|
Alpha-fetoprotein afp-l3 frac & total
|
$32.20 |
$32.20 |
$63.38 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$8.47 |
$8.47 |
$8.47 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$8.47 |
$8.47 |
$150.80 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,025.26 |
$8,025.26 |
$8,025.26 |
$15,857.45
|
|
Alt/sgpt
|
$21.58 |
$21.58 |
$83.64 |
$47.50
|
|
Aluminum - quest
|
$12.78 |
$12.78 |
$25.08 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$31.04 |
$31.04 |
$31.04 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$39.12 |
$39.12 |
$39.12 |
$39.84
|
|
Amino acids quant 2-5
|
$11.12 |
$11.12 |
$11.12 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$13.29 |
$13.29 |
$13.29 |
$37.33
|
|
Aminolevulinic acid delta
|
$12.45 |
$12.45 |
$16.19 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$23.87 |
$23.87 |
$23.87 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$11.29 |
$11.29 |
$11.29 |
$87.45
|
|
Ammonia
|
$35.36 |
$35.36 |
$120.79 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$366.56 |
$366.56 |
$366.56 |
$942.60
|
|
Amniocentesis therapeutic
|
$870.96 |
$870.96 |
$870.96 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$25.90 |
$25.90 |
$25.90 |
$93.61
|
|
Amphotericin b lipid complex
|
$471.83 |
$471.83 |
$471.83 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$620.17 |
$620.17 |
$620.17 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$33.21 |
$33.21 |
$33.21 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$140.72 |
$140.72 |
$140.72 |
$54.57
|
|
Amylase
|
$56.61 |
$56.61 |
$143.42 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$74.04 |
$74.04 |
$74.04 |
$117.01
|
|
Anal pressure record
|
$191.39 |
$191.39 |
$438.47 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$56.11 |
$56.11 |
$64.64 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$62.66 |
$62.66 |
$72.20 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$34.53 |
$34.53 |
$34.53 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$6.89 |
$6.89 |
$8.08 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$440.54 |
$440.54 |
$1,359.40 |
$2,480.94
|
|
An fluoro guide for cvp
|
$138.40 |
$138.40 |
$216.73 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,869.53 |
$2,869.53 |
$2,869.53 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$3,796.77 |
$3,796.77 |
$5,588.63 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,683.70 |
$6,683.70 |
$6,683.70 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,833.68 |
$2,833.68 |
$2,929.39 |
$5,950.50
|
|
Angiotensin ii
|
$14.77 |
$14.77 |
$106.70 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,812.39 |
$1,812.39 |
$2,715.11 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,229.24 |
$4,229.24 |
$6,135.70 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,348.76 |
$3,348.76 |
$7,992.79 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,698.13 |
$6,698.13 |
$6,698.13 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,159.44 |
$2,159.44 |
$7,992.79 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$5,875.06 |
$5,875.06 |
$7,992.79 |
$8,359.11
|
|
Ankle X-ray
|
$110.78 |
$110.78 |
$110.78 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$100.68 |
$100.68 |
$100.68 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$22.49 |
$22.49 |
$22.49 |
$57.85
|
|
Antibody elution rbc reference
|
$53.65 |
$53.65 |
$179.83 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$19.05 |
$19.05 |
$73.94 |
$131.56
|
|
Antibody htlv-i
|
$4.12 |
$4.12 |
$4.12 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$35.13 |
$35.13 |
$97.17 |
$224.00
|
|
Antibody id rbc panel
|
$125.73 |
$125.73 |
