|
Aminolevulinic acid delta
|
$183.90 |
$183.90 |
$183.90 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$43.07 |
$43.07 |
$43.07 |
$45.56
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$108.03 |
$108.03 |
$108.03 |
$151.14
|
|
Amiodarone 50 mg/ml intravenous solution
|
$55.86 |
$55.86 |
$55.86 |
$58.46
|
|
Ammonia
|
$165.90 |
$165.90 |
$165.90 |
$107.25
|
|
Amnioarmor 1 sq cm
|
$8,466.60 |
$8,466.60 |
$8,466.60 |
$127.14
|
|
Amniocentesisdiagnostic 59000
|
$943.50 |
$943.50 |
$943.50 |
$876.60
|
|
Amobarbital 125 mg inj
|
$87.09 |
$87.09 |
$87.09 |
$1,319.49
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$226.80 |
$226.80 |
$226.80 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$667.53 |
$667.53 |
$667.53 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$38.20 |
$38.20 |
$38.20 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$19.92 |
$19.92 |
$19.92 |
$54.69
|
|
Amylase
|
$275.25 |
$275.25 |
$275.25 |
$83.20
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$186.90 |
$186.90 |
$186.90 |
$101.20
|
|
Analysis gene f2 20210g>a variant
|
$288.00 |
$288.00 |
$288.00 |
$210.26
|
|
Analysis gene f5 leiden variant
|
$288.00 |
$288.00 |
$288.00 |
$219.13
|
|
Anca screen with reflex to titer -quest
|
$210.00 |
$210.00 |
$210.00 |
$100.89
|
|
An cholangiogram percutaneous compl
|
$2,494.35 |
$2,494.35 |
$2,494.35 |
$2,417.63
|
|
An fluoro guide for cvp
|
$537.90 |
$537.90 |
$537.90 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,963.10 |
$5,963.10 |
$5,963.10 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$8,835.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$76,729.48 |
$76,729.48 |
$76,729.48 |
$3,773.82
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$11,337.81
|
|
Angio trnslmnl balloon same artery ini
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$7,992.79
|
|
Anidulafungin injection
|
$412.32 |
$412.32 |
$412.32 |
$260.72
|
|
Ankle X-ray
|
$404.40 |
$404.40 |
$404.40 |
$338.18
|
|
Anoscopy and biopsy
|
$702.60 |
$702.60 |
$702.60 |
$1,395.28
|
|
Anoscopy and dilation 46604
|
$748.50 |
$748.50 |
$748.50 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$1,697.10 |
$1,697.10 |
$1,697.10 |
$1,313.97
|
|
Anoscopy remove lesion 46610
|
$1,771.80 |
$1,771.80 |
$1,771.80 |
$3,245.23
|
|
Antibody bacterium, not elsewhere specified
|
$166.80 |
$166.80 |
$166.80 |
$57.85
|
|
Antibody elution rbc reference
|
$369.00 |
$369.00 |
$369.00 |
$168.00
|
|
Antibody htlv/hiv confirm test
|
$191.88 |
$191.88 |
$191.88 |
$114.40
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$961.20 |
$961.20 |
$961.20 |
$224.88
|
|
Antibody id rbc panel
|
$256.50 |
$256.50 |
$256.50 |
$271.70
|
|
Antibody influenza virus
|
$87.00 |
$87.00 |
$87.00 |
$53.28
|
|
Antibody lymphocytic choriomeningitis
|
$44.40 |
$44.40 |
$44.40 |
$53.96
|
|
Antibody screen rbc
|
$165.30 |
$165.30 |
$165.30 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.25 |
$4.25 |
$4.25 |
$7.50
|
|
Antihemophilic viii/vwf comp
|
$3.67 |
$3.67 |
$3.67 |
$3.32
|
|
Anti-inhibitor
|
$7.17 |
$7.17 |
$7.17 |
$7.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$44.31 |
$44.31 |
$44.31 |
$46.08
|
|
Antinuclear antibodies
|
$235.65 |
$235.65 |
$235.65 |
$91.70
|
|
Antinuclear antibodies titer
|
$275.85 |
$275.85 |
$275.85 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$51.17 |
$51.17 |
$51.17 |
$67.60
|
|
Antipsychotics nos 1-3
|
$180.75 |
$180.75 |
$180.75 |
$153.75
|
|
Antistreptolysin o titer
|
$39.15 |
$39.15 |
$39.15 |
$55.55
|
|
Antithrombin iii activity
|
$217.50 |
$217.50 |
$217.50 |
$107.00
|
|
Antithrombin iii injection
|
$11.85 |
$11.85 |
