|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,673.09 |
$4,673.09 |
$4,673.09 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$4,725.00
|
|
All tstg perq&iq drugs/biol
|
$47.88 |
$47.88 |
$47.88 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$26.88 |
$26.88 |
$26.88 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$41.79 |
$41.79 |
$41.79 |
$12.50
|
|
Alpha-fetoprotein amniotic
|
$89.04 |
$89.04 |
$89.04 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$103.74 |
$103.74 |
$103.74 |
$106.00
|
|
Alprostadil for injection
|
$252.70 |
$252.70 |
$252.70 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$17,833.94 |
$17,833.94 |
$17,833.94 |
$15,857.45
|
|
Alt/sgpt
|
$60.90 |
$60.90 |
$60.90 |
$47.45
|
|
Aluminum - quest
|
$42.84 |
$42.84 |
$42.84 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$199.50 |
$199.50 |
$199.50 |
$169.80
|
|
Amifostine
|
$6,285.50 |
$6,285.50 |
$6,285.50 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$41.79 |
$41.79 |
$41.79 |
$39.84
|
|
Aminolevulinic acid delta
|
$136.08 |
$136.08 |
$136.08 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$41.79 |
$41.79 |
$41.79 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$86.84 |
$86.84 |
$86.84 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$41.79 |
$41.79 |
$41.79 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$511.98 |
$511.98 |
$511.98 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$7,994.03 |
$7,994.03 |
$7,994.03 |
$7,994.03
|
|
Ammonia
|
$119.70 |
$119.70 |
$119.70 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$505.26 |
$505.26 |
$505.26 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,245.30 |
$1,245.30 |
$1,245.30 |
$785.85
|
|
Amobarbital 125 mg inj
|
$1,436.59 |
$1,436.59 |
$1,436.59 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,802.64 |
$1,802.64 |
$1,802.64 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$10.08 |
$10.08 |
$10.08 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$72.90 |
$72.90 |
$72.90 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$610.41 |
$610.41 |
$610.41 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$41.79 |
$41.79 |
$41.79 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$41.79 |
$41.79 |
$41.79 |
$53.86
|
|
Amputate metacarpal bone 26910
|
$2,072.47 |
$2,072.47 |
$2,072.47 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$1,212.54 |
$1,212.54 |
$1,212.54 |
$3,998.20
|
|
Amylase
|
$89.04 |
$89.04 |
$89.04 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$142.80 |
$142.80 |
$142.80 |
$80.08
|
|
Ana ds-dna
|
$41.58 |
$41.58 |
$41.58 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$209.16 |
$209.16 |
$209.16 |
$117.01
|
|
Anal pressure record
|
$581.28 |
$581.28 |
$581.28 |
$834.90
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$62.16 |
$62.16 |
$62.16 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$269.64 |
$269.64 |
$269.64 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$269.64 |
$269.64 |
$269.64 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$24.36 |
$24.36 |
$24.36 |
$122.20
|
|
Analysis tumor
|
$119.28 |
$119.28 |
$119.28 |
$237.89
|
|
Anaplsma phgcytophlm amp prb
|
$42.00 |
$42.00 |
$42.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$734.16 |
$734.16 |
$734.16 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,480.94 |
$2,480.94 |
$2,480.94 |
$2,626.65
|
|
Androstanediol
|
$131.04 |
$131.04 |
$131.04 |
$120.60
|
|
An fluoro guide for cvp
|
$570.78 |
$570.78 |
$570.78 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,654.00 |
$3,654.00 |
$3,654.00 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$6,249.18 |
$6,249.18 |
$6,249.18 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,879.14 |
$4,879.14 |
