|
11-desoxycortisol - sendout
|
$127.44 |
$127.44 |
$127.44 |
$84.56
|
|
17-hydroxypregnenolone
|
$137.28 |
$137.28 |
$137.28 |
$85.15
|
|
17-ketosteroids
|
$52.32 |
$52.32 |
$52.32 |
$49.45
|
|
2019-ncov diagnostic p
|
$31.44 |
$31.44 |
$31.44 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$681.36 |
$681.36 |
$681.36 |
$1,633.60
|
|
3d recon without postprocess indpndt
|
$385.68 |
$385.68 |
$385.68 |
$467.95
|
|
88334 ap bill cytologic exam each additional site
|
$15.12 |
$15.12 |
$15.12 |
$94.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$13.68 |
$13.68 |
$13.68 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$974.16 |
$974.16 |
$974.16 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$934.32 |
$934.32 |
$934.32 |
$1,655.50
|
|
Abdominal CT scan (without contrast)
|
$894.48 |
$894.48 |
$894.48 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,501.92 |
$1,501.92 |
$1,501.92 |
$3,004.50
|
|
Abdominal MRI (with contrast)
|
$1,030.08 |
$1,030.08 |
$1,030.08 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$1,981.20
|
|
Abdominal paracentesis w/image guidance
|
$853.20 |
$853.20 |
$853.20 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$267.36 |
$267.36 |
$267.36 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$213.60 |
$213.60 |
$213.60 |
$604.80
|
|
Abd paracentesis/w/o image guide 49082
|
$636.00 |
$636.00 |
$636.00 |
$1,179.75
|
|
Abl1 gene
|
$210.00 |
$210.00 |
$210.00 |
$668.85
|
|
Ablation cryo abd perit om
|
$869.76 |
$869.76 |
$869.76 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$203.04 |
$203.04 |
$203.04 |
$961.20
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$18.00 |
$18.00 |
$18.00 |
$80.14
|
|
Acetaminophen level
|
$18.48 |
$18.48 |
$18.48 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$66.58 |
$66.58 |
$66.58 |
$122.55
|
|
Acetone qualitative
|
$17.52 |
$17.52 |
$17.52 |
$46.20
|
|
Acetylcholine receptor modulating antibody
|
$8.88 |
$8.88 |
$8.88 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$183.17 |
$183.17 |
$183.17 |
$281.55
|
|
Acute hepatitis panel
|
$109.92 |
$109.92 |
$109.92 |
$278.33
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$34.99 |
$34.99 |
$34.99 |
$64.45
|
|
#acylcarnitineprfl
|
$153.60 |
$153.60 |
$153.60 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$326.38 |
$326.38 |
$326.38 |
$272.57
|
|
Adh-sendout
|
$270.48 |
$270.48 |
$270.48 |
$109.71
|
|
Adj gastric band via subq port
|
$578.40 |
$578.40 |
$578.40 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$15.70 |
$15.70 |
$15.70 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$92.88 |
$92.88 |
$92.88 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$92.88 |
$92.88 |
$92.88 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$364.32 |
$364.32 |
$364.32 |
$690.21
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$227.52 |
$227.52 |
$227.52 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$92.88 |
$92.88 |
$92.88 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$92.88 |
$92.88 |
$92.88 |
$264.82
|
|
Administration immunization 1 vaccine
|
$33.12 |
$33.12 |
$33.12 |
$67.20
|
|
Administration immunization each additional vaccine
|
$33.12 |
$33.12 |
$33.12 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$15.36 |
$15.36 |
$15.36 |
$41.15
|
|
Administration vaccine hepatitis b
|
$56.16 |
$56.16 |
$56.16 |
$54.60
|
|
Administration vaccine influenza virus
|
$56.16 |
$56.16 |
$56.16 |
$48.00
|
|
Administration vaccine pneumococcal
|
$56.16 |
$56.16 |
$56.16 |
$49.17
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$13.20 |
$13.20 |
$13.20 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$4,596.05 |
$4,596.05 |
$4,596.05 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$635.04 |
