|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$9.62
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$175.20 |
$175.20 |
$175.20 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$43.20 |
$43.20 |
$43.20 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$51.60 |
$51.60 |
$51.60 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$39,707.28 |
$39,707.28 |
$39,707.28 |
$14,700.00
|
|
Alt/sgpt
|
$36.60 |
$36.60 |
$36.60 |
$44.68
|
|
Aluminum - quest
|
$54.60 |
$54.60 |
$54.60 |
$81.49
|
|
Alveoloplasty each quadrant
|
$40,074.25 |
$40,074.25 |
$40,074.25 |
$3,837.72
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$33.84 |
$33.84 |
$33.84 |
$37.78
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$32.88 |
$32.88 |
$32.88 |
$37.32
|
|
Aminolevulinic acid delta
|
$36.60 |
$36.60 |
$36.60 |
$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 |
$61.67
|
|
Amniocentesisdiagnostic 59000
|
$823.20 |
$823.20 |
$823.20 |
$943.50
|
|
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 |
$121.25
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$736.44 |
$736.44 |
$736.44 |
$463.31
|
|
Ampicillin 1 gram solution for injection
|
$60.48 |
$60.48 |
$60.48 |
$63.28
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$34.80 |
$34.80 |
$34.80 |
$58.29
|
|
Amputation toe interphalangeal joint
|
$5,304.60 |
$5,304.60 |
$5,304.60 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$9,878.46 |
$9,878.46 |
$9,878.46 |
$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 |
$210.26
|
|
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 |
$100.89
|
|
An cholangiogram percutaneous compl
|
$5,892.00 |
$5,892.00 |
$5,892.00 |
$2,547.00
|
|
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
|
$346.32 |
$346.32 |
$346.32 |
$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 |
$9,120.80
|
|
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 arthroscopy/surgery
|
$36,223.64 |
$36,223.64 |
$36,223.64 |
$3,839.54
|
|
Ankle X-ray
|
$329.40 |
$329.40 |
$329.40 |
$351.20
|
|
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
|
$48.60 |
$48.60 |
$48.60 |
$118.30
|
|
Antibody htlv-i
|
$16.80 |
$16.80 |
$16.80 |
$48.57
|
|
Antibody htlv-ii
|
$16.80 |
$16.80 |
$16.80 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$448.80 |
$448.80 |
$448.80 |
$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 |
$102.60
|
|
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 |
$113.83
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$42.35
|
|
Antinuclear antibodies
|
$24.60 |
$24.60 |
$24.60 |
$90.00
|
|
Antinuclear antibodies titer
|
$25.80 |
$25.80 |
$25.80 |
$77.40
|
|
Antiphosphatidylserine antibody
|
$41.40 |
$41.40 |
$41.40 |
$67.60
|
|
Antistreptolysin o titer
|
$36.60 |
$36.60 |
$36.60 |
$54.94
|
|
Antithrombin iii activity
|
$114.00 |
$114.00 |
$114.00 |
$113.40
|
|
Antithrombin iii injection
|
$9,633.60 |
$9,633.60 |
$9,633.60 |
$12.34
|
|
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)
|
$19,169.15 |
$19,169.15 |
$19,169.15 |
$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 |
$3,661.35
|
|
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
|
|
Appl hip spica cast 1 leg
|
$544.20 |
$544.20 |
$544.20 |
$499.20
|
|
Application finger splntstatic 29130
|
$149.40 |
$149.40 |
$149.40 |
$222.28
|
|
Application long leg splint 29505
|
$363.00 |
$363.00 |
$363.00 |
$363.00
|
|
Application lower leg splint 29515
|
$50,096.76 |
$50,096.76 |
$50,096.76 |
$363.00
|
|
Application multi layer compression below knee (both sides)
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$378.00
|
|
Application of cylinder cast 29365
|
$544.20 |
$544.20 |
$544.20 |
$468.00
|
|
Application of forearm cast 29075
|
$282.60 |
$282.60 |
$282.60 |
$370.80
|
|
Application of long arm cast 29065
|
$282.60 |
$282.60 |
$282.60 |
$404.63
|
|
Application of long leg cast
|
$544.20 |
$544.20 |
$544.20 |
$444.00
|
|
Application of long leg cast 29345
|
$544.20 |
$544.20 |
$544.20 |
$499.20
|
|
Application of paste boot 29580
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$331.74
|
|
Application short leg cast 29405
|
$745.80 |
$745.80 |
$745.80 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$6,198.95 |
$6,198.95 |
$6,198.95 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,553.40 |
$1,553.40 |
$1,553.40 |
$2,198.30
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,547.43 |
$6,547.43 |
$6,547.43 |
$1,048.05
|
|
Appl mltpln uni ext fixj sys
|
$28,813.01 |
$28,813.01 |
$28,813.01 |
$6,411.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$58.20 |
$58.20 |
$58.20 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$58.20 |
$58.20 |
$58.20 |
$75.98
|
|
Appl modality 1+lllt po pain
|
$60.60 |
$60.60 |
$60.60 |
$49.92
|
|
Apply forearm splintdynamic 29126
|
$283.80 |
$283.80 |
$283.80 |
$255.20
|
|
Apply halo w/removal cranial
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$282.60 |
$282.60 |
$282.60 |
$275.80
|
|
Apply interstit radiat compl
|
$1,903.80 |
$1,903.80 |
$1,903.80 |
$2,901.80
|
|
Apply of finger splint 29131
|
$149.40 |
$149.40 |
$149.40 |
$177.45
|
|
Apply rigid leg cast 29445
|
$955.20 |
$955.20 |
$955.20 |
$585.31
|
|
Apply short leg castambul type 29425
|
$633.60 |
$633.60 |
$633.60 |
$452.20
|
|
#aptt mix-1:1 incubated
|
$40.80 |
$40.80 |
$40.80 |
$146.25
|
