|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$127,712.34 |
$127,712.34 |
$127,712.34 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,484.85 |
$1,484.85 |
$1,484.85 |
$877.10
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$30,711.37 |
$30,711.37 |
$30,711.37 |
$4,677.40
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$4,774.80 |
$4,774.80 |
$4,774.80 |
$10.65
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$218.49 |
$218.49 |
$218.49 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$212.10 |
$212.10 |
$212.10 |
$94.32
|
|
Alpha-fetoprotein tumor marker
|
$212.10 |
$212.10 |
$212.10 |
$105.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$87,556.86 |
$87,556.86 |
$87,556.86 |
$15,857.45
|
|
Alt/sgpt
|
$66.42 |
$66.42 |
$66.42 |
$47.50
|
|
Aluminum - quest
|
$320.45 |
$320.45 |
$320.45 |
$82.80
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,109.72 |
$1,109.72 |
$1,109.72 |
$417.47
|
|
Amantadine (symmetrel)-sendout
|
$889.18 |
$889.18 |
$889.18 |
$174.75
|
|
Ambl bp mntr w/sw a/r
|
$385.77 |
$385.77 |
$385.77 |
$324.38
|
|
Amifostine
|
$6,487.50 |
$6,487.50 |
$6,487.50 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$310.40 |
$310.40 |
$310.40 |
$39.12
|
|
Amino acid screen, urine
|
$31.50 |
$31.50 |
$31.50 |
$77.00
|
|
Amino acids quant 2-5
|
$379.94 |
$379.94 |
$379.94 |
$113.60
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$19.68 |
$19.68 |
$19.68 |
$36.04
|
|
Aminolevulinic acid delta
|
$206.25 |
$206.25 |
$206.25 |
$80.03
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$190.89 |
$190.89 |
$190.89 |
$45.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$48.99 |
$48.99 |
$48.99 |
$112.49
|
|
Amiodarone 50 mg/ml intravenous solution
|
$142.37 |
$142.37 |
$142.37 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$226.92 |
$226.92 |
$226.92 |
$9,084.45
|
|
Ammonia
|
$180.59 |
$180.59 |
$180.59 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,421.27 |
$1,421.27 |
$1,421.27 |
$940.10
|
|
Amniocentesis therapeutic
|
$2,612.72 |
$2,612.72 |
$2,612.72 |
$791.05
|
|
Amniotic fluid scan
|
$485.93 |
$485.93 |
$485.93 |
$49.01
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$362.48 |
$362.48 |
$362.48 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$249.04 |
$249.04 |
$249.04 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$266.91 |
$266.91 |
$266.91 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$575.99 |
$575.99 |
$575.99 |
$54.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,252.03 |
$1,252.03 |
$1,252.03 |
$262.99
|
|
Amylase
|
$1,328.58 |
$1,328.58 |
$1,328.58 |
$89.04
|
|
Ana ds-dna
|
$151.55 |
$151.55 |
$151.55 |
$54.60
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$568.34 |
$568.34 |
$568.34 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$826.26 |
$826.26 |
$826.26 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$863.52 |
$863.52 |
$863.52 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$358.40 |
$358.40 |
$358.40 |
$135.14
|
|
Analysis tumor
|
$827.44 |
$827.44 |
$827.44 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$264.57 |
$264.57 |
$264.57 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$165.50 |
$165.50 |
$165.50 |
$100.89
|
|
Anchor suture 3.5mm pushlock
|
$14,931.56 |
$14,931.56 |
$14,931.56 |
$2,155.00
|
|
Androstanediol
|
$339.07 |
$339.07 |
$339.07 |
$120.60
|
|
An fluoro guide for cvp
|
$1,614.17 |
$1,614.17 |
$1,614.17 |
$515.00
|
|
Angiotensin ii
|
$346.41 |
$346.41 |
$346.41 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,469.96 |
$2,469.96 |
$2,469.96 |
$2,979.43
|
|
Anidulafungin injection
|
$329.05 |
$329.05 |
$329.05 |
$312.30
|
|
Ankle X-ray
|
$2,031.70 |
$2,031.70 |
$2,031.70 |
$351.45
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,156.84 |
$1,156.84 |
$1,156.84 |
$630.96
|
|
Anodyne therapy charges pt
|
