|
Alys cplx sp/pn npgt w/prgrm
|
$189.74 |
$189.74 |
$191.81 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$20.56 |
$20.56 |
$20.78 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$4,557.41 |
$4,557.41 |
$4,607.08 |
$45.50
|
|
Aminolevulinic acid delta
|
$16.19 |
$16.19 |
$16.37 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$18.35 |
$18.35 |
$18.55 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$76.71 |
$76.71 |
$77.54 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$23.38 |
$23.38 |
$57.99 |
$50.85
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$5,234.89 |
$5,234.89 |
$5,234.89 |
$15,167.75
|
|
Ammonia
|
$246.26 |
$246.26 |
$249.32 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$494.35 |
$494.35 |
$499.74 |
$963.79
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$66.80 |
$66.80 |
$67.53 |
$135.63
|
|
Amphotericin b lipid complex
|
$350.86 |
$350.86 |
$350.86 |
$337.94
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$446.64 |
$446.64 |
$451.51 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$54.69 |
$54.69 |
$105.74 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$54.69 |
$54.69 |
$55.28 |
$57.38
|
|
Amputation toe interphalangeal joint
|
$3,436.23 |
$3,436.23 |
$3,436.23 |
$3,839.54
|
|
Amputation toe metatarsophalangeal joint
|
$3,465.95 |
$3,465.95 |
$3,465.95 |
$3,777.93
|
|
Amylase
|
$198.18 |
$198.18 |
$200.34 |
$93.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$129.92 |
$129.92 |
$129.92 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$14.68 |
$14.68 |
$14.84 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$29.73 |
$29.73 |
$30.06 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$128.82 |
$128.82 |
$540.18 |
$122.20
|
|
Analysis tumor
|
$46.27 |
$46.27 |
$46.77 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$296.91 |
$296.91 |
$300.14 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$14.68 |
$14.68 |
$14.84 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$138.73 |
$138.73 |
$140.24 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$260.21 |
$260.21 |
$263.04 |
$2,426.60
|
|
An fluoro guide for cvp
|
$368.47 |
$368.47 |
$372.49 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$13,844.71 |
$13,844.71 |
$13,995.61 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$23,752.24 |
$23,752.24 |
$24,011.12 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$21,300.32 |
$21,300.32 |
$21,532.47 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,630.61 |
$3,630.61 |
$4,309.69 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$6,733.28 |
$6,733.28 |
$26,525.66 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$11,971.54 |
$11,971.54 |
$12,102.02 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$9,349.70 |
$9,349.70 |
$11,153.01 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$9,349.70 |
$9,349.70 |
$11,153.01 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$9,349.70 |
$9,349.70 |
$11,153.01 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$9,349.70 |
$9,349.70 |
$11,153.01 |
$8,745.10
|
|
Anora (draw only)
|
$23.13 |
$23.13 |
$23.38 |
$36.36
|
|
Antibody elution rbc reference
|
$143.87 |
$143.87 |
$145.44 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$25.66 |
$25.66 |
$25.94 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$146.80 |
$146.80 |
$148.40 |
$218.30
|
|
Antibody id rbc panel
|
$251.03 |
$251.03 |
$253.77 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$12.48 |
$12.48 |
$12.62 |
$53.96
|
|
Antibody screen rbc
|
$180.20 |
$180.20 |
$182.17 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2.94 |
$2.94 |
$2.97 |
$4.00
|
|
Antihemophilic viii/vwf comp
|
$2.23 |
$2.23 |
$2.23 |
$2.75
|
|
Anti mog serum - sendout
|
$53.22 |
$53.22 |
$53.80 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$6.19 |
$6.19 |
$6.25 |
$50.88
|
|
Antinuclear antibodies
|
$20.19 |
$20.19 |
$20.41 |
$91.70
|
|
