|
11-desoxycortisol - sendout
|
$99.82 |
$99.82 |
$99.82 |
$84.56
|
|
17-hydroxypregnenolone
|
$72.91 |
$72.91 |
$72.91 |
$85.15
|
|
17-ketosteroids
|
$47.84 |
$47.84 |
$47.84 |
$49.45
|
|
2019-ncov diagnostic p
|
$30.13 |
$30.13 |
$30.13 |
$49.57
|
|
24 hr ambulatory b/p monitor
|
$140.76 |
$140.76 |
$140.76 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$652.97 |
$652.97 |
$652.97 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$562.12 |
$562.12 |
$562.12 |
$1,131.69
|
|
2nd order venous cath
|
$384.56 |
$384.56 |
$384.56 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$498.64 |
$498.64 |
$498.64 |
$460.00
|
|
3-d radiotherapy plan
|
$1,533.18 |
$1,533.18 |
$1,533.18 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$498.64 |
$498.64 |
$498.64 |
$469.20
|
|
5' nucleotidase - sendout
|
$10.12 |
$10.12 |
$10.12 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$10.58 |
$10.58 |
$10.58 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,793.54 |
$1,793.54 |
$1,793.54 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$433.09 |
$433.09 |
$433.09 |
$2,383.31
|
|
Abd/low ext cath 2nd
|
$572.24 |
$572.24 |
$572.24 |
$2,261.83
|
|
Abd/low ext cath 3rd
|
$599.61 |
$599.61 |
$599.61 |
$2,662.40
|
|
Abd/low ext cath addl
|
$599.61 |
$599.61 |
$599.61 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,120.33 |
$1,120.33 |
$1,120.33 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$924.83 |
$924.83 |
$924.83 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$778.78 |
$778.78 |
$778.78 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,325.49 |
$1,325.49 |
$1,325.49 |
$3,039.92
|
|
Abdominal MRI (with contrast)
|
$1,075.25 |
$1,075.25 |
$1,075.25 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$788.44 |
$788.44 |
$788.44 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$267.03 |
$267.03 |
$267.03 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$191.13 |
$191.13 |
$191.13 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$609.50 |
$609.50 |
$609.50 |
$1,176.00
|
|
Abl1 gene
|
$201.25 |
$201.25 |
$201.25 |
$668.85
|
|
Ablate arrhythmia add on
|
$3,409.75 |
$3,409.75 |
$3,409.75 |
$6,913.20
|
|
Ablate heart dysrhythm focus
|
$3,097.18 |
$3,097.18 |
$3,097.18 |
$9,556.83
|
|
Ablate pulm tumor perq crybl
|
$2,166.37 |
$2,166.37 |
$2,166.37 |
$9,970.50
|
|
Ablation cardiac vagal inputs atrium
|
$3,061.99 |
$3,061.99 |
$3,061.99 |
$2,126.95
|
|
Ablation cryo abd perit om
|
$833.52 |
$833.52 |
$833.52 |
$2,566.58
|
|
Ablation cryo pq liver tumor(s)
|
$2,496.19 |
$2,496.19 |
$2,496.19 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$204.70 |
$204.70 |
$204.70 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$843.87 |
$843.87 |
$843.87 |
$3,053.18
|
|
Abscess imaging ltd area
|
$348.68 |
$348.68 |
$348.68 |
$1,098.00
|
|
Abscess imaging whole body
|
$560.51 |
$560.51 |
$560.51 |
$1,457.72
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$17.25 |
$17.25 |
$17.25 |
$81.07
|
|
Acetaminophen level
|
$17.71 |
$17.71 |
$17.71 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$63.81 |
$63.81 |
$63.81 |
$122.55
|
|
Acetone qualitative
|
$21.16 |
$21.16 |
$21.16 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$8.51 |
$8.51 |
$8.51 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$175.54 |
$175.54 |
$175.54 |
$278.36
|
|
Actigraphy testing
|
$86.25 |
$86.25 |
$86.25 |
$218.05
|
|
Acute hepatitis panel
|
$143.52 |
$143.52 |
$143.52 |
$281.09
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$33.53 |
$33.53 |
$33.53 |
$64.45
|
|
#acylcarnitineprfl
|
$147.20 |
$147.20 |
$147.20 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$312.78 |
$312.78 |
$312.78 |
$272.57
|