$4,879.14 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,448.58 |
$1,448.58 |
$1,448.58 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$149.61 |
$149.61 |
$149.61 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,583.92 |
$6,583.92 |
$6,583.92 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,149.58 |
$3,149.58 |
$3,149.58 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$6,359.64 |
$6,359.64 |
$6,359.64 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,028.62 |
$3,028.62 |
$3,028.62 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$6,056.82 |
$6,056.82 |
$6,056.82 |
$8,466.00
|
|
Anidulafungin injection
|
$83.37 |
$83.37 |
$83.37 |
$312.30
|
|
Ankle X-ray
|
$229.32 |
$229.32 |
$229.32 |
$353.60
|
|
Anodyne therapy charges pt
|
$42.00 |
$42.00 |
$42.00 |
$42.00
|
|
Anogenital exam child w imag
|
$213.78 |
$213.78 |
$213.78 |
$292.32
|
|
Anora (draw only)
|
$10.08 |
$10.08 |
$10.08 |
$33.58
|
|
Antibody bacterium, not elsewhere specified
|
$34.02 |
$34.02 |
$34.02 |
$57.81
|
|
Antibody elution rbc reference
|
$137.34 |
$137.34 |
$137.34 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$566.58 |
$566.58 |
$566.58 |
$130.00
|
|
Antibody htlv-i
|
$218.82 |
$218.82 |
$218.82 |
$49.53
|
|
Antibody htlv-ii
|
$218.82 |
$218.82 |
$218.82 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$133.56 |
$133.56 |
$133.56 |
$218.30
|
|
Antibody id rbc panel
|
$141.96 |
$141.96 |
$141.96 |
$274.56
|
|
Antibody influenza virus
|
$42.84 |
$42.84 |
$42.84 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$40.32 |
$40.32 |
$40.32 |
$48.57
|
|
Antibody screen rbc
|
$77.28 |
$77.28 |
$77.28 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$41.79 |
$41.79 |
$41.79 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$61.74 |
$61.74 |
$61.74 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$61.74 |
$61.74 |
$61.74 |
$40.00
|
|
Antinuclear antibodies
|
$29.40 |
$29.40 |
$29.40 |
$89.40
|
|
Antinuclear antibodies titer
|
$49.14 |
$49.14 |
$49.14 |
$77.00
|
|
Antipsychotics nos 1-3
|
$89.04 |
$89.04 |
$89.04 |
$142.42
|
|
Antistreptolysin o screen
|
$86.10 |
$86.10 |
$86.10 |
$62.00
|
|
Antistreptolysin o titer
|
$104.58 |
$104.58 |
$104.58 |
$51.45
|
|
Antithrombin iii activity
|
$126.42 |
$126.42 |
$126.42 |
$114.00
|
|
Antithrombin iii injection
|
$41.79 |
$41.79 |
$41.79 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$9,768.24 |
$9,768.24 |
$9,768.24 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$2,350.89 |
$2,350.89 |
$2,350.89 |
$2,111.00
|
|
Apheresis immunoads slctv
|
$3,155.88 |
$3,155.88 |
$3,155.88 |
$5,561.12
|
|
Apheresis plasma
|
$2,270.52 |
$2,270.52 |
$2,270.52 |
$3,188.50
|
|
Apheresis platelets
|
$1,703.10 |
$1,703.10 |
$1,703.10 |
$2,042.95
|
|
Apheresis wbc
|
$2,089.08 |
$2,089.08 |
$2,089.08 |
$2,968.80
|
|
Appendix Removal (Laparoscopic)
|
$3,937.08 |
$3,937.08 |
$3,937.08 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,500.66 |
$1,500.66 |
$1,500.66 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$492.66 |
$492.66 |
$492.66 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$797.16 |
$797.16 |
$797.16 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,531.76 |
$2,531.76 |
$2,531.76 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$457.38 |
$457.38 |
$457.38 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$363.72 |
$363.72 |
$363.72 |
$498.81
|
|
Application finger splntstatic 29130
|
$131.46 |
$131.46 |
$131.46 |
$208.16
|
|
Application long leg splint 29505
|
$266.28 |
$266.28 |
$266.28 |
$338.25
|
|
Application lower leg splint 29515
|
$150.78 |
$150.78 |
$150.78 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$378.42 |
$378.42 |
$378.42 |
$373.20
|
|
Application of forearm cast 29075
|
$163.80 |
$163.80 |
$163.80 |
$339.30
|