|
Alteplase 100 mg infusion from pyxis vial
|
$17,424.72 |
$17,424.72 |
$17,424.72 |
$15,857.45
|
|
Alt/sgpt
|
$148.65 |
$148.65 |
$148.65 |
$47.50
|
|
Amantadine (symmetrel)-sendout
|
$179.70 |
$179.70 |
$179.70 |
$178.10
|
|
Amifostine
|
$2,121.39 |
$2,121.39 |
$2,121.39 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$33.53 |
$33.53 |
$33.53 |
$36.30
|
|
Aminolevulinic acid delta
|
$183.90 |
$183.90 |
$183.90 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$43.07 |
$43.07 |
$43.07 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$108.03 |
$108.03 |
$108.03 |
$125.09
|
|
Amiodarone 50 mg/ml intravenous solution
|
$55.86 |
$55.86 |
$55.86 |
$56.70
|
|
Ammonia
|
$165.90 |
$165.90 |
$165.90 |
$117.00
|
|
Amnioarmor 1 sq cm
|
$8,466.60 |
$8,466.60 |
$8,466.60 |
$16.80
|
|
Amniocentesisdiagnostic 59000
|
$943.50 |
$943.50 |
$943.50 |
$942.60
|
|
Amobarbital 125 mg inj
|
$87.09 |
$87.09 |
$87.09 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,924.65 |
$1,924.65 |
$1,924.65 |
$3,835.20
|
|
Amphetamine confirm urine -sendout
|
$106.50 |
$106.50 |
$106.50 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$117.75
|
|
Amphotericin b lipid complex
|
$226.80 |
$226.80 |
$226.80 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$667.53 |
$667.53 |
$667.53 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$38.20 |
$38.20 |
$38.20 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$19.92 |
$19.92 |
$19.92 |
$54.60
|
|
Amylase
|
$275.25 |
$275.25 |
$275.25 |
$85.65
|
|
Analysis gene f2 20210g>a variant
|
$288.00 |
$288.00 |
$288.00 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$288.00 |
$288.00 |
$288.00 |
$221.13
|
|
Anca screen with reflex to titer -quest
|
$210.00 |
$210.00 |
$210.00 |
$102.70
|
|
An cholangiogram percutaneous compl
|
$2,494.35 |
$2,494.35 |
$2,494.35 |
$2,494.35
|
|
An fluoro guide for cvp
|
$537.90 |
$537.90 |
$537.90 |
$506.40
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,963.10 |
$5,963.10 |
$5,963.10 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$9,074.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$10,215.00
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$76,729.48 |
$76,729.48 |
$76,729.48 |
$4,550.62
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,413.45 |
$10,413.45 |
$10,413.45 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,963.10 |
$5,963.10 |
$5,963.10 |
$4,683.90
|
|
Angio trnslmnl balloon same artery ini
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,963.10 |
$5,963.10 |
$5,963.10 |
$4,560.40
|
|
Angio trnslmnl balloon same vein ini
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,466.00
|
|
Anidulafungin injection
|
$412.32 |
$412.32 |
$412.32 |
$312.30
|
|
Ankle X-ray
|
$404.40 |
$404.40 |
$404.40 |
$353.60
|
|
Anoscopy and dilation 46604
|
$748.50 |
$748.50 |
$748.50 |
$1,621.60
|
|
Anoscopy remove fb 46608
|
$1,697.10 |
$1,697.10 |
$1,697.10 |
$1,457.76
|
|
Antibody bacterium, not elsewhere specified
|
$166.80 |
$166.80 |
$166.80 |
$57.85
|
|
Antibody elution rbc reference
|
$369.00 |
$369.00 |
$369.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$191.88 |
$191.88 |
$191.88 |
$126.67
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,455.75 |
$1,455.75 |
$1,455.75 |
$219.30
|
|
Antibody id rbc panel
|
$295.80 |
$295.80 |
$295.80 |
$265.05
|
|
Antibody influenza virus
|
$87.00 |
$87.00 |
$87.00 |
$53.90
|
|
Antibody lymphocytic choriomeningitis
|
$44.40 |
$44.40 |
$44.40 |
$48.57
|
|
Antibody screen rbc
|
$165.30 |
$165.30 |
$165.30 |
$102.70
|
|
Antidepressant not specified
|
$90.23 |
$90.23 |
$90.23 |
$72.14
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.25 |
$4.25 |
$4.25 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3.67 |
$3.67 |
$3.67 |
$3.67
|
