|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$198.60 |
$198.60 |
$198.60 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$97.80 |
$97.80 |
$97.80 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$29.40 |
$29.40 |
$29.40 |
$100.32
|
|
Alprostadil for injection
|
$863.70 |
$863.70 |
$863.70 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$44,881.86 |
$44,881.86 |
$44,881.86 |
$15,857.45
|
|
Alt/sgpt
|
$76.80 |
$76.80 |
$76.80 |
$47.31
|
|
Aluminum - quest
|
$30.00 |
$30.00 |
$30.00 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$114,361.35 |
$114,361.35 |
$114,361.35 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$59.46 |
$59.46 |
$59.46 |
$37.17
|
|
Amino acid screen, urine
|
$132.60 |
$132.60 |
$132.60 |
$81.90
|
|
Amino acids quant 2-5
|
$23.40 |
$23.40 |
$23.40 |
$113.60
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.14 |
$37.14 |
$37.14 |
$37.33
|
|
Aminolevulinic acid delta
|
$57.00 |
$57.00 |
$57.00 |
$82.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$45.00
|
|
Amiodarone 50 mg/ml intravenous solution
|
$10.26 |
$10.26 |
$10.26 |
$55.86
|
|
Ammonia
|
$209.40 |
$209.40 |
$209.40 |
$117.00
|
|
Amniotic fluid scan
|
$115.80 |
$115.80 |
$115.80 |
$49.01
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$244.80 |
$244.80 |
$244.80 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$832.44 |
$832.44 |
$832.44 |
$558.95
|
|
Ampicillin 1 gram solution for injection
|
$141.78 |
$141.78 |
$141.78 |
$60.48
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$74.28 |
$74.28 |
$74.28 |
$52.99
|
|
Amp metatarsal w/toe single 28810
|
$10,597.50 |
$10,597.50 |
$10,597.50 |
$3,958.50
|
|
Amputation thru metatarsal
|
$23,915.54 |
$23,915.54 |
$23,915.54 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$12,835.14 |
$12,835.14 |
$12,835.14 |
$3,986.50
|
|
Amputation toe metatarsophalangeal joint
|
$17,781.68 |
$17,781.68 |
$17,781.68 |
$3,821.05
|
|
Amylase
|
$82.20 |
$82.20 |
$82.20 |
$88.83
|
|
Ana ds-dna
|
$29.40 |
$29.40 |
$29.40 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$175.20 |
$175.20 |
$175.20 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$142.20 |
$142.20 |
$142.20 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$93.00 |
$93.00 |
$93.00 |
$92.40
|
|
Anca screen with reflex to titer -quest
|
$96.00 |
$96.00 |
$96.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$6,150.60 |
$6,150.60 |
$6,150.60 |
$2,562.12
|
|
Androstanediol
|
$291.00 |
$291.00 |
$291.00 |
$103.80
|
|
An fluoro guide for cvp
|
$214.20 |
$214.20 |
$214.20 |
$507.79
|
|
Angio balloon ctrl dialysis seg add-on
|
$13,930.80 |
$13,930.80 |
$13,930.80 |
$5,341.83
|
|
Angiotensin ii
|
$135.60 |
$135.60 |
$135.60 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$133.62 |
$133.62 |
$133.62 |
$2,987.62
|
|
Angio trnslmnl balloon same artery ea addl
|
$19,821.00 |
$19,821.00 |
$19,821.00 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$19,821.00 |
$19,821.00 |
$19,821.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$13,930.80 |
$13,930.80 |
$13,930.80 |
$4,487.04
|
|
Angio trnslmnl balloon same vein ini
|
$13,930.80 |
$13,930.80 |
$13,930.80 |
$8,466.00
|
|
Anidulafungin injection
|
$973.56 |
$973.56 |
$973.56 |
$336.32
|
|
Ankle arthroscopy/surgery
|
$29,200.70 |
$29,200.70 |
$29,200.70 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$29,321.21 |
$29,321.21 |
$29,321.21 |
$3,839.54
|
|
Ankle X-ray
|
$476.40 |
$476.40 |
$476.40 |
$353.60
|
|
Anoscopy and dilation 46604
|
$10,284.17 |
$10,284.17 |
$10,284.17 |
$1,621.60
|
|
Anoscopy remove lesion 46610
|
$10,516.14 |
$10,516.14 |
$10,516.14 |
$3,723.75
|
|
Anterior asis pad
|
$283.36 |
$283.36 |
$283.36 |
$187.13
|
|
Anterior swing band
|
