|
Agalsidase beta 35 mg intravenous solution
|
$28,942.08 |
$28,942.08 |
$28,942.08 |
$28,942.08
|
|
Air conduction bilat
|
$106.50 |
$106.50 |
$106.50 |
$122.40
|
|
Airway resistance by impulse oscillometry 94728
|
$425.25 |
$425.25 |
$425.25 |
$392.50
|
|
Albumin body fluid quantitative each specimen
|
$43.50 |
$43.50 |
$43.50 |
$40.20
|
|
Albumin (human), 25%, 50ml
|
$295.80 |
$295.80 |
$295.80 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$295.80 |
$295.80 |
$295.80 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$85.50 |
$85.50 |
$85.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$43.50 |
$43.50 |
$43.50 |
$41.90
|
|
Albuterol ipratrop non-comp
|
$2.43 |
$2.43 |
$2.43 |
$5.85
|
|
Albuterol non-comp con
|
$44.56 |
$44.56 |
$44.56 |
$44.56
|
|
Albuterol non-comp unit
|
$2.43 |
$2.43 |
$2.43 |
$6.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$60.75 |
$60.75 |
$60.75 |
$78.00
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$112,036.08 |
$112,036.08 |
$112,036.08 |
$112,036.08
|
|
Alkaline phosphatase
|
$51.75 |
$51.75 |
$51.75 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$110.25 |
$110.25 |
$110.25 |
$59.12
|
|
Allergen egg white ige
|
$81.00 |
$81.00 |
$81.00 |
$37.05
|
|
Allergen specific ige qual multi scrn ea
|
$39.00 |
$39.00 |
$39.00 |
$39.00
|
|
Allergy injections; 2 or more 95117
|
$66.75 |
$66.75 |
$66.75 |
$51.07
|
|
Allergy injection; single 95115
|
$42.75 |
$42.75 |
$42.75 |
$46.80
|
|
Allergy Skin Testing
|
$97.50 |
$97.50 |
$97.50 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$780.00 |
$780.00 |
$780.00 |
$39.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$13,768.09 |
$13,768.09 |
$13,768.09 |
$13,768.09
|
|
Allograft amnioexcel plus 17mm disk
|
$13,478.20 |
$13,478.20 |
$13,478.20 |
$13,478.20
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$911.25 |
$911.25 |
$911.25 |
$911.25
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$9,702.00 |
$9,702.00 |
$9,702.00 |
$9,702.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$30,615.48 |
$30,615.48 |
$30,615.48 |
$30,615.48
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$10,046.28 |
$10,046.28 |
$10,046.28 |
$10,046.28
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$6,367.50 |
$6,367.50 |
$6,367.50 |
$6,367.50
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,887.75 |
$1,887.75 |
$1,887.75 |
$1,887.75
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$6,075.00 |
$6,075.00 |
$6,075.00 |
$6,075.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$4,038.75 |
$4,038.75 |
$4,038.75 |
$4,038.75
|
|
All tstg perq&iq drugs/biol
|
$70.50 |
$70.50 |
$70.50 |
$64.80
|
|
Alpha-fetoprotein amniotic
|
$61.50 |
$61.50 |
$61.50 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$168.75 |
$168.75 |
$168.75 |
$115.70
|
|
Alprostadil for injection
|
$800.48 |
$800.48 |
$800.48 |
$800.48
|
|
Alteplase 100 mg infusion from pyxis vial
|
$31,563.16 |
$31,563.16 |
$31,563.16 |
$31,563.16
|
|
Alt/sgpt
|
$63.75 |
$63.75 |
$63.75 |
$44.68
|
|
Aluminum - quest
|
$168.00 |
$168.00 |
$168.00 |
$121.25
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$240.00 |
$240.00 |
$240.00 |
$169.80
|
|
Ambl bp mntr w/sw a/r
|
$368.25 |
$368.25 |
$368.25 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$79.87 |
$79.87 |
$79.87 |
$46.80
|
|
Amino acids quant 2-5
|
$239.25 |
$239.25 |
$239.25 |
$164.23
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$35.21 |
$35.21 |
$35.21 |
$13.00
|
|
Aminolevulinic acid delta
|
$570.00 |
$570.00 |
$570.00 |
$117.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$65.64 |
$65.64 |
$65.64 |
$65.64
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$119.07 |
$119.07 |
$119.07 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$50.85 |
$50.85 |
$50.85 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$260.25 |
$260.25 |
$260.25 |
$96.35
