|
Alpha-fetoprotein tumor marker
|
$44.00 |
$44.00 |
$44.00 |
$103.80
|
|
Alprostadil for injection
|
$0.69 |
$0.69 |
$0.69 |
$511.84
|
|
Alteplase 100 mg infusion from pyxis vial
|
$192.82 |
$192.82 |
$192.82 |
$15,857.45
|
|
Alt/sgpt
|
$36.00 |
$36.00 |
$36.00 |
$47.40
|
|
Alys cplx sp/pn npgt w/prgrm
|
$138.40 |
$138.40 |
$138.40 |
$411.45
|
|
Amino acid screen, urine
|
$32.40 |
$32.40 |
$32.40 |
$77.00
|
|
Amino acids quant 2-5
|
$20.00 |
$20.00 |
$20.00 |
$113.60
|
|
Aminolevulinic acid delta
|
$50.80 |
$50.80 |
$50.80 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$47.40 |
$47.40 |
$47.40 |
$46.24
|
|
Amiodarone 50 mg/ml intravenous solution
|
$6.60 |
$6.60 |
$6.60 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$40.40 |
$40.40 |
$40.40 |
$84.56
|
|
Ammonia
|
$51.20 |
$51.20 |
$51.20 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$851.20 |
$851.20 |
$851.20 |
$923.50
|
|
Amniocentesis therapeutic
|
$929.20 |
$929.20 |
$929.20 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$90.40 |
$90.40 |
$90.40 |
$93.61
|
|
Amphetamines 5 or more
|
$97.60 |
$97.60 |
$97.60 |
$90.48
|
|
Ampicillin 1 gram solution for injection
|
$33.14 |
$33.14 |
$33.14 |
$58.35
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$61.72 |
$61.72 |
$61.72 |
$54.57
|
|
Amputation toe interphalangeal joint
|
$3,595.60 |
$3,595.60 |
$3,595.60 |
$4,196.50
|
|
Amylase
|
$49.60 |
$49.60 |
$49.60 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$63.20 |
$63.20 |
$63.20 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$48.40 |
$48.40 |
$48.40 |
$237.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$138.40 |
$138.40 |
$138.40 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$27.20 |
$27.20 |
$27.20 |
$99.00
|
|
An fluoro guide for cvp
|
$195.60 |
$195.60 |
$195.60 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$5,500.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$21.66 |
$21.66 |
$21.66 |
$2,792.09
|
|
Angio trnslmnl balloon same artery ea addl
|
$1,754.80 |
$1,754.80 |
$1,754.80 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$8,466.00
|
|
Ankle X-ray
|
$342.40 |
$342.40 |
$342.40 |
$352.80
|
|
Ank symes mold sckt sach ft
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$2,996.00
|
|
Anterior swing band
|
$145.60 |
$145.60 |
$145.60 |
$506.45
|
|
Anterior thoracic extension
|
$158.80 |
$158.80 |
$158.80 |
$496.80
|
|
Antibody elution rbc reference
|
$172.80 |
$172.80 |
$172.80 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$62.40 |
$62.40 |
$62.40 |
$131.28
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$54.80 |
$54.80 |
$54.80 |
$219.30
|
|
Antibody id rbc panel
|
$383.60 |
$383.60 |
$383.60 |
$290.21
|
|
Antibody screen rbc
|
$88.80 |
$88.80 |
$88.80 |
$106.88
|
|
Antidepressant tricyclic 3-5
|
$97.60 |
$97.60 |
$97.60 |
$23.20
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$22.40 |
$22.40 |
$22.40 |
$37.58
|
|
Antinuclear antibodies
|
$18.00 |
$18.00 |
$18.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$28.80 |
$28.80 |
$28.80 |
$79.86
|
|
Antiphosphatidylserine antibody
|
$29.20 |
$29.20 |
$29.20 |
$64.50
|
|
Antipsychotics nos 1-3
|
$50.40 |
$50.40 |
$50.40 |
$137.80
|
|
Antistreptolysin o screen
|
$14.80 |
$14.80 |
$14.80 |
$59.40
|
|
Antistreptolysin o titer
|
$25.60 |
$25.60 |
$25.60 |
$52.50
|
|
Antithrombin iii activity
|
$34.40 |
$34.40 |
$34.40 |
$114.00
|
|
Apheresis rbc
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$3,290.80
|
|
Apl(pml-rara) quant - sendout
|
$304.00 |
$304.00 |
$304.00 |
$500.80
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$4,488.80 |
$4,488.80 |
$4,488.80 |
$2,112.66
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$1,121.60 |
