|
Alpha-fetoprotein afp-l3 frac & total
|
$147.00 |
$441.00 |
$1,975.20 |
|
|
Alpha-fetoprotein amniotic
|
$28.50 |
$138.00 |
$203.40 |
|
|
Alpha-fetoprotein tumor marker
|
$66.60 |
$108.00 |
$966.60 |
|
|
Alprostadil for injection
|
$12.00 |
$151.80 |
$1,677.60 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$189.60 |
$1,223.20 |
$40,758.00 |
|
|
Alt/sgpt
|
$12.00 |
$37.20 |
$235.20 |
|
|
Altuviiio per factor viii iu
|
$13.80 |
$13.80 |
$13.80 |
|
|
Aluminum - quest
|
$25.00 |
$158.40 |
$415.20 |
|
|
Alys cplx sp/pn npgt w/prgrm
|
$151.20 |
$369.60 |
$1,680.80 |
|
|
Amantadine (symmetrel)-sendout
|
$142.00 |
$142.00 |
$142.00 |
|
|
Ambl bp mntr w/software
|
$266.40 |
$266.40 |
$266.40 |
|
|
Ambl bp mntr w/sw a/r
|
$18.60 |
$85.20 |
$544.20 |
|
|
Amifostine
|
$642.60 |
$642.60 |
$7,807.80 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.50 |
$14.00 |
$186.00 |
|
|
Amino acid screen, urine
|
$56.00 |
$68.80 |
$143.60 |
|
|
Amino acids quant 2-5
|
$141.00 |
$192.60 |
$1,419.00 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$8.00 |
$10.20 |
$147.00 |
|
|
Aminolevulinic acid, 10% gel
|
$3.00 |
$3.00 |
$3.00 |
|
|
Aminolevulinic acid delta
|
$61.50 |
$124.20 |
$1,502.40 |
|
|
Aminolevulinic acid hcl top
|
$725.40 |
$725.40 |
$885.00 |
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$7.00 |
$16.80 |
$138.80 |
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$57.60 |
$120.00 |
$327.40 |
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.60 |
$71.60 |
$1,201.80 |
|
|
Amitriptyline (elavil) -sendout
|
$29.50 |
$63.00 |
$348.60 |
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$31.80 |
$298.20 |
$298.20 |
|
|
Ammonia
|
$35.00 |
$86.40 |
$235.20 |
|
|
Amniocentesisdiagnostic 59000
|
$892.00 |
$1,511.40 |
$2,431.80 |
|
|
Amniocentesis therapeutic
|
$420.00 |
$1,034.40 |
$2,431.80 |
|
|
Amniotic fluid scan
|
$202.80 |
$245.60 |
$251.40 |
|
|
Amobarbital 125 mg inj
|
$75.60 |
$75.60 |
$153.00 |
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,377.60 |
$4,150.20 |
$6,526.20 |
|
|
Amphetamine confirm urine -sendout
|
$21.50 |
$61.80 |
$196.20 |
|
|
Amphetamines 5 or more
|
$57.00 |
$57.00 |
$57.00 |
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$28.80 |
$146.40 |
$348.60 |
|
|
Amphotericin b lipid complex
|
$87.60 |
$115.20 |
$1,085.40 |
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$165.60 |
$592.80 |
$2,961.60 |
|
|
Ampicillin 1 gram solution for injection
|
$4.55 |
$40.60 |
$319.20 |
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$8.33 |
$45.20 |
$811.20 |
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$205.80 |
$280.20 |
$532.20 |
|
|
Amp metatarsal w/toe single 28810
|
$852.60 |
$4,490.00 |
$4,707.00 |
|
|
Amputate lower leg at knee
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
|
|
Amputate metacarpal bone 26910
|
$4,809.60 |
$4,809.60 |
$10,948.80 |
|
|
Amputate thigh through femur 27590
|
$2,126.40 |
$2,126.40 |
$2,126.40 |
|
|
Amputation follow-up surgery
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
|
|
Amputation leg thr tib/fib 27880
|
$2,446.80 |
$2,446.80 |
$3,161.00 |
|
|
Amputation leg; tib/fib f/u 27886
|
$1,218.60 |
$1,218.60 |
$1,218.60 |
|
|
Amputation of lower leg
|
$1,167.60 |
$1,417.20 |
$1,417.20 |
|
|
Amputation thru metatarsal
|
$1,372.80 |
$1,372.80 |
$2,309.00 |
|
|
Amputation toe interphalangeal joint
|
$1,743.60 |
$3,607.80 |
$6,223.80 |
|
|
Amputation toe metatarsophalangeal joint
|
$913.80 |
$6,501.60 |
$6,501.60 |
|
|
Amylase
