|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$837.41 |
$837.41 |
$837.41 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$54.59 |
$54.59 |
$54.59 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$30.76 |
$30.76 |
$30.76 |
$54.57
|
|
Amp metatarsal w/toe single 28810
|
$3,615.94 |
$3,615.94 |
$3,615.94 |
$3,986.00
|
|
Amputate metacarpal bone 26910
|
$3,456.08 |
$3,456.08 |
$3,456.08 |
$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
|
$3,305.98 |
$3,305.98 |
$3,305.98 |
$3,839.54
|
|
Amputation follow-up surgery
|
$4,175.98 |
$4,175.98 |
$4,175.98 |
$3,839.54
|
|
Amputation of foot at ankle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,109.92
|
|
Amputation thru metatarsal
|
$4,147.31 |
$4,147.31 |
$4,147.31 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$3,901.72 |
$3,901.72 |
$3,901.72 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$4,375.84 |
$4,375.84 |
$4,375.84 |
$3,839.54
|
|
Amylase
|
$355.35 |
$355.35 |
$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 definitive assay 1 or 2 acetaminophen
|
$117.01 |
$117.01 |
$117.01 |
$117.01
|
|
Anal pressure record
|
$1,045.39 |
$1,045.39 |
$1,045.39 |
$954.00
|
|
Anal/urinary muscle study
|
$484.04 |
$484.04 |
$484.04 |
$407.00
|
|
Anal/urinary muscle study
|
$484.78 |
$484.78 |
$484.78 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$400.51 |
$400.51 |
$400.51 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$439.79 |
$439.79 |
$439.79 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$315.30 |
$315.30 |
$315.30 |
$249.60
|
|
Analysis nerve
|
$274.49 |
$274.49 |
$274.49 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$378.26 |
$378.26 |
$378.26 |
$122.20
|
|
Analysis tumor
|
$237.89 |
$237.89 |
$237.89 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$579.17 |
$579.17 |
$579.17 |
$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
|
$2,987.17 |
$2,987.17 |
$2,987.17 |
$2,480.94
|
|
Androstanediol
|
$151.42 |
$151.42 |
$151.42 |
$131.04
|
|
An fluoro guide for cvp
|
$754.13 |
$754.13 |
$754.13 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$11,640.12 |
$11,640.12 |
$11,640.12 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$13,419.17 |
$13,419.17 |
$13,419.17 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,552.44 |
$14,552.44 |
$14,552.44 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,506.83 |
$10,506.83 |
$10,506.83 |
$5,950.50
|
|
Angiotensin ii
|
$104.41 |
$104.41 |
$104.41 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$13,724.39 |
$13,724.39 |
$13,724.39 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$14,806.05 |
$14,806.05 |
$14,806.05 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,542.77 |
$6,542.77 |
$6,542.77 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$16,894.29 |
$16,894.29 |
$16,894.29 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$8,051.75 |
$8,051.75 |
$8,051.75 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$12,528.82 |
$12,528.82 |
$12,528.82 |
$8,359.11
|
|
Anidulafungin injection
|
$260.72 |
$260.72 |
$260.72 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$5,927.23 |
$5,927.23 |
$5,927.23 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$6,193.84 |
$6,193.84 |
$6,193.84 |
$6,839.00
|
|
Ankle arthroscopy/surgery
|
$4,333.06 |
$4,333.06 |
$4,333.06 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$4,902.63 |
$4,902.63 |
