|
_afb org id by sequencing rflx ast-sendout
|
$238.39 |
$514.50 |
$814.30 |
|
|
Afo rig ant tib tcf/= custom
|
$470.36 |
$470.36 |
$470.36 |
|
|
Afo tibial fracture soft
|
$127.94 |
$127.94 |
$129.46 |
|
|
After cataract laser surgery
|
$448.48 |
$866.88 |
$877.20 |
|
|
Agalsidase beta 35 mg intravenous solution
|
$3,170.76 |
$14,475.20 |
$29,295.04 |
|
|
Air conduction bilat
|
$157.08 |
$157.08 |
$158.95 |
|
|
Air injection into abdomen 49400
|
$778.26 |
$778.26 |
$1,173.64 |
|
|
Airway resistance by impulse oscillometry 94728
|
$53.34 |
$53.34 |
$118.69 |
|
|
Albumin body fluid quantitative each specimen
|
$16.56 |
$28.56 |
$76.50 |
|
|
Albumin (human), 25%, 50ml
|
$0.40 |
$135.08 |
$273.36 |
|
|
Albumin (human), 5%, 250 ml
|
$0.13 |
$234.36 |
$474.30 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$24.90 |
$55.02 |
$139.24 |
|
|
Albumin serum plasma or whole blood
|
$14.26 |
$34.44 |
$92.65 |
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$61.36 |
$168.84 |
$339.15 |
|
|
Alginate dressing <=16 sq in
|
$6.47 |
$6.47 |
$6.55 |
|
|
Alginate drsg >16 <=48 sq in
|
$19.60 |
$48.30 |
$62.48 |
|
|
Alginate drsg wound filler
|
$17.29 |
$18.93 |
$34.98 |
|
|
Alkaline phosphatase
|
$16.10 |
$52.50 |
$101.15 |
|
|
Allergen alpha lactalbumin ige
|
$61.44 |
$61.44 |
$61.44 |
|
|
Allergen egg white ige
|
$20.65 |
$55.44 |
$102.85 |
|
|
Allergen specific ige qual multi scrn ea
|
$45.31 |
$45.31 |
$45.31 |
|
|
Allergy injections; 2 or more 95117
|
$47.04 |
$47.60 |
$61.50 |
|
|
Allergy injection; single 95115
|
$296.52 |
$296.52 |
$300.05 |
|
|
Allergy Skin Testing
|
$117.77 |
$472.08 |
$477.70 |
|
|
Allg patch or app # of tests 95044
|
$664.44 |
$664.44 |
$672.35 |
|
|
Allograft 160mg placental salera mini membrane
|
$17.33 |
$17.33 |
$17.33 |
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$2,173.50 |
$2,380.50 |
$4,398.75 |
|
|
Allograft amnioexcel plus 17mm disk
|
$222.60 |
$222.60 |
$222.60 |
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$3,974.40 |
$7,257.60 |
$7,344.00 |
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$5,792.85 |
$6,344.55 |
$11,723.62 |
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$96.18 |
$96.18 |
$1,235.25 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$177.18 |
$177.18 |
$177.18 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,673.09 |
$5,118.15 |
$9,457.44 |
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,562.25 |
$7,854.00 |
$8,032.50 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,777.39 |
$1,777.39 |
$1,777.39 |
|
|
All tstg perq&iq drugs/biol
|
$37.80 |
$47.88 |
$47.88 |
|
|
All tstg perq&iq w/venoms
|
$26.88 |
$26.88 |
$38.25 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.31 |
$41.79 |
$84.58 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$118.92 |
$118.92 |
$118.92 |
|
|
Alpha-fetoprotein amniotic
|
$9.13 |
$89.04 |
$146.20 |
|
|
Alpha-fetoprotein tumor marker
|
$31.26 |
$103.74 |
$177.65 |
|
|
Alprostadil for injection
|
$55.36 |
$252.70 |
$511.41 |
|
|
Als 1
|
$939.87 |
$939.87 |
$939.87 |
|
|
Als1-emergency
|
$1,044.30 |
$1,044.30 |
$1,044.30 |
|
|
Als 2
|
$1,493.29 |
$1,493.29 |
$1,493.29 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$3,906.49 |
$17,833.94 |
$36,092.49 |
|
|
Alt/sgpt
|
$16.10 |
$60.90 |
$130.05 |
|
|
Aluminum - quest
|
$15.00 |
$42.84 |
$130.05 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$185.26 |
$185.26 |
$185.26 |
|
|
Amantadine (symmetrel)-sendout
|
$106.75 |
$199.50 |
$345.95 |
|
|
Ambl bp mntr w/sw a/r
|
