|
11-desoxycortisol - sendout
|
$118.42 |
$118.42 |
$118.42 |
$87.50
|
|
17-hydroxypregnenolone
|
$118.42 |
$118.42 |
$118.42 |
$87.50
|
|
17-ketosteroids
|
$20.36 |
$20.36 |
$20.36 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$1,043.30 |
$1,043.30 |
$1,043.30 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$781.12 |
$781.12 |
$781.12 |
$1,108.76
|
|
2nd order venous cath
|
$740.66 |
$740.66 |
$740.66 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$1,820.52 |
$1,820.52 |
$1,820.52 |
$632.45
|
|
3d recon without postprocess indpndt
|
$158.72 |
$158.72 |
$158.72 |
$425.10
|
|
5' nucleotidase - sendout
|
$9.61 |
$9.61 |
$9.61 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$204.62 |
$204.62 |
$204.62 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$9.34 |
$9.34 |
$9.34 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$5,541.70 |
$5,541.70 |
$5,541.70 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$926.60 |
$926.60 |
$926.60 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$683.09 |
$683.09 |
$683.09 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$813.01 |
$813.01 |
$813.01 |
$2,727.40
|
|
Abd/low ext cath addl
|
$478.47 |
$478.47 |
$478.47 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$3,780.31 |
$3,780.31 |
$3,780.31 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,287.83 |
$3,287.83 |
$3,287.83 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,137.17 |
$2,137.17 |
$2,137.17 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,241.66 |
$4,241.66 |
$4,241.66 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,690.06 |
$3,690.06 |
$3,690.06 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,544.84 |
$2,544.84 |
$2,544.84 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,401.96 |
$1,401.96 |
$1,401.96 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$662.86 |
$662.86 |
$662.86 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$2,349.56 |
$2,349.56 |
$2,349.56 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$869.03 |
$869.03 |
$869.03 |
$1,248.00
|
|
Abl1 gene
|
$507.41 |
$507.41 |
$507.41 |
$614.25
|
|
Ablate bone tumor(s) cryo perq 20983
|
$6,861.96 |
$6,861.96 |
$6,861.96 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$16,496.72 |
$16,496.72 |
$16,496.72 |
$9,812.40
|
|
Ablation of upper extremity nerves rf
|
$539.94 |
$539.94 |
$539.94 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$7,262.63 |
$7,262.63 |
$7,262.63 |
$3,053.18
|
|
Acetazolamide 500 mg solution for injection
|
$271.53 |
$271.53 |
$271.53 |
$137.80
|
|
Acetone qualitative
|
$52.13 |
$52.13 |
$52.13 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$17.90 |
$17.90 |
$17.90 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,906.10 |
$1,906.10 |
$1,906.10 |
$306.22
|
|
Acute hepatitis panel
|
$25.68 |
$25.68 |
$25.68 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$294.09 |
$294.09 |
$294.09 |
$64.45
|
|
#acylcarnitineprfl
|
$58.35 |
$58.35 |
$58.35 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$6,118.20 |
$6,118.20 |
$6,118.20 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$235.74 |
$235.74 |
$235.74 |
$217.04
|
|
Adh-sendout
|
$35.01 |
$35.01 |
$35.01 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$651.97 |
$651.97 |
$651.97 |
$158.18
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$2,265.54 |
$2,265.54 |
$2,265.54 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$477.70 |
$477.70 |
$477.70 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,262.70 |
$1,262.70 |
$1,262.70 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$332.21 |
$332.21 |
$332.21 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$332.21 |
$332.21 |
$332.21 |
$267.43
|
|
Aep hearing status deter i&r
|
$424.01 |
$424.01 |
$424.01 |
$305.73
|
|
_afb id by dna probe rflx ast
|
$97.25 |
$97.25 |
$97.25 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$116.56 |
$116.56 |
$116.56 |
$289.60
|
|
Airway resistance by impulse oscillometry 94728
|
$466.80 |
$466.80 |
$466.80 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$39.68 |
$39.68 |
$39.68 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$277.87
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$16.34 |
$16.34 |
$16.34 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$87.92 |
$87.92 |
$87.92 |
$43.45
|
|
Alkaline phosphatase
|
$106.59 |
$106.59 |
$106.59 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$28.79 |
$28.79 |
$28.79 |
$56.35
|
|
Allergen egg white ige
|
$44.35 |
$44.35 |
$44.35 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$6.21 |
$6.21 |
$6.21 |
$26.95
|
|
Allograft 160mg placental salera mini membrane
|
$7,955.83 |
$7,955.83 |
$7,955.83 |
$4,906.77
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$13,450.85 |
$13,450.85 |
$13,450.85 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$13,450.85 |
$13,450.85 |
$13,450.85 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$22,736.28 |
$22,736.28 |
$22,736.28 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$29,558.56 |
$29,558.56 |
$29,558.56 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$7,955.83 |
$7,955.83 |
$7,955.83 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$5,381.40
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$77.03 |
$77.03 |
$77.03 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$6.23 |
$6.23 |
$6.23 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$5,770.43 |
$5,770.43 |
$5,770.43 |
$9,600.63
|
|
Alt/sgpt
|
$101.14 |
$101.14 |
$101.14 |
$49.00
|
|
Aluminum - quest
|
$9.39 |
$9.39 |
$9.39 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$327.54 |
$327.54 |
$327.54 |
$431.84
|
|
Ambl bp mntr w/sw a/r
|
$140.82 |
$140.82 |
$140.82 |
$318.96
|
|
Amino acids quant 2-5
|
$170.43 |
$170.43 |
$170.43 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$45.50
|
|
Aminolevulinic acid delta
|
$34.32 |
$34.32 |
$34.32 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$68.47 |
$68.47 |
$68.47 |
$43.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$422.46 |
$422.46 |
$422.46 |
$50.85
|
|
Ammonia
|
$140.04 |
$140.04 |
$140.04 |
$123.48
|
|
Amniocentesis therapeutic
|
$918.04 |
$918.04 |
$918.04 |
$791.05
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,664.92 |
$1,664.92 |
$1,664.92 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$189.84 |
$189.84 |
$189.84 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$106.59 |
$106.59 |
$106.59 |
$57.38
|
|
Amylase
|
$153.27 |
$153.27 |
$153.27 |
$93.00
|
|
Anal/urinary muscle study
|
$444.24 |
$444.24 |
$444.24 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$31.12 |
$31.12 |
$31.12 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$83.40 |
$83.40 |
$83.40 |
$226.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$327.54 |
$327.54 |
$327.54 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$31.12 |
$31.12 |
$31.12 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$48.91 |
$48.91 |
$48.91 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$1,195.01 |
$1,195.01 |
$1,195.01 |
$2,426.60
|
|
Androstanediol
|
$75.47 |
$75.47 |
$75.47 |
$98.58
|
|
An fluoro guide for cvp
|
$806.01 |
$806.01 |
$806.01 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$12,115.80 |
$12,115.80 |
$12,115.80 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$17,911.90 |
$17,911.90 |
$17,911.90 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$24,870.33 |
$24,870.33 |
$24,870.33 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$6,389.72 |
$6,389.72 |
$6,389.72 |
$6,513.10
|
|
Angiotensin ii
|
$84.36 |
$84.36 |
$84.36 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$6,126.75 |
$6,126.75 |
$6,126.75 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$17,746.96 |
$17,746.96 |
$17,746.96 |
$13,351.25
|