|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$316.80 |
$316.80 |
$2,097.63 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$238.13 |
$238.13 |
$238.13 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$5,609.82 |
$5,609.82 |
$5,609.82 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$232.74 |
$232.74 |
$232.74 |
$5,278.73
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$231.20 |
$231.20 |
$815.54 |
$1,225.35
|
|
All tstg perq&iq drugs/biol
|
$64.80 |
$64.80 |
$64.80 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$25.60 |
$25.60 |
$25.60 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$9.76 |
$9.76 |
$12,452.40 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$158.40 |
$158.40 |
$221.65 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$64.28 |
$64.28 |
$64.28 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$64.28 |
$64.28 |
$261.30 |
$106.00
|
|
Alprostadil for injection
|
$10.40 |
$10.40 |
$10.40 |
$511.41
|
|
Alprostadil urethral suppos
|
$67.20 |
$67.20 |
$67.20 |
$150.04
|
|
Alteplase 100 mg infusion from pyxis vial
|
$175.13 |
$175.13 |
$25,477.05 |
$15,857.45
|
|
Alt/sgpt
|
$33.57 |
$33.57 |
$769.60 |
$47.50
|
|
Aluminum - quest
|
$64.00 |
$64.00 |
$64.00 |
$83.05
|
|
Alveoloplasty each quadrant
|
$968.80 |
$968.80 |
$968.80 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$134.40 |
$134.40 |
$134.40 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$126.43 |
$126.43 |
$126.43 |
$179.70
|
|
Ambl bp mntr w/software
|
$251.20 |
$251.20 |
$251.20 |
$178.20
|
|
Ambl bp mntr w/sw a/r
|
$127.20 |
$127.20 |
$127.20 |
$320.45
|
|
Ambl bp mntr w/sw i&r
|
$42.40 |
$42.40 |
$42.40 |
$57.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.60 |
$1.60 |
$32.20 |
$39.84
|
|
Amines vaginal fluid qual
|
$12.00 |
$12.00 |
$12.00 |
$12.00
|
|
Amino acid screen, urine
|
$64.28 |
$64.28 |
$64.28 |
$77.00
|
|
Amino acid single qual
|
$36.00 |
$36.00 |
$36.00 |
$36.00
|
|
Amino acids quant 2-5
|
$48.75 |
$48.75 |
$64.28 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$33.20 |
$33.20 |
$33.20 |
$37.33
|
|
Aminolevulinic acid delta
|
$64.28 |
$64.28 |
$299.00 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$386.40 |
$386.40 |
$386.40 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$96.44 |
$96.44 |
$101.15 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$25.11 |
$25.11 |
$159.50 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$14.65 |
$14.65 |
$73.00 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$72.14 |
$72.14 |
$72.14 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$11,933.95 |
$11,933.95 |
$11,933.95 |
$9,084.45
|
|
Ammonia
|
$64.28 |
$64.28 |
$157.95 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$292.00 |
$292.00 |
$292.00 |
$942.60
|
|
Amniocentesis therapeutic
|
$431.20 |
$431.20 |
$431.20 |
$791.05
|
|
Amniotic fluid scan
|
$19.20 |
$19.20 |
$19.20 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$58.50 |
$58.50 |
$72.14 |
$93.61
|
|
Amphetamines 5 or more
|
$23.40 |
$23.40 |
$72.14 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$174.55 |
$174.55 |
$174.55 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,507.85 |
$1,507.85 |
$1,507.85 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$38.85 |
$38.85 |
$70.00 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$14.55 |
$14.55 |
$74.36 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$210.40 |
$210.40 |
$512.85 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$3,986.00
|
|
Amp thigh through femur re-amp 27596
|
$3,494.40 |
$3,494.40 |
$3,494.40 |
$3,494.40
|
|
Amputate hand at wrist
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$3,086.40
|
|
Amputate leg at thigh
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
