|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$4,019.58 |
$4,019.58 |
$4,019.58 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,215.66 |
$3,215.66 |
$3,215.66 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$9.27 |
$9.27 |
$9.27 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$54.59 |
$54.59 |
$54.59 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$9,600.63 |
$9,600.63 |
$9,600.63 |
$9,600.63
|
|
Alt/sgpt
|
$62.32 |
$62.32 |
$62.32 |
$49.00
|
|
Aluminum - quest
|
$6.22 |
$6.22 |
$6.22 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$203.43 |
$203.43 |
$203.43 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$28.33 |
$28.33 |
$28.33 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$45.50
|
|
Aminolevulinic acid delta
|
$22.72 |
$22.72 |
$22.72 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$25.24 |
$25.24 |
$25.24 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$105.58 |
$105.58 |
$105.58 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$36.05 |
$36.05 |
$36.05 |
$50.85
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$15,167.75
|
|
Ammonia
|
$359.47 |
$359.47 |
$359.47 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$706.58 |
$706.58 |
$706.58 |
$963.79
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$91.67 |
$91.67 |
$91.67 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$614.40 |
$614.40 |
$614.40 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$75.19 |
$75.19 |
$75.19 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$173.04 |
$173.04 |
$173.04 |
$57.38
|
|
Amylase
|
$288.40 |
$288.40 |
$288.40 |
$93.00
|
|
Anal/urinary muscle study
|
$290.98 |
$290.98 |
$290.98 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$20.60 |
$20.60 |
$20.60 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$70.04 |
$70.04 |
$70.04 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$183.86 |
$183.86 |
$183.86 |
$122.20
|
|
Analysis tumor
|
$64.93 |
$64.93 |
$64.93 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$317.76 |
$317.76 |
$317.76 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$20.60 |
$20.60 |
$20.60 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$194.67 |
$194.67 |
$194.67 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$371.83 |
$371.83 |
$371.83 |
$2,426.60
|
|
An fluoro guide for cvp
|
$507.79 |
$507.79 |
$507.79 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$15,762.09 |
$15,762.09 |
$15,762.09 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$15,931.01 |
$15,931.01 |
$15,931.01 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,017.65 |
$9,017.65 |
$9,017.65 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,885.94 |
$5,885.94 |
$5,885.94 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$5,407.50 |
$5,407.50 |
$5,407.50 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,195.45 |
$6,195.45 |
$6,195.45 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$8,745.10
|
|
Annual Physical, Established Patient (age 18-39)
|
$217.85 |
$217.85 |
$217.85 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$217.85 |
$217.85 |
$217.85 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$180.77 |
$180.77 |
$180.77 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$180.77 |
$180.77 |
$180.77 |
$188.15
|
|
Anora (draw only)
|
$12.88 |
$12.88 |
$12.88 |
$36.36
|
|
Antibody elution rbc reference
|
$116.39 |
$116.39 |
$116.39 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$36.00 |
$36.00 |
$36.00 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$206.00 |
$206.00 |
$206.00 |
$218.30
|
|
Antibody id rbc panel
|
$297.67 |
$297.67 |
$297.67 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$17.51 |
$17.51 |
$17.51 |
$53.96
|
|
Antibody screen rbc
|
$242.57 |
$242.57 |
$242.57 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1,451.27 |
$1,451.27 |
$1,451.27 |
$4.00
|
|
Antihemophilic viii/vwf comp
|
$3.09 |
$3.09 |
$3.09 |
$2.75
|
|
Anti mog serum - sendout
|
$74.68 |
$74.68 |
$74.68 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.68 |
$8.68 |
$8.68 |
$50.88
|
|
Antinuclear antibodies
|
$47.90 |
$47.90 |
$47.90 |
$91.70
|
|
Antinuclear antibodies titer
|
$9.70 |
$9.70 |
$9.70 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$5.15 |
$5.15 |
$5.15 |
$74.20
|
|
Antistreptolysin o screen
|
$193.64 |
$193.64 |
$193.64 |
$59.40
|
|
Antistreptolysin o titer
|
$4.64 |
$4.64 |
$4.64 |
$57.85
|
|
Antithrombin iii activity
|
$190.55 |
$190.55 |
$190.55 |
$106.85
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$5,465.25
|
|
Apheresis immunoads slctv
|
$4,611.83 |
$4,611.83 |
$4,611.83 |
$5,544.24
|
|
Apheresis plasma
|
$1,549.64 |
$1,549.64 |
$1,549.64 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$168.41 |
$168.41 |
$168.41 |
$465.60
|
|
Application long leg splint 29505
|
$258.02 |
$258.02 |
$258.02 |
$370.00
|
|
Application lower leg splint 29515
|
$258.02 |
$258.02 |
$258.02 |
$365.60
|
|
Application of forearm cast 29075
|
$192.10 |
$192.10 |
$192.10 |
$386.10
|
|
Application of long arm cast 29065
|
$240.51 |
$240.51 |
$240.51 |
$414.20
|
|
Application of long leg cast 29345
|
$240.51 |
$240.51 |
$240.51 |
$511.68
|
|
Application of paste boot 29580
|
$41.20 |
$41.20 |
$41.20 |
$336.00
|
|
Application short leg cast 29405
|
$192.10 |
$192.10 |
$192.10 |
$397.33
|
|
Apply hand/wrist cast 29085
|
$253.90 |
$253.90 |
$253.90 |
$275.80
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$810.61 |
$810.61 |
$810.61 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$103.00 |
$103.00 |
$103.00 |
$114.60
|
|
Argatroban nonesrd use 1mg
|
$3,050.86 |
$3,050.86 |
$3,050.86 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,855.55 |
$1,855.55 |
$1,855.55 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$235.87 |
$235.87 |
$235.87 |
$500.82
|
|
Artery xray each vessel 7577426
|
$2,743.41 |
$2,743.41 |
$2,743.41 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$4,773.54 |
$4,773.54 |
$4,773.54 |
$4,658.99
|
|
Artery x-rays adrenals
|
$7,468.53 |
$7,468.53 |
$7,468.53 |
$3,724.63
|
|
Artery x-rays arms/legs 75716-26
|
$4,320.34 |
$4,320.34 |
$4,320.34 |
$4,029.72
|
|
Artery x-rays chest
|
$4,057.17 |
$4,057.17 |
$4,057.17 |
$2,628.15
|
|
Artery x-rays lung
|
$2,196.48 |
$2,196.48 |
$2,196.48 |
$2,483.00
|
|
Artery x-rays lungs
|
$4,535.09 |
$4,535.09 |
$4,535.09 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$2,487.97 |
$2,487.97 |
$2,487.97 |
$4,551.20
|
|
Artery x-rays spine
|
$5,393.08 |
$5,393.08 |
$5,393.08 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$500.07 |
$500.07 |
$500.07 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,120.64 |
$1,120.64 |
$1,120.64 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$500.07 |
$500.07 |
$500.07 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$500.07 |
$500.07 |
$500.07 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$777.65 |
$777.65 |
$777.65 |
$715.37
|
|
Ascenda two piece catheter
|
$11,994.35 |
$11,994.35 |
$11,994.35 |
$22,951.20
|
|
Asp core fat pad
|
$324.97 |
$324.97 |
$324.97 |
$1,139.82
|
|
Asp & inj w/heparin pleurx cath
|
$1,179.87 |
$1,179.87 |
$1,179.87 |
$1,411.99
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,926.75 |
$2,926.75 |
$2,926.75 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$449.60 |
$449.60 |
$449.60 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,188.62 |
$1,188.62 |
$1,188.62 |
$1,317.00
|