|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,348.69 |
$3,668.28 |
$3,779.44 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$16.30 |
$24.64 |
$62.50 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$4.28 |
$6.48 |
$22.48 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$4.28 |
$6.48 |
$71.14 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$363.84 |
$363.84 |
$363.84 |
$15,857.45
|
|
Alt/sgpt
|
$10.92 |
$16.51 |
$28.66 |
$47.50
|
|
Aluminum - quest
|
$6.47 |
$9.78 |
$39.03 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$15.71 |
$28.35 |
$38.10 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$11.29 |
$11.29 |
$11.29 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$39.28 |
$39.28 |
$39.28 |
$39.84
|
|
Aminolevulinic acid delta
|
$6.30 |
$9.53 |
$66.69 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$2.62 |
$2.62 |
$13.34 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$86.45 |
$86.45 |
$86.45 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.99 |
$0.99 |
$86.45 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$5.71 |
$8.64 |
$10.20 |
$87.45
|
|
Ammonia
|
$17.89 |
$27.05 |
$81.51 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$337.90 |
$408.35 |
$422.68 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,004.30 |
$1,004.30 |
$1,004.30 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$13.10 |
$19.81 |
$23.40 |
$93.61
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$622.69 |
$622.69 |
$622.69 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$86.45 |
$86.45 |
$86.45 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$20.75 |
$20.75 |
$20.75 |
$54.57
|
|
Amylase
|
$28.64 |
$43.31 |
$69.91 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$37.46 |
$56.64 |
$66.90 |
$117.01
|
|
Anal pressure record
|
$300.05 |
$350.10 |
$403.35 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$21.24 |
$69.11 |
$139.48 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$23.72 |
$77.17 |
$155.76 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$42.15 |
$42.15 |
$42.15 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$9.24 |
$10.18 |
$59.53 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$406.10 |
$490.77 |
$507.99 |
$2,480.94
|
|
An fluoro guide for cvp
|
$130.48 |
$134.21 |
$207.48 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,645.20 |
$3,196.67 |
$3,308.84 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,151.73 |
$6,225.77 |
$6,444.22 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,161.19 |
$7,445.68 |
$7,706.93 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,700.39 |
$3,263.36 |
$3,377.87 |
$5,950.50
|
|
Angiotensin ii
|
$7.48 |
$11.30 |
$119.06 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$377.91 |
$1,325.46 |
$1,691.45 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,656.04 |
$6,835.21 |
$7,075.04 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,086.96 |
$3,730.54 |
$3,861.43 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,174.49 |
$7,461.76 |
$7,723.57 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,990.62 |
$2,405.63 |
$2,490.04 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$5,415.77 |
$6,544.85 |
$6,774.50 |
$8,359.11
|
|
Ankle X-ray
|
$104.44 |
$107.42 |
$483.38 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$94.92 |
$97.63 |
$246.76 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$25.70 |
$28.30 |
$39.93 |
$57.85
|
|
Antibody elution rbc reference
|
$61.32 |
$67.53 |
$97.82 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$55.09 |
$84.50 |
$131.28 |
$131.56
|
|
Antibody htlv-i
|
$4.70 |
$5.18 |
$7.31 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$40.15 |
$44.21 |
$336.42 |
$224.00
|
|
Antibody id rbc panel
|
$59.44 |
