|
Allograft membrn amnio 1x2cm hu ambriodry
|
$28,788.07 |
$28,788.07 |
$28,788.07 |
$4,028.28
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$9,437.46 |
$9,437.46 |
$9,437.46 |
$4,561.83
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$10,779.13 |
$10,779.13 |
$10,779.13 |
$1,671.06
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$99.60 |
$99.60 |
$99.60 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$205.80 |
$205.80 |
$205.80 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$100.20 |
$100.20 |
$100.20 |
$100.32
|
|
Alteplase 100 mg infusion from pyxis vial
|
$33,001.38 |
$33,001.38 |
$33,001.38 |
$15,857.45
|
|
Alt/sgpt
|
$97.20 |
$97.20 |
$97.20 |
$47.31
|
|
Aluminum - quest
|
$267.00 |
$267.00 |
$267.00 |
$81.49
|
|
Ambl bp mntr w/sw a/r
|
$279.60 |
$279.60 |
$279.60 |
$318.96
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$28.14 |
$28.14 |
$28.14 |
$37.17
|
|
Amino acid screen, urine
|
$207.00 |
$207.00 |
$207.00 |
$81.90
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$38.58 |
$38.58 |
$38.58 |
$37.33
|
|
Aminolevulinic acid delta
|
$176.40 |
$176.40 |
$176.40 |
$82.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$45.00
|
|
Amiodarone 50 mg/ml intravenous solution
|
$16.56 |
$16.56 |
$16.56 |
$55.86
|
|
Ammonia
|
$78.60 |
$78.60 |
$78.60 |
$117.00
|
|
Amniotic fluid scan
|
$79.80 |
$79.80 |
$79.80 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$5,583.00 |
$5,583.00 |
$5,583.00 |
$3,730.53
|
|
Ampicillin 1 gram solution for injection
|
$50.28 |
$50.28 |
$50.28 |
$60.48
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$54.60 |
$54.60 |
$54.60 |
$52.99
|
|
Amputation toe interphalangeal joint
|
$13,654.32 |
$13,654.32 |
$13,654.32 |
$3,986.50
|
|
Amputation toe metatarsophalangeal joint
|
$13,764.78 |
$13,764.78 |
$13,764.78 |
$3,821.05
|
|
Amylase
|
$131.40 |
$131.40 |
$131.40 |
$88.83
|
|
Ana ds-dna
|
$188.40 |
$188.40 |
$188.40 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$468.60 |
$468.60 |
$468.60 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$468.60 |
$468.60 |
$468.60 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$92.40 |
$92.40 |
$92.40 |
$92.40
|
|
Anca screen with reflex to titer -quest
|
$240.60 |
$240.60 |
$240.60 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$6,095.40 |
$6,095.40 |
$6,095.40 |
$2,562.12
|
|
An fluoro guide for cvp
|
$775.20 |
$775.20 |
$775.20 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$15,654.00 |
$15,654.00 |
$15,654.00 |
$5,341.83
|
|
Angiotensin ii
|
$228.00 |
$228.00 |
$228.00 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$16.74 |
$16.74 |
$16.74 |
$2,987.62
|
|
Angio trnslmnl balloon same artery ea addl
|
$15,299.40 |
$15,299.40 |
$15,299.40 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$15,299.40 |
$15,299.40 |
$15,299.40 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$15,654.00 |
$15,654.00 |
$15,654.00 |
$4,487.04
|
|
Angio trnslmnl balloon same vein ini
|
$15,654.00 |
$15,654.00 |
$15,654.00 |
$8,466.00
|
|
Ankle X-ray
|
$475.80 |
$475.80 |
$475.80 |
$353.60
|
|
Anodyne therapy charges pt
|
$28.20 |
$28.20 |
$28.20 |
$41.02
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$19,756.67 |
$19,756.67 |
$19,756.67 |
$5,394.95
|
|
Anterior asis pad
|
$389.69 |
$389.69 |
$389.69 |
$187.13
|
|
Anterior swing band
|
$976.37 |
$976.37 |
$976.37 |
$665.14
|
|
Anterior thoracic derotation
|
$464.72 |
$464.72 |
$464.72 |
$223.16
|
|
Anterior thoracic extension
|
$916.87 |
$916.87 |
$916.87 |
$503.00
|
|
Antibody bacterium, not elsewhere specified
|
$164.40 |
$164.40 |
$164.40 |
$57.85
|
|
Antibody elution rbc reference
|
$287.40 |
$287.40 |
$287.40 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$247.20 |
$247.20 |
$247.20 |
$128.40
|
|
