|
Alteplase 100 mg infusion from pyxis vial
|
$63,098.59 |
$63,098.59 |
$63,098.59 |
$15,857.45
|
|
Alt/sgpt
|
$70.80 |
$70.80 |
$70.80 |
$47.45
|
|
Aluminum - quest
|
$130.80 |
$130.80 |
$130.80 |
$83.05
|
|
Amino acids quant 2-5
|
$97.20 |
$97.20 |
$97.20 |
$104.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$52.20 |
$52.20 |
$52.20 |
$37.14
|
|
Aminolevulinic acid delta
|
$127.20 |
$127.20 |
$127.20 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$28.67 |
$28.67 |
$28.67 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$31.56 |
$31.56 |
$31.56 |
$55.86
|
|
Ammonia
|
$130.20 |
$130.20 |
$130.20 |
$119.70
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$4,135.80 |
$4,135.80 |
$4,135.80 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$152.40 |
$152.40 |
$152.40 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$344.16 |
$344.16 |
$344.16 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,170.23 |
$1,170.23 |
$1,170.23 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$199.32 |
$199.32 |
$199.32 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$66.25 |
$66.25 |
$66.25 |
$53.86
|
|
Amputation toe metatarsophalangeal joint
|
$65,718.08 |
$65,718.08 |
$65,718.08 |
$3,839.54
|
|
Amylase
|
$103.20 |
$103.20 |
$103.20 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$287.40 |
$287.40 |
$287.40 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$637.20 |
$637.20 |
$637.20 |
$230.40
|
|
Anca screen with reflex to titer -quest
|
$135.60 |
$135.60 |
$135.60 |
$103.20
|
|
An fluoro guide for cvp
|
$750.00 |
$750.00 |
$750.00 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,420.60 |
$9,420.60 |
$9,420.60 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,181.87 |
$2,181.87 |
$2,181.87 |
$3,080.85
|
|
Angio trnslmnl balloon same artery ini
|
$6,430.20 |
$6,430.20 |
$6,430.20 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$9,420.60 |
$9,420.60 |
$9,420.60 |
$8,466.00
|
|
Anidulafungin injection
|
$1,368.68 |
$1,368.68 |
$1,368.68 |
$312.30
|
|
Ankle arthroscopy/surgery
|
$11,907.15 |
$11,907.15 |
$11,907.15 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$28,221.82 |
$28,221.82 |
$28,221.82 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$53,733.97 |
$53,733.97 |
$53,733.97 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$30,986.48 |
$30,986.48 |
$30,986.48 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$58,152.97 |
$58,152.97 |
$58,152.97 |
$3,839.54
|
|
Ankle X-ray
|
$520.80 |
$520.80 |
$520.80 |
$353.60
|
|
Anterior asis pad
|
$330.31 |
$330.31 |
$330.31 |
$187.13
|
|
Anterior swing band
|
$1,174.03 |
$1,174.03 |
$1,174.03 |
$665.14
|
|
Anterior thoracic derotation
|
$393.91 |
$393.91 |
$393.91 |
$223.16
|
|
Anterior thoracic extension
|
$909.68 |
$909.68 |
$909.68 |
$496.80
|
|
Antibody elution rbc reference
|
$150.60 |
$150.60 |
$150.60 |
$175.50
|
|
Antibody htlv-i
|
$102.00 |
$102.00 |
$102.00 |
$49.53
|
|
Antibody htlv-ii
|
$83.40 |
$83.40 |
$83.40 |
$42.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$168.00 |
$168.00 |
$168.00 |
$218.30
|
|
Antibody id rbc panel
|
$675.60 |
$675.60 |
$675.60 |
$274.56
|
|
Antibody influenza virus
|
$79.80 |
$79.80 |
$79.80 |
$53.95
|
|
Antibody screen rbc
|
$101.40 |
$101.40 |
$101.40 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$18,414.00 |
$18,414.00 |
$18,414.00 |
$6.10
|
|
Anti mog serum - sendout
|
$519.60 |
$519.60 |
$519.60 |
$159.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$42.00 |
$42.00 |
$42.00 |
$40.00
|
|
Ant instr 2-3 vert segm 22845
|
$46,078.24 |
$46,078.24 |
$46,078.24 |
$1,748.00
|
|
Ant instrumentation/4-7 vert seg 22846
|
$61,242.40 |
$61,242.40 |
$61,242.40 |
$1,430.40
|
|
Antinuclear antibodies
|
$126.00 |
$126.00 |
$126.00 |
$89.40
|
|
Antinuclear antibodies titer
|
$82.80 |
$82.80 |
$82.80 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$96.00 |
