|
Albumin serum plasma or whole blood
|
$89.40 |
$89.40 |
$89.40 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$3.00 |
$3.00 |
$3.00 |
$5.85
|
|
Albuterol non-comp unit
|
$3.00 |
$3.00 |
$3.00 |
$5.11
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$146.40 |
$146.40 |
$146.40 |
$94.90
|
|
Alkaline phosphatase
|
$27.60 |
$27.60 |
$27.60 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$48.00 |
$48.00 |
$48.00 |
$48.57
|
|
Allergen egg white ige
|
$27.60 |
$27.60 |
$27.60 |
$36.66
|
|
Allergen specific ige qual multi scrn ea
|
$24.60 |
$24.60 |
$24.60 |
$24.01
|
|
Allograft 160mg placental salera mini membrane
|
$7,987.19 |
$7,987.19 |
$7,987.19 |
$666.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$15,750.55 |
$15,750.55 |
$15,750.55 |
$5,399.16
|
|
Allograft amnioexcel plus 17mm disk
|
$19,764.05 |
$19,764.05 |
$19,764.05 |
$2,747.07
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$15,151.97 |
$15,151.97 |
$15,151.97 |
$10,223.11
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$12,291.64 |
$12,291.64 |
$12,291.64 |
$5,213.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$55,798.03 |
$55,798.03 |
$55,798.03 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$37,459.86 |
$37,459.86 |
$37,459.86 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$31,700.83 |
$31,700.83 |
$31,700.83 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$29,931.74 |
$29,931.74 |
$29,931.74 |
$3,654.39
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$9,812.39 |
$9,812.39 |
$9,812.39 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$11,207.36 |
$11,207.36 |
$11,207.36 |
$1,495.63
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$8,967.00 |
$8,967.00 |
$8,967.00 |
$9.62
|
|
Alpha-fetoprotein amniotic
|
$45.00 |
$45.00 |
$45.00 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$224.40 |
$224.40 |
$224.40 |
$106.00
|
|
Alprostadil for injection
|
$833.22 |
$833.22 |
$833.22 |
$519.93
|
|
Als 1
|
$706.20 |
$706.20 |
$706.20 |
$853.44
|
|
Als1-emergency
|
$929.40 |
$929.40 |
$929.40 |
$898.88
|
|
Alteplase 100 mg infusion from pyxis vial
|
$43,297.80 |
$43,297.80 |
$43,297.80 |
$15,616.81
|
|
Alt/sgpt
|
$114.00 |
$114.00 |
$114.00 |
$45.78
|
|
Aluminum - quest
|
$43.20 |
$43.20 |
$43.20 |
$81.49
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$57.36 |
$57.36 |
$57.36 |
$36.80
|
|
Amino acid screen, urine
|
$139.20 |
$139.20 |
$139.20 |
$77.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$35.82 |
$35.82 |
$35.82 |
$37.32
|
|
Aminolevulinic acid delta
|
$90.60 |
$90.60 |
$90.60 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$19.68 |
$19.68 |
$19.68 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$14.64 |
$14.64 |
$14.64 |
$61.30
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$12,082.44 |
$12,082.44 |
$12,082.44 |
$9,084.45
|
|
Ammonia
|
$124.80 |
$124.80 |
$124.80 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$652.80 |
$652.80 |
$652.80 |
$943.50
|
|
Amniocentesis therapeutic
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$778.57
|
|
Amniotic fluid scan
|
$115.80 |
$115.80 |
$115.80 |
$42.40
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$13,745.28 |
$13,745.28 |
$13,745.28 |
$3,839.54
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$236.16 |
$236.16 |
$236.16 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$602.04 |
$602.04 |
$602.04 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$65.94 |
$65.94 |
$65.94 |
$62.36
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$358.26 |
$358.26 |
$358.26 |
$55.69
|
|
Amputation toe interphalangeal joint
|
$7,910.40 |
$7,910.40 |
$7,910.40 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$9,766.80 |
$9,766.80 |
$9,766.80 |
$3,814.50
|
|
Amylase
|
$145.20 |
$145.20 |
$145.20 |
$84.50
|
|
Ana ds-dna
|
$86.40 |
$86.40 |
$86.40 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$133.20 |
$133.20 |
$133.20 |
