|
3-d radiotherapy plan
|
$354.97 |
$354.97 |
$354.97 |
$4,937.00
|
|
5% dextrose and 0.45% saline
|
$37.38 |
$37.38 |
$37.38 |
$48.00
|
|
5% dextrose with potassium
|
$6.23 |
$6.23 |
$6.23 |
$85.20
|
|
Abciximab injection
|
$774.13 |
$774.13 |
$774.13 |
$2,443.52
|
|
Abdominal CT scan (with and without contrast)
|
$600.04 |
$600.04 |
$600.04 |
$1,951.30
|
|
Abdominal CT scan (with contrast)
|
$654.92 |
$654.92 |
$654.92 |
$1,642.50
|
|
Abdominal CT scan (without contrast)
|
$441.98 |
$441.98 |
$441.98 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$922.95 |
$922.95 |
$922.95 |
$2,992.50
|
|
Abdominal MRI (without contrast)
|
$839.23 |
$839.23 |
$839.23 |
$1,979.51
|
|
Abdominal Ultrasound (complete)
|
$202.65 |
$202.65 |
$202.65 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$231.35 |
$231.35 |
$231.35 |
$591.60
|
|
Acetazolamide 500 mg solution for injection
|
$50.82 |
$50.82 |
$50.82 |
$113.40
|
|
Acetone qualitative
|
$43.33 |
$43.33 |
$43.33 |
$43.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1.75 |
$1.75 |
$1.75 |
$232.95
|
|
Acute hepatitis panel
|
$77.21 |
$77.21 |
$77.21 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$307.51 |
$307.51 |
$307.51 |
$39.40
|
|
#acylcarnitineprfl
|
$3.50 |
$3.50 |
$3.50 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$0.84 |
$0.84 |
$0.84 |
$210.75
|
|
Adh-sendout
|
$1.82 |
$1.82 |
$1.82 |
$109.16
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$33.25 |
$33.25 |
$33.25 |
$181.12
|
|
Administration immunization 1 vaccine
|
$14.77 |
$14.77 |
$14.77 |
$66.51
|
|
Administration immunization each additional vaccine
|
$14.42 |
$14.42 |
$14.42 |
$46.50
|
|
Administration vaccine hepatitis b
|
$16.80 |
$16.80 |
$16.80 |
$51.35
|
|
Administration vaccine influenza virus
|
$19.32 |
$19.32 |
$19.32 |
$48.00
|
|
Administration vaccine pneumococcal
|
$14.49 |
$14.49 |
$14.49 |
$48.00
|
|
_afb id by dna probe rflx ast
|
$14.49 |
$14.49 |
$14.49 |
$93.52
|
|
Afluria vacc, 3 yrs & >, im
|
$8.89 |
$8.89 |
$8.89 |
$18.40
|
|
Albumin body fluid quantitative each specimen
|
$0.63 |
$0.63 |
$0.63 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$227.64 |
$227.64 |
$227.64 |
$222.61
|
|
Albumin (human), 5%, 250 ml
|
$225.47 |
$225.47 |
$225.47 |
$234.36
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$8.89 |
$8.89 |
$8.89 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$33.46 |
$33.46 |
$33.46 |
$40.00
|
|
Alkaline phosphatase
|
$26.67 |
$26.67 |
$26.67 |
$46.40
|
|
Allergen egg white ige
|
$0.48 |
$0.48 |
$0.48 |
$37.05
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,608.39 |
$1,608.39 |
$1,608.39 |
$8,519.80
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$104.16 |
$104.16 |
$104.16 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$11.48 |
$11.48 |
$11.48 |
$23,373.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$65.20 |
$65.20 |
$65.20 |
$705.60
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$33.67 |
$33.67 |
$33.67 |
$4,561.83
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$60.94 |
$60.94 |
$60.94 |
$1,671.06
|
|
Alpha-fetoprotein tumor marker
|
$1.07 |
$1.07 |
$1.07 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$58.31 |
$58.31 |
$58.31 |
$15,857.45
|
|
Alt/sgpt
|
$26.67 |
$26.67 |
$26.67 |
$47.50
|
|
Aluminum - quest
|
$1.40 |
$1.40 |
$1.40 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$7.70 |
$7.70 |
$7.70 |
$174.75
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$2.87 |
$2.87 |
$2.87 |
$38.79
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.31 |
$2.31 |
$2.31 |
$55.86
|
|
Ammonia
|
$81.69 |
$81.69 |
$81.69 |
$117.00
|
|
Amphetamine confirm urine -sendout
