|
11-desoxycortisol - sendout
|
$91.26 |
$91.26 |
$91.26 |
$92.04
|
|
17-hydroxypregnenolone
|
$70.91 |
$70.91 |
$70.91 |
$102.05
|
|
17-ketosteroids
|
$15.12 |
$15.12 |
$15.12 |
$57.20
|
|
2019-ncov diagnostic p
|
$33.60 |
$33.60 |
$33.60 |
$35.92
|
|
2d tte w or without fol w/con,co
|
$950.32 |
$950.32 |
$950.32 |
$1,165.05
|
|
2nd order venous cath
|
$2,732.80 |
$2,732.80 |
$2,732.80 |
$2,414.40
|
|
3-d radiotherapy plan
|
$3,844.96 |
$3,844.96 |
$3,844.96 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$123.76 |
$123.76 |
$123.76 |
$443.20
|
|
5' nucleotidase - sendout
|
$12.88 |
$12.88 |
$12.88 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$30.24 |
$30.24 |
$30.24 |
$93.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$58.24 |
$58.24 |
$58.24 |
$53.95
|
|
Abciximab injection
|
$685.23 |
$685.23 |
$685.23 |
$1,084.06
|
|
Abd aorta w/runoff s&i
|
$1,232.56 |
$1,232.56 |
$1,232.56 |
$3,483.84
|
|
Abd/low ext cath 1st
|
$4,978.40 |
$4,978.40 |
$4,978.40 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$2,517.20 |
$2,517.20 |
$2,517.20 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$3,038.56 |
$3,038.56 |
$3,038.56 |
$3,522.75
|
|
Abd/low ext cath addl
|
$673.68 |
$673.68 |
$673.68 |
$909.22
|
|
Abdominal CT scan (with and without contrast)
|
$876.96 |
$876.96 |
$876.96 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$842.24 |
$842.24 |
$842.24 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$715.12 |
$715.12 |
$715.12 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$983.92 |
$983.92 |
$983.92 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$1,599.36 |
$1,599.36 |
$1,599.36 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$509.04 |
$509.04 |
$509.04 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$386.96 |
$386.96 |
$386.96 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$505.68 |
$505.68 |
$505.68 |
$1,144.26
|
|
Ablate arrhythmia add on
|
$4,221.84 |
$4,221.84 |
$4,221.84 |
$7,717.80
|
|
Ablate heart dysrhythm focus
|
$7,078.96 |
$7,078.96 |
$7,078.96 |
$8,936.20
|
|
Ablation cardiac vagal inputs atrium
|
$260.96 |
$260.96 |
$260.96 |
$4,519.45
|
|
Ablation of upper extremity nerves rf
|
$726.32 |
$726.32 |
$726.32 |
$1,435.20
|
|
Abscess drain retroperitoneal surg code
|
$5,518.80 |
$5,518.80 |
$5,518.80 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$162.40 |
$162.40 |
$162.40 |
$2,919.60
|
|
Acetone qualitative
|
$16.80 |
$16.80 |
$16.80 |
$43.80
|
|
Acetylcholinesterase assay
|
$75.04 |
$75.04 |
$75.04 |
$104.40
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$13.83 |
$13.83 |
$13.83 |
$320.66
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$103.04 |
$103.04 |
$103.04 |
$177.84
|
|
Acoustic immitance testing
|
$125.44 |
$125.44 |
$125.44 |
$157.30
|
|
Acoustic refl threshold tst
|
$47.60 |
$47.60 |
$47.60 |
$90.13
|
|
Acute hepatitis panel
|
$137.76 |
$137.76 |
$137.76 |
$294.45
|
|
#acylcarnitineprfl
|
$20.16 |
$20.16 |
$20.16 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,560.00
|
|
Adenovirus antibody,serum - quest
|
$6.69 |
$6.69 |
$6.69 |
$63.00
|
|
Adh-sendout
|
$148.96 |
$148.96 |
$148.96 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$64.65 |
$64.65 |
$64.65 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$84.00 |
$84.00 |
$84.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$127.12 |
$127.12 |
$127.12 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$248.08 |
$248.08 |
$248.08 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$168.00 |
$168.00 |
$168.00 |
$454.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$144.48 |
$144.48 |
$144.48 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$144.48 |
$144.48 |
$144.48 |
$267.43
