|
17-ketosteroids
|
$17.96 |
$17.96 |
$17.96 |
$44.00
|
|
3-d radiotherapy plan
|
$3,928.10 |
$3,928.10 |
$3,928.10 |
$4,886.50
|
|
5' nucleotidase - sendout
|
$18.88 |
$18.88 |
$18.88 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$208.53 |
$208.53 |
$208.53 |
$97.65
|
|
Abciximab injection
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$3,012.98
|
|
Abdominal CT scan (with and without contrast)
|
$16,616.41 |
$16,616.41 |
$16,616.41 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$26,292.13 |
$26,292.13 |
$26,292.13 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$18,153.14 |
$18,153.14 |
$18,153.14 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$32,546.91 |
$32,546.91 |
$32,546.91 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$28,129.00 |
$28,129.00 |
$28,129.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$9,373.31 |
$9,373.31 |
$9,373.31 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$5,258.36 |
$5,258.36 |
$5,258.36 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$3,390.75 |
$3,390.75 |
$3,390.75 |
$603.33
|
|
Ablate arrhythmia add on
|
$73,078.84 |
$73,078.84 |
$73,078.84 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$73,078.84 |
$73,078.84 |
$73,078.84 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$25.44 |
$25.44 |
$25.44 |
$125.63
|
|
Acetaminophen level
|
$1,703.02 |
$1,703.02 |
$1,703.02 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$136.50 |
$136.50 |
$136.50 |
$133.60
|
|
Acetone qualitative
|
$1,174.73 |
$1,174.73 |
$1,174.73 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$65.16 |
$65.16 |
$65.16 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.38 |
$37.38 |
$37.38 |
$42.28
|
|
Acute venous thrombus image
|
$4,822.50 |
$4,822.50 |
$4,822.50 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$15.75 |
$15.75 |
$15.75 |
$50.70
|
|
Adenovirus antibody,serum - quest
|
$26.55 |
$26.55 |
$26.55 |
$63.00
|
|
Adh-sendout
|
$24.00 |
$24.00 |
$24.00 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$565.00 |
$565.00 |
$565.00 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$180.00 |
$180.00 |
$180.00 |
$672.03
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$339.00 |
$339.00 |
$339.00 |
$264.00
|
|
Administration immunization each additional vaccine
|
$173.24 |
$173.24 |
$173.24 |
$46.23
|
|
Adrenal cortex & medulla img
|
$7,083.37 |
$7,083.37 |
$7,083.37 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$133.80 |
$133.80 |
$133.80 |
$105.00
|
|
Air conduction bilat
|
$35.00 |
$35.00 |
$35.00 |
$106.50
|
|
Albumin body fluid quantitative each specimen
|
$11.00 |
$11.00 |
$11.00 |
$48.00
|
|
Albuterol ipratrop non-comp
|
$32.08 |
$32.08 |
$32.08 |
$22.45
|
|
Albuterol non-comp con
|
$10.69 |
$10.69 |
$10.69 |
$15.00
|
|
Albuterol non-comp unit
|
$19.01 |
$19.01 |
$19.01 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$99.00 |
$99.00 |
$99.00 |
$93.60
|
|
Alkaline phosphatase
|
$1,390.21 |
$1,390.21 |
$1,390.21 |
$46.20
|
|
Allergen egg white ige
|
$4.40 |
$4.40 |
$4.40 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$52.95 |
$52.95 |
$52.95 |
$26.95
|
|
Aluminum - quest
|
$21.15 |
$21.15 |
$21.15 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$538.71 |
$538.71 |
$538.71 |
$437.50
|
|
Amantadine (symmetrel)-sendout
|
$188.10 |
$188.10 |
$188.10 |
$196.20
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.33 |
$37.33 |
$37.33 |
$42.84
|
|
Aminolevulinic acid delta
|
$33.00 |
$33.00 |
$33.00 |
$87.12
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$668.85 |
$668.85 |
$668.85 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$331.80 |
$331.80 |