Antinuclear antibodies titer
|
$6.91 |
$6.91 |
$6.99 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$3.67 |
$3.67 |
$3.71 |
$74.20
|
|
Antistreptolysin o screen
|
$128.45 |
$128.45 |
$129.85 |
$59.40
|
|
Antistreptolysin o titer
|
$113.04 |
$113.04 |
$114.27 |
$57.85
|
|
Antithrombin iii activity
|
$105.70 |
$105.70 |
$106.85 |
$106.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,823.41 |
$3,823.41 |
$3,865.08 |
$5,465.25
|
|
Apheresis immunoads slctv
|
$2,713.97 |
$2,713.97 |
$2,743.55 |
$5,544.24
|
|
Apheresis plasma
|
$949.39 |
$949.39 |
$986.13 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$120.01 |
$120.01 |
$121.32 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,141.08 |
$2,141.08 |
$2,141.08 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$551.24 |
$551.24 |
$551.24 |
$908.05
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$229.75 |
$229.75 |
$229.75 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,159.43 |
$2,159.43 |
$2,159.43 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$716.76 |
$716.76 |
$716.76 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$211.40 |
$211.40 |
$211.40 |
$508.18
|
|
Application lower leg splint 29515
|
$187.91 |
$187.91 |
$187.91 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$144.24 |
$144.24 |
$144.24 |
$393.75
|
|
Application of forearm cast 29075
|
$332.87 |
$332.87 |
$332.87 |
$386.10
|
|
Application of long arm cast 29065
|
$332.87 |
$332.87 |
$332.87 |
$414.20
|
|
Application of paste boot 29580
|
$196.72 |
$196.72 |
$196.72 |
$336.00
|
|
Application short leg cast 29405
|
$132.49 |
$132.49 |
$132.49 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$918.97 |
$918.97 |
$918.97 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$918.97 |
$918.97 |
$918.97 |
$2,164.64
|
|
Apply rigid leg cast 29445
|
$322.23 |
$322.23 |
$322.23 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$589.41 |
$589.41 |
$589.41 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$73.40 |
$73.40 |
$74.20 |
$114.60
|
|
Argatroban nonesrd use 1mg
|
$2,218.89 |
$2,218.89 |
$2,243.07 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,062.92 |
$1,062.92 |
$1,349.46 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$176.16 |
$176.16 |
$178.08 |
$500.82
|
|
Artery-vein nonautograft
|
$58.36 |
$58.36 |
$58.99 |
$6,325.50
|
|
Artery xray each vessel 7577426
|
$1,826.20 |
$1,826.20 |
$1,846.10 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$3,889.20 |
$3,889.20 |
$4,030.40 |
$4,658.99
|
|
Artery x-rays adrenals
|
$5,120.39 |
$5,120.39 |
$5,176.20 |
$3,724.63
|
|
Artery x-rays arms/legs 75716-26
|
$2,724.25 |
$2,724.25 |
$2,753.94 |
$4,029.72
|
|
Artery x-rays chest
|
$2,989.95 |
$2,989.95 |
$3,022.54 |
$2,628.15
|
|
Artery x-rays lung
|
$1,210.74 |
$1,210.74 |
$1,223.93 |
$2,483.00
|
|
Artery x-rays lungs
|
$3,067.76 |
$3,067.76 |
$3,101.19 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$3,413.10 |
$3,413.10 |
$3,450.30 |
$4,551.20
|
|
Artery x-rays spine
|
$3,574.95 |
$3,574.95 |
$3,613.92 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$310.12 |
$310.12 |
$313.50 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$262.04 |
$262.04 |
$264.90 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$319.66 |
$319.66 |
$323.15 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$287.37 |
$287.37 |
$287.37 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$338.75 |
$338.75 |
$348.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$345.35 |
$345.35 |
$345.35 |
$700.80
|
|
Artiss fibrin sealant
|
$1,363.04 |
$1,363.04 |
$1,377.90 |
$1,145.23
|
|
Ascenda two piece catheter
|
$21,368.58 |
$21,368.58 |
$21,601.48 |
$22,951.20
|
|
Asp & inj w/heparin pleurx cath
|
$800.80 |
$800.80 |
$809.53 |
$1,411.99
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,334.86 |
$2,334.86 |
$2,360.31 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$142.84 |
$142.84 |
$335.81 |
$440.00
|