|
11-desoxycortisol - sendout
|
$102.96 |
$102.96 |
$102.96 |
$87.50
|
|
17-hydroxypregnenolone
|
$190.80 |
$190.80 |
$190.80 |
$89.25
|
|
17-ketosteroids
|
$87.84 |
$87.84 |
$87.84 |
$55.00
|
|
2nd order venous cath
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,543.85
|
|
3d recon without postprocess indpndt
|
$807.12 |
$807.12 |
$807.12 |
$485.00
|
|
5' nucleotidase - sendout
|
$67.68 |
$67.68 |
$67.68 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$216.72 |
$216.72 |
$216.72 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$321.41 |
$321.41 |
$321.41 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$48.24 |
$48.24 |
$48.24 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$5,402.16 |
$5,402.16 |
$5,402.16 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$4,763.52 |
$4,763.52 |
$4,763.52 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$3,195.36 |
$3,195.36 |
$3,195.36 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$3,609.36 |
$3,609.36 |
$3,609.36 |
$2,486.97
|
|
Abd/low ext cath addl
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$4,007.52 |
$4,007.52 |
$4,007.52 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,072.96 |
$3,072.96 |
$3,072.96 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$2,575.44 |
$2,575.44 |
$2,575.44 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,335.84 |
$4,335.84 |
$4,335.84 |
$3,015.94
|
|
Abdominal MRI (without contrast)
|
$2,876.40 |
$2,876.40 |
$2,876.40 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$1,301.04 |
$1,301.04 |
$1,301.04 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,239.12 |
$1,239.12 |
$1,239.12 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$2,022.48 |
$2,022.48 |
$2,022.48 |
$1,145.40
|
|
Ablation cardiac vagal inputs atrium
|
$307.44 |
$307.44 |
$307.44 |
$1,960.80
|
|
Ablation of upper extremity nerves rf
|
$5,590.08 |
$5,590.08 |
$5,590.08 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$3,548.16 |
$3,548.16 |
$3,548.16 |
$2,957.17
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$3.92 |
$3.92 |
$3.92 |
$74.96
|
|
Acetazolamide 500 mg solution for injection
|
$420.19 |
$420.19 |
$420.19 |
$122.55
|
|
Acetone qualitative
|
$66.24 |
$66.24 |
$66.24 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$99.36 |
$99.36 |
$99.36 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$19.40 |
$19.40 |
$19.40 |
$216.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$43.92 |
$43.92 |
$43.92 |
$41.67
|
|
Acute hepatitis panel
|
$460.80 |
$460.80 |
$460.80 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$1.41 |
$1.41 |
$1.41 |
$63.48
|
|
#acylcarnitineprfl
|
$322.56 |
$322.56 |
$322.56 |
$125.40
|
|
Adapter b 8 channel 10cm
|
$9,288.00 |
$9,288.00 |
$9,288.00 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$11.03 |
$11.03 |
$11.03 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$74.16 |
$74.16 |
$74.16 |
$63.00
|
|
Adh-sendout
|
$139.68 |
$139.68 |
$139.68 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$14.54 |
$14.54 |
$14.54 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$246.24 |
$246.24 |
$246.24 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$219.60 |
$219.60 |
$219.60 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$798.48 |
$798.48 |
$798.48 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$337.68 |
$337.68 |
$337.68 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$145.44 |
$145.44 |
$145.44 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$145.44 |
$145.44 |
$145.44 |
$257.40
|
|
Administration immunization 1 vaccine
|
$100.08 |
$100.08 |
$100.08 |
$69.21
|
|
Administration immunization each additional vaccine
|
$87.12 |
$87.12 |
$87.12 |
$47.40
|
|
Administration vaccine hepatitis b
|
$95.04 |
$95.04 |
$95.04 |
$54.40
|
|
Administration vaccine influenza virus
