|
Afamitresgene autoleucel
|
$2,125,068.14 |
$2,125,068.14 |
$2,125,068.14 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$307.03 |
$307.03 |
$669.05 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$473.33 |
$473.33 |
$502.97 |
$300.00
|
|
Afo molded to patient plasti
|
$113.98 |
$113.98 |
$2,137.00 |
$697.20
|
|
Afo rig ant tib tcf/= custom
|
$3,681.00 |
$3,681.00 |
$3,681.00 |
$1,843.53
|
|
Afo tib fx semi-rigid l2114
|
$121.64 |
$121.64 |
$121.64 |
$817.60
|
|
After cataract laser surgery
|
$1,373.11 |
$1,373.11 |
$1,373.11 |
$1,373.11
|
|
Agalsidase beta 35 mg intravenous solution
|
$13,418.51 |
$13,418.51 |
$13,418.51 |
$14,475.20
|
|
Ag detect nos ia single
|
$74.79 |
$74.79 |
$74.79 |
$74.79
|
|
Air injection into abdomen 49400
|
$531.49 |
$531.49 |
$531.49 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$436.14 |
$436.14 |
$436.14 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$61.52 |
$61.52 |
$61.52 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$327.39 |
$327.39 |
$327.39 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$258.00 |
$258.00 |
$258.00 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$92.09 |
$92.09 |
$388.15 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$53.23 |
$53.23 |
$53.23 |
$43.00
|
|
Albuterol ipratrop non-comp
|
$12.68 |
$12.68 |
$12.68 |
$5.67
|
|
Albuterol non-comp unit
|
$0.96 |
$0.96 |
$10.80 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$214.18 |
$214.18 |
$214.18 |
$96.00
|
|
Aldesleukin injection
|
$8,460.48 |
$8,460.48 |
$8,460.48 |
$9,030.11
|
|
Alkaline phosphatase
|
$60.94 |
$60.94 |
$60.94 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$100.50 |
$100.50 |
$100.50 |
$48.57
|
|
Allergen egg white ige
|
$214.51 |
$260.57 |
$260.57 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$53.82 |
$53.82 |
$7,095.75 |
$24.00
|
|
Allergy Skin Testing
|
$47.44 |
$47.44 |
$47.44 |
$47.44
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$617.65 |
$617.65 |
$617.65 |
$5,399.16
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,002.56 |
$1,002.56 |
$1,002.56 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$17,608.49 |
$17,608.49 |
$17,608.49 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$4,323.00 |
$13,249.84 |
$13,249.84 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,705.88 |
$5,705.88 |
$5,705.88 |
$4,677.40
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$424.19 |
$424.19 |
$424.19 |
$1,225.35
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$18.72 |
$18.72 |
$18.72 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$295.46 |
$295.46 |
$295.46 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$102.49 |
$102.49 |
$1,620.71 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$252.87 |
$252.87 |
$252.87 |
$106.00
|
|
Alprostadil for injection
|
$460.40 |
$460.40 |
$879.70 |
$511.41
|
|
Als1-emergency
|
$457.49 |
$457.49 |
$457.49 |
$1,103.37
|
|
Alteplase 100 mg infusion from pyxis vial
|
$15,857.45 |
$15,857.45 |
$15,857.45 |
$15,857.45
|
|
Alt/sgpt
|
$65.01 |
$65.01 |
$65.01 |
$47.50
|
|
Aluminum - quest
|
$123.83 |
$123.83 |
$1,091.25 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$784.35 |
$784.35 |
$1,571.35 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$357.28 |
$357.28 |
$357.28 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$58.80 |
$58.80 |
$58.80 |
$39.84
|
|
Amino acid screen, urine
|
$159.39 |
$159.39 |
$316.66 |
$77.00
|
|
Amino acid single qual
|
$1,072.54 |
$1,072.54 |
$1,072.54 |
$36.00
|
|
Amino acids quant 2-5
|
$164.23 |
$164.23 |
$164.23 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$42.48 |
$43.01 |
$43.01 |
$37.33
|
|
Aminolevulinic acid delta
|
$95.80 |
$95.80 |
$866.54 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$59.47 |
$59.47 |
$59.47 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$166.32 |
$166.32 |
