|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$29.92 |
$40.45 |
$75.68 |
|
|
Aminolevulinic acid delta
|
$121.60 |
$121.60 |
$121.60 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$33.12 |
$48.57 |
$69.26 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$76.51 |
$89.85 |
$225.12 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$25.79 |
$43.59 |
$65.24 |
|
|
Amitriptyline (elavil) -sendout
|
$81.60 |
$82.40 |
$120.00 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$6,056.60 |
$19,493.70 |
$22,742.65 |
|
|
Ammonia
|
$32.02 |
$34.27 |
$251.20 |
|
|
Amniocentesisdiagnostic 59000
|
$414.23 |
$666.40 |
$1,463.14 |
|
|
Amniocentesis therapeutic
|
$695.74 |
$695.74 |
$948.38 |
|
|
Amobarbital 125 mg inj
|
$1,262.01 |
$1,262.01 |
$1,262.01 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,092.80 |
$6,092.80 |
$6,092.80 |
|
|
Amphetamine confirm urine -sendout
|
$67.20 |
$67.20 |
$68.00 |
|
|
Amphetamines 5 or more
|
$58.40 |
$58.40 |
$88.00 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$62.89 |
$62.89 |
$83.33 |
|
|
Amphotericin b lipid complex
|
$38.76 |
$38.76 |
$38.76 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$144.25 |
$228.26 |
$353.53 |
|
|
Ampicillin 1 gram solution for injection
|
$26.28 |
$62.11 |
$163.86 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$27.96 |
$63.96 |
$125.44 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$496.00 |
$531.02 |
$685.22 |
|
|
Amp metatarsal w/toe single 28810
|
$2,719.30 |
$2,719.30 |
$2,719.30 |
|
|
Amputate metacarpal bone 26910
|
$4,796.00 |
$4,796.00 |
$4,796.00 |
|
|
Amputation toe interphalangeal joint
|
$5,446.40 |
$5,446.40 |
$5,446.40 |
|
|
Amputation toe metatarsophalangeal joint
|
$980.17 |
$2,832.58 |
$5,394.40 |
|
|
Amylase
|
$44.52 |
$45.98 |
$105.60 |
|
|
Anabolic steroid 1 or 2
|
$220.80 |
$220.80 |
$220.80 |
|
|
Ana ds-dna
|
$417.60 |
$417.60 |
$417.60 |
|
|
Anal/urinary muscle study
|
$297.98 |
$297.98 |
$356.00 |
|
|
Anal/urinary muscle study
|
$148.51 |
$679.90 |
$679.90 |
|
|
Analysis gene f2 20210g>a variant
|
$48.29 |
$50.74 |
$244.00 |
|
|
Analysis gene f5 leiden variant
|
$46.32 |
$48.66 |
$248.00 |
|
|
Analysis nerve
|
$292.00 |
$292.00 |
$292.00 |
|
|
Analysis tumor
|
$265.60 |
$265.60 |
$265.60 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$124.66 |
$124.66 |
$170.35 |
|
|
Anaplsma phgcytophlm amp prb
|
$116.42 |
$116.42 |
$156.58 |
|
|
Anastrozole 1 mg
|
$4.44 |
$5.16 |
$5.63 |
|
|
Anca screen with reflex to titer -quest
|
$62.50 |
$72.91 |
$228.80 |
|
|
An cholangiogram percutaneous compl
|
$644.00 |
$825.10 |
$2,715.20 |
|
|
An fluoro guide for cvp
|
$284.76 |
$343.56 |
$705.60 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,142.13 |
$9,142.13 |
$9,824.00 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$70.72 |
$89.75 |
$306.85 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,080.08 |
$8,080.08 |
$8,590.40 |
|
|
Angio trnslmnl balloon same artery ini
|
$13,320.00 |
$16,302.86 |
$16,302.86 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,875.90 |
$6,875.90 |
$7,856.80 |
|
|
Angio trnslmnl balloon same vein ini
|
$12,956.80 |
$14,021.33 |
$14,021.33 |
|
|
Anidulafungin injection
|
$163.57 |
$163.57 |
$163.57 |
|
|
Ankle X-ray
|
$207.79 |
$327.20 |
$513.60 |
|
|
Ankle X-ray (2 views, both ankles)
|
$207.79 |
$220.00 |
$348.00 |
|
|
Ank symes mold sckt sach ft
|
$4,344.42 |
$5,440.96 |
$5,440.96 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$756.80 |
