|
17-hydroxypregnenolone
|
$43.86 |
$43.86 |
$43.86 |
$85.15
|
|
2nd order venous cath
|
$348.43 |
$348.43 |
$348.43 |
$1,809.60
|
|
3-d radiotherapy plan
|
$6,565.40 |
$6,565.40 |
$6,565.40 |
$4,886.50
|
|
5' nucleotidase - sendout
|
$23.22 |
$23.22 |
$23.22 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$17.39 |
$17.39 |
$17.39 |
$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)
|
$6,259.05 |
$6,259.05 |
$6,259.05 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,723.42 |
$5,723.42 |
$5,723.42 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,462.61 |
$5,462.61 |
$5,462.61 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$6,800.31 |
$6,800.31 |
$6,800.31 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$4,568.54 |
$4,568.54 |
$4,568.54 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,059.52 |
$6,059.52 |
$6,059.52 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,897.11 |
$1,897.11 |
$1,897.11 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$2,404.33 |
$2,404.33 |
$2,404.33 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,762.52 |
$1,762.52 |
$1,762.52 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$1,782.34 |
$1,782.34 |
$1,782.34 |
$1,170.28
|
|
Ablate bone tumor(s) perq
|
$21,608.30 |
$21,608.30 |
$21,608.30 |
$9,812.40
|
|
Abscess drain retroperitoneal surg code
|
$4,744.15 |
$4,744.15 |
$4,744.15 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$80.14 |
$80.14 |
$80.14 |
$125.63
|
|
Acetaminophen level
|
$64.74 |
$64.74 |
$64.74 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$175.95 |
$175.95 |
$175.95 |
$133.60
|
|
Acetone qualitative
|
$116.46 |
$116.46 |
$116.46 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$141.93 |
$141.93 |
$141.93 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$78.56 |
$78.56 |
$78.56 |
$323.77
|
|
Acute hepatitis panel
|
$278.33 |
$278.33 |
$278.33 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$21.85 |
$21.85 |
$21.85 |
$50.70
|
|
Adenosine 3 mg/250 ml bag for osm
|
$544.91 |
$544.91 |
$544.91 |
$219.86
|
|
Adh-sendout
|
$37.17 |
$37.17 |
$37.17 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$19.41 |
$19.41 |
$19.41 |
$124.70
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$740.31 |
$740.31 |
$740.31 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$858.32 |
$858.32 |
$858.32 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$389.69 |
$389.69 |
$389.69 |
$264.00
|
|
Administration immunization 1 vaccine
|
$69.21 |
$69.21 |
$69.21 |
$70.52
|
|
Administration immunization each additional vaccine
|
$46.13 |
$46.13 |
$46.13 |
$46.23
|
|
Administration vaccine influenza virus
|
$404.46 |
$404.46 |
$404.46 |
$49.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$317.96 |
$317.96 |
$317.96 |
$289.60
|
|
Air injection into abdomen 49400
|
$1,312.65 |
$1,312.65 |
$1,312.65 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$55.13 |
$55.13 |
$55.13 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$901.09 |
$901.09 |
$901.09 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$622.80 |
$622.80 |
$622.80 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$992.05 |
$992.05 |
$992.05 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$129.43 |
$129.43 |
$129.43 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$64.39 |
$64.39 |
$64.39 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$13.15 |
$13.15 |
$13.15 |
$22.45
|
|
Albuterol non-comp unit
|
$5.89 |
$5.89 |
$5.89 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$339.82 |
$339.82 |
$339.82 |
$93.60
|
|
Alkaline phosphatase
|
$66.69 |
$66.69 |
$66.69 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$118.08 |
$118.08 |
$118.08 |
$56.35
|
|
Allergen egg white ige
|
$60.13 |
$60.13 |
$60.13 |
$41.00
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$656.30 |
$656.30 |
$656.30 |
$6,285.56
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$697.63 |
$697.63 |
$697.63 |
$2,513.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$980.90 |
$980.90 |
$980.90 |
$4,101.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$386.28 |
$386.28 |
$386.28 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$181.10 |
$181.10 |
$181.10 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$547.62 |
$547.62 |
$547.62 |
$2,600.22
|
|
Alt/sgpt
|
$144.20 |
$144.20 |
$144.20 |
$49.00
|
|
Aluminum - quest
|
$17.68 |
$17.68 |
$17.68 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$336.93 |
$336.93 |
$336.93 |
$196.20
|
|
Aminolevulinic acid delta
|
$49.54 |
$49.54 |
$49.54 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$17.64 |
$17.64 |
$17.64 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$361.81 |
$361.81 |
$361.81 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$53.87 |
$53.87 |
$53.87 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$37.17 |
$37.17 |
$37.17 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$33,715.41 |
$33,715.41 |
$33,715.41 |
$15,167.75
|
|
Ammonia
|
$328.78 |
$328.78 |
$328.78 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$158.96 |
$158.96 |
$158.96 |
$94.50
|
|
Amphetamines 5 or more
|
$222.35 |
$222.35 |
$222.35 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$62.36 |
$62.36 |
$62.36 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$107.55 |
$107.55 |
$107.55 |
$51.93
|
|
Amylase
|
$323.64 |
$323.64 |
$323.64 |
$93.00
|
|
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
|
|
An cholangiogram percutaneous compl
|
$8,459.19 |
$8,459.19 |
$8,459.19 |
$2,626.65
|
|
An fluoro guide for cvp
|
$646.23 |
$646.23 |
$646.23 |
$484.45
|
|
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 ea addl
|
$20,968.46 |
$20,968.46 |
$20,968.46 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$8,689.20
|
|
Ankle X-ray
|
$827.94 |
$827.94 |
$827.94 |
$339.44
|
|
Antibody elution rbc reference
|
$224.05 |
$224.05 |
$224.05 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$86.39 |
$86.39 |
$86.39 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$427.16 |
$427.16 |
$427.16 |
$220.73
|
|
Antibody id rbc panel
|
$293.02 |
$293.02 |
$293.02 |
$291.75
|
|
Antibody screen rbc
|
$184.10 |
$184.10 |
$184.10 |
$105.00
|
|
Anti mog serum - sendout
|
$380.63 |
$380.63 |
$380.63 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$34.88 |
$34.88 |
$34.88 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$34.88 |
$34.88 |
$34.88 |
$45.82
|
|
Antinuclear antibodies
|
$199.30 |
$199.30 |
$199.30 |
$91.70
|
|
Antinuclear antibodies titer
|
$38.20 |
$38.20 |
$38.20 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$70.55 |
$70.55 |
$70.55 |
$74.20
|
|
Antistreptolysin o screen
|
$11.52 |
$11.52 |
$11.52 |
$59.40
|