|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$125.09 |
$125.09 |
$125.09 |
$179.86
|
|
Amiodarone 50 mg/ml intravenous solution
|
$23.56 |
$23.56 |
$23.56 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$144.30 |
$144.30 |
$144.30 |
$100.10
|
|
Ammonia
|
$244.40 |
$244.40 |
$244.40 |
$122.50
|
|
Amniocentesisdiagnostic 59000
|
$783.90 |
$783.90 |
$783.90 |
$963.79
|
|
Amniocentesis therapeutic
|
$914.55 |
$914.55 |
$914.55 |
$780.00
|
|
Amphetamine confirm urine -sendout
|
$89.05 |
$89.05 |
$89.05 |
$94.50
|
|
Amphetamines 5 or more
|
$352.30 |
$352.30 |
$352.30 |
$88.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$135.78 |
$135.78 |
$135.78 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$268.58 |
$268.58 |
$268.58 |
$352.88
|
|
Ampicillin 1 gram solution for injection
|
$42.54 |
$42.54 |
$42.54 |
$66.16
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$96.95 |
$96.95 |
$96.95 |
$55.45
|
|
Amputation toe interphalangeal joint
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$3,839.54
|
|
Amputation toe metatarsophalangeal joint
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$3,777.93
|
|
Amylase
|
$76.05 |
$76.05 |
$76.05 |
$91.00
|
|
Ana ds-dna
|
$217.10 |
$217.10 |
$217.10 |
$62.33
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$70.20 |
$70.20 |
$70.20 |
$117.01
|
|
Anal pressure record
|
$984.75 |
$984.75 |
$984.75 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$242.45 |
$242.45 |
$242.45 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$204.75 |
$204.75 |
$204.75 |
$222.30
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$520.65 |
$520.65 |
$520.65 |
$394.55
|
|
Anaplsma phgcytophlm amp prb
|
$33.15 |
$33.15 |
$33.15 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$120.90 |
$120.90 |
$120.90 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$3,685.50 |
$3,685.50 |
$3,685.50 |
$2,503.88
|
|
An fluoro guide for cvp
|
$284.70 |
$284.70 |
$284.70 |
$504.46
|
|
Angioplasty fem/pop unilat 37224
|
$17,581.20 |
$17,581.20 |
$17,581.20 |
$9,470.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$17,299.10 |
$17,299.10 |
$17,299.10 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,107.95 |
$2,107.95 |
$2,107.95 |
$6,472.81
|
|
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
|
|
Angio tib/peroneal/init ves/unila 37228
|
$18,391.10 |
$18,391.10 |
$18,391.10 |
$13,199.34
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,075.20 |
$5,075.20 |
$5,075.20 |
$5,500.00
|
|
Angio trnslmnl balloon same artery ini
|
$6,723.60 |
$6,723.60 |
$6,723.60 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,890.60 |
$4,890.60 |
$4,890.60 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$4,890.60 |
$4,890.60 |
$4,890.60 |
$8,630.79
|
|
Ankle X-ray
|
$481.00 |
$481.00 |
$481.00 |
$350.85
|
|
Anl sp inf pmp w/mdreprg&fil
|
$728.65 |
$728.65 |
$728.65 |
$693.75
|
|
Annual Physical, Established Patient (age 18-39)
|
$83.20 |
$83.20 |
$83.20 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$83.20 |
$83.20 |
$83.20 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$83.20 |
$83.20 |
$83.20 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$83.20 |
$83.20 |
$83.20 |
$188.15
|
|
Anoscopy control bleeding 46614
|
$3,599.05 |
$3,599.05 |
$3,599.05 |
$1,652.40
|
|
Antibody bacterium, not elsewhere specified
|
$100.10 |
$100.10 |
$100.10 |
$57.85
|
|
Antibody elution rbc reference
|
$701.35 |
$701.35 |
$701.35 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$203.45 |
$203.45 |
$203.45 |
$141.26
|
|
Antibody htlv-i
|
$51.35 |
$51.35 |
$51.35 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$371.15 |
$371.15 |
$371.15 |
$218.30
|
|
Antibody id rbc panel
|
$404.95 |
$404.95 |
$404.95 |
$291.75
|
|
Antibody influenza virus
|
$42.90 |
$42.90 |
