|
11-desoxycortisol - sendout
|
$404.80 |
$404.80 |
$404.80 |
$87.50
|
|
2nd order venous cath
|
$908.68 |
$908.68 |
$908.68 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$393.65 |
$393.65 |
$393.65 |
$632.45
|
|
3-d radiotherapy plan
|
$9,400.31 |
$9,400.31 |
$9,400.31 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$921.29 |
$921.29 |
$921.29 |
$425.10
|
|
88334 ap bill cytologic exam each additional site
|
$328.94 |
$328.94 |
$328.94 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$349.44 |
$349.44 |
$349.44 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$6,831.63 |
$6,831.63 |
$6,831.63 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,060.91 |
$1,060.91 |
$1,060.91 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,060.91 |
$1,060.91 |
$1,060.91 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,060.91 |
$1,060.91 |
$1,060.91 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,060.91 |
$1,060.91 |
$1,060.91 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$6,423.56 |
$6,423.56 |
$6,423.56 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$5,089.63 |
$5,089.63 |
$5,089.63 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,653.76 |
$4,653.76 |
$4,653.76 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$6,046.72 |
$6,046.72 |
$6,046.72 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$4,879.79 |
$4,879.79 |
$4,879.79 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$4,040.07 |
$4,040.07 |
$4,040.07 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,055.13 |
$1,055.13 |
$1,055.13 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$2,361.79 |
$2,361.79 |
$2,361.79 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,151.56 |
$1,151.56 |
$1,151.56 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$5,126.83 |
$5,126.83 |
$5,126.83 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$9,361.40 |
$9,361.40 |
$9,361.40 |
$7,717.80
|
|
Ablate heart dysrhythm focus
|
$17,356.05 |
$17,356.05 |
$17,356.05 |
$9,836.16
|
|
Ablation of upper extremity nerves rf
|
$1,290.95 |
$1,290.95 |
$1,290.95 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$3,398.19 |
$3,398.19 |
$3,398.19 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$9,758.32 |
$9,758.32 |
$9,758.32 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$182.48 |
$182.48 |
$182.48 |
$89.91
|
|
Acetaminophen level
|
$339.50 |
$339.50 |
$339.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$584.25 |
$584.25 |
$584.25 |
$137.80
|
|
Acetone qualitative
|
$104.70 |
$104.70 |
$104.70 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$102.90 |
$102.90 |
$102.90 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$249.04 |
$249.04 |
$249.04 |
$306.22
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$69.26 |
$69.26 |
$69.26 |
$44.40
|
|
Acute hepatitis panel
|
$809.14 |
$809.14 |
$809.14 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$104.86 |
$104.86 |
$104.86 |
$64.45
|
|
#acylcarnitineprfl
|
$699.33 |
$699.33 |
$699.33 |
$87.72
|
|
Adapt behavior tx phys/qhp
|
$360.94 |
$360.94 |
$360.94 |
$190.13
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,854.18 |
$1,854.18 |
$1,854.18 |
$217.04
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$85.10 |
$85.10 |
$85.10 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$676.83 |
$676.83 |
$676.83 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$1,214.64 |
$1,214.64 |
$1,214.64 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,211.85 |
$1,211.85 |
$1,211.85 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$568.04 |
$568.04 |
$568.04 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$874.72 |
$874.72 |
$874.72 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$783.26 |
$783.26 |
$783.26 |
$267.43
|
|
Administration immunization 1 vaccine
|
$154.16 |
$154.16 |
$154.16 |
$70.00
|
|
Administration immunization each additional vaccine
|
$49.56 |
$49.56 |
$49.56 |
$46.23
|
|
Administration vaccine hepatitis b
|
$380.39 |
$380.39 |
$380.39 |
$51.11
|
|
Administration vaccine influenza virus
|
$1,370.74 |
$1,370.74 |
$1,370.74 |