$2,854.80
|
|
Amputate lower leg at knee
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,342.87
|
|
Amputate metacarpal bone 26910
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$3,839.54
|
|
Amputate thigh through femur 27590
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$3,370.00
|
|
Amputation follow-up surgery
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$7,907.11
|
|
Amputation follow-up surgery
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$2,934.40
|
|
Amputation follow-up surgery
|
$3,766.40 |
$3,766.40 |
$3,766.40 |
$3,766.40
|
|
Amputation follow-up surgery
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$3,839.54
|
|
Amputation follow-up surgery
|
$2,801.60 |
$2,801.60 |
$2,801.60 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$4,444.80 |
$4,444.80 |
$4,444.80 |
$3,870.00
|
|
Amputation leg; tib/fib f/u 27886
|
$3,206.40 |
$3,206.40 |
$3,206.40 |
$1,506.60
|
|
Amputation of foot at ankle
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$7,109.92
|
|
Amputation of leg at hip
|
$4,000.80 |
$4,000.80 |
$4,000.80 |
$4,000.80
|
|
Amputation of leg at hip
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$6,192.00
|
|
Amputation of lower leg
|
$2,916.80 |
$2,916.80 |
$2,916.80 |
$2,545.40
|
|
Amputation of midtarsal 28800
|
$2,681.60 |
$2,681.60 |
$19,641.37 |
$2,285.40
|
|
Amputation thru metatarsal
|
$3,622.40 |
$3,622.40 |
$3,622.40 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$1,391.20 |
$1,391.20 |
$12,564.94 |
$3,839.54
|
|
Amylase
|
$33.57 |
$33.57 |
$273.00 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$72.14 |
$72.14 |
$72.14 |
$80.08
|
|
Anabolic steroid 3 or more
|
$27.20 |
$27.20 |
$27.20 |
$27.20
|
|
Ana ds-dna
|
$48.57 |
$48.57 |
$48.57 |
$55.24
|
|
Analgesics non-opioid 3-5
|
$12.00 |
$12.00 |
$12.00 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$12.00 |
$12.00 |
$12.00 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$36.00 |
$36.00 |
$150.80 |
$117.01
|
|
Anal pressure record
|
$544.80 |
$544.80 |
$544.80 |
$954.00
|
|
Anal/urinary muscle study
|
$340.80 |
$340.80 |
$340.80 |
$407.00
|
|
Anal/urinary muscle study
|
$900.80 |
$900.80 |
$900.80 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$120.00 |
$120.00 |
$157.00 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$132.00 |
$132.00 |
$446.55 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$147.20 |
$147.20 |
$369.20 |
$249.60
|
|
Analysis nerve
|
$540.80 |
$540.80 |
$540.80 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$113.60 |
$113.60 |
$113.60 |
$122.20
|
|
Analysis tumor
|
$248.80 |
$248.80 |
$248.80 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$111.20 |
$111.20 |
$111.20 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$70.40 |
$70.40 |
$76.70 |
$85.80
|
|
Anastamo/extrahep bil duct/gi trac 47760
|
$5,524.80 |
$5,524.80 |
$5,524.80 |
$5,524.80
|
|
Anastamo/roux-en-y/extrahep bil/gi 47780
|
$6,068.00 |
$6,068.00 |
$6,068.00 |
$6,068.00
|
|
Anca screen with reflex to titer -quest
|
$48.57 |
$48.57 |
$48.57 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$943.20 |
$943.20 |
$1,426.75 |
$2,480.94
|
|
Anchor suture 3.5mm pushlock
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$2,155.00
|
|
Androstanediol
|
$67.20 |
$67.20 |
$67.20 |
$131.04
|
|
An fluoro guide for cvp
|
$731.10 |
$731.10 |
$731.10 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,780.12 |
$2,780.12 |
$2,780.12 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$12,173.85 |
$12,173.85 |
$16,633.60 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$13,982.40 |
$13,982.40 |
$17,722.00 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$7,192.25 |
$7,192.25 |
$9,058.70 |
$5,950.50
|
