|
Amino acid screen, urine
|
$198.90 |
$198.90 |
$198.90 |
$64.28
|
|
Amino acids quant 2-5
|
$347.10 |
$347.10 |
$347.10 |
$148.20
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$44.97 |
$44.97 |
$44.97 |
$32.77
|
|
Aminolevulinic acid delta
|
$129.35 |
$129.35 |
$129.35 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$96.20 |
$96.20 |
$96.20 |
$46.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$202.10 |
$202.10 |
$202.10 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$75.12 |
$75.12 |
$75.12 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$119.60 |
$119.60 |
$119.60 |
$96.35
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$43,630.44 |
$43,630.44 |
$43,630.44 |
$14,075.19
|
|
Ammonia
|
$154.70 |
$154.70 |
$154.70 |
$96.53
|
|
Amniocentesisdiagnostic 59000
|
$755.95 |
$755.95 |
$755.95 |
$929.66
|
|
Amniocentesis therapeutic
|
$1,218.10 |
$1,218.10 |
$1,218.10 |
$719.00
|
|
Amphetamine confirm urine -sendout
|
$117.00 |
$117.00 |
$117.00 |
$93.61
|
|
Amphetamines 5 or more
|
$76.05 |
$76.05 |
$76.05 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$209.98 |
$209.98 |
$209.98 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,114.41 |
$1,114.41 |
$1,114.41 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$34.74 |
$34.74 |
$34.74 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$218.72 |
$218.72 |
$218.72 |
$45.20
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$495.95 |
$495.95 |
$495.95 |
$362.93
|
|
Amputation toe metatarsophalangeal joint
|
$6,460.35 |
$6,460.35 |
$6,460.35 |
$3,777.93
|
|
Amylase
|
$208.00 |
$208.00 |
$208.00 |
$87.20
|
|
Ana ds-dna
|
$230.10 |
$230.10 |
$230.10 |
$69.03
|
|
Anal/urinary muscle study
|
$435.50 |
$435.50 |
$435.50 |
$411.48
|
|
Anal/urinary muscle study
|
$1,175.85 |
$1,175.85 |
$1,175.85 |
$575.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$141.05 |
$141.05 |
$141.05 |
$373.23
|
|
Analysis gene f2 20210g>a variant
|
$483.60 |
$483.60 |
$483.60 |
$253.24
|
|
Analysis gene f5 leiden variant
|
$481.65 |
$481.65 |
$481.65 |
$263.90
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$124.15 |
$124.15 |
$124.15 |
$166.00
|
|
Analysis tumor
|
$357.50 |
$357.50 |
$357.50 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$298.35 |
$298.35 |
$298.35 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$115.05 |
$115.05 |
$115.05 |
$112.45
|
|
An cholangiogram percutaneous compl
|
$1,581.90 |
$1,581.90 |
$1,581.90 |
$2,417.63
|
|
An fluoro guide for cvp
|
$492.05 |
$492.05 |
$492.05 |
$510.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,550.62 |
$9,550.62 |
$9,550.62 |
$5,341.83
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,874.40 |
$6,874.40 |
$6,874.40 |
$5,645.61
|
|
Angio trnslmnl balloon same artery ini
|
$6,443.45 |
$6,443.45 |
$6,443.45 |
$9,966.40
|
|
Angio trnslmnl balloon same vein ini
|
$11,241.94 |
$11,241.94 |
$11,241.94 |
$8,766.15
|
|
Ankle arthroscopy/surgery
|
$14,893.39 |
$14,893.39 |
$14,893.39 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$13,609.05 |
$13,609.05 |
$13,609.05 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$20,844.25 |
$20,844.25 |
$20,844.25 |
$3,591.33
|
|
Ankle arthroscopy/surgery
|
$11,619.06 |
$11,619.06 |
$11,619.06 |
$3,594.44
|
|
Ankle X-ray
|
$652.60 |
$652.60 |
$652.60 |
$330.00
|
|
Anora (draw only)
|
$9.75 |
$9.75 |
$9.75 |
$36.00
|
|
Anoscopy control bleeding 46614
|
$4,721.94 |
$4,721.94 |
$4,721.94 |
$1,350.83
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$6,293.22 |
$6,293.22 |
$6,293.22 |
$2,410.85
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$12,002.82 |
$12,002.82 |
$12,002.82 |
$4,760.24
|
|
Antibody bacterium, not elsewhere specified
|
$94.25 |
$94.25 |
$94.25 |
$61.45
|
|
Antibody elution rbc reference
|
$61.75 |
$61.75 |
$61.75 |
$169.20
|
|
Antibody htlv/hiv confirm test
|
$199.55 |
$199.55 |
$199.55 |
