|
Alkaline phosphatase
|
$129.00 |
$129.00 |
$997.85 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$11.65 |
$11.65 |
$263.00 |
$56.35
|
|
Allergen egg white ige
|
$3.90 |
$3.90 |
$103.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$3.87 |
$3.87 |
$35.00 |
$26.95
|
|
Allergy injections; 2 or more 95117
|
$291.00 |
$291.00 |
$291.00 |
$51.07
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$2,386.00 |
$2,386.00 |
$2,386.00 |
$2,959.72
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$698.00 |
$698.00 |
$698.00 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$521.00 |
$521.00 |
$1,064.00 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$259.00 |
$259.00 |
$397.00 |
$2,513.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$454.00 |
$454.00 |
$454.00 |
$2,198.85
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$4,101.14
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,919.00 |
$3,919.00 |
$3,919.00 |
$3,025.07
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$204.34 |
$204.34 |
$420.00 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$14.60 |
$14.60 |
$117.00 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$573.00 |
$573.00 |
$573.00 |
$99.00
|
|
Alprostadil for injection
|
$4,288.00 |
$4,288.00 |
$4,288.00 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,737.73 |
$1,737.73 |
$1,737.73 |
$2,600.22
|
|
Alt/sgpt
|
$124.00 |
$124.00 |
$124.00 |
$49.00
|
|
Aluminum - quest
|
$18.60 |
$18.65 |
$94.00 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$964.00 |
$964.00 |
$964.00 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$29.10 |
$29.10 |
$664.00 |
$36.30
|
|
Amino acid screen, urine
|
$182.00 |
$182.00 |
$182.00 |
$64.28
|
|
Amino acids quant 2-5
|
$696.00 |
$696.00 |
$696.00 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$62.65 |
$62.65 |
$62.65 |
$42.84
|
|
Aminolevulinic acid delta
|
$45.34 |
$45.50 |
$211.00 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$70.03 |
$70.03 |
$75.00 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$526.50 |
$526.50 |
$526.50 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$185.97 |
$185.97 |
$185.97 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$9.50 |
$9.50 |
$124.00 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$52,464.60 |
$52,464.60 |
$52,464.60 |
$15,167.75
|
|
Ammonia
|
$368.00 |
$1,378.92 |
$1,409.50 |
$120.90
|
|
Amniocentesisdiagnostic 59000
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$17.55 |
$17.55 |
$185.00 |
$94.50
|
|
Amphetamines 5 or more
|
$223.00 |
$223.00 |
$223.00 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$426.25 |
$426.25 |
$426.25 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$432.00 |
$432.00 |
$1,243.45 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$90.82 |
$90.82 |
$90.82 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$187.15 |
$187.15 |
$187.15 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$67.30 |
$67.30 |
$1,373.00 |
$312.00
|
|
Amputation follow-up surgery
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$12,331.00 |
$12,331.00 |
$12,331.00 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$12,209.00 |
$12,209.00 |
$12,209.00 |
$3,777.93
|
|
Amylase
|
$474.00 |
$474.00 |
$474.00 |
$93.00
|
|
Ana ds-dna
|
$16.92 |
$16.92 |
$17.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$261.00 |
$261.00 |
$2,446.79 |
$110.98
|
|
Anal/urinary muscle study
|
$526.00 |
$526.00 |
$526.00 |
$407.00
|
|
Anal/urinary muscle study
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$507.26
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$314.00 |
$314.00 |
$314.00 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$190.61 |
$191.25 |
$1,127.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$40.72 |
$40.85 |
$1,127.00 |
$226.60
|
|
Analysis nerve
|
$88.46 |
$88.46 |
$88.46 |
$223.19
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$111.00 |
$111.00 |
$111.00 |
$122.20
|
|
Analysis tumor
|
$1,008.61 |
$1,008.61 |
$1,011.90 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$326.00 |
$326.00 |
$326.00 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$95.04 |
$95.04 |
$886.00 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$89.10 |
$89.10 |
$182.00 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$4,041.00 |
$4,041.00 |
$4,041.00 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$22,830.00 |
$22,830.00 |
$22,830.00 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$26,536.00 |
$26,536.00 |
$26,536.00 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$26,850.00 |
$26,850.00 |
$26,850.00 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$21,399.00 |
$21,399.00 |
$21,399.00 |
$6,513.10
|
|
Angiotensin ii
|
$110.48 |
$110.48 |
$110.48 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$8,913.70 |
$8,913.70 |
$8,913.70 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$26,497.00 |
$26,497.00 |
$26,497.00 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$23,061.00 |
$23,061.00 |
$23,061.00 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$25,205.00 |
$25,205.00 |
$25,205.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$35,917.00 |
$35,917.00 |
$35,917.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$36,149.00 |
$36,149.00 |
$36,149.00 |
$8,689.20
|
|
Anidulafungin injection
|
$680.00 |
$680.00 |
$733.75 |
$209.79
|
|
Ankle arthroscopy/surgery
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$13,055.00 |
$13,055.00 |
$13,055.00 |
$3,839.54
|
|
Ankle X-ray
|
$935.00 |
$935.00 |
$935.00 |
$339.44
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$693.75
|
|
Anodyne therapy charges pt
|
$311.00 |
$311.00 |
$311.00 |
$41.02
|
|
Anora (draw only)
|
$123.00 |
$123.00 |
$123.00 |
$36.00
|
|
Anoscopy
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$1,078.88
|
|
Anoscopy and biopsy
|
$9,246.00 |
$9,246.00 |
$9,246.00 |
$1,380.00
|
|
Anoscopy remove fb 46608
|
$2,005.00 |
$2,005.00 |
$2,005.00 |
$1,208.35
|
|
Anoscopy remove lesion 46610
|
$12,495.00 |
$12,495.00 |
$12,495.00 |
$3,245.23
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$9,222.00 |
$9,222.00 |
$9,222.00 |
$3,245.23
|
|
Antibody bacterium, not elsewhere specified
|
$33.14 |
$33.14 |
$187.00 |
$57.89
|
|
Antibody elution rbc reference
|
$852.00 |
$852.00 |
$852.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$333.00 |
$333.00 |
$333.00 |
$141.74
|
|
Antibody htlv-i
|
$16.46 |
$16.46 |
$16.50 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$220.73
|
|
Antibody id rbc panel
|
$922.00 |
$922.00 |
$922.00 |
$291.75
|
|
Antibody influenza virus
|
$128.00 |
$128.00 |
$128.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$39.68 |
$39.80 |
$129.00 |
$53.96
|
|
Antibody screen rbc
|
$368.00 |
$368.00 |
$368.00 |
$105.00
|
|
Antibody tetanus
|
$10.69 |
$10.69 |
$10.69 |
$61.98
|
|
Antidepressant not specified
|
$299.00 |
$299.00 |
$299.00 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$3.12
|
|
Anti mog serum - sendout
|
$609.00 |
$609.00 |
$609.00 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$406.00 |
$406.00 |
$406.00 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$40.10 |
$40.10 |
$615.00 |
$45.82
|
