|
Amantadine (symmetrel)-sendout
|
$1,074.84 |
$1,074.84 |
$1,074.84 |
$188.65
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$4.55 |
$5.43 |
$5.43 |
$44.00
|
|
Amino acid screen, urine
|
$120.31 |
$120.31 |
$120.31 |
$64.28
|
|
Aminolevulinic acid delta
|
$54.59 |
$54.59 |
$122.43 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$22.04 |
$29.01 |
$29.01 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$8.65 |
$8.65 |
$8.65 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.90 |
$0.90 |
$0.93 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$46.64 |
$46.64 |
$87.45 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$29.93 |
$30.62 |
$36.20 |
$15,167.75
|
|
Ammonia
|
$60.95 |
$60.95 |
$102.82 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$480.18 |
$480.18 |
$650.31 |
$963.79
|
|
Amphetamine confirm urine -sendout
|
$56.71 |
$56.71 |
$86.92 |
$94.50
|
|
Amphetamines 5 or more
|
$13.25 |
$13.25 |
$13.25 |
$93.60
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$84.42 |
$88.62 |
$111.94 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$87.73 |
$87.73 |
$94.57 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$3.28 |
$3.28 |
$15.83 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$16.93 |
$16.93 |
$16.93 |
$57.38
|
|
Amp metatarsal w/toe single 28810
|
$7,142.81 |
$7,142.81 |
$7,142.81 |
$3,839.54
|
|
Amylase
|
$43.99 |
$43.99 |
$53.53 |
$93.00
|
|
Ana ds-dna
|
$50.88 |
$50.88 |
$111.30 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$160.59 |
$160.59 |
$160.59 |
$117.01
|
|
Anal pressure record
|
$1,008.06 |
$1,008.06 |
$1,105.05 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$308.99 |
$308.99 |
$478.06 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$308.99 |
$308.99 |
$478.06 |
$226.60
|
|
Analysis nerve
|
$559.15 |
$559.15 |
$583.53 |
$223.19
|
|
Analysis tumor
|
$559.15 |
$559.15 |
$583.53 |
$240.00
|
|
Anaplsma phgcytophlm amp prb
|
$55.65 |
$55.65 |
$55.65 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$91.69 |
$91.69 |
$131.44 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,341.01 |
$2,341.01 |
$8,358.10 |
$2,426.60
|
|
An fluoro guide for cvp
|
$138.86 |
$138.86 |
$389.02 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,560.65 |
$4,560.65 |
$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
|
$4,544.22 |
$4,544.22 |
$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 |
$5,867.10 |
$5,867.10 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$7,487.84 |
$11,733.67 |
$11,733.67 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,694.10 |
$5,867.10 |
$5,867.10 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$7,387.67 |
$11,733.67 |
$11,733.67 |
$8,745.10
|
|
Anidulafungin injection
|
$3.50 |
$3.50 |
$3.50 |
$209.79
|
|
Ankle X-ray
|
$158.47 |
$158.47 |
$170.66 |
$350.85
|
|
Anl sp inf pmp w/mdreprg&fil
|
$734.58 |
$734.58 |
$734.58 |
$693.75
|
|
Annual Physical, Established Patient (age 18-39)
|
$168.01 |
$168.01 |
$168.01 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$174.90 |
$174.90 |
$174.90 |
$167.25
|
|
Anora (draw only)
|
$33.92 |
$33.92 |
$33.92 |
$36.36
|
|
Antibody
|
$27.03 |
$27.03 |
$27.03 |
$27.41
|
|
Antibody bacterium, not elsewhere specified
|
$41.87 |
$41.87 |
$53.53 |
$57.85
|
|
Antibody elution rbc reference
|
$92.22 |
$92.22 |
$139.39 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$67.84 |
$67.84 |
$126.67 |
$141.26
|
|
Antibody htlv-i
|
$14.31 |
$14.31 |
$14.31 |
$49.53
|
|
Antibody htlv-ii
|
$22.26 |
$22.26 |
