|
Amitriptyline (elavil) -sendout
|
$100.10 |
$100.10 |
$100.10 |
$101.17
|
|
Ammonia
|
$99.45 |
$99.45 |
$99.45 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$95.55 |
$95.55 |
$95.55 |
$94.50
|
|
Amphetamines 5 or more
|
$238.55 |
$238.55 |
$238.55 |
$101.40
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$268.58 |
$268.58 |
$268.58 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$105.20 |
$105.20 |
$105.20 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$39.62 |
$39.62 |
$39.62 |
$51.93
|
|
Amputation toe metatarsophalangeal joint
|
$3,038.10 |
$3,038.10 |
$3,038.10 |
$3,777.93
|
|
Amylase
|
$50.05 |
$50.05 |
$50.05 |
$93.00
|
|
Ana ds-dna
|
$79.95 |
$79.95 |
$79.95 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$57.20 |
$57.20 |
$57.20 |
$110.98
|
|
Anal pressure record
|
$1,554.15 |
$1,554.15 |
$1,554.15 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$157.30 |
$157.30 |
$157.30 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$321.10 |
$321.10 |
$321.10 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$33.15 |
$33.15 |
$33.15 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$135.20 |
$135.20 |
$135.20 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$4,901.00 |
$4,901.00 |
$4,901.00 |
$2,626.65
|
|
An fluoro guide for cvp
|
$525.85 |
$525.85 |
$525.85 |
$484.45
|
|
Angiotensin ii
|
$48.75 |
$48.75 |
$48.75 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$6,736.02 |
$6,736.02 |
$6,736.02 |
$6,736.02
|
|
Ankle X-ray
|
$617.50 |
$617.50 |
$617.50 |
$339.44
|
|
Anl sp inf pmp w/mdreprg&fil
|
$618.80 |
$618.80 |
$618.80 |
$693.75
|
|
Annual Physical, Established Patient (age 18-39)
|
$115.70 |
$115.70 |
$115.70 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$115.70 |
$115.70 |
$115.70 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$115.70 |
$115.70 |
$115.70 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$115.70 |
$115.70 |
$115.70 |
$188.15
|
|
Anoscopy control bleeding 46614
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$1,405.05
|
|
Antibody bacterium, not elsewhere specified
|
$61.10 |
$61.10 |
$61.10 |
$57.89
|
|
Antibody elution rbc reference
|
$96.20 |
$96.20 |
$96.20 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$248.30 |
$248.30 |
$248.30 |
$141.74
|
|
Antibody htlv-i
|
$105.30 |
$105.30 |
$105.30 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$208.65 |
$208.65 |
$208.65 |
$220.73
|
|
Antibody id rbc panel
|
$179.40 |
$179.40 |
$179.40 |
$291.75
|
|
Antibody influenza virus
|
$42.90 |
$42.90 |
$42.90 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$154.70 |
$154.70 |
$154.70 |
$53.96
|
|
Antibody screen rbc
|
$60.45 |
$60.45 |
$60.45 |
$105.00
|
|
Antibody tetanus
|
$66.30 |
$66.30 |
$66.30 |
$61.98
|
|
Antidepressant not specified
|
$151.45 |
$151.45 |
$151.45 |
$89.50
|
|
Anti mog serum - sendout
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$54.60 |
$54.60 |
$54.60 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$273.00 |
$273.00 |
$273.00 |
$45.82
|
|
Antinuclear antibodies
|
$82.55 |
$82.55 |
$82.55 |
$91.70
|
|
Antinuclear antibodies titer
|
$98.15 |
$98.15 |
$98.15 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$243.10 |
$243.10 |
$243.10 |
$74.20
|
|
Antistreptolysin o titer
|
$63.05 |
$63.05 |
$63.05 |
$57.96
|
|
Antithrombin iii activity
|
$102.70 |
$102.70 |
$102.70 |
$115.23
|
|
Aortic dysfunction/dilation
|
$4,651.40 |
$4,651.40 |
$4,651.40 |
$653.18
|
|
Apc gene full sequence
|
$2,154.75 |
$2,154.75 |
$2,154.75 |
$1,076.40
|
|
Apc gene known fam variants
|
$820.30 |
$820.30 |
$820.30 |
$308.00
|
|
Apheresis plasma
|
$3,142.75 |
$3,142.75 |
$3,142.75 |
