|
17-hydroxypregnenolone
|
$173.92 |
$173.92 |
$173.92 |
$87.50
|
|
5' nucleotidase - sendout
|
$306.92 |
$306.92 |
$306.92 |
$51.03
|
|
Abdominal CT scan (with and without contrast)
|
$5,531.68 |
$5,531.68 |
$5,531.68 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$4,884.31 |
$4,884.31 |
$4,884.31 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,311.23 |
$4,311.23 |
$4,311.23 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,540.18 |
$5,540.18 |
$5,540.18 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$5,238.06 |
$5,238.06 |
$5,238.06 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$5,035.74 |
$5,035.74 |
$5,035.74 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$2,873.40 |
$2,873.40 |
$2,873.40 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$1,909.74 |
$1,909.74 |
$1,909.74 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$2,007.53 |
$2,007.53 |
$2,007.53 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$2,191.57 |
$2,191.57 |
$2,191.57 |
$1,176.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$83.93 |
$83.93 |
$83.93 |
$125.63
|
|
Acetaminophen level
|
$302.10 |
$302.10 |
$302.10 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$240.91 |
$240.91 |
$240.91 |
$133.60
|
|
Acetone qualitative
|
$81.90 |
$81.90 |
$81.90 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$35.43 |
$35.43 |
$35.43 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$107.93 |
$107.93 |
$107.93 |
$323.77
|
|
Acute hepatitis panel
|
$619.09 |
$619.09 |
$619.09 |
$287.10
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$56.45 |
$56.45 |
$56.45 |
$50.70
|
|
Adenosine 3 mg/250 ml bag for osm
|
$744.72 |
$744.72 |
$744.72 |
$219.86
|
|
Adh-sendout
|
$131.57 |
$131.57 |
$131.57 |
$109.71
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$47.34 |
$47.34 |
$47.34 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$509.09 |
$509.09 |
$509.09 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$618.30 |
$618.30 |
$618.30 |
$688.88
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$319.13 |
$319.13 |
$319.13 |
$220.00
|
|
Administration immunization 1 vaccine
|
$115.00 |
$115.00 |
$115.00 |
$69.21
|
|
Administration immunization each additional vaccine
|
$113.03 |
$113.03 |
$113.03 |
$46.23
|
|
Administration vaccine influenza virus
|
$552.93 |
$552.93 |
$552.93 |
$46.80
|
|
_afb org id by sequencing rflx ast-sendout
|
$382.18 |
$382.18 |
$382.18 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$87.70 |
$87.70 |
$87.70 |
$48.95
|
|
Albumin (human), 25%, 50ml
|
$495.41 |
$495.41 |
$495.41 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$314.73 |
$314.73 |
$314.73 |
$628.14
|
|
Albumin (human), 5%, 250 ml
|
$500.93 |
$500.93 |
$500.93 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$116.32 |
$116.32 |
$116.32 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$149.08 |
$149.08 |
$149.08 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$20.12 |
$20.12 |
$20.12 |
$22.45
|
|
Albuterol non-comp unit
|
$6.21 |
$6.21 |
$6.21 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$454.08 |
$454.08 |
$454.08 |
$94.90
|
|
Alkaline phosphatase
|
$125.70 |
$125.70 |
$125.70 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$227.34 |
$227.34 |
$227.34 |
$59.00
|
|
Allergen egg white ige
|
$93.52 |
$93.52 |
$93.52 |
$41.60
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$735.14 |
$735.14 |
$735.14 |
$189.15
|
|
Alpha-fetoprotein tumor marker
|
$438.54 |
$438.54 |
$438.54 |
$106.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$748.42 |
$748.42 |
$748.42 |
$3,627.63
|
|
Alt/sgpt
|
$95.62 |
$95.62 |
$95.62 |
$49.00
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$46.01 |
$46.01 |
$46.01 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$210.84 |
$210.84 |
$210.84 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$93.45 |
$93.45 |
$93.45 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$108.56 |
$108.56 |