$216.45
|
|
Analysis gene f5 leiden variant
|
$177.60 |
$177.60 |
$177.60 |
$221.13
|
|
Analysis tumor
|
$186.60 |
$186.60 |
$186.60 |
$248.80
|
|
Anca screen with reflex to titer -quest
|
$84.00 |
$84.00 |
$84.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,547.00 |
$2,547.00 |
$2,547.00 |
$2,494.35
|
|
An fluoro guide for cvp
|
$443.40 |
$443.40 |
$443.40 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$18,389.51 |
$18,389.51 |
$18,389.51 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$67,678.23 |
$67,678.23 |
$67,678.23 |
$9,050.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$51,052.14 |
$51,052.14 |
$51,052.14 |
$10,207.85
|
|
Angiotensin ii
|
$133.80 |
$133.80 |
$133.80 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$738.00 |
$738.00 |
$738.00 |
$5,172.70
|
|
Angio tib/peroneal/init ves/unila 37228
|
$37,253.39 |
$37,253.39 |
$37,253.39 |
$11,230.18
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,756.80 |
$7,756.80 |
$7,756.80 |
$4,881.00
|
|
Angio trnslmnl balloon same artery ini
|
$73,671.30 |
$73,671.30 |
$73,671.30 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,453.60 |
$6,453.60 |
$6,453.60 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$22,493.19 |
$22,493.19 |
$22,493.19 |
$8,630.79
|
|
Anidulafungin injection
|
$939.18 |
$939.18 |
$939.18 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$10,379.22 |
$10,379.22 |
$10,379.22 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$15,267.54 |
$15,267.54 |
$15,267.54 |
$3,839.54
|
|
Ankle X-ray
|
$662.40 |
$662.40 |
$662.40 |
$353.60
|
|
Anora (draw only)
|
$28.80 |
$28.80 |
$28.80 |
$35.00
|
|
Anterior asis pad
|
$132.79 |
$132.79 |
$132.79 |
$134.14
|
|
Anterior swing band
|
$451.36 |
$451.36 |
$451.36 |
$476.73
|
|
Anterior thoracic derotation
|
$141.02 |
$141.02 |
$141.02 |
$159.96
|
|
Anterior thoracic extension
|
$222.83 |
$222.83 |
$222.83 |
$365.76
|
|
Antibody bacterium, not elsewhere specified
|
$95.40 |
$95.40 |
$95.40 |
$57.85
|
|
Antibody elution rbc reference
|
$186.00 |
$186.00 |
$186.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$301.80 |
$301.80 |
$301.80 |
$123.24
|
|
Antibody htlv-i
|
$40.20 |
$40.20 |
$40.20 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$370.80 |
$370.80 |
$370.80 |
$219.30
|
|
Antibody id rbc panel
|
$563.40 |
$563.40 |
$563.40 |
$279.00
|
|
Antibody influenza virus
|
$86.40 |
$86.40 |
$86.40 |
$53.95
|
|
Antibody screen rbc
|
$85.20 |
$85.20 |
$85.20 |
$103.08
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$11,642.40 |
$11,642.40 |
$11,642.40 |
$6.10
|
|
Anti mog serum - sendout
|
$176.40 |
$176.40 |
$176.40 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$44.31
|
|
Ant instr 2-3 vert segm 22845
|
$44,174.87 |
$44,174.87 |
$44,174.87 |
$1,748.00
|
|
Antinuclear antibodies
|
$214.20 |
$214.20 |
$214.20 |
$91.65
|
|
Antinuclear antibodies titer
|
$74.40 |
$74.40 |
$74.40 |
$79.62
|
|
Antiphosphatidylserine antibody
|
$151.20 |
$151.20 |
$151.20 |
$66.00
|
|
Antistreptolysin o titer
|
$91.80 |
$91.80 |
$91.80 |
$53.00
|
|
Antithrombin iii activity
|
$40.80 |
$40.80 |
$40.80 |
$114.00
|
|
Antithrombin iii injection
|
$6,556.20 |
$6,556.20 |
$6,556.20 |
$12.34
|
|
Antithymocyte globuln rabbit
|
$3,291.30 |
$3,291.30 |
$3,291.30 |
$1,958.74
|
|
Aortic circulation assist 33971
|
$18,116.40 |
$18,116.40 |
$18,116.40 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$992.40 |
$992.40 |
$992.40 |
$992.40
|
|
Aortic dysfunction/dilation
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,525.60
|
|
Apc gene dup/delet variants
|
$463.20 |
$463.20 |
$463.20 |
$400.00
|
|
Apc gene full sequence
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,255.20
|
|
Apc gene known fam variants
|
$319.20 |
$319.20 |
$319.20 |
$308.00
|
|
Apheresis plasma
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$3,291.00
|
|
Apheresis wbc
|
$3,139.20 |
$3,139.20 |
$3,139.20 |
$2,985.00
|