$377.37 |
$291.75
|
|
Antibody influenza virus
|
$10.00 |
$10.00 |
$10.00 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$9.11 |
$9.11 |
$12.67 |
$46.58
|
|
Antibody screen rbc
|
$28.71 |
$28.71 |
$75.28 |
$108.55
|
|
Antibody tetanus
|
$9.26 |
$9.26 |
$9.26 |
$54.15
|
|
Antidepressant not specified
|
$11.62 |
$11.62 |
$11.62 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.09 |
$1.09 |
$3.94 |
$6.10
|
|
Anti-inhibitor
|
$6.40 |
$6.40 |
$6.40 |
$8.33
|
|
Anti mog serum - sendout
|
$123.04 |
$123.04 |
$172.20 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.38 |
$8.38 |
$11.86 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$9.11 |
$9.11 |
$9.11 |
$42.00
|
|
Antinuclear antibodies
|
$7.79 |
$7.79 |
$98.40 |
$90.00
|
|
Antinuclear antibodies titer
|
$10.99 |
$10.99 |
$16.90 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$8.38 |
$8.38 |
$15.82 |
$67.43
|
|
Antistreptolysin o screen
|
$83.64 |
$83.64 |
$83.64 |
$58.56
|
|
Antistreptolysin o titer
|
$8.38 |
$8.38 |
$50.43 |
$54.00
|
|
Antithrombin iii activity
|
$10.90 |
$10.90 |
$11.67 |
$115.15
|
|
Antithrombin iii injection
|
$9.84 |
$9.84 |
$9.84 |
$11.85
|
|
Aortic Aneurysm Screening Ultrasound
|
$137.71 |
$137.71 |
$137.71 |
$394.55
|
|
Aortic dysfunction/dilation
|
$495.94 |
$495.94 |
$495.94 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,328.59 |
$1,328.59 |
$1,328.59 |
$1,700.16
|
|
Apheresis immunoads slctv
|
$1,297.30 |
$1,297.30 |
$1,297.30 |
$5,794.21
|
|
Apheresis plasma
|
$1,404.48 |
$1,404.48 |
$1,638.12 |
$3,226.34
|
|
Apheresis platelets
|
$1,598.52 |
$1,598.52 |
$1,598.52 |
$2,195.00
|
|
Apheresis rbc
|
$1,593.59 |
$1,593.59 |
$1,593.59 |
$3,290.80
|
|
Apheresis wbc
|
$1,675.21 |
$1,675.21 |
$1,675.21 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$176.82 |
$176.82 |
$204.00 |
$513.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$333.58 |
$333.58 |
$333.58 |
$502.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$666.91 |
$666.91 |
$666.91 |
$512.20
|
|
Application finger splntstatic 29130
|
$47.72 |
$47.72 |
$77.00 |
$208.50
|
|
Application long leg splint 29505
|
$178.09 |
$178.09 |
$178.09 |
$338.25
|
|
Application lower leg splint 29515
|
$54.37 |
$54.37 |
$137.06 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$230.26 |
$230.26 |
$230.26 |
$375.06
|
|
Application of forearm cast 29075
|
$174.31 |
$174.31 |
$174.31 |
$358.20
|
|
Application of long arm cast 29065
|
$190.02 |
$190.02 |
$190.02 |
$396.77
|
|
Application of long leg cast 29345
|
$123.97 |
$123.97 |
$123.97 |
$455.00
|
|
Application short leg cast 29405
|
$123.97 |
$123.97 |
$123.97 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,333.82 |
$1,333.82 |
$1,333.82 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,333.82 |
$1,333.82 |
$1,333.82 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$5,257.20 |
$5,257.20 |
$5,257.20 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$19.21 |
$19.21 |
$19.21 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$30.26 |
$30.26 |
$30.26 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$42.05 |
$42.05 |
$42.05 |
$54.61
|
|
Apply forearm splintdynamic 29126
|
$188.28 |
$188.28 |
$188.28 |
$255.20
|
|
Apply interstit radiat compl
|
$1,945.02 |
$1,945.02 |
$1,945.02 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$993.30 |
$993.30 |
$993.30 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$752.60 |
$752.60 |
$752.60 |
$1,269.97
|
|
Apply of finger splint 29131
|
$44.23 |
$44.23 |
$44.23 |
$177.45
|
|
Apply rigid leg cast 29445
|
$144.65 |
$144.65 |
$144.65 |
$555.00
|
|
Apply surf ldr radionuclide
|
$246.25 |
$246.25 |
$246.25 |
$282.80
|