$108.56 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$78,780.94 |
$78,780.94 |
$78,780.94 |
$15,302.84
|
|
Ammonia
|
$280.68 |
$280.68 |
$280.68 |
$124.11
|
|
Amphetamine confirm urine -sendout
|
$115.04 |
$115.04 |
$115.04 |
$94.50
|
|
Amphetamines 5 or more
|
$385.99 |
$385.99 |
$385.99 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$59.05 |
$59.05 |
$59.05 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$73.56 |
$73.56 |
$73.56 |
$51.93
|
|
Amylase
|
$229.33 |
$229.33 |
$229.33 |
$95.80
|
|
Analysis gene f2 20210g>a variant
|
$805.71 |
$805.71 |
$805.71 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$899.90 |
$899.90 |
$899.90 |
$237.25
|
|
Anaplsma phgcytophlm amp prb
|
$108.32 |
$108.32 |
$108.32 |
$95.45
|
|
An fluoro guide for cvp
|
$1,945.44 |
$1,945.44 |
$1,945.44 |
$484.45
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
$6,736.02
|
|
Ankle X-ray
|
$659.53 |
$659.53 |
$659.53 |
$351.20
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$639.84 |
$639.84 |
$639.84 |
$225.75
|
|
Antibody id rbc panel
|
$262.47 |
$262.47 |
$262.47 |
$283.20
|
|
Antibody screen rbc
|
$139.06 |
$139.06 |
$139.06 |
$107.40
|
|
Antidepressant not specified
|
$391.72 |
$391.72 |
$391.72 |
$89.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$30.15 |
$30.15 |
$30.15 |
$50.88
|
|
Antinuclear antibodies
|
$145.78 |
$145.78 |
$145.78 |
$96.80
|
|
Antinuclear antibodies titer
|
$145.78 |
$145.78 |
$145.78 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$462.22 |
$462.22 |
$462.22 |
$79.20
|
|
Antistreptolysin o titer
|
$154.76 |
$154.76 |
$154.76 |
$58.20
|
|
Antithrombin iii activity
|
$113.80 |
$113.80 |
$113.80 |
$125.40
|
|
Application finger splntstatic 29130
|
$735.49 |
$735.49 |
$735.49 |
$220.25
|
|
Application long leg splint 29505
|
$1,798.42 |
$1,798.42 |
$1,798.42 |
$370.00
|
|
Application lower leg splint 29515
|
$1,064.78 |
$1,064.78 |
$1,064.78 |
$363.10
|
|
Application multi layer compression below knee (both sides)
|
$477.92 |
$477.92 |
$477.92 |
$406.40
|
|
Application of forearm cast 29075
|
$1,578.53 |
$1,578.53 |
$1,578.53 |
$384.59
|
|
Application of long arm cast 29065
|
$1,578.53 |
$1,578.53 |
$1,578.53 |
$404.63
|
|
Application of paste boot 29580
|
$1,062.85 |
$1,062.85 |
$1,062.85 |
$335.78
|
|
Application short leg cast 29405
|
$907.14 |
$907.14 |
$907.14 |
$393.98
|
|
Appl modality 1/> areas paraffin bath 97018
|
$146.24 |
$146.24 |
$146.24 |
$69.96
|
|
Apply intrcav radiat compl
|
$9,218.31 |
$9,218.31 |
$9,218.31 |
$1,773.02
|
|
Apply intrcav radiat interm
|
$7,013.06 |
$7,013.06 |
$7,013.06 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$7,013.06 |
$7,013.06 |
$7,013.06 |
$1,203.12
|
|
Apply rigid leg cast 29445
|
$821.29 |
$821.29 |
$821.29 |
$646.40
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,433.93 |
$1,433.93 |
$1,433.93 |
$979.52
|
|
Aquaporin-4 antibody cba each
|
$140.84 |
$140.84 |
$140.84 |
$121.45
|
|
Aquatic exercise - group charge
|
$176.68 |
$176.68 |
$176.68 |
$90.52
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,823.94 |
$1,823.94 |
$1,823.94 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$410.08 |
$410.08 |
$410.08 |
$505.60
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$639.35 |
$639.35 |
$639.35 |
$572.80
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,620.50 |
$1,620.50 |
$1,620.50 |
$910.79
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,057.23 |
$1,057.23 |
$1,057.23 |
$715.37
|
|
Aspirate pleura without imaging 32554
|
$1,086.16 |
$1,086.16 |
$1,086.16 |
$1,286.45
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,739.36 |
$1,739.36 |
$1,739.36 |
$1,293.12
|
|
Assay dir meas fr estradiol
|
$86.25 |
$86.25 |
$86.25 |
$82.00
|
|
Assay of osteocalcin
|
$262.56 |
$262.56 |
$262.56 |
$99.45
|
|
Assay of salicylate
|
$120.61 |
$120.61 |
$120.61 |
$108.55
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$88.48 |
$88.48 |
$88.48 |
$51.35
|