|
17-hydroxypregnenolone
|
$364.96 |
$364.96 |
$364.96 |
$85.15
|
|
3d recon without postprocess indpndt
|
$619.57 |
$619.57 |
$619.57 |
$427.34
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$192.16 |
$192.16 |
$192.16 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$9,768.49 |
$9,768.49 |
$9,768.49 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$8,067.15 |
$8,067.15 |
$8,067.15 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$6,727.02 |
$6,727.02 |
$6,727.02 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,807.47 |
$7,807.47 |
$7,807.47 |
$2,916.21
|
|
Abdominal MRI (without contrast)
|
$4,863.99 |
$4,863.99 |
$4,863.99 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$3,121.03 |
$3,121.03 |
$3,121.03 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$2,534.60 |
$2,534.60 |
$2,534.60 |
$603.33
|
|
Ablate arrhythmia add on
|
$12,890.39 |
$12,890.39 |
$12,890.39 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$19,686.72 |
$19,686.72 |
$19,686.72 |
$10,008.58
|
|
Abscess drain retroperitoneal surg code
|
$21,695.04 |
$21,695.04 |
$21,695.04 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$210.74 |
$210.74 |
$210.74 |
$125.63
|
|
Acetaminophen level
|
$298.24 |
$298.24 |
$298.24 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$793.13 |
$793.13 |
$793.13 |
$133.60
|
|
Acetone qualitative
|
$70.86 |
$70.86 |
$70.86 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$64.40 |
$64.40 |
$64.40 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$335.29 |
$335.29 |
$335.29 |
$323.77
|
|
Acute hepatitis panel
|
$995.27 |
$995.27 |
$995.27 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$150.47 |
$150.47 |
$150.47 |
$50.70
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2,527.63 |
$2,527.63 |
$2,527.63 |
$219.86
|
|
Adh-sendout
|
$543.04 |
$543.04 |
$543.04 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$120.79 |
$120.79 |
$120.79 |
$124.70
|
|
Administration immunization 1 vaccine
|
$162.59 |
$162.59 |
$162.59 |
$70.52
|
|
Administration immunization each additional vaccine
|
$93.49 |
$93.49 |
$93.49 |
$46.23
|
|
Administration vaccine influenza virus
|
$1,867.34 |
$1,867.34 |
$1,867.34 |
$49.50
|
|
Albumin body fluid quantitative each specimen
|
$72.08 |
$72.08 |
$72.08 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$2,894.90 |
$2,894.90 |
$2,894.90 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$1,709.74 |
$1,709.74 |
$1,709.74 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$2,754.38 |
$2,754.38 |
$2,754.38 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$92.48 |
$92.48 |
$92.48 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$147.90 |
$147.90 |
$147.90 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$50.83 |
$50.83 |
$50.83 |
$22.45
|
|
Albuterol non-comp unit
|
$12.67 |
$12.67 |
$12.67 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$464.25 |
$464.25 |
$464.25 |
$93.60
|
|
Alkaline phosphatase
|
$18.13 |
$18.13 |
$18.13 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$286.88 |
$286.88 |
$286.88 |
$56.35
|
|
Allergen egg white ige
|
$83.52 |
$83.52 |
$83.52 |
$41.00
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$6,285.56
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$2,513.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$689.19 |
$689.19 |
$689.19 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$268.32 |
$268.32 |
$268.32 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,540.37 |
$2,540.37 |
$2,540.37 |
$2,600.22
|
|
Alt/sgpt
|
$289.84 |
$289.84 |
$289.84 |
$49.00
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$103.50 |
$103.50 |
$103.50 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$838.16 |
$838.16 |
$838.16 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$258.20 |
$258.20 |
$258.20 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$400.51 |
$400.51 |
$400.51 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$87,793.23 |
