|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$47.21 |
$127.14 |
$127.14 |
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Alloskin
|
$127.14 |
$127.14 |
$127.14 |
|
|
Alloskin ac, 1 cm
|
$71.03 |
$127.14 |
$127.14 |
|
|
All tstg perq&iq drugs/biol
|
$36.75 |
$46.45 |
$362.00 |
|
|
All tstg perq&iq w/venoms
|
$28.98 |
$28.98 |
$122.45 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$4.94 |
$4.94 |
$1,598.07 |
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$64.41 |
$64.41 |
$1,424.40 |
|
|
Alpha-fetoprotein amniotic
|
$17.00 |
$17.00 |
$392.00 |
|
|
Alpha-fetoprotein tumor marker
|
$16.77 |
$16.77 |
$392.00 |
|
|
Alprostadil for injection
|
$166.80 |
$424.09 |
$424.09 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$91.47 |
$91.47 |
$28,799.19 |
|
|
Alt/sgpt
|
$5.30 |
$5.30 |
$70.33 |
|
|
Altuviiio per factor viii iu
|
$4.69 |
$4.69 |
$4.69 |
|
|
Aluminum - quest
|
$18.00 |
$25.48 |
$187.20 |
|
|
Alveoloplasty each quadrant
|
$3,837.72 |
$3,837.72 |
$7,267.74 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$108.62 |
$108.62 |
$440.64 |
|
|
Amantadine (symmetrel)-sendout
|
$302.33 |
$455.00 |
$901.94 |
|
|
Ambl bp mntr w/sw a/r
|
$79.80 |
$152.54 |
$412.94 |
|
|
Amifostine
|
$3,508.81 |
$3,508.81 |
$3,508.81 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.57 |
$2.79 |
$41.80 |
|
|
Amines vaginal fluid qual
|
$5.99 |
$5.99 |
$5.99 |
|
|
Amino acid screen, urine
|
$13.87 |
$13.87 |
$13.87 |
|
|
Amino acid single qual
|
$14.18 |
$14.18 |
$203.00 |
|
|
Amino acids quant 2-5
|
$19.61 |
$19.61 |
$75.14 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$13.60 |
$13.60 |
$13.60 |
|
|
Aminolevulinic acid, 10% gel
|
$1.72 |
$1.72 |
$1.72 |
|
|
Aminolevulinic acid delta
|
$16.45 |
$16.45 |
$155.79 |
|
|
Aminolevulinic acid hcl top
|
$0.04 |
$396.97 |
$396.97 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$1.30 |
$1.30 |
$19.60 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.62 |
$0.62 |
$0.62 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.08 |
$1.08 |
$144.00 |
|
|
Amitriptyline (elavil) -sendout
|
$84.31 |
$194.06 |
$368.00 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$20.67 |
$20.67 |
$1,823.17 |
|
|
Ammonia
|
$14.57 |
$14.57 |
$170.00 |
|
|
Amnioarmor 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Amniocentesisdiagnostic 59000
|
$979.00 |
$1,030.40 |
$2,172.28 |
|
|
Amniocentesis therapeutic
|
$359.97 |
$359.97 |
$3,167.00 |
|
|
Amniocore per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Amnio-maxx or lite per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Amniotic fluid scan
|
$9.35 |
$9.35 |
$59.00 |
|
|
Amniowrap2 per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Amobarbital 125 mg inj
|
$2,398.90 |
$2,398.90 |
$2,398.90 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,839.54 |
$3,839.54 |
$10,317.00 |
|
|
Amphetamine confirm urine -sendout
|
$183.40 |
$195.00 |
$386.00 |
|
|
Amphetamines 5 or more
|
$162.73 |
$195.00 |
$300.00 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$123.55 |
$123.55 |
$138.40 |
|
|
Amphotericin b lipid complex
|
$11.13 |
$11.13 |
$17.18 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$23.33 |
$23.33 |
$317.94 |
|
|
Ampicillin 1 gram solution for injection
|
$1.41 |
$1.52 |
$13.80 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$11.13 |
$11.13 |
$26.60 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$262.99 |
$262.99 |
$294.60 |
|
|
Amp metatarsal w/toe single 28810
|
$3,839.54 |
$3,839.54 |
$8,198.70 |
|
|
Amp thigh through femur re-amp 27596
|
$3,342.87 |
$3,342.87 |
$13,101.61 |
|
|
Amputate hand at wrist
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Amputate hand at wrist
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputate leg at thigh
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputate leg at thigh
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputate lower leg at knee
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputate metacarpal bone 26910
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputate thigh through femur 27590
|
$3,342.87 |
$3,342.87 |
$12,372.88 |
|
|
Amputate upper arm & implant
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputation follow-up surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Amputation follow-up surgery
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputation follow-up surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Amputation follow-up surgery
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Amputation follow-up surgery
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputation leg thr tib/fib 27880
|
$7,413.38 |
$7,413.38 |
$17,081.02 |
|
|
Amputation leg; tib/fib f/u 27886
|
$3,342.87 |
$3,342.87 |
$7,311.85 |
|
|
Amputation of foot at ankle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Amputation of foot at ankle
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Amputation of forearm
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Amputation of hand
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputation of leg at hip
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
|
|
Amputation of leg at hip
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
|
|
Amputation of lower leg
|
$3,342.87 |
$3,342.87 |
$7,311.85 |
|
|
Amputation of lower leg
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputation of midtarsal 28800
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
|
|
Amputation of upper arm
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
|
|
Amputation of upper arm
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
|
|
Amputation thru metatarsal
|
$3,839.54 |
$3,839.54 |
$8,198.70 |
|
|
Amputation toe interphalangeal joint
|
$3,816.60 |
$3,839.54 |
$8,354.16 |
|
|
Amputation toe metatarsophalangeal joint
|
$3,839.54 |
$3,839.54 |
$8,198.70 |
|
|
Amylase
|
$6.48 |
$6.48 |
$523.58 |
|
|
Anabolic steroid 1 or 2
|
$60.81 |
$61.55 |
$455.00 |
|
|
Anacaulase-bcdb 8.8% gel 1 g
|
$58.34 |
$58.34 |
$200.46 |
|
|
Ana ds-dna
|
$12.11 |
$12.11 |
$382.00 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$107.55 |
$121.35 |
$242.00 |
|
|
Anal pressure record
|
$368.50 |
$368.50 |
$368.50 |
|
|
Anal/urinary muscle study
|
$185.15 |
$185.15 |
$1,667.00 |
|
|
Anal/urinary muscle study
|
$287.81 |
$287.81 |
$949.00 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$108.62 |
$108.62 |
$326.52 |
|
|
Analysis gene f2 20210g>a variant
|
$61.00 |
$65.69 |
$2,503.20 |
|