$331.80 |
$331.80
|
|
Ana ds-dna
|
$14.00 |
$14.00 |
$14.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$45.10 |
$45.10 |
$45.10 |
$110.98
|
|
Anal/urinary muscle study
|
$513.04 |
$513.04 |
$513.04 |
$507.26
|
|
Analysis tumor
|
$133.45 |
$133.45 |
$133.45 |
$240.00
|
|
Anca screen with reflex to titer -quest
|
$14.30 |
$14.30 |
$14.30 |
$109.20
|
|
Androstanediol
|
$178.20 |
$178.20 |
$178.20 |
$98.58
|
|
Antibody htlv-i
|
$25.30 |
$25.30 |
$25.30 |
$48.75
|
|
Antibody htlv-ii
|
$25.30 |
$25.30 |
$25.30 |
$35.22
|
|
Antibody lymphocytic choriomeningitis
|
$66.77 |
$66.77 |
$66.77 |
$53.96
|
|
Antibody screen rbc
|
$1,176.46 |
$1,176.46 |
$1,176.46 |
$105.00
|
|
Antibody tetanus
|
$31.90 |
$31.90 |
$31.90 |
$61.98
|
|
Anti-inhibitor
|
$12.26 |
$12.26 |
$12.26 |
$3.75
|
|
Antinuclear antibodies titer
|
$49.50 |
$49.50 |
$49.50 |
$80.25
|
|
Antistreptolysin o screen
|
$1,000.95 |
$1,000.95 |
$1,000.95 |
$59.40
|
|
Antithrombin iii activity
|
$14.50 |
$14.50 |
$14.50 |
$115.23
|
|
Antithrombin iii injection
|
$15.75 |
$15.75 |
$15.75 |
$9.32
|
|
Antithymocyte globuln rabbit
|
$7,196.58 |
$7,196.58 |
$7,196.58 |
$1,679.21
|
|
Apheresis immunoads slctv
|
$10,798.48 |
$10,798.48 |
$10,798.48 |
$5,544.24
|
|
Apl(pml-rara) quant - sendout
|
$627.00 |
$627.00 |
$627.00 |
$465.60
|
|
Aquaporin-4 antibody elisa
|
$300.00 |
$300.00 |
$300.00 |
$139.59
|
|
Artery x-rays chest
|
$17,573.30 |
$17,573.30 |
$17,573.30 |
$2,587.20
|
|
Artery x-rays spine
|
$9,905.98 |
$9,905.98 |
$9,905.98 |
$4,306.40
|
|
Artiss fibrin sealant
|
$1,356.06 |
$1,356.06 |
$1,356.06 |
$342.99
|
|
Assay free hydroxyproline
|
$104.50 |
$104.50 |
$104.50 |
$46.15
|
|
Assay of adp & amp
|
$37.40 |
$37.40 |
$37.40 |
$127.40
|
|
Assay of breath ethanol
|
$55.00 |
$55.00 |
$55.00 |
$45.76
|
|
Assay of glucosidase
|
$210.00 |
$210.00 |
$210.00 |
$143.24
|
|
Assay of interleukin-6 (il-6)
|
$125.40 |
$125.40 |
$125.40 |
$77.35
|
|
Assay of lap enzyme
|
$4.69 |
$4.69 |
$4.69 |
$56.25
|
|
Assay of methemalbumin
|
$73.70 |
$73.70 |
$73.70 |
$27.20
|
|
Assay of sialic acid
|
$99.00 |
$99.00 |
$99.00 |
$60.45
|
|
Assay of thiocyanate
|
$66.00 |
$66.00 |
$66.00 |
$57.00
|
|
Assay toxin or antitoxin
|
$1,164.31 |
$1,164.31 |
$1,164.31 |
$72.75
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$568.24 |
$568.24 |
$568.24 |
$49.80
|
|
Ast/sgot
|
$2,043.60 |
$2,043.60 |
$2,043.60 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$36,932.40 |
$36,932.40 |
$36,932.40 |
$31,208.35
|
|
Autologous blood op salvage
|
$812.23 |
$812.23 |
$812.23 |
$910.70
|
|
Autologous blood process
|
$668.56 |
$668.56 |
$668.56 |
$234.27
|
|
Azathioprine 50 mg tablet
|
$10.50 |
$10.50 |
$10.50 |
$6.76
|
|
Azathioprine parenteral
|
$749.70 |
$749.70 |
$749.70 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$172.20 |
$172.20 |
$172.20 |
$52.69
|
|
Baclofen eval charges
|
$495.00 |
$495.00 |
$495.00 |
$86.14
|
|
Bactericidal level serum
|
$158.14 |
$158.14 |
$158.14 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$33.00 |
$33.00 |
$33.00 |
$112.80
|
|
Barrier film 28ml spray no stng cavilon
|
$42.29 |
$42.29 |
$42.29 |
$21.33
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$2.97 |
$2.97 |
$2.97 |
$3.00
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$7.58 |
$7.58 |
$7.58 |
$30.00
|
|
Basiliximab
|
$36,205.00 |
$36,205.00 |
$36,205.00 |
$4,672.47
|
|
B cells total count
|
$27.50 |
$27.50 |
$27.50 |
$125.28
|
|
Belatacept 250 mg intravenous solution
|
$6,219.38 |
$6,219.38 |
$6,219.38 |
$2,843.40
|
|
Belt ostomy lg 34-65in
|
$7.47 |
$7.47 |
$7.47 |
$5.20
|
|
#_benzodiazconfur
|
$12.00 |
$12.00 |
$12.00 |
$99.72
|