$4,902.63 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$4,456.07 |
$4,456.07 |
$4,456.07 |
$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
|
$356.32 |
$356.32 |
$356.32 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$302.50 |
$302.50 |
$302.50 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$420.84 |
$420.84 |
$420.84 |
$630.96
|
|
Annual alcohol screen 15 min
|
$36.22 |
$36.22 |
$36.22 |
$40.00
|
|
Annual nursing fac assessmnt
|
$122.71 |
$122.71 |
$122.71 |
$122.71
|
|
Annual Physical, Established Patient (age 40-64)
|
$212.88 |
$212.88 |
$212.88 |
$160.73
|
|
Anodyne therapy charges pt
|
$52.20 |
$52.20 |
$52.20 |
$42.00
|
|
Anogenital exam child w imag
|
$168.73 |
$168.73 |
$168.73 |
$277.99
|
|
Anora (draw only)
|
$33.00 |
$33.00 |
$33.00 |
$35.00
|
|
Anoscopy remove fb 46608
|
$2,022.14 |
$2,022.14 |
$2,022.14 |
$1,375.98
|
|
Ans parasymp & symp w/tilt
|
$492.59 |
$492.59 |
$492.59 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$4,934.17 |
$4,934.17 |
$4,934.17 |
$5,841.60
|
|
Antibody bacterium, not elsewhere specified
|
$105.45 |
$105.45 |
$105.45 |
$57.85
|
|
Antibody elution rbc reference
|
$146.25 |
$146.25 |
$146.25 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$233.88 |
$233.88 |
$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
|
$522.90 |
$522.90 |
$522.90 |
$224.00
|
|
Antibody id rbc panel
|
$265.05 |
$265.05 |
$265.05 |
$291.75
|
|
Antibody influenza virus
|
$67.24 |
$67.24 |
$67.24 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$90.75 |
$90.75 |
$90.75 |
$46.58
|
|
Antibody screen rbc
|
$158.04 |
$158.04 |
$158.04 |
$108.55
|
|
Antibody tetanus
|
$114.67 |
$114.67 |
$114.67 |
$54.15
|
|
Antidepressant not specified
|
$94.22 |
$94.22 |
$94.22 |
$72.14
|
|
Antigen therapy services
|
$54.25 |
$54.25 |
$54.25 |
$73.84
|
|
Antigen therapy services
|
$82.78 |
$82.78 |
$82.78 |
$83.72
|
|
Antigen therapy services
|
$99.86 |
$99.86 |
$99.86 |
$101.40
|
|
Antigen therapy services
|
$91.07 |
$91.07 |
$91.07 |
$96.72
|
|
Antigen therapy services
|
$82.15 |
$82.15 |
$82.15 |
$130.00
|
|
Antigen therapy services
|
$70.07 |
$70.07 |
$70.07 |
$74.00
|
|
Antigen therapy services
|
$71.21 |
$71.21 |
$71.21 |
$64.39
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$22.56 |
$22.56 |
$22.56 |
$6.10
|
|
Anti-inhibitor
|
$26.23 |
$26.23 |
$26.23 |
$8.33
|
|
Anti mog serum - sendout
|
$323.75 |
$323.75 |
$323.75 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$88.50 |
$88.50 |
$88.50 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$78.41 |
$78.41 |
$78.41 |
$42.00
|
|
Antinuclear antibodies
|
$125.35 |
$125.35 |
$125.35 |
$90.00
|
|
Antinuclear antibodies titer
|
$114.80 |
$114.80 |
$114.80 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$106.05 |
$106.05 |
$106.05 |
$67.43
|
|
Antipsychotics nos 1-3
|
$246.00 |
$246.00 |
$246.00 |
$136.61
|
|
Antistreptolysin o screen
|
$72.31 |
$72.31 |
$72.31 |
$58.56
|
|
Antistreptolysin o titer
|
$87.19 |
$87.19 |
$87.19 |
$54.00
|
|
Antithrombin iii activity
|
$167.90 |
$167.90 |
$167.90 |
$115.15
|
|
Antithrombin iii injection
|
$32.39 |
$32.39 |
$32.39 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$7,544.81 |
$7,544.81 |
$7,544.81 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,919.09 |
$1,919.09 |
$1,919.09 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$7,743.03 |
$7,743.03 |
$7,743.03 |
$4,155.20
|
|
Ant sgm img ir flrscn angrph
|
$370.22 |
$370.22 |
$370.22 |
$322.40
|
