|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,411.94 |
$9,411.94 |
$9,411.94 |
$1,495.63
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,718.00 |
$2,718.00 |
$2,718.00 |
$12.50
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$199.50 |
$199.50 |
$199.50 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$90.90 |
$90.90 |
$90.90 |
$106.00
|
|
Alprostadil for injection
|
$1,666.35 |
$1,666.35 |
$1,666.35 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$86,595.55 |
$86,595.55 |
$86,595.55 |
$15,857.45
|
|
Alt/sgpt
|
$45.90 |
$45.90 |
$45.90 |
$47.45
|
|
Ambl bp mntr w/sw a/r
|
$1,742.70 |
$1,742.70 |
$1,742.70 |
$310.44
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$73.80 |
$73.80 |
$73.80 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$71.64 |
$71.64 |
$71.64 |
$37.14
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$55.86
|
|
Ammonia
|
$120.60 |
$120.60 |
$120.60 |
$119.70
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$3,730.53
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$472.32 |
$472.32 |
$472.32 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,204.03 |
$1,204.03 |
$1,204.03 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$67.90 |
$67.90 |
$67.90 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$143.29 |
$143.29 |
$143.29 |
$53.86
|
|
Amputation toe interphalangeal joint
|
$10,490.16 |
$10,490.16 |
$10,490.16 |
$3,998.20
|
|
Amputation toe metatarsophalangeal joint
|
$12,706.98 |
$12,706.98 |
$12,706.98 |
$3,839.54
|
|
Amylase
|
$145.80 |
$145.80 |
$145.80 |
$89.04
|
|
Ana ds-dna
|
$28.50 |
$28.50 |
$28.50 |
$56.50
|
|
Analysis gene f2 20210g>a variant
|
$789.60 |
$789.60 |
$789.60 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$850.20 |
$850.20 |
$850.20 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$57.90 |
$57.90 |
$57.90 |
$85.80
|
|
An cholangiogram percutaneous compl
|
$4,182.60 |
$4,182.60 |
$4,182.60 |
$2,626.65
|
|
An fluoro guide for cvp
|
$849.60 |
$849.60 |
$849.60 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,495.70 |
$5,495.70 |
$5,495.70 |
$5,341.83
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,845.20 |
$1,845.20 |
$1,845.20 |
$3,080.85
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,902.60 |
$4,902.60 |
$4,902.60 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$7,036.50 |
$7,036.50 |
$7,036.50 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$6,776.40 |
$6,776.40 |
$6,776.40 |
$8,466.00
|
|
Ankle arthroscopy/surgery
|
$41,887.39 |
$41,887.39 |
$41,887.39 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$24,109.39 |
$24,109.39 |
$24,109.39 |
$3,839.54
|
|
Ankle X-ray
|
$484.20 |
$484.20 |
$484.20 |
$353.60
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$24,900.36 |
$24,900.36 |
$24,900.36 |
$5,463.96
|
|
Anterior asis pad
|
$189.86 |
$189.86 |
$189.86 |
$187.13
|
|
Anterior swing band
|
$674.84 |
$674.84 |
$674.84 |
$665.14
|
|
Anterior thoracic derotation
|
$226.42 |
$226.42 |
$226.42 |
$223.16
|
|
Anterior thoracic extension
|
$522.89 |
$522.89 |
$522.89 |
$496.80
|
|
Antibody elution rbc reference
|
$261.60 |
$261.60 |
$261.60 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$449.10 |
$449.10 |
$449.10 |
$218.30
|
|
Antibody id rbc panel
|
$321.60 |
$321.60 |
$321.60 |
$274.56
|
|
Antibody screen rbc
|
$205.80 |
$205.80 |
$205.80 |
$100.00
|
|
Anti mog serum - sendout
|
$247.50 |
$247.50 |
$247.50 |
$159.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$21.00 |
$21.00 |
$21.00 |
$40.00
|
|
Antinuclear antibodies
|
$249.30 |
$249.30 |
$249.30 |
$89.40
|
|
Antiphosphatidylserine antibody
|
$25.20 |
$25.20 |
$25.20 |
$65.97
|
|
Antistreptolysin o titer
|
$42.60 |
$42.60 |
$42.60 |
$51.45
|
|
Antithrombin iii activity
|
$132.00 |
$132.00 |
$132.00 |
$114.00
|
|
Apheresis platelets
|
$456.90 |
$456.90 |
$456.90 |
$2,042.95
|
|
Appendix Removal (Laparoscopic)
|
$21,784.68 |