$206.67 |
$206.67 |
$206.67 |
|
|
Amifostine
|
$459.93 |
$6,285.50 |
$12,720.65 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$0.76 |
$41.79 |
$84.58 |
|
|
Aminolevulinic acid delta
|
$34.86 |
$136.08 |
$261.80 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$0.60 |
$41.79 |
$84.58 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.15 |
$86.84 |
$175.74 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.29 |
$41.79 |
$84.58 |
|
|
Amitriptyline (elavil) -sendout
|
$41.68 |
$511.98 |
$807.50 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$250.16 |
$7,994.03 |
$16,178.39 |
|
|
Ammonia
|
$23.24 |
$119.70 |
$149.60 |
|
|
Amniocentesisdiagnostic 59000
|
$173.88 |
$505.26 |
$580.72 |
|
|
Amniocentesis therapeutic
|
$271.40 |
$1,245.30 |
$2,002.60 |
|
|
Amobarbital 125 mg inj
|
$1,436.59 |
$1,436.59 |
$2,907.39 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,602.73 |
$1,802.64 |
$2,246.63 |
|
|
Amphetamine confirm urine -sendout
|
$10.08 |
$15.96 |
$99.60 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$15.97 |
$72.90 |
$147.52 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$133.71 |
$610.41 |
$1,235.35 |
|
|
Ampicillin 1 gram solution for injection
|
$8.90 |
$41.79 |
$84.58 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$6.72 |
$41.79 |
$84.58 |
|
|
Amputate metacarpal bone 26910
|
$300.50 |
$2,072.47 |
$2,072.47 |
|
|
Amputation toe interphalangeal joint
|
$1,061.00 |
$1,212.54 |
$1,294.42 |
|
|
Amputation toe metatarsophalangeal joint
|
$443.63 |
$443.63 |
$664.00 |
|
|
Amylase
|
$34.04 |
$89.04 |
$209.03 |
|
|
Anabolic steroid 1 or 2
|
$142.80 |
$142.80 |
$274.55 |
|
|
Ana ds-dna
|
$14.03 |
$41.58 |
$107.07 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$94.40 |
$209.16 |
$312.80 |
|
|
Anal pressure record
|
$581.28 |
$581.28 |
$854.50 |
|
|
Anal/urinary muscle study
|
$355.18 |
$355.18 |
$381.86 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$62.16 |
$62.16 |
$131.97 |
|
|
Analysis gene f2 20210g>a variant
|
$76.82 |
$269.64 |
$498.10 |
|
|
Analysis gene f5 leiden variant
|
$46.48 |
$269.64 |
$498.10 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$24.36 |
$26.68 |
$52.29 |
|
|
Analysis tumor
|
$82.00 |
$119.28 |
$150.45 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$134.27 |
$134.27 |
$134.27 |
|
|
Anaplsma phgcytophlm amp prb
|
$42.00 |
$50.00 |
$80.51 |
|
|
Anca screen with reflex to titer -quest
|
$42.24 |
$734.16 |
$869.55 |
|
|
An cholangiogram percutaneous compl
|
$328.68 |
$2,480.94 |
$3,212.26 |
|
|
Androstanediol
|
$131.04 |
$131.04 |
$234.60 |
|
|
An fluoro guide for cvp
|
$477.47 |
$570.78 |
$978.22 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$858.45 |
$3,654.00 |
$3,654.00 |
|
|
Angioplasty fem/pop unilat 37224
|
$4,518.50 |
$6,249.18 |
$7,355.99 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,879.14 |
$4,879.14 |
$18,627.24 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$1,264.08 |
$1,448.58 |
$3,857.03 |
|
|
Angiotensin ii
|
$155.40 |
$155.40 |
$157.25 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$10.53 |
$149.61 |
$3,664.60 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,531.84 |
$6,583.92 |
$10,066.00 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,149.32 |
$3,149.58 |
$3,149.58 |
|
|
Angio trnslmnl balloon same artery ini
|
$2,651.90 |
$6,359.64 |
$8,237.44 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$1,072.62 |
$3,028.62 |
$3,028.62 |
|
|
Angio trnslmnl balloon same vein ini
|
$5,870.50 |
$6,056.82 |
$7,920.85 |
|
