|
11-desoxycortisol - sendout
|
$19.98 |
$19.98 |
$19.98 |
$91.85
|
|
17-hydroxypregnenolone
|
$15.66 |
$15.66 |
$15.66 |
$92.65
|
|
24 hr ambulatory b/p monitor
|
$49.60 |
$49.60 |
$49.60 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$673.20 |
$673.20 |
$673.20 |
$1,724.25
|
|
2nd order venous cath
|
$809.28 |
$809.28 |
$809.28 |
$1,532.04
|
|
3d recon without postprocess indpndt
|
$57.73 |
$57.73 |
$57.73 |
$508.13
|
|
5' nucleotidase - sendout
|
$22.47 |
$22.47 |
$22.47 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$54.77 |
$54.77 |
$54.77 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$13.13 |
$13.13 |
$13.13 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,097.33 |
$5,097.33 |
$5,097.33 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$876.65 |
$876.65 |
$876.65 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$925.11 |
$925.11 |
$925.11 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,025.19 |
$1,025.19 |
$1,025.19 |
$2,475.45
|
|
Abd/low ext cath addl
|
$433.79 |
$433.79 |
$433.79 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$416.74 |
$416.74 |
$416.74 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$240.44 |
$240.44 |
$240.44 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$435.29 |
$435.29 |
$435.29 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$362.94 |
$362.94 |
$362.94 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$290.19 |
$290.19 |
$290.19 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$589.30 |
$589.30 |
$589.30 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$491.02 |
$491.02 |
$491.02 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$392.74 |
$392.74 |
$392.74 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$632.37 |
$632.37 |
$632.37 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$290.75 |
$290.75 |
$290.75 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$243.58 |
$243.58 |
$243.58 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$105.24 |
$105.24 |
$105.24 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$129.73 |
$129.73 |
$129.73 |
$418.63
|
|
Abdominal X-ray (single view)
|
$71.90 |
$71.90 |
$71.90 |
$260.00
|
|
Abl1 gene
|
$125.10 |
$125.10 |
$125.10 |
$683.20
|
|
Ablate arrhythmia add on
|
$3,536.68 |
$3,536.68 |
$3,536.68 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,630.71 |
$3,630.71 |
$3,630.71 |
$9,290.70
|
|
Ablate heart dysrhythm focus
|
$3,700.62 |
$3,700.62 |
$3,700.62 |
$9,332.05
|
|
Ablation cardiac vagal inputs atrium
|
$4,240.64 |
$4,240.64 |
$4,240.64 |
$2,260.30
|
|
Abscess drain retroperitoneal surg code
|
$1,477.11 |
$1,477.11 |
$1,477.11 |
$3,050.40
|
|
Acetylcholine receptor modulating antibody
|
$14.43 |
$14.43 |
$14.43 |
$67.50
|
|
Acute hepatitis panel
|
$32.46 |
$32.46 |
$32.46 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.64 |
$0.64 |
$0.64 |
$54.77
|
|
#acylcarnitineprfl
|
$26.10 |
$26.10 |
$26.10 |
$121.55
|
|
Acylcarnitines qual
|
$11.35 |
$11.35 |
$11.35 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$4,293.56 |
$4,293.56 |
$4,293.56 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$11.29 |
$11.29 |
$11.29 |
$58.00
|
|
Adh-sendout
|
$23.15 |
$23.15 |
$23.15 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$60.16 |
$60.16 |
$60.16 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$110.51 |
$110.51 |
$110.51 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$280.73 |
$280.73 |
$280.73 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$291.87 |
$291.87 |
$291.87 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$235.28 |
$235.28 |
$235.28 |
$256.49
|
|
Administration immunization each additional vaccine
|
$9.45 |
$9.45 |
$9.45 |
$47.40
|
|
Administration vaccine hepatitis b
|
$16.40 |
$16.40 |
$16.40 |
$53.00
|
|
Administration vaccine influenza virus
|
$16.40 |
