|
Allergen egg white ige
|
$66.30 |
$66.30 |
$66.30 |
$38.00
|
|
Allograft amnioexcel plus 17mm disk
|
$455.67 |
$455.67 |
$455.67 |
$497.95
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$564.65 |
$564.65 |
$564.65 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,449.70 |
$5,449.70 |
$5,449.70 |
$4,677.40
|
|
Alpha-fetoprotein amniotic
|
$93.91 |
$93.91 |
$93.91 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$41.89 |
$41.89 |
$41.89 |
$106.00
|
|
Alprostadil for injection
|
$262.38 |
$262.38 |
$262.38 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$12,958.26 |
$12,958.26 |
$12,958.26 |
$15,857.45
|
|
Alt/sgpt
|
$27.66 |
$27.66 |
$27.66 |
$47.50
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$36.68 |
$36.68 |
$36.68 |
$37.33
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$44.58 |
$44.58 |
$44.58 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$82.50 |
$82.50 |
$82.50 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$30.01 |
$30.01 |
$30.01 |
$55.86
|
|
Ammonia
|
$37.18 |
$37.18 |
$37.18 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$666.40 |
$666.40 |
$666.40 |
$942.60
|
|
Amniocentesis therapeutic
|
$786.13 |
$786.13 |
$786.13 |
$791.05
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$219.41 |
$219.41 |
$219.41 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$35.76 |
$35.76 |
$35.76 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$48.42 |
$48.42 |
$48.42 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$597.74 |
$597.74 |
$597.74 |
$262.99
|
|
Amputation toe metatarsophalangeal joint
|
$980.17 |
$980.17 |
$980.17 |
$3,839.54
|
|
Amylase
|
$57.23 |
$57.23 |
$57.23 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$65.80 |
$65.80 |
$65.80 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$63.06 |
$63.06 |
$63.06 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$156.58 |
$156.58 |
$156.58 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$72.91 |
$72.91 |
$72.91 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$880.88 |
$880.88 |
$880.88 |
$2,480.94
|
|
An fluoro guide for cvp
|
$343.56 |
$343.56 |
$343.56 |
$525.85
|
|
Ankle X-ray
|
$245.45 |
$245.45 |
$245.45 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$245.45 |
$245.45 |
$245.45 |
$282.96
|
|
Ank symes mold sckt sach ft
|
$4,344.42 |
$4,344.42 |
$4,344.42 |
$2,996.00
|
|
Anodyne therapy charges pt
|
$117.77 |
$117.77 |
$117.77 |
$42.00
|
|
Anora (draw only)
|
$156.74 |
$156.74 |
$156.74 |
$35.00
|
|
Anterior asis pad
|
$125.10 |
$125.10 |
$125.10 |
$171.02
|
|
Anterior swing band
|
$444.81 |
$444.81 |
$444.81 |
$506.45
|
|
Anterior thoracic derotation
|
$149.24 |
$149.24 |
$149.24 |
$203.90
|
|
Anterior thoracic extension
|
$376.82 |
$376.82 |
$376.82 |
$454.00
|
|
Antibody bacterium, not elsewhere specified
|
$34.55 |
$34.55 |
$34.55 |
$57.85
|
|
Antibody elution rbc reference
|
$378.34 |
$378.34 |
$378.34 |
$177.29
|
|
Antibody htlv-i
|
$41.05 |
$41.05 |
$41.05 |
$49.53
|
|
Antibody htlv-ii
|
$68.54 |
$68.54 |
$68.54 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,484.17 |
$1,484.17 |
$1,484.17 |
$224.00
|
|
Antibody id rbc panel
|
$340.14 |
$340.14 |
$340.14 |
$291.75
|
|
Antibody screen rbc
|
$177.80 |
$177.80 |
$177.80 |
$108.55
|
|
Antibody tetanus
|
$55.16 |
$55.16 |
$55.16 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2,036.16 |
$2,036.16 |
$2,036.16 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$59.75 |
$59.75 |
$59.75 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$120.01 |
$120.01 |
$120.01 |
$42.00
|
|
Antinuclear antibodies
|
$120.40 |
$120.40 |
$120.40 |
$90.00
|
|
Antinuclear antibodies titer
|
$120.40 |
$120.40 |
$120.40 |
$80.04
|
|
Antistreptolysin o titer
|
$33.38 |
