|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$11,125.98 |
$11,125.98 |
$11,125.98 |
$5,913.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$50,506.51 |
$50,506.51 |
$50,506.51 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$33,907.41 |
$33,907.41 |
$33,907.41 |
$724.00
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$28,694.53 |
$28,694.53 |
$28,694.53 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$27,093.22 |
$27,093.22 |
$27,093.22 |
$3,604.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$8,881.85 |
$8,881.85 |
$8,881.85 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$10,144.53 |
$10,144.53 |
$10,144.53 |
$1,495.63
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$99.60 |
$99.60 |
$99.60 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$99.60 |
$99.60 |
$99.60 |
$97.80
|
|
Alpha-fetoprotein tumor marker
|
$133.20 |
$133.20 |
$133.20 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$34,849.44 |
$34,849.44 |
$34,849.44 |
$15,815.36
|
|
Alt/sgpt
|
$34.20 |
$34.20 |
$34.20 |
$47.45
|
|
Aluminum - quest
|
$29.40 |
$29.40 |
$29.40 |
$81.49
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$29.70 |
$29.70 |
$29.70 |
$36.30
|
|
Amino acid screen, urine
|
$58.20 |
$58.20 |
$58.20 |
$77.40
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$28.86 |
$28.86 |
$28.86 |
$37.32
|
|
Aminolevulinic acid delta
|
$63.00 |
$63.00 |
$63.00 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$11.76 |
$11.76 |
$11.76 |
$56.70
|
|
Ammonia
|
$102.00 |
$102.00 |
$102.00 |
$117.00
|
|
Amniotic fluid scan
|
$89.40 |
$89.40 |
$89.40 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$5,580.60 |
$5,580.60 |
$5,580.60 |
$3,835.20
|
|
Ampicillin 1 gram solution for injection
|
$53.10 |
$53.10 |
$53.10 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$288.36 |
$288.36 |
$288.36 |
$54.60
|
|
Amputation toe interphalangeal joint
|
$5,536.80 |
$5,536.80 |
$5,536.80 |
$3,958.50
|
|
Amputation toe metatarsophalangeal joint
|
$16,290.36 |
$16,290.36 |
$16,290.36 |
$3,814.50
|
|
Amylase
|
$40.80 |
$40.80 |
$40.80 |
$85.65
|
|
Ana ds-dna
|
$143.40 |
$143.40 |
$143.40 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$435.00 |
$435.00 |
$435.00 |
$219.00
|
|
Analysis gene f5 leiden variant
|
$435.00 |
$435.00 |
$435.00 |
$223.60
|
|
Anaplsma phgcytophlm amp prb
|
$92.40 |
$92.40 |
$92.40 |
$76.70
|
|
Anca screen with reflex to titer -quest
|
$226.80 |
$226.80 |
$226.80 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$6,150.60 |
$6,150.60 |
$6,150.60 |
$2,494.35
|
|
An fluoro guide for cvp
|
$328.80 |
$328.80 |
$328.80 |
$507.79
|
|
Angiotensin ii
|
$255.60 |
$255.60 |
$255.60 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$22.80 |
$22.80 |
$22.80 |
$4,550.62
|
|
Ankle X-ray
|
$156.00 |
$156.00 |
$156.00 |
$353.60
|
|
Annual Physical, Established Patient (age 18-39)
|
$121.20 |
$121.20 |
$121.20 |
$152.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$126.00 |
$126.00 |
$126.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$121.20 |
$121.20 |
$121.20 |
$154.80
|
|
Annual Physical, New Patient (age 40-64)
|
$126.00 |
$126.00 |
$126.00 |
$167.25
|
|
Anodyne therapy charges pt
|
$43.20 |
$43.20 |
$43.20 |
$41.02
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$13,744.74 |
$13,744.74 |
$13,744.74 |
$5,463.96
|
|
Anterior asis pad
|
$204.64 |
$204.64 |
$204.64 |
$187.13
|
|
Anterior swing band
|
$727.36 |
$727.36 |
$727.36 |
$665.14
|
|
Anterior thoracic derotation
|
$244.04 |
$244.04 |
$244.04 |
$223.16
|
|
Anterior thoracic extension
|
$563.59 |
$563.59 |
$563.59 |
$496.80
|
|
Antibody bacterium, not elsewhere specified
|
$93.00 |
$93.00 |
$93.00 |
$57.85
|
|
Antibody elution rbc reference
|
$273.60 |
$273.60 |
$273.60 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$173.40 |
$173.40 |
