|
Aldosterone suppression eval
|
$764.25 |
$764.25 |
$764.25 |
$315.20
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$64,251.31 |
$64,251.31 |
$64,251.31 |
$44,547.57
|
|
Alginate dressing <=16 sq in
|
$8.73 |
$8.73 |
$8.73 |
$18.20
|
|
Alginate drsg >16 <=48 sq in
|
$43.92 |
$43.92 |
$43.92 |
$40.60
|
|
Alginate drsg wound filler
|
$15.87 |
$15.87 |
$15.87 |
$15.79
|
|
Alkaline phosphatase
|
$39.75 |
$39.75 |
$39.75 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$118.50 |
$118.50 |
$118.50 |
$48.57
|
|
Allergen egg white ige
|
$25.50 |
$25.50 |
$25.50 |
$36.66
|
|
Allergen specific ige qual multi scrn ea
|
$51.75 |
$51.75 |
$51.75 |
$24.01
|
|
Allergy injections; 2 or more 95117
|
$37.50 |
$37.50 |
$37.50 |
$44.25
|
|
Allergy Skin Testing
|
$46.50 |
$46.50 |
$46.50 |
$53.43
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$7.50 |
$7.50 |
$7.50 |
$5,399.16
|
|
Allograft amnioexcel plus 17mm disk
|
$421.35 |
$421.35 |
$421.35 |
$2,747.07
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$705.38 |
$705.38 |
$705.38 |
$5,213.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$734.40 |
$734.40 |
$734.40 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$532.50 |
$532.50 |
$532.50 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$736.20 |
$736.20 |
$736.20 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$3,654.39
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2.25 |
$2.25 |
$2.25 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3.00 |
$3.00 |
$3.00 |
$1,495.63
|
|
All tstg perq&iq drugs/biol
|
$64.50 |
$64.50 |
$64.50 |
$70.50
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$5.74 |
$5.74 |
$5.74 |
$9.62
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$392.25 |
$392.25 |
$392.25 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$111.75 |
$111.75 |
$111.75 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$126.00 |
$126.00 |
$126.00 |
$106.00
|
|
Alprostadil for injection
|
$749.91 |
$749.91 |
$749.91 |
$519.93
|
|
Alprostadil urethral suppos
|
$216.41 |
$216.41 |
$216.41 |
$150.04
|
|
Alteplase 100 mg infusion from pyxis vial
|
$19,012.53 |
$19,012.53 |
$19,012.53 |
$15,616.81
|
|
Alt/sgpt
|
$41.25 |
$41.25 |
$41.25 |
$45.78
|
|
Altuviiio per factor viii iu
|
$20.49 |
$20.49 |
$20.49 |
$13.32
|
|
Aluminum - quest
|
$159.00 |
$159.00 |
$159.00 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$336.75 |
$336.75 |
$336.75 |
$444.50
|
|
Amantadine (symmetrel)-sendout
|
$93.75 |
$93.75 |
$93.75 |
$179.70
|
|
Amifostine
|
$2,510.85 |
$2,510.85 |
$2,510.85 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$22.50 |
$22.50 |
$22.50 |
$36.80
|
|
Amines vaginal fluid qual
|
$21.75 |
$21.75 |
$21.75 |
$12.00
|
|
Amino acid screen, urine
|
$84.75 |
$84.75 |
$84.75 |
$77.00
|
|
Amino acid single qual
|
$84.75 |
$84.75 |
$84.75 |
$36.00
|
|
Amino acids quant 2-5
|
$102.00 |
$102.00 |
$102.00 |
$138.03
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$26.04 |
$26.04 |
$26.04 |
$37.32
|
|
Aminolevulinic acid delta
|
$99.75 |
$99.75 |
$99.75 |
$74.10
|
|
Aminolevulinic acid hcl top
|
$923.89 |
$923.89 |
$923.89 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$64.93 |
$64.93 |
$64.93 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$128.40 |
$128.40 |
$128.40 |
$142.64
|
|
Amiodarone 50 mg/ml intravenous solution
|
$166.50 |
$166.50 |
$166.50 |
$61.30
|
|
Amitriptyline (elavil) -sendout
|
$96.75 |
$96.75 |
$96.75 |
$92.50
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$8,941.39 |
$8,941.39 |
$8,941.39 |
$9,084.45
|
|
Ammonia
|
$135.00 |
$135.00 |
