|
Alpha-fetoprotein tumor marker
|
$68.90 |
$68.90 |
$68.90 |
$99.00
|
|
Alprostadil for injection
|
$367.90 |
$367.90 |
$367.90 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$23,242.18 |
$23,242.18 |
$23,242.18 |
$2,600.22
|
|
Alt/sgpt
|
$9.75 |
$9.75 |
$9.75 |
$49.00
|
|
Aluminum - quest
|
$86.45 |
$86.45 |
$86.45 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,367.60 |
$1,367.60 |
$1,367.60 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$477.75 |
$477.75 |
$477.75 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$28.63 |
$28.63 |
$28.63 |
$36.30
|
|
Amino acids quant 2-5
|
$159.90 |
$159.90 |
$159.90 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$42.84 |
$42.84 |
$42.84 |
$42.84
|
|
Aminolevulinic acid delta
|
$141.70 |
$141.70 |
$141.70 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$58.92 |
$58.92 |
$58.92 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$79.59 |
$79.59 |
$79.59 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$23.56 |
$23.56 |
$23.56 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$115.70 |
$115.70 |
$115.70 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$10,317.19 |
$10,317.19 |
$10,317.19 |
$15,167.75
|
|
Ammonia
|
$245.70 |
$245.70 |
$245.70 |
$120.90
|
|
Amniocentesisdiagnostic 59000
|
$867.10 |
$867.10 |
$867.10 |
$942.60
|
|
Amniocentesis therapeutic
|
$910.00 |
$910.00 |
$910.00 |
$778.57
|
|
Amphetamine confirm urine -sendout
|
$83.85 |
$83.85 |
$83.85 |
$94.50
|
|
Amphetamines 5 or more
|
$286.00 |
$286.00 |
$286.00 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$135.78 |
$135.78 |
$135.78 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$268.58 |
$268.58 |
$268.58 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$35.72 |
$35.72 |
$35.72 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$30.22 |
$30.22 |
$30.22 |
$51.93
|
|
Amputation toe interphalangeal joint
|
$2,271.10 |
$2,271.10 |
$2,271.10 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$2,566.85 |
$2,566.85 |
$2,566.85 |
$3,777.93
|
|
Amylase
|
$83.20 |
$83.20 |
$83.20 |
$93.00
|
|
Ana ds-dna
|
$410.80 |
$410.80 |
$410.80 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$77.35 |
$77.35 |
$77.35 |
$110.98
|
|
Anal pressure record
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$192.40 |
$192.40 |
$192.40 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$163.15 |
$163.15 |
$163.15 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$684.45 |
$684.45 |
$684.45 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$33.15 |
$33.15 |
$33.15 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$180.70 |
$180.70 |
$180.70 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$4,185.35 |
$4,185.35 |
$4,185.35 |
$2,626.65
|
|
An fluoro guide for cvp
|
$946.40 |
$946.40 |
$946.40 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$8,313.50 |
$8,313.50 |
$8,313.50 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$30,442.10 |
$30,442.10 |
$30,442.10 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$27,588.60 |
$27,588.60 |
$27,588.60 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,864.95 |
$5,864.95 |
$5,864.95 |
$6,513.10
|
|
Angiotensin ii
|
$58.50 |
$58.50 |
$58.50 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$20,125.92 |
$20,125.92 |
$20,125.92 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$31,840.90 |
$31,840.90 |
$31,840.90 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,755.45 |
$6,755.45 |
$6,755.45 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$22,854.00 |
$22,854.00 |
$22,854.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,509.75 |
$6,509.75 |
$6,509.75 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$16,627.00 |
$16,627.00 |
$16,627.00 |
$8,689.20
|
|
Ankle X-ray
|
$513.50 |
$513.50 |
$513.50 |
