|
#afb mycobacteria suscep. #1
|
$7.31 |
$7.31 |
$7.31 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$115.36 |
$115.36 |
$115.36 |
$330.00
|
|
Aflibercept injection
|
$790.04 |
$790.04 |
$790.04 |
$2,738.00
|
|
After cataract laser surgery
|
$607.75 |
$607.75 |
$607.75 |
$1,380.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$230.26 |
$230.26 |
$230.26 |
$19,651.83
|
|
Air conduction bilat
|
$142.80 |
$142.80 |
$142.80 |
$140.87
|
|
Airway resistance by impulse oscillometry 94728
|
$173.33 |
$173.33 |
$173.33 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$7.78 |
$7.78 |
$7.78 |
$42.40
|
|
Albumin, human 25 % intravenous solution
|
$21.23 |
$21.23 |
$21.23 |
$36.72
|
|
Albumin (human), 5%, 250 ml
|
$53.08 |
$53.08 |
$53.08 |
$253.48
|
|
Albumin ischemia modified
|
$33.94 |
$33.94 |
$33.94 |
$50.28
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$5.78 |
$5.78 |
$5.78 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$4.95 |
$4.95 |
$4.95 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$17.27 |
$17.27 |
$17.27 |
$78.00
|
|
Alcohol/sub misuse assess
|
$27.13 |
$27.13 |
$27.13 |
$27.11
|
|
Alcohol/subs interv >30 min
|
$177.99 |
$177.99 |
$177.99 |
$177.84
|
|
Aldesleukin injection
|
$5,301.26 |
$5,301.26 |
$5,301.26 |
$5,301.26
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$2,440.70 |
$2,440.70 |
$2,440.70 |
$27,257.23
|
|
Alkaline phosphatase
|
$5.18 |
$5.18 |
$5.18 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$17.93 |
$17.93 |
$17.93 |
$56.35
|
|
Allergen egg white ige
|
$5.22 |
$5.22 |
$5.22 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$7.97 |
$7.97 |
$7.97 |
$39.00
|
|
Allergy injections; 2 or more 95117
|
$51.11 |
$51.11 |
$51.11 |
$51.07
|
|
Allergy injection; single 95115
|
$51.11 |
$51.11 |
$51.11 |
$46.80
|
|
Allergy Skin Testing
|
$1,127.09 |
$1,127.09 |
$1,127.09 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$1,127.09 |
$1,127.09 |
$1,127.09 |
$39.00
|
|
Allgrft implnt knee w/scope
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$6,286.40
|
|
All tstg perq&iq drugs/biol
|
$43.48 |
$43.48 |
$43.48 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$27.13 |
$27.13 |
$27.13 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$5.19 |
$5.19 |
$5.19 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$64.41 |
$64.41 |
$64.41 |
$206.70
|
|
Alpha-fetoprotein amniotic
|
$17.00 |
$17.00 |
$17.00 |
$94.25
|
|
Alpha-fetoprotein tumor marker
|
$16.77 |
$16.77 |
$16.77 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$94.15 |
$94.15 |
$94.15 |
$189.60
|
|
Alt/sgpt
|
$5.30 |
$5.30 |
$5.30 |
$43.55
|
|
Altuviiio per factor viii iu
|
$4.67 |
$4.67 |
$4.67 |
$4.67
|
|
Aluminum - quest
|
$25.48 |
$25.48 |
$25.48 |
$114.40
|
|
Alveoloplasty each quadrant
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,190.65
|
|
Alys cplx sp/pn npgt w/prgrm
|
$101.69 |
$101.69 |
$101.69 |
$417.47
|
|
Ambl bp mntr w/sw a/r
|
$142.80 |
$142.80 |
$142.80 |
$320.45
|
|
Amino acid screen, urine
|
$13.87 |
$13.87 |
$13.87 |
$64.28
|
|
Amino acid single qual
|
$14.18 |
$14.18 |
$14.18 |
$36.00
|
|
Amino acids quant 2-5
|
$19.61 |
$19.61 |
$19.61 |
$148.20
|
|
Aminolevulinic acid, 10% gel
|
$1.81 |
$1.81 |
$1.81 |
$1.81
|
|
Aminolevulinic acid delta
|
$16.45 |
$16.45 |
$16.45 |
$95.80
|
|
Aminolevulinic acid hcl top
|
$393.87 |
$393.87 |
$393.87 |
$393.87
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$22.21 |
$22.21 |
$22.21 |
$22.21
|
|
Ammonia
|
$14.57 |
$14.57 |
$14.57 |
$96.53
|
|
Amniocentesisdiagnostic 59000
|
$964.62 |
$964.62 |
$964.62 |
$876.60
|
|
