|
_afb id by dna probe rflx ast
|
$75.50 |
$75.50 |
$75.50 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$24.00 |
$24.00 |
$24.00 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$543.00 |
$543.00 |
$543.00 |
$315.00
|
|
Aflibercept injection
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$3,153.84
|
|
After cataract laser surgery
|
$751.50 |
$751.50 |
$751.50 |
$1,373.11
|
|
Air conduction bilat
|
$181.50 |
$181.50 |
$181.50 |
$133.00
|
|
Air injection into abdomen 49400
|
$82.00 |
$82.00 |
$82.00 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$63.00 |
$63.00 |
$63.00 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$391.50 |
$391.50 |
$391.50 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$59.50 |
$59.50 |
$59.50 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$43.00 |
$43.00 |
$43.00 |
$40.80
|
|
Albuterol ipratrop non-comp
|
$1.00 |
$1.00 |
$1.00 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$44.50 |
$44.50 |
$44.50 |
$93.60
|
|
Alcohol/subs interv 15-30mn
|
$36.50 |
$36.50 |
$36.50 |
$51.52
|
|
Alkaline phosphatase
|
$36.00 |
$36.00 |
$36.00 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$61.00 |
$61.00 |
$61.00 |
$48.00
|
|
Allergen egg white ige
|
$215.00 |
$215.00 |
$215.00 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$58.00 |
$58.00 |
$58.00 |
$43.75
|
|
Allergy injection; single 95115
|
$58.00 |
$58.00 |
$58.00 |
$42.75
|
|
Allergy Skin Testing
|
$570.00 |
$570.00 |
$570.00 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$738.00 |
$738.00 |
$738.00 |
$445.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$4,737.17 |
$4,737.17 |
$4,737.17 |
$5,401.92
|
|
Allograft amnioexcel plus 17mm disk
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$2,250.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,047.41 |
$1,047.41 |
$1,047.41 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$4,200.99 |
$4,200.99 |
$4,200.99 |
$6,414.50
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$147.50 |
$147.50 |
$147.50 |
$4,677.40
|
|
All tstg perq&iq drugs/biol
|
$55.00 |
$55.00 |
$55.00 |
$64.80
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$37.80 |
$37.80 |
$37.80 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$28.50 |
$28.50 |
$28.50 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$102.00 |
$102.00 |
$102.00 |
$106.00
|
|
Alprostadil for injection
|
$14.00 |
$14.00 |
$14.00 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$729.05 |
$729.05 |
$729.05 |
$15,857.45
|
|
Alt/sgpt
|
$49.50 |
$49.50 |
$49.50 |
$47.45
|
|
Aluminum - quest
|
$25.00 |
$25.00 |
$25.00 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$144.50 |
$144.50 |
$144.50 |
$434.00
|
|
Amantadine (symmetrel)-sendout
|
$142.00 |
$142.00 |
$142.00 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.50 |
$1.50 |
$1.50 |
$39.84
|
|
Amino acids quant 2-5
|
$216.00 |
$216.00 |
$216.00 |
$104.00
|
|
Aminolevulinic acid delta
|
$61.50 |
$61.50 |
$61.50 |
$85.15
|
|
Aminolevulinic acid hcl top
|
$885.00 |
$885.00 |
$885.00 |
$640.56
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$120.00 |
$120.00 |
$120.00 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.56 |
$1.56 |
$1.56 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$62.00 |
$62.00 |
$62.00 |
$87.45
|
|
Ammonia
|
$110.00 |
$110.00 |
$110.00 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$32.00 |
$32.00 |
$32.00 |
$92.61
|
|
Amphetamines 5 or more
|
$27.00 |
$27.00 |
$27.00 |
$82.96
|
|
Ampicillin 1 gram solution for injection
|
$5.38 |
$5.38 |
$5.38 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$18.20 |
$18.20 |
$18.20 |
$53.86
|
|
Amp metatarsal w/toe single 28810
|
$3,723.00 |
$3,723.00 |
$3,723.00 |
$4,271.00
|
|
Amputate metacarpal bone 26910
|
$5,302.50 |
$5,302.50 |
$5,302.50 |
$3,821.05
|
|
Amputation toe interphalangeal joint
