|
Aep thrshld est mlt freq i&r
|
$350.50 |
$350.50 |
$350.50 |
$605.15
|
|
_afb id by dna probe rflx ast
|
$91.50 |
$91.50 |
$91.50 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$24.00 |
$24.00 |
$24.00 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$461.00 |
$461.00 |
$461.00 |
$315.00
|
|
Aflibercept injection
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$3,153.84
|
|
After cataract laser surgery
|
$819.50 |
$819.50 |
$819.50 |
$1,373.11
|
|
Air conduction bilat
|
$156.00 |
$156.00 |
$156.00 |
$133.00
|
|
Airway resistance by impulse oscillometry 94728
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$113.50 |
$113.50 |
$113.50 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$369.00 |
$369.00 |
$369.00 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$92.25 |
$92.25 |
$92.25 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$35.50 |
$35.50 |
$35.50 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$30.50 |
$30.50 |
$30.50 |
$40.80
|
|
Albuterol ipratrop non-comp
|
$1.00 |
$1.00 |
$1.00 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$44.50 |
$44.50 |
$44.50 |
$93.60
|
|
Alcohol/subs interv 15-30mn
|
$42.00 |
$42.00 |
$42.00 |
$51.52
|
|
Alginate dressing <=16 sq in
|
$78.00 |
$78.00 |
$78.00 |
$18.20
|
|
Alkaline phosphatase
|
$34.00 |
$34.00 |
$34.00 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$66.50 |
$66.50 |
$66.50 |
$48.00
|
|
Allergen egg white ige
|
$138.00 |
$138.00 |
$138.00 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$25.00 |
$25.00 |
$25.00 |
$43.75
|
|
Allergy injection; single 95115
|
$22.50 |
$22.50 |
$22.50 |
$42.75
|
|
Allograft amnioexcel plus 17mm disk
|
$8,760.00 |
$8,760.00 |
$8,760.00 |
$2,250.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$11,345.00 |
$11,345.00 |
$11,345.00 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$4,201.00 |
$4,201.00 |
$4,201.00 |
$6,414.50
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,473.50 |
$1,473.50 |
$1,473.50 |
$4,725.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$568.50 |
$568.50 |
$568.50 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$28.50 |
$28.50 |
$28.50 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$98.50 |
$98.50 |
$98.50 |
$106.00
|
|
Alprostadil for injection
|
$14.00 |
$14.00 |
$14.00 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$729.05 |
$729.05 |
$729.05 |
$15,857.45
|
|
Alt/sgpt
|
$34.00 |
$34.00 |
$34.00 |
$47.45
|
|
Aluminum - quest
|
$162.00 |
$162.00 |
$162.00 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,988.75 |
$1,988.75 |
$1,988.75 |
$434.00
|
|
Amantadine (symmetrel)-sendout
|
$142.00 |
$142.00 |
$142.00 |
$169.80
|
|
Ambl bp mntr w/sw a/r
|
$379.50 |
$379.50 |
$379.50 |
$310.44
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$14.48 |
$14.48 |
$14.48 |
$39.84
|
|
Aminolevulinic acid delta
|
$105.00 |
$105.00 |
$105.00 |
$85.15
|
|
Aminolevulinic acid hcl top
|
$885.00 |
$885.00 |
$885.00 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.89 |
$12.89 |
$12.89 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$120.00 |
$120.00 |
$120.00 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$8.19 |
$8.19 |
$8.19 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$161.00 |
$161.00 |
$161.00 |
$87.45
|
|
Ammonia
|
$88.50 |
$88.50 |
$88.50 |
$119.70
|
|
Amniocentesis therapeutic
|
$188.50 |
$188.50 |
$188.50 |
$785.85
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,799.50 |
$3,799.50 |
$3,799.50 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$119.00 |
$119.00 |
$119.00 |
$92.61
|
|
Amphetamines 5 or more
|
$18.50 |
$18.50 |
$18.50 |
$82.96
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$24.91 |
$24.91 |
$24.91 |
$117.75
|
|
Ampicillin 1 gram solution for injection
|
$45.41 |
$45.41 |