$49.40
|
|
_afb org id by sequencing rflx ast-sendout
|
$751.92 |
$751.92 |
$751.92 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$163.82 |
$163.82 |
$163.82 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,883.96 |
$1,883.96 |
$1,883.96 |
$277.87
|
|
Albumin, human 25 % intravenous solution
|
$1,076.94 |
$1,076.94 |
$1,076.94 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,732.34 |
$1,732.34 |
$1,732.34 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$132.34 |
$132.34 |
$132.34 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$178.58 |
$178.58 |
$178.58 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$65.95 |
$65.95 |
$65.95 |
$9.93
|
|
Albuterol non-comp unit
|
$15.40 |
$15.40 |
$15.40 |
$9.43
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$186.86 |
$186.86 |
$186.86 |
$94.90
|
|
Alkaline phosphatase
|
$166.10 |
$166.10 |
$166.10 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$227.34 |
$227.34 |
$227.34 |
$56.35
|
|
Allergen egg white ige
|
$187.83 |
$187.83 |
$187.83 |
$39.78
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$1,465.01 |
$1,465.01 |
$1,465.01 |
$8,295.72
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,938.77 |
$1,938.77 |
$1,938.77 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$592.59 |
$592.59 |
$592.59 |
$4,898.43
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,495.63 |
$1,495.63 |
$1,495.63 |
$4,814.57
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$545.77 |
$545.77 |
$545.77 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$277.77 |
$277.77 |
$277.77 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,863.51 |
$1,863.51 |
$1,863.51 |
$9,600.63
|
|
Alt/sgpt
|
$146.48 |
$146.48 |
$146.48 |
$49.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$3,365.36 |
$3,365.36 |
$3,365.36 |
$431.84
|
|
Amantadine (symmetrel)-sendout
|
$364.83 |
$364.83 |
$364.83 |
$188.65
|
|
Aminolevulinic acid delta
|
$247.08 |
$247.08 |
$247.08 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$76.46 |
$76.46 |
$76.46 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$676.17 |
$676.17 |
$676.17 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$195.58 |
$195.58 |
$195.58 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$267.13 |
$267.13 |
$267.13 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$99,237.99 |
$99,237.99 |
$99,237.99 |
$15,167.75
|
|
Ammonia
|
$181.16 |
$181.16 |
$181.16 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$1,052.62 |
$1,052.62 |
$1,052.62 |
$963.79
|
|
Amphetamine confirm urine -sendout
|
$136.02 |
$136.02 |
$136.02 |
$94.50
|
|
Amphetamines 5 or more
|
$255.03 |
$255.03 |
$255.03 |
$93.60
|
|
Ampicillin 1 gram solution for injection
|
$121.99 |
$121.99 |
$121.99 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$236.80 |
$236.80 |
$236.80 |
$57.38
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,373.00 |
$1,373.00 |
$1,373.00 |
$280.20
|
|
Amylase
|
$265.95 |
$265.95 |
$265.95 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$905.46 |
$905.46 |
$905.46 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$1,834.88 |
$1,834.88 |
$1,834.88 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$118.58 |
$118.58 |
$118.58 |
$95.45
|
|
An cholangiogram percutaneous compl
|
$2,744.24 |
$2,744.24 |
$2,744.24 |
$2,426.60
|
|
An fluoro guide for cvp
|
$384.44 |
$384.44 |
$384.44 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$17,634.67 |
$17,634.67 |
$17,634.67 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$16,719.47 |
$16,719.47 |
$16,719.47 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$16,719.47 |
$16,719.47 |
$16,719.47 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$11,857.79 |
$11,857.79 |
$11,857.79 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,524.22 |
$14,524.22 |
$14,524.22 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$16,946.43 |
$16,946.43 |
$16,946.43 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$19,116.66 |
$19,116.66 |
$19,116.66 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$19,358.93 |
$19,358.93 |
$19,358.93 |
$4,865.57
|