|
3d ech img cgen car anomal
|
$92.00 |
$92.00 |
$92.00 |
$669.00
|
|
3d recon without postprocess indpndt
|
$5,543.00 |
$5,543.00 |
$5,543.00 |
$427.34
|
|
5' nucleotidase - sendout
|
$108.00 |
$108.00 |
$108.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$80.00 |
$80.00 |
$80.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$7,611.00 |
$7,611.00 |
$7,611.00 |
$3,634.61
|
|
Abd aorta w/runoff s&i
|
$20,164.00 |
$20,164.00 |
$20,164.00 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$20,334.00 |
$20,334.00 |
$20,334.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$19,071.00 |
$19,071.00 |
$19,071.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$16,839.00 |
$16,839.00 |
$16,839.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$10,680.00 |
$10,680.00 |
$10,680.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$4,243.00 |
$4,243.00 |
$4,243.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,447.00 |
$6,447.00 |
$6,447.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$7,310.00 |
$7,310.00 |
$7,310.00 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$603.33
|
|
Ablate arrhythmia add on
|
$38,431.00 |
$38,431.00 |
$38,431.00 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$58,308.00 |
$58,308.00 |
$58,308.00 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$272.00 |
$272.00 |
$272.00 |
$125.63
|
|
Acetaminophen level
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$624.00 |
$624.00 |
$624.00 |
$133.60
|
|
Acetone qualitative
|
$566.00 |
$566.00 |
$566.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$77.00 |
$77.00 |
$77.00 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$323.77
|
|
Acute hepatitis panel
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$50.70
|
|
Adh-sendout
|
$322.00 |
$322.00 |
$322.00 |
$109.28
|
|
Administration immunization each additional vaccine
|
$267.00 |
$267.00 |
$267.00 |
$46.23
|
|
Administration vaccine influenza virus
|
$199.00 |
$199.00 |
$199.00 |
$49.50
|
|
Administration vaccine pneumococcal
|
$199.00 |
$199.00 |
$199.00 |
$51.11
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$221.00 |
$221.00 |
$221.00 |
$11,874.55
|
|
_afb id by dna probe rflx ast
|
$271.00 |
$271.00 |
$271.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$74.00 |
$74.00 |
$74.00 |
$38.58
|
|
Albumin body fluid quantitative each specimen
|
$117.00 |
$117.00 |
$117.00 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$66.00 |
$66.00 |
$66.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$117.00 |
$117.00 |
$117.00 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$63.00 |
$63.00 |
$63.00 |
$22.45
|
|
Albuterol non-comp unit
|
$59.00 |
$59.00 |
$59.00 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$93.60
|
|
Aldesleukin injection
|
$19,361.00 |
$19,361.00 |
$19,361.00 |
$6,446.09
|
|
Alkaline phosphatase
|
$315.00 |
$315.00 |
$315.00 |
$46.20
|
|
Allergen egg white ige
|
$39.00 |
$39.00 |
$39.00 |
$41.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$30,240.00 |
$30,240.00 |
$30,240.00 |
$3,104.06
|
|
Alpha-fetoprotein tumor marker
|
$92.00 |
$92.00 |
$92.00 |
$99.00
|
|
Alt/sgpt
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$49.00
|
|
Aluminum - quest
|
$135.00 |
$135.00 |
$135.00 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$723.00 |
$723.00 |
$723.00 |
$36.30
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$83.00 |
$83.00 |
$83.00 |
$42.84
|
|
Aminolevulinic acid delta
|
$187.00 |
$187.00 |
$187.00 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$152.84 |
$152.84 |
$152.84 |
$202.10
|
|
Ammonia
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$120.90
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$314.00 |
$314.00 |
$314.00 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$331.80
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$208.00 |
$208.00 |
$208.00 |
$51.93
|
|
Amylase
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$93.00
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$411.00 |
$411.00 |
$411.00 |
$338.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$152.00 |
$152.00 |
$152.00 |
$122.20
|
|
Anca screen with reflex to titer -quest
|
$512.00 |
$512.00 |
$512.00 |
$109.20
|
|
Anidulafungin injection
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$209.79
|
|
Antibody elution rbc reference
|
$65.00 |
$65.00 |
$65.00 |
$176.54
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$619.00 |
$619.00 |
$619.00 |
$220.73
|
|
Antibody id rbc panel
|
$593.00 |
$593.00 |
$593.00 |
$291.75
|
|
Antibody screen rbc
|
$193.00 |
$193.00 |
$193.00 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$6.00 |
$6.00 |
$6.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$2.75
|
|
Antinuclear antibodies
|
$355.00 |
$355.00 |
$355.00 |
$91.70
|
|
Antistreptolysin o titer
|
$449.00 |
$449.00 |
$449.00 |
$57.96
|
|
Antithrombin iii activity
|
$160.00 |
$160.00 |
$160.00 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$5,584.00 |
$5,584.00 |
$5,584.00 |
$5,013.11
|
|
Appl modality 1/> areas paraffin bath 97018
|
$865.00 |
$865.00 |
$865.00 |
$69.55
|
|
Aquaporin-4 antibody elisa
|
$757.00 |
$757.00 |
$757.00 |
$139.59
|
|
Artery xray each vessel 7577426
|
$8,915.00 |
$8,915.00 |
$8,915.00 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$16,144.00 |
$16,144.00 |
$16,144.00 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$19,882.00 |
$19,882.00 |
$19,882.00 |
$3,320.35
|
|
Artery x-rays arms/legs 75716-26
|
$29,005.00 |
$29,005.00 |
$29,005.00 |
$3,844.10
|
|
Artery x-rays lungs
|
$16,236.00 |
$16,236.00 |
$16,236.00 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$18,676.00 |
$18,676.00 |
$18,676.00 |
$4,086.49
|
|
Artery x-rays spine
|
$18,676.00 |
$18,676.00 |
$18,676.00 |
$4,306.40
|
|
Assay of interleukin-6 (il-6)
|
$64.00 |
$64.00 |
$64.00 |
$77.35
|
|
Assay of procainamide w/metab
|
$93.00 |
$93.00 |
$93.00 |
$61.20
|
|
Assay of salicylate
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$105.95
|
|
Assay of somatostatin
|
$285.00 |
$285.00 |
$285.00 |
$165.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$312.00
|
|
Ast/sgot
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$24,337.00 |
$24,337.00 |
$24,337.00 |
$31,208.35
|
|
Azacitidine injection
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$44.00 |
$44.00 |
$44.00 |
$6.76
|
|
Azathioprine parenteral
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$294.00 |
$294.00 |
$294.00 |
$52.69
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,738.00 |
$1,738.00 |
$1,738.00 |
$920.45
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$184.00 |
$184.00 |
$184.00 |
$191.55
|
|
Barrier film 28ml spray no stng cavilon
|
$190.00 |
$190.00 |
$190.00 |
$21.33
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$35.00 |
$35.00 |
$35.00 |
$3.00
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$35.00 |
$35.00 |
$35.00 |
$30.00
|
|
B cells total count
|
$123.00 |
$123.00 |
$123.00 |
$125.28
|
|
Belt ostomy lg 34-65in
|
$223.00 |
$223.00 |
$223.00 |
$5.20
|
|
#_benzodiazconfur
|
$263.00 |
$263.00 |
$263.00 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$269.00 |
$269.00 |
$269.00 |
$121.88
|
|
Beta-2 microglobulin
|
$155.00 |
$155.00 |
$155.00 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$85.00 |
$85.00 |
$85.00 |
$75.12
|
|
Bilirubin direct
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$49.29
|
