|
11-desoxycortisol - sendout
|
$13.55 |
$13.55 |
$13.55 |
$91.85
|
|
17-hydroxypregnenolone
|
$10.63 |
$10.63 |
$10.63 |
$92.65
|
|
17-ketosteroids
|
$12.32 |
$12.32 |
$12.32 |
$55.00
|
|
2d tte w or without fol w/con,co
|
$361.57 |
$361.57 |
$361.57 |
$1,284.00
|
|
2nd order venous cath
|
$513.59 |
$513.59 |
$513.59 |
$1,532.04
|
|
3d recon without postprocess indpndt
|
$65.12 |
$65.12 |
$65.12 |
$508.13
|
|
5' nucleotidase - sendout
|
$15.25 |
$15.25 |
$15.25 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$9.30 |
$9.30 |
$9.30 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,337.95 |
$1,337.95 |
$1,337.95 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$812.81 |
$812.81 |
$812.81 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$993.05 |
$993.05 |
$993.05 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,249.84 |
$1,249.84 |
$1,249.84 |
$2,475.45
|
|
Abd/low ext cath addl
|
$643.10 |
$643.10 |
$643.10 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$383.99 |
$383.99 |
$383.99 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$245.32 |
$245.32 |
$245.32 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$467.25 |
$467.25 |
$467.25 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$389.38 |
$389.38 |
$389.38 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$311.50 |
$311.50 |
$311.50 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$468.42 |
$468.42 |
$468.42 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$390.42 |
$390.42 |
$390.42 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$312.28 |
$312.28 |
$312.28 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,637.98 |
$1,637.98 |
$1,637.98 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$299.80 |
$299.80 |
$299.80 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$227.01 |
$227.01 |
$227.01 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$125.59 |
$125.59 |
$125.59 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$167.53 |
$167.53 |
$167.53 |
$418.63
|
|
Abdominal X-ray (single view)
|
$102.99 |
$102.99 |
$102.99 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$418.21 |
$418.21 |
$418.21 |
$1,148.40
|
|
Abl1 gene
|
$257.39 |
$257.39 |
$257.39 |
$683.20
|
|
Ablate bone tumor(s) perq
|
$3,226.37 |
$3,226.37 |
$3,226.37 |
$9,511.44
|
|
Ablate pulm tumor perq rf
|
$3,789.40 |
$3,789.40 |
$3,789.40 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,585.15 |
$1,585.15 |
$1,585.15 |
$2,260.30
|
|
Abscess drain retroperitoneal surg code
|
$741.68 |
$741.68 |
$741.68 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,824.36 |
$1,824.36 |
$1,824.36 |
$2,314.00
|
|
Acetylcholine receptor modulating antibody
|
$10.22 |
$10.22 |
$10.22 |
$67.50
|
|
Acute hepatitis panel
|
$69.76 |
$69.76 |
$69.76 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$17.59 |
$17.59 |
$17.59 |
$54.77
|
|
#acylcarnitineprfl
|
$17.71 |
$17.71 |
$17.71 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$5,695.04 |
$5,695.04 |
$5,695.04 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$7.99 |
$7.99 |
$7.99 |
$58.00
|
|
Adh-sendout
|
$15.71 |
$15.71 |
$15.71 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$44.18 |
$44.18 |
$44.18 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$90.76 |
$90.76 |
$90.76 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$192.97 |
$192.97 |
$192.97 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$177.27 |
$177.27 |
$177.27 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$214.80 |
$214.80 |
$214.80 |
$256.49
|
|
Administration immunization each additional vaccine
|
$11.59 |
$11.59 |
$11.59 |
$47.40
|
|
Administration vaccine hepatitis b
|
$23.94 |
$23.94 |
$23.94 |
$53.00
|
|
Administration vaccine influenza virus
|
$23.94 |
$23.94 |
$23.94 |
$51.07
|
|
Administration vaccine pneumococcal
|
$23.94 |
$23.94 |
$23.94 |
$49.68
|
|
Adrenal cortex & medulla img
|
$523.64 |
$523.64 |
$523.64 |
$1,987.70
|
|
Aep neurodiagnostic i&r
|
$302.54 |
$302.54 |
$302.54 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$408.14 |
$408.14 |
$408.14 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$14.67 |
$14.67 |
$14.67 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$12.66 |
$12.66 |
$12.66 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$69.75 |
$69.75 |
$69.75 |
$300.00
|
|
Airway resistance by impulse oscillometry 94728
|
$22.46 |
$22.46 |
$22.46 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$8.93 |
$8.93 |
$8.93 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$16.70 |
$16.70 |
$16.70 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$8.62 |
$8.62 |
$8.62 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$19.40 |
$19.40 |
$19.40 |
$43.00
|
|
Alkaline phosphatase
|
$21.41 |
$21.41 |
$21.41 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$10.48 |
$10.48 |
$10.48 |
$48.57
|
|
Allergen egg white ige
|
$7.34 |
$7.34 |
$7.34 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$7.73 |
$7.73 |
$7.73 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$218.66 |
$218.66 |
$218.66 |
$9,900.02
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$52.65 |
$52.65 |
$52.65 |
$20,311.34
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,001.78 |
$1,001.78 |
$1,001.78 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$29.88 |
$29.88 |
$29.88 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$7.85 |
$7.85 |
$7.85 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$7.85 |
$7.85 |
$7.85 |
$106.00
|
|
Alt/sgpt
|
$20.02 |
$20.02 |
$20.02 |
$47.50
|
|
Aluminum - quest
|
$11.86 |
$11.86 |
$11.86 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$60.06 |
$60.06 |
$60.06 |
$179.70
|
|
Aminolevulinic acid delta
|
$11.55 |
$11.55 |
$11.55 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$2.90 |
$2.90 |
$2.90 |
$47.06
|
|
Amitriptyline (elavil) -sendout
|
$10.47 |
$10.47 |
$10.47 |
$87.45
|
|
Ammonia
|
$32.80 |
$32.80 |
$32.80 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$380.89 |
$380.89 |
$380.89 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$24.02 |
$24.02 |
$24.02 |
$93.61
|
|
Amylase
|
$52.51 |
$52.51 |
$52.51 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$68.68 |
$68.68 |
$68.68 |
$117.01
|
|
Anal pressure record
|
$348.96 |
$348.96 |
$348.96 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$56.43 |
$56.43 |
$56.43 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$63.01 |
$63.01 |
$63.01 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$7.20 |
$7.20 |
$7.20 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$457.76 |
$457.76 |
$457.76 |
$2,480.94
|
|
An fluoro guide for cvp
|
$108.58 |
$108.58 |
$108.58 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,981.69 |
$2,981.69 |
$2,981.69 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,807.08 |
$5,807.08 |
$5,807.08 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$6,944.95 |
$6,944.95 |
$6,944.95 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,043.90 |
$3,043.90 |
$3,043.90 |
$5,950.50
|
|
Angiotensin ii
|
$13.71 |
$13.71 |
$13.71 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$452.23 |
$452.23 |
$452.23 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,375.53 |
$6,375.53 |
$6,375.53 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,479.65 |
$3,479.65 |
$3,479.65 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$6,959.94 |
$6,959.94 |
$6,959.94 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,243.85 |
$2,243.85 |
$2,243.85 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$6,104.70 |
$6,104.70 |
$6,104.70 |
$8,359.11
|
|
Ankle X-ray
|
$86.91 |
$86.91 |
$86.91 |
$356.32
|
