|
11-desoxycortisol - sendout
|
$15.23 |
$15.23 |
$15.23 |
$87.50
|
|
17-hydroxypregnenolone
|
$16.35 |
$16.35 |
$16.35 |
$87.50
|
|
17-ketosteroids
|
$14.26 |
$14.26 |
$14.26 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$2,119.51 |
$2,119.51 |
$2,119.51 |
$1,525.28
|
|
3d ech img cgen car anomal
|
$535.74 |
$535.74 |
$535.74 |
$632.45
|
|
3-d radiotherapy plan
|
$10,373.53 |
$10,373.53 |
$10,373.53 |
$5,002.69
|
|
5' nucleotidase - sendout
|
$6.74 |
$6.74 |
$6.74 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$67.58 |
$67.58 |
$67.58 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,634.61 |
$3,634.61 |
$3,634.61 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$6.54 |
$6.54 |
$6.54 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$3,567.03 |
$3,567.03 |
$3,567.03 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,567.03 |
$3,567.03 |
$3,567.03 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,389.83 |
$2,389.83 |
$2,389.83 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,111.48 |
$4,111.48 |
$4,111.48 |
$2,933.60
|
|
Abdominal MRI (without contrast)
|
$2,672.68 |
$2,672.68 |
$2,672.68 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,518.45 |
$2,518.45 |
$2,518.45 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,030.60 |
$1,030.60 |
$1,030.60 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,030.60 |
$1,030.60 |
$1,030.60 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,611.57 |
$1,611.57 |
$1,611.57 |
$1,248.00
|
|
Abl1 gene
|
$355.45 |
$355.45 |
$355.45 |
$614.25
|
|
Abscess drain retroperitoneal surg code
|
$2,957.17 |
$2,957.17 |
$2,957.17 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$93.20 |
$93.20 |
$93.20 |
$89.91
|
|
Acetaminophen level
|
$39.79 |
$39.79 |
$39.79 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$95.38 |
$95.38 |
$95.38 |
$137.80
|
|
Acetone qualitative
|
$80.66 |
$80.66 |
$80.66 |
$48.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$667.63 |
$667.63 |
$667.63 |
$306.22
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$8.18 |
$8.18 |
$8.18 |
$44.40
|
|
Acute hepatitis panel
|
$186.94 |
$186.94 |
$186.94 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$103.01 |
$103.01 |
$103.01 |
$64.45
|
|
#acylcarnitineprfl
|
$40.88 |
$40.88 |
$40.88 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$4,101.67 |
$4,101.67 |
$4,101.67 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$82.84 |
$82.84 |
$82.84 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$43.06 |
$43.06 |
$43.06 |
$60.00
|
|
Adh-sendout
|
$24.53 |
$24.53 |
$24.53 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$568.98 |
$568.98 |
$568.98 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$379.87 |
$379.87 |
$379.87 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$520.48 |
$520.48 |
$520.48 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$688.88 |
$688.88 |
$688.88 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$520.48 |
$520.48 |
$520.48 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$267.60 |
$267.60 |
$267.60 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$597.32 |
$597.32 |
$597.32 |
$267.43
|
|
Administration immunization 1 vaccine
|
$175.49 |
$175.49 |
$175.49 |
$70.00
|
|
Administration immunization each additional vaccine
|
$175.49 |
$175.49 |
$175.49 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$11,881.00 |
$11,881.00 |
$11,881.00 |
$14,346.62
|
|
_afb id by dna probe rflx ast
|
$207.10 |
$207.10 |
$207.10 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$220.18 |
$220.18 |
$220.18 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$86.93 |
$86.93 |
$86.93 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$91.02 |
$91.02 |
$91.02 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$3,178.99 |
$3,178.99 |
$3,178.99 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$460.53 |
$460.53 |
$460.53 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$35.43 |
$35.43 |
$35.43 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$31.61 |
$31.61 |
$31.61 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$58.86 |
$58.86 |
$58.86 |
$43.45
|
|
Alkaline phosphatase
|
$53.96 |
$53.96 |
$53.96 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$2.40 |
$2.40 |
$2.40 |
$56.35
|
|
Allergen egg white ige
|
$24.53 |
$24.53 |
$24.53 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$4.01 |
$4.01 |
$4.01 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$9,018.12 |
$9,018.12 |
$9,018.12 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$11,724.59 |
$11,724.59 |
$11,724.59 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$25,762.70 |
$25,762.70 |
$25,762.70 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$25,762.70 |
$25,762.70 |
$25,762.70 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$6,935.67 |
$6,935.67 |
$6,935.67 |
$4,898.43
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,018.12 |
$9,018.12 |
$9,018.12 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$752.10 |
$752.10 |
$752.10 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$4.36 |
$4.36 |
$4.36 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$17,779.54 |
$17,779.54 |
$17,779.54 |
$9,600.63
|
|
Alt/sgpt
|
$51.23 |
$51.23 |
$51.23 |
$49.00
|
|
Aluminum - quest
|
$10.75 |
$10.75 |
$10.75 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$129.17 |
$129.17 |
$129.17 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$5,951.40 |
$5,951.40 |
$5,951.40 |
$45.50
|
|
Aminolevulinic acid delta
|
$24.04 |
$24.04 |
$24.04 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$35.43 |
$35.43 |
$35.43 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$108.46 |
$108.46 |
$108.46 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$35.43 |
$35.43 |
$35.43 |
$50.85
|
|
Ammonia
|
$171.13 |
$171.13 |
$171.13 |
$123.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$87.20 |
$87.20 |
$87.20 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$583.15 |
$583.15 |
$583.15 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$148.79 |
$148.79 |
$148.79 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$77.39 |
$77.39 |
$77.39 |
$57.38
|
|
Amylase
|
$331.91 |
$331.91 |
$331.91 |
$93.00
|
|
Ana ds-dna
|
$7.19 |
$7.19 |
$7.19 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$21.80 |
$21.80 |
$21.80 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$19.08 |
$19.08 |
$19.08 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$34.26 |
$34.26 |
$34.26 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$1,496.57 |
$1,496.57 |
$1,496.57 |
$2,426.60
|
|
An fluoro guide for cvp
|
$1,104.17 |
$1,104.17 |
$1,104.17 |
$509.60
|
|
Angioplasty fem/pop unilat 37224
|
$11,889.72 |
$11,889.72 |
$11,889.72 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,207.85 |
$10,207.85 |
$10,207.85 |
$11,524.11
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$37,609.36 |
$37,609.36 |
$37,609.36 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$12,672.89 |
$12,672.89 |
$12,672.89 |
$13,351.25
|
|
Antibody elution rbc reference
|
$100.28 |
$100.28 |
$100.28 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$9.66 |
$9.66 |
$9.66 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$86.11 |
$86.11 |
$86.11 |
$218.30
|
|
Antibody id rbc panel
|
$309.56 |
$309.56 |
$309.56 |
$291.75
|
|
Antibody influenza virus
|
$6.63 |
$6.63 |
$6.63 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$7.64 |
$7.64 |
$7.64 |
$53.96
|
|
Antibody screen rbc
|
$220.18 |
$220.18 |
$220.18 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1,181.56 |
$1,181.56 |
$1,181.56 |
$4.00
|
|
Antihemophilic viii/vwf comp
|
$2.73 |
$2.73 |
$2.73 |
$2.75
|
|
Anti mog serum - sendout
|
$79.03 |
$79.03 |
$79.03 |
$142.29
|