|
17-hydroxypregnenolone
|
$509.70 |
$509.70 |
$509.70 |
$92.65
|
|
24 hr ambulatory b/p monitor
|
$318.25 |
$318.25 |
$318.25 |
$313.04
|
|
3d recon without postprocess indpndt
|
$457.80 |
$457.80 |
$457.80 |
$508.13
|
|
5' nucleotidase - sendout
|
$126.55 |
$126.55 |
$126.55 |
$50.05
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,856.22 |
$1,856.22 |
$1,856.22 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$41.00 |
$41.00 |
$41.00 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$786.25 |
$786.25 |
$786.25 |
$988.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,394.15 |
$1,394.15 |
$1,394.15 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,105.85 |
$3,105.85 |
$3,105.85 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,105.85 |
$3,105.85 |
$3,105.85 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,228.60 |
$3,228.60 |
$3,228.60 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,007.45 |
$1,007.45 |
$1,007.45 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,373.35 |
$1,373.35 |
$1,373.35 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$753.20 |
$753.20 |
$753.20 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$464.45 |
$464.45 |
$464.45 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$911.55 |
$911.55 |
$911.55 |
$418.63
|
|
Abdominal X-ray (single view)
|
$351.30 |
$351.30 |
$351.30 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$59.30 |
$59.30 |
$59.30 |
$1,148.40
|
|
Ablation of upper extremity nerves rf
|
$855.90 |
$855.90 |
$855.90 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$794.15 |
$794.15 |
$794.15 |
$3,050.40
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$93.06 |
$93.06 |
$93.06 |
$72.74
|
|
Acetaminophen level
|
$352.65 |
$352.65 |
$352.65 |
$116.80
|
|
Acetone qualitative
|
$87.85 |
$87.85 |
$87.85 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$83.20 |
$83.20 |
$83.20 |
$67.50
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$411.85 |
$411.85 |
$411.85 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$141.65 |
$141.65 |
$141.65 |
$38.50
|
|
Acute hepatitis panel
|
$543.00 |
$543.00 |
$543.00 |
$284.95
|
|
#acylcarnitineprfl
|
$72.65 |
$72.65 |
$72.65 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$150.08 |
$150.08 |
$150.08 |
$271.98
|
|
Adh-sendout
|
$173.40 |
$173.40 |
$173.40 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$477.51 |
$477.51 |
$477.51 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$152.45 |
$152.45 |
$152.45 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$403.80 |
$403.80 |
$403.80 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$854.40 |
$854.40 |
$854.40 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$668.55 |
$668.55 |
$668.55 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$207.20 |
$207.20 |
$207.20 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$430.50 |
$430.50 |
$430.50 |
$256.49
|
|
Administration immunization each additional vaccine
|
$36.15 |
$36.15 |
$36.15 |
$47.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$56.15 |
$56.15 |
$56.15 |
$41.45
|
|
Adrenalin epinephrine inject
|
$676.01 |
$676.01 |
$676.01 |
$231.47
|
|
Advance care planning each additional 30 min 99498
|
$133.70 |
$133.70 |
$133.70 |
$110.56
|
|
_afb id by dna probe rflx ast
|
$59.90 |
$59.90 |
$59.90 |
$104.50
|
|
Albumin body fluid quantitative each specimen
|
$37.25 |
$37.25 |
$37.25 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$521.49 |
$521.49 |
$521.49 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$147.75 |
$147.75 |
$147.75 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$95.80 |
$95.80 |
$95.80 |
$43.00
|
|
Alkaline phosphatase
|
$90.45 |
$90.45 |
