|
Amnioarmor 1 sq cm
|
$8,466.60 |
$8,466.60 |
$8,466.60 |
$16.80
|
|
Amniocentesisdiagnostic 59000
|
$943.50 |
$943.50 |
$943.50 |
$942.60
|
|
Amobarbital 125 mg inj
|
$87.09 |
$87.09 |
$87.09 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,924.65 |
$1,924.65 |
$1,924.65 |
$3,730.53
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$117.75
|
|
Amphotericin b lipid complex
|
$226.80 |
$226.80 |
$226.80 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$667.53 |
$667.53 |
$667.53 |
$558.95
|
|
Ampicillin 1 gram solution for injection
|
$38.20 |
$38.20 |
$38.20 |
$60.48
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$19.92 |
$19.92 |
$19.92 |
$52.99
|
|
Amylase
|
$275.25 |
$275.25 |
$275.25 |
$88.83
|
|
Analysis gene f2 20210g>a variant
|
$288.00 |
$288.00 |
$288.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$288.00 |
$288.00 |
$288.00 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$210.00 |
$210.00 |
$210.00 |
$101.50
|
|
An fluoro guide for cvp
|
$537.90 |
$537.90 |
$537.90 |
$507.79
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$76,729.48 |
$76,729.48 |
$76,729.48 |
$2,987.62
|
|
Anidulafungin injection
|
$412.32 |
$412.32 |
$412.32 |
$336.32
|
|
Ankle X-ray
|
$404.40 |
$404.40 |
$404.40 |
$353.60
|
|
Anoscopy and dilation 46604
|
$748.50 |
$748.50 |
$748.50 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$719.70 |
$719.70 |
$719.70 |
$1,409.10
|
|
Antibody bacterium, not elsewhere specified
|
$166.80 |
$166.80 |
$166.80 |
$57.85
|
|
Antibody elution rbc reference
|
$369.00 |
$369.00 |
$369.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$191.88 |
$191.88 |
$191.88 |
$128.40
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,455.75 |
$1,455.75 |
$1,455.75 |
$219.30
|
|
Antibody id rbc panel
|
$256.50 |
$256.50 |
$256.50 |
$265.05
|
|
Antibody influenza virus
|
$87.00 |
$87.00 |
$87.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$44.40 |
$44.40 |
$44.40 |
$48.57
|
|
Antibody screen rbc
|
$165.30 |
$165.30 |
$165.30 |
$101.31
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.25 |
$4.25 |
$4.25 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.67 |
$3.67 |
$3.67 |
$3.67
|
|
Anti-inhibitor
|
$7.17 |
$7.17 |
$7.17 |
$8.33
|
|
Antinuclear antibodies
|
$235.65 |
$235.65 |
$235.65 |
$91.65
|
|
Antinuclear antibodies titer
|
$275.85 |
$275.85 |
$275.85 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$51.17 |
$51.17 |
$51.17 |
$58.24
|
|
Antipsychotics nos 1-3
|
$180.75 |
$180.75 |
$180.75 |
$153.75
|
|
Antistreptolysin o titer
|
$39.15 |
$39.15 |
$39.15 |
$51.45
|
|
Antithrombin iii activity
|
$217.50 |
$217.50 |
$217.50 |
$113.40
|
|
Antithrombin iii injection
|
$11.85 |
$11.85 |
$11.85 |
$11.85
|
|
Antithymocyte globuln rabbit
|
$2,111.00 |
$2,111.00 |
$2,111.00 |
$2,111.00
|
|
Apheresis rbc
|
$2,772.60 |
$2,772.60 |
$2,772.60 |
$3,146.15
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,105.40 |
$2,105.40 |
$2,105.40 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$554.10 |
$554.10 |
$554.10 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$478.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,840.60 |
$3,840.60 |
$3,840.60 |
$3,154.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$576.30 |
$576.30 |
$576.30 |
$1,121.40
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$504.40
|
|
Application finger splntstatic 29130
|
$154.65 |
$154.65 |
$154.65 |
$204.80
|
|
Application long leg splint 29505
|
$356.85 |
$356.85 |
$356.85 |
$340.80
|
|
Application lower leg splint 29515
|
$192.60 |
$192.60 |
$192.60 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$192.60 |
$192.60 |
$192.60 |
$359.10
|
|
Application of forearm cast 29075
|
$306.75 |
$306.75 |
$306.75 |
$331.13
|
|
Application of long arm cast 29065
