|
Amphotericin b lipid complex
|
$337.94 |
$337.94 |
$337.94 |
$270.17
|
|
Ampicillin 1 gram solution for injection
|
$32.01 |
$32.01 |
$32.01 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$32.53 |
$32.53 |
$32.53 |
$51.93
|
|
Amputation toe interphalangeal joint
|
$685.10 |
$685.10 |
$685.10 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$685.10 |
$685.10 |
$685.10 |
$3,777.93
|
|
Amylase
|
$19.50 |
$19.50 |
$19.50 |
$93.00
|
|
Ana ds-dna
|
$175.50 |
$175.50 |
$175.50 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$49.40 |
$49.40 |
$49.40 |
$110.98
|
|
Anal pressure record
|
$1,773.85 |
$1,773.85 |
$1,773.85 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$131.30 |
$131.30 |
$131.30 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$150.15 |
$150.15 |
$150.15 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$807.30 |
$807.30 |
$807.30 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$45.50 |
$45.50 |
$45.50 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$102.70 |
$102.70 |
$102.70 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$4,604.60 |
$4,604.60 |
$4,604.60 |
$2,626.65
|
|
An fluoro guide for cvp
|
$359.45 |
$359.45 |
$359.45 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,372.55 |
$4,372.55 |
$4,372.55 |
$5,799.20
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,036.97 |
$2,036.97 |
$2,036.97 |
$6,736.02
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,537.00 |
$4,537.00 |
$4,537.00 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$12,023.70 |
$12,023.70 |
$12,023.70 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,372.55 |
$4,372.55 |
$4,372.55 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$8,745.10 |
$8,745.10 |
$8,745.10 |
$8,689.20
|
|
Ankle X-ray
|
$578.50 |
$578.50 |
$578.50 |
$339.44
|
|
Annual Physical, Established Patient (age 18-39)
|
$157.30 |
$157.30 |
$157.30 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$157.30 |
$157.30 |
$157.30 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$157.30 |
$157.30 |
$157.30 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$157.30 |
$157.30 |
$157.30 |
$188.15
|
|
Anoscopy control bleeding 46614
|
$3,056.30 |
$3,056.30 |
$3,056.30 |
$1,405.05
|
|
Antibody bacterium, not elsewhere specified
|
$176.15 |
$176.15 |
$176.15 |
$57.89
|
|
Antibody elution rbc reference
|
$94.25 |
$94.25 |
$94.25 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$217.10 |
$217.10 |
$217.10 |
$141.74
|
|
Antibody htlv-i
|
$91.00 |
$91.00 |
$91.00 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$213.20 |
$213.20 |
$213.20 |
$220.73
|
|
Antibody id rbc panel
|
$429.00 |
$429.00 |
$429.00 |
$291.75
|
|
Antibody influenza virus
|
$98.15 |
$98.15 |
$98.15 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$280.15 |
$280.15 |
$280.15 |
$53.96
|
|
Antibody screen rbc
|
$58.50 |
$58.50 |
$58.50 |
$105.00
|
|
Antibody tetanus
|
$118.30 |
$118.30 |
$118.30 |
$61.98
|
|
Antidepressant not specified
|
$169.65 |
$169.65 |
$169.65 |
$89.50
|
|
Anti mog serum - sendout
|
$1,667.25 |
$1,667.25 |
$1,667.25 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$161.20 |
$161.20 |
$161.20 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$152.75 |
$152.75 |
$152.75 |
$45.82
|
|
Antinuclear antibodies
|
$55.25 |
$55.25 |
$55.25 |
$91.70
|
|
Antinuclear antibodies titer
|
$51.35 |
$51.35 |
$51.35 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$107.90 |
$107.90 |
$107.90 |
$74.20
|
|
Antistreptolysin o titer
|
$33.15 |
$33.15 |
$33.15 |
$57.96
|
|
Antithrombin iii activity
|
$28.60 |
$28.60 |
$28.60 |
$115.23
|
|
Aortic dysfunction/dilation
|
$6,117.80 |
$6,117.80 |
$6,117.80 |
$653.18
|
|
Apc gene full sequence
|
$2,835.95 |
$2,835.95 |
$2,835.95 |
$1,076.40
|
|
Apc gene known fam variants
|
$744.90 |
$744.90 |
$744.90 |
$308.00