$96.00 |
$96.00 |
$65.97
|
|
Antistreptolysin o titer
|
$80.40 |
$80.40 |
$80.40 |
$51.45
|
|
Antithrombin iii activity
|
$122.40 |
$122.40 |
$122.40 |
$114.00
|
|
Apl(pml-rara) quant - sendout
|
$454.80 |
$454.80 |
$454.80 |
$482.95
|
|
Appendix Removal (Laparoscopic)
|
$19,465.42 |
$19,465.42 |
$19,465.42 |
$6,870.89
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,036.80 |
$1,036.80 |
$1,036.80 |
$2,114.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$478.20 |
$478.20 |
$478.20 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,290.20 |
$2,290.20 |
$2,290.20 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$183.00 |
$183.00 |
$183.00 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$185.40 |
$185.40 |
$185.40 |
$498.81
|
|
Application finger splntstatic 29130
|
$334.20 |
$334.20 |
$334.20 |
$208.16
|
|
Application long leg splint 29505
|
$334.20 |
$334.20 |
$334.20 |
$338.25
|
|
Application lower leg splint 29515
|
$334.20 |
$334.20 |
$334.20 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$441.00 |
$441.00 |
$441.00 |
$373.20
|
|
Application of forearm cast 29075
|
$761.40 |
$761.40 |
$761.40 |
$339.30
|
|
Application of long arm cast 29065
|
$573.60 |
$573.60 |
$573.60 |
$395.00
|
|
Application of long leg cast 29345
|
$761.40 |
$761.40 |
$761.40 |
$455.00
|
|
Application of paste boot 29580
|
$367.20 |
$367.20 |
$367.20 |
$331.74
|
|
Application short leg cast 29405
|
$761.40 |
$761.40 |
$761.40 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$66,381.86 |
$66,381.86 |
$66,381.86 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$7,229.95 |
$7,229.95 |
$7,229.95 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$11,556.84 |
$11,556.84 |
$11,556.84 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$109.20 |
$109.20 |
$109.20 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$109.20 |
$109.20 |
$109.20 |
$75.60
|
|
Appl modality 1+lllt po pain
|
$76.20 |
$76.20 |
$76.20 |
$51.36
|
|
Apply forearm splintdynamic 29126
|
$334.20 |
$334.20 |
$334.20 |
$246.18
|
|
Apply of finger splint 29131
|
$334.20 |
$334.20 |
$334.20 |
$168.00
|
|
Apply rigid leg cast 29445
|
$783.00 |
$783.00 |
$783.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$761.40 |
$761.40 |
$761.40 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$235.80 |
$235.80 |
$235.80 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$719.40 |
$719.40 |
$719.40 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$379.20 |
$379.20 |
$379.20 |
$148.80
|
|
Arch supp att to shoe long/m
|
$169.99 |
$169.99 |
$169.99 |
$96.31
|
|
Arch supp att to shoe metata
|
$132.80 |
$132.80 |
$132.80 |
$76.33
|
|
Arch suprt att to sho longit
|
$132.80 |
$132.80 |
$132.80 |
$75.23
|
|
Arformoterol non-comp unit
|
$21.00 |
$21.00 |
$21.00 |
$25.00
|
|
Argatroban esrd dialysis 1mg
|
$1,419.66 |
$1,419.66 |
$1,419.66 |
$934.80
|
|
Argatroban nonesrd (accord)
|
$1,419.66 |
$1,419.66 |
$1,419.66 |
$218.25
|
|
Arterial blood draw/perc 36620
|
$490.20 |
$490.20 |
$490.20 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$3,180.60 |
$3,180.60 |
$3,180.60 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$3,016.20 |
$3,016.20 |
$3,016.20 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$3,729.00
|
|
Artery x-rays lungs
|
$2,028.60 |
$2,028.60 |
$2,028.60 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$3,601.80 |
$3,601.80 |
$3,601.80 |
$4,134.14
|
|
Arthrd ant ntrbdy cervical
|
$42,346.10 |
$42,346.10 |
$42,346.10 |
$9,951.20
|
|
Arthrd cmbn 1ntrspc lumbar
|
$103,933.77 |
$103,933.77 |
$103,933.77 |
$8,434.40
|
|
Arthrd pst tq 1ntrspc lum
|
$93,863.18 |
$93,863.18 |
$93,863.18 |
$4,627.00
|
|
Arthrd si jt perq/min nvas
|
$53,688.52 |
$53,688.52 |
$53,688.52 |
$15,372.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$9,738.80 |
$9,738.80 |
$9,738.80 |
$608.40
|
