|
Aep thrshld est mlt freq i&r
|
$863.85 |
$863.85 |
$863.85 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$245.05 |
$245.05 |
$245.05 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$386.00 |
$386.00 |
$386.00 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$264.55 |
$264.55 |
$347.00 |
$300.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$1,696.50 |
$1,696.50 |
$1,696.50 |
$14,475.20
|
|
Air injection into abdomen 49400
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$582.40 |
$582.40 |
$582.40 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$126.00 |
$143.00 |
$143.00 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$382.20 |
$382.20 |
$382.20 |
$244.70
|
|
Albumin, human 25 % intravenous solution
|
$249.60 |
$249.60 |
$249.60 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$414.70 |
$414.70 |
$414.70 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$5.00 |
$297.70 |
$297.70 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$149.50 |
$149.50 |
$1,574.00 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$113.10 |
$113.10 |
$400.00 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$67.00 |
$376.35 |
$376.35 |
$96.00
|
|
Aldesleukin injection
|
$9,800.00 |
$28,544.75 |
$28,544.75 |
$9,030.11
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$6,251.05 |
$6,251.05 |
$6,251.05 |
$47,974.31
|
|
Alginate dressing <=16 sq in
|
$18.20 |
$18.20 |
$18.20 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$150.15 |
$150.15 |
$150.15 |
$43.72
|
|
Alginate drsg wound filler
|
$278.85 |
$278.85 |
$278.85 |
$15.79
|
|
Alkaline phosphatase
|
$54.60 |
$54.60 |
$1,131.00 |
$46.80
|
|
Allergen egg white ige
|
$15.60 |
$15.60 |
$15.60 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$290.00 |
$290.00 |
$290.00 |
$24.00
|
|
Allograft 160mg placental salera mini membrane
|
$8,247.85 |
$8,247.85 |
$8,247.85 |
$5,835.10
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1.00 |
$1.00 |
$1.00 |
$5,399.16
|
|
Allograft amnioexcel plus 17mm disk
|
$1.00 |
$19,440.20 |
$19,440.20 |
$497.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$43,548.70 |
$43,548.70 |
$43,548.70 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1.00 |
$17,189.25 |
$17,189.25 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$67,857.40 |
$67,857.40 |
$67,857.40 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$33,216.30 |
$33,216.30 |
$33,216.30 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1.00 |
$30,569.50 |
$30,569.50 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$14,605.50 |
$14,605.50 |
$14,605.50 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$13,923.65 |
$13,923.65 |
$13,923.65 |
$5,278.73
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1.00 |
$13,185.90 |
$13,185.90 |
$1,225.35
|
|
Alloskin
|
$1.00 |
$1.00 |
$1.00 |
$582.40
|
|
Alloskin ac, 1 cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$3.25 |
$3.25 |
$3.25 |
$13.14
|
|
Alpha-fetoprotein tumor marker
|
$360.10 |
$360.10 |
$360.10 |
$106.00
|
|
Alprostadil for injection
|
$11,291.00 |
$11,291.00 |
$11,291.00 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$737.75 |
$737.75 |
$737.75 |
$15,857.45
|
|
Alt/sgpt
|
$54.60 |
$54.60 |
$1,199.00 |
$47.50
|
|
Aluminum - quest
|
$29.25 |
$29.25 |
$29.25 |
$83.05
|
|
Alveoloplasty each quadrant
|
$8,548.80 |
$8,548.80 |
$8,548.80 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$548.60 |
$548.60 |
$548.60 |
$411.45
|
|
Ambl bp mntr w/sw a/r
|
$320.45 |
$320.45 |
$320.45 |
$320.45
|
|
Amifostine
|
$6,046.00 |
$6,382.35 |
$6,382.35 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$23.40 |
$23.40 |
$23.40 |
$39.84
|
|
Amino acid single qual
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$36.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$18.20 |
$18.20 |
$57.00 |
$37.33
|
|
Aminolevulinic acid delta
|
$49.40 |
$49.40 |
$368.00 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$720.85 |
$720.85 |
$720.85 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$187.20 |
$187.20 |
$187.20 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$412.10 |
$412.10 |
$412.10 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$143.65 |
$143.65 |
$143.65 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$85.15 |
$85.15 |
$4,562.00 |
$9,084.45
|
|
Ammonia
|
$325.00 |
$325.00 |
$1,269.00 |
$119.70
|
|
Amnioarmor 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amniocore per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amnio-maxx or lite per sq cm
|
$1.00 |
$12,263.55 |
$12,263.55 |
$1.00
|
|
Amniotic fluid scan
|
$98.00 |
$98.00 |
$98.00 |
$49.01
|
|
Amniowrap2 per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$8,934.90 |
$8,934.90 |
$8,934.90 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$869.00 |
$869.00 |
$869.00 |
$93.61
|
|
Amphetamines 5 or more
|
$34.45 |
$34.45 |
$34.45 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$435.50 |
$435.50 |
$607.00 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$354.25 |
$354.25 |
$354.25 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$131.30 |
$131.30 |
$131.30 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$94.25 |
$94.25 |
$94.25 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$79.95 |
$79.95 |
$79.95 |
$262.99
|
|
Amylase
|
$332.15 |
$332.15 |
$332.15 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$117.65 |
$117.65 |
$117.65 |
$80.08
|
|
Analgesics non-opioid 3-5
|
$7.15 |
$7.15 |
$7.15 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$131.00 |
$131.00 |
$131.00 |
$117.01
|
|
Anal pressure record
|
$1,942.85 |
$1,942.85 |
$2,503.00 |
$954.00
|
|
Anal/urinary muscle study
|
$789.10 |
$789.10 |
$789.10 |
$407.00
|
|
Anal/urinary muscle study
|
$794.95 |
$794.95 |
$794.95 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$156.00 |
$156.00 |
$3,601.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$105.30 |
$105.30 |
$311.00 |
$249.60
|
|
Analysis tumor
|
$608.40 |
$608.40 |
$608.40 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$394.55 |
$394.55 |
$394.55 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$70.20 |
$70.20 |
$70.20 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$129.35 |
$129.35 |
$129.35 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$6,694.35 |
$6,694.35 |
$6,694.35 |
$2,480.94
|
|
An fluoro guide for cvp
|
$612.30 |
$612.30 |
$612.30 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,413.45 |
$2,413.45 |
$2,413.45 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$26,586.95 |
$26,586.95 |
$26,586.95 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$28,113.80 |
$28,113.80 |
$28,113.80 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$14,172.60 |
$14,172.60 |
$14,172.60 |
$5,950.50
|
|
Angioscopy
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$363.20
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$21,052.20 |
$21,052.20 |
$21,052.20 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$26,586.95 |
$26,586.95 |
$26,586.95 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$10,507.25 |
$10,507.25 |
$10,507.25 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$21,039.20 |
$21,039.20 |
$21,039.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$10,609.30 |
$10,609.30 |
$10,609.30 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$23,143.25 |
$23,143.25 |
$23,143.25 |
$8,359.11
|
|
Ankle X-ray
|
$599.30 |
$599.30 |
$599.30 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$413.40 |
$413.40 |
$483.60 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$733.85 |
$733.85 |
$733.85 |
$630.96
|
|
Anora (draw only)
|
$37.70 |
$37.70 |
$42.00 |
$35.00
|
|
Anoscopy and biopsy
|
$1,972.75 |
$1,972.75 |
$1,972.75 |
$2,288.00
|
