|
Aluminum - quest
|
$60.27 |
$105.00 |
$240.75 |
|
|
Amantadine (symmetrel)-sendout
|
$64.20 |
$73.83 |
$80.25 |
|
|
Ambl bp mntr w/sw a/r
|
$71.07 |
$71.07 |
$71.07 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$32.32 |
$37.17 |
$40.40 |
|
|
Amino acids quant 2-5
|
$16.00 |
$16.00 |
$16.00 |
|
|
Aminolevulinic acid delta
|
$11.52 |
$58.00 |
$188.00 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$17.26 |
$19.85 |
$21.58 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$53.62 |
$61.67 |
$67.03 |
|
|
Amitriptyline (elavil) -sendout
|
$64.20 |
$77.04 |
$150.75 |
|
|
Ammonia
|
$60.49 |
$70.20 |
$108.25 |
|
|
Amniocentesisdiagnostic 59000
|
$188.40 |
$292.20 |
$347.25 |
|
|
Amniocentesis therapeutic
|
$97.20 |
$97.20 |
$125.04 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$861.00 |
$932.65 |
$1,791.00 |
|
|
Amphetamine confirm urine -sendout
|
$15.58 |
$64.20 |
$80.25 |
|
|
Amphetamines 5 or more
|
$64.20 |
$73.83 |
$80.25 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$52.66 |
$60.56 |
$65.83 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$281.70 |
$338.04 |
$633.82 |
|
|
Ampicillin 1 gram solution for injection
|
$95.71 |
$110.07 |
$119.64 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$77.71 |
$89.37 |
$97.14 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$105.80 |
$188.60 |
$207.00 |
|
|
Amylase
|
$36.57 |
$53.10 |
$83.28 |
|
|
Anabolic steroid 1 or 2
|
$64.20 |
$80.25 |
$159.30 |
|
|
Ana ds-dna
|
$9.20 |
$11.04 |
$40.50 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$64.20 |
$74.16 |
$94.50 |
|
|
Anal pressure record
|
$152.80 |
$152.80 |
$175.72 |
|
|
Analysis gene f2 20210g>a variant
|
$82.00 |
$147.89 |
$280.80 |
|
|
Analysis gene f5 leiden variant
|
$82.00 |
$278.00 |
$364.78 |
|
|
Anaplsma phgcytophlm amp prb
|
$22.60 |
$27.12 |
$50.85 |
|
|
Anca screen with reflex to titer -quest
|
$8.50 |
$10.00 |
$375.59 |
|
|
An cholangiogram percutaneous compl
|
$721.60 |
$813.74 |
$835.50 |
|
|
An fluoro guide for cvp
|
$93.20 |
$97.50 |
$378.24 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,013.00 |
$1,064.40 |
$1,199.45 |
|
|
Angioplasty fem/pop unilat 37224
|
$4,910.00 |
$5,928.02 |
$6,215.25 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,106.60 |
$5,928.02 |
$6,157.50 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,275.40 |
$4,051.25 |
$4,121.14 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,910.00 |
$5,928.02 |
$6,215.25 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,013.00 |
$1,064.40 |
$1,199.45 |
|
|
Angio trnslmnl balloon same artery ini
|
$2,025.75 |
$2,127.80 |
$2,399.13 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,013.00 |
$1,064.40 |
$1,199.45 |
|
|
Angio trnslmnl balloon same vein ini
|
$2,025.75 |
$2,127.80 |
$2,399.13 |
|
|
Ankle X-ray
|
$60.75 |
$88.78 |
$123.36 |
|
|
Anora (draw only)
|
$7.00 |
$8.88 |
$17.10 |
|
|
Anoscopy remove fb 46608
|
$521.60 |
$588.80 |
$1,128.15 |
|
|
Ans parasymp & symp w/tilt
|
$206.00 |
$206.00 |
$206.00 |
|
|
Antibody bacterium, not elsewhere specified
|
$37.75 |
$46.23 |
$60.72 |
|
|
Antibody elution rbc reference
|
$40.40 |
$60.72 |
$80.10 |
|
|
Antibody htlv/hiv confirm test
|
$87.00 |
$103.73 |
$183.75 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$99.82 |
$224.88 |
$421.65 |
|
|
Antibody id rbc panel
|
$106.80 |
$137.25 |
$247.05 |
|
|
Antibody influenza virus
|
$12.42 |
$24.25 |
$31.40 |
|
|
Antibody lymphocytic choriomeningitis
