|
11-desoxycortisol - sendout
|
$155.42 |
$155.42 |
$155.42 |
$84.56
|
|
17-hydroxypregnenolone
|
$16.72 |
$16.72 |
$16.72 |
$87.00
|
|
17-ketosteroids
|
$35.53 |
$35.53 |
$35.53 |
$49.45
|
|
2019-ncov diagnostic p
|
$24.89 |
$24.89 |
$24.89 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$484.88 |
$484.88 |
$484.88 |
$1,591.63
|
|
2d tte w or without fol w/con,co
|
$457.52 |
$457.52 |
$457.52 |
$1,137.75
|
|
2nd order venous cath
|
$247.95 |
$247.95 |
$247.95 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$411.92 |
$411.92 |
$411.92 |
$463.68
|
|
3-d radiotherapy plan
|
$477.47 |
$477.47 |
$477.47 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$411.92 |
$411.92 |
$411.92 |
$483.53
|
|
88334 ap bill cytologic exam each additional site
|
$11.78 |
$11.78 |
$11.78 |
$98.15
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$30.21 |
$30.21 |
$30.21 |
$53.50
|
|
Abd aorta w/runoff s&i
|
$1,014.79 |
$1,014.79 |
$1,014.79 |
$3,594.60
|
|
Abd/low ext cath 1st
|
$376.39 |
$376.39 |
$376.39 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$568.86 |
$568.86 |
$568.86 |
$2,199.60
|
|
Abd/low ext cath 3rd
|
$495.33 |
$495.33 |
$495.33 |
$2,662.40
|
|
Abd/low ext cath addl
|
$204.44 |
$204.44 |
$204.44 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$916.56 |
$916.56 |
$916.56 |
$2,047.50
|
|
Abdominal CT scan (with contrast)
|
$762.47 |
$762.47 |
$762.47 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$585.58 |
$585.58 |
$585.58 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$1,730.52 |
$1,730.52 |
$1,730.52 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$651.32 |
$651.32 |
$651.32 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$258.02 |
$258.02 |
$258.02 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$183.54 |
$183.54 |
$183.54 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$215.08 |
$215.08 |
$215.08 |
$1,153.54
|
|
Ablate arrhythmia add on
|
$2,816.75 |
$2,816.75 |
$2,816.75 |
$7,018.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$1,701.26 |
$1,701.26 |
$1,701.26 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$1,832.17 |
$1,832.17 |
$1,832.17 |
$9,527.28
|
|
Ablate heart dysrhythm focus
|
$5,544.58 |
$5,544.58 |
$5,544.58 |
$9,523.83
|
|
Ablate pulm tumor perq crybl
|
$1,705.63 |
$1,705.63 |
$1,705.63 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$1,962.89 |
$1,962.89 |
$1,962.89 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,030.15 |
$2,030.15 |
$2,030.15 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$688.56 |
$688.56 |
$688.56 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$2,039.08 |
$2,039.08 |
$2,039.08 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$2,107.29 |
$2,107.29 |
$2,107.29 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$168.15 |
$168.15 |
$168.15 |
$859.50
|
|
Ablation of upper extremity nerves rf
|
$160.93 |
$160.93 |
$160.93 |
$842.40
|
|
Abscess drain retroperitoneal surg code
|
$697.11 |
$697.11 |
$697.11 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$861.46 |
$861.46 |
$861.46 |
$2,786.16
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$28.50 |
$28.50 |
$28.50 |
$83.93
|
|
Acetaminophen level
|
$14.63 |
$14.63 |
$14.63 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$105.42 |
$105.42 |
$105.42 |
$115.20
|
|
Acetone qualitative
|
$39.71 |
$39.71 |
$39.71 |
$45.50
|
|
Acetylcholine receptor modulating antibody
|
$7.03 |
$7.03 |
$7.03 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$290.02 |
$290.02 |
$290.02 |
$252.07
|
|
Acute hepatitis panel
|
$107.16 |
$107.16 |
$107.16 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$55.40 |
$55.40 |
$55.40 |
$68.32
|
|
#acylcarnitineprfl
|
$12.16 |
$12.16 |
$12.16 |
$118.85
|
|
