|
Alcohols biomarkers 3/more
|
$72.14 |
$72.14 |
$72.14 |
|
|
Alcohol/sub misuse assess
|
$31.20 |
$31.20 |
$31.20 |
|
|
Alcohol/subs interv 15-30mn
|
$64.80 |
$64.80 |
$64.80 |
|
|
Alcohol/subs interv >30 min
|
$120.80 |
$120.80 |
$120.80 |
|
|
Aldesleukin injection
|
$1,496.81 |
$1,496.81 |
$1,496.81 |
|
|
Aldosterone suppression eval
|
$315.20 |
$315.20 |
$315.20 |
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$100.28 |
$89,232.75 |
$89,232.75 |
|
|
Alginate dressing <=16 sq in
|
$3.70 |
$20.80 |
$39.48 |
|
|
Alginate drsg >16 <=48 sq in
|
$35.28 |
$36.02 |
$48.30 |
|
|
Alginate drsg wound filler
|
$9.00 |
$17.29 |
$20.17 |
|
|
Alkaline phosphatase
|
$29.60 |
$40.95 |
$14,517.85 |
|
|
Allergen alpha lactalbumin ige
|
$31.20 |
$48.57 |
$1,606.00 |
|
|
Allergen egg white ige
|
$22.20 |
$48.57 |
$2,208.00 |
|
|
Allergen specific ige qual multi scrn ea
|
$48.57 |
$48.57 |
$48.57 |
|
|
Allergy injections; 2 or more 95117
|
$21.60 |
$31.20 |
$60.00 |
|
|
Allergy injection; single 95115
|
$18.00 |
$27.20 |
$172.97 |
|
|
Allergy Skin Testing
|
$12.80 |
$12.80 |
$275.38 |
|
|
Allg patch or app # of tests 95044
|
$8.40 |
$16.00 |
$387.59 |
|
|
Allgrft implnt knee w/scope
|
$6,286.40 |
$6,286.40 |
$6,286.40 |
|
|
Allograft 160mg placental salera mini membrane
|
$17.33 |
$43.26 |
$66.55 |
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$424.66 |
$424.66 |
$2,535.75 |
|
|
Allograft amnioexcel plus 17mm disk
|
$222.60 |
$222.60 |
$222.60 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$3,763.50 |
$3,961.09 |
$12,402.00 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$262.09 |
$3,663.49 |
$6,758.33 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$73.40 |
$159.49 |
$23,373.60 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$177.18 |
$1,492.97 |
$3,227.12 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$238.13 |
$238.13 |
$5,451.94 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,658.26 |
$5,609.82 |
$8,630.50 |
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$232.74 |
$232.74 |
$3,283.80 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$231.20 |
$815.54 |
$1,254.67 |
|
|
Alloskin
|
$1,033.80 |
$1,033.80 |
$1,086.00 |
|
|
All tstg perq&iq drugs/biol
|
$21.60 |
$64.80 |
$79.48 |
|
|
All tstg perq&iq w/venoms
|
$21.60 |
$25.60 |
$26.88 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$9.56 |
$47.76 |
$12,452.40 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$158.40 |
$158.40 |
$221.65 |
|
|
Alpha-fetoprotein amniotic
|
$64.28 |
$64.28 |
$210.60 |
|
|
Alpha-fetoprotein tumor marker
|
$64.28 |
$124.20 |
$1,956.00 |
|
|
Alprostadil for injection
|
$10.40 |
$10.40 |
$313.41 |
|
|
Alprostadil urethral suppos
|
$67.20 |
$67.20 |
$67.20 |
|
|
Als 1
|
$622.93 |
$696.86 |
$703.32 |
|
|
Als1-emergency
|
$831.29 |
$831.29 |
$1,103.37 |
|
|
Als 2
|
$1,019.08 |
$1,019.08 |
$1,596.98 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$163.85 |
$17,833.94 |
$25,477.05 |
|
|
Alt/sgpt
|
$33.57 |
$47.40 |
$10,327.40 |
|
|
Altuviiio per factor viii iu
|
$28,108.60 |
$28,108.60 |
$28,108.60 |
|
|
Aluminum - quest
|
$42.84 |
$64.00 |
$152.40 |
|
|
Alveoloplasty each quadrant
|
$968.80 |
$968.80 |
$68,247.35 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$134.40 |
$373.61 |
$1,640.00 |
|
|
Amantadine (symmetrel)-sendout
|
$126.43 |
$126.43 |
$327.60 |
|
|
Ambl bp mntr w/software
|
$134.00 |
$251.20 |
$455.40 |
|
|
Ambl bp mntr w/sw a/r
|
$127.20 |
$127.20 |
$403.00 |
|
|
Ambl bp mntr w/sw i&r
|