$635.04 |
$635.04 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$674.32 |
$674.32 |
$674.32 |
$92.03
|
|
Airway resistance by impulse oscillometry 94728
|
$158.64 |
$158.64 |
$158.64 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$5.52 |
$5.52 |
$5.52 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$53.14 |
$53.14 |
$53.14 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$53.28 |
$53.28 |
$53.28 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$44.88 |
$44.88 |
$44.88 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$38.88 |
$38.88 |
$38.88 |
$39.78
|
|
Alkaline phosphatase
|
$116.16 |
$116.16 |
$116.16 |
$46.00
|
|
Allergen alpha lactalbumin ige
|
$13.92 |
$13.92 |
$13.92 |
$48.57
|
|
Allergen egg white ige
|
$6.24 |
$6.24 |
$6.24 |
$36.60
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$596.40 |
$596.40 |
$596.40 |
$4,037.03
|
|
Alpha-fetoprotein tumor marker
|
$180.72 |
$180.72 |
$180.72 |
$102.00
|
|
Alprostadil for injection
|
$255.77 |
$255.77 |
$255.77 |
$519.93
|
|
Als 1
|
$596.88 |
$596.88 |
$596.88 |
$853.44
|
|
Als1-emergency
|
$686.88 |
$686.88 |
$686.88 |
$898.88
|
|
Als 2
|
$779.04 |
$779.04 |
$779.04 |
$1,288.56
|
|
Alt/sgpt
|
$38.88 |
$38.88 |
$38.88 |
$44.68
|
|
Aluminum - quest
|
$107.52 |
$107.52 |
$107.52 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$74.16 |
$74.16 |
$74.16 |
$178.10
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$38.79 |
$38.79 |
$38.79 |
$38.68
|
|
Aminolevulinic acid delta
|
$11.52 |
$11.52 |
$11.52 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$20.72 |
$20.72 |
$20.72 |
$45.56
|
|
Amiodarone 50 mg/ml intravenous solution
|
$64.35 |
$64.35 |
$64.35 |
$61.68
|
|
Amitriptyline (elavil) -sendout
|
$77.04 |
$77.04 |
$77.04 |
$92.50
|
|
Ammonia
|
$77.28 |
$77.28 |
$77.28 |
$114.40
|
|
Amniocentesisdiagnostic 59000
|
$188.40 |
$188.40 |
$188.40 |
$943.50
|
|
Amniocentesis therapeutic
|
$125.04 |
$125.04 |
$125.04 |
$778.57
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$909.84 |
$909.84 |
$909.84 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$77.04 |
$77.04 |
$77.04 |
$93.61
|
|
Amphetamines 5 or more
|
$77.04 |
$77.04 |
$77.04 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$63.20 |
$63.20 |
$63.20 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$338.04 |
$338.04 |
$338.04 |
$451.51
|
|
Ampicillin 1 gram solution for injection
|
$114.86 |
$114.86 |
$114.86 |
$63.82
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$93.26 |
$93.26 |
$93.26 |
$58.36
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$189.36 |
$189.36 |
$189.36 |
$262.99
|
|
Amylase
|
$83.28 |
$83.28 |
$83.28 |
$83.20
|
|
Ana ds-dna
|
$11.04 |
$11.04 |
$11.04 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$74.16 |
$74.16 |
$74.16 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$280.80 |
$280.80 |
$280.80 |
$207.48
|
|
Analysis gene f5 leiden variant
|
$336.96 |
$336.96 |
$336.96 |
$219.13
|
|
Anaplsma phgcytophlm amp prb
|
$27.12 |
$27.12 |
$27.12 |
$88.00
|
|
Anca screen with reflex to titer -quest
|
$168.48 |
$168.48 |
$168.48 |
$100.32
|
|
An fluoro guide for cvp
|
$378.24 |
$378.24 |
$378.24 |
$510.17
|
|
Ankle X-ray
|
$123.36 |
$123.36 |
$123.36 |
$351.20
|
|
Anora (draw only)
|
$8.88 |
$8.88 |
$8.88 |
$35.00
|
|
Anoscopy remove fb 46608
|
$564.24 |
$564.24 |
$564.24 |
$1,432.59
|
|
Antibody bacterium, not elsewhere specified
|
$60.72 |
$60.72 |
$60.72 |
$57.85
|
|
Antibody elution rbc reference
|
$60.48 |
$60.48 |
$60.48 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$104.40 |
$104.40 |
$104.40 |
$114.40
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$224.88 |
$224.88 |
$224.88 |
$218.30
|
|
Antibody id rbc panel
|
$168.00 |
$168.00 |
$168.00 |
$283.80
|
