|
Alt/sgpt
|
$21.25 |
$21.25 |
$21.25 |
$47.30
|
|
Altuviiio per factor viii iu
|
$13.23 |
$13.23 |
$13.23 |
$13.32
|
|
Aluminum - quest
|
$103.70 |
$103.70 |
$103.70 |
$81.49
|
|
Amifostine
|
$2,845.63 |
$2,845.63 |
$2,845.63 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$25.50 |
$25.50 |
$25.50 |
$36.30
|
|
Amino acid screen, urine
|
$56.95 |
$56.95 |
$56.95 |
$77.00
|
|
Amino acid single qual
|
$56.95 |
$56.95 |
$56.95 |
$36.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$29.52 |
$29.52 |
$29.52 |
$37.32
|
|
Aminolevulinic acid delta
|
$66.30 |
$66.30 |
$66.30 |
$76.50
|
|
Aminolevulinic acid hcl top
|
$1,047.08 |
$1,047.08 |
$1,047.08 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$73.59 |
$73.59 |
$73.59 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$171.02 |
$171.02 |
$171.02 |
$139.20
|
|
Amiodarone 50 mg/ml intravenous solution
|
$205.70 |
$205.70 |
$205.70 |
$60.61
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$10,099.58 |
$10,099.58 |
$10,099.58 |
$9,084.45
|
|
Ammonia
|
$58.65 |
$58.65 |
$58.65 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$2,251.65 |
$2,251.65 |
$2,251.65 |
$943.50
|
|
Amobarbital 125 mg inj
|
$756.22 |
$756.22 |
$756.22 |
$1,283.59
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$157.25 |
$157.25 |
$157.25 |
$117.75
|
|
Amphotericin b lipid complex
|
$114.75 |
$114.75 |
$114.75 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$848.42 |
$848.42 |
$848.42 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$242.43 |
$242.43 |
$242.43 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$185.94 |
$185.94 |
$185.94 |
$55.45
|
|
Amp metatarsal w/toe single 28810
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$4,313.40
|
|
Amputate lower leg at knee
|
$16,202.70 |
$16,202.70 |
$16,202.70 |
$3,480.00
|
|
Amputate thigh through femur 27590
|
$15,555.00 |
$15,555.00 |
$15,555.00 |
$3,852.55
|
|
Amputation leg thr tib/fib 27880
|
$15,555.00 |
$15,555.00 |
$15,555.00 |
$3,996.20
|
|
Amputation leg; tib/fib f/u 27886
|
$15,555.00 |
$15,555.00 |
$15,555.00 |
$3,206.40
|
|
Amputation toe interphalangeal joint
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,814.50
|
|
Amylase
|
$26.35 |
$26.35 |
$26.35 |
$85.65
|
|
Analysis gene f2 20210g>a variant
|
$243.95 |
$243.95 |
$243.95 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$272.85 |
$272.85 |
$272.85 |
$223.60
|
|
Analysis nerve
|
$638.35 |
$638.35 |
$638.35 |
$274.49
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$102.85 |
$102.85 |
$102.85 |
$123.84
|
|
Analysis tumor
|
$470.90 |
$470.90 |
$470.90 |
$248.80
|
|
Anca screen with reflex to titer -quest
|
$62.05 |
$62.05 |
$62.05 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$7,522.50 |
$7,522.50 |
$7,522.50 |
$2,494.35
|
|
An fluoro guide for cvp
|
$661.30 |
$661.30 |
$661.30 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$12,427.85 |
$12,427.85 |
$12,427.85 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,649.84 |
$2,649.84 |
$2,649.84 |
$5,315.64
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,946.95 |
$2,946.95 |
$2,946.95 |
$4,976.22
|
|
Angio trnslmnl balloon same artery ini
|
$14,018.20 |
$14,018.20 |
$14,018.20 |
$9,120.80
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,284.45 |
$5,284.45 |
$5,284.45 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$14,018.20 |
$14,018.20 |
$14,018.20 |
$8,707.59
|
|
Anidulafungin injection
|
$203.21 |
$203.21 |
$203.21 |
$312.30
|
|
Ankle X-ray
|
$406.30 |
$406.30 |
$406.30 |
$356.32
|
|
Anoscopy control bleeding 46614
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$2,111.46
|
|
Anoscopy remove fb 46608
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,500.00
|
|
Antibody
|
$64.60 |
$64.60 |
$64.60 |
$33.00
|
|
Antibody elution rbc reference
|
$738.65 |
