|
17-hydroxypregnenolone
|
$52.00 |
$52.00 |
$52.00 |
$85.15
|
|
17-ketosteroids
|
$36.00 |
$36.00 |
$36.00 |
$44.00
|
|
2nd order venous cath
|
$1,532.04 |
$1,532.04 |
$1,532.04 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$89.05 |
$89.05 |
$89.05 |
$669.00
|
|
3-d radiotherapy plan
|
$7,775.02 |
$7,775.02 |
$7,775.02 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$367.35 |
$367.35 |
$367.35 |
$427.34
|
|
88334 ap bill cytologic exam each additional site
|
$247.02 |
$247.02 |
$247.02 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$5,220.35 |
$5,220.35 |
$5,220.35 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,156.04 |
$1,156.04 |
$1,156.04 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,440.83 |
$1,440.83 |
$1,440.83 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$1,665.77 |
$1,665.77 |
$1,665.77 |
$3,050.58
|
|
Abd/low ext cath addl
|
$232.67 |
$232.67 |
$232.67 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$7,871.37 |
$7,871.37 |
$7,871.37 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,596.23 |
$5,596.23 |
$5,596.23 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,026.83 |
$5,026.83 |
$5,026.83 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$6,208.76 |
$6,208.76 |
$6,208.76 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$5,681.99 |
$5,681.99 |
$5,681.99 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$4,918.76 |
$4,918.76 |
$4,918.76 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,854.34 |
$2,854.34 |
$2,854.34 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$2,541.71 |
$2,541.71 |
$2,541.71 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,786.85 |
$1,786.85 |
$1,786.85 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$2,191.56 |
$2,191.56 |
$2,191.56 |
$1,170.28
|
|
Abl1 gene
|
$1,945.47 |
$1,945.47 |
$1,945.47 |
$609.93
|
|
Ablate arrhythmia add on
|
$18,194.80 |
$18,194.80 |
$18,194.80 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$33,720.92 |
$33,720.92 |
$33,720.92 |
$10,008.58
|
|
Abscess drain retroperitoneal surg code
|
$6,539.56 |
$6,539.56 |
$6,539.56 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$10,988.76 |
$10,988.76 |
$10,988.76 |
$3,263.74
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$145.82 |
$145.82 |
$145.82 |
$125.63
|
|
Acetaminophen level
|
$64.74 |
$64.74 |
$64.74 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$362.93 |
$362.93 |
$362.93 |
$133.60
|
|
Acetylcholine receptor modulating antibody
|
$152.09 |
$152.09 |
$152.09 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$157.96 |
$157.96 |
$157.96 |
$323.77
|
|
Acute hepatitis panel
|
$773.98 |
$773.98 |
$773.98 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$75.73 |
$75.73 |
$75.73 |
$50.70
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,139.48 |
$1,139.48 |
$1,139.48 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$112.43 |
$112.43 |
$112.43 |
$63.00
|
|
Adh-sendout
|
$41.16 |
$41.16 |
$41.16 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$62.33 |
$62.33 |
$62.33 |
$124.70
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,178.72 |
$1,178.72 |
$1,178.72 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$2,898.74 |
$2,898.74 |
$2,898.74 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$417.53 |
$417.53 |
$417.53 |
$264.00
|
|
Administration immunization 1 vaccine
|
$287.70 |
$287.70 |
$287.70 |
$70.52
|
|
Administration immunization each additional vaccine
|
$287.70 |
$287.70 |
$287.70 |
$46.23
|
|
Administration vaccine influenza virus
|
$843.86 |
$843.86 |
$843.86 |
$49.50
|
|
_afb id by dna probe rflx ast
|
$170.69 |
$170.69 |
$170.69 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$317.96 |
$317.96 |
$317.96 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$183.62 |
$183.62 |
$183.62 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$2,582.81 |
$2,582.81 |
$2,582.81 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$1,575.23 |
$1,575.23 |
$1,575.23 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$2,537.81 |
$2,537.81 |
$2,537.81 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$272.92 |
$272.92 |
$272.92 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$186.22 |
$186.22 |
$186.22 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$33.29 |
$33.29 |
$33.29 |
$22.45
|
|
Albuterol non-comp unit
|
$8.38 |
$8.38 |
$8.38 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$339.82 |
$339.82 |
$339.82 |
$93.60
|
|
Alkaline phosphatase
|
$191.30 |
$191.30 |
$191.30 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$126.54 |
$126.54 |
$126.54 |
$56.35
|
|
Allergen egg white ige
|
$187.34 |
$187.34 |
$187.34 |
$41.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1,187.16 |
$1,187.16 |
$1,187.16 |
$3,104.06
|
|
Allograft amnioexcel plus 17mm disk
|
$1,318.63 |
$1,318.63 |
$1,318.63 |
$2,959.72
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$787.57 |
$787.57 |
$787.57 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$170.23 |
$170.23 |
$170.23 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,074.76 |
$1,074.76 |
$1,074.76 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$837.15 |
$837.15 |
$837.15 |
$2,513.00
|
|
Alpha-fetoprotein tumor marker
|
$299.83 |
$299.83 |
$299.83 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,145.18 |
$1,145.18 |
$1,145.18 |
$2,600.22
|
|
Alt/sgpt
|
$193.83 |
$193.83 |
$193.83 |
$49.00
|
|
Aluminum - quest
|
$20.58 |
$20.58 |
$20.58 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$361.00 |
$361.00 |
$361.00 |
$196.20
|
|
Aminolevulinic acid delta
|
$60.23 |
$60.23 |
$60.23 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$56.45 |
$56.45 |
$56.45 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$639.30 |
$639.30 |
$639.30 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$124.46 |
$124.46 |
$124.46 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$33.41 |
$33.41 |
$33.41 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$74,753.36 |
$74,753.36 |
$74,753.36 |
$15,167.75
|
|
Ammonia
|
$300.26 |
$300.26 |
$300.26 |
$120.90
|
|
Amphetamines 5 or more
|
$36.77 |
$36.77 |
$36.77 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$105.06 |
$105.06 |
$105.06 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$208.64 |
$208.64 |
$208.64 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$854.72 |
$854.72 |
$854.72 |
$312.00
|
|
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
|
|
Anca screen with reflex to titer -quest
|
$190.83 |
$190.83 |
$190.83 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$1,201.34 |
$1,201.34 |
$1,201.34 |
$2,626.65
|
|
An fluoro guide for cvp
|
$3,731.84 |
$3,731.84 |
$3,731.84 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$7,905.56 |
$7,905.56 |
$7,905.56 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$13,462.00 |
$13,462.00 |
$13,462.00 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,981.15 |
$11,981.15 |
$11,981.15 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$13,059.45 |
$13,059.45 |
$13,059.45 |
$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
|
$13,462.00 |
$13,462.00 |
$13,462.00 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$4,196.81 |
$4,196.81 |
$4,196.81 |
$5,576.45
|
|
Angio trnslmnl balloon same artery ini
|
$5,159.55 |
$5,159.55 |
$5,159.55 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$7,739.06 |
$7,739.06 |
$7,739.06 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$2,234.28 |
$2,234.28 |
$2,234.28 |
$8,689.20
|
|
Ankle X-ray
|
$1,313.63 |
$1,313.63 |
$1,313.63 |
$339.44
|
|
Anodyne therapy charges pt
|
$96.63 |
$96.63 |
$96.63 |
$41.02
|
|
Antibody elution rbc reference
|
$265.26 |
$265.26 |
$265.26 |
$176.54
|