$42.90 |
$53.60
|
|
Antibody lymphocytic choriomeningitis
|
$156.00 |
$156.00 |
$156.00 |
$53.96
|
|
Antibody screen rbc
|
$14.30 |
$14.30 |
$14.30 |
$105.00
|
|
Antibody tetanus
|
$53.95 |
$53.95 |
$53.95 |
$58.50
|
|
Antidepressant not specified
|
$219.70 |
$219.70 |
$219.70 |
$89.50
|
|
Anti-inhibitor
|
$14,073.93 |
$14,073.93 |
$14,073.93 |
$6.73
|
|
Anti mog serum - sendout
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$150.00
|
|
Antinuclear antibodies
|
$96.20 |
$96.20 |
$96.20 |
$91.85
|
|
Antinuclear antibodies titer
|
$67.60 |
$67.60 |
$67.60 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$150.80 |
$150.80 |
$150.80 |
$72.15
|
|
Antistreptolysin o titer
|
$16.90 |
$16.90 |
$16.90 |
$57.96
|
|
Antithrombin iii activity
|
$363.35 |
$363.35 |
$363.35 |
$107.67
|
|
Aortic dysfunction/dilation
|
$7,155.20 |
$7,155.20 |
$7,155.20 |
$653.18
|
|
Apc gene full sequence
|
$3,316.30 |
$3,316.30 |
$3,316.30 |
$1,076.40
|
|
Apc gene known fam variants
|
$827.45 |
$827.45 |
$827.45 |
$308.00
|
|
Apheresis plasma
|
$2,156.05 |
$2,156.05 |
$2,156.05 |
$3,498.41
|
|
Apheresis platelets
|
$2,167.10 |
$2,167.10 |
$2,167.10 |
$2,302.65
|
|
Apheresis rbc
|
$2,092.35 |
$2,092.35 |
$2,092.35 |
$3,348.50
|
|
Apheresis wbc
|
$2,117.70 |
$2,117.70 |
$2,117.70 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$795.60 |
$795.60 |
$795.60 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$672.10 |
$672.10 |
$672.10 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$557.05 |
$557.05 |
$557.05 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$609.05 |
$609.05 |
$609.05 |
$3,271.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$672.10 |
$672.10 |
$672.10 |
$1,242.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$504.40 |
$504.40 |
$504.40 |
$508.18
|
|
Application finger splntstatic 29130
|
$354.90 |
$354.90 |
$354.90 |
$226.20
|
|
Application multi layer compression below knee (both sides)
|
$765.70 |
$765.70 |
$765.70 |
$393.75
|
|
Application of forearm cast 29075
|
$520.00 |
$520.00 |
$520.00 |
$386.10
|
|
Application of long arm cast 29065
|
$520.00 |
$520.00 |
$520.00 |
$414.20
|
|
Application of paste boot 29580
|
$764.40 |
$764.40 |
$764.40 |
$331.74
|
|
Application short leg cast 29405
|
$661.70 |
$661.70 |
$661.70 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$473.20 |
$473.20 |
$473.20 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$467.35 |
$467.35 |
$467.35 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$44.85 |
$44.85 |
$44.85 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.00 |
$52.00 |
$52.00 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$609.70 |
$609.70 |
$609.70 |
$339.69
|
|
Apply finger cast 29086
|
$325.00 |
$325.00 |
$325.00 |
$238.15
|
|
Apply hand/wrist cast 29085
|
$312.00 |
$312.00 |
$312.00 |
$275.80
|
|
Apply interstit radiat compl
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
$2,877.50
|
|
Apply rigid leg cast 29445
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$593.57
|
|
Apply short leg castambul type 29425
|
$643.50 |
$643.50 |
$643.50 |
$426.40
|
|
#aptt mix-1:1 incubated
|
$117.00 |
$117.00 |
$117.00 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$76.70 |
$76.70 |
$76.70 |
$100.00
|
|
Aquatic exercise - group charge
|
$55.25 |
$55.25 |
$55.25 |
$91.87
|
|
Argatroban nonesrd use 1mg
|
$383.14 |
$383.14 |
$383.14 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$415.35 |
$415.35 |
$415.35 |
$496.47
|
|
Artery xray each vessel 7577426
|
$975.00 |
$975.00 |
$975.00 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$4,004.65 |
$4,004.65 |
$4,004.65 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$3,439.84
|
|
Artery x-rays adrenals
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$3,483.84
|
