|
11-desoxycortisol - sendout
|
$17.25 |
$17.25 |
$31.39 |
$91.85
|
|
17-hydroxypregnenolone
|
$13.52 |
$13.52 |
$24.46 |
$92.65
|
|
17-ketosteroids
|
$13.73 |
$13.73 |
$15.68 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$770.72 |
$770.72 |
$770.72 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$376.28 |
$376.28 |
$425.58 |
$1,284.00
|
|
2nd order venous cath
|
$726.11 |
$726.11 |
$897.80 |
$1,532.04
|
|
3d recon without postprocess indpndt
|
$172.48 |
$172.48 |
$349.21 |
$508.13
|
|
5' nucleotidase - sendout
|
$11.96 |
$11.96 |
$19.40 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$80.40 |
$80.40 |
$80.40 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,998.03 |
$3,998.03 |
$3,998.03 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$12.88 |
$12.88 |
$24.64 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$2,526.98 |
$2,526.98 |
$3,185.60 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$908.79 |
$908.79 |
$1,149.15 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,403.96 |
$1,403.96 |
$1,636.68 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,767.02 |
$1,767.02 |
$1,956.94 |
$2,475.45
|
|
Abd/low ext cath addl
|
$909.22 |
$909.22 |
$1,494.37 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$467.93 |
$467.93 |
$708.86 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$298.94 |
$298.94 |
$412.19 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$707.55 |
$707.55 |
$1,178.67 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$589.62 |
$589.62 |
$1,052.44 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$471.70 |
$471.70 |
$957.57 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$689.97 |
$689.97 |
$1,895.84 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$575.08 |
$575.08 |
$575.08 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$459.98 |
$459.98 |
$1,115.15 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$750.14 |
$750.14 |
$2,268.40 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$340.65 |
$340.65 |
$627.12 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$168.25 |
$168.25 |
$514.03 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$167.09 |
$167.09 |
$280.33 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$222.89 |
$222.89 |
$425.32 |
$418.63
|
|
Abdominal X-ray (single view)
|
$137.02 |
$137.02 |
$188.14 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$591.26 |
$591.26 |
$591.26 |
$1,148.40
|
|
Abl1 gene
|
$321.60 |
$321.60 |
$441.03 |
$683.20
|
|
Ablate arrhythmia add on
|
$6,233.42 |
$6,233.42 |
$6,233.42 |
$6,828.51
|
|
Ablate heart dysrhythm focus
|
$6,450.50 |
$6,450.50 |
$6,450.50 |
$9,332.05
|
|
Ablation cardiac vagal inputs atrium
|
$1,732.40 |
$1,732.40 |
$7,210.54 |
$2,260.30
|
|
Ablation cryo adrenal tumor
|
$1,503.75 |
$1,503.75 |
$1,503.75 |
$6,948.75
|
|
Abscess drain retroperitoneal surg code
|
$1,048.58 |
$1,048.58 |
$1,048.58 |
$3,050.40
|
|
Acetazolamide 500 mg solution for injection
|
$109.35 |
$109.35 |
$109.35 |
$122.55
|
|
Acetone qualitative
|
$41.28 |
$41.28 |
$41.28 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$12.37 |
$12.37 |
$27.07 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$445.69 |
$445.69 |
$445.69 |
$218.79
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$35.38 |
$35.38 |
$35.38 |
$38.50
|
|
Acute hepatitis panel
|
$88.79 |
$88.79 |
$495.27 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$14.04 |
$14.04 |
$14.04 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$41.01 |
$41.01 |
$41.01 |
$64.45
|
|
#acylcarnitineprfl
|
$22.54 |
$22.54 |
$80.40 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$6,198.83 |
$6,198.83 |
$7,247.26 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$455.07 |
$455.07 |
$455.07 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$21.17 |
$21.17 |
$84.69 |
$58.00
|
|
Adh-sendout
|
$19.99 |
$19.99 |
$36.39 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$172.86 |
$172.86 |
$172.86 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$50.21 |
$50.21 |
$491.78 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$103.15 |
$103.15 |
$336.88 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$219.31 |
$219.31 |
$644.28 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$201.46 |
$201.46 |
$275.51 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$218.16 |
$218.16 |
$218.16 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$218.16 |
$218.16 |
$244.12 |
$256.49
|
|
Administration immunization each additional vaccine
|
$8.72 |
$8.72 |
$61.64 |
$47.40
|
|
Administration vaccine influenza virus
|
$18.02 |
$18.02 |
$18.02 |
$51.07
|
|
Administration vaccine pneumococcal
|
$18.02 |
$18.02 |
$18.02 |
$49.68
|
|
Adrenalin epinephrine inject
|
$1,822.40 |
$1,822.40 |
$1,822.40 |
$231.47
|
|
Aep hearing status deter i&r
|
$345.15 |
$345.15 |
$345.15 |
$303.00
|
|
_afb id by dna probe rflx ast
|
$24.53 |
$24.53 |
$64.86 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$12.60 |
$12.60 |
$21.17 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$116.94 |
$116.94 |
$322.14 |
$300.00
|
|
Air conduction bilat
|
$33.50 |
$33.50 |
$33.50 |
$134.00
|
|
Air injection into abdomen 49400
|
$185.36 |
$185.36 |
$185.36 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$11.37 |
$11.37 |
$24.39 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$410.04 |
$410.04 |
$410.04 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$251.66 |
$251.66 |
$251.66 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$10.98 |
$10.98 |
$53.87 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$24.70 |
$24.70 |
$72.63 |
$43.00
|
|
Alcohol/subs interv 15-30mn
|
$40.20 |
$40.20 |
$40.20 |
$56.70
|
|
Alkaline phosphatase
|
$27.24 |
$27.24 |
$57.62 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$27.76 |
$27.76 |
$80.40 |
$48.57
|
|
Allergen egg white ige
|
$19.43 |
$19.43 |
$250.85 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$8.55 |
$8.55 |
$20.47 |
$24.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$12,249.75 |
$12,249.75 |
$12,249.75 |
$5,399.16
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$238.00 |
$238.00 |
$27,033.43 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$127.66 |
$127.66 |
$9,422.08 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$57.31 |
$57.31 |
$35,981.42 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$20,704.61 |
$20,704.61 |
$20,704.61 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$9,422.08 |
$9,422.08 |
$9,422.08 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$850.37 |
$850.37 |
$4,959.29 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$7,247.26 |
$7,247.26 |
$7,247.26 |
$5,278.73
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,295.60 |
$3,295.60 |
$3,295.60 |
$1,225.35
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,047.88 |
$1,047.88 |
$1,047.88 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$38.02 |
$38.02 |
$69.05 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$10.00 |
$10.00 |
$10.00 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$10.00 |
$10.00 |
$164.29 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,742.97 |
$8,742.97 |
$8,742.97 |
$15,857.45
|
|
Alt/sgpt
|
$25.48 |
$25.48 |
$91.12 |
$47.50
|
|
Aluminum - quest
|
$15.09 |
$15.09 |
$27.32 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$36.65 |
$36.65 |
$36.65 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$42.62 |
$42.62 |
$42.62 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$14.48 |
$14.48 |
$14.48 |
$37.33
|
|
Aminolevulinic acid delta
|
$14.70 |
$14.70 |
$17.64 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$26.00 |
$26.00 |
$26.00 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$93.80 |
$93.80 |
$93.80 |
$108.13
|