Adapter b 8 channel 10cm
|
$142.12 |
$142.12 |
$142.12 |
$6,176.93
|
|
Adenosine 3 mg/250 ml bag for osm
|
$516.76 |
$516.76 |
$516.76 |
$275.73
|
|
Adh-sendout
|
$45.22 |
$45.22 |
$45.22 |
$109.28
|
|
Adj gastric band via subq port
|
$438.14 |
$438.14 |
$438.14 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$12.43 |
$12.43 |
$12.43 |
$183.76
|
|
Admin ecg contrast agent
|
$36.67 |
$36.67 |
$36.67 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$73.53 |
$73.53 |
$73.53 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$73.53 |
$73.53 |
$73.53 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$157.89 |
$157.89 |
$157.89 |
$673.60
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$93.86 |
$93.86 |
$93.86 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$57.00 |
$57.00 |
$57.00 |
$222.14
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$57.00 |
$57.00 |
$57.00 |
$265.50
|
|
Administration immunization 1 vaccine
|
$26.22 |
$26.22 |
$26.22 |
$69.21
|
|
Administration immunization each additional vaccine
|
$26.22 |
$26.22 |
$26.22 |
$47.52
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$12.16 |
$12.16 |
$12.16 |
$41.15
|
|
Administration vaccine hepatitis b
|
$21.66 |
$21.66 |
$21.66 |
$54.60
|
|
Administration vaccine influenza virus
|
$25.84 |
$25.84 |
$25.84 |
$48.35
|
|
Administration vaccine pneumococcal
|
$21.66 |
$21.66 |
$21.66 |
$49.50
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$10.45 |
$10.45 |
$10.45 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$6,064.23 |
$6,064.23 |
$6,064.23 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$1,067.67 |
$1,067.67 |
$1,067.67 |
$176.40
|
|
Air injection into abdomen 49400
|
$80.75 |
$80.75 |
$80.75 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$4.37 |
$4.37 |
$4.37 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$70.11 |
$70.11 |
$70.11 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$70.30 |
$70.30 |
$70.30 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$15.96 |
$15.96 |
$15.96 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$6.46 |
$6.46 |
$6.46 |
$40.00
|
|
Alkaline phosphatase
|
$11.21 |
$11.21 |
$11.21 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$11.02 |
$11.02 |
$11.02 |
$48.57
|
|
Allergen egg white ige
|
$11.02 |
$11.02 |
$11.02 |
$36.66
|
|
Allergen specific ige qual multi scrn ea
|
$5.51 |
$5.51 |
$5.51 |
$24.01
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$102.41 |
$102.41 |
$102.41 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$43.89 |
$43.89 |
$43.89 |
$4,677.40
|
|
Alloskin
|
$7.79 |
$7.79 |
$7.79 |
$582.40
|
|
Alpha-fetoprotein tumor marker
|
$99.75 |
$99.75 |
$99.75 |
$106.00
|
|
Alprostadil for injection
|
$404.97 |
$404.97 |
$404.97 |
$519.93
|
|
Alt/sgpt
|
$9.50 |
$9.50 |
$9.50 |
$47.30
|
|
Aluminum - quest
|
$15.58 |
$15.58 |
$15.58 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$60.99 |
$60.99 |
$60.99 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$61.41 |
$61.41 |
$61.41 |
$36.30
|
|
Amino acid screen, urine
|
$18.81 |
$18.81 |
$18.81 |
$77.00
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$32.80 |
$32.80 |
$32.80 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$101.89 |
$101.89 |
$101.89 |
$60.61
|
|
Amitriptyline (elavil) -sendout
|
$60.99 |
$60.99 |
$60.99 |
$92.50
|
|
Ammonia
|
$15.01 |
$15.01 |
$15.01 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$263.91 |
$263.91 |
$263.91 |
$943.50
|
|
Amniocentesis therapeutic
|
$93.29 |
$93.29 |
$93.29 |
$770.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$743.09 |
$743.09 |
$743.09 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$60.99 |
$60.99 |
$60.99 |
$93.61
|
|
Amphetamines 5 or more
|
$60.99 |
$60.99 |
$60.99 |
$87.75
|