|
Alpha-fetoprotein afp-l3 frac & total
|
$721.20 |
$721.20 |
$721.20 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$200.86 |
$200.86 |
$200.86 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$330.17 |
$330.17 |
$330.17 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$604.61 |
$604.61 |
$604.61 |
$2,600.22
|
|
Alt/sgpt
|
$200.22 |
$200.22 |
$200.22 |
$49.00
|
|
Aluminum - quest
|
$213.95 |
$213.95 |
$213.95 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$922.45 |
$922.45 |
$922.45 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$247.80 |
$247.80 |
$247.80 |
$196.20
|
|
Ambl bp mntr w/sw a/r
|
$542.76 |
$542.76 |
$542.76 |
$318.96
|
|
Amino acid screen, urine
|
$173.70 |
$173.70 |
$173.70 |
$64.28
|
|
Amino acids quant 2-5
|
$311.79 |
$311.79 |
$311.79 |
$141.00
|
|
Aminolevulinic acid delta
|
$171.04 |
$171.04 |
$171.04 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$36.78 |
$36.78 |
$36.78 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$294.61 |
$294.61 |
$294.61 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$64.52 |
$64.52 |
$64.52 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$267.54 |
$267.54 |
$267.54 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$44,332.16 |
$44,332.16 |
$44,332.16 |
$15,167.75
|
|
Ammonia
|
$162.44 |
$162.44 |
$162.44 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$492.29 |
$492.29 |
$492.29 |
$94.50
|
|
Amphetamines 5 or more
|
$378.66 |
$378.66 |
$378.66 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$66.60 |
$66.60 |
$66.60 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$127.02 |
$127.02 |
$127.02 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,314.95 |
$1,314.95 |
$1,314.95 |
$312.00
|
|
Amputation follow-up surgery
|
$18,499.81 |
$18,499.81 |
$18,499.81 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$17,501.68 |
$17,501.68 |
$17,501.68 |
$3,691.20
|
|
Amputation toe metatarsophalangeal joint
|
$20,834.53 |
$20,834.53 |
$20,834.53 |
$3,777.93
|
|
Amylase
|
$246.57 |
$246.57 |
$246.57 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$244.41 |
$244.41 |
$244.41 |
$110.98
|
|
Anal/urinary muscle study
|
$1,311.08 |
$1,311.08 |
$1,311.08 |
$407.00
|
|
Anal/urinary muscle study
|
$1,161.93 |
$1,161.93 |
$1,161.93 |
$507.26
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$522.69 |
$522.69 |
$522.69 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$790.43 |
$790.43 |
$790.43 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$889.18 |
$889.18 |
$889.18 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$184.31 |
$184.31 |
$184.31 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$536.72 |
$536.72 |
$536.72 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$1,553.23 |
$1,553.23 |
$1,553.23 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$636.54 |
$636.54 |
$636.54 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$216.58 |
$216.58 |
$216.58 |
$2,626.65
|
|
An fluoro guide for cvp
|
$2,294.42 |
$2,294.42 |
$2,294.42 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$31,027.81 |
$31,027.81 |
$31,027.81 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$22,413.21 |
$22,413.21 |
$22,413.21 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$22,431.55 |
$22,431.55 |
$22,431.55 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$22,704.14 |
$22,704.14 |
$22,704.14 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,402.78 |
$14,402.78 |
$14,402.78 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$22,413.45 |
$22,413.45 |
$22,413.45 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$10,481.47 |
$10,481.47 |
$10,481.47 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$7,494.43 |
$7,494.43 |
$7,494.43 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$21,622.83 |
$21,622.83 |
$21,622.83 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$9,917.74 |
$9,917.74 |
$9,917.74 |
$8,689.20
|
|
Ankle arthroscopy/surgery
