|
Aep hearing status deter i&r
|
$197.23 |
$197.23 |
$197.23 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$992.26 |
$992.26 |
$992.26 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$992.26 |
$992.26 |
$992.26 |
$635.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$186.14 |
$186.14 |
$186.14 |
$300.00
|
|
Afo molded ankle gauntlet
|
$813.22 |
$813.22 |
$813.22 |
$765.51
|
|
Afo molded plas rig ant tib
|
$2,022.34 |
$2,022.34 |
$2,022.34 |
$2,022.34
|
|
Afo molded to patient plasti
|
$877.39 |
$877.39 |
$877.39 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$1,607.71 |
$1,607.71 |
$1,607.71 |
$1,843.53
|
|
Afo sing bar clasp attach sh
|
$505.30 |
$505.30 |
$505.30 |
$589.51
|
|
Afo sing solid stirrup calf
|
$727.44 |
$727.44 |
$727.44 |
$728.50
|
|
Afo sing upright with adjust s
|
$740.16 |
$740.16 |
$740.16 |
$740.16
|
|
Afo spiral molded to pt plas
|
$1,385.57 |
$1,385.57 |
$1,385.57 |
$1,450.86
|
|
Afo sprng wir drsflx calf bd
|
$514.03 |
$514.03 |
$514.03 |
$599.70
|
|
Afo supramalleolar custom
|
$1,013.86 |
$1,013.86 |
$1,013.86 |
$1,182.83
|
|
Afo tib fx cast molded to pt
|
$2,071.30 |
$2,071.30 |
$2,071.30 |
$2,118.14
|
|
Afo tib fx cast plaster mold
|
$1,420.13 |
$1,420.13 |
$1,420.13 |
$1,656.82
|
|
Afo tib fx semi-rigid l2114
|
$1,138.51 |
$1,138.51 |
$1,138.51 |
$817.60
|
|
Afo tibial fracture rigid
|
$1,388.64 |
$1,388.64 |
$1,388.64 |
$1,489.57
|
|
Afo tibial fracture soft
|
$908.98 |
$908.98 |
$908.98 |
$1,060.02
|
|
Afo w/ankle joint, prefab
|
$844.56 |
$844.56 |
$844.56 |
$741.72
|
|
After cataract laser surgery
|
$3,375.84 |
$3,375.84 |
$3,375.84 |
$1,373.11
|
|
Agalsidase beta 35 mg intravenous solution
|
$1,908.61 |
$1,908.61 |
$1,908.61 |
$14,475.20
|
|
Air conduction bilat
|
$140.45 |
$140.45 |
$140.45 |
$134.00
|
|
Air injection into abdomen 49400
|
$704.83 |
$704.83 |
$704.83 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$227.42 |
$227.42 |
$227.42 |
$297.00
|
|
Ak 4 bar ling w/hydraul swig
|
$4,398.43 |
$4,398.43 |
$4,398.43 |
$3,673.60
|
|
Ak 4 bar link w/fric swing
|
$2,891.66 |
$2,891.66 |
$2,891.66 |
$2,228.80
|
|
Ak/bk self-aligning unit ea
|
$1,010.02 |
$1,010.02 |
$1,010.02 |
$618.80
|
|
Ak flex inner socket ext fra
|
$2,567.09 |
$2,567.09 |
$2,567.09 |
$1,352.40
|
|
Ak/knee disartic acrylic soc
|
$788.59 |
$788.59 |
$788.59 |
$495.60
|
|
Ak/knee disartic pelvic band
|
$172.70 |
$172.70 |
$172.70 |
$185.56
|
|
Ak/knee disartic pelvic join
|
$363.70 |
$363.70 |
$363.70 |
$280.00
|
|
Ak/knee disartic silesian ba
|
$221.57 |
$221.57 |
$221.57 |
$221.57
|
|
Ak open end sach
|
$6,080.69 |
$6,080.69 |
$6,080.69 |
$4,928.00
|
|
Ak pelvic control belt light
|
$245.28 |
$245.28 |
$245.28 |
$201.60
|
|
Ak pelvic control belt pad/l
|
$334.90 |
$334.90 |
$334.90 |
$334.90
|
|
Ak sleeve susp neoprene/equa
|
$301.06 |
$301.06 |
$301.06 |
$351.23
|
|
Ak univ multiplex sys frict
|
$2,652.14 |
$2,652.14 |
$2,652.14 |
$1,587.60
|
|
Albumin body fluid quantitative each specimen
|
$151.20 |
$151.20 |
$151.20 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$256.74 |
$256.74 |
$256.74 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$293.33 |
$293.33 |
$293.33 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$75.95 |
$75.95 |
$75.95 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$38.54 |
$38.54 |
$38.54 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$98.54 |
$98.54 |
$98.54 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$27.50 |
$27.50 |
$27.50 |
$96.00
|
|
Aldesleukin injection
|
$7,578.74 |
$7,578.74 |
$7,578.74 |
$9,030.11
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$33,625.63 |
$33,625.63 |
$33,625.63 |
$47,974.31
|
|
Alginate dressing <=16 sq in
|
$13.10 |
$13.10 |
$13.10 |
$16.56
|
|
Alginate drsg >16 <=48 sq in
|
$60.48 |
$60.48 |
$60.48 |
$43.72
|
|
Alginate drsg wound filler
|
$4.37 |
$4.37 |
$4.37 |
$15.79
|
|
