|
11-desoxycortisol - sendout
|
$201.62 |
$201.62 |
$201.62 |
$87.74
|
|
17-hydroxypregnenolone
|
$117.40 |
$117.40 |
$117.40 |
$87.50
|
|
17-ketosteroids
|
$55.67 |
$55.67 |
$55.67 |
$46.20
|
|
2019-ncov diagnostic p
|
$0.01 |
$0.01 |
$0.01 |
$39.51
|
|
2d tee w or without fol w/con,in
|
$1,112.97 |
$1,112.97 |
$1,112.97 |
$1,771.25
|
|
3d ech img cgen car anomal
|
$233.73 |
$233.73 |
$233.73 |
$669.00
|
|
3-d radiotherapy plan
|
$1,677.13 |
$1,677.13 |
$1,677.13 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$277.27 |
$277.27 |
$277.27 |
$427.34
|
|
5' nucleotidase - sendout
|
$33.90 |
$33.90 |
$33.90 |
$51.03
|
|
88334 ap bill cytologic exam each additional site
|
$46.04 |
$46.04 |
$46.04 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,018.77 |
$3,018.77 |
$3,018.77 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$28.55 |
$28.55 |
$28.55 |
$52.47
|
|
Abd aorta w/runoff s&i
|
$1,294.96 |
$1,294.96 |
$1,294.96 |
$3,594.60
|
|
Abd/low ext cath 2nd
|
$73.87 |
$73.87 |
$73.87 |
$2,517.20
|
|
Abdominal CT scan (with and without contrast)
|
$1,307.45 |
$1,307.45 |
$1,307.45 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,176.85 |
$1,176.85 |
$1,176.85 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,608.26 |
$1,608.26 |
$1,608.26 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,447.33 |
$1,447.33 |
$1,447.33 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,143.66 |
$1,143.66 |
$1,143.66 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$984.16 |
$984.16 |
$984.16 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$660.86 |
$660.86 |
$660.86 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$1,018.77 |
$1,018.77 |
$1,018.77 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$841.78 |
$841.78 |
$841.78 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$707.25 |
$707.25 |
$707.25 |
$1,176.00
|
|
Abl1 gene
|
$205.90 |
$205.90 |
$205.90 |
$614.25
|
|
Ablate arrhythmia add on
|
$749.72 |
$749.72 |
$749.72 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$3,125.88 |
$3,125.88 |
$3,125.88 |
$10,724.84
|
|
Ablation cardiac vagal inputs atrium
|
$125.25 |
$125.25 |
$125.25 |
$3,812.17
|
|
Ablation of upper extremity nerves rf
|
$249.79 |
$249.79 |
$249.79 |
$1,164.00
|
|
Abscess drain retroperitoneal surg code
|
$381.11 |
$381.11 |
$381.11 |
$3,053.18
|
|
Acetaminophen level
|
$94.92 |
$94.92 |
$94.92 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$73.31 |
$73.31 |
$73.31 |
$133.60
|
|
Acetone qualitative
|
$23.91 |
$23.91 |
$23.91 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$10.71 |
$10.71 |
$10.71 |
$67.50
|
|
Acetylcholinesterase assay
|
$106.70 |
$106.70 |
$106.70 |
$112.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$71.52 |
$71.52 |
$71.52 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$3.06 |
$3.06 |
$3.06 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.13 |
$17.13 |
$17.13 |
$42.75
|
|
Actinotherapy uv light
|
$36.05 |
$36.05 |
$36.05 |
$103.85
|
|
Acute hepatitis panel
|
$169.50 |
$169.50 |
$169.50 |
$287.10
|
|
Acute venous thrombus image
|
$828.22 |
$828.22 |
$828.22 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$23.87 |
$23.87 |
$23.87 |
$50.70
|
|
#acylcarnitineprfl
|
$76.01 |
$76.01 |
$76.01 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$178.42 |
$178.42 |
$178.42 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$379.58 |
$379.58 |
$379.58 |
$219.86
|
|
Adenovirus ag ia
|
$92.43 |
$92.43 |
$92.43 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$39.97 |
$39.97 |
$39.97 |
$63.00
|
|
Adh-sendout
|
$15.35 |
$15.35 |
$15.35 |
$109.71
|
|
Adj gastric band via subq port
|
$759.35 |
$759.35 |
$759.35 |
$2,057.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$43.25 |
$43.25 |
$43.25 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$240.51 |
$240.51 |
