|
Alkaline phosphatase
|
$220.72 |
$277.00 |
$337.90 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$111.39 |
$111.39 |
$111.39 |
$56.35
|
|
Allergen egg white ige
|
$76.55 |
$397.75 |
$598.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$111.39 |
$1,270.00 |
$1,461.25 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$908.52 |
$908.52 |
$908.52 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$2,959.72
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$34,658.48 |
$34,658.48 |
$34,658.48 |
$6,555.62
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$126.18 |
$126.18 |
$391.00 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$858.66 |
$858.66 |
$858.66 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$211.56 |
$211.56 |
$211.56 |
$2,513.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$53.00 |
$53.00 |
$1,347.08 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,024.61 |
$1,024.61 |
$1,024.61 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$266.89 |
$1,231.00 |
$1,760.75 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$26.40 |
$26.40 |
$481.50 |
$99.00
|
|
Alprostadil for injection
|
$1,789.79 |
$2,120.00 |
$3,766.75 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,478.25 |
$2,478.25 |
$2,478.25 |
$2,600.22
|
|
Alt/sgpt
|
$105.95 |
$250.56 |
$277.00 |
$49.00
|
|
Aluminum - quest
|
$244.60 |
$383.48 |
$1,071.75 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,093.92 |
$1,093.92 |
$1,093.92 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$341.86 |
$341.86 |
$341.86 |
$196.20
|
|
Ambl bp mntr w/sw a/r
|
$1,281.73 |
$1,281.73 |
$1,281.73 |
$318.96
|
|
Amino acid screen, urine
|
$457.40 |
$512.00 |
$3,499.25 |
$64.28
|
|
Amino acid single qual
|
$1,269.25 |
$1,269.25 |
$1,269.25 |
$19.57
|
|
Amino acids quant 2-5
|
$42.09 |
$42.09 |
$42.09 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$272.00 |
$272.00 |
$565.50 |
$42.84
|
|
Aminolevulinic acid delta
|
$640.09 |
$1,269.25 |
$2,333.00 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$100.77 |
$100.77 |
$100.77 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$932.15 |
$932.15 |
$932.15 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$111.72 |
$111.72 |
$368.88 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$253.52 |
$253.52 |
$253.52 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$44,971.38 |
$44,971.38 |
$44,971.38 |
$15,167.75
|
|
Ammonia
|
$259.50 |
$350.99 |
$1,607.00 |
$120.90
|
|
Amniocentesisdiagnostic 59000
|
$2,245.33 |
$2,245.33 |
$2,245.33 |
$942.60
|
|
Amniocentesis therapeutic
|
$3,676.76 |
$3,676.76 |
$3,676.76 |
$778.57
|
|
Amniotic fluid scan
|
$1,207.00 |
$1,207.00 |
$1,748.00 |
$33.15
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$10,393.61 |
$10,393.61 |
$10,393.61 |
$3,835.20
|
|
Amphetamine confirm urine -sendout
|
$228.15 |
$228.15 |
$228.15 |
$94.50
|
|
Amphetamines 5 or more
|
$228.15 |
$228.15 |
$228.15 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$344.52 |
$344.52 |
$749.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$883.99 |
$4,243.00 |
$5,442.50 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$443.97 |
$443.97 |
$443.97 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$147.53 |
$147.53 |
$147.53 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$281.17 |
$281.17 |
$281.17 |
$51.93
|
|
Amputation follow-up surgery
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$10,833.90 |
$10,833.90 |
$10,833.90 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$10,833.90 |
$10,833.90 |
$10,833.90 |
$3,777.93
|
|
Amylase
|
$400.07 |
$400.07 |
$400.07 |
$93.00
|
|
Ana ds-dna
|
$1,071.75 |
$1,071.75 |
$1,071.75 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$217.75 |
$217.75 |
$217.75 |
$110.98
|
|
Anal pressure record
|
$588.82 |
$1,041.25 |
$6,572.00 |
$955.86
|
|
Anal/urinary muscle study