Alkaline phosphatase
|
$48.10 |
$48.10 |
$48.10 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$57.60 |
$57.60 |
$57.60 |
$48.57
|
|
Allergen egg white ige
|
$56.30 |
$56.30 |
$56.30 |
$38.00
|
|
Allograft amnioexcel plus 17mm disk
|
$426.82 |
$426.82 |
$426.82 |
$497.95
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$60.48 |
$60.48 |
$60.48 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$562.99 |
$562.99 |
$562.99 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,901.14 |
$4,901.14 |
$4,901.14 |
$4,677.40
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$900.96 |
$900.96 |
$900.96 |
$13.14
|
|
Alpha-fetoprotein amniotic
|
$79.82 |
$79.82 |
$79.82 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$62.88 |
$62.88 |
$62.88 |
$106.00
|
|
Alprostadil for injection
|
$233.51 |
$233.51 |
$233.51 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$11,935.98 |
$11,935.98 |
$11,935.98 |
$15,857.45
|
|
Alt/sgpt
|
$25.68 |
$25.68 |
$25.68 |
$47.50
|
|
Ambl bp mntr w/sw a/r
|
$544.08 |
$544.08 |
$544.08 |
$320.45
|
|
Amifostine
|
$2,285.28 |
$2,285.28 |
$2,285.28 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$26.18 |
$26.18 |
$26.18 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$34.67 |
$34.67 |
$34.67 |
$37.33
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$41.64 |
$41.64 |
$41.64 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$77.01 |
$77.01 |
$77.01 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$43.59 |
$43.59 |
$43.59 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$19,493.70 |
$19,493.70 |
$19,493.70 |
$9,084.45
|
|
Ammonia
|
$32.02 |
$32.02 |
$32.02 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,463.14 |
$1,463.14 |
$1,463.14 |
$942.60
|
|
Amniocentesis therapeutic
|
$948.38 |
$948.38 |
$948.38 |
$791.05
|
|
Amobarbital 125 mg inj
|
$1,262.01 |
$1,262.01 |
$1,262.01 |
$1,283.59
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$83.33 |
$83.33 |
$83.33 |
$123.53
|
|
Amphotericin b lipid complex
|
$38.76 |
$38.76 |
$38.76 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$353.53 |
$353.53 |
$353.53 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$140.45 |
$140.45 |
$140.45 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$125.44 |
$125.44 |
$125.44 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$531.02 |
$531.02 |
$531.02 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$2,719.30 |
$2,719.30 |
$2,719.30 |
$3,986.00
|
|
Amputation toe metatarsophalangeal joint
|
$2,832.58 |
$2,832.58 |
$2,832.58 |
$3,839.54
|
|
Amylase
|
$45.98 |
$45.98 |
$45.98 |
$90.00
|
|
Anal/urinary muscle study
|
$148.51 |
$148.51 |
$148.51 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$48.29 |
$48.29 |
$48.29 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$46.32 |
$46.32 |
$46.32 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$170.35 |
$170.35 |
$170.35 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$134.74 |
$134.74 |
$134.74 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$62.50 |
$62.50 |
$62.50 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$951.79 |
$951.79 |
$951.79 |
$2,480.94
|
|
An fluoro guide for cvp
|
$525.02 |
$525.02 |
$525.02 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,142.13 |
$9,142.13 |
$9,142.13 |
$5,728.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$76.93 |
$76.93 |
$76.93 |
$2,979.43
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,080.08 |
$8,080.08 |
$8,080.08 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$16,302.86 |
$16,302.86 |
$16,302.86 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,875.90 |
$6,875.90 |
$6,875.90 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$14,021.33 |
$14,021.33 |
$14,021.33 |
$8,359.11
|
|
Anidulafungin injection
|
$163.57 |
$163.57 |
$163.57 |
$312.30
|
|
Ankle X-ray
|
$207.79 |
$207.79 |
$207.79 |
$356.32
|