|
$26.40 |
$48.00 |
$316.20 |
|
|
Anabolic steroid 1 or 2
|
$222.40 |
$246.60 |
$253.20 |
|
|
Ana ds-dna
|
$44.40 |
$84.00 |
$374.40 |
|
|
Analgesics non-opioid 3-5
|
$5.00 |
$5.00 |
$52.20 |
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.00 |
$52.20 |
$384.60 |
|
|
Anal pressure record
|
$311.40 |
$954.00 |
$2,451.00 |
|
|
Anal/urinary muscle study
|
$229.50 |
$580.20 |
$955.20 |
|
|
Anal/urinary muscle study
|
$287.00 |
$1,198.20 |
$3,063.60 |
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$173.00 |
$173.00 |
$197.40 |
|
|
Analysis gene f2 20210g>a variant
|
$100.80 |
$1,601.40 |
$2,503.20 |
|
|
Analysis gene f5 leiden variant
|
$165.00 |
$1,068.60 |
$1,788.00 |
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$68.00 |
$75.20 |
$148.20 |
|
|
Analysis tumor
|
$337.20 |
$337.20 |
$337.20 |
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$79.80 |
$604.20 |
$769.20 |
|
|
Anaplsma phgcytophlm amp prb
|
$40.80 |
$162.40 |
$928.80 |
|
|
Anastrozole 1 mg
|
$1.00 |
$49.00 |
$55.00 |
|
|
Anca screen with reflex to titer -quest
|
$35.00 |
$83.40 |
$548.40 |
|
|
An cholangiogram percutaneous compl
|
$694.80 |
$3,342.00 |
$8,599.80 |
|
|
Androstanediol
|
$103.80 |
$103.80 |
$491.40 |
|
|
An fluoro guide for cvp
|
$153.60 |
$559.80 |
$1,542.40 |
|
|
Angio balloon ctrl dialysis seg add-on
|
$553.00 |
$7,522.20 |
$15,871.20 |
|
|
Angioplasty fem/pop unilat 37224
|
$4,394.40 |
$17,281.80 |
$30,797.40 |
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$3,734.40 |
$16,320.60 |
$31,723.80 |
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$2,635.80 |
$8,640.60 |
$41,503.80 |
|
|
Angiotensin ii
|
$147.60 |
$215.40 |
$1,953.60 |
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$0.60 |
$8,383.20 |
$98,557.20 |
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,394.40 |
$17,281.80 |
$59,645.40 |
|
|
Angio trnslmnl balloon same artery ea addl
|
$533.50 |
$8,139.60 |
$20,023.80 |
|
|
Angio trnslmnl balloon same artery ini
|
$4,134.00 |
$9,692.40 |
$18,409.20 |
|
|
Angio trnslmnl balloon same vein ea addl
|
$533.50 |
$1,862.40 |
$12,963.60 |
|
|
Angio trnslmnl balloon same vein ini
|
$3,789.00 |
$11,247.60 |
$12,846.40 |
|
|
Anidulafungin injection
|
$8.40 |
$114.00 |
$2,876.40 |
|
|
Ankle arthroscopy/surgery
|
$1,273.80 |
$1,273.80 |
$1,988.76 |
|
|
Ankle arthroscopy/surgery
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
|
|
Ankle arthroscopy/surgery
|
$945.00 |
$945.00 |
$945.00 |
|
|
Ankle arthroscopy/surgery
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
|
|
Ankle arthroscopy/surgery
|
$3,818.00 |
$3,818.00 |
$3,818.00 |
|
|
Ankle arthroscopy/surgery
|
$903.60 |
$903.60 |
$2,057.67 |
|
|
Ankle arthroscopy/surgery
|
$1,936.20 |
$1,936.20 |
$1,936.20 |
|
|
Ankle X-ray
|
$108.00 |
$307.20 |
$686.40 |
|
|
Ankle X-ray (2 views, both ankles)
|
$99.00 |
$301.60 |
$697.60 |
|
|
Anl sp inf pmp w/mdreprg&fil
|
$97.20 |
$793.20 |
$1,135.80 |
|
|
Annual alcohol screen 15 min
|
$43.00 |
$43.00 |
$43.00 |
|
|
Annual Physical, Established Patient (age 18-39)
|
$97.20 |
$148.20 |
$590.40 |
|
|
Annual Physical, Established Patient (age 40-64)
|
$96.60 |
$148.20 |
$590.40 |
|
|
Annual Physical, New Patient (age 18-39)
|
$115.20 |
$154.80 |
$590.40 |
|
|
Annual Physical, New Patient (age 40-64)
|
$121.20 |
$154.80 |
$590.40 |
|
|
Anodyne therapy charges pt
|
$27.60 |
$164.80 |
$164.80 |
|
|
Anogenital exam child w imag
|
$361.20 |
$684.60 |
$684.60 |
|
|
Anora (draw only)
|
$3.00 |
$32.40 |
$136.80 |
|
