|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$1.91 |
$1.91 |
$59.47 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$3.83 |
$3.83 |
$3.83 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.06 |
$2.06 |
$166.32 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$101.17 |
$101.17 |
$101.17 |
$87.45
|
|
Ammonia
|
$44.63 |
$44.63 |
$142.06 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$314.48 |
$314.48 |
$1,152.86 |
$942.60
|
|
Amniocentesis therapeutic
|
$130.38 |
$130.38 |
$1,170.42 |
$791.05
|
|
Amniotic fluid scan
|
$36.58 |
$36.58 |
$49.01 |
$49.01
|
|
Amobarbital 125 mg inj
|
$1,319.49 |
$1,319.49 |
$1,319.49 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$819.88 |
$819.88 |
$3,730.53 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$343.50 |
$343.50 |
$343.50 |
$93.61
|
|
Amphetamines 5 or more
|
$3.68 |
$3.68 |
$144.00 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$12.88 |
$12.88 |
$175.80 |
$123.53
|
|
Amphotericin b lipid complex
|
$30.62 |
$30.62 |
$30.62 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$14.15 |
$14.15 |
$837.41 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$5.25 |
$5.25 |
$54.59 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$4.20 |
$4.20 |
$30.76 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$171.14 |
$171.14 |
$171.14 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$3,731.54 |
$3,731.54 |
$3,731.54 |
$3,986.00
|
|
Amputate metacarpal bone 26910
|
$3,666.29 |
$3,666.29 |
$3,666.29 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$7,907.11
|
|
Amputation follow-up surgery
|
$3,136.63 |
$3,136.63 |
$3,136.63 |
$3,766.40
|
|
Amputation follow-up surgery
|
$4,175.98 |
$4,175.98 |
$4,175.98 |
$3,839.54
|
|
Amputation follow-up surgery
|
$4,175.98 |
$4,175.98 |
$4,175.98 |
$3,839.54
|
|
Amputation of foot at ankle
|
$4,294.43 |
$4,294.43 |
$4,294.43 |
$7,109.92
|
|
Amputation thru metatarsal
|
$3,791.82 |
$3,791.82 |
$3,791.82 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$131.78 |
$131.78 |
$3,875.13 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,014.30 |
$1,014.30 |
$3,635.57 |
$3,839.54
|
|
Amylase
|
$62.13 |
$62.13 |
$355.35 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$180.83 |
$180.83 |
$180.83 |
$80.08
|
|
Ana ds-dna
|
$100.68 |
$100.68 |
$100.68 |
$55.24
|
|
Analgesics non-opioid 6/more
|
$3.68 |
$3.68 |
$3.68 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$117.01 |
$117.01 |
$117.01 |
$117.01
|
|
Anal pressure record
|
$1,327.08 |
$1,327.08 |
$1,327.08 |
$954.00
|
|
Anal/urinary muscle study
|
$17.50 |
$17.50 |
$411.48 |
$407.00
|
|
Anal/urinary muscle study
|
$507.26 |
$507.26 |
$507.26 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$47.25 |
$47.25 |
$440.57 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$127.75 |
$127.75 |
$439.79 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$141.93 |
$141.93 |
$339.58 |
$249.60
|
|
Analysis nerve
|
$274.49 |
$274.49 |
$274.49 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$14.70 |
$14.70 |
$440.57 |
$122.20
|
|
Analysis tumor
|
$237.89 |
$237.89 |
$237.89 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$45.33 |
$45.33 |
$529.85 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$240.00 |
$240.00 |
$240.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$193.07 |
$193.07 |
$193.07 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$536.03 |
$536.03 |
$3,285.88 |
$2,480.94
|
|
Androstanediol
|
$151.42 |
$151.42 |
$151.42 |
$131.04
|
|
An fluoro guide for cvp
|
$284.03 |
$284.03 |
$549.76 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,697.28 |
$2,697.28 |
$10,391.40 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$6,084.05 |
$6,084.05 |
