|
Alteplase 100 mg infusion from pyxis vial
|
$39,707.28 |
$39,707.28 |
$39,707.28 |
$14,503.48
|
|
Alt/sgpt
|
$49.20 |
$49.20 |
$49.20 |
$44.68
|
|
Aluminum - quest
|
$44.40 |
$44.40 |
$44.40 |
$81.49
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$32.88 |
$32.88 |
$32.88 |
$37.32
|
|
Aminolevulinic acid delta
|
$28.80 |
$28.80 |
$28.80 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$18.06 |
$18.06 |
$18.06 |
$45.56
|
|
Amiodarone 50 mg/ml intravenous solution
|
$13.38 |
$13.38 |
$13.38 |
$61.68
|
|
Ammonia
|
$117.00 |
$117.00 |
$117.00 |
$114.40
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,839.54
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$216.60 |
$216.60 |
$216.60 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$736.44 |
$736.44 |
$736.44 |
$451.51
|
|
Ampicillin 1 gram solution for injection
|
$60.48 |
$60.48 |
$60.48 |
$63.82
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$24.18 |
$24.18 |
$24.18 |
$58.36
|
|
Amputation toe interphalangeal joint
|
$16,304.98 |
$16,304.98 |
$16,304.98 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$22,252.21 |
$22,252.21 |
$22,252.21 |
$3,814.50
|
|
Amylase
|
$63.00 |
$63.00 |
$63.00 |
$83.20
|
|
Ana ds-dna
|
$28.20 |
$28.20 |
$28.20 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$235.80 |
$235.80 |
$235.80 |
$207.48
|
|
Analysis gene f5 leiden variant
|
$178.20 |
$178.20 |
$178.20 |
$219.13
|
|
Anaplsma phgcytophlm amp prb
|
$93.00 |
$93.00 |
$93.00 |
$88.00
|
|
Anca screen with reflex to titer -quest
|
$80.40 |
$80.40 |
$80.40 |
$100.32
|
|
An cholangiogram percutaneous compl
|
$5,892.00 |
$5,892.00 |
$5,892.00 |
$2,624.13
|
|
Androstanediol
|
$62.40 |
$62.40 |
$62.40 |
$103.80
|
|
An fluoro guide for cvp
|
$562.20 |
$562.20 |
$562.20 |
$510.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,054.80 |
$7,054.80 |
$7,054.80 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,373.04 |
$1,373.04 |
$1,373.04 |
$5,172.70
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,921.80 |
$7,921.80 |
$7,921.80 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$7,921.80 |
$7,921.80 |
$7,921.80 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
$4,438.34
|
|
Angio trnslmnl balloon same vein ini
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
$8,466.00
|
|
Anidulafungin injection
|
$861.30 |
$861.30 |
$861.30 |
$297.63
|
|
Ankle X-ray
|
$329.40 |
$329.40 |
$329.40 |
$351.20
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$23,598.04 |
$23,598.04 |
$23,598.04 |
$5,741.00
|
|
Anterior asis pad
|
$187.13 |
$187.13 |
$187.13 |
$134.14
|
|
Anterior swing band
|
$665.14 |
$665.14 |
$665.14 |
$476.73
|
|
Anterior thoracic derotation
|
$223.16 |
$223.16 |
$223.16 |
$159.96
|
|
Anterior thoracic extension
|
$515.37 |
$515.37 |
$515.37 |
$365.76
|
|
Antibody bacterium, not elsewhere specified
|
$91.20 |
$91.20 |
$91.20 |
$57.85
|
|
Antibody elution rbc reference
|
$151.20 |
$151.20 |
$151.20 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$106.20 |
$106.20 |
$106.20 |
$114.40
|
|
Antibody htlv-i
|
$15.60 |
$15.60 |
$15.60 |
$48.57
|
|
Antibody htlv-ii
|
$15.60 |
$15.60 |
$15.60 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$358.20 |
$358.20 |
$358.20 |
$218.30
|
|
Antibody id rbc panel
|
$283.80 |
$283.80 |
$283.80 |
$283.80
|
|
Antibody influenza virus
|
$44.40 |
$44.40 |
$44.40 |
$53.28
|
|
Antibody screen rbc
|
$75.00 |
$75.00 |
$75.00 |
$102.05
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$17,107.20 |
$17,107.20 |
$17,107.20 |
$6.57
|
|
Anti mog serum - sendout
|
$164.40 |
$164.40 |
$164.40 |
$112.81