|
$356.85 |
$356.85 |
$356.85 |
$395.45
|
|
Application of long leg cast 29345
|
$337.05 |
$337.05 |
$337.05 |
$455.00
|
|
Application of paste boot 29580
|
$192.60 |
$192.60 |
$192.60 |
$328.20
|
|
Application short leg cast 29405
|
$339.15 |
$339.15 |
$339.15 |
$384.59
|
|
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 |
$2,164.64
|
|
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 |
$66.00
|
|
Apply forearm splintdynamic 29126
|
$407.55 |
$407.55 |
$407.55 |
$244.80
|
|
Apply of finger splint 29131
|
$154.65 |
$154.65 |
$154.65 |
$165.48
|
|
Apply rigid leg cast 29445
|
$339.15 |
$339.15 |
$339.15 |
$550.00
|
|
Aquaporin-4 antibody cba each
|
$430.50 |
$430.50 |
$430.50 |
$132.86
|
|
Argatroban nonesrd use 1mg
|
$516.44 |
$516.44 |
$516.44 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$1,490.52
|
|
Arterial blood draw/perc 36620
|
$205.20 |
$205.20 |
$205.20 |
$475.30
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$926.10 |
$926.10 |
$926.10 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,045.65 |
$1,045.65 |
$1,045.65 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$441.30 |
$441.30 |
$441.30 |
$888.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$354.75 |
$354.75 |
$354.75 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$441.30 |
$441.30 |
$441.30 |
$698.58
|
|
Artiss fibrin sealant
|
$2,195.53 |
$2,195.53 |
$2,195.53 |
$1,525.80
|
|
Ascenda two piece catheter
|
$20,548.50 |
$20,548.50 |
$20,548.50 |
$22,859.13
|
|
Asp core fat pad
|
$237.60 |
$237.60 |
$237.60 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,009.45 |
$3,009.45 |
$3,009.45 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$1,049.55 |
$1,049.55 |
$1,049.55 |
$1,164.60
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$526.50 |
$526.50 |
$526.50 |
$1,219.50
|
|
Assay of feces porphyrins
|
$310.05 |
$310.05 |
$310.05 |
$158.00
|
|
Assay toxin or antitoxin
|
$75.90 |
$75.90 |
$75.90 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$488.40 |
$488.40 |
$488.40 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$91.35 |
$91.35 |
$91.35 |
$46.12
|
|
Ast/sgot
|
$158.10 |
$158.10 |
$158.10 |
$46.74
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$20,999.72 |
$20,999.72 |
$20,999.72 |
$22,940.57
|
|
Atropine 0.1 mg/ml injection syringe
|
$56.48 |
$56.48 |
$56.48 |
$51.24
|
|
Augment injectable kit 3.0cc
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$6,996.60
|
|
Avelumab 20 mg/ml intravenous solution
|
$3,721.71 |
$3,721.71 |
$3,721.71 |
$3,683.86
|
|
Avul nail plate addl
|
$80.25 |
$80.25 |
$80.25 |
$184.44
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$235.35 |
$235.35 |
$235.35 |
$318.75
|
|
Azathioprine 50 mg tablet
|
$0.89 |
$0.89 |
$0.89 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$20.33 |
$20.33 |
$20.33 |
$35.63
|
|
Aztreonam 1 gram solution for injection
|
$171.55 |
$171.55 |
$171.55 |
$157.83
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,530.84 |
$1,530.84 |
$1,530.84 |
$1,530.84
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$83.09 |
$83.09 |
$83.09 |
$160.32
|
|
#bac vag cand-c. albicans naa
|
$676.50 |
$676.50 |
$676.50 |
$105.00
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$17.18 |
$17.18 |
$17.18 |
$17.18
|
|
Bard marquee Ultrasound biopsy device
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$1,535.40
|
|
Barrier film 1.0ml wipe
|
$17.66 |
$17.66 |
$17.66 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$19.50 |
$19.50 |
$19.50 |
$19.50
|
|
Barrier skin flextend 2.25in floating flang new image
|
$5.19 |
$5.19 |
$5.19 |
$4.77
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$3.30 |
$3.30 |
$3.30 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$1.89 |
$1.89 |
$1.89 |
$9.55
|