|
$22,972.81 |
$22,972.81 |
$22,972.81 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$22,464.66 |
$22,464.66 |
$22,464.66 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$18,198.54 |
$18,198.54 |
$18,198.54 |
$3,839.54
|
|
Ankle X-ray
|
$692.46 |
$692.46 |
$692.46 |
$339.44
|
|
Anl sp inf pmp w/mdreprg&fil
|
$986.27 |
$986.27 |
$986.27 |
$693.75
|
|
Anodyne therapy charges pt
|
$188.22 |
$188.22 |
$188.22 |
$41.02
|
|
Anora (draw only)
|
$58.02 |
$58.02 |
$58.02 |
$36.00
|
|
Anoscopy
|
$4,890.82 |
$4,890.82 |
$4,890.82 |
$1,078.88
|
|
Anoscopy and biopsy
|
$8,961.22 |
$8,961.22 |
$8,961.22 |
$1,380.00
|
|
Anoscopy remove fb 46608
|
$9,526.51 |
$9,526.51 |
$9,526.51 |
$1,208.35
|
|
Anoscopy remove lesion 46610
|
$16,162.01 |
$16,162.01 |
$16,162.01 |
$3,245.23
|
|
Anoscopy remove lesions w/cautery/snare 46612
|
$14,602.88 |
$14,602.88 |
$14,602.88 |
$3,245.23
|
|
Antibody bacterium, not elsewhere specified
|
$239.88 |
$239.88 |
$239.88 |
$57.89
|
|
Antibody elution rbc reference
|
$334.55 |
$334.55 |
$334.55 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$357.31 |
$357.31 |
$357.31 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,594.06 |
$1,594.06 |
$1,594.06 |
$220.73
|
|
Antibody id rbc panel
|
$492.43 |
$492.43 |
$492.43 |
$291.75
|
|
Antibody influenza virus
|
$137.52 |
$137.52 |
$137.52 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$134.19 |
$134.19 |
$134.19 |
$53.96
|
|
Antibody screen rbc
|
$281.11 |
$281.11 |
$281.11 |
$105.00
|
|
Antidepressant not specified
|
$193.97 |
$193.97 |
$193.97 |
$89.50
|
|
Anti mog serum - sendout
|
$411.69 |
$411.69 |
$411.69 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$335.96 |
$335.96 |
$335.96 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$145.00 |
$145.00 |
$145.00 |
$45.82
|
|
Antinuclear antibodies
|
$484.17 |
$484.17 |
$484.17 |
$91.70
|
|
Antinuclear antibodies titer
|
$502.37 |
$502.37 |
$502.37 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$184.25 |
$184.25 |
$184.25 |
$74.20
|
|
Antistreptolysin o screen
|
$101.42 |
$101.42 |
$101.42 |
$59.40
|
|
Antistreptolysin o titer
|
$62.18 |
$62.18 |
$62.18 |
$57.96
|
|
Antithrombin iii activity
|
$464.31 |
$464.31 |
$464.31 |
$115.23
|
|
Aortic dysfunction/dilation
|
$4,134.96 |
$4,134.96 |
$4,134.96 |
$653.18
|
|
Apheresis plasma
|
$13,034.06 |
$13,034.06 |
$13,034.06 |
$3,411.50
|
|
Apheresis platelets
|
$4,039.69 |
$4,039.69 |
$4,039.69 |
$2,345.00
|
|
Apheresis rbc
|
$2,458.89 |
$2,458.89 |
$2,458.89 |
$3,348.50
|
|
Apheresis wbc
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$2,090.07 |
$2,090.07 |
$2,090.07 |
$465.60
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$7,101.04 |
$7,101.04 |
$7,101.04 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$3,333.22 |
$3,333.22 |
$3,333.22 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$3,492.67 |
$3,492.67 |
$3,492.67 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$17,401.77 |
$17,401.77 |
$17,401.77 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$3,667.31 |
$3,667.31 |
$3,667.31 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$3,492.67 |
$3,492.67 |
$3,492.67 |
$508.18
|
|
Appl cast shoulder spica
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$384.59
|
|
Application finger splntstatic 29130
|
$721.54 |
$721.54 |
$721.54 |
$216.80
|
|
Application long leg splint 29505
|
$1,764.33 |
$1,764.33 |
$1,764.33 |
$340.80
|
|
Application lower leg splint 29515
|
$1,044.60 |
$1,044.60 |
$1,044.60 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$699.16 |
$699.16 |
$699.16 |
$397.00
|
|
Application of forearm cast 29075
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$379.20
|
|
Application of long arm cast 29065
|
$1,125.73 |
$1,125.73 |
$1,125.73 |
$404.63
|
|
Application of long leg cast
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$406.75
|
|
Application of long leg cast 29345
|
$2,046.84 |
$2,046.84 |
$2,046.84 |
$511.68
|