$166.32 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$44.64 |
$44.64 |
$786.52 |
$87.45
|
|
Ammonia
|
$145.94 |
$145.94 |
$145.94 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$876.60 |
$876.60 |
$876.60 |
$942.60
|
|
Amniocentesis therapeutic
|
$672.92 |
$672.92 |
$672.92 |
$791.05
|
|
Amniotic fluid scan
|
$49.01 |
$49.01 |
$49.01 |
$49.01
|
|
Amobarbital 125 mg inj
|
$1,319.49 |
$1,319.49 |
$5,184.41 |
$1,283.59
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$4,448.69 |
$4,448.69 |
$4,448.69 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$93.61 |
$93.61 |
$570.32 |
$93.61
|
|
Amphetamines 5 or more
|
$198.47 |
$198.47 |
$570.32 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$175.80 |
$175.80 |
$692.24 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$837.41 |
$837.41 |
$837.41 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$54.59 |
$54.59 |
$54.59 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$30.76 |
$30.76 |
$30.76 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$171.14 |
$171.14 |
$171.14 |
$262.99
|
|
Amputate metacarpal bone 26910
|
$5,248.75 |
$5,248.75 |
$5,248.75 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$3,088.91 |
$3,088.91 |
$3,088.91 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$2,914.52 |
$2,914.52 |
$2,914.52 |
$3,839.54
|
|
Amylase
|
$373.12 |
$373.12 |
$373.12 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$49.18 |
$49.18 |
$459.66 |
$80.08
|
|
Anabolic steroid 3 or more
|
$459.66 |
$459.66 |
$459.66 |
$27.20
|
|
Ana ds-dna
|
$58.63 |
$58.63 |
$669.05 |
$55.24
|
|
Analgesics non-opioid 6/more
|
$1,365.36 |
$1,365.36 |
$1,365.36 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$117.01 |
$117.01 |
$117.01 |
$117.01
|
|
Anal pressure record
|
$1,411.83 |
$1,411.83 |
$1,411.83 |
$954.00
|
|
Anal/urinary muscle study
|
$407.00 |
$407.00 |
$407.00 |
$407.00
|
|
Anal/urinary muscle study
|
$485.93 |
$485.93 |
$485.93 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$389.54 |
$389.54 |
$389.54 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$439.79 |
$439.79 |
$1,346.63 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$398.99 |
$398.99 |
$1,232.56 |
$249.60
|
|
Analysis nerve
|
$61.25 |
$61.25 |
$61.25 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$353.18 |
$353.18 |
$353.18 |
$122.20
|
|
Analysis tumor
|
$3,787.92 |
$3,787.92 |
$3,787.92 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$240.00 |
$240.00 |
$240.00 |
$85.80
|
|
Anastrozole 1 mg
|
$3.81 |
$3.81 |
$3.81 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$193.07 |
$193.07 |
$193.07 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$2,417.63 |
$2,417.63 |
$2,417.63 |
$2,480.94
|
|
An fluoro guide for cvp
|
$604.24 |
$604.24 |
$604.24 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,542.29 |
$7,542.29 |
$7,542.29 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$16,874.52 |
$16,874.52 |
$16,874.52 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$12,766.07 |
$12,766.07 |
$12,766.07 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,167.62 |
$10,167.62 |
$10,167.62 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$13,724.39 |
$13,724.39 |
$13,724.39 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$18,389.38 |
$18,389.38 |
$18,389.38 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$7,186.81 |
$7,186.81 |
$7,186.81 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$12,715.13 |
$12,715.13 |
$12,715.13 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$4,865.57 |
$4,865.57 |
$4,865.57 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$10,333.74 |
$10,333.74 |
$10,333.74 |
$8,359.11
|
|
Anidulafungin injection
|
$260.72 |
$260.72 |
$1,210.77 |
$312.30
|
|
Ankle X-ray
|
$296.24 |
$296.24 |
$296.24 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$217.55 |
$217.55 |
$217.55 |
$282.96
|