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$42.35
|
|
Antinuclear antibodies
|
$133.20 |
$133.20 |
$133.20 |
$90.00
|
|
Antinuclear antibodies titer
|
$114.60 |
$114.60 |
$114.60 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$41.40 |
$41.40 |
$41.40 |
$67.60
|
|
Antistreptolysin o screen
|
$58.80 |
$58.80 |
$58.80 |
$58.30
|
|
Antistreptolysin o titer
|
$63.00 |
$63.00 |
$63.00 |
$55.44
|
|
Antithrombin iii activity
|
$114.00 |
$114.00 |
$114.00 |
$112.70
|
|
Aortic dysfunction/dilation
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$992.40
|
|
Aortic dysfunction/dilation
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$1,525.60
|
|
Apc gene dup/delet variants
|
$465.60 |
$465.60 |
$465.60 |
$400.00
|
|
Apc gene full sequence
|
$1,297.20 |
$1,297.20 |
$1,297.20 |
$1,255.20
|
|
Apl(pml-rara) quant - sendout
|
$399.60 |
$399.60 |
$399.60 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$18,920.90 |
$18,920.90 |
$18,920.90 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,681.40 |
$5,681.40 |
$5,681.40 |
$3,619.35
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,553.40 |
$1,553.40 |
$1,553.40 |
$549.08
|
|
Application multi layer compression below knee (both sides)
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$378.35
|
|
Application of paste boot 29580
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$7,723.88 |
$7,723.88 |
$7,723.88 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$8,750.78 |
$8,750.78 |
$8,750.78 |
$2,198.30
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,547.43 |
$6,547.43 |
$6,547.43 |
$1,051.88
|
|
Appl modality 1/> areas paraffin bath 97018
|
$55.20 |
$55.20 |
$55.20 |
$65.30
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$55.20 |
$55.20 |
$55.20 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$57.60 |
$57.60 |
$57.60 |
$49.92
|
|
Apply halo w/removal cranial
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$1,367.60
|
|
Apply rigid leg cast 29445
|
$955.20 |
$955.20 |
$955.20 |
$585.31
|
|
#aptt mix-1:1 incubated
|
$40.80 |
$40.80 |
$40.80 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$565.80 |
$565.80 |
$565.80 |
$207.20
|
|
Aquaporin-4 antibody cba each
|
$184.80 |
$184.80 |
$184.80 |
$109.00
|
|
Aquaporin-4 antibody elisa
|
$150.00 |
$150.00 |
$150.00 |
$118.56
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$80.40 |
$80.40 |
$80.40 |
$100.00
|
|
Aquatic exercise - group charge
|
$66.00 |
$66.00 |
$66.00 |
$87.15
|
|
Arch supp att to shoe long/m
|
$96.31 |
$96.31 |
$96.31 |
$69.03
|
|
Arch supp att to shoe metata
|
$75.23 |
$75.23 |
$75.23 |
$75.23
|
|
Arch suprt att to sho longit
|
$75.23 |
$75.23 |
$75.23 |
$53.93
|
|
Arformoterol non-comp unit
|
$73.14 |
$73.14 |
$73.14 |
$24.24
|
|
Argatroban esrd dialysis 1mg
|
$306.18 |
$306.18 |
$306.18 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$879.84 |
$879.84 |
$879.84 |
$14.44
|
|
Artery xray each vessel 7577426
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$3,358.00
|
|
Artery x-rays adrenals
|
$3,551.40 |
$3,551.40 |
$3,551.40 |
$3,729.00
|
|
Artery x-rays arm/leg 75710-26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$3,729.00 |
$3,729.00 |
$3,729.00 |
$3,860.40
|
|
Artery x-rays chest
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$2,607.36
|
|
Artery x-rays lung
|
$3,286.20 |
$3,286.20 |
$3,286.20 |
$3,169.80
|
|
Artery x-rays lung
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$2,564.40
|
|
Artery x-rays lungs
|
$3,406.20 |
$3,406.20 |
$3,406.20 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$4,543.80
|
