|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$71.68 |
$1,794.43 |
$2,740.67 |
|
|
Alpha-fetoprotein tumor marker
|
$47.25 |
$71.05 |
$177.60 |
|
|
Alprostadil for injection
|
$571.48 |
$735.78 |
$1,574.06 |
|
|
Als 1
|
$406.00 |
$1,063.00 |
$1,183.55 |
|
|
Als1-emergency
|
$644.00 |
$1,541.70 |
$1,774.05 |
|
|
Als 2
|
$902.00 |
$1,863.90 |
$2,539.70 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$834.51 |
$14,052.42 |
$26,765.42 |
|
|
Alt/sgpt
|
$31.10 |
$99.90 |
$149.85 |
|
|
Aluminum - quest
|
$70.75 |
$168.80 |
$290.65 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$306.30 |
$306.30 |
$306.30 |
|
|
Amantadine (symmetrel)-sendout
|
$114.10 |
$150.85 |
$189.45 |
|
|
Ambl bp mntr w/sw a/r
|
$135.00 |
$348.10 |
$369.05 |
|
|
Ambl bp mntr w/sw i&r
|
$445.30 |
$445.30 |
$445.30 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$37.78 |
$37.78 |
$87.02 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$44.29 |
$45.34 |
$114.60 |
|
|
Aminolevulinic acid delta
|
$159.30 |
$162.80 |
$270.95 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$65.24 |
$91.58 |
$210.94 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$232.72 |
$267.70 |
$561.28 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$14.09 |
$75.35 |
$173.56 |
|
|
Amitriptyline (elavil) -sendout
|
$35.65 |
$135.10 |
$286.40 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$9,089.58 |
$9,089.58 |
$9,089.58 |
|
|
Ammonia
|
$159.05 |
$186.30 |
$427.95 |
|
|
Amniocentesisdiagnostic 59000
|
$630.85 |
$630.85 |
$1,909.80 |
|
|
Amniotic fluid scan
|
$46.00 |
$46.00 |
$46.00 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$872.20 |
$3,099.15 |
$5,652.55 |
|
|
Amphetamine confirm urine -sendout
|
$108.00 |
$265.45 |
$284.10 |
|
|
Amphetamines 5 or more
|
$53.45 |
$150.95 |
$190.15 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$243.32 |
$278.13 |
$468.47 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,089.10 |
$1,089.10 |
$1,346.74 |
|
|
Ampicillin 1 gram solution for injection
|
$35.78 |
$86.30 |
$147.24 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$46.36 |
$65.02 |
$176.89 |
|
|
Amputation toe interphalangeal joint
|
$888.05 |
$888.05 |
$913.20 |
|
|
Amylase
|
$71.50 |
$95.80 |
$116.30 |
|
|
Anabolic steroid 1 or 2
|
$231.75 |
$231.75 |
$231.75 |
|
|
Ana ds-dna
|
$38.00 |
$38.00 |
$38.00 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$352.65 |
$352.65 |
$352.65 |
|
|
Analysis gene f2 20210g>a variant
|
$233.50 |
$242.90 |
$1,113.90 |
|
|
Analysis gene f5 leiden variant
|
$155.75 |
$163.00 |
$746.40 |
|
|
Analysis nerve
|
$242.75 |
$242.75 |
$242.75 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$306.30 |
$306.30 |
$306.30 |
|
|
Anaplsma phgcytophlm amp prb
|
$107.30 |
$121.10 |
$479.15 |
|
|
Anca screen with reflex to titer -quest
|
$125.95 |
$145.05 |
$227.40 |
|
|
An cholangiogram percutaneous compl
|
$704.55 |
$1,157.10 |
$12,266.95 |
|
|
An fluoro guide for cvp
|
$461.00 |
$784.25 |
$946.05 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,727.65 |
$14,727.65 |
$14,727.65 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$465.80 |
$613.55 |
$1,328.70 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
|
|
Angio trnslmnl balloon same artery ini
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
|
|
Angio trnslmnl balloon same vein ini
|
$6,026.25 |
$6,026.25 |
$6,026.25 |
|
|
Ankle X-ray
|
$237.45 |
$377.95 |
$566.90 |
|
|
Ankle X-ray (2 views, both ankles)
|
