|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$23.31 |
$23.31 |
$23.31 |
$36.30
|
|
Amino acid screen, urine
|
$214.25 |
$214.25 |
$214.25 |
$64.28
|
|
Amino acids quant 2-5
|
$141.35 |
$141.35 |
$141.35 |
$141.00
|
|
Aminolevulinic acid delta
|
$252.43 |
$252.43 |
$252.43 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$21.83 |
$21.83 |
$21.83 |
$41.59
|
|
Amiodarone 50 mg/ml intravenous solution
|
$36.70 |
$36.70 |
$36.70 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$174.08 |
$174.08 |
$174.08 |
$101.17
|
|
Ammonia
|
$85.80 |
$85.80 |
$85.80 |
$120.90
|
|
Amniocentesisdiagnostic 59000
|
$508.83 |
$508.83 |
$508.83 |
$942.60
|
|
Amniotic fluid scan
|
$69.93 |
$69.93 |
$69.93 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$19.84 |
$19.84 |
$19.84 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$424.91 |
$424.91 |
$424.91 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$32.74 |
$32.74 |
$32.74 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$18.85 |
$18.85 |
$18.85 |
$51.93
|
|
Amylase
|
$113.57 |
$113.57 |
$113.57 |
$93.00
|
|
Ana ds-dna
|
$102.66 |
$102.66 |
$102.66 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$278.22 |
$278.22 |
$278.22 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$231.11 |
$231.11 |
$231.11 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$295.08 |
$295.08 |
$295.08 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$2,183.09 |
$2,183.09 |
$2,183.09 |
$2,626.65
|
|
Androstanediol
|
$386.83 |
$386.83 |
$386.83 |
$98.58
|
|
An fluoro guide for cvp
|
$433.45 |
$433.45 |
$433.45 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,162.06 |
$3,162.06 |
$3,162.06 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$7,743.96 |
$7,743.96 |
$7,743.96 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,251.62 |
$4,251.62 |
$4,251.62 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,341.58 |
$3,341.58 |
$3,341.58 |
$6,513.10
|
|
Angiotensin ii
|
$129.94 |
$129.94 |
$129.94 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,792.09 |
$2,792.09 |
$2,792.09 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$9,357.71 |
$9,357.71 |
$9,357.71 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,820.36 |
$2,820.36 |
$2,820.36 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$3,863.30 |
$3,863.30 |
$3,863.30 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,820.36 |
$2,820.36 |
$2,820.36 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$3,863.30 |
$3,863.30 |
$3,863.30 |
$8,689.20
|
|
Antibody bacterium, not elsewhere specified
|
$840.61 |
$840.61 |
$840.61 |
$57.89
|
|
Antibody elution rbc reference
|
$117.54 |
$117.54 |
$117.54 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$199.37 |
$199.37 |
$199.37 |
$141.74
|
|
Antibody htlv-ii
|
$35.22 |
$35.22 |
$35.22 |
$35.22
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$277.73 |
$277.73 |
$277.73 |
$220.73
|
|
Antibody id rbc panel
|
$251.44 |
$251.44 |
$251.44 |
$291.75
|
|
Antibody influenza virus
|
$148.29 |
$148.29 |
$148.29 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$76.87 |
$76.87 |
$76.87 |
$53.96
|
|
Antibody screen rbc
|
$107.62 |
$107.62 |
$107.62 |
$105.00
|
|
Antibody tetanus
|
$131.92 |
$131.92 |
$131.92 |
$61.98
|
|
Antidepressant not specified
|
$204.82 |
$204.82 |
$204.82 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5.46 |
$5.46 |
$5.46 |
$3.12
|
|
Anti mog serum - sendout
|
$132.91 |
$132.91 |
$132.91 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$12.40 |
$12.40 |
$12.40 |
$50.88
|
|
Antinuclear antibodies
|
$57.53 |
$57.53 |
$57.53 |
$91.70
|
|
Antinuclear antibodies titer
|
$61.50 |
$61.50 |
$61.50 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$127.96 |
$127.96 |
$127.96 |
$74.20
|
|
Antistreptolysin o screen
|
$51.58 |
$51.58 |
$51.58 |
$59.40
|
|
Antistreptolysin o titer
|
$55.55 |
$55.55 |
