|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$12,298.54 |
$12,298.54 |
$12,298.54 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$14,046.96 |
$14,046.96 |
$14,046.96 |
$1,495.63
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$3,078.00 |
$3,078.00 |
$3,132.00 |
$9.62
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$198.60 |
$198.60 |
$198.60 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$97.80 |
$97.80 |
$97.80 |
$97.80
|
|
Alpha-fetoprotein tumor marker
|
$29.40 |
$29.40 |
$29.40 |
$103.60
|
|
Alprostadil for injection
|
$955.14 |
$955.14 |
$955.14 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$47,521.98 |
$47,521.98 |
$49,634.04 |
$15,815.36
|
|
Alt/sgpt
|
$76.80 |
$76.80 |
$76.80 |
$47.45
|
|
Aluminum - quest
|
$30.00 |
$30.00 |
$30.00 |
$81.49
|
|
Alveoloplasty each quadrant
|
$13,197.24 |
$13,197.24 |
$25,828.44 |
$3,837.72
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$62.94 |
$62.94 |
$65.76 |
$36.30
|
|
Amino acid screen, urine
|
$132.60 |
$132.60 |
$132.60 |
$77.40
|
|
Amino acids quant 2-5
|
$23.40 |
$23.40 |
$23.40 |
$137.80
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$39.36 |
$39.36 |
$41.10 |
$37.32
|
|
Aminolevulinic acid delta
|
$57.00 |
$57.00 |
$57.00 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$7.50 |
$7.50 |
$22.56 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$16.08 |
$16.08 |
$16.20 |
$56.70
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$17,815.26 |
$17,815.26 |
$17,815.26 |
$9,084.45
|
|
Ammonia
|
$209.40 |
$209.40 |
$209.40 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$708.00 |
$708.00 |
$708.00 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$778.57
|
|
Amniotic fluid scan
|
$115.80 |
$115.80 |
$115.80 |
$49.01
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$259.20 |
$259.20 |
$259.20 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$881.40 |
$881.40 |
$920.52 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$150.12 |
$150.12 |
$156.84 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$82.14 |
$82.14 |
$302.40 |
$54.60
|
|
Amputation toe interphalangeal joint
|
$8,623.44 |
$8,623.44 |
$8,623.44 |
$3,958.50
|
|
Amputation toe metatarsophalangeal joint
|
$11,658.00 |
$11,658.00 |
$17,252.10 |
$3,814.50
|
|
Amylase
|
$82.20 |
$82.20 |
$82.20 |
$85.65
|
|
Ana ds-dna
|
$29.40 |
$29.40 |
$29.40 |
$58.63
|
|
Analysis gene f2 20210g>a variant
|
$175.20 |
$175.20 |
$175.20 |
$219.00
|
|
Analysis gene f5 leiden variant
|
$142.20 |
$142.20 |
$142.20 |
$223.60
|
|
Anaplsma phgcytophlm amp prb
|
$93.00 |
$93.00 |
$93.00 |
$76.70
|
|
Anca screen with reflex to titer -quest
|
$96.00 |
$96.00 |
$96.00 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$6,150.60 |
$6,150.60 |
$6,150.60 |
$2,494.35
|
|
Androstanediol
|
$291.00 |
$291.00 |
$291.00 |
$103.80
|
|
An fluoro guide for cvp
|
$214.20 |
$214.20 |
$214.20 |
$507.79
|
|
Angiotensin ii
|
$135.60 |
$135.60 |
$135.60 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,282.50 |
$1,282.50 |
$1,753.86 |
$4,550.62
|
|
Anidulafungin injection
|
$1,030.86 |
$1,030.86 |
$1,076.64 |
$336.32
|
|
Ankle arthroscopy/surgery
|
$12,068.28 |
$12,068.28 |
$12,068.28 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$39,011.79 |
$39,011.79 |
$39,011.79 |
$3,839.54
|
|
Ankle X-ray
|
$476.40 |
$476.40 |
$476.40 |
