|
Alcohol/subs interv 15-30mn
|
$31.84 |
$31.84 |
$31.84 |
$56.70
|
|
Alcohol/subs interv >30 min
|
$31.84 |
$31.84 |
$31.84 |
$190.13
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$37,118.94 |
$37,118.94 |
$37,118.94 |
$47,974.31
|
|
Alkaline phosphatase
|
$11.91 |
$21.96 |
$69.15 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$12.83 |
$15.20 |
$19.60 |
$48.57
|
|
Allergen egg white ige
|
$10.64 |
$13.72 |
$133.97 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$2.16 |
$11.21 |
$14.46 |
$24.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$6,551.30 |
$6,551.30 |
$6,551.30 |
$5,399.16
|
|
Allograft amnioexcel plus 17mm disk
|
$2,981.51 |
$2,981.51 |
$2,981.51 |
$497.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$869.75 |
$1,915.64 |
$11,121.17 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$169.05 |
$2,323.44 |
$3,876.54 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$56.23 |
$61.84 |
$17,910.07 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$248.10 |
$452.29 |
$1,313.32 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$181.96 |
$181.96 |
$3,876.54 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,801.58 |
$4,801.58 |
$5,011.86 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,293.15 |
$2,293.15 |
$2,293.15 |
$5,278.73
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$7.26 |
$7.26 |
$7.26 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$30.65 |
$31.04 |
$108.11 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$8.06 |
$8.16 |
$34.77 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$8.06 |
$8.16 |
$99.71 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$337.32 |
$337.32 |
$14,242.49 |
$15,857.45
|
|
Alt/sgpt
|
$20.54 |
$20.80 |
$79.08 |
$47.50
|
|
Aluminum - quest
|
$12.17 |
$12.32 |
$60.36 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$442.04 |
$442.04 |
$442.04 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$92.11 |
$92.11 |
$93.28 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$3.41 |
$13.76 |
$36.42 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$9.94 |
$9.94 |
$9.94 |
$37.33
|
|
Aminolevulinic acid, 10% gel
|
$477.89 |
$477.89 |
$477.89 |
$1.81
|
|
Aminolevulinic acid delta
|
$11.85 |
$12.00 |
$155.10 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$442.36 |
$442.36 |
$442.36 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.37 |
$12.37 |
$17.58 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$80.15 |
$80.15 |
$80.15 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.01 |
$52.72 |
$80.15 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$10.74 |
$10.74 |
$10.88 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$5,475.97 |
$5,475.97 |
$5,475.97 |
$9,084.45
|
|
Ammonia
|
$33.65 |
$34.08 |
$128.36 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$427.45 |
$462.08 |
$838.49 |
$942.60
|
|
Amniocentesis therapeutic
|
$435.87 |
$1,015.65 |
$1,097.92 |
$791.05
|
|
Amniotic fluid scan
|
$16.05 |
$16.05 |
$16.05 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$24.65 |
$24.96 |
$48.90 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$69.91 |
$69.91 |
$69.91 |
$123.53
|
|
Amphotericin b lipid complex
|
$12.37 |
$12.37 |
$12.37 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$453.44 |
$453.44 |
$577.31 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$24.45 |
$24.45 |
$80.15 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$19.24 |
$19.24 |
$115.37 |
$54.57
|
|
Amp metatarsal w/toe single 28810
|
$1,555.55 |
$1,555.55 |
$1,555.55 |
$3,986.00
|
|
Amputation toe interphalangeal joint
|
$2,051.80 |
$2,051.80 |
$2,051.80 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,825.95 |
$1,825.95 |
$1,825.95 |
$3,839.54
|
|
Amylase
|
$53.88 |
$54.56 |
