|
11-desoxycortisol - sendout
|
$89.30 |
$89.30 |
$89.30 |
$87.50
|
|
17-hydroxypregnenolone
|
$452.67 |
$452.67 |
$452.67 |
$85.15
|
|
17-ketosteroids
|
$254.02 |
$254.02 |
$254.02 |
$44.00
|
|
2nd order venous cath
|
$994.82 |
$994.82 |
$994.82 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$422.84 |
$422.84 |
$422.84 |
$669.00
|
|
3d recon without postprocess indpndt
|
$157.14 |
$157.14 |
$157.14 |
$427.34
|
|
5' nucleotidase - sendout
|
$149.98 |
$149.98 |
$149.98 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$238.34 |
$238.34 |
$238.34 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$12,587.52 |
$12,587.52 |
$12,587.52 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,303.59 |
$1,303.59 |
$1,303.59 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,235.21 |
$1,235.21 |
$1,235.21 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$1,235.21 |
$1,235.21 |
$1,235.21 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,235.21 |
$1,235.21 |
$1,235.21 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$5,094.57 |
$5,094.57 |
$5,094.57 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$4,702.82 |
$4,702.82 |
$4,702.82 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,098.26 |
$4,098.26 |
$4,098.26 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,217.50 |
$4,217.50 |
$4,217.50 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$2,605.25 |
$2,605.25 |
$2,605.25 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$2,050.14 |
$2,050.14 |
$2,050.14 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,942.51 |
$2,942.51 |
$2,942.51 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,199.29 |
$1,199.29 |
$1,199.29 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,201.14 |
$1,201.14 |
$1,201.14 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$5,945.48 |
$5,945.48 |
$5,945.48 |
$1,170.28
|
|
Abl1 gene
|
$1,008.79 |
$1,008.79 |
$1,008.79 |
$609.93
|
|
Ablate arrhythmia add on
|
$24,523.14 |
$24,523.14 |
$24,523.14 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$25,041.90 |
$25,041.90 |
$25,041.90 |
$10,008.58
|
|
Abscess drain retroperitoneal surg code
|
$5,694.16 |
$5,694.16 |
$5,694.16 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$294.11 |
$294.11 |
$294.11 |
$125.63
|
|
Acetaminophen level
|
$369.92 |
$369.92 |
$369.92 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$979.79 |
$979.79 |
$979.79 |
$133.60
|
|
Acetone qualitative
|
$109.19 |
$109.19 |
$109.19 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$36.75 |
$36.75 |
$36.75 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$414.85 |
$414.85 |
$414.85 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$88.44 |
$88.44 |
$88.44 |
$42.28
|
|
Acute hepatitis panel
|
$978.17 |
$978.17 |
$978.17 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$186.77 |
$186.77 |
$186.77 |
$50.70
|
|
#acylcarnitineprfl
|
$334.78 |
$334.78 |
$334.78 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$3,120.03 |
$3,120.03 |
$3,120.03 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$255.40 |
$255.40 |
$255.40 |
$63.00
|
|
Adh-sendout
|
$673.54 |
$673.54 |
$673.54 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$150.16 |
$150.16 |
$150.16 |
$124.70
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$512.93 |
$512.93 |
$512.93 |
$264.00
|
|
Administration immunization 1 vaccine
|
$198.52 |
$198.52 |
$198.52 |
$70.52
|
|
Administration immunization each additional vaccine
|
$146.20 |
$146.20 |
$146.20 |
$46.23
|
|
Administration vaccine hepatitis b
|
$412.22 |
$412.22 |
$412.22 |
$51.35
|
|
Administration vaccine influenza virus
|
$2,305.28 |
$2,305.28 |
$2,305.28 |
$49.50
|
|
_afb id by dna probe rflx ast
|
$397.90 |
$397.90 |
$397.90 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$606.15 |
$606.15 |
$606.15 |
$289.60
|
|
Air injection into abdomen 49400
|
$1,563.05 |
$1,563.05 |
$1,563.05 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$83.64 |
$83.64 |
$83.64 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$3,552.13 |
$3,552.13 |
$3,552.13 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$2,095.61 |
$2,095.61 |
$2,095.61 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$3,375.37 |
$3,375.37 |
$3,375.37 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$299.52 |
$299.52 |
$299.52 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$204.37 |
$204.37 |
$204.37 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$63.59 |
$63.59 |
$63.59 |
$22.45
|
|
Albuterol non-comp unit
|
$15.71 |
$15.71 |
$15.71 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,074.56 |
$1,074.56 |
$1,074.56 |
$93.60
|
|
Alkaline phosphatase
|
$173.51 |
$173.51 |
$173.51 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$355.82 |
$355.82 |
$355.82 |
$56.35
|
|
Allergen egg white ige
|
$103.59 |
$103.59 |
$103.59 |
$41.00
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$2,025.52 |
$2,025.52 |
$2,025.52 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$436.72 |
$436.72 |
$436.72 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$3,200.49 |
$3,200.49 |
$3,200.49 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,222.81 |
$1,222.81 |
$1,222.81 |
$2,513.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,633.46 |
$3,633.46 |
$3,633.46 |
$3,025.07
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,278.22 |
$1,278.22 |
$1,278.22 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$332.80 |
$332.80 |
$332.80 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$3,135.75 |
$3,135.75 |
$3,135.75 |
$2,600.22
|
|
Alt/sgpt
|
$105.18 |
$105.18 |
$105.18 |
$49.00
|
|
Amantadine (symmetrel)-sendout
|
$215.47 |
$215.47 |
$215.47 |
$196.20
|
|
Aminolevulinic acid delta
|
$221.26 |
$221.26 |
$221.26 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$129.07 |
$129.07 |
$129.07 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$945.59 |
$945.59 |
$945.59 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$326.78 |
$326.78 |
$326.78 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$349.01 |
$349.01 |
$349.01 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$106,669.60 |
$106,669.60 |
$106,669.60 |
$15,167.75
|
|
Ammonia
|
$201.55 |
$201.55 |
$201.55 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$94.50 |
$94.50 |
$94.50 |
$94.50
|
|
Amphetamines 5 or more
|
$375.10 |
$375.10 |
$375.10 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$195.28 |
$195.28 |
$195.28 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$370.72 |
$370.72 |
$370.72 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$802.12 |
$802.12 |
$802.12 |
$312.00
|
|
Amputation toe interphalangeal joint
|
$22,578.76 |
$22,578.76 |
$22,578.76 |
$3,691.20
|
|
Amylase
|
$833.58 |
$833.58 |
$833.58 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$1,303.62 |
$1,303.62 |
$1,303.62 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,456.02 |
$1,456.02 |
$1,456.02 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$112.37 |
$112.37 |
$112.37 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$298.67 |
$298.67 |
$298.67 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$9,375.00 |
$9,375.00 |
$9,375.00 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,704.06 |
$1,704.06 |
$1,704.06 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$34,432.95 |
$34,432.95 |
$34,432.95 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$34,415.36 |
$34,415.36 |
$34,415.36 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$34,415.36 |
$34,415.36 |
$34,415.36 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$34,415.36 |
$34,415.36 |
$34,415.36 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$36,522.47 |
$36,522.47 |
$36,522.47 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$43,892.60 |
$43,892.60 |
$43,892.60 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$18,090.22 |
$18,090.22 |
$18,090.22 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$36,541.12 |
$36,541.12 |
$36,541.12 |
$8,689.20
|