$87,793.23 |
$87,793.23 |
$15,167.75
|
|
Ammonia
|
$145.77 |
$145.77 |
$145.77 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$85.71 |
$85.71 |
$85.71 |
$94.50
|
|
Ampicillin 1 gram solution for injection
|
$148.48 |
$148.48 |
$148.48 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$300.39 |
$300.39 |
$300.39 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$920.47 |
$920.47 |
$920.47 |
$312.00
|
|
Amylase
|
$103.68 |
$103.68 |
$103.68 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$1,051.04 |
$1,051.04 |
$1,051.04 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,173.92 |
$1,173.92 |
$1,173.92 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$122.82 |
$122.82 |
$122.82 |
$95.45
|
|
An cholangiogram percutaneous compl
|
$10,245.90 |
$10,245.90 |
$10,245.90 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,618.91 |
$1,618.91 |
$1,618.91 |
$484.45
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$13,358.40 |
$13,358.40 |
$13,358.40 |
$6,736.02
|
|
Angio trnslmnl balloon same vein ini
|
$54,676.48 |
$54,676.48 |
$54,676.48 |
$8,689.20
|
|
Ankle X-ray
|
$1,445.44 |
$1,445.44 |
$1,445.44 |
$339.44
|
|
Antibody elution rbc reference
|
$2,198.56 |
$2,198.56 |
$2,198.56 |
$176.54
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$293.92 |
$293.92 |
$293.92 |
$220.73
|
|
Antibody id rbc panel
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$291.75
|
|
Antibody screen rbc
|
$344.09 |
$344.09 |
$344.09 |
$105.00
|
|
Anti mog serum - sendout
|
$195.00 |
$195.00 |
$195.00 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$192.80 |
$192.80 |
$192.80 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$192.80 |
$192.80 |
$192.80 |
$45.82
|
|
Antinuclear antibodies
|
$67.41 |
$67.41 |
$67.41 |
$91.70
|
|
Antinuclear antibodies titer
|
$178.56 |
$178.56 |
$178.56 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$257.12 |
$257.12 |
$257.12 |
$74.20
|
|
Antistreptolysin o screen
|
$92.32 |
$92.32 |
$92.32 |
$59.40
|
|
Antistreptolysin o titer
|
$116.80 |
$116.80 |
$116.80 |
$57.96
|
|
Antithrombin iii activity
|
$59.06 |
$59.06 |
$59.06 |
$115.23
|
|
Application finger splntstatic 29130
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$216.80
|
|
Application long leg splint 29505
|
$2,298.24 |
$2,298.24 |
$2,298.24 |
$340.80
|
|
Application lower leg splint 29515
|
$2,298.24 |
$2,298.24 |
$2,298.24 |
$355.85
|
|
Application of forearm cast 29075
|
$3,926.72 |
$3,926.72 |
$3,926.72 |
$379.20
|
|
Application of long arm cast 29065
|
$955.05 |
$955.05 |
$955.05 |
$404.63
|
|
Application of long leg cast
|
$3,926.72 |
$3,926.72 |
$3,926.72 |
$406.75
|
|
Application of long leg cast 29345
|
$3,926.72 |
$3,926.72 |
$3,926.72 |
$511.68
|
|
Application short leg cast 29405
|
$3,926.72 |
$3,926.72 |
$3,926.72 |
$393.98
|
|
Apply forearm splintdynamic 29126
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$263.10
|
|
Apply intrcav radiat compl
|
$4,054.72 |
$4,054.72 |
$4,054.72 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,371.18 |
$3,371.18 |
$3,371.18 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,274.30 |
$2,274.30 |
$2,274.30 |
$1,001.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$4,305.01 |
$4,305.01 |
$4,305.01 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$192.80 |
$192.80 |
$192.80 |
$114.20
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$246.81 |
$246.81 |
$246.81 |
$98.90
|
|
Aquatic exercise - group charge
|
$328.68 |
$328.68 |
$328.68 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,805.26 |
$1,805.26 |
$1,805.26 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$825.04 |
$825.04 |
$825.04 |
$505.60
|
|
Artery x-rays arm/leg 75710-26
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$9,864.54 |
$9,864.54 |
$9,864.54 |
$3,844.10
|
|
Artery x-rays lung
|
$35,429.76 |
$35,429.76 |
$35,429.76 |
$2,921.88
|
|
Artery x-rays lungs
|
$35,429.76 |
$35,429.76 |
$35,429.76 |
$3,686.58
|