$111.17 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$70.47 |
$70.47 |
$71.36 |
$117.01
|
|
Anal pressure record
|
$481.52 |
$481.52 |
$481.52 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$59.28 |
$68.70 |
$147.07 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$66.20 |
$87.94 |
$188.33 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$416.14 |
$416.14 |
$416.14 |
$122.20
|
|
Anaplsma phgcytophlm amp prb
|
$28.73 |
$28.73 |
$92.07 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$10.45 |
$13.47 |
$55.19 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$513.73 |
$555.34 |
$1,429.45 |
$2,480.94
|
|
An fluoro guide for cvp
|
$121.63 |
$131.41 |
$346.48 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,346.23 |
$3,617.29 |
$4,192.45 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$6,517.03 |
$7,044.95 |
$7,861.95 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$7,794.02 |
$8,425.38 |
$12,990.68 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,416.04 |
$3,692.75 |
$4,489.27 |
$5,950.50
|
|
Angiotensin ii
|
$14.06 |
$14.24 |
$200.17 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$350.37 |
$531.11 |
$2,177.02 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$7,154.99 |
$7,734.58 |
$7,740.09 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,905.06 |
$3,930.78 |
$4,221.40 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$7,810.84 |
$7,861.95 |
$8,443.57 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,518.17 |
$2,722.16 |
$3,852.47 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$6,851.05 |
$7,406.02 |
$7,861.95 |
$8,359.11
|
|
Ankle X-ray
|
$97.35 |
$105.19 |
$448.16 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$88.48 |
$95.60 |
$289.56 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$29.07 |
$37.48 |
$138.29 |
$57.85
|
|
Antibody elution rbc reference
|
$69.35 |
$89.42 |
$258.62 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$51.07 |
$95.57 |
$614.26 |
$131.56
|
|
Antibody htlv-i
|
$5.32 |
$5.32 |
$6.86 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$45.41 |
$58.56 |
$311.90 |
$224.00
|
|
Antibody id rbc panel
|
$76.26 |
$131.06 |
$560.78 |
$291.75
|
|
Antibody influenza virus
|
$12.92 |
$16.66 |
$32.09 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$11.78 |
$15.19 |
$40.11 |
$46.58
|
|
Antibody screen rbc
|
$29.93 |
$45.07 |
$138.29 |
$108.55
|
|
Antibody tetanus
|
$11.97 |
$11.97 |
$15.44 |
$54.15
|
|
Antidepressant not specified
|
$11.06 |
$11.06 |
$11.20 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2.68 |
$2.68 |
$2.68 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$2.75 |
$2.75 |
$2.75 |
$3.67
|
|
Anti-inhibitor
|
$20.63 |
$20.63 |
$20.63 |
$8.33
|
|
Anti mog serum - sendout
|
$159.03 |
$205.06 |
$382.00 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$10.83 |
$13.96 |
$25.98 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$11.78 |
$11.78 |
$15.19 |
$42.00
|
|
Antinuclear antibodies
|
$10.07 |
$12.98 |
$91.68 |
$90.00
|
|
Antinuclear antibodies titer
|
$17.19 |
$21.85 |
$52.90 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$10.83 |
$13.96 |
$41.64 |
$67.43
|
|
Antipsychotics nos 1-3
|
$9.12 |
$9.12 |
$9.12 |
$136.61
|
|
Antistreptolysin o titer
|
$10.83 |
$13.96 |
$44.66 |
$54.00
|
|
Antithrombin iii activity
|
$11.53 |
$14.24 |
$120.23 |
$115.15
|
|
Antithrombin iii injection
|
$6.50 |
$6.50 |
$6.50 |
$11.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$469.45 |
$469.45 |
$469.45 |
$8,214.07
|
|
Antithymocyte globuln rabbit
|
$1,100.55 |
$1,100.55 |
$1,100.55 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$138.90 |
$158.40 |
$205.90 |
$394.55
|
|
Aortic dysfunction/dilation
|
$421.85 |
$421.85 |
$7,970.43 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$1,130.23 |
$1,130.23 |
$7,970.43 |
$1,700.16
|