$90.45 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$175.50 |
$175.50 |
$175.50 |
$48.57
|
|
Allergen egg white ige
|
$53.80 |
$53.80 |
$53.80 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$157.05 |
$157.05 |
$157.05 |
$24.00
|
|
Alpha-fetoprotein tumor marker
|
$47.25 |
$47.25 |
$47.25 |
$106.00
|
|
Als 1
|
$1,063.00 |
$1,063.00 |
$1,063.00 |
$853.44
|
|
Als1-emergency
|
$1,541.70 |
$1,541.70 |
$1,541.70 |
$1,103.37
|
|
Als 2
|
$1,863.90 |
$1,863.90 |
$1,863.90 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$834.51 |
$834.51 |
$834.51 |
$15,857.45
|
|
Alt/sgpt
|
$149.85 |
$149.85 |
$149.85 |
$47.50
|
|
Aluminum - quest
|
$290.65 |
$290.65 |
$290.65 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$117.15 |
$117.15 |
$117.15 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$369.05 |
$369.05 |
$369.05 |
$320.45
|
|
Ambl bp mntr w/sw i&r
|
$445.30 |
$445.30 |
$445.30 |
$57.00
|
|
Aminolevulinic acid delta
|
$248.40 |
$248.40 |
$248.40 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$74.58 |
$74.58 |
$74.58 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$267.70 |
$267.70 |
$267.70 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$14.09 |
$14.09 |
$14.09 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$135.10 |
$135.10 |
$135.10 |
$87.45
|
|
Ammonia
|
$186.30 |
$186.30 |
$186.30 |
$119.70
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$872.20 |
$872.20 |
$872.20 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$265.45 |
$265.45 |
$265.45 |
$93.61
|
|
Amphetamines 5 or more
|
$168.75 |
$168.75 |
$168.75 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$278.13 |
$278.13 |
$278.13 |
$123.53
|
|
Ampicillin 1 gram solution for injection
|
$147.24 |
$147.24 |
$147.24 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$65.02 |
$65.02 |
$65.02 |
$54.57
|
|
Amputation toe interphalangeal joint
|
$913.20 |
$913.20 |
$913.20 |
$4,196.50
|
|
Amylase
|
$95.80 |
$95.80 |
$95.80 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$352.65 |
$352.65 |
$352.65 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$1,113.90 |
$1,113.90 |
$1,113.90 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$155.75 |
$155.75 |
$155.75 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$121.10 |
$121.10 |
$121.10 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$153.20 |
$153.20 |
$153.20 |
$101.50
|
|
An fluoro guide for cvp
|
$484.45 |
$484.45 |
$484.45 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$613.55 |
$613.55 |
$613.55 |
$2,979.43
|
|
Ankle X-ray
|
$377.95 |
$377.95 |
$377.95 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$294.10 |
$294.10 |
$294.10 |
$282.96
|
|
Anoscopy remove fb 46608
|
$222.00 |
$222.00 |
$222.00 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$147.70 |
$147.70 |
$147.70 |
$57.85
|
|
Antibody elution rbc reference
|
$270.20 |
$270.20 |
$270.20 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$47.80 |
$47.80 |
$47.80 |
$224.00
|
|
Antibody id rbc panel
|
$484.45 |
$484.45 |
$484.45 |
$291.75
|
|
Antibody screen rbc
|
$198.30 |
$198.30 |
$198.30 |
$108.55
|
|
Antibody tetanus
|
$24.60 |
$24.60 |
$24.60 |
$54.15
|
|
Antidepressant not specified
|
$232.00 |
$232.00 |
$232.00 |
$72.14
|
|
Antidepressant tricyclic 3-5
|
$426.50 |
$426.50 |
$426.50 |
$23.20
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$398.40 |
$398.40 |
$398.40 |
$38.50
|
|
Antinuclear antibodies
|
$171.65 |
$171.65 |
$171.65 |
$90.00
|
|
Antinuclear antibodies titer
|
$71.80 |
$71.80 |
$71.80 |
$80.04
|
|
Antipsychotics nos 1-3
|
$161.05 |
$161.05 |
$161.05 |
$136.61
|
|
Antistreptolysin o titer
|
$127.70 |
$127.70 |
$127.70 |
$54.00
|
|
Antithrombin iii activity
|
$93.15 |
$93.15 |
$93.15 |
$115.15
|
