|
Allergen alpha lactalbumin ige
|
$179.40 |
$179.40 |
$179.40 |
$48.57
|
|
Allergen egg white ige
|
$179.40 |
$179.40 |
$179.40 |
$38.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$7,353.60 |
$7,353.60 |
$7,353.60 |
$20,311.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$43.40 |
$43.40 |
$43.40 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$903.60 |
$903.60 |
$903.60 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$183.00 |
$183.00 |
$183.00 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$340.20 |
$340.20 |
$340.20 |
$106.00
|
|
Alprostadil for injection
|
$199.80 |
$199.80 |
$199.80 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$308.80 |
$308.80 |
$308.80 |
$15,857.45
|
|
Alt/sgpt
|
$99.00 |
$99.00 |
$99.00 |
$47.50
|
|
Aluminum - quest
|
$307.80 |
$307.80 |
$307.80 |
$83.05
|
|
Ambl bp mntr w/sw a/r
|
$76.80 |
$76.80 |
$76.80 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$13.40 |
$13.40 |
$13.40 |
$39.84
|
|
Amino acids quant 2-5
|
$232.80 |
$232.80 |
$232.80 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$72.80 |
$72.80 |
$72.80 |
$37.33
|
|
Aminolevulinic acid delta
|
$193.20 |
$193.20 |
$193.20 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$106.40 |
$106.40 |
$106.40 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$81.60 |
$81.60 |
$81.60 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$36.60 |
$36.60 |
$36.60 |
$9,084.45
|
|
Ammonia
|
$127.80 |
$127.80 |
$127.80 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,922.40 |
$1,922.40 |
$1,922.40 |
$942.60
|
|
Amobarbital 125 mg inj
|
$153.00 |
$153.00 |
$153.00 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,526.20 |
$6,526.20 |
$6,526.20 |
$3,786.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$223.20 |
$223.20 |
$223.20 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$121.60 |
$121.60 |
$121.60 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$136.00 |
$136.00 |
$136.00 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$312.00 |
$312.00 |
$312.00 |
$262.99
|
|
Amputate metacarpal bone 26910
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$4,066.20 |
$4,066.20 |
$4,066.20 |
$4,196.50
|
|
Amylase
|
$187.80 |
$187.80 |
$187.80 |
$90.00
|
|
Anal pressure record
|
$311.40 |
$311.40 |
$311.40 |
$954.00
|
|
Anal/urinary muscle study
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$602.80
|
|
Analysis gene f2 20210g>a variant
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$726.60 |
$726.60 |
$726.60 |
$85.80
|
|
Anastrozole 1 mg
|
$55.00 |
$55.00 |
$55.00 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$324.00 |
$324.00 |
$324.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$3,495.00 |
$3,495.00 |
$3,495.00 |
$2,480.94
|
|
An fluoro guide for cvp
|
$591.60 |
$591.60 |
$591.60 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,459.00 |
$6,459.00 |
$6,459.00 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$14,400.60 |
$14,400.60 |
$14,400.60 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,991.00 |
$11,991.00 |
$11,991.00 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$8,583.60 |
$8,583.60 |
$8,583.60 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$22,037.40 |
$22,037.40 |
$22,037.40 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$20,479.20 |
$20,479.20 |
$20,479.20 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,398.20 |
$8,398.20 |
$8,398.20 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,041.40 |
$6,041.40 |
$6,041.40 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,459.00 |
$6,459.00 |
$6,459.00 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$6,459.00 |
$6,459.00 |
$6,459.00 |
$8,359.11
|
|
Ankle X-ray
|
$325.20 |
$325.20 |
$325.20 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$321.60 |
$321.60 |
$321.60 |
$282.96
|
|
Anora (draw only)
|
$35.40 |
$35.40 |
$35.40 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$97.80 |
$97.80 |
$97.80 |
$57.85
|
|
Antibody elution rbc reference
|
$81.00 |
$81.00 |
$81.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$81.00 |
$81.00 |
$81.00 |
$131.56
|
|
Antibody htlv-i
|
$143.40 |
$143.40 |
$143.40 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$384.60 |
$384.60 |
$384.60 |
$224.00
|
|
Antibody id rbc panel
|
$367.20 |
$367.20 |
$367.20 |
$291.75
|
|
Antibody influenza virus
|
$272.40 |
$272.40 |
$272.40 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$163.20 |
$163.20 |
$163.20 |
$46.58
|
|
Antibody screen rbc
|
$104.40 |
$104.40 |
$104.40 |
$108.55
|
|
Antibody tetanus
|
$340.20 |
$340.20 |
$340.20 |
$54.15
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$6.10
|
|
Anti mog serum - sendout
|
$234.60 |
$234.60 |
$234.60 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$324.00 |
$324.00 |
$324.00 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$324.00 |
$324.00 |
$324.00 |
$42.00
|
|
Antinuclear antibodies
|
$169.20 |
$169.20 |
$169.20 |
$90.00
|
|
Antinuclear antibodies titer
|
$81.00 |
$81.00 |
$81.00 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$221.40 |
$221.40 |
$221.40 |
$67.43
|
|
Antistreptolysin o screen
|
$70.80 |
$70.80 |
$70.80 |
$58.56
|
|
Antithrombin iii activity
|
$292.80 |
$292.80 |
$292.80 |
$115.15
|
|
Antithrombin iii injection
|
$5.00 |
$5.00 |
$5.00 |
$11.85
|
|
Antithymocyte globuln rabbit
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$2,111.00
|
|
Aortic Aneurysm Screening Ultrasound
|
$248.40 |
$248.40 |
$248.40 |
$394.55
|
|
Aortic dysfunction/dilation
|
$9,243.00 |
$9,243.00 |
$9,243.00 |
$1,153.60
|
|
Aortic dysfunction/dilation
|
$9,243.00 |
$9,243.00 |
$9,243.00 |
$1,700.16
|
|
Apheresis plasma
|
$4,172.40 |
$4,172.40 |
$4,172.40 |
$3,226.34
|
|
Apheresis platelets
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$2,195.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,338.60 |
$4,338.60 |
$4,338.60 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$3,239.40 |
$3,239.40 |
$3,239.40 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$168.60 |
$168.60 |
$168.60 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,618.40 |
$2,618.40 |
$2,618.40 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$168.60 |
$168.60 |
$168.60 |
$512.20
|
|
Application finger splntstatic 29130
|
$231.60 |
$231.60 |
$231.60 |
$208.50
|
|
Application long leg splint 29505
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$338.25
|
|
Application lower leg splint 29515
|
$539.40 |
$539.40 |
$539.40 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$584.40 |
$584.40 |
$584.40 |
$375.06
|
|
Application of forearm cast 29075
|
$407.40 |
$407.40 |
$407.40 |
$358.20
|
|
Application of long arm cast 29065
|
$856.20 |
$856.20 |
$856.20 |
$396.77
|
|
Application of long leg cast 29345
|
$801.60 |
$801.60 |
$801.60 |
$455.00
|
|
Application of paste boot 29580
|
$754.20 |
$754.20 |
$754.20 |
$340.11
|
|
Application short leg cast 29405
|
$689.40 |
$689.40 |
$689.40 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
$2,164.64
|
|
Apply forearm splintdynamic 29126
|
$250.20 |
$250.20 |
$250.20 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$825.00 |
$825.00 |
$825.00 |
$271.80
|
|
Apply interstit radiat compl
|
$5,286.00 |
$5,286.00 |
$5,286.00 |
$2,901.80
|
|
Apply of finger splint 29131
|
$539.40 |
$539.40 |
$539.40 |
$177.45
|