|
Amylase
|
$42.00 |
$42.00 |
$42.00 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$1,191.60 |
$1,191.60 |
$1,191.60 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$40.80 |
$40.80 |
$40.80 |
$85.80
|
|
Anastrozole 1 mg
|
$18.00 |
$18.00 |
$18.00 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$90.60 |
$90.60 |
$90.60 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$2,480.94
|
|
An fluoro guide for cvp
|
$215.40 |
$215.40 |
$215.40 |
$525.85
|
|
Angioplasty fem/pop unilat 37224
|
$8,013.00 |
$8,013.00 |
$8,013.00 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$8,013.00 |
$8,013.00 |
$8,013.00 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,635.80 |
$2,635.80 |
$2,635.80 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$8,141.60 |
$8,141.60 |
$8,141.60 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$17,079.00 |
$17,079.00 |
$17,079.00 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,139.60 |
$8,139.60 |
$8,139.60 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$8,139.60 |
$8,139.60 |
$8,139.60 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$9,959.40 |
$9,959.40 |
$9,959.40 |
$8,359.11
|
|
Ankle X-ray
|
$258.00 |
$258.00 |
$258.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$225.60 |
$225.60 |
$225.60 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$912.00 |
$912.00 |
$912.00 |
$630.96
|
|
Anora (draw only)
|
$32.40 |
$32.40 |
$32.40 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$54.60 |
$54.60 |
$54.60 |
$57.85
|
|
Antibody elution rbc reference
|
$109.20 |
$109.20 |
$109.20 |
$177.29
|
|
Antibody htlv-i
|
$64.20 |
$64.20 |
$64.20 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$677.40 |
$677.40 |
$677.40 |
$224.00
|
|
Antibody id rbc panel
|
$181.80 |
$181.80 |
$181.80 |
$291.75
|
|
Antibody influenza virus
|
$54.60 |
$54.60 |
$54.60 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$66.00 |
$66.00 |
$66.00 |
$46.58
|
|
Antibody screen rbc
|
$239.40 |
$239.40 |
$239.40 |
$108.55
|
|
Antibody tetanus
|
$112.80 |
$112.80 |
$112.80 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$6.10
|
|
Anti mog serum - sendout
|
$114.60 |
$114.60 |
$114.60 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$90.60 |
$90.60 |
$90.60 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$90.60 |
$90.60 |
$90.60 |
$42.00
|
|
Antinuclear antibodies
|
$81.00 |
$81.00 |
$81.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$36.60 |
$36.60 |
$36.60 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$42.00 |
$42.00 |
$42.00 |
$67.43
|
|
Antistreptolysin o screen
|
$30.60 |
$30.60 |
$30.60 |
$58.56
|
|
Antithrombin iii activity
|
$94.80 |
$94.80 |
$94.80 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$248.40 |
$248.40 |
$248.40 |
$394.55
|
|
Apc gene dup/delet variants
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$462.00
|
|
Apl(pml-rara) quant - sendout
|
$790.80 |
$790.80 |
$790.80 |
$513.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$550.80 |
$550.80 |
$550.80 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,441.60 |
$3,441.60 |
$3,441.60 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$2,569.80 |
$2,569.80 |
$2,569.80 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$345.00 |
$345.00 |
$345.00 |
$512.20
|
|
Application finger splntstatic 29130
|
$155.40 |
$155.40 |
$155.40 |
$208.50
|
|
Application long leg splint 29505
|
$226.20 |
$226.20 |
$226.20 |
$338.25
|
|
Application lower leg splint 29515
|
$226.20 |
$226.20 |
$226.20 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$554.40 |
$554.40 |
$554.40 |
$375.06
|
|
Application of paste boot 29580
|
$771.60 |
$771.60 |
$771.60 |
$340.11
|
|
Application short leg cast 29405
|
$316.80 |
$316.80 |
$316.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,325.40 |
$1,325.40 |
$1,325.40 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,325.40 |
$1,325.40 |
$1,325.40 |
$2,164.64
|
|
Apply forearm splintdynamic 29126
|
$244.80 |
$244.80 |
$244.80 |
$255.20
|
|
Apply rigid leg cast 29445
|
$394.80 |
$394.80 |
$394.80 |
$555.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$114.60 |
$114.60 |
$114.60 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$114.60 |
$114.60 |
$114.60 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$114.60 |
$114.60 |
$114.60 |
$150.00
|
|
Aquatic exercise - group charge
|
$66.60 |
$66.60 |
$66.60 |
$87.45
|
|
Arformoterol non-comp unit
|
$27.20 |
$27.20 |
$27.20 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$22.20 |
$22.20 |
$22.20 |
$881.10
|
|
Arm CT Scan (with contrast, both arms)
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,088.40 |
$1,088.40 |
$1,088.40 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$426.60 |
$426.60 |
$426.60 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$104.40 |
$104.40 |
$104.40 |
$478.96
|
|
Artery x-rays arm/leg 75710-26
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$3,860.40
|
|
Artery xrays of pelvis 75736 26
|
$3,606.00 |
$3,606.00 |
$3,606.00 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$379.80 |
$379.80 |
$379.80 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$242.40 |
$242.40 |
$242.40 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$656.40 |
$656.40 |
$656.40 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$379.80 |
$379.80 |
$379.80 |
$494.40
|
|
Ascenda two piece catheter
|
$28,797.60 |
$28,797.60 |
$28,797.60 |
$22,792.00
|
|
Asp core fat pad
|
$256.80 |
$256.80 |
$256.80 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$858.60 |
$858.60 |
$858.60 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$817.20 |
$817.20 |
$817.20 |
$431.20
|
|
Aspir/inj thyroid cyst 60300
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$872.50
|
|
Assay dir meas fr estradiol
|
$76.80 |
$76.80 |
$76.80 |
$68.00
|
|
Assay of feces porphyrins
|
$166.20 |
$166.20 |
$166.20 |
$134.38
|
|
Assay of fluoride
|
$112.80 |
$112.80 |
$112.80 |
$96.85
|
|
Assay of glutathione
|
$57.00 |
$57.00 |
$57.00 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$94.80 |
$94.80 |
$94.80 |
$79.00
|
|
Assay of lrh hormone
|
$939.00 |
$939.00 |
$939.00 |
$187.00
|
|
Assay of osteocalcin
|
$169.20 |
$169.20 |
$169.20 |
$93.60
|
|
Assay of prostaglandin
|
$173.40 |
$173.40 |
$173.40 |
$230.00
|
|
Assay of sialic acid
|
$138.60 |
$138.60 |
$138.60 |
$92.50
|
|
Assay of somatostatin
|
$232.20 |
$232.20 |
$232.20 |
$170.50
|
|
Assay of urine sulfate
|
$15.60 |
$15.60 |
$15.60 |
$28.20
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$41.40 |
$41.40 |
$41.40 |
$46.80
|
|
Ast/sgot
|
$22.20 |
$22.20 |
$22.20 |
$45.90
|
|
Athrectomy fem/pop/unilateral 37225
|
$16,973.40 |
$16,973.40 |
$16,973.40 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$83,793.60 |
$83,793.60 |
$83,793.60 |
$15,188.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.80 |
$0.80 |
$0.80 |
$53.24
|
|
Autologous blood process
|
$253.80 |
$253.80 |
$253.80 |
$266.75
|
|
Avelumab 20 mg/ml intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$265.80 |
$265.80 |
$265.80 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$4.40 |
$4.40 |
$4.40 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$63.20 |
$63.20 |
$63.20 |
$37.53
|