$21,784.68 |
$21,784.68 |
$6,870.89
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$24,761.29 |
$24,761.29 |
$24,761.29 |
$463.65
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$63,102.38 |
$63,102.38 |
$63,102.38 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$63,102.38 |
$63,102.38 |
$63,102.38 |
$1,091.30
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$27,579.19 |
$27,579.19 |
$27,579.19 |
$498.81
|
|
Application finger splntstatic 29130
|
$243.60 |
$243.60 |
$243.60 |
$208.16
|
|
Application long leg splint 29505
|
$243.60 |
$243.60 |
$243.60 |
$338.25
|
|
Application lower leg splint 29515
|
$243.60 |
$243.60 |
$243.60 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$714.00 |
$714.00 |
$714.00 |
$373.20
|
|
Application of forearm cast 29075
|
$99.90 |
$99.90 |
$99.90 |
$339.30
|
|
Application of long arm cast 29065
|
$99.90 |
$99.90 |
$99.90 |
$395.00
|
|
Application of long leg cast 29345
|
$99.90 |
$99.90 |
$99.90 |
$455.00
|
|
Application of paste boot 29580
|
$717.30 |
$717.30 |
$717.30 |
$331.74
|
|
Application short leg cast 29405
|
$99.90 |
$99.90 |
$99.90 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,100.90 |
$5,100.90 |
$5,100.90 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$27,579.19 |
$27,579.19 |
$27,579.19 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$6,642.94 |
$6,642.94 |
$6,642.94 |
$744.90
|
|
Appl modality 1+lllt po pain
|
$38.10 |
$38.10 |
$38.10 |
$51.36
|
|
Apply forearm splintdynamic 29126
|
$243.60 |
$243.60 |
$243.60 |
$246.18
|
|
Apply of finger splint 29131
|
$243.60 |
$243.60 |
$243.60 |
$168.00
|
|
Apply rigid leg cast 29445
|
$172.50 |
$172.50 |
$172.50 |
$555.00
|
|
Apply short leg castambul type 29425
|
$99.90 |
$99.90 |
$99.90 |
$381.00
|
|
#aptt mix-1:1 incubated
|
$428.40 |
$428.40 |
$428.40 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$359.70 |
$359.70 |
$359.70 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$106.50 |
$106.50 |
$106.50 |
$148.80
|
|
Aquatic exercise - group charge
|
$122.40 |
$122.40 |
$122.40 |
$85.80
|
|
Arch supp att to shoe long/m
|
$97.71 |
$97.71 |
$97.71 |
$96.31
|
|
Arch supp att to shoe metata
|
$76.33 |
$76.33 |
$76.33 |
$76.33
|
|
Arch suprt att to sho longit
|
$76.33 |
$76.33 |
$76.33 |
$75.23
|
|
Arformoterol non-comp unit
|
$63.14 |
$63.14 |
$63.14 |
$25.00
|
|
Argatroban nonesrd use 1mg
|
$663.71 |
$663.71 |
$663.71 |
$866.80
|
|
Arterial blood draw/perc 36620
|
$569.40 |
$569.40 |
$569.40 |
$485.69
|
|
Artery xray each vessel 7577426
|
$2,572.80 |
$2,572.80 |
$2,572.80 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$8,103.00 |
$8,103.00 |
$8,103.00 |
$4,446.00
|
|
Artery x-rays arm/leg 75710-26
|
$4,625.10 |
$4,625.10 |
$4,625.10 |
$3,480.00
|
|
Artery x-rays arms/legs 75716-26
|
$4,625.10 |
$4,625.10 |
$4,625.10 |
$3,729.00
|
|
Artery x-rays lung
|
$3,103.80 |
$3,103.80 |
$3,103.80 |
$3,279.12
|
|
Artery x-rays lungs
|
$3,103.80 |
$3,103.80 |
$3,103.80 |
$3,535.57
|
|
Artery xrays of pelvis 75736 26
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$4,134.14
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$624.30 |
$624.30 |
$624.30 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,074.30 |
$1,074.30 |
$1,074.30 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$131.10 |
$131.10 |
$131.10 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$715.37
|
|
Arthrodesis triple
|
$113,945.75 |
$113,945.75 |
$113,945.75 |
$12,275.04
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$37,678.43 |
$37,678.43 |
$37,678.43 |
$4,240.08
|
|
Arthrp ntrcrpl/crp/mtcrp ssp
|
$18,673.66 |
$18,673.66 |
$18,673.66 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$35,204.11 |
$35,204.11 |
$35,204.11 |
$4,194.13
|
|
Artiss fibrin sealant
|
$2,174.60 |
$2,174.60 |
$2,174.60 |
$1,583.11
|
|
Ascenda two piece catheter
|
$29,820.00 |
$29,820.00 |
$29,820.00 |
$22,951.20
|