$738.65 |
$738.65 |
$176.54
|
|
Antibody htlv-i
|
$37.40 |
$37.40 |
$37.40 |
$48.57
|
|
Antibody htlv-ii
|
$56.95 |
$56.95 |
$56.95 |
$36.00
|
|
Antibody id rbc panel
|
$136.00 |
$136.00 |
$136.00 |
$277.50
|
|
Antibody influenza virus
|
$55.25 |
$55.25 |
$55.25 |
$53.95
|
|
Antibody screen rbc
|
$39.10 |
$39.10 |
$39.10 |
$105.00
|
|
Antibody tetanus
|
$60.35 |
$60.35 |
$60.35 |
$52.20
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$9.98 |
$9.98 |
$9.98 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$9.18 |
$9.18 |
$9.18 |
$3.67
|
|
Anti-inhibitor
|
$13.62 |
$13.62 |
$13.62 |
$8.33
|
|
Antinuclear antibodies
|
$48.45 |
$48.45 |
$48.45 |
$91.70
|
|
Antinuclear antibodies titer
|
$45.90 |
$45.90 |
$45.90 |
$80.25
|
|
Antistreptolysin o screen
|
$22.95 |
$22.95 |
$22.95 |
$58.30
|
|
Antistreptolysin o titer
|
$29.75 |
$29.75 |
$29.75 |
$52.50
|
|
Antithrombin iii injection
|
$20.18 |
$20.18 |
$20.18 |
$11.85
|
|
Antithrombin recombinant
|
$14.00 |
$14.00 |
$14.00 |
$9.22
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$13,426.84 |
$13,426.84 |
$13,426.84 |
$7,544.81
|
|
Antithymocyte globuln rabbit
|
$2,973.09 |
$2,973.09 |
$2,973.09 |
$2,111.00
|
|
Aortic circulation assist 33971
|
$20,864.95 |
$20,864.95 |
$20,864.95 |
$1,719.20
|
|
Aortic dysfunction/dilation
|
$233.75 |
$233.75 |
$233.75 |
$992.40
|
|
Aortic dysfunction/dilation
|
$233.75 |
$233.75 |
$233.75 |
$1,525.60
|
|
Apomorphine hydrochloride
|
$109.03 |
$109.03 |
$109.03 |
$174.99
|
|
Application finger splntstatic 29130
|
$313.65 |
$313.65 |
$313.65 |
$216.80
|
|
Application long leg splint 29505
|
$441.15 |
$441.15 |
$441.15 |
$356.85
|
|
Application lower leg splint 29515
|
$441.15 |
$441.15 |
$441.15 |
$354.00
|
|
Application of forearm cast 29075
|
$752.25 |
$752.25 |
$752.25 |
$365.30
|
|
Application of long arm cast 29065
|
$752.25 |
$752.25 |
$752.25 |
$401.40
|
|
Application of long leg cast
|
$752.25 |
$752.25 |
$752.25 |
$444.00
|
|
Application of long leg cast 29345
|
$752.25 |
$752.25 |
$752.25 |
$480.00
|
|
Application of paste boot 29580
|
$441.15 |
$441.15 |
$441.15 |
$331.74
|
|
Application short leg cast 29405
|
$752.25 |
$752.25 |
$752.25 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,107.65 |
$5,107.65 |
$5,107.65 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,677.04 |
$4,677.04 |
$4,677.04 |
$895.00
|
|
Appl long leg cast brace
|
$752.25 |
$752.25 |
$752.25 |
$468.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$15.30 |
$15.30 |
$15.30 |
$66.50
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$28.90 |
$28.90 |
$28.90 |
$75.98
|
|
Appl patllr tdn bearing cast
|
$752.25 |
$752.25 |
$752.25 |
$429.00
|
|
Apply forearm splintdynamic 29126
|
$313.65 |
$313.65 |
$313.65 |
$265.00
|
|
Apply halo w/removal cranial
|
$7,037.15 |
$7,037.15 |
$7,037.15 |
$1,367.60
|
|
Apply hand/wrist cast 29085
|
$441.15 |
$441.15 |
$441.15 |
$279.40
|
|
Apply interstit radiat compl
|
$3,359.20 |
$3,359.20 |
$3,359.20 |
$2,901.80
|
|
Apply of finger splint 29131
|
$149.60 |
$149.60 |
$149.60 |
$171.00
|
|
Apply rigid leg cast 29445
|
$752.25 |
$752.25 |
$752.25 |
$579.77
|
|
Apply r&l pulm art bands
|
$37,630.35 |
$37,630.35 |
$37,630.35 |
$5,532.80
|
|
Apply short leg castambul type 29425
|
$752.25 |
$752.25 |
$752.25 |
$452.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$478.06 |
$478.06 |
$478.06 |
$1,091.17
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$92.65 |
$92.65 |
$92.65 |
$100.00
|
|
Aquatic exercise - group charge
|
$43.35 |
$43.35 |
$43.35 |
$87.60
|
|
Architect ecm px fx 1 sq cm
|
$4,254.08 |
$4,254.08 |
$4,254.08 |
$4,254.08
|
|
Argatroban nonesrd use 1mg
|
$3,139.32 |
$3,139.32 |
$3,139.32 |
$881.10
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$10,184.25 |
$10,184.25 |
$10,184.25 |
$6,286.51
|