$22.26 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$122.43 |
$122.43 |
$161.65 |
$218.30
|
|
Antibody id rbc panel
|
$190.80 |
$190.80 |
$190.80 |
$291.75
|
|
Antibody influenza virus
|
$22.26 |
$54.06 |
$54.06 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$20.67 |
$33.92 |
$33.92 |
$53.96
|
|
Antibody screen rbc
|
$45.58 |
$45.58 |
$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
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.85 |
$1.85 |
$1.90 |
$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
|
$47.17 |
$47.17 |
$110.77 |
$91.70
|
|
Antinuclear antibodies titer
|
$47.70 |
$47.70 |
$115.01 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$28.62 |
$28.62 |
$41.87 |
$74.20
|
|
Antistreptolysin o screen
|
$10.07 |
$10.07 |
$10.07 |
$59.40
|
|
Antistreptolysin o titer
|
$36.04 |
$36.04 |
$77.91 |
$57.85
|
|
Antithrombin iii activity
|
$78.44 |
$78.44 |
$126.67 |
$106.85
|
|
Antithrombin iii injection
|
$5.35 |
$5.35 |
$5.61 |
$15.75
|
|
Aortic dysfunction/dilation
|
$7,173.55 |
$7,173.55 |
$7,488.90 |
$653.18
|
|
Aortic dysfunction/dilation
|
$4,645.45 |
$4,645.45 |
$4,850.03 |
$1,485.21
|
|
Apheresis plasma
|
$2,518.03 |
$2,518.03 |
$2,657.42 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$438.31 |
$438.31 |
$1,829.56 |
$465.60
|
|
Application finger splntstatic 29130
|
$100.70 |
$100.70 |
$100.70 |
$226.20
|
|
Application lower leg splint 29515
|
$438.84 |
$438.84 |
$438.84 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$270.83 |
$270.83 |
$449.44 |
$393.75
|
|
Application of paste boot 29580
|
$563.39 |
$563.39 |
$673.10 |
$336.00
|
|
Application short leg cast 29405
|
$545.90 |
$545.90 |
$545.90 |
$397.33
|
|
Appl modality 1/> areas paraffin bath 97018
|
$52.47 |
$52.47 |
$69.96 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$63.07 |
$63.07 |
$106.53 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$191.33 |
$248.57 |
$340.26 |
$339.69
|
|
Apply interstit radiat compl
|
$4,040.19 |
$4,040.19 |
$4,040.19 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$5,899.43 |
$5,899.43 |
$5,899.43 |
$1,717.51
|
|
Apply rigid leg cast 29445
|
$953.47 |
$953.47 |
$1,261.93 |
$608.00
|
|
Apply short leg castambul type 29425
|
$474.88 |
$474.88 |
$695.36 |
$460.92
|
|
Aqaprn-4 antb flo cytmtry ea
|
$136.74 |
$136.74 |
$136.74 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$96.99 |
$96.99 |
$129.32 |
$100.00
|
|
Aquatic exercise - group charge
|
$39.22 |
$39.22 |
$53.53 |
$91.68
|
|
Argatroban nonesrd use 1mg
|
$2.06 |
$2.06 |
$5.37 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$2.67 |
$2.67 |
$5.49 |
$9,553.74
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$69.21 |
$69.21 |
$69.21 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$279.31 |
$350.33 |
$350.33 |
$500.82
|
|
Artery xray each vessel 7577426
|
$845.35 |
$845.35 |
$845.35 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,145.44 |
$2,145.44 |
$2,885.85 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$3,476.40
|
|
Artery x-rays adrenals
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$3,724.63
|
|
Artery x-rays arm/leg 75710-26
|
$1,176.60 |
$1,176.60 |
$1,610.14 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$1,358.39 |
$1,358.39 |
$2,362.74 |
$4,029.72
|
|
Artery x-rays chest
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$2,628.15
|
|
Artery x-rays lung
|
$1,690.70 |
$1,690.70 |
$1,690.70 |
$3,150.00
|
|
Artery x-rays lung
|
$1,685.40 |
$1,685.40 |
$1,685.40 |
$2,483.00
|
