|
Amantadine (symmetrel)-sendout
|
$67.41 |
$67.41 |
$67.41 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$33.94 |
$33.94 |
$33.94 |
$36.30
|
|
Amino acid screen, urine
|
$10.92 |
$10.92 |
$10.92 |
$77.00
|
|
Aminolevulinic acid delta
|
$60.90 |
$60.90 |
$60.90 |
$76.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$18.13 |
$18.13 |
$18.13 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$56.31 |
$56.31 |
$56.31 |
$60.61
|
|
Amitriptyline (elavil) -sendout
|
$67.41 |
$67.41 |
$67.41 |
$92.50
|
|
Ammonia
|
$85.05 |
$85.05 |
$85.05 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$332.85 |
$332.85 |
$332.85 |
$943.50
|
|
Amniocentesis therapeutic
|
$662.97 |
$662.97 |
$662.97 |
$770.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$869.19 |
$869.19 |
$869.19 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$67.41 |
$67.41 |
$67.41 |
$93.61
|
|
Amphetamines 5 or more
|
$67.41 |
$67.41 |
$67.41 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$55.30 |
$55.30 |
$55.30 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$295.78 |
$295.78 |
$295.78 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$100.50 |
$100.50 |
$100.50 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$81.60 |
$81.60 |
$81.60 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$165.69 |
$165.69 |
$165.69 |
$262.99
|
|
Amylase
|
$72.87 |
$72.87 |
$72.87 |
$85.65
|
|
Anabolic steroid 1 or 2
|
$67.41 |
$67.41 |
$67.41 |
$80.08
|
|
Ana ds-dna
|
$9.66 |
$9.66 |
$9.66 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$64.89 |
$64.89 |
$64.89 |
$117.01
|
|
Anal/urinary muscle study
|
$91.14 |
$91.14 |
$91.14 |
$411.48
|
|
Anal/urinary muscle study
|
$106.26 |
$106.26 |
$106.26 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$86.52 |
$86.52 |
$86.52 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$160.86 |
$160.86 |
$160.86 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$291.90 |
$291.90 |
$291.90 |
$223.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$27.30 |
$27.30 |
$27.30 |
$123.84
|
|
Anaplsma phgcytophlm amp prb
|
$23.73 |
$23.73 |
$23.73 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$250.11 |
$250.11 |
$250.11 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$757.68 |
$757.68 |
$757.68 |
$2,494.35
|
|
An fluoro guide for cvp
|
$97.86 |
$97.86 |
$97.86 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,117.62 |
$1,117.62 |
$1,117.62 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$5,412.54 |
$5,412.54 |
$5,412.54 |
$9,074.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,361.93 |
$5,361.93 |
$5,361.93 |
$10,344.88
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,439.17 |
$3,439.17 |
$3,439.17 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,412.54 |
$5,412.54 |
$5,412.54 |
$10,652.77
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,117.62 |
$1,117.62 |
$1,117.62 |
$4,976.22
|
|
Angio trnslmnl balloon same artery ini
|
$2,234.19 |
$2,234.19 |
$2,234.19 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,117.62 |
$1,117.62 |
$1,117.62 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$2,234.19 |
$2,234.19 |
$2,234.19 |
$8,707.59
|
|
Ankle X-ray
|
$105.84 |
$105.84 |
$105.84 |
$356.32
|
|
Anora (draw only)
|
$12.60 |
$12.60 |
$12.60 |
$35.00
|
|
Anoscopy remove fb 46608
|
$547.68 |
$547.68 |
$547.68 |
$1,500.00
|
|
Antibody bacterium, not elsewhere specified
|
$139.65 |
$139.65 |
$139.65 |
$57.85
|
|
Antibody elution rbc reference
|
$42.42 |
$42.42 |
$42.42 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$91.35 |
$91.35 |
$91.35 |
$126.67
|
|
Antibody htlv-i
|
$12.39 |
$12.39 |
