|
Allergy injections; 2 or more 95117
|
$33.19 |
$33.19 |
$33.19 |
|
|
Allergy injection; single 95115
|
$31.41 |
$31.41 |
$31.41 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$31.76 |
$35.75 |
$44.83 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$84.44 |
$95.05 |
$119.18 |
|
|
All tstg perq&iq drugs/biol
|
$61.53 |
$61.53 |
$61.53 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$111.79 |
$125.84 |
$157.78 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$85.29 |
$228.69 |
$735.14 |
|
|
Alpha-fetoprotein amniotic
|
$83.15 |
$83.15 |
$130.26 |
|
|
Alpha-fetoprotein tumor marker
|
$55.34 |
$91.60 |
$438.54 |
|
|
Alprostadil for injection
|
$156.12 |
$175.74 |
$220.34 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$748.42 |
$21,001.43 |
$26,331.51 |
|
|
Alt/sgpt
|
$28.45 |
$55.71 |
$95.62 |
|
|
Aluminum - quest
|
$9.65 |
$23.56 |
$179.05 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$358.52 |
$434.62 |
$524.96 |
|
|
Amantadine (symmetrel)-sendout
|
$75.65 |
$145.53 |
$401.39 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$51.19 |
$57.63 |
$72.25 |
|
|
Amino acid screen, urine
|
$66.02 |
$108.47 |
$173.83 |
|
|
Amino acids quant 2-5
|
$219.32 |
$219.32 |
$257.22 |
|
|
Aminolevulinic acid delta
|
$51.02 |
$80.03 |
$126.87 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$34.35 |
$40.85 |
$48.48 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$76.61 |
$91.09 |
$210.84 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$34.94 |
$41.54 |
$93.45 |
|
|
Amitriptyline (elavil) -sendout
|
$77.44 |
$108.79 |
$150.99 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$78,780.94 |
$78,780.94 |
$78,780.94 |
|
|
Ammonia
|
$71.50 |
$92.92 |
$280.68 |
|
|
Amniocentesisdiagnostic 59000
|
$126.93 |
$126.93 |
$126.93 |
|
|
Amniocentesis therapeutic
|
$396.46 |
$396.46 |
$396.46 |
|
|
Amniotic fluid scan
|
$68.17 |
$68.17 |
$68.17 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,015.44 |
$1,151.87 |
$1,190.90 |
|
|
Amphetamine confirm urine -sendout
|
$26.05 |
$39.53 |
$118.38 |
|
|
Amphetamines 5 or more
|
$4.04 |
$7.07 |
$385.99 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$66.18 |
$74.50 |
$93.41 |
|
|
Amphotericin b lipid complex
|
$31.13 |
$35.04 |
$43.93 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$138.63 |
$156.05 |
$195.65 |
|
|
Ampicillin 1 gram solution for injection
|
$31.51 |
$37.46 |
$59.05 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$36.80 |
$43.75 |
$73.56 |
|
|
Amylase
|
$54.60 |
$84.36 |
$229.33 |
|
|
Ana ds-dna
|
$34.15 |
$48.18 |
$152.75 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$92.56 |
$102.26 |
$142.03 |
|
|
Anal pressure record
|
$249.43 |
$283.59 |
$343.71 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$212.46 |
$212.46 |
$212.46 |
|
|
Analysis gene f2 20210g>a variant
|
$61.38 |
$87.74 |
$805.71 |
|
|
Analysis gene f5 leiden variant
|
$49.48 |
$94.18 |
$899.90 |
|
|
Analysis nerve
|
$58.56 |
$58.56 |
$58.56 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$1,357.67 |
$1,357.67 |
$1,357.67 |
|
|
Analysis tumor
|
$217.66 |
$217.66 |
$217.66 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$448.27 |
$525.73 |
$542.80 |
|
|
Anaplsma phgcytophlm amp prb
|
$108.32 |
$108.32 |
$108.32 |
|
|
Anca screen with reflex to titer -quest
|
$46.60 |
$83.56 |
$293.18 |
|
|
An cholangiogram percutaneous compl
|
$229.06 |
