|
Ak sleeve susp neoprene/equa
|
$481.07 |
$481.07 |
$481.07 |
$275.52
|
|
Albumin body fluid quantitative each specimen
|
$146.40 |
$146.40 |
$146.40 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$219.08
|
|
Albumin, human 25 % intravenous solution
|
$767.58 |
$767.58 |
$767.58 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$1,336.26 |
$1,336.26 |
$1,336.26 |
$227.91
|
|
Albumin, human 5 % intravenous solution
|
$1,820.40 |
$1,820.40 |
$1,820.40 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$160.20 |
$160.20 |
$160.20 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$141.00 |
$141.00 |
$141.00 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$6.30 |
$6.30 |
$6.30 |
$5.28
|
|
Albuterol non-comp con
|
$6.30 |
$6.30 |
$6.30 |
$5.61
|
|
Albuterol non-comp unit
|
$5.70 |
$5.70 |
$5.70 |
$5.16
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$146.40 |
$146.40 |
$146.40 |
$94.90
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$89,232.78 |
$89,232.78 |
$89,232.78 |
$47,974.31
|
|
Alkaline phosphatase
|
$146.40 |
$146.40 |
$146.40 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$53.40 |
$53.40 |
$53.40 |
$46.80
|
|
Allergen egg white ige
|
$30.00 |
$30.00 |
$30.00 |
$34.10
|
|
Allergen specific ige qual multi scrn ea
|
$37.80 |
$37.80 |
$37.80 |
$24.00
|
|
Allograft 160mg placental salera mini membrane
|
$7,607.63 |
$7,607.63 |
$7,607.63 |
$6,611.20
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$15,002.07 |
$15,002.07 |
$15,002.07 |
$5,401.92
|
|
Allograft amnioexcel plus 17mm disk
|
$18,824.85 |
$18,824.85 |
$18,824.85 |
$2,677.80
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$14,431.94 |
$14,431.94 |
$14,431.94 |
$11,121.17
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$11,707.53 |
$11,707.53 |
$11,707.53 |
$5,913.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$53,146.46 |
$53,146.46 |
$53,146.46 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$35,679.74 |
$35,679.74 |
$35,679.74 |
$724.00
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$30,194.38 |
$30,194.38 |
$30,194.38 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$28,509.37 |
$28,509.37 |
$28,509.37 |
$3,604.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$9,346.10 |
$9,346.10 |
$9,346.10 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$10,674.78 |
$10,674.78 |
$10,674.78 |
$1,495.63
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$9,648.00 |
$9,648.00 |
$9,648.00 |
$9.62
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$99.60 |
$99.60 |
$99.60 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$178.80 |
$178.80 |
$178.80 |
$97.80
|
|
Alpha-fetoprotein tumor marker
|
$133.20 |
$133.20 |
$133.20 |
$103.60
|
|
Alprostadil for injection
|
$3,078.72 |
$3,078.72 |
$3,078.72 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$159,990.60 |
$159,990.60 |
$159,990.60 |
$15,815.36
|
|
Alt/sgpt
|
$147.60 |
$147.60 |
$147.60 |
$47.45
|
|
Aluminum - quest
|
$91.20 |
$91.20 |
$91.20 |
$81.49
|
|
Alveoloplasty each quadrant
|
$23,809.38 |
$23,809.38 |
$23,809.38 |
$3,837.72
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$211.80 |
$211.80 |
$211.80 |
$36.30
|
|
Amino acid screen, urine
|
$180.00 |
$180.00 |
$180.00 |
$77.40
|
|
Amino acid single qual
|
$23.40 |
$23.40 |
$23.40 |
$36.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$132.36 |
$132.36 |
$132.36 |
$37.32
|
|
Aminolevulinic acid delta
|
$153.60 |
$153.60 |
$153.60 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$221.94 |
$221.94 |
$221.94 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$36.42 |
$36.42 |
$36.42 |
$56.70
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$32,432.94 |
$32,432.94 |
$32,432.94 |
$9,084.45
|
|
Ammonia
|
$281.40 |
$281.40 |
$281.40 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$709.80 |
$709.80 |
$709.80 |
$942.60
|
|
Amniotic fluid scan
|
$69.60 |
$69.60 |
$69.60 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$43,835.90 |
$43,835.90 |
$43,835.90 |
$3,835.20
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$872.64 |
