|
Aminolevulinic acid delta
|
$261.80 |
$261.80 |
$261.80 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$84.58 |
$84.58 |
$84.58 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$175.74 |
$175.74 |
$175.74 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$84.58 |
$84.58 |
$84.58 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$807.50 |
$807.50 |
$807.50 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$16,178.39 |
$16,178.39 |
$16,178.39 |
$7,994.03
|
|
Ammonia
|
$149.60 |
$149.60 |
$149.60 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$175.95 |
$175.95 |
$175.95 |
$942.60
|
|
Amniocentesis therapeutic
|
$2,002.60 |
$2,002.60 |
$2,002.60 |
$785.85
|
|
Amobarbital 125 mg inj
|
$2,907.39 |
$2,907.39 |
$2,907.39 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,641.35 |
$1,641.35 |
$1,641.35 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$16.15 |
$16.15 |
$16.15 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$147.52 |
$147.52 |
$147.52 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,235.35 |
$1,235.35 |
$1,235.35 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$84.58 |
$84.58 |
$84.58 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$84.58 |
$84.58 |
$84.58 |
$53.86
|
|
Amylase
|
$143.65 |
$143.65 |
$143.65 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$274.55 |
$274.55 |
$274.55 |
$80.08
|
|
Ana ds-dna
|
$70.55 |
$70.55 |
$70.55 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$312.80 |
$312.80 |
$312.80 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$498.10 |
$498.10 |
$498.10 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$498.10 |
$498.10 |
$498.10 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$49.30 |
$49.30 |
$49.30 |
$122.20
|
|
Analysis tumor
|
$150.45 |
$150.45 |
$150.45 |
$237.89
|
|
Anaplsma phgcytophlm amp prb
|
$76.50 |
$76.50 |
$76.50 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$869.55 |
$869.55 |
$869.55 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$351.05 |
$351.05 |
$351.05 |
$2,626.65
|
|
Androstanediol
|
$234.60 |
$234.60 |
$234.60 |
$120.60
|
|
An fluoro guide for cvp
|
$619.65 |
$619.65 |
$619.65 |
$515.00
|
|
Angiotensin ii
|
$157.25 |
$157.25 |
$157.25 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$302.77 |
$302.77 |
$302.77 |
$3,080.85
|
|
Anidulafungin injection
|
$168.73 |
$168.73 |
$168.73 |
$312.30
|
|
Ankle X-ray
|
$373.15 |
$373.15 |
$373.15 |
$353.60
|
|
Anogenital exam child w imag
|
$391.85 |
$391.85 |
$391.85 |
$292.32
|
|
Anoscopy remove fb 46608
|
$719.10 |
$719.10 |
$719.10 |
$1,435.00
|
|
Antibody bacterium, not elsewhere specified
|
$55.25 |
$55.25 |
$55.25 |
$57.81
|
|
Antibody elution rbc reference
|
$129.20 |
$129.20 |
$129.20 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$922.25 |
$922.25 |
$922.25 |
$130.00
|
|
Antibody htlv-i
|
$90.10 |
$90.10 |
$90.10 |
$49.53
|
|
Antibody htlv-ii
|
$90.10 |
$90.10 |
$90.10 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$278.80 |
$278.80 |
$278.80 |
$218.30
|
|
Antibody id rbc panel
|
$193.80 |
$193.80 |
$193.80 |
$274.56
|
|
Antibody influenza virus
|
$81.60 |
$81.60 |
$81.60 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$105.40 |
$105.40 |
$105.40 |
$48.57
|
|
Antibody screen rbc
|
$124.95 |
$124.95 |
$124.95 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$84.58 |
$84.58 |
$84.58 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$113.05 |
$113.05 |
$113.05 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$180.20 |
$180.20 |
$180.20 |
$40.00
|
|
Antinuclear antibodies
|
$170.00 |
$170.00 |
$170.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$71.40 |
$71.40 |
$71.40 |
$77.00
|
|
Antipsychotics nos 1-3
|
$153.00 |
$153.00 |
$153.00 |
$142.42
|
|
Antistreptolysin o screen
|
$109.65 |