$3,027.04 |
$4,034.83 |
|
|
An fluoro guide for cvp
|
$179.81 |
$277.94 |
$1,945.44 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,162.85 |
$1,162.85 |
$1,363.79 |
|
|
Angioplasty fem/pop unilat 37224
|
$5,011.70 |
$5,011.70 |
$6,253.16 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,628.67 |
$5,628.67 |
$6,601.29 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$6,526.01 |
$6,526.01 |
$7,653.69 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,075.97 |
$5,075.97 |
$17,008.46 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,810.38 |
$1,810.38 |
$1,810.38 |
|
|
Angio trnslmnl balloon same artery ini
|
$1,437.20 |
$1,437.20 |
$1,872.56 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,120.93 |
$3,120.93 |
$3,120.93 |
|
|
Angio trnslmnl balloon same vein ini
|
$780.12 |
$780.12 |
$780.12 |
|
|
Ankle X-ray
|
$151.73 |
$270.73 |
$659.53 |
|
|
Anodyne therapy charges pt
|
$27.48 |
$48.01 |
$76.79 |
|
|
Anora (draw only)
|
$11.42 |
$22.73 |
$23.14 |
|
|
Antibody bacterium, not elsewhere specified
|
$12.49 |
$122.49 |
$460.77 |
|
|
Antibody elution rbc reference
|
$51.31 |
$84.57 |
$104.59 |
|
|
Antibody htlv/hiv confirm test
|
$70.66 |
$81.89 |
$106.54 |
|
|
Antibody htlv-i
|
$73.30 |
$73.30 |
$74.23 |
|
|
Antibody htlv-ii
|
$73.30 |
$73.30 |
$73.30 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$47.11 |
$242.98 |
$639.84 |
|
|
Antibody id rbc panel
|
$86.36 |
$126.79 |
$262.47 |
|
|
Antibody influenza virus
|
$33.95 |
$41.93 |
$79.90 |
|
|
Antibody lymphocytic choriomeningitis
|
$55.44 |
$55.44 |
$65.01 |
|
|
Antibody screen rbc
|
$33.72 |
$63.22 |
$139.06 |
|
|
Antibody tetanus
|
$39.95 |
$101.41 |
$115.22 |
|
|
Antidepressant not specified
|
$4.04 |
$84.36 |
$391.72 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$112.81 |
$126.98 |
$159.21 |
|
|
Anti mog serum - sendout
|
$6.43 |
$7.24 |
$9.07 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$25.70 |
$30.15 |
$34.71 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$3.22 |
$3.62 |
$4.34 |
|
|
Antinuclear antibodies
|
$46.39 |
$61.95 |
$145.78 |
|
|
Antinuclear antibodies titer
|
$14.95 |
$64.92 |
$145.78 |
|
|
Antiphosphatidylserine antibody
|
$14.99 |
$104.80 |
$462.22 |
|
|
Antistreptolysin o screen
|
$33.90 |
$53.71 |
$58.56 |
|
|
Antistreptolysin o titer
|
$25.55 |
$75.95 |
$154.76 |
|
|
Antithrombin iii activity
|
$36.40 |
$148.62 |
$186.34 |
|
|
Antithrombin iii injection
|
$118.11 |
$132.95 |
$166.69 |
|
|
Aortic dysfunction/dilation
|
$1,567.23 |
$1,781.43 |
$2,089.26 |
|
|
Aortic dysfunction/dilation
|
$1,781.43 |
$1,781.43 |
$2,089.26 |
|
|
Apc gene full sequence
|
$939.92 |
$1,102.34 |
$1,109.71 |
|
|
Apheresis plasma
|
$1,279.97 |
$1,454.87 |
$1,762.88 |
|
|
Apheresis rbc
|
$774.43 |
$774.43 |
$970.98 |
|
|
Apheresis wbc
|
$1,101.00 |
$1,101.00 |
$1,291.24 |
|
|
Apl(pml-rara) quant - sendout
|
$537.45 |
$537.45 |
$630.31 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$684.77 |
$841.51 |
$986.92 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$450.33 |
$561.14 |
$658.11 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$164.15 |
$210.48 |
$246.85 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$684.77 |
$841.51 |
$986.92 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$450.33 |
$561.14 |
$658.11 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$229.81 |
$280.37 |
$328.82 |
|