|
|
Apheresis plasma
|
$2,046.20 |
$2,046.20 |
$2,046.20 |
$3,411.50
|
|
Apheresis platelets
|
$2,054.65 |
$2,054.65 |
$2,054.65 |
$2,345.00
|
|
Apheresis rbc
|
$1,985.75 |
$1,985.75 |
$1,985.75 |
$3,348.50
|
|
Apheresis wbc
|
$1,678.30 |
$1,678.30 |
$1,678.30 |
$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
|
$514.15 |
$514.15 |
$514.15 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$433.55 |
$433.55 |
$433.55 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$366.60 |
$366.60 |
$366.60 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$391.95 |
$391.95 |
$391.95 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$433.55 |
$433.55 |
$433.55 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$325.00 |
$325.00 |
$325.00 |
$508.18
|
|
Application finger splntstatic 29130
|
$334.10 |
$334.10 |
$334.10 |
$216.80
|
|
Application multi layer compression below knee (both sides)
|
$539.50 |
$539.50 |
$539.50 |
$397.00
|
|
Application of forearm cast 29075
|
$241.80 |
$241.80 |
$241.80 |
$379.20
|
|
Application of long arm cast 29065
|
$241.80 |
$241.80 |
$241.80 |
$404.63
|
|
Application of paste boot 29580
|
$539.50 |
$539.50 |
$539.50 |
$331.74
|
|
Application short leg cast 29405
|
$609.70 |
$609.70 |
$609.70 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$310.70 |
$310.70 |
$310.70 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$308.10 |
$308.10 |
$308.10 |
$2,120.95
|
|
Applicator tag rfid localizer 12gx7cm
|
$75.87 |
$75.87 |
$75.87 |
$168.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$28.60 |
$28.60 |
$28.60 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$89.70 |
$89.70 |
$89.70 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$735.80 |
$735.80 |
$735.80 |
$339.69
|
|
Apply finger cast 29086
|
$144.30 |
$144.30 |
$144.30 |
$225.29
|
|
Apply hand/wrist cast 29085
|
$279.50 |
$279.50 |
$279.50 |
$272.46
|
|
Apply rigid leg cast 29445
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$608.00
|
|
Apply short leg castambul type 29425
|
$592.80 |
$592.80 |
$592.80 |
$408.75
|
|
#aptt mix-1:1 incubated
|
$165.10 |
$165.10 |
$165.10 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$480.35 |
$480.35 |
$480.35 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$100.75 |
$100.75 |
$100.75 |
$98.90
|
|
Aquatic exercise - group charge
|
$53.95 |
$53.95 |
$53.95 |
$87.60
|
|
Arterial blood draw/perc 36620
|
$378.95 |
$378.95 |
$378.95 |
$505.60
|
|
Artery x-rays adrenals
|
$6,672.25 |
$6,672.25 |
$6,672.25 |
$3,706.68
|
|
Arthrd si jt perq/min nvas
|
$34,563.10 |
$34,563.10 |
$34,563.10 |
$17,150.30
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$975.00 |
$975.00 |
$975.00 |
$567.78
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,426.10 |
$1,426.10 |
$1,426.10 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$877.50 |
$877.50 |
$877.50 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$698.58
|
|
Aspa gene
|
$403.65 |
$403.65 |
$403.65 |
$127.86
|
|
Asp core fat pad
|
$315.90 |
$315.90 |
$315.90 |
$1,214.75
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,377.40 |
$3,377.40 |
$3,377.40 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$492.70 |
$492.70 |
$492.70 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$2,440.10 |
$2,440.10 |
$2,440.10 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,153.75 |
$1,153.75 |
$1,153.75 |
$1,273.63
|
|
Aspir/inj thyroid cyst 60300
|
$1,141.40 |
$1,141.40 |
$1,141.40 |
$833.29
|
|
Asp pq spinal cord cyst/syrinx
|
$5,269.55 |
$5,269.55 |
$5,269.55 |
$1,133.00
|
|
Assay dir meas fr estradiol
|
$706.55 |
$706.55 |
$706.55 |
$76.80
|
|
Assay myeloperoxidase
|
$186.55 |
$186.55 |
$186.55 |
$84.19
|
|
Assay of adp & amp
|
$162.50 |
$162.50 |
$162.50 |
$127.40
|
|
Assay of blood lipoprotein
|
$73.45 |
$73.45 |
$73.45 |
$27.20
|