$1,171.68 |
$1,171.68 |
|
|
Anodyne therapy charges pt
|
$54.40 |
$139.44 |
$146.61 |
|
|
Anora (draw only)
|
$45.60 |
$164.06 |
$309.18 |
|
|
Anoscopy and biopsy
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
|
|
Anoscopy remove fb 46608
|
$2,742.40 |
$2,742.40 |
$2,742.40 |
|
|
Anterior asis pad
|
$125.10 |
$171.02 |
$171.02 |
|
|
Anterior swing band
|
$444.81 |
$590.86 |
$590.86 |
|
|
Anterior thoracic derotation
|
$149.24 |
$203.90 |
$203.90 |
|
|
Anterior thoracic extension
|
$376.82 |
$514.81 |
$514.81 |
|
|
Antibody bacterium, not elsewhere specified
|
$26.77 |
$28.56 |
$54.40 |
|
|
Antibody elution rbc reference
|
$144.00 |
$319.31 |
$378.34 |
|
|
Antibody htlv/hiv confirm test
|
$219.20 |
$293.60 |
$293.60 |
|
|
Antibody htlv-i
|
$30.18 |
$34.90 |
$66.40 |
|
|
Antibody htlv-ii
|
$50.34 |
$58.22 |
$68.54 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$66.40 |
$1,177.92 |
$1,484.17 |
|
|
Antibody id rbc panel
|
$173.60 |
$284.48 |
$340.14 |
|
|
Antibody screen rbc
|
$56.00 |
$141.12 |
$177.80 |
|
|
Antibody tetanus
|
$43.78 |
$51.07 |
$55.16 |
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$46.12 |
$1,800.48 |
$2,036.16 |
|
|
Antihemophilic viii/vwf comp
|
$22.99 |
$22.99 |
$62.36 |
|
|
Anti-inhibitor
|
$45.63 |
$6,912.00 |
$6,912.00 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$50.01 |
$54.72 |
$94.40 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$48.00 |
$100.35 |
$120.01 |
|
|
Antinuclear antibodies
|
$69.60 |
$100.74 |
$176.80 |
|
|
Antinuclear antibodies titer
|
$61.60 |
$100.74 |
$160.00 |
|
|
Antiphosphatidylserine antibody
|
$186.40 |
$186.40 |
$186.40 |
|
|
Antipsychotics nos 1-3
|
$148.80 |
$148.80 |
$148.80 |
|
|
Antistreptolysin o titer
|
$26.50 |
$30.91 |
$98.40 |
|
|
Antithrombin iii activity
|
$47.20 |
$111.50 |
$245.60 |
|
|
Antithrombin iii injection
|
$27.89 |
$27.89 |
$27.89 |
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$6,837.90 |
$6,837.90 |
$6,837.90 |
|
|
Antithymocyte globuln rabbit
|
$1,848.58 |
$1,848.58 |
$1,848.58 |
|
|
Aortic Aneurysm Screening Ultrasound
|
$151.73 |
$476.80 |
$627.20 |
|
|
Apheresis immunoads slctv
|
$952.84 |
$952.84 |
$985.87 |
|
|
Apheresis plasma
|
$1,631.57 |
$1,904.06 |
$1,904.06 |
|
|
Apheresis platelets
|
$1,631.57 |
$1,879.02 |
$1,879.02 |
|
|
Apheresis rbc
|
$1,631.57 |
$1,879.02 |
$1,879.02 |
|
|
Apheresis wbc
|
$1,631.57 |
$1,879.02 |
$1,879.02 |
|
|
Apl(pml-rara) quant - sendout
|
$500.80 |
$776.78 |
$816.65 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$940.00 |
$957.26 |
$3,305.60 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$478.61 |
$478.61 |
$2,174.40 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$314.35 |
$314.35 |
$1,361.60 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$1,124.83 |
$1,124.83 |
$3,985.60 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$562.37 |
$562.37 |
$1,762.40 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$369.26 |
$369.26 |
$1,039.20 |
|
|
Application finger splntstatic 29130
|
$65.46 |
$186.40 |
$292.00 |
|
|
Application long leg splint 29505
|
$65.46 |
$279.20 |
$415.20 |
|
|
Application lower leg splint 29515
|
$77.47 |
$299.20 |
$393.60 |
|
|
Application multi layer compression below knee (both sides)
|
$163.20 |
$230.50 |
$392.80 |
|
|
Application of cylinder cast 29365
|
$532.00 |
$532.00 |
$532.00 |
|
|
Application of forearm cast 29075
|
$117.77 |
$149.86 |
$330.40 |
|