|
$1.82 |
$1.82 |
$1.82 |
$93.08
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.04 |
$117.04 |
$117.04 |
$117.75
|
|
Amphotericin b lipid complex
|
$7.42 |
$7.42 |
$7.42 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$28.14 |
$28.14 |
$28.14 |
$558.95
|
|
Ampicillin 1 gram solution for injection
|
$38.50 |
$38.50 |
$38.50 |
$59.96
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$45.64 |
$45.64 |
$45.64 |
$52.65
|
|
Amylase
|
$43.61 |
$43.61 |
$43.61 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$2.70 |
$2.70 |
$2.70 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$2.03 |
$2.03 |
$2.03 |
$230.40
|
|
An fluoro guide for cvp
|
$148.68 |
$148.68 |
$148.68 |
$510.17
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$855.68 |
$855.68 |
$855.68 |
$2,979.43
|
|
Ankle X-ray
|
$133.77 |
$133.77 |
$133.77 |
$352.20
|
|
Anora (draw only)
|
$2.94 |
$2.94 |
$2.94 |
$33.92
|
|
Antibody bacterium, not elsewhere specified
|
$1.09 |
$1.09 |
$1.09 |
$57.85
|
|
Antibody elution rbc reference
|
$6.09 |
$6.09 |
$6.09 |
$173.60
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$16.31 |
$16.31 |
$16.31 |
$219.30
|
|
Antibody id rbc panel
|
$82.04 |
$82.04 |
$82.04 |
$265.05
|
|
Antibody screen rbc
|
$57.96 |
$57.96 |
$57.96 |
$100.40
|
|
Anti mog serum - sendout
|
$38.50 |
$38.50 |
$38.50 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$6.04 |
$6.04 |
$6.04 |
$37.58
|
|
Antinuclear antibodies
|
$2.89 |
$2.89 |
$2.89 |
$90.00
|
|
Antinuclear antibodies titer
|
$1.82 |
$1.82 |
$1.82 |
$75.60
|
|
Antistreptolysin o titer
|
$0.16 |
$0.16 |
$0.16 |
$52.11
|
|
Antithrombin iii activity
|
$0.84 |
$0.84 |
$0.84 |
$114.00
|
|
Aquaporin-4 antibody elisa
|
$31.50 |
$31.50 |
$31.50 |
$148.80
|
|
Argatroban nonesrd use 1mg
|
$1.82 |
$1.82 |
$1.82 |
$881.10
|
|
Artery x-rays arm/leg 75710-26
|
$742.42 |
$742.42 |
$742.42 |
$3,439.84
|
|
Ascenda two piece catheter
|
$7,581.70 |
$7,581.70 |
$7,581.70 |
$23,074.63
|
|
Assay acid phosphatase
|
$7.00 |
$7.00 |
$7.00 |
$38.22
|
|
Assay myeloperoxidase
|
$1.75 |
$1.75 |
$1.75 |
$102.40
|
|
Assay of interleukin-6 (il-6)
|
$4.90 |
$4.90 |
$4.90 |
$77.35
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$9.17 |
$9.17 |
$9.17 |
$47.25
|
|
Ast/sgot
|
$26.67 |
$26.67 |
$26.67 |
$46.20
|
|
Augment injectable kit 3.0cc
|
$1,235.22 |
$1,235.22 |
$1,235.22 |
$6,996.60
|
|
Azathioprine 50 mg tablet
|
$6.72 |
$6.72 |
$6.72 |
$3.53
|
|
Azithromycin 500 mg intravenous solution
|
$50.68 |
$50.68 |
$50.68 |
$36.04
|
|
Aztreonam 1 gram solution for injection
|
$1.82 |
$1.82 |
$1.82 |
$157.83
|
|
Bacterial meningitis antigen
|
$5.81 |
$5.81 |
$5.81 |
$66.30
|
|
Bard marquee Ultrasound biopsy device
|
$244.86 |
$244.86 |
$244.86 |
$1,535.40
|
|
Benztropine 1 mg/ml injection solution
|
$34.37 |
$34.37 |
$34.37 |
$102.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$1.46 |
$1.46 |
$1.46 |
$81.00
|
|
Beta-2 microglobulin
|
$5.20 |
$5.20 |
$5.20 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$60.97 |
$60.97 |
$60.97 |
$65.00
|
|
Bilicheck
|
$7.07 |
$7.07 |
$7.07 |
$26.40
|
|
Bilirubin direct
|
$20.86 |
$20.86 |
$20.86 |
$49.37
|
|
Bilirubin total
|
$23.94 |
$23.94 |
$23.94 |
$51.39
|
|
Biotinidase - quest
|
$1.28 |
$1.28 |
$1.28 |
$71.40
|
|
Bleomycin 15 unit solution for injection
|
$555.24 |
$555.24 |
$555.24 |
$220.56
|
|
Bln 1.2 mono emrg 15x1.2
|
$239.12 |
$239.12 |
$239.12 |
$8,481.73
|
|
Bln 30frx10mmx12cm renal nephromax
|
$218.96 |
$218.96 |
$218.96 |
$5,169.58
|
|
Bln press regulation 71-80cm
|
$2,657.62 |
$2,657.62 |
$2,657.62 |
$13,796.54
|
|
Blood Clotting (PT/INR) Test
|
$39.69 |
$39.69 |
$39.69 |
$52.58
|