|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$91.20 |
$91.20 |
$8,070.22 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$2,040.00 |
$2,040.00 |
$3,778.60 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$8.50 |
$10.66 |
$510.10 |
$231.47
|
|
Aep hearing status deter i&r
|
$192.39 |
$192.39 |
$192.39 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$365.31 |
$402.50 |
$487.20 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$365.31 |
$460.00 |
$888.30 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$47.19 |
$105.00 |
$162.40 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$268.10 |
$268.10 |
$268.10 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$138.27 |
$330.00 |
$882.00 |
$300.00
|
|
Ag detect nos ia single
|
$74.90 |
$74.90 |
$74.90 |
$74.79
|
|
Air conduction bilat
|
$40.26 |
$44.80 |
$112.50 |
$134.00
|
|
Air injection into abdomen 49400
|
$550.00 |
$550.00 |
$4,316.90 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$192.06 |
$192.06 |
$192.06 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$14.85 |
$40.00 |
$213.50 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$120.75 |
$126.86 |
$767.72 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$140.43 |
$148.99 |
$1,233.05 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$99.40 |
$99.40 |
$99.40 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$16.50 |
$47.50 |
$133.00 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$14.52 |
$40.00 |
$126.70 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$285.60 |
$297.50 |
$357.50 |
$96.00
|
|
Alcohol/subs interv 15-30mn
|
$160.05 |
$160.05 |
$160.05 |
$56.70
|
|
Aldesleukin injection
|
$27,985.12 |
$27,985.12 |
$27,985.12 |
$9,030.11
|
|
Alkaline phosphatase
|
$14.85 |
$50.00 |
$147.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$29.70 |
$50.00 |
$348.60 |
$48.57
|
|
Allergen egg white ige
|
$8.91 |
$27.50 |
$594.30 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$11.22 |
$12.50 |
$29.40 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$37.10 |
$37.10 |
$37.10 |
$45.00
|
|
Allergy injection; single 95115
|
$54.60 |
$54.60 |
$54.60 |
$46.80
|
|
Allgrft implnt knee w/scope
|
$32,826.50 |
$32,826.50 |
$32,826.50 |
$6,411.60
|
|
Allograft amnioexcel plus 17mm disk
|
$112.61 |
$112.61 |
$4,255.24 |
$497.95
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$14,109.47 |
$14,109.47 |
$14,109.47 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$54.78 |
$54.78 |
$37,133.80 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$162.86 |
$162.86 |
$2,195.84 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$82.12 |
$82.12 |
$12,522.08 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,873.62 |
$1,873.62 |
$2,146.50 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$3,625.32 |
$3,625.32 |
$3,625.32 |
$5,278.73
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$162.86 |
$162.86 |
$162.86 |
$1,225.35
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,131.85 |
$2,131.85 |
$2,131.85 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$450.80 |
$450.80 |
$450.80 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$30.03 |
$140.00 |
$645.40 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$90.00 |
$90.00 |
$326.20 |
$106.00
|
|
Alprostadil for injection
|
$215.19 |
$215.19 |
$215.19 |
$511.41
|
|
Als1-emergency
|
$2,253.30 |
$2,253.30 |
$2,253.30 |
$1,103.37
|
|
Als 2
|
$2,981.30 |
$2,981.30 |
$2,981.30 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$263.05 |
$281.47 |
$56,853.12 |
$15,857.45
|
|
Alt/sgpt
|
$15.51 |
$52.50 |
$154.70 |
$47.50
|
|
Aluminum - quest
|
$27.72 |
$140.00 |
$226.80 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$211.40 |
$212.19 |
$595.00 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$85.14 |
$328.30 |
$332.50 |
$179.70
|
|
Amifostine
|
$5,560.27 |
$5,560.27 |
$5,560.27 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$50.73 |
$50.73 |
$199.85 |
$39.84
|
|
Amino acid screen, urine
|
$25.00 |
$25.00 |
$25.00 |
$77.00
|
|
Amino acids quant 2-5
|
$236.60 |
$236.60 |
$236.60 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$211.22 |
$211.22 |
$211.22 |
$37.33
|
|
Aminolevulinic acid delta
|
$29.37 |
$117.50 |
$267.40 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$56.90 |
$56.90 |
$295.92 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$9.74 |
$9.75 |
$392.17 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$58.57 |
$58.57 |
$180.95 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$85.14 |
$347.50 |
$347.50 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$51.95 |
$51.95 |
$35,457.62 |
$9,084.45
|
|
Ammonia
|
$44.55 |
$90.00 |
$174.30 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$500.00 |
$500.00 |
$7,044.10 |
$942.60
|
|
Amniocentesis therapeutic
|
$590.00 |
$590.00 |
$607.60 |
$791.05
|
|
Amniotic fluid scan
|
$231.70 |
$231.70 |
$231.70 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,036.30 |
$2,036.30 |
$3,630.00 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$85.14 |
$207.20 |
$265.00 |
$93.61
|
|
Amphetamines 5 or more
|
$85.14 |
$240.00 |
$240.00 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$205.27 |
$205.27 |
$205.27 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,561.70 |
$1,561.70 |
$1,561.70 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$33.21 |
$57.76 |
$243.07 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$29.03 |
$34.25 |
$185.85 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$299.60 |
$299.60 |
$299.60 |
$262.99
|
|
Amputation toe interphalangeal joint
|
$7,468.30 |
$7,468.30 |
$7,468.30 |
$4,196.50
|
|
Amylase
|
$52.50 |
$52.50 |
$224.00 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$85.14 |
$85.14 |
$85.14 |
$80.08
|
|
Ana ds-dna
|
$128.80 |
$128.80 |
$128.80 |
$55.24
|
|
Analgesics non-opioid 3-5
|
$85.14 |
$85.14 |
$85.14 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$85.14 |
$108.50 |
$550.00 |
$117.01
|
|
Anal pressure record
|
$639.80 |
$639.80 |
$795.00 |
$954.00
|
|
Anal/urinary muscle study
|
$617.40 |
$617.40 |
$617.40 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$70.95 |
$285.00 |
$753.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$65.01 |
$340.00 |
$662.90 |
$249.60
|
|
Analysis nerve
|
$111.21 |
$477.50 |
$477.50 |
$262.40
|
|
Analysis tumor
|
$181.50 |
$181.50 |
$181.50 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$119.46 |
$475.00 |
$494.90 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$81.20 |
$112.50 |
$112.50 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$58.74 |
$90.00 |
$800.80 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$1,805.00 |
$2,640.00 |
$3,637.37 |
$2,480.94
|
|
Androstanediol
|
$196.70 |
$196.70 |
$196.70 |
$131.04
|
|
An fluoro guide for cvp
|
$194.37 |
$285.00 |
$899.50 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,825.00 |
$5,310.00 |
$24,995.99 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,150.00 |
$9,470.00 |
$56,278.99 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,885.00 |
$6,200.00 |
$16,831.99 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,060.00 |
$5,250.00 |
$51,313.28 |
$5,950.50
|
|
Angiotensin ii
|
$43.40 |
$43.40 |
$43.40 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,990.45 |
$1,990.45 |
$4,365.90 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$8,840.00 |
$11,285.00 |
$38,827.70 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,120.00 |
$1,575.00 |
$3,962.70 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$4,130.00 |
$8,610.00 |
$32,277.59 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,085.00 |
$2,210.00 |
$65,123.06 |
$4,350.00
|
