|
17-ketosteroids
|
$11.78 |
$11.78 |
$11.78 |
$44.88
|
|
2d tte w or without fol w/con,co
|
$1,419.30 |
$1,419.30 |
$1,419.30 |
$1,108.76
|
|
2nd order venous cath
|
$234.90 |
$234.90 |
$234.90 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$395.10 |
$395.10 |
$395.10 |
$632.45
|
|
3d recon without postprocess indpndt
|
$1,556.55 |
$1,556.55 |
$1,556.55 |
$425.10
|
|
5' nucleotidase - sendout
|
$5.56 |
$5.56 |
$5.56 |
$50.05
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$5.40 |
$5.40 |
$5.40 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,053.45 |
$1,053.45 |
$1,053.45 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,767.60 |
$1,767.60 |
$1,767.60 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,201.95 |
$1,201.95 |
$1,201.95 |
$2,727.40
|
|
Abd/low ext cath addl
|
$693.00 |
$693.00 |
$693.00 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$6,857.10 |
$6,857.10 |
$6,857.10 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$5,896.80 |
$5,896.80 |
$5,896.80 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$3,839.85 |
$3,839.85 |
$3,839.85 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,759.75 |
$3,759.75 |
$3,759.75 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,759.75 |
$3,759.75 |
$3,759.75 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,441.25 |
$2,441.25 |
$2,441.25 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,682.10 |
$1,682.10 |
$1,682.10 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,571.40 |
$1,571.40 |
$1,571.40 |
$1,248.00
|
|
Ablate bone tumor(s) cryo perq 20983
|
$10,936.80 |
$10,936.80 |
$10,936.80 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$6,840.45 |
$6,840.45 |
$6,840.45 |
$9,812.40
|
|
Ablate pulm tumor perq crybl
|
$8,659.35 |
$8,659.35 |
$8,659.35 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$9,143.55 |
$9,143.55 |
$9,143.55 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$8,098.65 |
$8,098.65 |
$8,098.65 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$7,547.85 |
$7,547.85 |
$7,547.85 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$9,170.10 |
$9,170.10 |
$9,170.10 |
$8,581.80
|
|
Abscess drain retroperitoneal surg code
|
$2,357.55 |
$2,357.55 |
$2,357.55 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$594.00 |
$594.00 |
$594.00 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.04 |
$41.04 |
$41.04 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$179.28 |
$179.28 |
$179.28 |
$137.80
|
|
Acetylcholine receptor modulating antibody
|
$10.35 |
$10.35 |
$10.35 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$812.16 |
$812.16 |
$812.16 |
$306.22
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$76.05 |
$76.05 |
$76.05 |
$44.40
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$172.80 |
$172.80 |
$172.80 |
$64.45
|
|
#acylcarnitineprfl
|
$33.75 |
$33.75 |
$33.75 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$1,448.10 |
$1,448.10 |
$1,448.10 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$734.69 |
$734.69 |
$734.69 |
$217.04
|
|
Adh-sendout
|
$20.25 |
$20.25 |
$20.25 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1,150.31 |
$1,150.31 |
$1,150.31 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$291.60 |
$291.60 |
$291.60 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$466.65 |
$466.65 |
$466.65 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$466.65 |
$466.65 |
$466.65 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$466.65 |
$466.65 |
$466.65 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$421.20 |
$421.20 |
$421.20 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$421.20 |
$421.20 |
$421.20 |
$267.43
|
|
Administration immunization 1 vaccine
|
$94.95 |
$94.95 |
$94.95 |
$70.00
|
|
Administration immunization each additional vaccine
|
$59.40 |
$59.40 |
$59.40 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$5,991.30 |
$5,991.30 |
$5,991.30 |
$14,346.62
|
|
Aep hearing status deter i&r
|
$322.20 |
$322.20 |
$322.20 |
$305.73
|
|
_afb id by dna probe rflx ast
|
$197.55 |
$197.55 |
$197.55 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$71.78 |
$71.78 |
$71.78 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$8,439.75 |
$8,439.75 |
$8,439.75 |
$14,467.53
|
|
Air injection into abdomen 49400
|
$330.30 |
$330.30 |
$330.30 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$486.90 |
$486.90 |
$486.90 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$221.85 |
$221.85 |
$221.85 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$464.40 |
$464.40 |
$464.40 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$774.00 |
$774.00 |
$774.00 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$47.25 |
$47.25 |
$47.25 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$2.03 |
$2.03 |
$2.03 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$221.85 |
$221.85 |
$221.85 |
$43.45
|
|
Alcohol/subs interv >30 min
|
$283.50 |
$283.50 |
$283.50 |
$177.99
|
|
Aldesleukin injection
|
$7,494.75 |
$7,494.75 |
$7,494.75 |
$6,538.20
|
|
Alkaline phosphatase
|
$254.70 |
$254.70 |
$254.70 |
$46.50
|
|
Allergen egg white ige
|
$1.98 |
$1.98 |
$1.98 |
$39.78
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$11,826.00 |
$11,826.00 |
$11,826.00 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$24,626.70 |
$24,626.70 |
$24,626.70 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$4,898.43
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$16.65 |
$16.65 |
$16.65 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$3.60 |
$3.60 |
$3.60 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$9,512.83 |
$9,512.83 |
$9,512.83 |
$9,600.63
|
|
Alt/sgpt
|
$288.45 |
$288.45 |
$288.45 |
$49.00
|
|
Aluminum - quest
|
$5.43 |
$5.43 |
$5.43 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$34.56 |
$34.56 |
$34.56 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$31.05 |
$31.05 |
$31.05 |
$45.50
|
|
Aminolevulinic acid delta
|
$19.85 |
$19.85 |
$19.85 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.24 |
$12.24 |
$12.24 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$187.20 |
$187.20 |
$187.20 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$40.50 |
$40.50 |
$40.50 |
$50.85
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$4,032.00 |
$4,032.00 |
$4,032.00 |
$15,167.75
|
|
Ammonia
|
$437.85 |
$437.85 |
$437.85 |
$123.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$164.16 |
$164.16 |
$164.16 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$706.50 |
$706.50 |
$706.50 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$216.00 |
$216.00 |
$216.00 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$62.00 |
$62.00 |
$62.00 |
$57.38
|
|
Amylase
|
$364.50 |
$364.50 |
$364.50 |
$93.00
|
|
Anal pressure record
|
$580.95 |
$580.95 |
$580.95 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$18.00 |
$18.00 |
$18.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$15.75 |
$15.75 |
$15.75 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$28.29 |
$28.29 |
$28.29 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$4,426.65 |
$4,426.65 |
$4,426.65 |
$2,426.60
|
|
An fluoro guide for cvp
|
$1,525.95 |
$1,525.95 |
$1,525.95 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,080.90 |
$1,080.90 |
$1,080.90 |
$5,799.20
|