|
Anidulafungin injection
|
$4.10 |
$4.10 |
$4.10 |
$209.79
|
|
Ankle X-ray
|
$82.80 |
$82.80 |
$82.80 |
$311.92
|
|
Antibody bacterium, not elsewhere specified
|
$10.86 |
$10.86 |
$10.86 |
$57.85
|
|
Antibody elution rbc reference
|
$239.81 |
$239.81 |
$239.81 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$141.26 |
$141.26 |
$141.26 |
$154.85
|
|
Antibody htlv-i
|
$7.68 |
$7.68 |
$7.68 |
$49.53
|
|
Antibody htlv-ii
|
$11.81 |
$11.81 |
$11.81 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$185.76 |
$185.76 |
$185.76 |
$216.24
|
|
Antibody id rbc panel
|
$167.00 |
$167.00 |
$167.00 |
$250.90
|
|
Antibody influenza virus
|
$48.14 |
$48.14 |
$48.14 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$53.96 |
$53.96 |
$53.96 |
$57.85
|
|
Antibody screen rbc
|
$118.37 |
$118.37 |
$118.37 |
$99.99
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2.99 |
$2.99 |
$2.99 |
$2.69
|
|
Anti-inhibitor
|
$5.63 |
$5.63 |
$5.63 |
$3.44
|
|
Anti mog serum - sendout
|
$274.95 |
$274.95 |
$274.95 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$18.74 |
$18.74 |
$18.74 |
$56.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$10.16 |
$10.16 |
$10.16 |
$48.57
|
|
Antinuclear antibodies
|
$68.30 |
$68.30 |
$68.30 |
$97.50
|
|
Antinuclear antibodies titer
|
$105.54 |
$105.54 |
$105.54 |
$78.65
|
|
Antistreptolysin o titer
|
$57.96 |
$57.96 |
$57.96 |
$58.50
|
|
Antithrombin iii activity
|
$19.44 |
$19.44 |
$19.44 |
$135.20
|
|
Antithrombin iii injection
|
$9.32 |
$9.32 |
$9.32 |
$6.36
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$9,008.49 |
$9,008.49 |
$9,008.49 |
$6,946.62
|
|
Apheresis plasma
|
$1,867.05 |
$1,867.05 |
$1,867.05 |
$3,411.50
|
|
Apl(pml-rara) quant - sendout
|
$429.53 |
$429.53 |
$429.53 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$2,078.20
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$1,057.11
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$519.86 |
$519.86 |
$519.86 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$519.86 |
$519.86 |
$519.86 |
$549.08
|
|
Application clubfoot cast
|
$390.11 |
$390.11 |
$390.11 |
$370.58
|
|
Application multi layer compression below knee (both sides)
|
$342.57 |
$342.57 |
$342.57 |
$384.80
|
|
Application of paste boot 29580
|
$502.43 |
$502.43 |
$502.43 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$879.60 |
$879.60 |
$879.60 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$879.60 |
$879.60 |
$879.60 |
$2,087.50
|
|
Appl modality 1/> areas paraffin bath 97018
|
$46.70 |
$46.70 |
$46.70 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$32.24 |
$32.24 |
$32.24 |
$71.50
|
|
Apply interstit radiat compl
|
$3,474.99 |
$3,474.99 |
$3,474.99 |
$2,910.05
|
|
Apply intrcav radiat compl
|
$467.01 |
$467.01 |
$467.01 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$280.38 |
$280.38 |
$280.38 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$238.77 |
$238.77 |
$238.77 |
$796.97
|
|
Apply rigid leg cast 29445
|
$554.39 |
$554.39 |
$554.39 |
$593.57
|
|
Apply surf ldr radionuclide
|
$204.50 |
$204.50 |
$204.50 |
$251.55
|
|
Aquaporin-4 antibody cba each
|
$10.16 |
$10.16 |
$10.16 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$244.95 |
$244.95 |
$244.95 |
$138.87
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$59.49 |
$59.49 |
$59.49 |
$90.52
|
|
Aquatic exercise - group charge
|
$56.60 |
$56.60 |
$56.60 |
$86.90
|
|
Argatroban nonesrd use 1mg
|
$10.07 |
$10.07 |
$10.07 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$120.84 |
$120.84 |
$120.84 |
$292.80
|
|
Artery xray each vessel 7577426
|
$1,650.60 |
$1,650.60 |
$1,650.60 |
$1,749.69
|
|
Artery xray of abdomen 75726-26
|
$1,101.92 |
$1,101.92 |
$1,101.92 |
$4,252.60
|
|
Artery x-rays adrenal gland