$12.39 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$303.45 |
$303.45 |
$303.45 |
$219.30
|
|
Antibody id rbc panel
|
$140.07 |
$140.07 |
$140.07 |
$277.50
|
|
Antibody influenza virus
|
$32.97 |
$32.97 |
$32.97 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$16.38 |
$16.38 |
$16.38 |
$48.57
|
|
Antibody screen rbc
|
$74.34 |
$74.34 |
$74.34 |
$105.00
|
|
Antibody tetanus
|
$9.66 |
$9.66 |
$9.66 |
$52.20
|
|
Antidepressant not specified
|
$67.41 |
$67.41 |
$67.41 |
$84.36
|
|
Antidepressants class 6/more
|
$11.76 |
$11.76 |
$11.76 |
$29.68
|
|
Antidepressant tricyclic 3-5
|
$67.41 |
$67.41 |
$67.41 |
$23.20
|
|
Anti mog serum - sendout
|
$8.40 |
$8.40 |
$8.40 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.40 |
$8.40 |
$8.40 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$8.40 |
$8.40 |
$8.40 |
$36.60
|
|
Antinuclear antibodies
|
$125.16 |
$125.16 |
$125.16 |
$91.70
|
|
Antinuclear antibodies titer
|
$13.23 |
$13.23 |
$13.23 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$105.84 |
$105.84 |
$105.84 |
$65.97
|
|
Antipsychotics nos 1-3
|
$67.41 |
$67.41 |
$67.41 |
$153.75
|
|
Antistreptolysin o titer
|
$77.91 |
$77.91 |
$77.91 |
$52.50
|
|
Antithrombin iii activity
|
$91.35 |
$91.35 |
$91.35 |
$114.00
|
|
Apc gene dup/delet variants
|
$106.26 |
$106.26 |
$106.26 |
$400.00
|
|
Apheresis immunoads slctv
|
$1,531.32 |
$1,531.32 |
$1,531.32 |
$5,686.40
|
|
Apheresis plasma
|
$1,496.46 |
$1,496.46 |
$1,496.46 |
$3,291.00
|
|
Apheresis platelets
|
$1,496.46 |
$1,496.46 |
$1,496.46 |
$2,195.00
|
|
Apheresis rbc
|
$1,496.46 |
$1,496.46 |
$1,496.46 |
$3,146.15
|
|
Apheresis wbc
|
$1,496.46 |
$1,496.46 |
$1,496.46 |
$2,985.00
|
|
Apl(pml-rara) quant - sendout
|
$295.68 |
$295.68 |
$295.68 |
$482.95
|
|
Apomorphine hydrochloride
|
$252.93 |
$252.93 |
$252.93 |
$174.99
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$558.60 |
$558.60 |
$558.60 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$558.60 |
$558.60 |
$558.60 |
$532.32
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,995.84 |
$1,995.84 |
$1,995.84 |
$3,786.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$997.92 |
$997.92 |
$997.92 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$558.60 |
$558.60 |
$558.60 |
$512.20
|
|
Application finger splntstatic 29130
|
$106.26 |
$106.26 |
$106.26 |
$216.80
|
|
Application long leg splint 29505
|
$39.27 |
$39.27 |
$39.27 |
$356.85
|
|
Application lower leg splint 29515
|
$39.27 |
$39.27 |
$39.27 |
$354.00
|
|
Application multi layer compression below knee (both sides)
|
$145.95 |
$145.95 |
$145.95 |
$369.60
|
|
Application of cylinder cast 29365
|
$74.34 |
$74.34 |
$74.34 |
$468.00
|
|
Application of forearm cast 29075
|
$68.88 |
$68.88 |
$68.88 |
$365.30
|
|
Application of long arm cast 29065
|
$87.36 |
$87.36 |
$87.36 |
$401.40
|
|
Application of long leg cast 29345
|
$68.88 |
$68.88 |
$68.88 |
$480.00
|
|
Application of paste boot 29580
|
$145.95 |
$145.95 |
$145.95 |
$331.74
|
|
Application short leg cast 29405
|
$68.88 |
$68.88 |
$68.88 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$33.81 |
$33.81 |
$33.81 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$43.47 |
$43.47 |
$43.47 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$43.47 |
$43.47 |
$43.47 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$22.47 |
$22.47 |
$22.47 |
$49.92
|
|
Appl multlay comprs arm/hand
|
$55.44 |
$55.44 |
$55.44 |
$292.60
|
|
Apply forearm splintdynamic 29126
|
$119.07 |
$119.07 |
$119.07 |
$265.00
|
|
Apply interstit radiat compl
|
$2,862.51 |
$2,862.51 |
$2,862.51 |
$2,901.80
|
|
Apply of finger splint 29131
|
$114.87 |
$114.87 |
$114.87 |
$171.00
|