|
$12.00 |
$12.00 |
$12.00 |
|
|
Antibody screen rbc
|
$62.32 |
$68.40 |
$84.96 |
|
|
Antibody tetanus
|
$9.20 |
$11.04 |
$20.70 |
|
|
Antidepressant not specified
|
$64.20 |
$64.20 |
$73.83 |
|
|
Antidepressant tricyclic 3-5
|
$67.24 |
$67.24 |
$73.80 |
|
|
Anti mog serum - sendout
|
$8.00 |
$9.60 |
$18.00 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$8.00 |
$9.60 |
$18.00 |
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$8.00 |
$9.60 |
$18.00 |
|
|
Antinuclear antibodies
|
$30.13 |
$76.50 |
$143.04 |
|
|
Antinuclear antibodies titer
|
$8.00 |
$14.49 |
$241.20 |
|
|
Antiphosphatidylserine antibody
|
$56.99 |
$62.55 |
$139.25 |
|
|
Antipsychotics nos 1-3
|
$64.20 |
$77.04 |
$93.60 |
|
|
Antistreptolysin o titer
|
$24.25 |
$34.80 |
$80.10 |
|
|
Antithrombin iii activity
|
$11.89 |
$73.14 |
$105.75 |
|
|
Apc gene dup/delet variants
|
$116.38 |
$116.38 |
$126.50 |
|
|
Apc gene full sequence
|
$453.79 |
$453.79 |
$493.25 |
|
|
Apheresis plasma
|
$592.60 |
$711.12 |
$1,333.35 |
|
|
Apheresis wbc
|
$1,066.25 |
$1,066.25 |
$1,066.25 |
|
|
Apl(pml-rara) quant - sendout
|
$160.80 |
$192.96 |
$201.00 |
|
|
Apomorphine hydrochloride
|
$240.89 |
$289.07 |
$542.00 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$771.25 |
$1,016.40 |
$1,290.60 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$129.15 |
$215.04 |
$772.25 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$66.20 |
$82.75 |
$1,290.60 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$462.25 |
$832.05 |
$2,185.92 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$179.20 |
$215.50 |
$1,290.60 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$66.20 |
$324.25 |
$611.80 |
|
|
Application finger splntstatic 29130
|
$13.12 |
$33.81 |
$92.20 |
|
|
Application long leg splint 29505
|
$37.40 |
$44.88 |
$94.50 |
|
|
Application lower leg splint 29515
|
$37.40 |
$46.75 |
$145.20 |
|
|
Application multi layer compression below knee (both sides)
|
$35.26 |
$49.60 |
$160.08 |
|
|
Application of cylinder cast 29365
|
$70.80 |
$84.96 |
$153.00 |
|
|
Application of forearm cast 29075
|
$65.60 |
$78.72 |
$141.75 |
|
|
Application of long arm cast 29065
|
$83.04 |
$93.38 |
$180.00 |
|
|
Application of long leg cast 29345
|
$65.60 |
$78.72 |
$148.05 |
|
|
Application of paste boot 29580
|
$45.40 |
$116.50 |
$640.35 |
|
|
Application short leg cast 29405
|
$65.60 |
$78.72 |
$130.50 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$717.00 |
$1,016.40 |
$1,290.60 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$350.25 |
$1,016.40 |
$1,290.60 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$27.75 |
$27.75 |
$32.20 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$36.08 |
$41.40 |
$57.96 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$16.40 |
$39.12 |
$50.00 |
|
|
Apply forearm splintdynamic 29126
|
$33.81 |
$59.45 |
$99.60 |
|
|
Apply interstit radiat compl
|
$2,077.00 |
$2,508.15 |
$2,596.25 |
|
|
Apply intrcav radiat compl
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
|
|
Apply intrcav radiat interm
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
|
|
Apply intrcav radiat simple
|
$2,508.15 |
$2,508.15 |
$2,508.15 |
|
|
Apply of finger splint 29131
|
$33.81 |
$68.00 |
$99.60 |
|
|
Apply rigid leg cast 29445
|
$136.50 |
$241.20 |
$283.44 |
|
|
Apply short leg castambul type 29425
|
$65.60 |
$166.08 |
$311.40 |
|
|
#aptt mix-1:1 incubated
|
$30.20 |
$32.64 |
$37.75 |
|