$161.40
|
|
Antibody htlv-i
|
$91.00 |
$91.00 |
$91.00 |
$50.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$449.15 |
$449.15 |
$449.15 |
$227.00
|
|
Antibody id rbc panel
|
$493.35 |
$493.35 |
$493.35 |
$265.05
|
|
Antibody influenza virus
|
$144.95 |
$144.95 |
$144.95 |
$63.70
|
|
Antibody lymphocytic choriomeningitis
|
$88.40 |
$88.40 |
$88.40 |
$57.85
|
|
Antibody screen rbc
|
$294.45 |
$294.45 |
$294.45 |
$102.60
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$32.50 |
$32.50 |
$32.50 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$9,248.46 |
$9,248.46 |
$9,248.46 |
$2.95
|
|
Anti-inhibitor
|
$32.50 |
$32.50 |
$32.50 |
$3.67
|
|
Anti mog serum - sendout
|
$1,040.65 |
$1,040.65 |
$1,040.65 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$84.50 |
$84.50 |
$84.50 |
$60.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$226.20 |
$226.20 |
$226.20 |
$48.57
|
|
Antinuclear antibodies
|
$180.05 |
$180.05 |
$180.05 |
$98.25
|
|
Antinuclear antibodies titer
|
$128.05 |
$128.05 |
$128.05 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$123.50 |
$123.50 |
$123.50 |
$82.55
|
|
Antistreptolysin o titer
|
$57.85 |
$57.85 |
$57.85 |
$60.00
|
|
Antithrombin iii activity
|
$151.45 |
$151.45 |
$151.45 |
$135.20
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$17,306.26 |
$17,306.26 |
$17,306.26 |
$6,946.62
|
|
Apheresis plasma
|
$5,802.09 |
$5,802.09 |
$5,802.09 |
$3,411.50
|
|
Apheresis platelets
|
$10,037.57 |
$10,037.57 |
$10,037.57 |
$2,692.30
|
|
Apheresis rbc
|
$4,741.07 |
$4,741.07 |
$4,741.07 |
$3,146.15
|
|
Apheresis wbc
|
$2,728.70 |
$2,728.70 |
$2,728.70 |
$2,692.30
|
|
Apl(pml-rara) quant - sendout
|
$370.50 |
$370.50 |
$370.50 |
$500.80
|
|
Appendix Removal (Laparoscopic)
|
$9,610.77 |
$9,610.77 |
$9,610.77 |
$6,604.91
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$552.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$7,710.30 |
$7,710.30 |
$7,710.30 |
$2,978.25
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,723.20 |
$3,723.20 |
$3,723.20 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$620.10 |
$620.10 |
$620.10 |
$549.08
|
|
Application multi layer compression below knee (both sides)
|
$599.95 |
$599.95 |
$599.95 |
$393.75
|
|
Application of forearm cast 29075
|
$1,116.05 |
$1,116.05 |
$1,116.05 |
$370.80
|
|
Application of long arm cast 29065
|
$366.60 |
$366.60 |
$366.60 |
$404.63
|
|
Application of paste boot 29580
|
$709.15 |
$709.15 |
$709.15 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$2,108.87
|
|
Appl modality 1/> areas paraffin bath 97018
|
$156.00 |
$156.00 |
$156.00 |
$71.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$217.10 |
$217.10 |
$217.10 |
$75.98
|
|
Apply finger cast 29086
|
$309.40 |
$309.40 |
$309.40 |
$213.97
|
|
Apply hand/wrist cast 29085
|
$289.25 |
$289.25 |
$289.25 |
$279.40
|
|
Apply interstit radiat compl
|
$6,247.80 |
$6,247.80 |
$6,247.80 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$4,743.70 |
$4,743.70 |
$4,743.70 |
$1,484.80
|
|
Apply intrcav radiat interm
|
$17,893.20 |
$17,893.20 |
$17,893.20 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$7,001.80 |
$7,001.80 |
$7,001.80 |
$796.97
|
|
Apply rigid leg cast 29445
|
$963.30 |
$963.30 |
$963.30 |
$608.00
|
|
Apply surf ldr radionuclide
|
$349.70 |
$349.70 |
$349.70 |
$251.55
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2,028.37 |
$2,028.37 |
$2,028.37 |
$7.80
|
|
#aptt mix-1:1 incubated
|
$323.05 |
$323.05 |
$323.05 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$231.40 |
$231.40 |
$231.40 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$566.15 |
$566.15 |
$566.15 |
$128.10
|
|
Aquaporin-4 antibody elisa
|
$263.90 |
$263.90 |
$263.90 |
$151.45
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$96.20 |
$96.20 |
$96.20 |
$96.20
|
|
Aquatic exercise - group charge
|
$237.25 |
$237.25 |
$237.25 |
$91.87
|
