|
Adrenalin epinephrine inject
|
$0.08 |
$517.81 |
$517.81 |
|
|
Aep hearing status deter i&r
|
$113.18 |
$423.87 |
$423.87 |
|
|
Aep neurodiagnostic i&r
|
$226.44 |
$899.00 |
$3,912.38 |
|
|
Aep thrshld est mlt freq i&r
|
$226.44 |
$226.44 |
$899.00 |
|
|
_afb id by dna probe rflx ast
|
$10.58 |
$310.99 |
$1,493.52 |
|
|
#afb mycobacteria suscep. #1
|
$17.58 |
$121.00 |
$1,680.67 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$133.94 |
$408.37 |
$2,762.00 |
|
|
Afluria vacc, 3 yrs & >, im
|
$288.75 |
$288.75 |
$410.42 |
|
|
Afo rig ant tib tcf/= custom
|
$1,535.95 |
$1,535.95 |
$1,535.95 |
|
|
After cataract laser surgery
|
$783.59 |
$783.59 |
$783.59 |
|
|
Air conduction bilat
|
$118.73 |
$177.00 |
$177.00 |
|
|
Air injection into abdomen 49400
|
$1,581.58 |
$1,581.58 |
$1,581.58 |
|
|
Airway resistance by impulse oscillometry 94728
|
$101.95 |
$1,053.00 |
$4,609.00 |
|
|
Ak sleeve susp neoprene/equa
|
$629.00 |
$629.00 |
$629.00 |
|
|
Albumin body fluid quantitative each specimen
|
$13.17 |
$105.83 |
$1,188.00 |
|
|
Albumin (human), 25%, 50ml
|
$813.07 |
$911.40 |
$911.40 |
|
|
Albumin, human 25 % intravenous solution
|
$413.42 |
$1,107.29 |
$1,107.29 |
|
|
Albumin (human), 5%, 250 ml
|
$863.38 |
$1,776.36 |
$1,776.36 |
|
|
Albumin, human 5 % intravenous solution
|
$364.12 |
$690.55 |
$1,170.96 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$15.44 |
$232.38 |
$1,289.00 |
|
|
Albumin serum plasma or whole blood
|
$14.30 |
$126.07 |
$1,003.50 |
|
|
Albuterol ipratrop non-comp
|
$42.00 |
$66.74 |
$66.74 |
|
|
Albuterol non-comp con
|
$27.23 |
$27.23 |
$27.23 |
|
|
Albuterol non-comp unit
|
$9.43 |
$29.70 |
$29.70 |
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$78.97 |
$402.00 |
$1,958.50 |
|
|
Aldesleukin injection
|
$17,327.48 |
$27,574.00 |
$32,402.00 |
|
|
Alginate drsg >16 <=48 sq in
|
$1,643.00 |
$1,786.00 |
$3,298.00 |
|
|
Alkaline phosphatase
|
$12.94 |
$277.00 |
$784.08 |
|
|
Allergen alpha lactalbumin ige
|
$14.80 |
$111.39 |
$114.71 |
|
|
Allergen egg white ige
|
$10.36 |
$76.55 |
$767.12 |
|
|
Allergen specific ige qual multi scrn ea
|
$10.91 |
$111.39 |
$2,431.30 |
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1.00 |
$908.52 |
$908.52 |
|
|
Allograft amnioexcel plus 17mm disk
|
$1.00 |
$1.00 |
$1.00 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$338.92 |
$34,658.48 |
$34,658.48 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1.00 |
$1.00 |
$1.00 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$94.37 |
$126.18 |
$126.18 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1.00 |
$858.66 |
$858.66 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1.00 |
$211.56 |
$211.56 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,795.50 |
$2,061.36 |
$2,460.32 |
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$1.00 |
$1.00 |
$1,740.00 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Alloskin
|
$1.00 |
$1.00 |
$1.00 |
|
|
Alloskin ac, 1 cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$53.00 |
$135.53 |
$2,956.80 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$44.04 |
$1,024.61 |
$1,024.61 |
|
|
Alpha-fetoprotein amniotic
|
$11.58 |
$266.89 |
$1,760.75 |
|
|
Alpha-fetoprotein tumor marker
|
$11.58 |
$481.50 |
$493.80 |
|
|
Alprostadil for injection
|
$1,789.79 |
$2,867.76 |
$3,766.75 |
|
|
Als 1
|
$820.36 |
$2,115.39 |
$2,115.39 |
|
|
Als1-emergency
|
$891.01 |
$2,921.56 |
