|
3-d radiotherapy plan
|
$13,263.89 |
$13,263.89 |
$13,263.89 |
$4,886.50
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,499.43 |
$3,499.43 |
$3,499.43 |
$3,634.61
|
|
Abd aorta w/runoff s&i
|
$20,969.21 |
$20,969.21 |
$20,969.21 |
$3,667.71
|
|
Abdominal MRI (with and without contrast)
|
$9,824.27 |
$9,824.27 |
$9,824.27 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$4,711.22 |
$4,711.22 |
$4,711.22 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,544.52 |
$6,544.52 |
$6,544.52 |
$1,972.66
|
|
Ablate arrhythmia add on
|
$10,124.92 |
$10,124.92 |
$10,124.92 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$48,721.49 |
$48,721.49 |
$48,721.49 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$159.97 |
$159.97 |
$159.97 |
$125.63
|
|
Acetaminophen level
|
$87.77 |
$87.77 |
$87.77 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$805.90 |
$805.90 |
$805.90 |
$133.60
|
|
Acetylcholine receptor modulating antibody
|
$56.74 |
$56.74 |
$56.74 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,212.68 |
$1,212.68 |
$1,212.68 |
$323.77
|
|
Adenovirus antibody,serum - quest
|
$14.13 |
$14.13 |
$14.13 |
$63.00
|
|
Adh-sendout
|
$37.96 |
$37.96 |
$37.96 |
$109.28
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$306.73 |
$306.73 |
$306.73 |
$220.00
|
|
Administration vaccine hepatitis b
|
$287.50 |
$287.50 |
$287.50 |
$51.35
|
|
Administration vaccine pneumococcal
|
$108.30 |
$108.30 |
$108.30 |
$51.11
|
|
Adrenal cortex & medulla img
|
$5,550.66 |
$5,550.66 |
$5,550.66 |
$1,780.19
|
|
#afb mycobacteria suscep. #1
|
$175.20 |
$175.20 |
$175.20 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$76.52 |
$76.52 |
$76.52 |
$289.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$4.13 |
$4.13 |
$4.13 |
$57.60
|
|
Albuterol ipratrop non-comp
|
$344.48 |
$344.48 |
$344.48 |
$22.45
|
|
Albuterol non-comp con
|
$230.42 |
$230.42 |
$230.42 |
$15.00
|
|
Allergen specific ige qual multi scrn ea
|
$47.09 |
$47.09 |
$47.09 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1.00 |
$1.00 |
$1.00 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$1.00 |
$1.00 |
$1.00 |
$2,959.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$905.18
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$4,101.14
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$3,025.07
|
|
Alloskin
|
$1.00 |
$1.00 |
$1.00 |
$759.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$300.00 |
$300.00 |
$300.00 |
$189.00
|
|
Alprostadil for injection
|
$2,066.24 |
$2,066.24 |
$2,066.24 |
$533.06
|
|
Aluminum - quest
|
$22.64 |
$22.64 |
$22.64 |
$87.00
|
|
Amino acid screen, urine
|
$14.77 |
$14.77 |
$14.77 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$30.95 |
$30.95 |
$30.95 |
$42.84
|
|
Aminolevulinic acid delta
|
$8.59 |
$8.59 |
$8.59 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$17.26 |
$17.26 |
$17.26 |
$101.17
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$716.05 |
$716.05 |
$716.05 |
$130.08
|
|
Amphotericin b lipid complex
|
$3,517.51 |
$3,517.51 |
$3,517.51 |
$270.17
|
|
Ana ds-dna
|
$20.92 |
$20.92 |
$20.92 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$33.57 |
$33.57 |
$33.57 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$30.68 |
$30.68 |
$30.68 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$153.41 |
$153.41 |
$153.41 |
$95.45
|
|
Antibody htlv/hiv confirm test
|
$38.10 |
$38.10 |
$38.10 |
$141.74
|
|
Antinuclear antibodies titer
|
$6.00 |
$6.00 |
$6.00 |
$80.25
|
|
Antistreptolysin o screen
|
$9.20 |
$9.20 |
$9.20 |
$59.40
|
|
Antistreptolysin o titer
|
$5.30 |
$5.30 |
$5.30 |
$57.96
|
|
Antithrombin iii activity
|
$27.29 |
$27.29 |
$27.29 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$21,324.50 |