$1,007.17 |
$1,007.17 |
$1,007.17 |
$665.14
|
|
Anterior thoracic derotation
|
$337.92 |
$337.92 |
$337.92 |
$223.16
|
|
Anterior thoracic extension
|
$780.39 |
$780.39 |
$780.39 |
$503.00
|
|
Antibody bacterium, not elsewhere specified
|
$105.00 |
$105.00 |
$105.00 |
$57.85
|
|
Antibody elution rbc reference
|
$256.80 |
$256.80 |
$256.80 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$64.80 |
$64.80 |
$64.80 |
$128.40
|
|
Antibody htlv-i
|
$38.40 |
$38.40 |
$38.40 |
$48.75
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$483.60 |
$483.60 |
$483.60 |
$219.30
|
|
Antibody id rbc panel
|
$217.20 |
$217.20 |
$217.20 |
$265.05
|
|
Antibody influenza virus
|
$16.80 |
$16.80 |
$16.80 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$23.40 |
$23.40 |
$23.40 |
$48.57
|
|
Antibody screen rbc
|
$45.60 |
$45.60 |
$45.60 |
$101.31
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$9,325.80 |
$9,325.80 |
$9,325.80 |
$6.10
|
|
Anti-inhibitor
|
$31,792.50 |
$31,792.50 |
$31,792.50 |
$8.33
|
|
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
|
$133.80 |
$133.80 |
$133.80 |
$91.65
|
|
Antinuclear antibodies titer
|
$163.20 |
$163.20 |
$163.20 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$16.80 |
$16.80 |
$16.80 |
$58.24
|
|
Antistreptolysin o screen
|
$52.80 |
$52.80 |
$52.80 |
$58.80
|
|
Antistreptolysin o titer
|
$37.20 |
$37.20 |
$37.20 |
$51.45
|
|
Antithrombin iii activity
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Antithymocyte globuln rabbit
|
$5,272.74 |
$5,272.74 |
$5,272.74 |
$2,111.00
|
|
Aortic dysfunction/dilation
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$991.87
|
|
Aortic dysfunction/dilation
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,485.21
|
|
Apc gene dup/delet variants
|
$463.20 |
$463.20 |
$463.20 |
$400.00
|
|
Apc gene full sequence
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,102.34
|
|
Apc gene known fam variants
|
$319.20 |
$319.20 |
$319.20 |
$316.20
|
|
Apl(pml-rara) quant - sendout
|
$330.60 |
$330.60 |
$330.60 |
$458.85
|
|
Appendix Removal (Laparoscopic)
|
$18,036.28 |
$18,036.28 |
$18,036.28 |
$6,904.15
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,138.60 |
$3,138.60 |
$3,138.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$20,677.65 |
$20,677.65 |
$20,677.65 |
$478.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$64,805.94 |
$64,805.94 |
$64,805.94 |
$3,154.80
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,933.80 |
$4,933.80 |
$4,933.80 |
$1,121.40
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$504.40
|
|
Application multi layer compression below knee (both sides)
|
$449.40 |
$449.40 |
$449.40 |
$359.10
|
|
Application of paste boot 29580
|
$449.40 |
$449.40 |
$449.40 |
$328.20
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$17,041.43 |
$17,041.43 |
$17,041.43 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$7,328.96 |
$7,328.96 |
$7,328.96 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,547.43 |
$6,547.43 |
$6,547.43 |
$895.00
|
|
Apply halo w/removal cranial
|
$675.60 |
$675.60 |
$675.60 |
$1,367.60
|
|
Apply rigid leg cast 29445
|
$385.20 |
$385.20 |
$385.20 |
$550.00
|
|
#aptt mix-1:1 incubated
|
$39.00 |
$39.00 |
$39.00 |
$146.25
|
|
Aquaporin-4 antibody cba each
|
$298.80 |
$298.80 |
$298.80 |
$132.86
|
|
Aquaporin-4 antibody elisa
|
$148.80 |
$148.80 |
$148.80 |
$148.85
|
|
Arch supp att to shoe long/m
|
$145.84 |
$145.84 |
$145.84 |
$96.31
|
|
Arch supp att to shoe metata
|
$113.93 |
$113.93 |
$113.93 |
$76.80
|
|
Arch suprt att to sho longit
|
$113.93 |
$113.93 |
$113.93 |
$75.23
|
|
Argatroban esrd dialysis 1mg
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$994.50 |
$994.50 |
$994.50 |
$218.25
|
