|
Amiodarone 50 mg/ml intravenous solution
|
$1.04 |
$7.80 |
$27.83 |
|
|
Amitriptyline (elavil) -sendout
|
$11.00 |
$62.00 |
$357.00 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$21,878.10 |
$21,878.10 |
$29,170.80 |
|
|
Ammonia
|
$35.50 |
$98.50 |
$218.40 |
|
|
Amniocentesisdiagnostic 59000
|
$923.50 |
$1,059.00 |
$1,330.00 |
|
|
Amniocentesis therapeutic
|
$188.50 |
$434.00 |
$538.50 |
|
|
Amniotic fluid scan
|
$152.50 |
$152.50 |
$152.50 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$696.50 |
$3,607.34 |
$10,030.00 |
|
|
Amphetamine confirm urine -sendout
|
$20.00 |
$32.00 |
$260.00 |
|
|
Amphetamines 5 or more
|
$5.00 |
$29.50 |
$172.10 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$0.75 |
$0.75 |
$24.91 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$825.00 |
$825.00 |
$825.00 |
|
|
Ampicillin 1 gram solution for injection
|
$1.00 |
$5.36 |
$49.84 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$4.78 |
$7.86 |
$55.20 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$425.00 |
$425.00 |
$425.00 |
|
|
Amp metatarsal w/toe single 28810
|
$441.00 |
$3,723.00 |
$28,978.00 |
|
|
Amp thigh through femur re-amp 27596
|
$10,276.26 |
$10,276.26 |
$10,276.26 |
|
|
Amputate leg at thigh
|
$721.00 |
$735.00 |
$1,793.40 |
|
|
Amputate metacarpal bone 26910
|
$780.00 |
$807.00 |
$8,865.50 |
|
|
Amputate thigh through femur 27590
|
$1,690.20 |
$1,690.20 |
$1,690.20 |
|
|
Amputation follow-up surgery
|
$814.50 |
$854.00 |
$1,366.40 |
|
|
Amputation follow-up surgery
|
$615.00 |
$631.50 |
$6,739.20 |
|
|
Amputation leg thr tib/fib 27880
|
$961.00 |
$1,010.50 |
$10,072.50 |
|
|
Amputation leg; tib/fib f/u 27886
|
$689.50 |
$698.50 |
$7,341.50 |
|
|
Amputation of lower leg
|
$632.00 |
$649.00 |
$1,344.60 |
|
|
Amputation thru metatarsal
|
$739.50 |
$1,185.60 |
$20,650.00 |
|
|
Amputation toe interphalangeal joint
|
$180.50 |
$3,761.00 |
$9,012.00 |
|
|
Amputation toe metatarsophalangeal joint
|
$187.00 |
$3,264.00 |
$7,727.00 |
|
|
Amylase
|
$237.00 |
$237.00 |
$412.80 |
|
|
Ana ds-dna
|
$41.00 |
$62.50 |
$65.50 |
|
|
Analgesics non-opioid 3-5
|
$5.00 |
$5.00 |
$5.00 |
|
|
Analgesics non-opioid 6/more
|
$5.00 |
$5.00 |
$18.50 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.00 |
$45.00 |
$72.00 |
|
|
Anal pressure record
|
$375.50 |
$375.50 |
$1,608.00 |
|
|
Anal/urinary muscle study
|
$38.00 |
$71.50 |
$377.00 |
|
|
Anal/urinary muscle study
|
$282.00 |
$319.50 |
$406.00 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$109.50 |
$180.00 |
$338.50 |
|
|
Analysis gene f2 20210g>a variant
|
$74.00 |
$263.00 |
$689.00 |
|
|
Analysis gene f5 leiden variant
|
$74.00 |
$273.00 |
$915.00 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$44.00 |
$88.50 |
$364.00 |
|
|
Analysis tumor
|
$264.60 |
$264.60 |
$264.60 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$39.50 |
$143.50 |
$2,148.50 |
|
|
Anaplsma phgcytophlm amp prb
|
$110.00 |
$110.00 |
$339.00 |
|
|
Anca screen with reflex to titer -quest
|
$20.50 |
$99.00 |
$153.60 |
|
|
An cholangiogram percutaneous compl
|
$1,290.50 |
$3,336.00 |
$5,953.50 |
|
|
Androstanediol
|
$155.50 |
$155.50 |
$169.00 |
|
|
An fluoro guide for cvp
|
$60.00 |
$303.50 |
$3,262.00 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$151.50 |
$630.00 |
$7,483.00 |
|
|
Angioplasty fem/pop unilat 37224
|
$3,700.00 |
$8,053.50 |
$12,066.50 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$424.00 |