|
$897.47 |
$897.47 |
$897.47 |
$3,263.92
|
|
Artery x-rays adrenals
|
$1,055.34 |
$1,055.34 |
$1,055.34 |
$3,483.84
|
|
Artery x-rays arm/leg 75710-26
|
$947.18 |
$947.18 |
$947.18 |
$3,341.00
|
|
Artery x-rays arms/legs 75716-26
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$3,860.40
|
|
Artery x-rays chest
|
$868.31 |
$868.31 |
$868.31 |
$2,498.28
|
|
Artery x-rays lung
|
$815.37 |
$815.37 |
$815.37 |
$2,921.88
|
|
Artery x-rays lung
|
$780.50 |
$780.50 |
$780.50 |
$2,138.37
|
|
Artery x-rays lungs
|
$946.82 |
$946.82 |
$946.82 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$1,101.92 |
$1,101.92 |
$1,101.92 |
$3,993.41
|
|
Artery x-rays spine
|
$994.49 |
$994.49 |
$994.49 |
$4,094.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$395.57 |
$395.57 |
$395.57 |
$543.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$860.48 |
$860.48 |
$860.48 |
$948.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$860.48 |
$860.48 |
$860.48 |
$882.70
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$395.57 |
$395.57 |
$395.57 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$395.57 |
$395.57 |
$395.57 |
$687.20
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$860.48 |
$860.48 |
$860.48 |
$650.37
|
|
Asp & inj bone cyst
|
$775.85 |
$775.85 |
$775.85 |
$894.73
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,657.64 |
$2,657.64 |
$2,657.64 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$910.11 |
$910.11 |
$910.11 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,267.59 |
$1,267.59 |
$1,267.59 |
$1,219.50
|
|
Assay of galactose
|
$39.83 |
$39.83 |
$39.83 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$54.59 |
$54.59 |
$54.59 |
$82.80
|
|
Assay of lap enzyme
|
$113.00 |
$113.00 |
$113.00 |
$82.20
|
|
Assay of procainamide w/metab
|
$84.27 |
$84.27 |
$84.27 |
$63.07
|
|
Assay of salicylate
|
$153.39 |
$153.39 |
$153.39 |
$83.85
|
|
Assess cyst contrast inject
|
$377.93 |
$377.93 |
$377.93 |
$447.33
|
|
Ast/sgot
|
$71.16 |
$71.16 |
$71.16 |
$43.40
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$130.53 |
$130.53 |
$130.53 |
$19,405.49
|
|
Athrectomy fem/pop/unilateral 37225
|
$16,409.51 |
$16,409.51 |
$16,409.51 |
$21,960.96
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$15,469.73 |
$15,469.73 |
$15,469.73 |
$21,960.96
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.71 |
$0.71 |
$0.71 |
$25.04
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$126.99 |
$126.99 |
$126.99 |
$200.40
|
|
Augment injectable kit 3.0cc
|
$4,697.39 |
$4,697.39 |
$4,697.39 |
$8,418.60
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,458.32 |
$5,458.32 |
$5,458.32 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$9,552.75 |
$9,552.75 |
$9,552.75 |
$11,566.33
|
|
Autologous blood process
|
$394.55 |
$394.55 |
$394.55 |
$262.50
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$351.18 |
$351.18 |
$351.18 |
$356.00
|
|
Azacitidine injection
|
$0.96 |
$0.96 |
$0.96 |
$201.43
|
|
Azathioprine 50 mg tablet
|
$0.66 |
$0.66 |
$0.66 |
$2.18
|
|
Azathioprine parenteral
|
$537.30 |
$537.30 |
$537.30 |
$224.97
|
|
Azithromycin 500 mg intravenous solution
|
$19.70 |
$19.70 |
$19.70 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$6.39 |
$6.39 |
$6.39 |
$157.83
|
|
Baclofen eval charges
|
$35.63 |
$35.63 |
$35.63 |
$84.35
|
|
Bacterial meningitis antigen
|
$315.24 |
$315.24 |
$315.24 |
$66.30
|
|
Balloon dilate urtrl strix
|
$2,661.50 |
$2,661.50 |
$2,661.50 |
$1,958.25
|
|
Belimumab 120 mg intravenous solution
|
$111.45 |
$111.45 |
$111.45 |
$5,331.55
|
|
Bendamustine 100 mg intravenous powder for solution
|
$63.87 |
$63.87 |
$63.87 |
$66.40
|
|
Benign lesion paring 2-4
|
$373.74 |
$373.74 |
$373.74 |
$275.88
|