|
11-desoxycortisol - sendout
|
$28.25 |
$28.25 |
$28.25 |
$84.56
|
|
17-hydroxypregnenolone
|
$62.75 |
$62.75 |
$62.75 |
$85.15
|
|
17-ketosteroids
|
$122.00 |
$122.00 |
$122.00 |
$49.45
|
|
2019-ncov diagnostic p
|
$32.75 |
$32.75 |
$32.75 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$709.75 |
$709.75 |
$709.75 |
$1,633.60
|
|
2d tte w or without fol w/con,co
|
$574.50 |
$574.50 |
$574.50 |
$1,131.69
|
|
2nd order venous cath
|
$236.50 |
$236.50 |
$236.50 |
$1,809.60
|
|
3-d radiotherapy plan
|
$1,752.50 |
$1,752.50 |
$1,752.50 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$304.75 |
$304.75 |
$304.75 |
$467.95
|
|
5' nucleotidase - sendout
|
$7.50 |
$7.50 |
$7.50 |
$50.05
|
|
Abd aorta w/runoff s&i
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$307.75 |
$307.75 |
$307.75 |
$2,412.00
|
|
Abd/low ext cath 2nd
|
$336.75 |
$336.75 |
$336.75 |
$2,271.00
|
|
Abd/low ext cath 3rd
|
$400.50 |
$400.50 |
$400.50 |
$2,662.40
|
|
Abd/low ext cath addl
|
$400.50 |
$400.50 |
$400.50 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,217.75 |
$1,217.75 |
$1,217.75 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$1,117.25 |
$1,117.25 |
$1,117.25 |
$1,655.50
|
|
Abdominal CT scan (without contrast)
|
$846.50 |
$846.50 |
$846.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,465.50 |
$1,465.50 |
$1,465.50 |
$3,004.50
|
|
Abdominal MRI (with contrast)
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,981.20
|
|
Abdominal paracentesis w/image guidance
|
$857.00 |
$857.00 |
$857.00 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$356.25 |
$356.25 |
$356.25 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$271.75 |
$271.75 |
$271.75 |
$604.80
|
|
Abd paracentesis/w/o image guide 49082
|
$662.50 |
$662.50 |
$662.50 |
$1,179.75
|
|
Ablate arrhythmia add on
|
$3,706.25 |
$3,706.25 |
$3,706.25 |
$6,913.20
|
|
Ablate bone tumor(s) perq
|
$2,756.75 |
$2,756.75 |
$2,756.75 |
$9,773.01
|
|
Ablate pulm tumor perq crybl
|
$2,206.50 |
$2,206.50 |
$2,206.50 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$2,830.00 |
$2,830.00 |
$2,830.00 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$306.00 |
$306.00 |
$306.00 |
$1,996.95
|
|
Ablation cryo abd perit om
|
$1,366.75 |
$1,366.75 |
$1,366.75 |
$2,566.58
|
|
Ablation cryo pq liver tumor(s)
|
$2,628.25 |
$2,628.25 |
$2,628.25 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$211.50 |
$211.50 |
$211.50 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$917.25 |
$917.25 |
$917.25 |
$3,053.18
|
|
Abscess imaging whole body
|
$499.00 |
$499.00 |
$499.00 |
$1,457.72
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,133.50 |
$1,133.50 |
$1,133.50 |
$2,670.25
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$18.75 |
$18.75 |
$18.75 |
$80.14
|
|
Acetaminophen level
|
$19.25 |
$19.25 |
$19.25 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$69.36 |
$69.36 |
$69.36 |
$122.55
|
|
Acetone qualitative
|
$41.25 |
$41.25 |
$41.25 |
$46.20
|
|
Acetylcholine receptor modulating antibody
|
$9.25 |
$9.25 |
$9.25 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$190.80 |
$190.80 |
$190.80 |
$281.55
|
|
Actigraphy testing
|
$86.75 |
$86.75 |
$86.75 |
$218.05
|
|
Acute hepatitis panel
|
$156.00 |
$156.00 |
$156.00 |
$278.33
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$36.45 |
$36.45 |
$36.45 |
$64.45
|
|
#acylcarnitineprfl
|
$160.00 |
$160.00 |
$160.00 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$339.97 |
$339.97 |
$339.97 |
$272.57
|
|
Adenovirus antibody,serum - quest
|
$89.25 |
$89.25 |
$89.25 |
$63.00
|
|
Adh-sendout
|
$322.50 |
$322.50 |
$322.50 |
$109.71
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$16.36 |
$16.36 |
$16.36 |
$183.76
|
|