|
$4,015.00 |
$4,015.00 |
$4,015.00 |
$3,998.20
|
|
Amputation toe metatarsophalangeal joint
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$3,839.54
|
|
Amylase
|
$237.00 |
$237.00 |
$237.00 |
$89.04
|
|
Ana ds-dna
|
$65.50 |
$65.50 |
$65.50 |
$56.50
|
|
Analgesics non-opioid 3-5
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Analgesics non-opioid 6/more
|
$5.00 |
$5.00 |
$5.00 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.00 |
$45.00 |
$45.00 |
$117.01
|
|
Anal/urinary muscle study
|
$287.00 |
$287.00 |
$287.00 |
$576.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$109.50 |
$109.50 |
$109.50 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$149.50 |
$149.50 |
$149.50 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$149.50 |
$149.50 |
$149.50 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$44.00 |
$44.00 |
$44.00 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$196.50 |
$196.50 |
$196.50 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$110.00 |
$110.00 |
$110.00 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$99.00 |
$99.00 |
$99.00 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$2,626.65
|
|
Androstanediol
|
$155.50 |
$155.50 |
$155.50 |
$120.60
|
|
An fluoro guide for cvp
|
$515.00 |
$515.00 |
$515.00 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,483.00 |
$7,483.00 |
$7,483.00 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$8,053.50 |
$8,053.50 |
$8,053.50 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$9,723.34 |
$9,723.34 |
$9,723.34 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,117.50 |
$4,117.50 |
$4,117.50 |
$5,950.50
|
|
Angiotensin ii
|
$335.00 |
$335.00 |
$335.00 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$80.10 |
$80.10 |
$80.10 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$9,843.00 |
$9,843.00 |
$9,843.00 |
$10,522.96
|
|
Angio trnslmnl balloon same artery ea addl
|
$8,605.50 |
$8,605.50 |
$8,605.50 |
$4,604.00
|
|
Angio trnslmnl balloon same artery ini
|
$7,483.00 |
$7,483.00 |
$7,483.00 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$4,390.75
|
|
Angio trnslmnl balloon same vein ini
|
$4,822.00 |
$4,822.00 |
$4,822.00 |
$8,466.00
|
|
Ankle arthroscopy/surgery
|
$2,384.67 |
$2,384.67 |
$2,384.67 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$6,424.00 |
$6,424.00 |
$6,424.00 |
$6,193.84
|
|
Ankle arthroscopy/surgery
|
$7,012.00 |
$7,012.00 |
$7,012.00 |
$3,797.90
|
|
Ankle arthroscopy/surgery
|
$6,100.00 |
$6,100.00 |
$6,100.00 |
$3,839.54
|
|
Ankle arthroscopy/surgery
|
$2,725.34 |
$2,725.34 |
$2,725.34 |
$3,839.54
|
|
Ankle X-ray
|
$385.00 |
$385.00 |
$385.00 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$353.00 |
$353.00 |
$353.00 |
$627.94
|
|
Annual alcohol screen 15 min
|
$43.50 |
$43.50 |
$43.50 |
$40.00
|
|
Annual Physical, Established Patient (age 18-39)
|
$46.00 |
$46.00 |
$46.00 |
$141.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$66.00 |
$66.00 |
$66.00 |
$158.76
|
|
Annual Physical, New Patient (age 18-39)
|
$73.00 |
$73.00 |
$73.00 |
$143.25
|
|
Annual Physical, New Patient (age 40-64)
|
$85.50 |
$85.50 |
$85.50 |
$165.10
|
|
Anora (draw only)
|
$2.00 |
$2.00 |
$2.00 |
$33.58
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$2,238.67 |
$2,238.67 |
$2,238.67 |
$5,463.96
|
|
Antibody bacterium, not elsewhere specified
|
$130.00 |
$130.00 |
$130.00 |
$57.81
|
|
Antibody elution rbc reference
|
$176.50 |
$176.50 |
$176.50 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$72.00 |
$72.00 |
$72.00 |
$130.00
|
|
Antibody htlv-i
|
$23.50 |
$23.50 |
$23.50 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$455.00 |
$455.00 |
$455.00 |
$218.30
|
|
Antibody id rbc panel
|
$241.50 |
$241.50 |
$241.50 |
$274.56
|
|
Antibody influenza virus
|
$69.50 |
$69.50 |
$69.50 |
$53.95
|