$33.38 |
$33.38 |
$54.00
|
|
Antithrombin iii activity
|
$121.91 |
$121.91 |
$121.91 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$336.39 |
$336.39 |
$336.39 |
$394.55
|
|
Application finger splntstatic 29130
|
$65.46 |
$65.46 |
$65.46 |
$208.50
|
|
Application long leg splint 29505
|
$65.46 |
$65.46 |
$65.46 |
$338.25
|
|
Application multi layer compression below knee (both sides)
|
$256.26 |
$256.26 |
$256.26 |
$375.06
|
|
Application of forearm cast 29075
|
$117.77 |
$117.77 |
$117.77 |
$358.20
|
|
Applicator tag rfid localizer 12gx7cm
|
$5,449.70 |
$5,449.70 |
$5,449.70 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$65.46 |
$65.46 |
$65.46 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$65.46 |
$65.46 |
$65.46 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$117.77 |
$117.77 |
$117.77 |
$289.60
|
|
Apply forearm splintdynamic 29126
|
$192.92 |
$192.92 |
$192.92 |
$255.20
|
|
Apply of finger splint 29131
|
$159.49 |
$159.49 |
$159.49 |
$177.45
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$487.27 |
$487.27 |
$487.27 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$172.98 |
$172.98 |
$172.98 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$743.90 |
$743.90 |
$743.90 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$468.83 |
$468.83 |
$468.83 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$65.46 |
$65.46 |
$65.46 |
$100.75
|
|
Arch supp att to shoe long/m
|
$64.46 |
$64.46 |
$64.46 |
$88.03
|
|
Arch supp att to shoe metata
|
$50.34 |
$50.34 |
$50.34 |
$75.23
|
|
Arch suprt att to sho longit
|
$50.34 |
$50.34 |
$50.34 |
$68.71
|
|
Arm CT Scan (with contrast, both arms)
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,192.13 |
$1,192.13 |
$1,192.13 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$283.53 |
$283.53 |
$283.53 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$191.02 |
$191.02 |
$191.02 |
$478.96
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$993.44 |
$993.44 |
$993.44 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$414.06 |
$414.06 |
$414.06 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$414.06 |
$414.06 |
$414.06 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$993.44 |
$993.44 |
$993.44 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$343.78 |
$343.78 |
$343.78 |
$699.00
|
|
Aspa gene
|
$224.95 |
$224.95 |
$224.95 |
$133.84
|
|
Asp core fat pad
|
$1,242.30 |
$1,242.30 |
$1,242.30 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$377.16 |
$377.16 |
$377.16 |
$1,546.46
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$931.62 |
$931.62 |
$931.62 |
$1,250.04
|
|
Assay myeloperoxidase
|
$53.70 |
$53.70 |
$53.70 |
$97.41
|
|
Assay neurflmnt light chain
|
$387.18 |
$387.18 |
$387.18 |
$380.00
|
|
Assay of feces porphyrins
|
$144.09 |
$144.09 |
$144.09 |
$134.38
|
|
Assay of galactose
|
$30.13 |
$30.13 |
$30.13 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$160.38 |
$160.38 |
$160.38 |
$79.00
|
|
Assay of osteocalcin
|
$96.88 |
$96.88 |
$96.88 |
$93.60
|
|
Assay of salicylate
|
$30.69 |
$30.69 |
$30.69 |
$96.50
|
|
Assay of thiocyanate
|
$76.94 |
$76.94 |
$76.94 |
$73.71
|
|
Assay of troponin qual
|
$96.66 |
$96.66 |
$96.66 |
$68.90
|
|
Assay of urine sulfate
|
$14.06 |
$14.06 |
$14.06 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$192.92 |
$192.92 |
$192.92 |
$300.00
|
|
Assess cyst contrast inject
|
$860.50 |
$860.50 |
$860.50 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$34.83 |
$34.83 |
$34.83 |
$46.80
|
|
Ast/sgot
|
$28.06 |
$28.06 |
$28.06 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$11,646.63 |
$11,646.63 |
$11,646.63 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$53.93 |
$53.93 |
$53.93 |
$53.24
|
