|
Amphotericin b lipid complex
|
$226.80 |
$226.80 |
$4,940.40 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$473.87 |
$667.53 |
$4,206.13 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$29.37 |
$38.20 |
$60.87 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$19.92 |
$25.62 |
$135.50 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$171.14 |
$171.14 |
$171.14 |
$262.99
|
|
Amputate metacarpal bone 26910
|
$5,248.75 |
$5,248.75 |
$5,248.75 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$3,088.91 |
$3,088.91 |
$3,088.91 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$2,914.52 |
$2,914.52 |
$2,914.52 |
$3,839.54
|
|
Amylase
|
$134.00 |
$134.00 |
$373.12 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$49.18 |
$49.18 |
$1,016.52 |
$80.08
|
|
Anabolic steroid 3 or more
|
$1,016.52 |
$1,016.52 |
$1,016.52 |
$27.20
|
|
Ana ds-dna
|
$7.50 |
$7.50 |
$759.96 |
$55.24
|
|
Analgesics non-opioid 3-5
|
$1,287.59 |
$1,287.59 |
$1,287.59 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$674.20 |
$674.20 |
$1,287.59 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$117.01 |
$276.00 |
$1,287.59 |
$117.01
|
|
Anal pressure record
|
$474.60 |
$474.60 |
$1,411.83 |
$954.00
|
|
Anal/urinary muscle study
|
$407.00 |
$407.00 |
$407.00 |
$407.00
|
|
Anal/urinary muscle study
|
$458.00 |
$458.00 |
$508.20 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$389.54 |
$389.54 |
$389.54 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$67.50 |
$288.00 |
$4,603.35 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$67.50 |
$288.00 |
$4,603.35 |
$249.60
|
|
Analysis nerve
|
$61.25 |
$61.25 |
$284.10 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$353.18 |
$353.18 |
$353.18 |
$122.20
|
|
Analysis tumor
|
$312.00 |
$312.00 |
$312.00 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$33.50 |
$33.50 |
$240.00 |
$85.80
|
|
Anastrozole 1 mg
|
$237.56 |
$237.56 |
$237.56 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$52.00 |
$52.00 |
$210.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,417.63 |
$2,417.63 |
$2,494.35 |
$2,480.94
|
|
An fluoro guide for cvp
|
$392.50 |
$392.50 |
$604.24 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,963.10 |
$5,963.10 |
$7,542.29 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$10,413.45 |
$10,413.45 |
$16,874.52 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,413.45 |
$10,413.45 |
$12,766.07 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,167.62 |
$10,167.62 |
$10,413.45 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,689.00 |
$13,724.39 |
$76,729.48 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,413.45 |
$10,413.45 |
$18,389.38 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,963.10 |
$5,963.10 |
$7,186.81 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$9,720.45 |
$12,715.13 |
$41,012.94 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,865.57 |
$4,865.57 |
$5,963.10 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$9,720.45 |
$9,720.45 |
$10,333.74 |
$8,359.11
|
|
Anidulafungin injection
|
$260.72 |
$412.32 |
$1,258.91 |
$312.30
|
|
Ankle X-ray
|
$296.24 |
$377.50 |
$404.40 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$217.55 |
$282.50 |
$317.85 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$792.60 |
$792.60 |
$792.60 |
$630.96
|
|
Annual Physical, New Patient (age 18-39)
|
$134.70 |
$134.70 |
$134.70 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$144.60 |
$144.60 |
$144.60 |
$167.25
|
|
Anodyne therapy charges pt
|
$41.02 |
$41.02 |
$41.02 |
$42.00
|
|
Anogenital exam child w imag
|
$195.96 |
$195.96 |
$195.96 |
$277.99
|
|
Anora (draw only)
|
$95.29 |
$95.29 |
$254.93 |
$35.00
|
|
Anoscopy and biopsy
|
$702.60 |
$702.60 |