|
Adh-sendout
|
$137.08 |
$137.08 |
$137.08 |
$109.41
|
|
Adj gastric band via subq port
|
$554.30 |
$554.30 |
$554.30 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$15.05 |
$15.05 |
$15.05 |
$183.76
|
|
Admin ecg contrast agent
|
$44.39 |
$44.39 |
$44.39 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$89.01 |
$89.01 |
$89.01 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$89.01 |
$89.01 |
$89.01 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$349.14 |
$349.14 |
$349.14 |
$688.88
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$218.04 |
$218.04 |
$218.04 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$89.01 |
$89.01 |
$89.01 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$89.01 |
$89.01 |
$89.01 |
$265.50
|
|
Administration immunization 1 vaccine
|
$65.55 |
$65.55 |
$65.55 |
$67.60
|
|
Administration immunization each additional vaccine
|
$31.74 |
$31.74 |
$31.74 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$14.72 |
$14.72 |
$14.72 |
$41.15
|
|
Administration vaccine hepatitis b
|
$26.22 |
$26.22 |
$26.22 |
$54.60
|
|
Administration vaccine influenza virus
|
$36.57 |
$36.57 |
$36.57 |
$48.35
|
|
Administration vaccine pneumococcal
|
$36.57 |
$36.57 |
$36.57 |
$49.17
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$12.65 |
$12.65 |
$12.65 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$4,404.55 |
$4,404.55 |
$4,404.55 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$646.22 |
$646.22 |
$646.22 |
$108.60
|
|
Air injection into abdomen 49400
|
$97.75 |
$97.75 |
$97.75 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$114.31 |
$114.31 |
$114.31 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$5.29 |
$5.29 |
$5.29 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$50.92 |
$50.92 |
$50.92 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$51.06 |
$51.06 |
$51.06 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$69.46 |
$69.46 |
$69.46 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$36.57 |
$36.57 |
$36.57 |
$40.00
|
|
Alkaline phosphatase
|
$31.74 |
$31.74 |
$31.74 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$13.34 |
$13.34 |
$13.34 |
$48.57
|
|
Allergen egg white ige
|
$12.42 |
$12.42 |
$12.42 |
$36.60
|
|
Allergen specific ige qual multi scrn ea
|
$6.67 |
$6.67 |
$6.67 |
$24.01
|
|
Alpha-fetoprotein tumor marker
|
$141.45 |
$141.45 |
$141.45 |
$103.60
|
|
Alprostadil for injection
|
$245.11 |
$245.11 |
$245.11 |
$519.93
|
|
Als 1
|
$544.64 |
$544.64 |
$544.64 |
$853.44
|
|
Als1-emergency
|
$627.44 |
$627.44 |
$627.44 |
$898.88
|
|
Als 2
|
$710.93 |
$710.93 |
$710.93 |
$1,288.56
|
|
Alt/sgpt
|
$36.57 |
$36.57 |
$36.57 |
$44.68
|
|
Aluminum - quest
|
$116.15 |
$116.15 |
$116.15 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$73.83 |
$73.83 |
$73.83 |
$178.10
|
|
Ambl bp mntr w/sw a/r
|
$71.07 |
$71.07 |
$71.07 |
$320.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$37.17 |
$37.17 |
$37.17 |
$37.64
|
|
Aminolevulinic acid delta
|
$50.60 |
$50.60 |
$50.60 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$19.85 |
$19.85 |
$19.85 |
$45.32
|
|
Amiodarone 50 mg/ml intravenous solution
|
$61.67 |
$61.67 |
$61.67 |
$61.67
|
|
Amitriptyline (elavil) -sendout
|
$73.83 |
$73.83 |
$73.83 |
$92.50
|
|
Ammonia
|
$60.49 |
$60.49 |
$60.49 |
$116.40
|
|
Amniocentesisdiagnostic 59000
|
$329.82 |
$329.82 |
$329.82 |
$943.50
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$932.65 |
$932.65 |
$932.65 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$73.83 |
$73.83 |
$73.83 |
$93.61
|
|
Amphetamines 5 or more
|
$73.83 |
$73.83 |
$73.83 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$60.56 |
$60.56 |
$60.56 |
$117.75
|