|
17-hydroxypregnenolone
|
$96.25 |
$96.25 |
$96.25 |
$92.65
|
|
3d ech img cgen car anomal
|
$116.50 |
$116.50 |
$116.50 |
$511.60
|
|
3d recon without postprocess indpndt
|
$321.20 |
$321.20 |
$321.20 |
$508.13
|
|
5' nucleotidase - sendout
|
$244.80 |
$244.80 |
$244.80 |
$50.05
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$6,591.89 |
$6,591.89 |
$6,591.89 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$39.20 |
$39.20 |
$39.20 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$2,244.55 |
$2,244.55 |
$2,244.55 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$1,813.95 |
$1,813.95 |
$1,813.95 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,784.45 |
$2,784.45 |
$2,784.45 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,515.80 |
$2,515.80 |
$2,515.80 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$2,019.15 |
$2,019.15 |
$2,019.15 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,273.10 |
$3,273.10 |
$3,273.10 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,061.10 |
$3,061.10 |
$3,061.10 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,696.70 |
$2,696.70 |
$2,696.70 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$3,048.95 |
$3,048.95 |
$3,048.95 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,159.45 |
$1,159.45 |
$1,159.45 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$751.80 |
$751.80 |
$751.80 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$465.65 |
$465.65 |
$465.65 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$682.95 |
$682.95 |
$682.95 |
$418.63
|
|
Abdominal X-ray (single view)
|
$332.00 |
$332.00 |
$332.00 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$696.45 |
$696.45 |
$696.45 |
$1,148.40
|
|
Ablation cryo thigh/knee
|
$912.10 |
$912.10 |
$912.10 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$394.10 |
$394.10 |
$394.10 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$3,779.15 |
$3,779.15 |
$3,779.15 |
$3,050.40
|
|
Acetaminophen level
|
$268.60 |
$268.60 |
$268.60 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$254.72 |
$254.72 |
$254.72 |
$122.55
|
|
Acetone qualitative
|
$59.45 |
$59.45 |
$59.45 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$149.15 |
$149.15 |
$149.15 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$808.54 |
$808.54 |
$808.54 |
$218.79
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.70 |
$37.70 |
$37.70 |
$38.50
|
|
Acoustic immitance testing
|
$283.40 |
$283.40 |
$283.40 |
$158.50
|
|
Acoustic refl threshold tst
|
$206.55 |
$206.55 |
$206.55 |
$102.05
|
|
Actinotherapy uv light
|
$178.15 |
$178.15 |
$178.15 |
$105.60
|
|
Acup 1/> wo estim 1st 15 min
|
$68.90 |
$68.90 |
$68.90 |
$53.50
|
|
Acute hepatitis panel
|
$487.25 |
$487.25 |
$487.25 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$424.53 |
$424.53 |
$424.53 |
$64.45
|
|
#acylcarnitineprfl
|
$114.10 |
$114.10 |
$114.10 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$210.25 |
$210.25 |
$210.25 |
$271.98
|
|
Adh-sendout
|
$78.90 |
$78.90 |
$78.90 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1,000.23 |
$1,000.23 |
$1,000.23 |
$193.40
|
|
Admin ecg contrast agent
|
$69.45 |
$69.45 |
$69.45 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$179.50 |
$179.50 |
$179.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$179.50 |
$179.50 |
$179.50 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$743.70 |
$743.70 |
$743.70 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$167.35 |
$167.35 |
$167.35 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$134.95 |
$134.95 |
$134.95 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$134.95 |
$134.95 |
$134.95 |
$256.49
|
|
Administration immunization each additional vaccine
|
$24.35 |
$24.35 |
$24.35 |
$47.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$6.75 |
$6.75 |
