|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,348.10 |
$9,348.10 |
$9,348.10 |
$1,671.06
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$99.60 |
$99.60 |
$99.60 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$237.60 |
$237.60 |
$237.60 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$143.40 |
$143.40 |
$143.40 |
$100.32
|
|
Alteplase 100 mg infusion from pyxis vial
|
$33,001.38 |
$33,001.38 |
$33,001.38 |
$15,857.45
|
|
Alt/sgpt
|
$112.80 |
$112.80 |
$112.80 |
$47.31
|
|
Aluminum - quest
|
$307.80 |
$307.80 |
$307.80 |
$81.49
|
|
Ambl bp mntr w/sw a/r
|
$222.60 |
$222.60 |
$222.60 |
$318.96
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$43.74 |
$43.74 |
$43.74 |
$37.17
|
|
Amino acid screen, urine
|
$238.80 |
$238.80 |
$238.80 |
$81.90
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$38.58 |
$38.58 |
$38.58 |
$37.33
|
|
Aminolevulinic acid delta
|
$203.40 |
$203.40 |
$203.40 |
$82.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$45.00
|
|
Amiodarone 50 mg/ml intravenous solution
|
$11.16 |
$11.16 |
$11.16 |
$55.86
|
|
Ammonia
|
$118.80 |
$118.80 |
$118.80 |
$117.00
|
|
Amniotic fluid scan
|
$92.40 |
$92.40 |
$92.40 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$5,585.40 |
$5,585.40 |
$5,585.40 |
$3,730.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$612.06 |
$612.06 |
$612.06 |
$558.95
|
|
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 metatarsophalangeal joint
|
$12,973.56 |
$12,973.56 |
$12,973.56 |
$3,821.05
|
|
Amylase
|
$152.40 |
$152.40 |
$152.40 |
$88.83
|
|
Ana ds-dna
|
$171.60 |
$171.60 |
$171.60 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$502.20 |
$502.20 |
$502.20 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$502.20 |
$502.20 |
$502.20 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$92.40 |
$92.40 |
$92.40 |
$92.40
|
|
Anca screen with reflex to titer -quest
|
$219.00 |
$219.00 |
$219.00 |
$101.50
|
|
Angiotensin ii
|
$264.00 |
$264.00 |
$264.00 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$88.86 |
$88.86 |
$88.86 |
$2,987.62
|
|
Anidulafungin injection
|
$715.86 |
$715.86 |
$715.86 |
$336.32
|
|
Ankle X-ray
|
$406.80 |
$406.80 |
$406.80 |
$353.60
|
|
Anodyne therapy charges pt
|
$113.40 |
$113.40 |
$113.40 |
$41.02
|
|
Anterior asis pad
|
$334.36 |
$334.36 |
$334.36 |
$187.13
|
|
Anterior swing band
|
$839.57 |
$839.57 |
$839.57 |
$665.14
|
|
Anterior thoracic derotation
|
$398.74 |
$398.74 |
$398.74 |
$223.16
|
|
Anterior thoracic extension
|
$785.68 |
$785.68 |
$785.68 |
$503.00
|
|
Antibody bacterium, not elsewhere specified
|
$149.40 |
$149.40 |
$149.40 |
$57.85
|
|
Antibody elution rbc reference
|
$292.20 |
$292.20 |
$292.20 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$224.40 |
$224.40 |
$224.40 |
$128.40
|
|
Antibody htlv-i
|
$141.60 |
$141.60 |
$141.60 |
$48.75
|
|
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 |
$265.05
|
|
Antibody influenza virus
|
$147.60 |
$147.60 |
$147.60 |
$53.95
|
|
Antibody screen rbc
|
$126.00 |
$126.00 |
$126.00 |
$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
|
$246.00 |
$246.00 |
$246.00 |
$91.65
|
|
Antinuclear antibodies titer
|
$96.00 |
$96.00 |
$96.00 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$121.20 |
$121.20 |
$121.20 |
$58.24
|
|
Antistreptolysin o screen
|
$137.40 |
$137.40 |
$137.40 |
$58.80
|
|
Antithrombin iii activity
