|
Amantadine (symmetrel)-sendout
|
$726.70 |
$726.70 |
$726.70 |
$179.70
|
|
Amifostine
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$2,121.39
|
|
Amino acids quant 2-5
|
$31.20 |
$31.20 |
$31.20 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$31.17 |
$31.17 |
$31.17 |
$37.33
|
|
Aminolevulinic acid delta
|
$79.30 |
$79.30 |
$79.30 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$39.38 |
$39.38 |
$39.38 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$9.75 |
$9.75 |
$9.75 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$49.09 |
$49.09 |
$49.09 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$1,624.27 |
$1,624.27 |
$1,624.27 |
$9,084.45
|
|
Ammonia
|
$139.10 |
$139.10 |
$139.10 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,203.15 |
$1,203.15 |
$1,203.15 |
$942.60
|
|
Amnio-maxx or lite per sq cm
|
$8,000.85 |
$8,000.85 |
$8,000.85 |
$1.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$8,443.50 |
$8,443.50 |
$8,443.50 |
$3,786.00
|
|
Amphetamines 5 or more
|
$42.90 |
$42.90 |
$42.90 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$131.60 |
$131.60 |
$131.60 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$882.25 |
$882.25 |
$882.25 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$50.51 |
$50.51 |
$50.51 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$55.24 |
$55.24 |
$55.24 |
$54.57
|
|
Amputation toe metatarsophalangeal joint
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$3,839.54
|
|
Amylase
|
$407.55 |
$407.55 |
$407.55 |
$90.00
|
|
Ana ds-dna
|
$208.65 |
$208.65 |
$208.65 |
$55.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$46.80 |
$46.80 |
$46.80 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$230.75 |
$230.75 |
$230.75 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$187.20 |
$187.20 |
$187.20 |
$249.60
|
|
Analysis nerve
|
$228.15 |
$228.15 |
$228.15 |
$262.40
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$343.85 |
$343.85 |
$343.85 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$221.65 |
$221.65 |
$221.65 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$8,624.20 |
$8,624.20 |
$8,624.20 |
$2,480.94
|
|
Androstanediol
|
$259.35 |
$259.35 |
$259.35 |
$131.04
|
|
An fluoro guide for cvp
|
$549.90 |
$549.90 |
$549.90 |
$525.85
|
|
Angioplasty fem/pop unilat 37224
|
$14,828.45 |
$14,828.45 |
$14,828.45 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,474.80 |
$12,474.80 |
$12,474.80 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$13,650.65 |
$13,650.65 |
$13,650.65 |
$5,950.50
|
|
Angiotensin ii
|
$186.55 |
$186.55 |
$186.55 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$763.93 |
$763.93 |
$763.93 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$11,796.85 |
$11,796.85 |
$11,796.85 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ini
|
$9,335.30 |
$9,335.30 |
$9,335.30 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$10,585.90 |
$10,585.90 |
$10,585.90 |
$8,359.11
|
|
Ankle X-ray
|
$537.55 |
$537.55 |
$537.55 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$371.15 |
$371.15 |
$371.15 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$127.40 |
$127.40 |
$127.40 |
$57.85
|
|
Antibody elution rbc reference
|
$281.45 |
$281.45 |
$281.45 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$229.45 |
$229.45 |
$229.45 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$509.60 |
$509.60 |
$509.60 |
$224.00
|
|
Antibody id rbc panel
|
$410.80 |
$410.80 |
$410.80 |
$291.75
|
|
Antibody influenza virus
|
$94.90 |
$94.90 |
$94.90 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$90.35 |
$90.35 |
$90.35 |
$46.58
|
|
Antibody screen rbc
|
$111.80 |
$111.80 |
$111.80 |
$108.55
|
|
Antibody tetanus
|
$37.70 |
$37.70 |
$37.70 |
$54.15
|
|
Antidepressant not specified
|
$105.95 |
$105.95 |
$105.95 |
$72.14