$207.05 |
$294.10 |
$473.75 |
|
|
Anodyne therapy charges pt
|
$137.65 |
$137.65 |
$137.65 |
|
|
Anoscopy control bleeding 46614
|
$1,405.05 |
$1,405.05 |
$1,405.05 |
|
|
Anoscopy remove fb 46608
|
$222.00 |
$435.95 |
$1,517.00 |
|
|
Antibody bacterium, not elsewhere specified
|
$145.05 |
$146.40 |
$237.70 |
|
|
Antibody elution rbc reference
|
$117.40 |
$154.85 |
$699.80 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$47.80 |
$103.30 |
$230.25 |
|
|
Antibody id rbc panel
|
$64.80 |
$245.65 |
$1,032.50 |
|
|
Antibody screen rbc
|
$23.05 |
$115.95 |
$211.90 |
|
|
Antibody tetanus
|
$24.60 |
$37.00 |
$576.45 |
|
|
Antidepressant not specified
|
$106.95 |
$164.00 |
$232.00 |
|
|
Antidepressant tricyclic 3-5
|
$426.50 |
$426.50 |
$426.50 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$58.00 |
$145.05 |
$398.40 |
|
|
Antinuclear antibodies
|
$47.25 |
$49.00 |
$171.65 |
|
|
Antinuclear antibodies titer
|
$28.15 |
$60.80 |
$149.75 |
|
|
Antipsychotics nos 1-3
|
$84.60 |
$137.90 |
$278.65 |
|
|
Antistreptolysin o titer
|
$10.90 |
$72.50 |
$127.70 |
|
|
Antithrombin iii activity
|
$93.15 |
$134.40 |
$253.75 |
|
|
Antithrombin iii injection
|
$532.48 |
$532.48 |
$906.41 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$602.60 |
$807.10 |
$867.60 |
|
|
Aortic dysfunction/dilation
|
$2,164.25 |
$2,164.25 |
$2,164.25 |
|
|
Apheresis plasma
|
$2,666.05 |
$2,666.05 |
$2,666.05 |
|
|
Apl(pml-rara) quant - sendout
|
$539.00 |
$539.00 |
$703.10 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$297.95 |
$600.00 |
$3,268.30 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$72.80 |
$72.80 |
$165.95 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$35.70 |
$65.20 |
$135.75 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$266.10 |
$653.30 |
$5,377.15 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$58.25 |
$156.55 |
$1,751.95 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$25.15 |
$59.45 |
$762.60 |
|
|
Application finger splntstatic 29130
|
$60.55 |
$191.65 |
$226.50 |
|
|
Application long leg splint 29505
|
$93.35 |
$191.65 |
$864.10 |
|
|
Application lower leg splint 29515
|
$95.85 |
$188.95 |
$687.50 |
|
|
Application multi layer compression below knee (both sides)
|
$18.55 |
$253.75 |
$544.55 |
|
|
Application of forearm cast 29075
|
$190.05 |
$194.40 |
$663.95 |
|
|
Application of long arm cast 29065
|
$214.60 |
$371.00 |
$546.60 |
|
|
Application of long leg cast
|
$268.60 |
$268.60 |
$268.60 |
|
|
Application of long leg cast 29345
|
$278.05 |
$305.10 |
$507.45 |
|
|
Application of paste boot 29580
|
$87.65 |
$245.80 |
$477.60 |
|
|
Application short leg cast 29405
|
$106.00 |
$202.45 |
$533.10 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$144.30 |
$323.95 |
$3,710.30 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$119.15 |
$305.10 |
$3,331.05 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$51.10 |
$468.30 |
$874.70 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$48.60 |
$133.10 |
$188.95 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$82.95 |
$82.95 |
$82.95 |
|
|
Appl modality 1+lllt po pain
|
$55.40 |
$57.95 |
$145.60 |
|
|
Appl multlay comprs arm/hand
|
$143.00 |
$151.15 |
$616.05 |
|
|
Apply finger cast 29086
|
$144.40 |
$144.40 |
$144.40 |
|
|
Apply forearm splintdynamic 29126
|
$217.30 |
$278.05 |
$802.10 |
|
|
Apply hand/wrist cast 29085
|
$96.15 |
$214.60 |
$503.95 |
|
|
Apply intrcav radiat simple
|
$709.00 |
$709.00 |
$709.00 |
|