$5,009.00 |
$13,610.00 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,117.50 |
$5,427.75 |
$9,259.50 |
|
|
Angiotensin ii
|
$262.50 |
$262.50 |
$335.00 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$7.00 |
$177.50 |
$10,983.60 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,644.00 |
$9,843.00 |
$18,521.00 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$735.50 |
$5,699.50 |
$8,605.50 |
|
|
Angio trnslmnl balloon same artery ini
|
$4,377.00 |
$8,550.60 |
$12,536.50 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$627.50 |
$5,857.50 |
$6,721.50 |
|
|
Angio trnslmnl balloon same vein ini
|
$4,377.00 |
$5,578.50 |
$12,536.50 |
|
|
Ankle arthroscopy/surgery
|
$708.50 |
$737.50 |
$12,520.00 |
|
|
Ankle arthroscopy/surgery
|
$672.00 |
$672.00 |
$6,424.00 |
|
|
Ankle arthroscopy/surgery
|
$482.00 |
$487.50 |
$7,012.00 |
|
|
Ankle arthroscopy/surgery
|
$518.00 |
$543.50 |
$8,289.67 |
|
|
Ankle arthroscopy/surgery
|
$588.00 |
$943.20 |
$11,453.50 |
|
|
Ankle arthroscopy/surgery
|
$1,050.00 |
$1,050.00 |
$1,680.00 |
|
|
Ankle X-ray
|
$121.00 |
$367.00 |
$573.00 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$222.00 |
$353.00 |
$3,325.00 |
|
|
Annual alcohol screen 15 min
|
$9.00 |
$14.40 |
$59.50 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$46.00 |
$93.00 |
$200.00 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$66.00 |
$99.00 |
$230.00 |
|
|
Annual Physical, New Patient (age 18-39)
|
$9.50 |
$110.00 |
$184.80 |
|
|
Annual Physical, New Patient (age 40-64)
|
$9.50 |
$123.50 |
$216.80 |
|
|
Anodyne therapy charges pt
|
$20.50 |
$20.50 |
$20.50 |
|
|
Anogenital exam child w imag
|
$258.50 |
$258.50 |
$767.67 |
|
|
Anora (draw only)
|
$2.00 |
$12.00 |
$139.50 |
|
|
Anoscopy
|
$84.00 |
$85.00 |
$136.00 |
|
|
Anoscopy ablation lesion 46615
|
$1,377.67 |
$1,377.67 |
$4,382.50 |
|
|
Anoscopy and biopsy
|
$79.50 |
$129.60 |
$7,293.00 |
|
|
Anoscopy and dilation 46604
|
$68.50 |
$71.00 |
$1,740.33 |
|
|
Anoscopy control bleeding 46614
|
$67.50 |
$69.50 |
$111.20 |
|
|
Anoscopy remove fb 46608
|
$91.00 |
$95.00 |
$152.00 |
|
|
Anoscopy remove lesion 46610
|
$84.50 |
$87.00 |
$3,545.00 |
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$102.50 |
$106.00 |
$1,295.08 |
|
|
Ans parasymp & symp w/tilt
|
$276.50 |
$276.50 |
$354.50 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$626.00 |
$2,238.67 |
$9,132.00 |
|
|
Anterior thoracic extension
|
$492.50 |
$503.00 |
$556.00 |
|
|
Antibody bacterium, not elsewhere specified
|
$9.50 |
$84.00 |
$780.00 |
|
|
Antibody elution rbc reference
|
$66.50 |
$126.50 |
$276.00 |
|
|
Antibody htlv/hiv confirm test
|
$72.00 |
$72.00 |
$405.00 |
|
|
Antibody htlv-i
|
$17.50 |
$23.50 |
$121.00 |
|
|
Antibody htlv-ii
|
$19.00 |
$19.00 |
$19.00 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$455.00 |
$455.00 |
$728.00 |
|
|
Antibody id rbc panel
|
$60.50 |
$199.80 |
$1,042.50 |
|
|
Antibody influenza virus
|
$28.80 |
$69.50 |
$216.00 |
|
|
Antibody lymphocytic choriomeningitis
|
$25.50 |
$25.50 |
$81.50 |
|
|
Antibody screen rbc
|
$17.60 |
$57.50 |
$133.00 |
|
|
Antibody tetanus
|
$10.00 |
$15.00 |
$87.00 |
|
|
Anticoag mgmt pt warfarin
|
$11.50 |
$13.00 |
$21.50 |
|
|
Antidepressant not specified
|
$5.00 |
$5.00 |
$31.80 |
|
|
Antidepressants class 3-5
|
$5.00 |
$5.00 |
$5.00 |
|
|
Antidepressants class 6/more
|
$5.00 |
$5.00 |
$18.50 |
|
