|
11-desoxycortisol - sendout
|
$7.80 |
$7.80 |
$7.80 |
$87.50
|
|
17-ketosteroids
|
$7.30 |
$7.30 |
$7.30 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$2,222.52 |
$2,222.52 |
$2,222.52 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$651.75 |
$651.75 |
$651.75 |
$1,108.76
|
|
2nd order venous cath
|
$256.13 |
$256.13 |
$256.13 |
$1,720.80
|
|
3-d radiotherapy plan
|
$4,172.17 |
$4,172.17 |
$4,172.17 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$233.25 |
$233.25 |
$233.25 |
$425.10
|
|
5' nucleotidase - sendout
|
$3.45 |
$3.45 |
$3.45 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$47.71 |
$47.71 |
$47.71 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$3.35 |
$3.35 |
$3.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,230.89 |
$2,230.89 |
$2,230.89 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$321.13 |
$321.13 |
$321.13 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$224.60 |
$224.60 |
$224.60 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$267.29 |
$267.29 |
$267.29 |
$2,727.40
|
|
Abd/low ext cath addl
|
$158.20 |
$158.20 |
$158.20 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$2,555.09 |
$2,555.09 |
$2,555.09 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,198.25 |
$2,198.25 |
$2,198.25 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,427.37 |
$1,427.37 |
$1,427.37 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,305.88 |
$3,305.88 |
$3,305.88 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,870.36 |
$2,870.36 |
$2,870.36 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,979.51 |
$1,979.51 |
$1,979.51 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,404.49 |
$1,404.49 |
$1,404.49 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$961.44 |
$961.44 |
$961.44 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$739.63 |
$739.63 |
$739.63 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$955.02 |
$955.02 |
$955.02 |
$1,248.00
|
|
Abl1 gene
|
$181.97 |
$181.97 |
$181.97 |
$614.25
|
|
Ablate arrhythmia add on
|
$6,765.75 |
$6,765.75 |
$6,765.75 |
$7,717.80
|
|
Ablate heart dysrhythm focus
|
$5,702.49 |
$5,702.49 |
$5,702.49 |
$9,836.16
|
|
Ablation cardiac vagal inputs atrium
|
$4,781.23 |
$4,781.23 |
$4,781.23 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$1,038.72 |
$1,038.72 |
$1,038.72 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$2,647.99 |
$2,647.99 |
$2,647.99 |
$6,904.15
|
|
Ablation of upper extremity nerves rf
|
$4,572.81 |
$4,572.81 |
$4,572.81 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,420.95 |
$1,420.95 |
$1,420.95 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$12.56 |
$12.56 |
$12.56 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$53.85 |
$53.85 |
$53.85 |
$137.80
|
|
Acetone qualitative
|
$81.19 |
$81.19 |
$81.19 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$6.42 |
$6.42 |
$6.42 |
$64.50
|
|
Acetylcholinesterase assay
|
$21.56 |
$21.56 |
$21.56 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$243.01 |
$243.01 |
$243.01 |
$306.22
|
|
Acute hepatitis panel
|
$283.47 |
$283.47 |
$283.47 |
$284.70
|
|
Acute venous thrombus image
|
$945.26 |
$945.26 |
$945.26 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$45.48 |
$45.48 |
$45.48 |
$64.45
|
|
#acylcarnitineprfl
|
$20.93 |
$20.93 |
$20.93 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$2,507.66 |
$2,507.66 |
$2,507.66 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$219.86 |
$219.86 |
$219.86 |
$217.04
|
|
Adh-sendout
|
$12.56 |
$12.56 |
$12.56 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$137.27 |
$137.27 |
$137.27 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$337.32 |
$337.32 |
$337.32 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$337.32 |
$337.32 |
$337.32 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$446.40 |
$446.40 |
$446.40 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$337.32 |
$337.32 |
$337.32 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$321.13 |
$321.13 |
$321.13 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$321.13 |
$321.13 |
$321.13 |
$267.43
|
|
Administration immunization 1 vaccine
|
$114.67 |
$114.67 |
$114.67 |
$70.00
|
|
Administration immunization each additional vaccine
|
$114.67 |
$114.67 |
$114.67 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,417.48 |
$3,417.48 |
$3,417.48 |
$14,346.62
|
|
Adrenal cortex & medulla img
|
$1,171.53 |
$1,171.53 |
$1,171.53 |
$1,818.05
|
|
Aep neurodiagnostic i&r
|
$602.92 |
$602.92 |
$602.92 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$602.92 |
$602.92 |
$602.92 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$72.27 |
$72.27 |
$72.27 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$7.25 |
$7.25 |
$7.25 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$44.51 |
$44.51 |
$44.51 |
$289.60
|
|
Air injection into abdomen 49400
|
$811.34 |
$811.34 |
$811.34 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$88.73 |
$88.73 |
$88.73 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$97.10 |
$97.10 |
$97.10 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$73.38 |
$73.38 |
$73.38 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$15.07 |
$15.07 |
$15.07 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$49.11 |
$49.11 |
$49.11 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$95.14 |
$95.14 |
$95.14 |
$43.45
|
|
Alcohol/subs interv >30 min
|
$117.46 |
$117.46 |
$117.46 |
$177.99
|
|
Aldesleukin injection
|
$4,275.12 |
$4,275.12 |
$4,275.12 |
$6,538.20
|
|
Alkaline phosphatase
|
$98.21 |
$98.21 |
$98.21 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$3.19 |
$3.19 |
$3.19 |
$56.35
|
|
Allergen egg white ige
|
$3.19 |
$3.19 |
$3.19 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$2.06 |
$2.06 |
$2.06 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$7,168.35 |
$7,168.35 |
$7,168.35 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$7,168.35 |
$7,168.35 |
$7,168.35 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$7,168.35 |
$7,168.35 |
$7,168.35 |
$25,508.83
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,513.88 |
$5,513.88 |
$5,513.88 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,482.89 |
$1,482.89 |
$1,482.89 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$5,513.88 |
$5,513.88 |
$5,513.88 |
$5,538.22
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$27.90 |
$27.90 |
$27.90 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$153.18 |
$153.18 |
$153.18 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$5,426.28 |
$5,426.28 |
$5,426.28 |
$9,600.63
|
|
Alt/sgpt
|
$109.37 |
$109.37 |
$109.37 |
$49.00
|
|
Aluminum - quest
|
$3.37 |
$3.37 |
$3.37 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$20.09 |
$20.09 |
$20.09 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$9.49 |
$9.49 |
$9.49 |
$45.50
|
|
Aminolevulinic acid delta
|
$12.31 |
$12.31 |
$12.31 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$7.26 |
$7.26 |
$7.26 |
$43.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$12.28 |
$12.28 |
$12.28 |
$50.85
|
|
Ammonia
|
$158.48 |
$158.48 |
$158.48 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$337.32 |
$337.32 |
$337.32 |
$963.79
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$49.39 |
$49.39 |
$49.39 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$211.49 |
$211.49 |
$211.49 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$64.73 |
$64.73 |
$64.73 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$18.70 |
$18.70 |
$18.70 |
$57.38
|
|
Amylase
|
$190.84 |
$190.84 |
$190.84 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$11.16 |
$11.16 |
$11.16 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$9.77 |
$9.77 |
$9.77 |
$226.60
|