$135.00 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$894.00 |
$894.00 |
$894.00 |
$943.50
|
|
Amniocentesis therapeutic
|
$964.50 |
$964.50 |
$964.50 |
$778.57
|
|
Amniotic fluid scan
|
$45.75 |
$45.75 |
$45.75 |
$42.40
|
|
Amobarbital 125 mg inj
|
$1,719.09 |
$1,719.09 |
$1,719.09 |
$1,283.59
|
|
Amphetamine confirm urine -sendout
|
$89.25 |
$89.25 |
$89.25 |
$93.61
|
|
Amphetamines 5 or more
|
$261.00 |
$261.00 |
$261.00 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$138.75 |
$138.75 |
$138.75 |
$117.75
|
|
Amphotericin b lipid complex
|
$249.45 |
$249.45 |
$249.45 |
$255.20
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$748.60 |
$748.60 |
$748.60 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$213.91 |
$213.91 |
$213.91 |
$62.36
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$164.07 |
$164.07 |
$164.07 |
$55.69
|
|
Amylase
|
$53.25 |
$53.25 |
$53.25 |
$84.50
|
|
Anabolic steroid 1 or 2
|
$108.00 |
$108.00 |
$108.00 |
$80.08
|
|
Anabolic steroid 3 or more
|
$267.75 |
$267.75 |
$267.75 |
$27.20
|
|
Ana ds-dna
|
$73.50 |
$73.50 |
$73.50 |
$58.63
|
|
Analgesics non-opioid 3-5
|
$183.75 |
$183.75 |
$183.75 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$276.00 |
$276.00 |
$276.00 |
$20.80
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$86.25 |
$86.25 |
$86.25 |
$117.01
|
|
Anal/urinary muscle study
|
$417.00 |
$417.00 |
$417.00 |
$411.48
|
|
Anal/urinary muscle study
|
$1,071.75 |
$1,071.75 |
$1,071.75 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$183.00 |
$183.00 |
$183.00 |
$216.45
|
|
Analysis gene f5 leiden variant
|
$204.00 |
$204.00 |
$204.00 |
$221.13
|
|
Analysis nerve
|
$729.00 |
$729.00 |
$729.00 |
$274.49
|
|
Analysis tumor
|
$423.00 |
$423.00 |
$423.00 |
$248.80
|
|
Anca screen with reflex to titer -quest
|
$69.75 |
$69.75 |
$69.75 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,297.25 |
$2,297.25 |
$2,297.25 |
$2,494.35
|
|
Androstanediol
|
$174.75 |
$174.75 |
$174.75 |
$103.80
|
|
An fluoro guide for cvp
|
$312.75 |
$312.75 |
$312.75 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$5,341.83
|
|
Angiotensin ii
|
$125.25 |
$125.25 |
$125.25 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$22,327.35 |
$22,327.35 |
$22,327.35 |
$5,172.70
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$4,881.00
|
|
Angio trnslmnl balloon same artery ini
|
$7,289.25 |
$7,289.25 |
$7,289.25 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$5,884.50 |
$5,884.50 |
$5,884.50 |
$8,630.79
|
|
Anidulafungin injection
|
$450.44 |
$450.44 |
$450.44 |
$312.30
|
|
Ankle X-ray
|
$284.25 |
$284.25 |
$284.25 |
$353.60
|
|
Ans parasymp & symp w/tilt
|
$830.25 |
$830.25 |
$830.25 |
$368.50
|
|
Antibody
|
$81.00 |
$81.00 |
$81.00 |
$33.00
|
|
Antibody bacterium, not elsewhere specified
|
$81.00 |
$81.00 |
$81.00 |
$57.85
|
|
Antibody elution rbc reference
|
$159.00 |
$159.00 |
$159.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$121.50 |
$121.50 |
$121.50 |
$123.24
|
|
Antibody htlv-i
|
$51.00 |
$51.00 |
$51.00 |
$48.57
|
|
Antibody htlv-ii
|
$85.50 |
$85.50 |
$85.50 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$121.50 |
$121.50 |
$121.50 |
$219.30
|
|
Antibody id rbc panel
|
$300.00 |
$300.00 |
$300.00 |
$279.00
|
|
Antibody influenza virus
|
$84.00 |
$84.00 |
$84.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$78.75 |
$78.75 |
$78.75 |
$48.57
|
|
Antibody screen rbc
|
$159.00 |
$159.00 |
$159.00 |
$103.08
|
|
Antibody tetanus
|
$93.00 |
$93.00 |
$93.00 |
$52.20
|
|
Antidepressant not specified
|
$49.50 |
$49.50 |
$49.50 |
$73.83
|
|
Antidepressants class 3-5
|
$184.50 |
$184.50 |
$184.50 |
$72.14
|