Admin ecg contrast agent
|
$48.25 |
$48.25 |
$48.25 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$96.75 |
$96.75 |
$96.75 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$96.75 |
$96.75 |
$96.75 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$379.50 |
$379.50 |
$379.50 |
$690.21
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$284.50 |
$284.50 |
$284.50 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$96.75 |
$96.75 |
$96.75 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$79.25 |
$79.25 |
$79.25 |
$264.82
|
|
Administration immunization 1 vaccine
|
$34.50 |
$34.50 |
$34.50 |
$67.20
|
|
Administration immunization each additional vaccine
|
$34.50 |
$34.50 |
$34.50 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$16.00 |
$16.00 |
$16.00 |
$41.15
|
|
Administration vaccine hepatitis b
|
$28.50 |
$28.50 |
$28.50 |
$54.60
|
|
Administration vaccine influenza virus
|
$28.50 |
$28.50 |
$28.50 |
$48.00
|
|
Administration vaccine pneumococcal
|
$39.75 |
$39.75 |
$39.75 |
$49.17
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$13.75 |
$13.75 |
$13.75 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$4,787.55 |
$4,787.55 |
$4,787.55 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$1,092.50 |
$1,092.50 |
$1,092.50 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$702.41 |
$702.41 |
$702.41 |
$92.03
|
|
Air injection into abdomen 49400
|
$101.25 |
$101.25 |
$101.25 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$92.75 |
$92.75 |
$92.75 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$5.75 |
$5.75 |
$5.75 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$55.35 |
$55.35 |
$55.35 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$55.50 |
$55.50 |
$55.50 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$30.75 |
$30.75 |
$30.75 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$47.75 |
$47.75 |
$47.75 |
$39.78
|
|
Alkaline phosphatase
|
$50.50 |
$50.50 |
$50.50 |
$46.00
|
|
Allergen alpha lactalbumin ige
|
$14.50 |
$14.50 |
$14.50 |
$48.57
|
|
Allergen egg white ige
|
$6.25 |
$6.25 |
$6.25 |
$36.60
|
|
Allergen specific ige qual multi scrn ea
|
$7.25 |
$7.25 |
$7.25 |
$24.01
|
|
Alpha-fetoprotein tumor marker
|
$95.75 |
$95.75 |
$95.75 |
$102.00
|
|
Alprostadil for injection
|
$266.43 |
$266.43 |
$266.43 |
$519.93
|
|
Als 1
|
$592.00 |
$592.00 |
$592.00 |
$853.44
|
|
Als1-emergency
|
$682.00 |
$682.00 |
$682.00 |
$898.88
|
|
Als 2
|
$772.75 |
$772.75 |
$772.75 |
$1,288.56
|
|
Alt/sgpt
|
$51.00 |
$51.00 |
$51.00 |
$44.68
|
|
Aluminum - quest
|
$240.75 |
$240.75 |
$240.75 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$80.25 |
$80.25 |
$80.25 |
$178.10
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$40.40 |
$40.40 |
$40.40 |
$38.68
|
|
Amino acids quant 2-5
|
$16.00 |
$16.00 |
$16.00 |
$138.03
|
|
Aminolevulinic acid delta
|
$188.00 |
$188.00 |
$188.00 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$21.58 |
$21.58 |
$21.58 |
$45.56
|
|
Amiodarone 50 mg/ml intravenous solution
|
$67.03 |
$67.03 |
$67.03 |
$61.68
|
|
Amitriptyline (elavil) -sendout
|
$80.25 |
$80.25 |
$80.25 |
$92.50
|
|
Ammonia
|
$108.25 |
$108.25 |
$108.25 |
$114.40
|
|
Amniocentesisdiagnostic 59000
|
$347.25 |
$347.25 |
$347.25 |
$943.50
|
|
Amphetamine confirm urine -sendout
|
$80.25 |
$80.25 |
$80.25 |
$93.61
|
|
Amphetamines 5 or more
|
$80.25 |
$80.25 |
$80.25 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$65.83 |
$65.83 |
$65.83 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$352.12 |
$352.12 |
$352.12 |
$451.51
|
|
Ampicillin 1 gram solution for injection
|
$119.64 |
$119.64 |
$119.64 |
$63.82
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$97.14 |
$97.14 |
$97.14 |
$58.36
|