|
$634.00 |
$634.00 |
$634.00 |
$407.00
|
|
Anal/urinary muscle study
|
$710.23 |
$710.23 |
$710.23 |
$507.26
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$285.50 |
$285.50 |
$285.50 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$711.50 |
$736.34 |
$1,536.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$914.48 |
$1,018.01 |
$2,397.00 |
$226.60
|
|
Analysis nerve
|
$5,442.75 |
$5,442.75 |
$5,442.75 |
$223.19
|
|
Analysis tumor
|
$4,019.25 |
$4,019.25 |
$4,019.25 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$1,066.54 |
$1,066.54 |
$1,066.54 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$311.69 |
$311.69 |
$311.69 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$116.00 |
$116.00 |
$244.11 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$5,096.69 |
$5,096.69 |
$5,096.69 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,798.44 |
$1,798.44 |
$5,220.00 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$17,072.09 |
$17,072.09 |
$17,072.09 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$14,700.38 |
$14,700.38 |
$14,700.38 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$20,046.09 |
$20,046.09 |
$20,046.09 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,897.61 |
$10,897.61 |
$10,897.61 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,175.90 |
$14,175.90 |
$14,175.90 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$14,714.53 |
$14,714.53 |
$14,714.53 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$15,794.62 |
$15,794.62 |
$15,794.62 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$23,691.93 |
$23,691.93 |
$23,691.93 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$25,608.15 |
$25,608.15 |
$25,608.15 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$25,608.15 |
$25,608.15 |
$25,608.15 |
$8,689.20
|
|
Anidulafungin injection
|
$1,981.00 |
$1,981.00 |
$1,981.00 |
$209.79
|
|
Ankle X-ray
|
$1,202.18 |
$1,202.18 |
$1,202.18 |
$339.44
|
|
Anl sp inf pmp w/mdreprg&fil
|
$630.96 |
$630.96 |
$630.96 |
$693.75
|
|
Anodyne therapy charges pt
|
$29.91 |
$29.91 |
$180.00 |
$41.02
|
|
Anora (draw only)
|
$66.08 |
$66.08 |
$66.08 |
$36.00
|
|
Anoscopy
|
$2,422.15 |
$2,422.15 |
$2,422.15 |
$1,078.88
|
|
Anoscopy and biopsy
|
$3,156.25 |
$3,156.25 |
$3,156.25 |
$1,380.00
|
|
Anoscopy remove fb 46608
|
$2,859.32 |
$2,859.32 |
$2,859.32 |
$1,208.35
|
|
Anoscopy remove lesion 46610
|
$7,488.98 |
$7,488.98 |
$7,488.98 |
$3,245.23
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$7,488.98 |
$7,488.98 |
$7,488.98 |
$3,245.23
|
|
Antibody bacterium, not elsewhere specified
|
$205.00 |
$205.00 |
$451.00 |
$57.89
|
|
Antibody elution rbc reference
|
$650.27 |
$1,148.29 |
$2,468.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$162.70 |
$162.70 |
$546.60 |
$141.74
|
|
Antibody htlv-i
|
$539.00 |
$539.00 |
$539.00 |
$48.75
|
|
Antibody htlv-ii
|
$539.00 |
$539.00 |
$539.00 |
$35.22
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$600.04 |
$600.04 |
$600.04 |
$220.73
|
|
Antibody id rbc panel
|
$847.44 |
$847.44 |
$1,948.08 |
$291.75
|
|
Antibody influenza virus
|
$210.25 |
$210.25 |
$210.25 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$168.86 |
$168.86 |
$168.86 |
$53.96
|
|
Antibody screen rbc
|
$525.57 |
$525.57 |
$716.77 |
$105.00
|
|
Antibody tetanus
|
$170.25 |
$170.25 |
$1,305.00 |
$61.98
|
|
Antidepressant not specified
|
$140.35 |
$140.35 |
$140.35 |
$89.50
|
|
Antihemophilic viii/vwf comp
|
$8.50 |
$8.50 |
$8.50 |
$2.75
|
|
Anti mog serum - sendout
|
$40.00 |
$40.00 |
$894.32 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$356.11 |
$356.11 |
$356.11 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$356.11 |
$356.11 |
$356.11 |
$45.82
|
|
Antinuclear antibodies
|
$39.00 |
$393.05 |
$700.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$287.00 |
$393.05 |
$2,074.00 |
$80.25
|