Antibody htlv-i
|
$156.00 |
$156.00 |
$156.00 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$483.60 |
$483.60 |
$483.60 |
$219.30
|
|
Antibody id rbc panel
|
$539.40 |
$539.40 |
$539.40 |
$265.05
|
|
Antibody influenza virus
|
$162.00 |
$162.00 |
$162.00 |
$53.95
|
|
Antibody screen rbc
|
$197.40 |
$197.40 |
$197.40 |
$101.31
|
|
Anti mog serum - sendout
|
$164.40 |
$164.40 |
$164.40 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$36.80
|
|
Antinuclear antibodies
|
$96.00 |
$96.00 |
$96.00 |
$91.65
|
|
Antinuclear antibodies titer
|
$197.40 |
$197.40 |
$197.40 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$133.20 |
$133.20 |
$133.20 |
$58.24
|
|
Antistreptolysin o screen
|
$89.40 |
$89.40 |
$89.40 |
$58.80
|
|
Antithrombin iii activity
|
$114.00 |
$114.00 |
$114.00 |
$113.40
|
|
Aortic dysfunction/dilation
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$991.87
|
|
Aortic dysfunction/dilation
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$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
|
$300.00 |
$300.00 |
$300.00 |
$316.20
|
|
Apl(pml-rara) quant - sendout
|
$358.20 |
$358.20 |
$358.20 |
$458.85
|
|
Appendix Removal (Laparoscopic)
|
$36,386.71 |
$36,386.71 |
$36,386.71 |
$6,904.15
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$790.20 |
$790.20 |
$790.20 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$790.20 |
$790.20 |
$790.20 |
$478.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$5,649.00 |
$5,649.00 |
$5,649.00 |
$3,154.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$790.20 |
$790.20 |
$790.20 |
$1,121.40
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$790.20 |
$790.20 |
$790.20 |
$504.40
|
|
Application finger splntstatic 29130
|
$201.60 |
$201.60 |
$201.60 |
$204.80
|
|
Application long leg splint 29505
|
$343.80 |
$343.80 |
$343.80 |
$340.80
|
|
Application lower leg splint 29515
|
$378.60 |
$378.60 |
$378.60 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$253.20 |
$253.20 |
$253.20 |
$359.10
|
|
Application of forearm cast 29075
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$331.13
|
|
Application of long arm cast 29065
|
$503.40 |
$503.40 |
$503.40 |
$395.45
|
|
Application of long leg cast 29345
|
$421.20 |
$421.20 |
$421.20 |
$455.00
|
|
Application of paste boot 29580
|
$202.80 |
$202.80 |
$202.80 |
$328.20
|
|
Application short leg cast 29405
|
$485.40 |
$485.40 |
$485.40 |
$384.59
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$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 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$7,607.90 |
$7,607.90 |
$7,607.90 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$47.40 |
$47.40 |
$47.40 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$111.60 |
$111.60 |
$111.60 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$193.20 |
$193.20 |
$193.20 |
$244.80
|
|
Apply halo w/removal cranial
|
$2,314.80 |
$2,314.80 |
$2,314.80 |
$1,367.60
|
|
Apply of finger splint 29131
|
$106.20 |
$106.20 |
$106.20 |
$165.48
|
|
Apply short leg castambul type 29425
|
$492.00 |
$492.00 |
$492.00 |
$384.59
|
|
#aptt mix-1:1 incubated
|
$52.20 |
$52.20 |
$52.20 |
$146.25
|
|
Aqaprn-4 antb flo cytmtry ea
|
$165.60 |
$165.60 |
$165.60 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$314.40 |
$314.40 |
$314.40 |
$132.86
|
|
Aquaporin-4 antibody elisa
|
$148.80 |
$148.80 |
$148.80 |
$148.85
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$81.00 |
$81.00 |
$81.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$47.40 |
$47.40 |
$47.40 |
$87.00
|
|
Arch supp att to shoe long/m
|
$216.16 |
$216.16 |
$216.16 |
$96.31
|
|
Arch supp att to shoe metata
|
$168.86 |
$168.86 |
$168.86 |
$76.80
|
|
Arch suprt att to sho longit
|
$168.86 |
$168.86 |
$168.86 |
$75.23
|