$1,121.60 |
$1,121.60 |
$851.85
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$502.00 |
$502.00 |
$502.00 |
$490.50
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$4,474.40 |
$4,474.40 |
$4,474.40 |
$3,345.60
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$893.20 |
$893.20 |
$893.20 |
$1,132.20
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$351.20 |
$351.20 |
$351.20 |
$508.18
|
|
Application finger splntstatic 29130
|
$142.40 |
$142.40 |
$142.40 |
$208.50
|
|
Application long leg splint 29505
|
$274.80 |
$274.80 |
$274.80 |
$338.25
|
|
Application lower leg splint 29515
|
$313.60 |
$313.60 |
$313.60 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$203.20 |
$203.20 |
$203.20 |
$370.92
|
|
Application of paste boot 29580
|
$199.60 |
$199.60 |
$199.60 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$2,109.00
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$2,123.50
|
|
Applicator tag rfid localizer 12gx7cm
|
$716.00 |
$716.00 |
$716.00 |
$895.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$15.20 |
$15.20 |
$15.20 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$30.80 |
$30.80 |
$30.80 |
$76.80
|
|
Apply forearm splintdynamic 29126
|
$374.40 |
$374.40 |
$374.40 |
$248.95
|
|
Apply rigid leg cast 29445
|
$349.20 |
$349.20 |
$349.20 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2.57 |
$2.57 |
$2.57 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$161.20 |
$161.20 |
$161.20 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$20.80 |
$20.80 |
$20.80 |
$244.50
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$61.20 |
$61.20 |
$61.20 |
$100.00
|
|
Aquatic exercise - group charge
|
$30.40 |
$30.40 |
$30.40 |
$87.15
|
|
Arformoterol non-comp unit
|
$10.96 |
$10.96 |
$10.96 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$0.81 |
$0.81 |
$0.81 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$183.20 |
$183.20 |
$183.20 |
$485.69
|
|
Artery xray each vessel 7577426
|
$684.40 |
$684.40 |
$684.40 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$2,632.80 |
$2,632.80 |
$2,632.80 |
$4,515.50
|
|
Artery x-rays adrenal gland
|
$2,438.40 |
$2,438.40 |
$2,438.40 |
$3,320.35
|
|
Artery x-rays adrenals
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$2,350.00 |
$2,350.00 |
$2,350.00 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$2,679.20 |
$2,679.20 |
$2,679.20 |
$3,729.00
|
|
Artery x-rays chest
|
$1,247.20 |
$1,247.20 |
$1,247.20 |
$2,785.15
|
|
Artery x-rays lung
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$3,286.20
|
|
Artery x-rays lung
|
$1,320.40 |
$1,320.40 |
$1,320.40 |
$2,380.80
|
|
Artery x-rays lungs
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$3,576.60
|
|
Artery xrays of pelvis 75736 26
|
$2,486.80 |
$2,486.80 |
$2,486.80 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$481.20 |
$481.20 |
$481.20 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$970.40 |
$970.40 |
$970.40 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$864.40 |
$864.40 |
$864.40 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$481.20 |
$481.20 |
$481.20 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$815.20 |
$815.20 |
$815.20 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$668.40 |
$668.40 |
$668.40 |
$699.00
|
|
Artiss fibrin sealant
|
$894.00 |
$894.00 |
$894.00 |
$1,583.11
|
|
Ascenda two piece catheter
|
$13,038.80 |
$13,038.80 |
$13,038.80 |
$23,074.63
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$331.60 |
$331.60 |
$331.60 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$751.20 |
$751.20 |
$751.20 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,226.87
|