$45.41 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$42.39 |
$42.39 |
$42.39 |
$53.86
|
|
Amp metatarsal w/toe single 28810
|
$3,799.50 |
$3,799.50 |
$3,799.50 |
$4,271.00
|
|
Amputation leg; tib/fib f/u 27886
|
$7,341.50 |
$7,341.50 |
$7,341.50 |
$1,461.89
|
|
Amputation thru metatarsal
|
$12,738.50 |
$12,738.50 |
$12,738.50 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$9,012.00 |
$9,012.00 |
$9,012.00 |
$3,998.20
|
|
Amputation toe metatarsophalangeal joint
|
$7,727.00 |
$7,727.00 |
$7,727.00 |
$3,839.54
|
|
Amylase
|
$237.00 |
$237.00 |
$237.00 |
$89.04
|
|
Analgesics non-opioid 3-5
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$18.50 |
$18.50 |
$18.50 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.00 |
$45.00 |
$45.00 |
$117.01
|
|
Anal pressure record
|
$375.50 |
$375.50 |
$375.50 |
$834.90
|
|
Anal/urinary muscle study
|
$377.00 |
$377.00 |
$377.00 |
$407.00
|
|
Anal/urinary muscle study
|
$288.50 |
$288.50 |
$288.50 |
$576.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$256.00 |
$256.00 |
$256.00 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$339.00 |
$339.00 |
$339.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$421.00 |
$421.00 |
$421.00 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$88.50 |
$88.50 |
$88.50 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$241.00 |
$241.00 |
$241.00 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$110.00 |
$110.00 |
$110.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$96.50 |
$96.50 |
$96.50 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,336.00 |
$3,336.00 |
$3,336.00 |
$2,626.65
|
|
Androstanediol
|
$169.00 |
$169.00 |
$169.00 |
$120.60
|
|
An fluoro guide for cvp
|
$270.50 |
$270.50 |
$270.50 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$630.00 |
$630.00 |
$630.00 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$9,138.50 |
$9,138.50 |
$9,138.50 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,139.00 |
$9,139.00 |
$9,139.00 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$9,259.50 |
$9,259.50 |
$9,259.50 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$177.50 |
$177.50 |
$177.50 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$18,521.00 |
$18,521.00 |
$18,521.00 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$735.50 |
$735.50 |
$735.50 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$627.50 |
$627.50 |
$627.50 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$9,824.00 |
$9,824.00 |
$9,824.00 |
$8,466.00
|
|
Ankle arthroscopy/surgery
|
$7,039.63 |
$7,039.63 |
$7,039.63 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$11,453.50 |
$11,453.50 |
$11,453.50 |
$3,839.54
|
|
Ankle X-ray
|
$405.00 |
$405.00 |
$405.00 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$222.00 |
$222.00 |
$222.00 |
$627.94
|
|
Annual Physical, Established Patient (age 18-39)
|
$67.50 |
$67.50 |
$67.50 |
$141.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$67.50 |
$67.50 |
$67.50 |
$158.76
|
|
Annual Physical, New Patient (age 18-39)
|
$90.00 |
$90.00 |
$90.00 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$90.00 |
$90.00 |
$90.00 |
$165.10
|
|
Anora (draw only)
|
$12.00 |
$12.00 |
$12.00 |
$33.58
|
|
Anoscopy and biopsy
|
$7,293.00 |
$7,293.00 |
$7,293.00 |
$1,395.28
|
|
Ans parasymp & symp w/tilt
|
$354.50 |
$354.50 |
$354.50 |
$368.50
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$9,132.00 |
$9,132.00 |
$9,132.00 |
$5,463.96
|
|
Antibody bacterium, not elsewhere specified
|
$208.00 |
$208.00 |
$208.00 |
$57.81
|
|
Antibody elution rbc reference
|
$276.00 |
$276.00 |
$276.00 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$455.00 |
$455.00 |
$455.00 |
$218.30
|
|
Antibody id rbc panel
|
$460.50 |
$460.50 |
$460.50 |
$274.56
|
