|
Afo supramalleolar custom
|
$1,182.83 |
$1,182.83 |
$1,182.83 |
$1,182.83
|
|
Afo tib fx cast molded to pt
|
$2,416.51 |
$2,416.51 |
$2,416.51 |
$2,118.14
|
|
Afo tib fx cast plaster mold
|
$1,656.82 |
$1,656.82 |
$1,656.82 |
$1,656.82
|
|
Afo tib fx semi-rigid l2114
|
$1,328.26 |
$1,328.26 |
$1,328.26 |
$817.60
|
|
Afo tibial fracture rigid
|
$1,620.08 |
$1,620.08 |
$1,620.08 |
$1,489.57
|
|
Afo tibial fracture soft
|
$1,060.47 |
$1,060.47 |
$1,060.47 |
$1,060.02
|
|
Afo w/ankle joint, prefab
|
$985.32 |
$985.32 |
$985.32 |
$741.72
|
|
After cataract laser surgery
|
$2,170.78 |
$2,170.78 |
$2,170.78 |
$1,373.11
|
|
Agalsidase beta 35 mg intravenous solution
|
$12,809.81 |
$12,809.81 |
$12,809.81 |
$14,475.20
|
|
Air conduction bilat
|
$107.80 |
$107.80 |
$107.80 |
$134.00
|
|
Airway resistance by impulse oscillometry 94728
|
$332.86 |
$332.86 |
$332.86 |
$297.00
|
|
Ak 4 bar ling w/hydraul swig
|
$5,131.50 |
$5,131.50 |
$5,131.50 |
$3,673.60
|
|
Ak 4 bar link w/fric swing
|
$3,373.61 |
$3,373.61 |
$3,373.61 |
$2,228.80
|
|
Ak/bk self-aligning unit ea
|
$1,178.35 |
$1,178.35 |
$1,178.35 |
$618.80
|
|
Ak flex inner socket ext fra
|
$2,994.94 |
$2,994.94 |
$2,994.94 |
$1,352.40
|
|
Ak/knee disartic acrylic soc
|
$920.02 |
$920.02 |
$920.02 |
$495.60
|
|
Ak/knee disartic pelvic band
|
$201.49 |
$201.49 |
$201.49 |
$185.56
|
|
Ak/knee disartic pelvic join
|
$424.31 |
$424.31 |
$424.31 |
$280.00
|
|
Ak/knee disartic silesian ba
|
$258.50 |
$258.50 |
$258.50 |
$221.57
|
|
Ak open end sach
|
$7,094.14 |
$7,094.14 |
$7,094.14 |
$4,928.00
|
|
Ak pelvic control belt light
|
$286.16 |
$286.16 |
$286.16 |
$201.60
|
|
Ak pelvic control belt pad/l
|
$390.71 |
$390.71 |
$390.71 |
$334.90
|
|
Ak sleeve susp neoprene/equa
|
$351.23 |
$351.23 |
$351.23 |
$351.23
|
|
Ak univ multiplex sys frict
|
$3,094.17 |
$3,094.17 |
$3,094.17 |
$1,587.60
|
|
Albumin body fluid quantitative each specimen
|
$172.70 |
$172.70 |
$172.70 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$130.36 |
$130.36 |
$130.36 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$342.22 |
$342.22 |
$342.22 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.22 |
$34.22 |
$34.22 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$112.56 |
$112.56 |
$112.56 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$25.03 |
$25.03 |
$25.03 |
$96.00
|
|
Alginate dressing <=16 sq in
|
$15.29 |
$15.29 |
$15.29 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$70.56 |
$70.56 |
$70.56 |
$43.72
|
|
Alginate drsg wound filler
|
$5.10 |
$5.10 |
$5.10 |
$15.79
|
|
Alkaline phosphatase
|
$56.11 |
$56.11 |
$56.11 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$90.44 |
$90.44 |
$90.44 |
$48.57
|
|
Allergen egg white ige
|
$51.18 |
$51.18 |
$51.18 |
$38.00
|
|
Allograft amnioexcel plus 17mm disk
|
$497.95 |
$497.95 |
$497.95 |
$497.95
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$70.56 |
$70.56 |
$70.56 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$656.82 |
$656.82 |
$656.82 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,717.99 |
$5,717.99 |
$5,717.99 |
$4,677.40
|
|
Alpha-fetoprotein amniotic
|
$72.46 |
$72.46 |
$72.46 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$90.44 |
$90.44 |
$90.44 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$13,925.31 |
$13,925.31 |
$13,925.31 |
$15,857.45
|
|
Alt/sgpt
|
$23.46 |
$23.46 |
$23.46 |
$47.50
|
|
Alys cplx sp/pn npgt w/prgrm
|
$245.00 |
$245.00 |
$245.00 |
$411.45
|
|
Ambl bp mntr w/sw a/r
|
$481.66 |
$481.66 |
$481.66 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$29.99 |
$29.99 |
$29.99 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$40.45 |
$40.45 |
$40.45 |
$37.33
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$48.57 |
