|
2019-ncov diagnostic p
|
$68.12 |
$68.12 |
$68.12 |
$53.71
|
|
Abdominal CT scan (with and without contrast)
|
$1,003.08 |
$1,003.08 |
$1,003.08 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$875.16 |
$875.16 |
$875.16 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$875.16 |
$875.16 |
$875.16 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$1,070.68 |
$1,070.68 |
$1,070.68 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$992.68 |
$992.68 |
$992.68 |
$2,050.14
|
|
Abdominal Ultrasound (complete)
|
$298.48 |
$298.48 |
$298.48 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$440.44 |
$440.44 |
$440.44 |
$590.00
|
|
Ablation cryo abd perit om
|
$1,393.08 |
$1,393.08 |
$1,393.08 |
$2,312.80
|
|
Ablation of upper extremity nerves rf
|
$426.40 |
$426.40 |
$426.40 |
$808.50
|
|
Acetaminophen level
|
$40.04 |
$40.04 |
$40.04 |
$107.62
|
|
Acetone qualitative
|
$11.96 |
$11.96 |
$11.96 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$19.24 |
$19.24 |
$19.24 |
$64.50
|
|
Acute hepatitis panel
|
$124.80 |
$124.80 |
$124.80 |
$292.00
|
|
Adh-sendout
|
$48.88 |
$48.88 |
$48.88 |
$109.28
|
|
Administration immunization 1 vaccine
|
$62.92 |
$62.92 |
$62.92 |
$69.21
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$33.28 |
$33.28 |
$33.28 |
$41.45
|
|
Administration vaccine influenza virus
|
$62.92 |
$62.92 |
$62.92 |
$50.43
|
|
Administration vaccine pneumococcal
|
$62.92 |
$62.92 |
$62.92 |
$50.43
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$28.60 |
$28.60 |
$28.60 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$9,958.10 |
$9,958.10 |
$9,958.10 |
$11,350.31
|
|
Albumin (human), 25%, 50ml
|
$115.13 |
$115.13 |
$115.13 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$115.44 |
$115.44 |
$115.44 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$97.24 |
$97.24 |
$97.24 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$34.84 |
$34.84 |
$34.84 |
$40.80
|
|
Alkaline phosphatase
|
$34.84 |
$34.84 |
$34.84 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$30.16 |
$30.16 |
$30.16 |
$48.00
|
|
Allergen egg white ige
|
$60.32 |
$60.32 |
$60.32 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$48.36 |
$48.36 |
$48.36 |
$106.00
|
|
Alprostadil for injection
|
$554.17 |
$554.17 |
$554.17 |
$519.93
|
|
Als 1
|
$234.52 |
$234.52 |
$234.52 |
$892.32
|
|
Als1-emergency
|
$469.56 |
$469.56 |
$469.56 |
$929.40
|
|
Als 2
|
$640.12 |
$640.12 |
$640.12 |
$1,288.56
|
|
Alt/sgpt
|
$34.84 |
$34.84 |
$34.84 |
$47.45
|
|
Amantadine (symmetrel)-sendout
|
$160.68 |
$160.68 |
$160.68 |
$169.80
|
|
Amitriptyline (elavil) -sendout
|
$166.92 |
$166.92 |
$166.92 |
$87.45
|
|
Ammonia
|
$42.64 |
$42.64 |
$42.64 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$166.92 |
$166.92 |
$166.92 |
$92.61
|
|
Amphetamines 5 or more
|
$166.92 |
$166.92 |
$166.92 |
$82.96
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$732.42 |
$732.42 |
$732.42 |
$543.85
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$239.20 |
$239.20 |
$239.20 |
$262.99
|
|
Amylase
|
$42.64 |
$42.64 |
$42.64 |
$89.04
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$160.68 |
$160.68 |
$160.68 |
$117.01
|
|
Analysis gene f5 leiden variant
|
$103.48 |
$103.48 |
$103.48 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$58.76 |
$58.76 |
$58.76 |
$85.80
|
|
Ankle X-ray
|
$123.76 |
$123.76 |
$123.76 |
$353.60
|
|
Anoscopy remove fb 46608
|
$1,222.52 |
$1,222.52 |
$1,222.52 |
$1,435.00
|
|
Antibody elution rbc reference
|
$29.12 |
$29.12 |
$29.12 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$131.56 |
$131.56 |
$131.56 |