|
$114.00 |
$114.00 |
$114.00 |
$113.40
|
|
Aortic dysfunction/dilation
|
$969.00 |
$969.00 |
$969.00 |
$991.87
|
|
Aortic dysfunction/dilation
|
$886.20 |
$886.20 |
$886.20 |
$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
|
$307.20 |
$307.20 |
$307.20 |
$316.20
|
|
Apheresis immunoads slctv
|
$7,814.40 |
$7,814.40 |
$7,814.40 |
$5,544.24
|
|
Apheresis plasma
|
$2,434.20 |
$2,434.20 |
$2,434.20 |
$3,226.34
|
|
Apheresis rbc
|
$2,434.20 |
$2,434.20 |
$2,434.20 |
$3,146.15
|
|
Apl(pml-rara) quant - sendout
|
$368.40 |
$368.40 |
$368.40 |
$458.85
|
|
Application finger splntstatic 29130
|
$111.60 |
$111.60 |
$111.60 |
$204.80
|
|
Application long leg splint 29505
|
$462.00 |
$462.00 |
$462.00 |
$340.80
|
|
Application lower leg splint 29515
|
$381.00 |
$381.00 |
$381.00 |
$340.20
|
|
Application of forearm cast 29075
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$331.13
|
|
Application of long arm cast 29065
|
$513.60 |
$513.60 |
$513.60 |
$395.45
|
|
Application of long leg cast 29345
|
$559.20 |
$559.20 |
$559.20 |
$455.00
|
|
Application of paste boot 29580
|
$324.60 |
$324.60 |
$324.60 |
$328.20
|
|
Application short leg cast 29405
|
$559.20 |
$559.20 |
$559.20 |
$384.59
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,597.88 |
$6,597.88 |
$6,597.88 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$91.20 |
$91.20 |
$91.20 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$121.80 |
$121.80 |
$121.80 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$223.20 |
$223.20 |
$223.20 |
$244.80
|
|
Apply halo w/removal cranial
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$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
|
$41.40 |
$41.40 |
$41.40 |
$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
|
$106.20 |
$106.20 |
$106.20 |
$100.00
|
|
Aquatic exercise - group charge
|
$52.20 |
$52.20 |
$52.20 |
$87.00
|
|
Arch supp att to shoe long/m
|
$183.97 |
$183.97 |
$183.97 |
$96.31
|
|
Arch supp att to shoe metata
|
$143.71 |
$143.71 |
$143.71 |
$76.80
|
|
Arch suprt att to sho longit
|
$143.71 |
$143.71 |
$143.71 |
$75.23
|
|
Arformoterol non-comp unit
|
$24.06 |
$24.06 |
$24.06 |
$25.00
|
|
Argatroban nonesrd use 1mg
|
$997.50 |
$997.50 |
$997.50 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$325.20 |
$325.20 |
$325.20 |
$475.30
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$670.20 |
$670.20 |
$670.20 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$823.80 |
$823.80 |
$823.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$776.40 |
$776.40 |
$776.40 |
$888.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$234.60 |
$234.60 |
$234.60 |
$469.58
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$739.80 |
$739.80 |
$739.80 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$559.20 |
$559.20 |
$559.20 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$33,306.62 |
$33,306.62 |
$33,306.62 |
$4,240.08
|
|
Artiss fibrin sealant
|
$2,159.84 |
$2,159.84 |
$2,159.84 |
$1,525.80
|
|
Ascenda two piece catheter
|
$29,617.73 |
$29,617.73 |
$29,617.73 |
$22,859.13
|
|
Ashkenazi jewish assoc dis
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
$2,448.56
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,226.20 |
$3,226.20 |
$3,226.20 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$567.00 |
$567.00 |
$567.00 |
$1,164.60
|
