|
Alpha-fetoprotein amniotic
|
$133.56 |
$133.56 |
$133.56 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$109.71 |
$109.71 |
$109.71 |
$103.60
|
|
Alprostadil for injection
|
$5.83 |
$5.83 |
$5.83 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$278.89 |
$278.89 |
$278.89 |
$9,600.63
|
|
Alt/sgpt
|
$53.00 |
$53.00 |
$53.00 |
$49.00
|
|
Aluminum - quest
|
$144.16 |
$144.16 |
$144.16 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$1,074.84 |
$1,074.84 |
$1,074.84 |
$188.65
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$5.43 |
$5.43 |
$5.43 |
$44.00
|
|
Amino acid screen, urine
|
$120.31 |
$120.31 |
$120.31 |
$64.28
|
|
Amino acid single qual
|
$48.76 |
$48.76 |
$48.76 |
$25.00
|
|
Aminolevulinic acid delta
|
$122.43 |
$122.43 |
$122.43 |
$85.15
|
|
Aminolevulinic acid hcl top
|
$452.62 |
$452.62 |
$452.62 |
$396.97
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$29.01 |
$29.01 |
$29.01 |
$43.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.90 |
$0.90 |
$0.90 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$87.45 |
$87.45 |
$87.45 |
$101.17
|
|
Ammonia
|
$102.82 |
$102.82 |
$102.82 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$650.31 |
$650.31 |
$650.31 |
$963.79
|
|
Amniotic fluid scan
|
$130.38 |
$130.38 |
$130.38 |
$33.15
|
|
Amphetamine confirm urine -sendout
|
$86.92 |
$86.92 |
$86.92 |
$94.50
|
|
Amphetamines 5 or more
|
$13.25 |
$13.25 |
$13.25 |
$93.60
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$89.62 |
$89.62 |
$89.62 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$3.28 |
$3.28 |
$3.28 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$13.98 |
$13.98 |
$13.98 |
$57.38
|
|
Amp metatarsal w/toe single 28810
|
$7,142.81 |
$7,142.81 |
$7,142.81 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$446.79 |
$446.79 |
$446.79 |
$3,839.54
|
|
Amputation toe metatarsophalangeal joint
|
$500.85 |
$500.85 |
$500.85 |
$3,777.93
|
|
Amylase
|
$53.53 |
$53.53 |
$53.53 |
$93.00
|
|
Ana ds-dna
|
$111.30 |
$111.30 |
$111.30 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$160.59 |
$160.59 |
$160.59 |
$117.01
|
|
Anal pressure record
|
$1,105.05 |
$1,105.05 |
$1,105.05 |
$954.00
|
|
Anal/urinary muscle study
|
$355.10 |
$355.10 |
$355.10 |
$407.00
|
|
Anal/urinary muscle study
|
$434.60 |
$434.60 |
$434.60 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$478.06 |
$478.06 |
$478.06 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$478.06 |
$478.06 |
$478.06 |
$226.60
|
|
Analysis nerve
|
$583.53 |
$583.53 |
$583.53 |
$223.19
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$55.12 |
$55.12 |
$55.12 |
$122.20
|
|
Analysis tumor
|
$583.53 |
$583.53 |
$583.53 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$45.05 |
$45.05 |
$45.05 |
$396.48
|
|
Anca screen with reflex to titer -quest
|
$131.44 |
$131.44 |
$131.44 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$8,358.10 |
$8,358.10 |
$8,358.10 |
$2,426.60
|
|
Androstanediol
|
$98.58 |
$98.58 |
$98.58 |
$98.58
|
|
An fluoro guide for cvp
|
$389.02 |
$389.02 |
$389.02 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,307.86 |
$9,307.86 |
$9,307.86 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$16,292.73 |
$16,292.73 |
$16,292.73 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$18,852.10 |
$18,852.10 |
$18,852.10 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$8,048.05 |
$8,048.05 |
$8,048.05 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$16,096.10 |
$16,096.10 |
$16,096.10 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,743.92 |
$3,743.92 |
$3,743.92 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$7,487.84 |
$7,487.84 |