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$14,075.19 |
$14,075.19 |
$14,075.19 |
$14,075.19
|
|
Ammonia
|
$151.50 |
$151.50 |
$151.50 |
$96.53
|
|
Amniocentesisdiagnostic 59000
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$929.66
|
|
Amniocentesis therapeutic
|
$850.50 |
$850.50 |
$850.50 |
$719.00
|
|
Amphetamine confirm urine -sendout
|
$94.50 |
$94.50 |
$94.50 |
$93.61
|
|
Amphetamines 5 or more
|
$462.75 |
$462.75 |
$462.75 |
$72.14
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$130.08 |
$130.08 |
$130.08 |
$130.08
|
|
Amphotericin b lipid complex
|
$360.00 |
$360.00 |
$360.00 |
$360.00
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$434.39 |
$434.39 |
$434.39 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$114.78 |
$114.78 |
$114.78 |
$114.78
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$18.87 |
$18.87 |
$18.87 |
$43.20
|
|
Amylase
|
$168.00 |
$168.00 |
$168.00 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$79.50 |
$79.50 |
$79.50 |
$96.40
|
|
Anal/urinary muscle study
|
$730.50 |
$730.50 |
$730.50 |
$411.48
|
|
Anal/urinary muscle study
|
$940.50 |
$940.50 |
$940.50 |
$587.40
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$373.23
|
|
Analysis gene f2 20210g>a variant
|
$436.50 |
$436.50 |
$436.50 |
$253.50
|
|
Analysis gene f5 leiden variant
|
$577.50 |
$577.50 |
$577.50 |
$253.11
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$167.05
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$514.15
|
|
Anaplsma phgcytophlm amp prb
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$280.50 |
$280.50 |
$280.50 |
$111.20
|
|
An cholangiogram percutaneous compl
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$2,640.00
|
|
An fluoro guide for cvp
|
$888.75 |
$888.75 |
$888.75 |
$534.95
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$59,352.27 |
$59,352.27 |
$59,352.27 |
$23,223.60
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,886.75 |
$2,886.75 |
$2,886.75 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$7,883.25 |
$7,883.25 |
$7,883.25 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,999.50 |
$4,999.50 |
$4,999.50 |
$4,339.13
|
|
Angio trnslmnl balloon same vein ini
|
$7,457.25 |
$7,457.25 |
$7,457.25 |
$8,766.15
|
|
Anidulafungin injection
|
$116.22 |
$116.22 |
$116.22 |
$116.22
|
|
Ankle X-ray
|
$396.75 |
$396.75 |
$396.75 |
$325.20
|
|
Anl sp inf pmp w/mdreprg&fil
|
$693.75 |
$693.75 |
$693.75 |
$693.75
|
|
Annual Physical, Established Patient (age 18-39)
|
$167.25 |
$167.25 |
$167.25 |
$203.45
|
|
Annual Physical, Established Patient (age 40-64)
|
$167.25 |
$167.25 |
$167.25 |
$191.00
|
|
Annual Physical, New Patient (age 18-39)
|
$167.25 |
$167.25 |
$167.25 |
$199.00
|
|
Annual Physical, New Patient (age 40-64)
|
$167.25 |
$167.25 |
$167.25 |
$218.00
|
|
Anodyne therapy charges pt
|
$92.25 |
$92.25 |
$92.25 |
$41.02
|
|
Anoscopy
|
$1,067.25 |
$1,067.25 |
$1,067.25 |
$1,056.92
|
|
Anoscopy ablation lesion 46615
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$1,365.00
|
|
Anoscopy and biopsy
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$625.60
|
|
Anoscopy control bleeding 46614
|
$3,172.50 |
$3,172.50 |
$3,172.50 |
$1,364.66
|
|
Anoscopy remove fb 46608
|
$2,797.50 |
$2,797.50 |
$2,797.50 |
$1,424.80
|
|
Anoscopy remove lesion 46610
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$2,742.39
|
|
Ans parasymp & symp w/tilt
|
$1,380.75 |
$1,380.75 |
$1,380.75 |
$359.30
|
|
Antibody bacterium, not elsewhere specified
|
$164.25 |
$164.25 |
$164.25 |
$61.45
|
|
Antibody elution rbc reference
|
$175.50 |
$175.50 |
$175.50 |
$171.36
|
|
Antibody htlv/hiv confirm test
|
$325.50 |
$325.50 |
$325.50 |
$166.92
|
|
Antibody htlv-i
|
$210.75 |
$210.75 |
$210.75 |
$51.00
|
|
Antibody htlv-ii
|
$210.75 |
$210.75 |
$210.75 |
$47.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$183.55
|