|
11-desoxycortisol - sendout
|
$18.18 |
$18.18 |
$18.18 |
$87.50
|
|
17-hydroxypregnenolone
|
$259.15 |
$259.15 |
$259.15 |
$85.15
|
|
17-ketosteroids
|
$42.00 |
$42.00 |
$42.00 |
$44.00
|
|
2nd order venous cath
|
$1,245.34 |
$1,245.34 |
$1,245.34 |
$1,809.60
|
|
3-d radiotherapy plan
|
$5,160.10 |
$5,160.10 |
$5,160.10 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$899.21 |
$899.21 |
$4,915.00 |
$427.34
|
|
5' nucleotidase - sendout
|
$34.47 |
$34.47 |
$34.47 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$16.00 |
$16.00 |
$16.00 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$10,637.75 |
$10,637.75 |
$10,637.75 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$429.14 |
$429.14 |
$429.14 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$409.07 |
$409.07 |
$409.07 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$409.07 |
$409.07 |
$409.07 |
$3,050.58
|
|
Abdominal CT scan (with and without contrast)
|
$6,484.00 |
$6,484.00 |
$8,528.64 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$6,526.92 |
$6,526.92 |
$6,571.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,958.00 |
$4,958.00 |
$5,615.40 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$10,068.79 |
$10,068.79 |
$15,351.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$7,911.19 |
$7,911.19 |
$9,846.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,701.63 |
$6,701.63 |
$7,872.00 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,399.01 |
$2,399.01 |
$2,399.01 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,599.00 |
$1,599.00 |
$2,803.23 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,555.00 |
$1,555.00 |
$2,369.69 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$2,492.13 |
$2,492.13 |
$2,492.13 |
$1,170.28
|
|
Abl1 gene
|
$992.25 |
$992.25 |
$992.25 |
$609.93
|
|
Ablate arrhythmia add on
|
$12,890.39 |
$12,890.39 |
$12,890.39 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$16,318.18 |
$16,318.18 |
$16,318.18 |
$10,008.58
|
|
Ablation cryo adrenal tumor
|
$19,103.17 |
$19,103.17 |
$19,103.17 |
$6,904.15
|
|
Abscess drain retroperitoneal surg code
|
$20,629.94 |
$20,629.94 |
$20,629.94 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$148.00 |
$148.00 |
$287.87 |
$125.63
|
|
Acetaminophen level
|
$607.15 |
$607.15 |
$1,945.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$312.00 |
$312.00 |
$498.34 |
$133.60
|
|
Acetone qualitative
|
$110.24 |
$110.24 |
$241.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$36.15 |
$36.15 |
$65.16 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$213.93 |
$213.93 |
$1,479.00 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$87.55 |
$87.55 |
$87.55 |
$42.28
|
|
Acute hepatitis panel
|
$503.61 |
$503.61 |
$503.61 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$97.22 |
$97.22 |
$97.22 |
$50.70
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,575.82 |
$1,575.82 |
$1,575.82 |
$219.86
|
|
Adh-sendout
|
$80.00 |
$80.00 |
$104.92 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$79.21 |
$79.21 |
$79.21 |
$124.70
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$410.00 |
$410.00 |
$740.01 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$279.81 |
$279.81 |
$279.81 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$279.81 |
$279.81 |
$421.00 |
$264.00
|
|
Administration immunization 1 vaccine
|
$228.24 |
$228.24 |
$491.00 |
$70.52
|
|
Administration immunization each additional vaccine
|
$156.76 |
$156.76 |
$156.76 |
$46.23
|
|
Administration vaccine hepatitis b
|
$496.00 |
$496.00 |
$618.31 |
$51.35
|
|
Administration vaccine influenza virus
|
$1,165.65 |
$1,165.65 |
$1,165.65 |
$49.50
|
|
_afb id by dna probe rflx ast
|
$125.39 |
$125.39 |
$125.39 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$70.00 |
$70.00 |
$70.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$155.00 |
$155.00 |
$1,451.26 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$26.52 |
$26.52 |
$26.52 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$4,124.83 |
$4,124.83 |
$4,124.83 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$1,522.05 |
$1,522.05 |
$1,522.05 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$2,451.49 |
$2,451.49 |
$2,451.49 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$196.18 |
$196.18 |
$255.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$145.92 |
$145.92 |
$145.92 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$49.07 |
$49.07 |
$49.07 |
$22.45
|
|
Albuterol non-comp unit
|
$11.93 |
$11.93 |
$11.93 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$645.14 |
$645.14 |
$645.14 |
$93.60
|
|
Alkaline phosphatase
|
$143.55 |
$143.55 |
$143.55 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$197.68 |
$197.68 |
$197.68 |
$56.35
|
|
Allergen egg white ige
|
$57.55 |
$57.55 |
$57.55 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$9.00 |
$9.00 |
$9.00 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$37,800.00 |
$37,800.00 |
$37,800.00 |
$3,104.06
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$370.44 |
$370.44 |
$370.44 |
$6,285.56
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$879.80 |
$879.80 |
$879.80 |
$905.18
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$219.52 |
$219.52 |
$219.52 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$193.14 |
$193.14 |
$193.14 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$85.64 |
$85.64 |
$85.64 |
$99.00
|
|
Alprostadil for injection
|
$845.00 |
$845.00 |
$845.00 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,583.73 |
$1,583.73 |
$1,583.73 |
$2,600.22
|
|
Alt/sgpt
|
$60.21 |
$60.21 |
$158.00 |
$49.00
|
|
Aluminum - quest
|
$9.00 |
$9.00 |
$9.00 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,551.72 |
$1,551.72 |
$1,551.72 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$247.79 |
$247.79 |
$247.79 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$315.00 |
$315.00 |
$315.00 |
$36.30
|
|
Amino acid single qual
|
$44.00 |
$44.00 |
$44.00 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$75.75 |
$75.75 |
$75.75 |
$42.84
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$70.27 |
$70.27 |
$70.27 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$941.93 |
$941.93 |
$941.93 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$165.72 |
$165.72 |
$165.72 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$14.10 |
$14.10 |
$343.29 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$37,234.76 |
$37,234.76 |
$37,234.76 |
$15,167.75
|
|
Ammonia
|
$233.48 |
$233.48 |
$910.00 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$108.68 |
$108.68 |
$108.68 |
$94.50
|
|
Amphetamines 5 or more
|
$431.37 |
$431.37 |
$431.37 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$290.00 |
$290.00 |
$290.00 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,521.25 |
$2,521.25 |
$2,521.25 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$202.93 |
$202.93 |
$202.93 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$418.81 |
$418.81 |
$418.81 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$788.97 |
$788.97 |
$788.97 |
$312.00
|
|
Amylase
|
$205.75 |
$205.75 |
$205.75 |
$93.00
|
|
Ana ds-dna
|
$25.28 |
$25.28 |
$25.28 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$110.98
|
|
Anal/urinary muscle study
|
$2,141.72 |
$2,141.72 |
$2,141.72 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$38.00 |
$38.00 |
$724.24 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$38.00 |
$38.00 |
$808.91 |
$226.60
|
|
Analysis tumor
|
$39.00 |
$39.00 |
$39.00 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$333.35 |
$333.35 |
$333.35 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$126.12 |
$126.12 |
$126.12 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$18.00 |
$18.00 |
$78.28 |
$109.20
|