$173.40 |
$127.95
|
|
Antibody htlv-i
|
$142.20 |
$142.20 |
$142.20 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$483.60 |
$483.60 |
$483.60 |
$219.30
|
|
Antibody id rbc panel
|
$240.60 |
$240.60 |
$240.60 |
$267.00
|
|
Antibody influenza virus
|
$63.00 |
$63.00 |
$63.00 |
$53.90
|
|
Antibody screen rbc
|
$45.00 |
$45.00 |
$45.00 |
$102.75
|
|
Anti mog serum - sendout
|
$163.20 |
$163.20 |
$163.20 |
$110.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$37.58
|
|
Antinuclear antibodies
|
$133.80 |
$133.80 |
$133.80 |
$91.70
|
|
Antinuclear antibodies titer
|
$82.80 |
$82.80 |
$82.80 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$192.00 |
$192.00 |
$192.00 |
$58.24
|
|
Antistreptolysin o screen
|
$82.80 |
$82.80 |
$82.80 |
$58.80
|
|
Antithrombin iii activity
|
$106.20 |
$106.20 |
$106.20 |
$114.00
|
|
Aortic dysfunction/dilation
|
$968.40 |
$968.40 |
$968.40 |
$982.80
|
|
Aortic dysfunction/dilation
|
$885.60 |
$885.60 |
$885.60 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$486.60 |
$486.60 |
$486.60 |
$400.00
|
|
Apc gene full sequence
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,102.34
|
|
Apc gene known fam variants
|
$320.40 |
$320.40 |
$320.40 |
$316.20
|
|
Apl(pml-rara) quant - sendout
|
$383.40 |
$383.40 |
$383.40 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$39,320.18 |
$39,320.18 |
$39,320.18 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$2,154.21
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$790.20 |
$790.20 |
$790.20 |
$873.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$790.20 |
$790.20 |
$790.20 |
$512.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,649.00 |
$5,649.00 |
$5,649.00 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$790.20 |
$790.20 |
$790.20 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$790.20 |
$790.20 |
$790.20 |
$508.18
|
|
Application finger splntstatic 29130
|
$201.60 |
$201.60 |
$201.60 |
$208.50
|
|
Application long leg splint 29505
|
$364.20 |
$364.20 |
$364.20 |
$356.85
|
|
Application lower leg splint 29515
|
$364.20 |
$364.20 |
$364.20 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$253.20 |
$253.20 |
$253.20 |
$359.10
|
|
Application of forearm cast 29075
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$347.20
|
|
Application of long arm cast 29065
|
$547.20 |
$547.20 |
$547.20 |
$401.40
|
|
Application of long leg cast 29345
|
$411.60 |
$411.60 |
$411.60 |
$464.51
|
|
Application of paste boot 29580
|
$316.20 |
$316.20 |
$316.20 |
$330.00
|
|
Application short leg cast 29405
|
$411.60 |
$411.60 |
$411.60 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,630.20 |
$1,630.20 |
$1,630.20 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$7,160.00 |
$7,160.00 |
$7,160.00 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$73.80 |
$73.80 |
$73.80 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$19.20 |
$19.20 |
$19.20 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$364.20 |
$364.20 |
$364.20 |
$255.20
|
|
Apply halo w/removal cranial
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$1,367.60
|
|
Apply of finger splint 29131
|
$106.20 |
$106.20 |
$106.20 |
$160.23
|
|
Apply short leg castambul type 29425
|
$492.00 |
$492.00 |
$492.00 |
$404.74
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,385.10 |
$1,385.10 |
$1,385.10 |
$1,021.53
|
|
#aptt mix-1:1 incubated
|
$41.40 |
$41.40 |
$41.40 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$165.60 |
$165.60 |
$165.60 |
$204.00
|
|
Aquaporin-4 antibody cba each
|
$314.40 |
$314.40 |
$314.40 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$148.80 |
$148.80 |
$148.80 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$127.20 |
$127.20 |
$127.20 |
$100.00
|
|
Aquatic exercise - group charge
|
$49.20 |
$49.20 |
$49.20 |
$87.15
|