$3,411.50
|
|
Apheresis platelets
|
$3,157.05 |
$3,157.05 |
$3,157.05 |
$2,345.00
|
|
Apheresis rbc
|
$3,049.15 |
$3,049.15 |
$3,049.15 |
$3,348.50
|
|
Apheresis wbc
|
$2,945.80 |
$2,945.80 |
$2,945.80 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$684.45 |
$684.45 |
$684.45 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$947.05 |
$947.05 |
$947.05 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$798.20 |
$798.20 |
$798.20 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$660.40 |
$660.40 |
$660.40 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,721.90 |
$3,721.90 |
$3,721.90 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,373.50 |
$3,373.50 |
$3,373.50 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$508.18
|
|
Application finger splntstatic 29130
|
$269.10 |
$269.10 |
$269.10 |
$216.80
|
|
Application multi layer compression below knee (both sides)
|
$343.20 |
$343.20 |
$343.20 |
$397.00
|
|
Application of paste boot 29580
|
$630.50 |
$630.50 |
$630.50 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,649.05 |
$1,649.05 |
$1,649.05 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,708.20 |
$1,708.20 |
$1,708.20 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.20 |
$70.20 |
$70.20 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$100.75 |
$100.75 |
$100.75 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$171.60 |
$171.60 |
$171.60 |
$339.69
|
|
Apply interstit radiat compl
|
$2,034.50 |
$2,034.50 |
$2,034.50 |
$2,877.50
|
|
Apply rigid leg cast 29445
|
$958.10 |
$958.10 |
$958.10 |
$608.00
|
|
#aptt mix-1:1 incubated
|
$144.95 |
$144.95 |
$144.95 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$345.15 |
$345.15 |
$345.15 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$96.20 |
$96.20 |
$96.20 |
$98.90
|
|
Aquatic exercise - group charge
|
$102.05 |
$102.05 |
$102.05 |
$87.60
|
|
Argatroban nonesrd use 1mg
|
$368.06 |
$368.06 |
$368.06 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$1,649.70 |
$1,649.70 |
$1,649.70 |
$505.60
|
|
Artery xray each vessel 7577426
|
$1,243.45 |
$1,243.45 |
$1,243.45 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$2,032.55 |
$2,032.55 |
$2,032.55 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$3,706.68
|
|
Artery x-rays arm/leg 75710-26
|
$3,099.20 |
$3,099.20 |
$3,099.20 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,090.45 |
$4,090.45 |
$4,090.45 |
$3,844.10
|
|
Artery x-rays chest
|
$1,650.35 |
$1,650.35 |
$1,650.35 |
$2,587.20
|
|
Artery x-rays lung
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$2,921.88
|
|
Artery x-rays lung
|
$2,879.50 |
$2,879.50 |
$2,879.50 |
$2,332.57
|
|
Artery x-rays lungs
|
$3,122.60 |
$3,122.60 |
$3,122.60 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$5,108.35 |
$5,108.35 |
$5,108.35 |
$4,086.49
|
|
Artery x-rays spine
|
$5,108.35 |
$5,108.35 |
$5,108.35 |
$4,306.40
|
|
Arthrd si jt perq/min nvas
|
$45,407.05 |
$45,407.05 |
$45,407.05 |
$17,150.30
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$835.90 |
$835.90 |
$835.90 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$908.70 |
$908.70 |
$908.70 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$696.80 |
$696.80 |
$696.80 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$825.50 |
$825.50 |
$825.50 |
$686.37
|
|
Aspa gene
|
$295.10 |
$295.10 |
$295.10 |
$127.86
|
|
Asp core fat pad
|
$1,561.30 |
$1,561.30 |
$1,561.30 |
$1,214.75
|
|
Asp & inj bone cyst
|
$664.95 |
$664.95 |
$664.95 |
$973.71
|
|
Asp & inj w/heparin pleurx cath
|
$2,133.95 |
$2,133.95 |
$2,133.95 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,223.65 |
$2,223.65 |
$2,223.65 |
$3,162.90
|