|
$95.04 |
$95.04 |
$95.04 |
$50.43
|
|
Administration vaccine pneumococcal
|
$95.04 |
$95.04 |
$95.04 |
$50.43
|
|
_afb id by dna probe rflx ast
|
$123.84 |
$123.84 |
$123.84 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$1,014.48 |
$1,014.48 |
$1,014.48 |
$315.00
|
|
After cataract laser surgery
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$1,373.11
|
|
Albumin body fluid quantitative each specimen
|
$59.04 |
$59.04 |
$59.04 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$612.56 |
$612.56 |
$612.56 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$141.12 |
$141.12 |
$141.12 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$68.40 |
$68.40 |
$68.40 |
$40.80
|
|
Alginate dressing <=16 sq in
|
$12.96 |
$12.96 |
$12.96 |
$18.20
|
|
Alginate drsg >16 <=48 sq in
|
$87.84 |
$87.84 |
$87.84 |
$43.72
|
|
Alkaline phosphatase
|
$61.92 |
$61.92 |
$61.92 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$58.32 |
$58.32 |
$58.32 |
$48.00
|
|
Allergen egg white ige
|
$23.04 |
$23.04 |
$23.04 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$51.12 |
$51.12 |
$51.12 |
$43.75
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$23,373.60
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$864.00 |
$864.00 |
$864.00 |
$874.65
|
|
Alpha-fetoprotein tumor marker
|
$197.28 |
$197.28 |
$197.28 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$979.91 |
$979.91 |
$979.91 |
$15,857.45
|
|
Alt/sgpt
|
$105.84 |
$105.84 |
$105.84 |
$47.45
|
|
Aluminum - quest
|
$174.24 |
$174.24 |
$174.24 |
$83.05
|
|
Ambl bp mntr w/sw a/r
|
$136.80 |
$136.80 |
$136.80 |
$310.44
|
|
Aminolevulinic acid delta
|
$124.56 |
$124.56 |
$124.56 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$68.10 |
$68.10 |
$68.10 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$73.38 |
$73.38 |
$73.38 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$4.41 |
$4.41 |
$4.41 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$90.00 |
$90.00 |
$90.00 |
$87.45
|
|
Ammonia
|
$176.40 |
$176.40 |
$176.40 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,018.80 |
$1,018.80 |
$1,018.80 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$35.28 |
$35.28 |
$35.28 |
$92.61
|
|
Ampicillin 1 gram solution for injection
|
$38.92 |
$38.92 |
$38.92 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$84.42 |
$84.42 |
$84.42 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$378.72 |
$378.72 |
$378.72 |
$262.99
|
|
Amputation toe interphalangeal joint
|
$7,662.00 |
$7,662.00 |
$7,662.00 |
$3,998.20
|
|
Amylase
|
$93.60 |
$93.60 |
$93.60 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$354.96 |
$354.96 |
$354.96 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$410.40 |
$410.40 |
$410.40 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$136.80 |
$136.80 |
$136.80 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$87.12 |
$87.12 |
$87.12 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$4,129.20 |
$4,129.20 |
$4,129.20 |
$2,626.65
|
|
An fluoro guide for cvp
|
$259.20 |
$259.20 |
$259.20 |
$515.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,212.56 |
$2,212.56 |
$2,212.56 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$11,726.64 |
$11,726.64 |
$11,726.64 |
$8,772.38
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,939.68 |
$10,939.68 |
$10,939.68 |
$10,173.90
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$8,573.76 |
$8,573.76 |
$8,573.76 |
$5,950.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$500.54 |
$500.54 |
$500.54 |
$3,080.85
|
|
Angio tib/peroneal/init ves/unila 37228
|
$13,268.16 |
$13,268.16 |
$13,268.16 |
$10,522.96
|
|
Ankle X-ray
|
$454.32 |
$454.32 |
$454.32 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$681.12 |
$681.12 |
$681.12 |
$627.94
|
|
Anora (draw only)
|
$56.16 |
$56.16 |
$56.16 |
$33.58
|