$353.60
|
|
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 |
$496.80
|
|
Antibody bacterium, not elsewhere specified
|
$105.00 |
$105.00 |
$105.00 |
$57.85
|
|
Antibody elution rbc reference
|
$256.80 |
$256.80 |
$256.80 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$64.80 |
$64.80 |
$64.80 |
$127.95
|
|
Antibody htlv-i
|
$38.40 |
$38.40 |
$38.40 |
$48.57
|
|
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 |
$267.00
|
|
Antibody influenza virus
|
$16.80 |
$16.80 |
$16.80 |
$53.90
|
|
Antibody lymphocytic choriomeningitis
|
$23.40 |
$23.40 |
$23.40 |
$48.57
|
|
Antibody screen rbc
|
$45.60 |
$45.60 |
$45.60 |
$102.75
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$10,335.60 |
$10,335.60 |
$20,314.80 |
$6.10
|
|
Anti-inhibitor
|
$34,627.50 |
$34,627.50 |
$35,235.00 |
$8.33
|
|
Anti mog serum - sendout
|
$164.40 |
$164.40 |
$217.80 |
$110.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.40 |
$20.40 |
$20.40 |
$37.58
|
|
Ant instr 2-3 vert segm 22845
|
$41,248.79 |
$41,248.79 |
$41,248.79 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$52,981.65 |
$52,981.65 |
$52,981.65 |
$1,430.40
|
|
Antinuclear antibodies
|
$133.80 |
$133.80 |
$133.80 |
$91.70
|
|
Antinuclear antibodies titer
|
$163.20 |
$163.20 |
$163.20 |
$80.04
|
|
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 |
$52.50
|
|
Antithrombin iii activity
|
$113.40 |
$113.40 |
$113.40 |
$114.00
|
|
Antithymocyte globuln rabbit
|
$5,742.90 |
$5,742.90 |
$5,843.64 |
$2,111.00
|
|
Ant/post colporrhap/enterocele rpr 57265
|
$19,996.08 |
$19,996.08 |
$19,996.08 |
$4,155.20
|
|
Aortic dysfunction/dilation
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$982.80
|
|
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 |
$465.60
|
|
Appendix Removal (Laparoscopic)
|
$19,169.59 |
$19,169.59 |
$19,475.58 |
$6,463.42
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,138.60 |
$3,138.60 |
$3,138.60 |
$2,154.21
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$873.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,990.40 |
$2,990.40 |
$22,650.80 |
$512.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,933.80 |
$4,933.80 |
$27,942.46 |
$3,721.90
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,933.80 |
$4,933.80 |
$27,942.46 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,990.40 |
$2,990.40 |
$13,212.90 |
$508.18
|
|
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 |
$330.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$9,191.28 |
$9,191.28 |
$13,354.92 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$8,056.84 |
$8,056.84 |
$17,420.16 |
$2,189.70
|
|
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 interstit radiat compl
|
$6,726.60 |
$6,726.60 |
$6,726.60 |
$2,901.80
|
|
Apply rigid leg cast 29445
|
$385.20 |
$385.20 |
$385.20 |
$555.00
|
|
#aptt mix-1:1 incubated
|
$39.00 |
$39.00 |
$39.00 |
$146.25
|
|
Aquaporin-4 antibody cba each
|
$298.80 |
$298.80 |
$298.80 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$148.80 |
$148.80 |
$148.80 |
$139.59
|
|
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 |
$75.23
|
|
Arch suprt att to sho longit
|
$113.93 |
$113.93 |
$113.93 |
$75.23
|
|
Arformoterol non-comp unit
|
$13.20 |
$13.20 |
$87.54 |
$24.24
|
|
Argatroban esrd dialysis 1mg
|
$1,069.20 |
$1,069.20 |
$1,116.72 |
$934.80
|
