,003.20 |
$6,068.00
|
|
Anastomosis of facial/other nerve 64868
|
$3,874.00 |
$3,874.00 |
$3,874.00 |
$2,004.60
|
|
Anca screen with reflex to titer -quest
|
$67.60 |
$67.60 |
$67.60 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$2,480.94
|
|
An fluoro guide for cvp
|
$643.50 |
$643.50 |
$643.50 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$10,547.55 |
$10,547.55 |
$10,547.55 |
$5,728.50
|
|
Angiotensin ii
|
$92.30 |
$92.30 |
$92.30 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,263.33 |
$1,263.33 |
$1,263.33 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,683.90 |
$4,683.90 |
$4,683.90 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,512.60 |
$3,512.60 |
$3,512.60 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$8,359.11
|
|
Anidulafungin injection
|
$446.69 |
$446.69 |
$446.69 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$2,514.20 |
$2,514.20 |
$2,514.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,670.20 |
$2,670.20 |
$2,670.20 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,428.40 |
$2,428.40 |
$2,428.40 |
$3,839.54
|
|
Ankle X-ray
|
$443.95 |
$443.95 |
$443.95 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$436.80 |
$436.80 |
$436.80 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$257.40 |
$257.40 |
$257.40 |
$630.96
|
|
Annual alcohol screen 15 min
|
$133.90 |
$133.90 |
$133.90 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$455.00 |
$455.00 |
$455.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$494.00 |
$494.00 |
$494.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$499.20 |
$499.20 |
$499.20 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$605.80 |
$605.80 |
$605.80 |
$167.25
|
|
Anodyne therapy charges pt
|
$16.90 |
$16.90 |
$16.90 |
$42.00
|
|
Anora (draw only)
|
$38.35 |
$38.35 |
$38.35 |
$35.00
|
|
Anoscopy
|
$338.00 |
$338.00 |
$338.00 |
$1,278.72
|
|
Anoscopy ablation lesion 46615
|
$390.00 |
$390.00 |
$390.00 |
$3,245.23
|
|
Anoscopy and biopsy
|
$343.20 |
$343.20 |
$343.20 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$267.80 |
$267.80 |
$267.80 |
$1,645.43
|
|
Anoscopy control bleeding 46614
|
$260.00 |
$260.00 |
$260.00 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$332.80 |
$332.80 |
$332.80 |
$3,816.64
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$2,410.85 |
$2,410.85 |
$2,410.85 |
$3,816.64
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$5,841.60
|
|
Antibody bacterium, not elsewhere specified
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Antibody elution rbc reference
|
$768.30 |
$768.30 |
$768.30 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$87.10 |
$87.10 |
$87.10 |
$131.56
|
|
Antibody htlv-i
|
$40.95 |
$40.95 |
$40.95 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$82.55 |
$82.55 |
$82.55 |
$224.00
|
|
Antibody id rbc panel
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$291.75
|
|
Antibody influenza virus
|
$60.45 |
$60.45 |
$60.45 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$57.85 |
$57.85 |
$57.85 |
$46.58
|
|
Antibody screen rbc
|
$43.55 |
$43.55 |
$43.55 |
$108.55
|
|
Antibody tetanus
|
$66.30 |
$66.30 |
$66.30 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$51.35 |
$51.35 |
$51.35 |
$26.40
|
|
Antidepressant not specified
|
$23.40 |
$23.40 |
$23.40 |
$72.14
|
|
Antigen therapy services
|
$89.70 |
$89.70 |
$89.70 |
$73.84
|
|
Antigen therapy services
|
$89.70 |
$89.70 |
$89.70 |
$83.72
|