$109.65 |
$109.65 |
$62.00
|
|
Antistreptolysin o titer
|
$166.60 |
$166.60 |
$166.60 |
$51.45
|
|
Antithrombin iii activity
|
$170.00 |
$170.00 |
$170.00 |
$114.00
|
|
Antithrombin iii injection
|
$84.58 |
$84.58 |
$84.58 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$19,769.05 |
$19,769.05 |
$19,769.05 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$4,757.75 |
$4,757.75 |
$4,757.75 |
$2,111.00
|
|
Apheresis immunoads slctv
|
$5,753.65 |
$5,753.65 |
$5,753.65 |
$5,561.12
|
|
Apheresis plasma
|
$3,330.30 |
$3,330.30 |
$3,330.30 |
$3,188.50
|
|
Apheresis platelets
|
$521.05 |
$521.05 |
$521.05 |
$2,042.95
|
|
Appendectomy
|
$1,470.50 |
$1,470.50 |
$1,470.50 |
$5,681.93
|
|
Appendectomy add-on 44955
|
$189.55 |
$189.55 |
$189.55 |
$189.55
|
|
Appendectomy/open/rup/w/absc/peri 44960
|
$2,008.55 |
$2,008.55 |
$2,008.55 |
$1,562.44
|
|
Appendix Removal (Laparoscopic)
|
$1,382.95 |
$1,382.95 |
$1,382.95 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$821.95 |
$821.95 |
$821.95 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$228.65 |
$228.65 |
$228.65 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$77.35 |
$77.35 |
$77.35 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$748.85 |
$748.85 |
$748.85 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$197.20 |
$197.20 |
$197.20 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$58.65 |
$58.65 |
$58.65 |
$498.81
|
|
Application finger splntstatic 29130
|
$267.75 |
$267.75 |
$267.75 |
$208.16
|
|
Application long leg splint 29505
|
$216.75 |
$216.75 |
$216.75 |
$338.25
|
|
Application lower leg splint 29515
|
$370.60 |
$370.60 |
$370.60 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$216.75 |
$216.75 |
$216.75 |
$373.20
|
|
Application of forearm cast 29075
|
$201.45 |
$201.45 |
$201.45 |
$339.30
|
|
Application of long arm cast 29065
|
$368.05 |
$368.05 |
$368.05 |
$395.00
|
|
Application of long leg cast 29345
|
$313.65 |
$313.65 |
$313.65 |
$455.00
|
|
Application of paste boot 29580
|
$232.90 |
$232.90 |
$232.90 |
$331.74
|
|
Application short leg cast 29405
|
$286.45 |
$286.45 |
$286.45 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$383.35 |
$383.35 |
$383.35 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$368.90 |
$368.90 |
$368.90 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$210.80 |
$210.80 |
$210.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$63.75 |
$63.75 |
$63.75 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$134.30 |
$134.30 |
$134.30 |
$292.60
|
|
Apply finger cast 29086
|
$180.20 |
$180.20 |
$180.20 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$284.75 |
$284.75 |
$284.75 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$221.00 |
$221.00 |
$221.00 |
$259.20
|
|
Apply of finger splint 29131
|
$167.45 |
$167.45 |
$167.45 |
$168.00
|
|
Apply short leg castambul type 29425
|
$215.05 |
$215.05 |
$215.05 |
$381.00
|
|
App mdlty 1+hubbrd tnk ea 15
|
$85.00 |
$85.00 |
$85.00 |
$141.39
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$17,544.51 |
$17,544.51 |
$17,544.51 |
$955.43
|
|
#aptt mix-1:1 incubated
|
$742.90 |
$742.90 |
$742.90 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$167.45 |
$167.45 |
$167.45 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$85.00 |
$85.00 |
$85.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$99.45 |
$99.45 |
$99.45 |
$85.80
|
|
Argatroban dialysis, auromed
|
$757.99 |
$757.99 |
$757.99 |
$374.54
|
|
Argatroban esrd dialysis 1mg
|
$2,968.84 |
$2,968.84 |
$2,968.84 |
$934.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$10,554.67 |
$10,554.67 |
$10,554.67 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$354.96 |
$354.96 |
$354.96 |
$1,313.89
|
|
Arterial blood draw/perc 36620
|
$266.90 |
$266.90 |
$266.90 |
$485.69
|