$11,517.60 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,271.40 |
$4,271.40 |
$12,138.33 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,720.43 |
$1,720.43 |
$11,004.11 |
$5,950.50
|
|
Angiotensin ii
|
$104.41 |
$104.41 |
$114.80 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$40.23 |
$40.23 |
$13,724.39 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,649.58 |
$4,649.58 |
$16,491.68 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,462.48 |
$1,462.48 |
$6,621.28 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$2,355.50 |
$2,355.50 |
$13,922.42 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,462.48 |
$1,462.48 |
$9,106.34 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$1,697.85 |
$1,697.85 |
$11,984.10 |
$8,359.11
|
|
Anidulafungin injection
|
$260.72 |
$260.72 |
$260.72 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$4,515.98 |
$4,515.98 |
$4,515.98 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$6,072.40 |
$6,072.40 |
$6,072.40 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$4,333.06 |
$4,333.06 |
$4,333.06 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$3,797.90 |
$3,797.90 |
$3,797.90 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$4,360.36 |
$4,360.36 |
$4,360.36 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$4,488.38 |
$4,488.38 |
$4,488.38 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$8,334.74 |
$8,334.74 |
$8,334.74 |
$8,334.74
|
|
Ankle X-ray
|
$325.59 |
$325.59 |
$325.59 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$287.83 |
$287.83 |
$287.83 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$202.48 |
$202.48 |
$627.94 |
$630.96
|
|
Annual alcohol screen 15 min
|
$4.20 |
$4.20 |
$33.29 |
$40.00
|
|
Annual nursing fac assessmnt
|
$122.71 |
$122.71 |
$122.71 |
$122.71
|
|
Annual Physical, Established Patient (age 18-39)
|
$19.08 |
$19.08 |
$19.08 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$22.40 |
$22.40 |
$212.88 |
$160.73
|
|
Annual Physical, New Patient (age 40-64)
|
$26.25 |
$26.25 |
$26.25 |
$167.25
|
|
Anodyne therapy charges pt
|
$43.07 |
$43.07 |
$43.07 |
$42.00
|
|
Anogenital exam child w imag
|
$11.20 |
$11.20 |
$90.00 |
$277.99
|
|
Anora (draw only)
|
$14.35 |
$14.35 |
$33.00 |
$35.00
|
|
Anoscopy control bleeding 46614
|
$333.90 |
$333.90 |
$333.90 |
$2,140.60
|
|
Anoscopy remove fb 46608
|
$333.90 |
$333.90 |
$2,022.14 |
$1,375.98
|
|
Ans parasymp & symp w/tilt
|
$395.38 |
$395.38 |
$395.38 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$4,760.24 |
$4,760.24 |
$4,760.24 |
$5,841.60
|
|
Antibody bacterium, not elsewhere specified
|
$105.45 |
$105.45 |
$105.45 |
$57.85
|
|
Antibody elution rbc reference
|
$107.63 |
$107.63 |
$147.28 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$26.60 |
$26.60 |
$233.88 |
$131.56
|
|
Antibody htlv-i
|
$64.13 |
$64.13 |
$64.13 |
$49.53
|
|
Antibody htlv-ii
|
$56.35 |
$56.35 |
$56.35 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$141.23 |
$141.23 |
$522.90 |
$224.00
|
|
Antibody id rbc panel
|
$206.33 |
$206.33 |
$265.05 |
$291.75
|
|
Antibody influenza virus
|
$32.73 |
$32.73 |
$65.79 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$90.75 |
$90.75 |
$90.75 |
$46.58
|
|
Antibody screen rbc
|
$40.60 |
$40.60 |
$158.04 |
$108.55
|
|
Antibody tetanus
|
$118.10 |
$118.10 |
$118.10 |
$54.15
|
|
Anticoag mgmt pt warfarin
|
$0.01 |
$0.01 |
$0.01 |
$26.40
|
|
Antidepressant not specified
|
$3.68 |
$3.68 |
$98.93 |
$72.14
|
|
Antidepressants class 6/more
|
$3.68 |
$3.68 |
$3.68 |
$25.35
|
|
Antiepileptics nos 7/more
|
$33.78 |
$33.78 |
$33.78 |
$16.24
|
|
Antigen therapy services
|
$69.43 |
$69.43 |
$69.43 |
$73.84
|
|
Antigen therapy services
|
$82.78 |
$82.78 |
$82.78 |
$83.72
|