$339.44
|
|
Anl sp inf pmp w/mdreprg&fil
|
$789.10 |
$789.10 |
$789.10 |
$693.75
|
|
Annual Physical, Established Patient (age 18-39)
|
$88.40 |
$88.40 |
$88.40 |
$167.25
|
|
Annual Physical, Established Patient (age 40-64)
|
$88.40 |
$88.40 |
$88.40 |
$167.25
|
|
Annual Physical, New Patient (age 18-39)
|
$88.40 |
$88.40 |
$88.40 |
$167.25
|
|
Annual Physical, New Patient (age 40-64)
|
$88.40 |
$88.40 |
$88.40 |
$188.15
|
|
Anoscopy control bleeding 46614
|
$3,090.10 |
$3,090.10 |
$3,090.10 |
$1,405.05
|
|
Antibody bacterium, not elsewhere specified
|
$194.35 |
$194.35 |
$194.35 |
$57.89
|
|
Antibody elution rbc reference
|
$663.65 |
$663.65 |
$663.65 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$304.20 |
$304.20 |
$304.20 |
$141.74
|
|
Antibody htlv-i
|
$100.10 |
$100.10 |
$100.10 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$557.05 |
$557.05 |
$557.05 |
$220.73
|
|
Antibody id rbc panel
|
$383.50 |
$383.50 |
$383.50 |
$291.75
|
|
Antibody influenza virus
|
$82.55 |
$82.55 |
$82.55 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$306.80 |
$306.80 |
$306.80 |
$53.96
|
|
Antibody screen rbc
|
$45.50 |
$45.50 |
$45.50 |
$105.00
|
|
Antibody tetanus
|
$130.00 |
$130.00 |
$130.00 |
$61.98
|
|
Antidepressant not specified
|
$219.70 |
$219.70 |
$219.70 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7,689.18 |
$7,689.18 |
$7,689.18 |
$3.12
|
|
Anti mog serum - sendout
|
$1,732.90 |
$1,732.90 |
$1,732.90 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$217.75 |
$217.75 |
$217.75 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$206.70 |
$206.70 |
$206.70 |
$45.82
|
|
Antinuclear antibodies
|
$175.50 |
$175.50 |
$175.50 |
$91.70
|
|
Antinuclear antibodies titer
|
$194.35 |
$194.35 |
$194.35 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$578.50 |
$578.50 |
$578.50 |
$74.20
|
|
Antistreptolysin o titer
|
$32.50 |
$32.50 |
$32.50 |
$57.96
|
|
Antithrombin iii activity
|
$289.25 |
$289.25 |
$289.25 |
$115.23
|
|
Antithrombin iii injection
|
$6,405.39 |
$6,405.39 |
$6,405.39 |
$9.32
|
|
Aortic dysfunction/dilation
|
$5,350.80 |
$5,350.80 |
$5,350.80 |
$653.18
|
|
Apc gene full sequence
|
$2,479.75 |
$2,479.75 |
$2,479.75 |
$1,076.40
|
|
Apc gene known fam variants
|
$611.65 |
$611.65 |
$611.65 |
$308.00
|
|
Apheresis plasma
|
$2,386.80 |
$2,386.80 |
$2,386.80 |
$3,411.50
|
|
Apheresis platelets
|
$2,396.55 |
$2,396.55 |
$2,396.55 |
$2,345.00
|
|
Apheresis rbc
|
$2,315.30 |
$2,315.30 |
$2,315.30 |
$3,348.50
|
|
Apl(pml-rara) quant - sendout
|
$910.00 |
$910.00 |
$910.00 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,288.95 |
$1,288.95 |
$1,288.95 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$605.15 |
$605.15 |
$605.15 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$510.25 |
$510.25 |
$510.25 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,429.70 |
$2,429.70 |
$2,429.70 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$605.15 |
$605.15 |
$605.15 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$455.65 |
$455.65 |
$455.65 |
$508.18
|
|
Application finger splntstatic 29130
|
$391.30 |
$391.30 |
$391.30 |
$216.80
|
|
Application multi layer compression below knee (both sides)
|
$538.20 |
$538.20 |
$538.20 |
$397.00
|
|
Application of forearm cast 29075
|
$365.30 |
$365.30 |
$365.30 |
$379.20
|
|
Application of long arm cast 29065
|
$365.30 |
$365.30 |
$365.30 |
$404.63
|
|
Application of paste boot 29580
|
$538.20 |
$538.20 |
$538.20 |
$331.74
|
|
Application short leg cast 29405
|
$712.40 |
$712.40 |
$712.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,112.15 |
$1,112.15 |
$1,112.15 |
$2,120.95
|
|
Applicator tag rfid localizer 12gx7cm
|
$49.25 |
$49.25 |
$49.25 |
$168.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$58.50 |
$58.50 |
$58.50 |
$69.55
|