$82.26 |
$442.72 |
$291.75
|
|
Antibody influenza virus
|
$11.42 |
$12.58 |
$20.75 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$10.42 |
$11.47 |
$16.18 |
$46.58
|
|
Antibody screen rbc
|
$13.57 |
$34.63 |
$101.09 |
$108.55
|
|
Antibody tetanus
|
$10.58 |
$11.65 |
$16.44 |
$54.15
|
|
Antidepressant not specified
|
$5.88 |
$8.89 |
$10.50 |
$72.14
|
|
Antihemophilic viii/vwf comp
|
$2.97 |
$2.97 |
$2.97 |
$3.67
|
|
Anti mog serum - sendout
|
$140.62 |
$154.84 |
$218.46 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$9.58 |
$10.54 |
$16.80 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$10.42 |
$11.47 |
$16.18 |
$42.00
|
|
Antinuclear antibodies
|
$8.90 |
$9.80 |
$64.97 |
$90.00
|
|
Antinuclear antibodies titer
|
$19.32 |
$21.27 |
$57.06 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$9.58 |
$10.54 |
$26.93 |
$67.43
|
|
Antipsychotics nos 1-3
|
$7.24 |
$7.24 |
$8.55 |
$136.61
|
|
Antistreptolysin o titer
|
$9.58 |
$10.54 |
$48.17 |
$54.00
|
|
Antithrombin iii activity
|
$4.03 |
$11.91 |
$129.68 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$55.72 |
$127.36 |
$172.73 |
$394.55
|
|
Aortic dysfunction/dilation
|
$101.30 |
$329.62 |
$665.28 |
$1,153.60
|
|
Apc gene dup/delet variants
|
$264.00 |
$264.00 |
$264.00 |
$462.00
|
|
Apc gene full sequence
|
$174.63 |
$174.63 |
$1,029.60 |
$1,255.20
|
|
Apheresis plasma
|
$898.32 |
$1,144.56 |
$1,281.36 |
$3,226.34
|
|
Apheresis platelets
|
$1,458.39 |
$1,458.39 |
$1,458.39 |
$2,195.00
|
|
Apheresis rbc
|
$1,453.89 |
$1,453.89 |
$1,453.89 |
$3,290.80
|
|
Apheresis wbc
|
$1,528.36 |
$1,528.36 |
$1,528.36 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$66.93 |
$217.78 |
$439.56 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$479.23 |
$479.23 |
$479.23 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$142.85 |
$142.85 |
$142.85 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$34.94 |
$34.94 |
$34.94 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$446.21 |
$446.21 |
$446.21 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$127.49 |
$127.49 |
$127.49 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$31.49 |
$31.49 |
$31.49 |
$512.20
|
|
Application finger splntstatic 29130
|
$24.60 |
$24.60 |
$24.60 |
$208.50
|
|
Application multi layer compression below knee (both sides)
|
$150.53 |
$150.53 |
$150.53 |
$375.06
|
|
Application of forearm cast 29075
|
$89.85 |
$89.85 |
$89.85 |
$358.20
|
|
Application of long arm cast 29065
|
$97.95 |
$97.95 |
$97.95 |
$396.77
|
|
Application of long leg cast 29345
|
$63.90 |
$63.90 |
$63.90 |
$455.00
|
|
Application of paste boot 29580
|
$161.28 |
$161.28 |
$161.28 |
$340.11
|
|
Application short leg cast 29405
|
$63.90 |
$63.90 |
$63.90 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$239.62 |
$239.62 |
$239.62 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$253.44 |
$253.44 |
$253.44 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,223.28 |
$4,626.34 |
$4,766.53 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$8.45 |
$8.45 |
$13.00 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$25.45 |
$25.45 |
$25.45 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$88.70 |
$88.70 |
$88.70 |
$289.60
|
|
Apply interstit radiat compl
|
$2,012.38 |
$2,012.38 |
$2,012.38 |
$2,901.80
|
|
Apply intrcav radiat compl
|
$1,455.99 |
$1,455.99 |
$1,455.99 |
$1,813.50
|
|
Apply intrcav radiat interm
|
$1,027.70 |
$1,027.70 |
$1,027.70 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$778.66 |
$778.66 |
$778.66 |
$1,269.97
|
|
Apply rigid leg cast 29445
|
$194.30 |
$194.30 |
$194.30 |
$555.00
|
|
Apply surf ldr radionuclide
|
$254.77 |
$254.77 |
$254.77 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$19.68 |
$26.76 |
$29.28 |
$157.30
|