$63.64 |
$63.64 |
$63.64 |
$43.07
|
|
Anora (draw only)
|
$154.95 |
$154.95 |
$154.95 |
$35.00
|
|
Anoscopy remove fb 46608
|
$3,902.35 |
$3,902.35 |
$3,902.35 |
$1,435.00
|
|
Ans parasymp & symp w/tilt
|
$4,032.32 |
$4,032.32 |
$4,032.32 |
$368.50
|
|
Antibody bacterium, not elsewhere specified
|
$219.56 |
$219.56 |
$219.56 |
$57.81
|
|
Antibody elution rbc reference
|
$224.87 |
$224.87 |
$224.87 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$227.21 |
$227.21 |
$227.21 |
$128.40
|
|
Antibody htlv-i
|
$128.24 |
$128.24 |
$128.24 |
$49.53
|
|
Antibody htlv-ii
|
$163.16 |
$163.16 |
$163.16 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$784.23 |
$784.23 |
$784.23 |
$219.30
|
|
Antibody id rbc panel
|
$290.21 |
$290.21 |
$290.21 |
$283.80
|
|
Antibody influenza virus
|
$170.17 |
$170.17 |
$170.17 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$163.16 |
$163.16 |
$163.16 |
$46.87
|
|
Antibody screen rbc
|
$152.61 |
$152.61 |
$152.61 |
$102.70
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$12.63 |
$12.63 |
$12.63 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$13,479.47 |
$13,479.47 |
$13,479.47 |
$3.67
|
|
Anti-inhibitor
|
$54,884.25 |
$54,884.25 |
$54,884.25 |
$8.33
|
|
Anti mog serum - sendout
|
$3,523.73 |
$3,523.73 |
$3,523.73 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$758.57 |
$758.57 |
$758.57 |
$35.89
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$259.89 |
$259.89 |
$259.89 |
$42.00
|
|
Antinuclear antibodies
|
$151.55 |
$151.55 |
$151.55 |
$90.00
|
|
Antinuclear antibodies titer
|
$139.84 |
$139.84 |
$139.84 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$201.56 |
$201.56 |
$201.56 |
$60.00
|
|
Antistreptolysin o screen
|
$65.24 |
$65.24 |
$65.24 |
$59.40
|
|
Antistreptolysin o titer
|
$65.24 |
$65.24 |
$65.24 |
$51.45
|
|
Antithrombin iii activity
|
$148.03 |
$148.03 |
$148.03 |
$114.00
|
|
Antithrombin iii injection
|
$39.55 |
$39.55 |
$39.55 |
$12.34
|
|
Aortic dysfunction/dilation
|
$4,305.49 |
$4,305.49 |
$4,305.49 |
$1,088.50
|
|
Apc gene dup/delet variants
|
$899.59 |
$899.59 |
$899.59 |
$463.20
|
|
Apc gene full sequence
|
$1,661.80 |
$1,661.80 |
$1,661.80 |
$1,255.20
|
|
Apheresis plasma
|
$5,782.65 |
$5,782.65 |
$5,782.65 |
$3,110.11
|
|
Apheresis platelets
|
$3,175.10 |
$3,175.10 |
$3,175.10 |
$2,158.65
|
|
Apheresis rbc
|
$4,985.36 |
$4,985.36 |
$4,985.36 |
$3,250.39
|
|
Apheresis wbc
|
$5,782.65 |
$5,782.65 |
$5,782.65 |
$3,109.60
|
|
Apl(pml-rara) quant - sendout
|
$777.30 |
$777.30 |
$777.30 |
$484.25
|
|
Application multi layer compression below knee (both sides)
|
$1,163.21 |
$1,163.21 |
$1,163.21 |
$365.70
|
|
Application of paste boot 29580
|
$804.21 |
$804.21 |
$804.21 |
$331.74
|
|
Applicator tag rfid localizer 12gx7cm
|
$2,164.15 |
$2,164.15 |
$2,164.15 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$113.82 |
$113.82 |
$113.82 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$281.45 |
$281.45 |
$281.45 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$568.74 |
$568.74 |
$568.74 |
$309.50
|
|
Apply interstit radiat compl
|
$5,408.40 |
$5,408.40 |
$5,408.40 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$3,164.26 |
$3,164.26 |
$3,164.26 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$2,823.02 |
$2,823.02 |
$2,823.02 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$1,816.16 |
$1,816.16 |
$1,816.16 |
$1,269.97
|
|
Apply surf ldr radionuclide
|
$435.84 |
$435.84 |
$435.84 |
$285.42
|
|
App mdlty 1+hubbrd tnk ea 15
|
$172.54 |
$172.54 |
$172.54 |
$138.25
|
|
#aptt mix-1:1 incubated
|
$441.65 |
$441.65 |
$441.65 |
$146.98
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,686.28 |
$1,686.28 |
$1,686.28 |
$231.66
|
|
Aqmbf pet rest & rx stress
|
$1,492.77 |
$1,492.77 |
$1,492.77 |
$974.40
|
|
Aquaporin-4 antibody cba each
|
$2,141.34 |
$2,141.34 |
$2,141.34 |
$138.16
|