|
|
Antidepressants class 6/more
|
$18.85 |
$18.85 |
$18.85 |
$25.35
|
|
Antiepileptics nos 7/more
|
$18.85 |
$18.85 |
$18.85 |
$16.24
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$24.17 |
$24.17 |
$24.17 |
$6.10
|
|
Anti-inhibitor
|
$9.75 |
$9.75 |
$9.75 |
$8.33
|
|
Anti mog serum - sendout
|
$326.95 |
$326.95 |
$326.95 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$37.05 |
$37.05 |
$37.05 |
$38.50
|
|
Antinuclear antibodies
|
$118.30 |
$118.30 |
$118.30 |
$90.00
|
|
Antinuclear antibodies titer
|
$66.95 |
$66.95 |
$66.95 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$48.10 |
$48.10 |
$48.10 |
$67.43
|
|
Antipsychotics nos 7/more
|
$18.85 |
$18.85 |
$18.85 |
$16.24
|
|
Antistreptolysin o screen
|
$56.55 |
$56.55 |
$56.55 |
$58.56
|
|
Antistreptolysin o titer
|
$62.40 |
$62.40 |
$62.40 |
$54.00
|
|
Antithrombin iii activity
|
$70.20 |
$70.20 |
$70.20 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$442.65 |
$442.65 |
$442.65 |
$394.55
|
|
Aortic dysfunction/dilation
|
$3,773.25 |
$3,773.25 |
$3,773.25 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$2,808.65 |
$2,808.65 |
$2,808.65 |
$1,700.16
|
|
Apc gene dup/delet variants
|
$420.55 |
$420.55 |
$420.55 |
$462.00
|
|
Apc gene full sequence
|
$1,616.55 |
$1,616.55 |
$1,616.55 |
$1,255.20
|
|
Apheresis plasma
|
$2,267.85 |
$2,267.85 |
$2,267.85 |
$3,226.34
|
|
Apheresis rbc
|
$2,267.85 |
$2,267.85 |
$2,267.85 |
$3,290.80
|
|
Apheresis wbc
|
$2,267.85 |
$2,267.85 |
$2,267.85 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$534.95 |
$534.95 |
$534.95 |
$513.00
|
|
Appendectomy add-on 44955
|
$1,527.50 |
$1,527.50 |
$1,527.50 |
$206.40
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,625.40 |
$4,625.40 |
$4,625.40 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$585.00 |
$585.00 |
$585.00 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$237.90 |
$237.90 |
$237.90 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,049.20 |
$5,049.20 |
$5,049.20 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$555.10 |
$555.10 |
$555.10 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$204.10 |
$204.10 |
$204.10 |
$512.20
|
|
Application finger splntstatic 29130
|
$235.95 |
$235.95 |
$235.95 |
$208.50
|
|
Application long leg splint 29505
|
$267.15 |
$267.15 |
$267.15 |
$338.25
|
|
Application lower leg splint 29515
|
$413.40 |
$413.40 |
$413.40 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$413.40 |
$413.40 |
$413.40 |
$375.06
|
|
Application of forearm cast 29075
|
$689.00 |
$689.00 |
$689.00 |
$358.20
|
|
Application of paste boot 29580
|
$413.40 |
$413.40 |
$413.40 |
$340.11
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,087.50 |
$3,087.50 |
$3,087.50 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,087.50 |
$3,087.50 |
$3,087.50 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$127.40 |
$127.40 |
$127.40 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$196.30 |
$196.30 |
$196.30 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$312.00 |
$312.00 |
$312.00 |
$255.20
|
|
Apply interstit radiat compl
|
$8,628.75 |
$8,628.75 |
$8,628.75 |
$2,901.80
|
|
Apply of finger splint 29131
|
$235.95 |
$235.95 |
$235.95 |
$177.45
|
|
Apply rigid leg cast 29445
|
$980.20 |
$980.20 |
$980.20 |
$555.00
|
|
Apply surf ldr radionuclide
|
$436.80 |
$436.80 |
$436.80 |
$282.80
|
|
#aptt mix-1:1 incubated
|
$46.80 |
$46.80 |
$46.80 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$811.85 |
$811.85 |
$811.85 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$780.00 |
$780.00 |
$780.00 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$576.55 |
$576.55 |
$576.55 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$169.65 |
$169.65 |
$169.65 |
$100.75
|
|
Aquatic exercise - group charge
|
$96.85 |
$96.85 |
$96.85 |
$87.45
|