Amniocentesis therapeutic
|
$336.99 |
$336.99 |
$336.99 |
$747.75
|
|
Amniotic fluid scan
|
$9.35 |
$9.35 |
$9.35 |
$33.15
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,730.53
|
|
Amphotericin b lipid complex
|
$10.30 |
$10.30 |
$10.30 |
$96.00
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$22.62 |
$22.62 |
$22.62 |
$94.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$262.99 |
$262.99 |
$262.99 |
$362.93
|
|
Amp metatarsal w/toe single 28810
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Amputate hand at wrist
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$2,211.05
|
|
Amputate metacarpal bone 26910
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Amputation follow-up surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$2,785.60
|
|
Amputation follow-up surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Amputation follow-up surgery
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$3,368.00
|
|
Amputation follow-up surgery
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,154.21
|
|
Amputation follow-up surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,743.15
|
|
Amputation follow-up surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,545.97
|
|
Amputation follow-up surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Amputation of foot at ankle
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Amputation thru metatarsal
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,622.40
|
|
Amputation toe interphalangeal joint
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Amputation toe metatarsophalangeal joint
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,743.15
|
|
Amylase
|
$6.48 |
$6.48 |
$6.48 |
$83.20
|
|
Anacaulase-bcdb 8.8% gel 1 g
|
$58.32 |
$58.32 |
$58.32 |
$58.32
|
|
Ana ds-dna
|
$12.11 |
$12.11 |
$12.11 |
$69.03
|
|
Anal pressure record
|
$344.98 |
$344.98 |
$344.98 |
$1,077.44
|
|
Anal/urinary muscle study
|
$173.33 |
$173.33 |
$173.33 |
$407.61
|
|
Anal/urinary muscle study
|
$269.43 |
$269.43 |
$269.43 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$101.69 |
$101.69 |
$101.69 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$65.69 |
$65.69 |
$65.69 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$73.37 |
$73.37 |
$73.37 |
$253.11
|
|
Analysis nerve
|
$59.19 |
$59.19 |
$59.19 |
$274.49
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$41.31 |
$41.31 |
$41.31 |
$166.00
|
|
Analysis tumor
|
$189.84 |
$189.84 |
$189.84 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$101.69 |
$101.69 |
$101.69 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$35.09 |
$35.09 |
$35.09 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$15.05 |
$15.05 |
$15.05 |
$111.20
|
|
An cholangiogram percutaneous compl
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$2,417.63
|
|
Androstanediol
|
$28.83 |
$28.83 |
$28.83 |
$115.10
|
|
Angioplasty fem/pop unilat 37224
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$11,517.60
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$12,766.07
|
|
Angiotensin ii
|
$20.52 |
$20.52 |
$20.52 |
$55.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$12,563.31 |
$12,563.31 |
$12,563.31 |
$14,806.05
|
|
Angio trnslmnl balloon same artery ini
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ini
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$8,766.15
|
|
Ankle arthroscopy/surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,594.44
|
|
Ankle arthroscopy/surgery
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,913.97
|
|
Ankle X-ray
|
$97.54 |
$97.54 |
$97.54 |
$311.92
|