$55.55 |
$57.96
|
|
Antithrombin iii activity
|
$226.15 |
$226.15 |
$226.15 |
$115.23
|
|
Aortic dysfunction/dilation
|
$991.87 |
$991.87 |
$991.87 |
$653.18
|
|
Aortic dysfunction/dilation
|
$991.87 |
$991.87 |
$991.87 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$381.87 |
$381.87 |
$381.87 |
$400.00
|
|
Apc gene full sequence
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$1,076.40
|
|
Apl(pml-rara) quant - sendout
|
$427.00 |
$427.00 |
$427.00 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,144.61 |
$1,144.61 |
$1,144.61 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$571.81 |
$571.81 |
$571.81 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$571.81 |
$571.81 |
$571.81 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,157.80 |
$2,157.80 |
$2,157.80 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,078.65 |
$1,078.65 |
$1,078.65 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$571.81 |
$571.81 |
$571.81 |
$508.18
|
|
Application finger splntstatic 29130
|
$146.80 |
$146.80 |
$146.80 |
$216.80
|
|
Application long leg splint 29505
|
$173.08 |
$173.08 |
$173.08 |
$340.80
|
|
Application lower leg splint 29515
|
$325.34 |
$325.34 |
$325.34 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$102.66 |
$102.66 |
$102.66 |
$397.00
|
|
Application of long leg cast
|
$107.62 |
$107.62 |
$107.62 |
$406.75
|
|
Application of long leg cast 29345
|
$107.62 |
$107.62 |
$107.62 |
$511.68
|
|
Application of paste boot 29580
|
$96.71 |
$96.71 |
$96.71 |
$331.74
|
|
Application short leg cast 29405
|
$119.03 |
$119.03 |
$119.03 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,144.61 |
$1,144.61 |
$1,144.61 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,144.61 |
$1,144.61 |
$1,144.61 |
$2,120.95
|
|
Appl multlay comprs arm/hand
|
$102.66 |
$102.66 |
$102.66 |
$339.69
|
|
Apply interstit radiat compl
|
$2,126.06 |
$2,126.06 |
$2,126.06 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$836.14 |
$836.14 |
$836.14 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$588.67 |
$588.67 |
$588.67 |
$1,338.48
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$368.48 |
$368.48 |
$368.48 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$132.91 |
$132.91 |
$132.91 |
$114.20
|
|
Argatroban nonesrd use 1mg
|
$466.68 |
$466.68 |
$466.68 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$4,369.65 |
$4,369.65 |
$4,369.65 |
$6,920.52
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,238.34 |
$1,238.34 |
$1,238.34 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$409.64 |
$409.64 |
$409.64 |
$505.60
|
|
Artery xray each vessel 7577426
|
$1,551.77 |
$1,551.77 |
$1,551.77 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$3,268.68 |
$3,268.68 |
$3,268.68 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$2,332.37 |
$2,332.37 |
$2,332.37 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$3,513.67 |
$3,513.67 |
$3,513.67 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,778.00 |
$3,778.00 |
$3,778.00 |
$3,844.10
|
|
Artery x-rays chest
|
$1,381.17 |
$1,381.17 |
$1,381.17 |
$2,587.20
|
|
Artery x-rays lung
|
$2,569.92 |
$2,569.92 |
$2,569.92 |
$2,921.88
|
|
Artery x-rays lung
|
$1,920.74 |
$1,920.74 |
$1,920.74 |
$2,332.57
|
|
Artery x-rays lungs
|
$2,595.21 |
$2,595.21 |
$2,595.21 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$1,866.19 |
$1,866.19 |
$1,866.19 |
$4,086.49
|
|
Artery x-rays spine
|
$3,268.68 |
$3,268.68 |
$3,268.68 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$433.94 |
$433.94 |
$433.94 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$615.95 |
$615.95 |
$615.95 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$701.75 |
$701.75 |
$701.75 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$412.62 |
$412.62 |
$412.62 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$535.61 |
$535.61 |
$535.61 |
$698.58
|