|
|
Administration immunization 1 vaccine
|
$84.00 |
$84.00 |
$84.00 |
$65.00
|
|
Administration immunization each additional vaccine
|
$84.00 |
$84.00 |
$84.00 |
$45.50
|
|
Administration vaccine hepatitis b
|
$26.32 |
$26.32 |
$26.32 |
$37.10
|
|
Administration vaccine influenza virus
|
$24.08 |
$24.08 |
$24.08 |
$38.25
|
|
Administration vaccine pneumococcal
|
$24.08 |
$24.08 |
$24.08 |
$38.25
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$25.25 |
$25.25 |
$25.25 |
$59.76
|
|
_afb id by dna probe rflx ast
|
$45.36 |
$45.36 |
$45.36 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$34.72 |
$34.72 |
$34.72 |
$38.58
|
|
Air conduction bilat
|
$53.76 |
$53.76 |
$53.76 |
$140.87
|
|
Albumin body fluid quantitative each specimen
|
$26.88 |
$26.88 |
$26.88 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$71.26 |
$71.26 |
$71.26 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$129.50 |
$129.50 |
$129.50 |
$253.48
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$26.32 |
$26.32 |
$26.32 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$19.04 |
$19.04 |
$19.04 |
$40.00
|
|
Alkaline phosphatase
|
$19.04 |
$19.04 |
$19.04 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$21.28 |
$21.28 |
$21.28 |
$56.35
|
|
Allergen egg white ige
|
$21.84 |
$21.84 |
$21.84 |
$41.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,377.04 |
$1,377.04 |
$1,377.04 |
$1,377.04
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$135.52 |
$135.52 |
$135.52 |
$9,702.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$126.00 |
$126.00 |
$126.00 |
$30,615.48
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$4,304.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,704.00 |
$4,704.00 |
$4,704.00 |
$2,715.00
|
|
Alpha-fetoprotein amniotic
|
$45.92 |
$45.92 |
$45.92 |
$94.25
|
|
Alpha-fetoprotein tumor marker
|
$56.00 |
$56.00 |
$56.00 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$4,598.72 |
$4,598.72 |
$4,598.72 |
$189.60
|
|
Alt/sgpt
|
$19.04 |
$19.04 |
$19.04 |
$43.55
|
|
Aluminum - quest
|
$30.24 |
$30.24 |
$30.24 |
$114.40
|
|
Alys cplx sp/pn npgt w/prgrm
|
$162.40 |
$162.40 |
$162.40 |
$417.47
|
|
Amino acid screen, urine
|
$25.20 |
$25.20 |
$25.20 |
$64.28
|
|
Aminolevulinic acid delta
|
$19.60 |
$19.60 |
$19.60 |
$95.80
|
|
Ammonia
|
$47.04 |
$47.04 |
$47.04 |
$96.53
|
|
Amniocentesisdiagnostic 59000
|
$320.32 |
$320.32 |
$320.32 |
$876.60
|
|
Amniotic fluid scan
|
$33.04 |
$33.04 |
$33.04 |
$33.15
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$14.93 |
$14.93 |
$14.93 |
$94.57
|
|
Amylase
|
$39.20 |
$39.20 |
$39.20 |
$83.20
|
|
Ana ds-dna
|
$65.52 |
$65.52 |
$65.52 |
$69.03
|
|
Anal pressure record
|
$1,077.44 |
$1,077.44 |
$1,077.44 |
$1,077.44
|
|
Anal/urinary muscle study
|
$304.64 |
$304.64 |
$304.64 |
$575.00
|
|
Analysis gene f2 20210g>a variant
|
$142.80 |
$142.80 |
$142.80 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$143.36 |
$143.36 |
$143.36 |
$253.11
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$194.32 |
$194.32 |
$194.32 |
$411.45
|
|
Anca screen with reflex to titer -quest
|
$17.92 |
$17.92 |
$17.92 |
$111.20
|
|
An cholangiogram percutaneous compl
|
$822.64 |
$822.64 |
$822.64 |
$2,417.63
|
|
Androstanediol
|
$161.14 |
$161.14 |
$161.14 |
$115.10
|
|
An fluoro guide for cvp
|
$86.24 |
$86.24 |
$86.24 |
$469.17
|
|
Angio balloon ctrl dialysis seg add-on
|
$6,640.48 |
$6,640.48 |
$6,640.48 |
$5,935.00
|
|
Angioplasty fem/pop unilat 37224
|
$10,344.88 |
$10,344.88 |
$10,344.88 |
$11,517.60
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,344.88 |
$10,344.88 |
$10,344.88 |
$12,766.07
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$10,344.88 |
$10,344.88 |
$10,344.88 |
$8,640.60
|