$872.64 |
$872.64 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,873.32 |
$1,873.32 |
$1,873.32 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$148.74 |
$148.74 |
$148.74 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$264.72 |
$264.72 |
$264.72 |
$54.60
|
|
Amp metatarsal w/toe single 28810
|
$16,950.60 |
$16,950.60 |
$16,950.60 |
$3,986.00
|
|
Amputation follow-up surgery
|
$24,845.58 |
$24,845.58 |
$24,845.58 |
$3,839.54
|
|
Amputation thru metatarsal
|
$44,086.85 |
$44,086.85 |
$44,086.85 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$43,194.90 |
$43,194.90 |
$43,194.90 |
$3,958.50
|
|
Amputation toe metatarsophalangeal joint
|
$44,490.67 |
$44,490.67 |
$44,490.67 |
$3,814.50
|
|
Amylase
|
$183.00 |
$183.00 |
$183.00 |
$85.65
|
|
Ana ds-dna
|
$148.20 |
$148.20 |
$148.20 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$455.40 |
$455.40 |
$455.40 |
$219.00
|
|
Analysis gene f5 leiden variant
|
$455.40 |
$455.40 |
$455.40 |
$223.60
|
|
Anaplsma phgcytophlm amp prb
|
$92.40 |
$92.40 |
$92.40 |
$76.70
|
|
Anca screen with reflex to titer -quest
|
$208.80 |
$208.80 |
$208.80 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$6,150.60 |
$6,150.60 |
$6,150.60 |
$2,494.35
|
|
An fluoro guide for cvp
|
$427.20 |
$427.20 |
$427.20 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$40,010.55 |
$40,010.55 |
$40,010.55 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$149,769.38 |
$149,769.38 |
$149,769.38 |
$9,074.45
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$62,801.83 |
$62,801.83 |
$62,801.83 |
$5,950.50
|
|
Angiotensin ii
|
$198.60 |
$198.60 |
$198.60 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$4,550.62
|
|
Angio tib/peroneal/init ves/unila 37228
|
$70,374.21 |
$70,374.21 |
$70,374.21 |
$10,933.65
|
|
Angio trnslmnl balloon same artery ea addl
|
$13,495.80 |
$13,495.80 |
$13,495.80 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$51,639.01 |
$51,639.01 |
$51,639.01 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$13,555.80 |
$13,555.80 |
$13,555.80 |
$4,487.04
|
|
Angio trnslmnl balloon same vein ini
|
$48,256.19 |
$48,256.19 |
$48,256.19 |
$8,466.00
|
|
Anidulafungin injection
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$336.32
|
|
Ankle arthroscopy/surgery
|
$47,406.95 |
$47,406.95 |
$47,406.95 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$47,912.11 |
$47,912.11 |
$47,912.11 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$61,868.45 |
$61,868.45 |
$61,868.45 |
$3,839.54
|
|
Ankle X-ray
|
$855.00 |
$855.00 |
$855.00 |
$353.60
|
|
Annual Physical, New Patient (age 18-39)
|
$83.40 |
$83.40 |
$83.40 |
$154.80
|
|
Annual Physical, New Patient (age 40-64)
|
$126.60 |
$126.60 |
$126.60 |
$167.25
|
|
Anodyne therapy charges pt
|
$43.20 |
$43.20 |
$43.20 |
$41.02
|
|
Anoscopy remove fb 46608
|
$1,374.60 |
$1,374.60 |
$1,374.60 |
$1,457.76
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$29,702.40 |
$29,702.40 |
$29,702.40 |
$5,463.96
|
|
Anterior asis pad
|
$215.34 |
$215.34 |
$215.34 |
$187.13
|
|
Anterior swing band
|
$765.38 |
$765.38 |
$765.38 |
$665.14
|
|
Anterior thoracic derotation
|
$256.80 |
$256.80 |
$256.80 |
$223.16
|
|
Anterior thoracic extension
|
$593.05 |
$593.05 |
$593.05 |
$496.80
|
|
Antibody bacterium, not elsewhere specified
|
$158.40 |
$158.40 |
$158.40 |
$57.85
|
|
Antibody elution rbc reference
|
$315.60 |
$315.60 |
$315.60 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$194.40 |
$194.40 |
$194.40 |
$127.95
|
|
Antibody htlv-i
|
$122.40 |
$122.40 |
$122.40 |
$48.57
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$483.60 |
$483.60 |
$483.60 |
$219.30
|
|
Antibody id rbc panel
|
$563.40 |
$563.40 |
$563.40 |
$267.00
|
|
Antibody influenza virus
|
$87.00 |
$87.00 |
$87.00 |
$53.90
|
|
Antibody screen rbc
|
$231.00 |
$231.00 |
$231.00 |
$102.75
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$63,439.20 |
$63,439.20 |
$63,439.20 |
$6.10
|
|
Anti mog serum - sendout
|
$163.20 |
$163.20 |
$163.20 |
$110.80
|