$42.40 |
$42.40 |
$57.00 |
|
|
Amifostine
|
$1,989.17 |
$6,285.50 |
$7,333.08 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.60 |
$17.05 |
$129.55 |
|
|
Amines vaginal fluid qual
|
$12.00 |
$12.00 |
$12.00 |
|
|
Amino acid screen, urine
|
$64.28 |
$64.28 |
$102.60 |
|
|
Amino acid single qual
|
$36.00 |
$36.00 |
$36.00 |
|
|
Amino acids quant 2-5
|
$48.75 |
$64.28 |
$278.40 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$8.61 |
$33.20 |
$49.90 |
|
|
Aminolevulinic acid delta
|
$64.28 |
$64.28 |
$299.00 |
|
|
Aminolevulinic acid hcl top
|
$386.40 |
$386.40 |
$864.00 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$14.40 |
$70.76 |
$101.15 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$12.18 |
$101.31 |
$212.00 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$3.90 |
$47.76 |
$174.85 |
|
|
Amitriptyline (elavil) -sendout
|
$72.14 |
$72.14 |
$511.98 |
|
|
Amitriptyline injection
|
$31.10 |
$31.10 |
$31.10 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$33.52 |
$11,933.95 |
$11,933.95 |
|
|
Ammonia
|
$64.28 |
$95.40 |
$338.00 |
|
|
Amniocentesisdiagnostic 59000
|
$99.36 |
$571.20 |
$1,690.00 |
|
|
Amniocentesis therapeutic
|
$431.20 |
$431.20 |
$1,245.30 |
|
|
Amniotic fluid scan
|
$19.20 |
$19.20 |
$42.00 |
|
|
Amobarbital 125 mg inj
|
$1,436.59 |
$1,641.82 |
$1,676.03 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$926.88 |
$2,785.15 |
$5,813.74 |
|
|
Amphetamine confirm urine -sendout
|
$9.12 |
$72.14 |
$288.60 |
|
|
Amphetamines 5 or more
|
$23.40 |
$72.14 |
$72.14 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$8.75 |
$72.90 |
$174.55 |
|
|
Amphotericin b lipid complex
|
$366.66 |
$366.66 |
$366.66 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$99.96 |
$562.35 |
$1,507.85 |
|
|
Ampicillin 1 gram solution for injection
|
$2.40 |
$47.76 |
$83.81 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$14.55 |
$74.36 |
$590.00 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$200.20 |
$210.40 |
$789.00 |
|
|
Amp metatarsal w/toe single 28810
|
$808.80 |
$1,064.00 |
$38,801.40 |
|
|
Amp thigh through femur re-amp 27596
|
$1,331.40 |
$3,494.40 |
$3,494.40 |
|
|
Amputate hand at wrist
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
|
|
Amputate leg at thigh
|
$2,261.00 |
$3,305.60 |
$3,305.60 |
|
|
Amputate lower leg at knee
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
|
|
Amputate metacarpal bone 26910
|
$1,287.00 |
$1,804.80 |
$2,072.47 |
|
|
Amputate thigh through femur 27590
|
$1,494.60 |
$3,880.00 |
$3,880.00 |
|
|
Amputation follow-up surgery
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
|
|
Amputation follow-up surgery
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
|
|
Amputation follow-up surgery
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
|
|
Amputation follow-up surgery
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
|
|
Amputation follow-up surgery
|
$3,766.40 |
$3,766.40 |
$3,766.40 |
|
|
Amputation follow-up surgery
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
|
|
Amputation follow-up surgery
|
$2,538.00 |
$2,801.60 |
$2,801.60 |
|
|
Amputation leg thr tib/fib 27880
|
$1,691.40 |
$4,444.80 |
$4,444.80 |
|
|
Amputation leg; tib/fib f/u 27886
|
$957.00 |
$3,206.40 |
$3,206.40 |
|
|
Amputation of foot at ankle
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
|
|
Amputation of leg at hip
|
$4,000.80 |
$4,000.80 |
$4,000.80 |
|
|
Amputation of leg at hip
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
|