$48.57 |
$48.57 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$89.85 |
$89.85 |
$89.85 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$33.60 |
$33.60 |
$33.60 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$22,742.65 |
$22,742.65 |
$22,742.65 |
$9,084.45
|
|
Ammonia
|
$34.27 |
$34.27 |
$34.27 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$414.23 |
$414.23 |
$414.23 |
$942.60
|
|
Amniocentesis therapeutic
|
$695.74 |
$695.74 |
$695.74 |
$791.05
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$62.89 |
$62.89 |
$62.89 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$228.26 |
$228.26 |
$228.26 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$163.86 |
$163.86 |
$163.86 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$54.57 |
$54.57 |
$54.57 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$685.22 |
$685.22 |
$685.22 |
$262.99
|
|
Amylase
|
$44.52 |
$44.52 |
$44.52 |
$90.00
|
|
Anal/urinary muscle study
|
$297.98 |
$297.98 |
$297.98 |
$407.00
|
|
Anal/urinary muscle study
|
$679.90 |
$679.90 |
$679.90 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$50.74 |
$50.74 |
$50.74 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$48.66 |
$48.66 |
$48.66 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$124.66 |
$124.66 |
$124.66 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$116.42 |
$116.42 |
$116.42 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$72.91 |
$72.91 |
$72.91 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$825.10 |
$825.10 |
$825.10 |
$2,480.94
|
|
An fluoro guide for cvp
|
$284.76 |
$284.76 |
$284.76 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$89.75 |
$89.75 |
$89.75 |
$2,979.43
|
|
Ankle X-ray
|
$208.99 |
$208.99 |
$208.99 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$208.99 |
$208.99 |
$208.99 |
$282.96
|
|
Ank symes mold sckt sach ft
|
$5,440.96 |
$5,440.96 |
$5,440.96 |
$2,996.00
|
|
Anodyne therapy charges pt
|
$146.61 |
$146.61 |
$146.61 |
$42.00
|
|
Anora (draw only)
|
$309.18 |
$309.18 |
$309.18 |
$35.00
|
|
Anterior asis pad
|
$171.02 |
$171.02 |
$171.02 |
$171.02
|
|
Anterior swing band
|
$590.86 |
$590.86 |
$590.86 |
$506.45
|
|
Anterior thoracic derotation
|
$203.90 |
$203.90 |
$203.90 |
$203.90
|
|
Anterior thoracic extension
|
$514.81 |
$514.81 |
$514.81 |
$454.00
|
|
Antibody bacterium, not elsewhere specified
|
$26.77 |
$26.77 |
$26.77 |
$57.85
|
|
Antibody elution rbc reference
|
$319.31 |
$319.31 |
$319.31 |
$177.29
|
|
Antibody htlv-i
|
$30.18 |
$30.18 |
$30.18 |
$49.53
|
|
Antibody htlv-ii
|
$50.34 |
$50.34 |
$50.34 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,442.95 |
$1,442.95 |
$1,442.95 |
$224.00
|
|
Antibody id rbc panel
|
$284.48 |
$284.48 |
$284.48 |
$291.75
|
|
Antibody screen rbc
|
$172.87 |
$172.87 |
$172.87 |
$108.55
|
|
Antibody tetanus
|
$51.07 |
$51.07 |
$51.07 |
$54.15
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$50.01 |
$50.01 |
$50.01 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$100.35 |
$100.35 |
$100.35 |
$42.00
|
|
Antinuclear antibodies
|
$100.74 |
$100.74 |
$100.74 |
$90.00
|
|
Antinuclear antibodies titer
|
$100.74 |
$100.74 |
$100.74 |
$80.04
|
|
Antistreptolysin o titer
|
$30.91 |
$30.91 |
$30.91 |
$54.00
|
|
Antithrombin iii activity
|
$101.98 |
$101.98 |
$101.98 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$279.44 |
$279.44 |
$279.44 |
$394.55
|
|
Apheresis immunoads slctv
|
$952.84 |
$952.84 |
$952.84 |
$5,794.21
|
|
Apheresis plasma
|
$1,904.06 |
$1,904.06 |
$1,904.06 |
$3,226.34
|
|
Apheresis platelets
|
$1,879.02 |
$1,879.02 |
$1,879.02 |
$2,195.00
|
|
Apheresis rbc
|
$1,879.02 |
$1,879.02 |
$1,879.02 |
$3,290.80
|
|
Apheresis wbc
|
$1,879.02 |
$1,879.02 |
$1,879.02 |
$3,347.60
|