$702.60 |
$2,288.00
|
|
Anoscopy and dilation 46604
|
$748.50 |
$748.50 |
$748.50 |
$1,645.43
|
|
Anoscopy remove fb 46608
|
$1,697.10 |
$1,697.10 |
$2,022.14 |
$1,375.98
|
|
Anoscopy remove lesion 46610
|
$1,771.80 |
$1,771.80 |
$1,771.80 |
$3,816.64
|
|
Antibody bacterium, not elsewhere specified
|
$75.00 |
$75.00 |
$166.80 |
$57.85
|
|
Antibody elution rbc reference
|
$157.50 |
$179.62 |
$1,445.70 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$191.88 |
$330.00 |
$2,473.52 |
$131.56
|
|
Antibody htlv-i
|
$64.40 |
$64.40 |
$538.93 |
$49.53
|
|
Antibody htlv-ii
|
$8.91 |
$8.91 |
$538.93 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$395.00 |
$522.90 |
$1,455.75 |
$224.00
|
|
Antibody id rbc panel
|
$237.80 |
$347.50 |
$2,031.42 |
$291.75
|
|
Antibody influenza virus
|
$6.00 |
$6.00 |
$87.00 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$13.50 |
$13.50 |
$90.75 |
$46.58
|
|
Antibody screen rbc
|
$135.00 |
$165.30 |
$971.32 |
$108.55
|
|
Antibody tetanus
|
$66.00 |
$66.00 |
$102.62 |
$54.15
|
|
Antidepressant not specified
|
$94.22 |
$178.50 |
$178.50 |
$72.14
|
|
Antidepressants class 3-5
|
$82.68 |
$82.68 |
$82.68 |
$72.14
|
|
Antidepressant tricyclic 3-5
|
$791.10 |
$791.10 |
$1,095.58 |
$23.20
|
|
Antiepileptics nos 4-6
|
$1,066.53 |
$1,066.53 |
$1,066.53 |
$16.24
|
|
Antiepileptics nos 7/more
|
$1,066.53 |
$1,066.53 |
$1,066.53 |
$16.24
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.25 |
$22.56 |
$5,171.12 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.67 |
$3.67 |
$3.67 |
$3.67
|
|
Anti-inhibitor
|
$7.17 |
$26.23 |
$3,200.50 |
$8.33
|
|
Anti mog serum - sendout
|
$133.50 |
$277.50 |
$6,665.40 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.00 |
$30.00 |
$1,466.69 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$97.78 |
$97.78 |
$97.78 |
$42.00
|
|
Antinuclear antibodies
|
$61.00 |
$120.14 |
$772.88 |
$90.00
|
|
Antinuclear antibodies titer
|
$48.50 |
$111.37 |
$1,779.71 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$14.50 |
$14.50 |
$124.95 |
$67.43
|
|
Antipsychotics nos 1-3
|
$77.50 |
$180.75 |
$1,139.15 |
$136.61
|
|
Antipsychotics nos 4-6
|
$1,139.15 |
$1,139.15 |
$1,139.15 |
$16.24
|
|
Antipsychotics nos 7/more
|
$1,139.15 |
$1,139.15 |
$1,139.15 |
$16.24
|
|
Antistreptolysin o screen
|
$74.74 |
$84.00 |
$940.68 |
$58.56
|
|
Antistreptolysin o titer
|
$39.15 |
$146.00 |
$1,048.78 |
$54.00
|
|
Antithrombin iii activity
|
$67.50 |
$188.89 |
$1,403.75 |
$115.15
|
|
Antithrombin iii injection
|
$11.85 |
$11.85 |
$32.39 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$7,544.81 |
$7,544.81 |
$22,279.31 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,445.87 |
$1,919.09 |
$6,564.89 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$356.70 |
$506.50 |
$643.86 |
$394.55
|
|
Aortic dysfunction/dilation
|
$183.71 |
$183.71 |
$183.71 |
$1,153.60
|
|
Apc gene dup/delet variants
|
$234.50 |
$234.50 |
$12,077.14 |
$462.00
|
|
Apc gene full sequence
|
$717.50 |
$717.50 |
$21,224.16 |
$1,255.20
|
|
Apc gene known fam variants
|
$1,026.20 |
$1,026.20 |
$1,026.20 |
$319.20
|
|
Apheresis immunoads slctv
|
$5,794.21 |
$8,700.00 |
$20,488.54 |
$5,794.21
|
|
Apheresis plasma
|
$3,546.01 |
$4,350.00 |
$4,350.00 |
$3,226.34
|
|
Apheresis platelets
|
$2,692.74 |
$5,469.00 |
$13,399.35 |
$2,195.00
|
|
Apheresis rbc
|
$2,968.95 |
$5,096.00 |
$13,399.35 |
$3,290.80
|
|
Apheresis wbc
|
$2,959.50 |
$5,469.00 |
$10,866.72 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$250.50 |
$673.04 |
$4,269.35 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,078.20 |
$2,078.20 |
$2,105.40 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$554.10 |
$554.10 |
$1,057.11 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$930.11 |
$502.00
|
