|
11-desoxycortisol - sendout
|
$451.94 |
$451.94 |
$451.94 |
$87.50
|
|
17-hydroxypregnenolone
|
$352.08 |
$352.08 |
$352.08 |
$85.15
|
|
2d tte w or without fol w/con,co
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$1,088.36
|
|
2nd order venous cath
|
$3,004.04 |
$3,004.04 |
$3,004.04 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$414.37 |
$414.37 |
$414.37 |
$669.00
|
|
3-d radiotherapy plan
|
$11,229.12 |
$11,229.12 |
$11,229.12 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$686.09 |
$686.09 |
$686.09 |
$427.34
|
|
5' nucleotidase - sendout
|
$172.11 |
$172.11 |
$172.11 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$185.38 |
$185.38 |
$185.38 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$7,417.65 |
$7,417.65 |
$7,417.65 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$6,264.78 |
$6,264.78 |
$6,264.78 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$8,374.21 |
$8,374.21 |
$8,374.21 |
$3,050.58
|
|
Abd/low ext cath addl
|
$2,317.93 |
$2,317.93 |
$2,317.93 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$8,380.54 |
$8,380.54 |
$8,380.54 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$6,848.12 |
$6,848.12 |
$6,848.12 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$6,844.73 |
$6,844.73 |
$6,844.73 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,626.60 |
$7,626.60 |
$7,626.60 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$6,371.24 |
$6,371.24 |
$6,371.24 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$5,638.72 |
$5,638.72 |
$5,638.72 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,798.84 |
$2,798.84 |
$2,798.84 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$5,248.15 |
$5,248.15 |
$5,248.15 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$2,532.21 |
$2,532.21 |
$2,532.21 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$8,887.79 |
$8,887.79 |
$8,887.79 |
$1,170.28
|
|
Abl1 gene
|
$1,157.63 |
$1,157.63 |
$1,157.63 |
$609.93
|
|
Ablate arrhythmia add on
|
$12,890.39 |
$12,890.39 |
$12,890.39 |
$7,417.15
|
|
Ablate bone tumor(s) perq
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$21,161.10 |
$21,161.10 |
$21,161.10 |
$10,008.58
|
|
Ablate pulm tumor perq rf
|
$9,976.20 |
$9,976.20 |
$9,976.20 |
$6,904.15
|
|
Ablation cryo adrenal tumor
|
$17,848.58 |
$17,848.58 |
$17,848.58 |
$6,904.15
|
|
Ablation of upper extremity nerves rf
|
$1,477.37 |
$1,477.37 |
$1,477.37 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$7,621.45 |
$7,621.45 |
$7,621.45 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$7,812.35 |
$7,812.35 |
$7,812.35 |
$3,263.74
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$224.49 |
$224.49 |
$224.49 |
$125.63
|
|
Acetaminophen level
|
$287.71 |
$287.71 |
$287.71 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$766.24 |
$766.24 |
$766.24 |
$133.60
|
|
Acetone qualitative
|
$116.46 |
$116.46 |
$116.46 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$42.18 |
$42.18 |
$42.18 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$323.77 |
$323.77 |
$323.77 |
$323.77
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$1,398.05 |
$1,398.05 |
$1,398.05 |
$362.45
|
|
Acute hepatitis panel
|
$387.70 |
$387.70 |
$387.70 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$150.97 |
$150.97 |
$150.97 |
$50.70
|
|
#acylcarnitineprfl
|
$260.39 |
$260.39 |
$260.39 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2,442.52 |
$2,442.52 |
$2,442.52 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$198.65 |
$198.65 |
$198.65 |
$63.00
|
|
Adh-sendout
|
$118.79 |
$118.79 |
$118.79 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$120.99 |
$120.99 |
$120.99 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$361.55 |
$361.55 |
$361.55 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$556.77 |
$556.77 |
$556.77 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,435.83 |
$1,435.83 |
$1,435.83 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$709.08 |
$709.08 |
$709.08 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$256.49 |
$256.49 |
$256.49 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$256.49 |
$256.49 |
$256.49 |
$264.00
|
|
Administration immunization 1 vaccine
|
$146.03 |
$146.03 |
$146.03 |
$70.52
|
|
Administration immunization each additional vaccine
|
$172.78 |
$172.78 |
$172.78 |
$46.23
|
|
Administration vaccine hepatitis b
|
$492.86 |
$492.86 |
$492.86 |
$51.35
|
|
Administration vaccine influenza virus
|
$1,804.39 |
$1,804.39 |
$1,804.39 |
$49.50
|
|
Aep neurodiagnostic i&r
|
$1,071.46 |
$1,071.46 |
$1,071.46 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$309.48 |
$309.48 |
$309.48 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$112.83 |
$112.83 |
$112.83 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$1,780.58 |
$1,780.58 |
$1,780.58 |
$289.60
|
|
Air injection into abdomen 49400
|
$1,531.79 |
$1,531.79 |
$1,531.79 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$83.43 |
$83.43 |
$83.43 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,371.73 |
$1,371.73 |
$1,371.73 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$717.58 |
$717.58 |
$717.58 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,151.53 |
$1,151.53 |
$1,151.53 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$173.96 |
$173.96 |
$173.96 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$142.20 |
$142.20 |
$142.20 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$43.09 |
$43.09 |
$43.09 |
$22.45
|
|
Albuterol non-comp unit
|
$10.81 |
$10.81 |
$10.81 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$93.60
|
|
Alkaline phosphatase
|
$240.77 |
$240.77 |
$240.77 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$276.75 |
$276.75 |
$276.75 |
$56.35
|
|
Allergen egg white ige
|
$80.57 |
$80.57 |
$80.57 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$123.02 |
$123.02 |
$123.02 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1,216.90 |
$1,216.90 |
$1,216.90 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$473.24 |
$473.24 |
$473.24 |
$2,959.72
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,098.23 |
$1,098.23 |
$1,098.23 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$169.02 |
$169.02 |
$169.02 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,253.92 |
$1,253.92 |
$1,253.92 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$473.24 |
$473.24 |
$473.24 |
$2,513.00
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,406.19 |
$1,406.19 |
$1,406.19 |
$3,025.07
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$994.17 |
$994.17 |
$994.17 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$258.85 |
$258.85 |
$258.85 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,454.83 |
$2,454.83 |
$2,454.83 |
$2,600.22
|
|
Alt/sgpt
|
$405.01 |
$405.01 |
$405.01 |
$49.00
|
|
Aluminum - quest
|
$393.29 |
$393.29 |
$393.29 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,236.88 |
$1,236.88 |
$1,236.88 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$211.17 |
$211.17 |
$211.17 |
$196.20
|
|
Aminolevulinic acid delta
|
$253.91 |
$253.91 |
$253.91 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$107.35 |
$107.35 |
$107.35 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$695.27 |
$695.27 |
$695.27 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$259.22 |
$259.22 |
$259.22 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$400.51 |
$400.51 |
$400.51 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$44,124.06 |
$44,124.06 |
$44,124.06 |
$15,167.75
|
|
Ammonia
|
$460.32 |
$460.32 |
$460.32 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$92.61 |
$92.61 |
$92.61 |
$94.50
|
|
Amphetamines 5 or more
|
$367.61 |
$367.61 |
$367.61 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$159.37 |
$159.37 |
$159.37 |
$57.76
|