|
17-hydroxypregnenolone
|
$114.83 |
$114.83 |
$114.83 |
$85.15
|
|
17-ketosteroids
|
$49.54 |
$49.54 |
$49.54 |
$44.00
|
|
2nd order venous cath
|
$337.41 |
$337.41 |
$337.41 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$89.05 |
$89.05 |
$89.05 |
$669.00
|
|
3-d radiotherapy plan
|
$6,347.06 |
$6,347.06 |
$6,347.06 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$483.53 |
$483.53 |
$483.53 |
$427.34
|
|
5' nucleotidase - sendout
|
$19.66 |
$19.66 |
$19.66 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$159.06 |
$159.06 |
$159.06 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$28.35 |
$28.35 |
$28.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$9,926.25 |
$9,926.25 |
$9,926.25 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,817.66 |
$1,817.66 |
$1,817.66 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,999.43 |
$1,999.43 |
$1,999.43 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$1,999.43 |
$1,999.43 |
$1,999.43 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,059.40 |
$1,059.40 |
$1,059.40 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$6,469.69 |
$6,469.69 |
$6,469.69 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,916.05 |
$5,916.05 |
$5,916.05 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,646.44 |
$5,646.44 |
$5,646.44 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,507.61 |
$7,507.61 |
$7,507.61 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$6,689.73 |
$6,689.73 |
$6,689.73 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,155.65 |
$6,155.65 |
$6,155.65 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,459.67 |
$1,459.67 |
$1,459.67 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$2,742.43 |
$2,742.43 |
$2,742.43 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$2,008.97 |
$2,008.97 |
$2,008.97 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,899.36 |
$1,899.36 |
$1,899.36 |
$1,170.28
|
|
Ablate arrhythmia add on
|
$20,892.22 |
$20,892.22 |
$20,892.22 |
$7,417.15
|
|
Ablate bone tumor(s) perq
|
$20,064.85 |
$20,064.85 |
$20,064.85 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$20,892.22 |
$20,892.22 |
$20,892.22 |
$10,008.58
|
|
Abscess drain retroperitoneal surg code
|
$5,498.39 |
$5,498.39 |
$5,498.39 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$89.21 |
$89.21 |
$89.21 |
$125.63
|
|
Acetaminophen level
|
$64.74 |
$64.74 |
$64.74 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$132.33 |
$132.33 |
$132.33 |
$133.60
|
|
Acetone qualitative
|
$116.46 |
$116.46 |
$116.46 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$27.14 |
$27.14 |
$27.14 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$63.41 |
$63.41 |
$63.41 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$85.84 |
$85.84 |
$85.84 |
$42.28
|
|
Acute hepatitis panel
|
$278.33 |
$278.33 |
$278.33 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$35.87 |
$35.87 |
$35.87 |
$50.70
|
|
#acylcarnitineprfl
|
$211.20 |
$211.20 |
$211.20 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$393.42 |
$393.42 |
$393.42 |
$219.86
|
|
Adh-sendout
|
$98.22 |
$98.22 |
$98.22 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$31.34 |
$31.34 |
$31.34 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$216.25 |
$216.25 |
$216.25 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$668.98 |
$668.98 |
$668.98 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$724.06 |
$724.06 |
$724.06 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$361.85 |
$361.85 |
$361.85 |
$264.00
|
|
Administration immunization 1 vaccine
|
$156.27 |
$156.27 |
$156.27 |
$70.52
|
|
Administration immunization each additional vaccine
|
$31.66 |
$31.66 |
$31.66 |
$46.23
|
|
Administration vaccine hepatitis b
|
$194.89 |
$194.89 |
$194.89 |
$51.35
|
|
Administration vaccine influenza virus
|
$294.03 |
$294.03 |
$294.03 |
$49.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$317.96 |
$317.96 |
$317.96 |
$289.60
|
|
Air injection into abdomen 49400
|
$1,434.32 |
$1,434.32 |
$1,434.32 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$61.55 |
$61.55 |
$61.55 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,188.41 |
$1,188.41 |
$1,188.41 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$628.14 |
$628.14 |
$628.14 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,007.39 |
$1,007.39 |
$1,007.39 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$120.52 |
$120.52 |
$120.52 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$58.63 |
$58.63 |
$58.63 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$21.68 |
$21.68 |
$21.68 |
$22.45
|
|
Albuterol non-comp unit
|
$5.98 |
$5.98 |
$5.98 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$339.82 |
$339.82 |
$339.82 |
$93.60
|
|
Alkaline phosphatase
|
$63.00 |
$63.00 |
$63.00 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$62.27 |
$62.27 |
$62.27 |
$56.35
|
|
Allergen egg white ige
|
$113.76 |
$113.76 |
$113.76 |
$41.00
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$715.96 |
$715.96 |
$715.96 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$136.19 |
$136.19 |
$136.19 |
$18,384.03
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$1,070.07 |
$1,070.07 |
$1,070.07 |
$4,101.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$358.70 |
$358.70 |
$358.70 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$181.10 |
$181.10 |
$181.10 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$395.34 |
$395.34 |
$395.34 |
$2,600.22
|
|
Alt/sgpt
|
$134.26 |
$134.26 |
$134.26 |
$49.00
|
|
Aluminum - quest
|
$17.39 |
$17.39 |
$17.39 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$44.25 |
$44.25 |
$44.25 |
$196.20
|
|
Aminolevulinic acid delta
|
$49.54 |
$49.54 |
$49.54 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$28.62 |
$28.62 |
$28.62 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$318.53 |
$318.53 |
$318.53 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$51.17 |
$51.17 |
$51.17 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$34.77 |
$34.77 |
$34.77 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$28,012.16 |
$28,012.16 |
$28,012.16 |
$15,167.75
|
|
Ammonia
|
$310.65 |
$310.65 |
$310.65 |
$120.90
|
|
Amphetamines 5 or more
|
$46.46 |
$46.46 |
$46.46 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$66.16 |
$66.16 |
$66.16 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$124.74 |
$124.74 |
$124.74 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$854.72 |
$854.72 |
$854.72 |
$312.00
|
|
Amylase
|
$323.64 |
$323.64 |
$323.64 |
$93.00
|
|
Anal/urinary muscle study
|
$943.82 |
$943.82 |
$943.82 |
$507.26
|
|
Analysis gene f2 20210g>a variant
|
$228.13 |
$228.13 |
$228.13 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$254.81 |
$254.81 |
$254.81 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$123.34 |
$123.34 |
$123.34 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$165.39 |
$165.39 |
$165.39 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$9,742.81 |
$9,742.81 |
$9,742.81 |
$2,626.65
|
|
An fluoro guide for cvp
|
$854.69 |
$854.69 |
$854.69 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$8,300.84 |
$8,300.84 |
$8,300.84 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$5,501.23 |
$5,501.23 |
$5,501.23 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$8,689.20
|
|
Ankle X-ray
|
$796.43 |
$796.43 |
$796.43 |
$339.44
|