|
Anti-inhibitor
|
$7.17 |
$7.17 |
$7.17 |
$8.33
|
|
Anti mog serum - sendout
|
$615.00 |
$615.00 |
$615.00 |
$110.58
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$44.31 |
$44.31 |
$44.31 |
$37.05
|
|
Antinuclear antibodies
|
$235.65 |
$235.65 |
$235.65 |
$91.68
|
|
Antinuclear antibodies titer
|
$275.85 |
$275.85 |
$275.85 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$51.17 |
$51.17 |
$51.17 |
$58.24
|
|
Antipsychotics nos 1-3
|
$180.75 |
$180.75 |
$180.75 |
$153.45
|
|
Antistreptolysin o titer
|
$39.15 |
$39.15 |
$39.15 |
$52.11
|
|
Antithrombin iii activity
|
$217.50 |
$217.50 |
$217.50 |
$114.00
|
|
Antithrombin iii injection
|
$11.85 |
$11.85 |
$11.85 |
$11.85
|
|
Antithymocyte globuln rabbit
|
$2,111.00 |
$2,111.00 |
$2,111.00 |
$2,111.00
|
|
Apheresis plasma
|
$2,592.60 |
$2,592.60 |
$2,592.60 |
$3,192.96
|
|
Apheresis rbc
|
$2,772.60 |
$2,772.60 |
$2,772.60 |
$3,146.15
|
|
Apheresis wbc
|
$1,937.85 |
$1,937.85 |
$1,937.85 |
$2,961.82
|
|
Apl(pml-rara) quant - sendout
|
$718.35 |
$718.35 |
$718.35 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$2,105.40 |
$2,105.40 |
$2,105.40 |
$2,154.21
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$554.10 |
$554.10 |
$554.10 |
$873.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$512.20
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$3,840.60 |
$3,840.60 |
$3,840.60 |
$3,767.20
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$576.30 |
$576.30 |
$576.30 |
$1,148.00
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$213.00 |
$213.00 |
$213.00 |
$508.18
|
|
Application finger splntstatic 29130
|
$154.65 |
$154.65 |
$154.65 |
$208.50
|
|
Application long leg splint 29505
|
$356.85 |
$356.85 |
$356.85 |
$356.85
|
|
Application lower leg splint 29515
|
$192.60 |
$192.60 |
$192.60 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$192.60 |
$192.60 |
$192.60 |
$359.10
|
|
Application of forearm cast 29075
|
$306.75 |
$306.75 |
$306.75 |
$347.20
|
|
Application of long arm cast 29065
|
$356.85 |
$356.85 |
$356.85 |
$401.40
|
|
Application of long leg cast
|
$450.90 |
$450.90 |
$450.90 |
$426.00
|
|
Application of long leg cast 29345
|
$337.05 |
$337.05 |
$337.05 |
$464.51
|
|
Application of paste boot 29580
|
$192.60 |
$192.60 |
$192.60 |
$328.20
|
|
Application short leg cast 29405
|
$339.15 |
$339.15 |
$339.15 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,189.70 |
$2,189.70 |
$2,189.70 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,189.70 |
$2,189.70 |
$2,189.70 |
$2,189.70
|
|
Applicator tag rfid localizer 12gx7cm
|
$738.00 |
$738.00 |
$738.00 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$96.30 |
$96.30 |
$96.30 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$103.50 |
$103.50 |
$103.50 |
$75.98
|
|
Apply finger cast 29086
|
$268.20 |
$268.20 |
$268.20 |
$238.15
|
|
Apply forearm splintdynamic 29126
|
$407.55 |
$407.55 |
$407.55 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$294.90 |
$294.90 |
$294.90 |
$275.80
|
|
Apply of finger splint 29131
|
$154.65 |
$154.65 |
$154.65 |
$160.23
|
|
Apply rigid leg cast 29445
|
$339.15 |
$339.15 |
$339.15 |
$555.00
|
|
Aquaporin-4 antibody cba each
|
$430.50 |
$430.50 |
$430.50 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$381.30 |
$381.30 |
$381.30 |
$138.87
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$113.70 |
$113.70 |
$113.70 |
$100.00
|
|
Aquatic exercise - group charge
|
$327.15 |
$327.15 |
$327.15 |
$87.15
|
|
Argatroban nonesrd use 1mg
|
$516.44 |
$516.44 |
$516.44 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$1,520.60
|
|
Arterial blood draw/perc 36620
|
$205.20 |
$205.20 |
$205.20 |
$461.78
|
|
Artery xray each vessel 7577426
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$1,844.46
|
