|
11-desoxycortisol - sendout
|
$9.11 |
$9.11 |
$9.11 |
$87.50
|
|
17-ketosteroids
|
$8.53 |
$8.53 |
$8.53 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$2,045.98 |
$2,045.98 |
$2,045.98 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$673.52 |
$673.52 |
$673.52 |
$1,108.76
|
|
3d recon without postprocess indpndt
|
$509.22 |
$509.22 |
$509.22 |
$425.10
|
|
5' nucleotidase - sendout
|
$4.03 |
$4.03 |
$4.03 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$108.24 |
$108.24 |
$108.24 |
$97.65
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$35.86 |
$35.86 |
$35.86 |
$147.92
|
|
99397 periodic comp preventive med 65+ years est
|
$81.50 |
$81.50 |
$81.50 |
$176.03
|
|
Abd aorta w/runoff s&i
|
$2,238.65 |
$2,238.65 |
$2,238.65 |
$3,724.63
|
|
Abdominal CT scan (with and without contrast)
|
$2,136.28 |
$2,136.28 |
$2,136.28 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,837.99 |
$1,837.99 |
$1,837.99 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,193.49 |
$1,193.49 |
$1,193.49 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,352.26 |
$3,352.26 |
$3,352.26 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,578.66 |
$2,578.66 |
$2,578.66 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,841.90 |
$1,841.90 |
$1,841.90 |
$1,975.74
|
|
Abdominal Ultrasound (complete)
|
$996.59 |
$996.59 |
$996.59 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$767.41 |
$767.41 |
$767.41 |
$604.43
|
|
Abl1 gene
|
$212.62 |
$212.62 |
$212.62 |
$614.25
|
|
Ablate arrhythmia add on
|
$7,417.48 |
$7,417.48 |
$7,417.48 |
$7,717.80
|
|
Ablate heart dysrhythm focus
|
$6,884.47 |
$6,884.47 |
$6,884.47 |
$9,836.16
|
|
Ablation cardiac vagal inputs atrium
|
$4,671.26 |
$4,671.26 |
$4,671.26 |
$2,948.40
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$38.47 |
$38.47 |
$38.47 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$167.89 |
$167.89 |
$167.89 |
$137.80
|
|
Acetone qualitative
|
$37.82 |
$37.82 |
$37.82 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$7.50 |
$7.50 |
$7.50 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$760.56 |
$760.56 |
$760.56 |
$306.22
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$50.86 |
$50.86 |
$50.86 |
$44.40
|
|
Acute hepatitis panel
|
$127.80 |
$127.80 |
$127.80 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$141.81 |
$141.81 |
$141.81 |
$64.45
|
|
#acylcarnitineprfl
|
$24.45 |
$24.45 |
$24.45 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$2,011.42 |
$2,011.42 |
$2,011.42 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$688.19 |
$688.19 |
$688.19 |
$217.04
|
|
Adh-sendout
|
$14.67 |
$14.67 |
$14.67 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$898.46 |
$898.46 |
$898.46 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$420.54 |
$420.54 |
$420.54 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$290.14 |
$290.14 |
$290.14 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$450.54 |
$450.54 |
$450.54 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$387.94 |
$387.94 |
$387.94 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$223.97 |
$223.97 |
$223.97 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$223.97 |
$223.97 |
$223.97 |
$267.43
|
|
Administration immunization 1 vaccine
|
$124.21 |
$124.21 |
$124.21 |
$70.00
|
|
Administration immunization each additional vaccine
|
$124.21 |
$124.21 |
$124.21 |
$46.23
|
|
Aep neurodiagnostic i&r
|
$320.79 |
$320.79 |
$320.79 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$320.79 |
$320.79 |
$320.79 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$31.95 |
$31.95 |
$31.95 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$22.17 |
$22.17 |
$22.17 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$52.00 |
$52.00 |
$52.00 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$1,546.87 |
$1,546.87 |
$1,546.87 |
$1,116.55
|
|
Airway resistance by impulse oscillometry 94728
|
$259.17 |
$259.17 |
$259.17 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$48.25 |
$48.25 |
$48.25 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$434.89 |
$434.89 |
$434.89 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$725.03 |
$725.03 |
$725.03 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$44.34 |
$44.34 |
$44.34 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$7.18 |
$7.18 |
$7.18 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$57.38 |
$57.38 |
$57.38 |
$43.45
|
|
Alcohol/subs interv >30 min
|
$100.74 |
$100.74 |
$100.74 |
$177.99
|
|
Aldesleukin injection
|
$12,225.00 |
$12,225.00 |
$12,225.00 |
$6,538.20
|
|
Alkaline phosphatase
|
$13.70 |
$13.70 |
$13.70 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$3.73 |
$3.73 |
$3.73 |
$56.35
|
|
Allergen egg white ige
|
$3.73 |
$3.73 |
$3.73 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$2.40 |
$2.40 |
$2.40 |
$26.95
|
|
Allograft 160mg placental salera mini membrane
|
$4,423.82 |
$4,423.82 |
$4,423.82 |
$4,906.77
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$12,640.65 |
$12,640.65 |
$12,640.65 |
$5,579.34
|
|
Allograft amnioexcel plus 17mm disk
|
$5,752.27 |
$5,752.27 |
$5,752.27 |
$3,380.36
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$16,433.66 |
$16,433.66 |
$16,433.66 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$7,478.44 |
$7,478.44 |
$7,478.44 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$19,884.37 |
$19,884.37 |
$19,884.37 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$16,433.66 |
$16,433.66 |
$16,433.66 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$7,478.44 |
$7,478.44 |
$7,478.44 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,546.87 |
$1,546.87 |
$1,546.87 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$7,478.44 |
$7,478.44 |
$7,478.44 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$5,752.27 |
$5,752.27 |
$5,752.27 |
$4,814.57
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$32.28 |
$32.28 |
$32.28 |
$187.20
|
|
Alpha-fetoprotein amniotic
|
$24.78 |
$24.78 |
$24.78 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$38.15 |
$38.15 |
$38.15 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$28,503.49 |
$28,503.49 |
$28,503.49 |
$9,600.63
|
|
Alt/sgpt
|
$66.51 |
$66.51 |
$66.51 |
$49.00
|
|
Aluminum - quest
|
$3.94 |
$3.94 |
$3.94 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$136.27 |
$136.27 |
$136.27 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$62.92 |
$62.92 |
$62.92 |
$44.00
|
|
Amino acids quant 2-5
|
$29.70 |
$29.70 |
$29.70 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$44.01 |
$44.01 |
$44.01 |
$45.50
|
|
Aminolevulinic acid delta
|
$14.38 |
$14.38 |
$14.38 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$9.13 |
$9.13 |
$9.13 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$175.39 |
$175.39 |
$175.39 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$50.85
|
|
Ammonia
|
$51.19 |
$51.19 |
$51.19 |
$123.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$153.88 |
$153.88 |
$153.88 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$661.78 |
$661.78 |
$661.78 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$2,432.29 |
$2,432.29 |
$2,432.29 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$58.36 |
$58.36 |
$58.36 |
$57.38
|
|
Amylase
|
$79.55 |
$79.55 |
$79.55 |
$93.00
|
|
Anal pressure record
|
$479.88 |
$479.88 |
$479.88 |
$954.00
|
|
Anal/urinary muscle study
|
$393.81 |
$393.81 |
$393.81 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$13.04 |
$13.04 |
$13.04 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$11.41 |
$11.41 |
$11.41 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$116.39 |
$116.39 |
$116.39 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$13.04 |
$13.04 |
$13.04 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$20.50 |
$20.50 |
$20.50 |
$103.20
|