$240.51 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$141.31 |
$141.31 |
$141.31 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$706.18 |
$706.18 |
$706.18 |
$688.88
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$141.31 |
$141.31 |
$141.31 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$128.11 |
$128.11 |
$128.11 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$122.04 |
$122.04 |
$122.04 |
$267.43
|
|
Administration immunization 1 vaccine
|
$39.61 |
$39.61 |
$39.61 |
$69.21
|
|
Administration immunization each additional vaccine
|
$35.33 |
$35.33 |
$35.33 |
$46.23
|
|
Administration vaccine influenza virus
|
$39.61 |
$39.61 |
$39.61 |
$46.80
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$16.06 |
$16.06 |
$16.06 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$13,313.74 |
$13,313.74 |
$13,313.74 |
$11,874.55
|
|
Adrenal cortex & medulla img
|
$1,026.26 |
$1,026.26 |
$1,026.26 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$194.48 |
$194.48 |
$194.48 |
$105.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$12,167.70 |
$12,167.70 |
$12,167.70 |
$13,696.68
|
|
Airway resistance by impulse oscillometry 94728
|
$187.70 |
$187.70 |
$187.70 |
$320.43
|
|
Albumin body fluid quantitative each specimen
|
$12.14 |
$12.14 |
$12.14 |
$48.95
|
|
Albumin (human), 25%, 50ml
|
$132.88 |
$132.88 |
$132.88 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$116.82 |
$116.82 |
$116.82 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$46.75 |
$46.75 |
$46.75 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$19.63 |
$19.63 |
$19.63 |
$43.50
|
|
Alkaline phosphatase
|
$52.10 |
$52.10 |
$52.10 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$35.69 |
$35.69 |
$35.69 |
$59.00
|
|
Allergen egg white ige
|
$51.39 |
$51.39 |
$51.39 |
$41.60
|
|
Allergen specific ige qual multi scrn ea
|
$23.91 |
$23.91 |
$23.91 |
$26.95
|
|
Allergy injections; 2 or more 95117
|
$33.19 |
$33.19 |
$33.19 |
$44.14
|
|
Allergy injection; single 95115
|
$31.41 |
$31.41 |
$31.41 |
$42.75
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$31.76 |
$31.76 |
$31.76 |
$6,555.62
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$84.44 |
$84.44 |
$84.44 |
$2,674.32
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$111.79 |
$111.79 |
$111.79 |
$14.76
|
|
Alpha-fetoprotein amniotic
|
$83.15 |
$83.15 |
$83.15 |
$88.74
|
|
Alpha-fetoprotein tumor marker
|
$67.09 |
$67.09 |
$67.09 |
$106.40
|
|
Alprostadil for injection
|
$156.12 |
$156.12 |
$156.12 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$18,657.02 |
$18,657.02 |
$18,657.02 |
$3,627.63
|
|
Alt/sgpt
|
$52.10 |
$52.10 |
$52.10 |
$49.00
|
|
Aluminum - quest
|
$23.56 |
$23.56 |
$23.56 |
$91.00
|
|
Amantadine (symmetrel)-sendout
|
$75.65 |
$75.65 |
$75.65 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$51.19 |
$51.19 |
$51.19 |
$36.30
|
|
Amino acid screen, urine
|
$66.02 |
$66.02 |
$66.02 |
$64.28
|
|
Aminolevulinic acid delta
|
$106.70 |
$106.70 |
$106.70 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$34.35 |
$34.35 |
$34.35 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$76.61 |
$76.61 |
$76.61 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$34.94 |
$34.94 |
$34.94 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$77.44 |
$77.44 |
$77.44 |
$101.17
|
|
Ammonia
|
$73.87 |
$73.87 |
$73.87 |
$124.11
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,151.87 |
$1,151.87 |
$1,151.87 |
$3,735.51
|
|
Amphetamine confirm urine -sendout
|
$26.05 |
$26.05 |
$26.05 |
$94.50
|
|
Amphetamines 5 or more
|
$58.88 |
$58.88 |
$58.88 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$66.18 |
$66.18 |
$66.18 |
$130.08
|
|
Amphotericin b lipid complex
|
$31.13 |
$31.13 |
$31.13 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$138.63 |
$138.63 |
$138.63 |
$342.26
|