$16.40 |
$16.40 |
$51.07
|
|
Administration vaccine pneumococcal
|
$16.40 |
$16.40 |
$16.40 |
$49.68
|
|
Adrenal cortex & medulla img
|
$944.48 |
$944.48 |
$944.48 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$0.08 |
$0.08 |
$0.08 |
$231.47
|
|
Aep hearing status deter i&r
|
$113.18 |
$113.18 |
$113.18 |
$303.00
|
|
_afb id by dna probe rflx ast
|
$10.58 |
$10.58 |
$10.58 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$133.94 |
$133.94 |
$133.94 |
$300.00
|
|
Airway resistance by impulse oscillometry 94728
|
$105.30 |
$105.30 |
$105.30 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$13.17 |
$13.17 |
$13.17 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$15.44 |
$15.44 |
$15.44 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$14.30 |
$14.30 |
$14.30 |
$43.00
|
|
Alkaline phosphatase
|
$12.94 |
$12.94 |
$12.94 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$14.80 |
$14.80 |
$14.80 |
$48.57
|
|
Allergen egg white ige
|
$10.36 |
$10.36 |
$10.36 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$10.91 |
$10.91 |
$10.91 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$338.92 |
$338.92 |
$338.92 |
$9,900.02
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,460.32 |
$2,460.32 |
$2,460.32 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$44.04 |
$44.04 |
$44.04 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$11.58 |
$11.58 |
$11.58 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$11.58 |
$11.58 |
$11.58 |
$106.00
|
|
Alt/sgpt
|
$13.39 |
$13.39 |
$13.39 |
$47.50
|
|
Aluminum - quest
|
$17.48 |
$17.48 |
$17.48 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$42.45 |
$42.45 |
$42.45 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$9.50 |
$9.50 |
$9.50 |
$320.45
|
|
Aminolevulinic acid delta
|
$17.03 |
$17.03 |
$17.03 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$15.44 |
$15.44 |
$15.44 |
$87.45
|
|
Ammonia
|
$26.10 |
$26.10 |
$26.10 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$470.83 |
$470.83 |
$470.83 |
$942.60
|
|
Amniocentesis therapeutic
|
$616.22 |
$616.22 |
$616.22 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$18.84 |
$18.84 |
$18.84 |
$93.61
|
|
Ampicillin 1 gram solution for injection
|
$3.00 |
$3.00 |
$3.00 |
$56.70
|
|
Amylase
|
$77.41 |
$77.41 |
$77.41 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$44.95 |
$44.95 |
$44.95 |
$117.01
|
|
Anal pressure record
|
$955.86 |
$955.86 |
$955.86 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$27.52 |
$27.52 |
$27.52 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$30.72 |
$30.72 |
$30.72 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$10.18 |
$10.18 |
$10.18 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$490.14 |
$490.14 |
$490.14 |
$2,480.94
|
|
An fluoro guide for cvp
|
$228.72 |
$228.72 |
$228.72 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$3,472.72 |
$3,472.72 |
$3,472.72 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$7,732.25 |
$7,732.25 |
$7,732.25 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$7,500.58 |
$7,500.58 |
$7,500.58 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,636.62 |
$3,636.62 |
$3,636.62 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,343.24 |
$2,343.24 |
$2,343.24 |
$2,979.43
|
|
Angio tib/peroneal/init ves/unila 37228
|
$9,095.10 |
$9,095.10 |
$9,095.10 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,976.22 |
$4,976.22 |
$4,976.22 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$9,341.35 |
$9,341.35 |
$9,341.35 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,085.84 |
$2,085.84 |
$2,085.84 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$6,853.24 |
$6,853.24 |
$6,853.24 |
$8,359.11
|
|
Ankle X-ray
|
$77.63 |
$77.63 |
$77.63 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$69.29 |
$69.29 |
$69.29 |
$282.96
|