$7,487.84 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,694.10 |
$3,694.10 |
$3,694.10 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$7,387.67 |
$7,387.67 |
$7,387.67 |
$8,745.10
|
|
Anidulafungin injection
|
$3.50 |
$3.50 |
$3.50 |
$209.79
|
|
Ankle X-ray
|
$170.66 |
$170.66 |
$170.66 |
$350.85
|
|
Anl sp inf pmp w/mdreprg&fil
|
$66.25 |
$66.25 |
$66.25 |
$693.75
|
|
Anodyne therapy charges pt
|
$17.49 |
$17.49 |
$17.49 |
$41.02
|
|
Anogenital exam child w imag
|
$109.18 |
$109.18 |
$109.18 |
$238.06
|
|
Anora (draw only)
|
$33.92 |
$33.92 |
$33.92 |
$36.36
|
|
Anoscopy
|
$225.78 |
$225.78 |
$225.78 |
$1,078.88
|
|
Anoscopy ablation lesion 46615
|
$228.43 |
$228.43 |
$228.43 |
$3,035.44
|
|
Anoscopy and biopsy
|
$361.46 |
$361.46 |
$361.46 |
$1,380.00
|
|
Anoscopy and dilation 46604
|
$1,188.79 |
$1,188.79 |
$1,188.79 |
$1,621.60
|
|
Anoscopy control bleeding 46614
|
$154.76 |
$154.76 |
$154.76 |
$1,777.86
|
|
Anoscopy remove fb 46608
|
$359.34 |
$359.34 |
$359.34 |
$1,313.97
|
|
Anoscopy remove lesion 46610
|
$355.10 |
$355.10 |
$355.10 |
$3,245.23
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$420.82 |
$420.82 |
$420.82 |
$3,245.23
|
|
Antibody bacterium, not elsewhere specified
|
$165.36 |
$165.36 |
$165.36 |
$57.85
|
|
Antibody elution rbc reference
|
$139.39 |
$139.39 |
$139.39 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$126.67 |
$126.67 |
$126.67 |
$141.26
|
|
Antibody htlv-i
|
$27.56 |
$27.56 |
$27.56 |
$49.53
|
|
Antibody htlv-ii
|
$22.26 |
$22.26 |
$22.26 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$161.65 |
$161.65 |
$161.65 |
$218.30
|
|
Antibody id rbc panel
|
$190.80 |
$190.80 |
$190.80 |
$291.75
|
|
Antibody influenza virus
|
$22.26 |
$22.26 |
$22.26 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$20.14 |
$20.14 |
$20.14 |
$53.96
|
|
Antibody screen rbc
|
$65.19 |
$65.19 |
$65.19 |
$105.00
|
|
Antibody tetanus
|
$54.59 |
$54.59 |
$54.59 |
$58.50
|
|
Antidepressant not specified
|
$181.26 |
$181.26 |
$181.26 |
$89.50
|
|
Antigen therapy services
|
$30.74 |
$30.74 |
$30.74 |
$69.43
|
|
Antigen therapy services
|
$60.42 |
$60.42 |
$60.42 |
$82.78
|
|
Antigen therapy services
|
$56.18 |
$56.18 |
$56.18 |
$99.86
|
|
Antigen therapy services
|
$84.80 |
$84.80 |
$84.80 |
$91.07
|
|
Antigen therapy services
|
$115.54 |
$115.54 |
$115.54 |
$99.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.59 |
$1.59 |
$1.59 |
$4.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$50.88 |
$50.88 |
$50.88 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$19.08 |
$19.08 |
$19.08 |
$40.00
|
|
Antinuclear antibodies
|
$110.77 |
$110.77 |
$110.77 |
$91.70
|
|
Antinuclear antibodies titer
|
$115.01 |
$115.01 |
$115.01 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$41.87 |
$41.87 |
$41.87 |
$74.20
|
|
Antistreptolysin o screen
|
$31.27 |
$31.27 |
$31.27 |
$59.40
|
|
Antistreptolysin o titer
|
$77.91 |
$77.91 |
$77.91 |
$57.85
|
|
Antithrombin iii activity
|
$126.67 |
$126.67 |
$126.67 |
$106.85
|
|
Antithrombin iii injection
|
$3.71 |
$3.71 |
$3.71 |
$15.75
|
|
Aortic dysfunction/dilation
|
$7,488.90 |
$7,488.90 |
$7,488.90 |
$653.18
|
|
Aortic dysfunction/dilation
|
$4,850.03 |
$4,850.03 |
$4,850.03 |
$1,485.21
|
|
Apheresis plasma
|
$2,657.42 |
$2,657.42 |
$2,657.42 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$1,829.56 |
$1,829.56 |
$1,829.56 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$249.10 |
$249.10 |
$249.10 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$73.14 |
$73.14 |
$73.14 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$24.38 |
$24.38 |
$24.38 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$234.79 |
$234.79 |
$234.79 |
$3,461.40
|