$130.00
|
|
Antibody htlv-i
|
$18.20 |
$18.20 |
$18.20 |
$49.53
|
|
Antibody id rbc panel
|
$274.56 |
$274.56 |
$274.56 |
$274.56
|
|
Antibody screen rbc
|
$108.16 |
$108.16 |
$108.16 |
$100.00
|
|
Antibody tetanus
|
$23.92 |
$23.92 |
$23.92 |
$53.95
|
|
Anti mog serum - sendout
|
$20.80 |
$20.80 |
$20.80 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.80 |
$20.80 |
$20.80 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$20.80 |
$20.80 |
$20.80 |
$40.00
|
|
Antinuclear antibodies
|
$60.32 |
$60.32 |
$60.32 |
$89.40
|
|
Antinuclear antibodies titer
|
$173.68 |
$173.68 |
$173.68 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$134.16 |
$134.16 |
$134.16 |
$65.97
|
|
Antistreptolysin o screen
|
$24.96 |
$24.96 |
$24.96 |
$62.00
|
|
Antistreptolysin o titer
|
$22.88 |
$22.88 |
$22.88 |
$51.45
|
|
Antithrombin iii activity
|
$18.72 |
$18.72 |
$18.72 |
$114.00
|
|
Apheresis plasma
|
$1,540.76 |
$1,540.76 |
$1,540.76 |
$3,188.50
|
|
Apomorphine hydrochloride
|
$626.31 |
$626.31 |
$626.31 |
$174.99
|
|
Application finger splntstatic 29130
|
$116.48 |
$116.48 |
$116.48 |
$208.16
|
|
Application long leg splint 29505
|
$93.60 |
$93.60 |
$93.60 |
$338.25
|
|
Application lower leg splint 29515
|
$93.60 |
$93.60 |
$93.60 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$123.76 |
$123.76 |
$123.76 |
$373.20
|
|
Application of cylinder cast 29365
|
$184.08 |
$184.08 |
$184.08 |
$420.00
|
|
Application of paste boot 29580
|
$176.80 |
$176.80 |
$176.80 |
$331.74
|
|
Appl modality 1/> areas paraffin bath 97018
|
$16.64 |
$16.64 |
$16.64 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$27.04 |
$27.04 |
$27.04 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$73.32 |
$73.32 |
$73.32 |
$292.60
|
|
Apply forearm splintdynamic 29126
|
$136.24 |
$136.24 |
$136.24 |
$246.18
|
|
Apply of finger splint 29131
|
$116.48 |
$116.48 |
$116.48 |
$168.00
|
|
Apply short leg castambul type 29425
|
$170.56 |
$170.56 |
$170.56 |
$381.00
|
|
Aqaprn-4 antb flo cytmtry ea
|
$35.88 |
$35.88 |
$35.88 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$20.80 |
$20.80 |
$20.80 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$19.76 |
$19.76 |
$19.76 |
$148.80
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$57.20 |
$57.20 |
$57.20 |
$100.00
|
|
Aquatic exercise - group charge
|
$39.52 |
$39.52 |
$39.52 |
$85.80
|
|
Argatroban nonesrd (accord)
|
$285.71 |
$285.71 |
$285.71 |
$218.25
|
|
Argatroban nonesrd (auromed)
|
$115.44 |
$115.44 |
$115.44 |
$42.90
|
|
Argatroban nonesrd use 1mg
|
$297.35 |
$297.35 |
$297.35 |
$866.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$822.60 |
$822.60 |
$822.60 |
$1,313.89
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$627.64 |
$627.64 |
$627.64 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$250.64 |
$250.64 |
$250.64 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$627.64 |
$627.64 |
$627.64 |
$715.37
|
|
Aspirate pleura without imaging 32554
|
$575.12 |
$575.12 |
$575.12 |
$1,196.52
|
|
Assay dir meas fr estradiol
|
$50.96 |
$50.96 |
$50.96 |
$67.44
|
|
Assay of interleukin-6 (il-6)
|
$30.16 |
$30.16 |
$30.16 |
$79.97
|
|
Assay of leflunomide
|
$40.04 |
$40.04 |
$40.04 |
$100.65
|
|
Assay of procainamide w/metab
|
$40.56 |
$40.56 |
$40.56 |
$70.50
|
|
Assay of salicylate
|
$40.04 |
$40.04 |
$40.04 |
$95.00
|
|
Assay of tyrosine
|
$17.16 |
$17.16 |
$17.16 |
$60.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$128.96 |
$128.96 |
$128.96 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$6.24 |
$6.24 |
$6.24 |
$49.80
|
|
Ast/sgot
|
$34.84 |
$34.84 |
$34.84 |
$45.65
|