$2,921.56 |
|
|
Als 2
|
$1,210.35 |
$4,359.51 |
$4,359.51 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,478.25 |
$2,478.25 |
$2,478.25 |
|
|
Alt/sgpt
|
$13.39 |
$105.95 |
$277.00 |
|
|
Aluminum - quest
|
$17.48 |
$383.48 |
$1,646.73 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,093.92 |
$1,093.92 |
$1,093.92 |
|
|
Amantadine (symmetrel)-sendout
|
$42.45 |
$341.86 |
$341.86 |
|
|
Ambl bp mntr w/sw a/r
|
$9.50 |
$1,281.73 |
$1,281.73 |
|
|
Amifostine
|
$2,500.00 |
$5,115.40 |
$18,453.00 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$523.04 |
$523.04 |
$1,061.64 |
|
|
Amino acid screen, urine
|
$457.40 |
$490.77 |
$3,499.25 |
|
|
Amino acid single qual
|
$825.50 |
$1,269.25 |
$9,134.79 |
|
|
Amino acids quant 2-5
|
$42.09 |
$42.09 |
$898.92 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$29.65 |
$272.00 |
$565.50 |
|
|
Aminolevulinic acid delta
|
$17.03 |
$640.09 |
$2,333.00 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$100.77 |
$100.77 |
$100.77 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$217.06 |
$932.15 |
$932.15 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$111.72 |
$368.88 |
$368.88 |
|
|
Amitriptyline (elavil) -sendout
|
$15.44 |
$150.00 |
$253.52 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$44,971.38 |
$44,971.38 |
$44,971.38 |
|
|
Ammonia
|
$26.10 |
$350.99 |
$1,607.00 |
|
|
Amnioarmor 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Amniocentesisdiagnostic 59000
|
$454.97 |
$2,245.33 |
$2,245.33 |
|
|
Amniocentesis therapeutic
|
$616.22 |
$3,676.76 |
$3,676.76 |
|
|
Amniocore per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Amnio-maxx or lite per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Amniotic fluid scan
|
$1,207.00 |
$1,748.00 |
$2,442.53 |
|
|
Amniowrap2 per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$10,393.61 |
$10,393.61 |
$10,393.61 |
|
|
Amphetamine confirm urine -sendout
|
$18.84 |
$150.00 |
$228.15 |
|
|
Amphetamines 5 or more
|
$228.15 |
$228.15 |
$228.15 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$344.52 |
$688.67 |
$1,129.52 |
|
|
Amphotericin b lipid complex
|
$883.99 |
$3,580.08 |
$5,442.50 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$443.97 |
$443.97 |
$1,363.97 |
|
|
Ampicillin 1 gram solution for injection
|
$3.00 |
$147.53 |
$147.53 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$0.39 |
$281.17 |
$281.17 |
|
|
Amp metatarsal w/toe single 28810
|
$2,656.40 |
$2,656.40 |
$2,656.40 |
|
|
Amputation follow-up surgery
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
|
|
Amputation toe interphalangeal joint
|
$1,859.36 |
$10,833.90 |
$10,833.90 |
|
|
Amputation toe metatarsophalangeal joint
|
$410.95 |
$10,833.90 |
$10,833.90 |
|
|
Amylase
|
$77.41 |
$400.07 |
$400.07 |
|
|
Ana ds-dna
|
$234.50 |
$1,071.75 |
$1,735.16 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$44.95 |
$217.75 |
$217.75 |
|
|
Anal pressure record
|
$588.82 |
$588.82 |
$5,593.50 |
|
|
Anal/urinary muscle study
|
$542.08 |
$542.08 |
$542.08 |
|
|
Anal/urinary muscle study
|
$710.23 |
$710.23 |
$710.23 |
|
|
Analysis gene f2 20210g>a variant
|
$27.52 |
$736.34 |
$9,052.19 |
|
|
Analysis gene f5 leiden variant
|
$30.72 |
$914.48 |
$9,052.19 |
|
|
Analysis nerve
|
$4,391.54 |
$4,391.54 |
$5,442.75 |
|
|
Analysis tumor
|
$988.32 |
$2,807.98 |
$4,019.25 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$291.00 |
$1,066.54 |
$1,066.54 |
|