$21,324.50 |
$21,324.50 |
$5,013.11
|
|
Antithymocyte globuln rabbit
|
$4,602.54 |
$4,602.54 |
$4,602.54 |
$1,679.21
|
|
Apheresis plasma
|
$4,677.95 |
$4,677.95 |
$4,677.95 |
$3,411.50
|
|
Apheresis rbc
|
$5,143.78 |
$5,143.78 |
$5,143.78 |
$3,348.50
|
|
Apheresis wbc
|
$13,308.42 |
$13,308.42 |
$13,308.42 |
$3,342.71
|
|
#aptt mix-1:1 incubated
|
$165.23 |
$165.23 |
$165.23 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$405.09 |
$405.09 |
$405.09 |
$139.59
|
|
Aquatic exercise - group charge
|
$276.00 |
$276.00 |
$276.00 |
$87.60
|
|
Aripiprazole injection
|
$147.92 |
$147.92 |
$147.92 |
$118.52
|
|
Arterial blood draw/perc 36620
|
$1,677.23 |
$1,677.23 |
$1,677.23 |
$505.60
|
|
Artery x-rays adrenal gland
|
$29,410.86 |
$29,410.86 |
$29,410.86 |
$3,320.35
|
|
Artery x-rays adrenals
|
$29,410.86 |
$29,410.86 |
$29,410.86 |
$3,706.68
|
|
Artery x-rays chest
|
$23,031.92 |
$23,031.92 |
$23,031.92 |
$2,587.20
|
|
Artery x-rays lung
|
$11,290.55 |
$11,290.55 |
$11,290.55 |
$2,332.57
|
|
Artery x-rays lungs
|
$17,800.59 |
$17,800.59 |
$17,800.59 |
$3,686.58
|
|
Artery x-rays spine
|
$61,159.69 |
$61,159.69 |
$61,159.69 |
$4,306.40
|
|
Assay of breath ethanol
|
$153.48 |
$153.48 |
$153.48 |
$45.76
|
|
Assay of glutathione
|
$72.75 |
$72.75 |
$72.75 |
$69.55
|
|
Assay of osteocalcin
|
$140.56 |
$140.56 |
$140.56 |
$97.21
|
|
Assay of procainamide w/metab
|
$78.87 |
$78.87 |
$78.87 |
$61.20
|
|
Assay of quinine
|
$54.15 |
$54.15 |
$54.15 |
$17.23
|
|
Assay of salicylate
|
$87.77 |
$87.77 |
$87.77 |
$105.95
|
|
Assay of thiocyanate
|
$12.85 |
$12.85 |
$12.85 |
$57.00
|
|
Assay of tyrosine
|
$75.34 |
$75.34 |
$75.34 |
$56.10
|
|
Axicabtagene ciloleucel car+
|
$9,435,877.70 |
$9,435,877.70 |
$9,435,877.70 |
$533,076.48
|
|
Azacitidine injection
|
$3,435.33 |
$3,435.33 |
$3,435.33 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$6.57 |
$6.57 |
$6.57 |
$6.76
|
|
Azathioprine parenteral
|
$1,104.48 |
$1,104.48 |
$1,104.48 |
$441.40
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$738.51 |
$738.51 |
$738.51 |
$920.45
|
|
Bartonella dna pcr-sendout
|
$194.16 |
$194.16 |
$194.16 |
$196.20
|
|
B cells total count
|
$25.59 |
$25.59 |
$25.59 |
$125.28
|
|
Bcg live 50 mg intravesical suspension
|
$931.08 |
$931.08 |
$931.08 |
$517.26
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$116.15 |
$116.15 |
$116.15 |
$6,720.38
|
|
Benztropine 1 mg/ml injection solution
|
$127.92 |
$127.92 |
$127.92 |
$121.88
|
|
Bivalirudin
|
$712.21 |
$712.21 |
$712.21 |
$1,246.70
|
|
Bld prd mix
|
$174.84 |
$174.84 |
$174.84 |
$139.21
|
|
Blood gases ph venous
|
$133.83 |
$133.83 |
$133.83 |
$63.70
|
|
Blood typing ag donor ea ag
|
$729.86 |
$729.86 |
$729.86 |
$166.80
|
|
Bone marrow imaging mult
|
$1,635.98 |
$1,635.98 |
$1,635.98 |
$762.31
|
|
Boot softgait shrt m
|
$940.25 |
$940.25 |
$940.25 |
$113.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$8,431.51 |
$8,431.51 |
$8,431.51 |
$1,683.04
|
|
Bowel imaging
|
$11,177.96 |
$11,177.96 |
$11,177.96 |
$1,186.25
|
|
Braf gene
|
$825.92 |
$825.92 |
$825.92 |
$421.20
|
|
Brain image 4+ views
|
$3,167.93 |
$3,167.93 |
$3,167.93 |
$746.61
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$9,824.27 |
$9,824.27 |
$9,824.27 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,857.35 |
$7,857.35 |
$7,857.35 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,544.52 |
$6,544.52 |
$6,544.52 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$9,824.27 |
$9,824.27 |
$9,824.27 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,857.35 |
$7,857.35 |
$7,857.35 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$6,544.52 |
$6,544.52 |
$6,544.52 |
$1,927.04
|