$6.75 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$16,679.19 |
$16,679.19 |
$16,679.19 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$1,045.19 |
$1,045.19 |
$1,045.19 |
$231.47
|
|
Advance care planning each additional 30 min 99498
|
$155.20 |
$155.20 |
$155.20 |
$110.56
|
|
_afb id by dna probe rflx ast
|
$117.60 |
$117.60 |
$117.60 |
$104.50
|
|
Agalsidase beta 35 mg intravenous solution
|
$20,452.40 |
$20,452.40 |
$20,452.40 |
$14,475.20
|
|
Air conduction bilat
|
$82.35 |
$82.35 |
$82.35 |
$134.00
|
|
Albumin body fluid quantitative each specimen
|
$37.70 |
$37.70 |
$37.70 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$727.76 |
$727.76 |
$727.76 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$197.05 |
$197.05 |
$197.05 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$16.15 |
$16.15 |
$16.15 |
$43.00
|
|
Alkaline phosphatase
|
$76.75 |
$76.75 |
$76.75 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$175.50 |
$175.50 |
$175.50 |
$48.57
|
|
Allergen egg white ige
|
$39.10 |
$39.10 |
$39.10 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$143.00 |
$143.00 |
$143.00 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$2,662.48 |
$2,662.48 |
$2,662.48 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$3,889.00 |
$3,889.00 |
$3,889.00 |
$6,285.56
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$858.66
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,740.67 |
$2,740.67 |
$2,740.67 |
$13.14
|
|
Alpha-fetoprotein tumor marker
|
$177.60 |
$177.60 |
$177.60 |
$106.00
|
|
Als 1
|
$406.00 |
$406.00 |
$406.00 |
$853.44
|
|
Als1-emergency
|
$644.00 |
$644.00 |
$644.00 |
$1,103.37
|
|
Als 2
|
$902.00 |
$902.00 |
$902.00 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$14,052.42 |
$14,052.42 |
$14,052.42 |
$15,857.45
|
|
Alt/sgpt
|
$31.10 |
$31.10 |
$31.10 |
$47.50
|
|
Aluminum - quest
|
$168.80 |
$168.80 |
$168.80 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$189.45 |
$189.45 |
$189.45 |
$179.70
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$114.60 |
$114.60 |
$114.60 |
$37.33
|
|
Aminolevulinic acid delta
|
$270.95 |
$270.95 |
$270.95 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$145.40 |
$145.40 |
$145.40 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$373.59 |
$373.59 |
$373.59 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$168.10 |
$168.10 |
$168.10 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$286.40 |
$286.40 |
$286.40 |
$87.45
|
|
Ammonia
|
$274.05 |
$274.05 |
$274.05 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$284.10 |
$284.10 |
$284.10 |
$93.61
|
|
Amphetamines 5 or more
|
$190.15 |
$190.15 |
$190.15 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$388.14 |
$388.14 |
$388.14 |
$123.53
|
|
Ampicillin 1 gram solution for injection
|
$113.38 |
$113.38 |
$113.38 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$165.33 |
$165.33 |
$165.33 |
$54.57
|
|
Amylase
|
$80.95 |
$80.95 |
$80.95 |
$90.00
|
|
Ana ds-dna
|
$38.00 |
$38.00 |
$38.00 |
$55.24
|
|
Analysis gene f2 20210g>a variant
|
$338.80 |
$338.80 |
$338.80 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$325.25 |
$325.25 |
$325.25 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$107.30 |
$107.30 |
$107.30 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$204.40 |
$204.40 |
$204.40 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$704.55 |
$704.55 |
$704.55 |
$2,480.94
|
|
An fluoro guide for cvp
|
$946.05 |
$946.05 |
$946.05 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$948.61 |
$948.61 |
$948.61 |
$2,979.43
|
|
Ankle X-ray
|
$403.55 |
$403.55 |
$403.55 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$332.00 |
$332.00 |
$332.00 |
$282.96
|
|
Anodyne therapy charges pt
|
$137.65 |
$137.65 |
$137.65 |
$42.00
|
|
Anoscopy remove fb 46608
|
$435.95 |
$435.95 |
$435.95 |
$1,375.98
|