$11.85 |
$10.74
|
|
Antithymocyte globuln rabbit
|
$2,111.00 |
$2,111.00 |
$2,111.00 |
$2,251.45
|
|
Apheresis plasma
|
$3,737.55 |
$3,737.55 |
$3,737.55 |
$3,280.55
|
|
Apheresis rbc
|
$2,772.60 |
$2,772.60 |
$2,772.60 |
$3,250.39
|
|
Apheresis wbc
|
$2,015.40 |
$2,015.40 |
$2,015.40 |
$3,113.60
|
|
Apl(pml-rara) quant - sendout
|
$718.35 |
$718.35 |
$718.35 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,105.40 |
$2,105.40 |
$2,105.40 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$554.10 |
$554.10 |
$554.10 |
$877.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,840.60 |
$3,840.60 |
$3,840.60 |
$3,271.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$576.30 |
$576.30 |
$576.30 |
$1,275.36
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$508.18
|
|
Application finger splntstatic 29130
|
$154.65 |
$154.65 |
$154.65 |
$211.64
|
|
Application long leg splint 29505
|
$356.85 |
$356.85 |
$356.85 |
$338.25
|
|
Application lower leg splint 29515
|
$192.60 |
$192.60 |
$192.60 |
$354.00
|
|
Application multi layer compression below knee (both sides)
|
$192.60 |
$192.60 |
$192.60 |
$378.00
|
|
Application of forearm cast 29075
|
$306.75 |
$306.75 |
$306.75 |
$351.50
|
|
Application of long arm cast 29065
|
$356.85 |
$356.85 |
$356.85 |
$401.40
|
|
Application of long leg cast 29345
|
$337.05 |
$337.05 |
$337.05 |
$464.51
|
|
Application of paste boot 29580
|
$192.60 |
$192.60 |
$192.60 |
$331.74
|
|
Application short leg cast 29405
|
$339.15 |
$339.15 |
$339.15 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,189.70 |
$2,189.70 |
$2,189.70 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,189.70 |
$2,189.70 |
$2,189.70 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$738.00 |
$738.00 |
$738.00 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$96.30 |
$96.30 |
$96.30 |
$64.53
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$103.50 |
$103.50 |
$103.50 |
$72.80
|
|
Apply finger cast 29086
|
$268.20 |
$268.20 |
$268.20 |
$223.45
|
|
Apply forearm splintdynamic 29126
|
$407.55 |
$407.55 |
$407.55 |
$239.40
|
|
Apply hand/wrist cast 29085
|
$294.90 |
$294.90 |
$294.90 |
$259.20
|
|
Apply of finger splint 29131
|
$154.65 |
$154.65 |
$154.65 |
$165.90
|
|
Apply rigid leg cast 29445
|
$339.15 |
$339.15 |
$339.15 |
$585.31
|
|
Aquaporin-4 antibody cba each
|
$430.50 |
$430.50 |
$430.50 |
$127.85
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$113.70 |
$113.70 |
$113.70 |
$96.20
|
|
Aquatic exercise - group charge
|
$327.15 |
$327.15 |
$327.15 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$516.44 |
$516.44 |
$516.44 |
$840.62
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$1,520.60
|
|
Arterial blood draw/perc 36620
|
$205.20 |
$205.20 |
$205.20 |
$486.68
|
|
Artery xray each vessel 7577426
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$1,710.91
|
|
Artery xray of abdomen 75726-26
|
$3,267.30 |
$3,267.30 |
$3,267.30 |
$4,294.50
|
|
Artery x-rays adrenal gland
|
$6,385.35 |
$6,385.35 |
$6,385.35 |
$3,195.00
|
|
Artery x-rays adrenals
|
$6,385.35 |
$6,385.35 |
$6,385.35 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,332.55
|
|
Artery x-rays arms/legs 75716-26
|
$3,232.20 |
$3,232.20 |
$3,232.20 |
$3,724.63
|
|
Artery x-rays chest
|
$4,833.30 |
$4,833.30 |
$4,833.30 |
$2,363.96
|
|
Artery x-rays lung
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,150.00
|
|
Artery x-rays lung
|
$1,895.25 |
$1,895.25 |
$1,895.25 |
$2,381.50
|
|
Artery x-rays lungs
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,673.15
|
|
Artery xrays of pelvis 75736 26
|
$3,267.30 |
$3,267.30 |
$3,267.30 |
$4,078.28
|
