|
11-desoxycortisol - sendout
|
$22.60 |
$22.60 |
$22.60 |
$84.56
|
|
17-hydroxypregnenolone
|
$40.40 |
$40.40 |
$40.40 |
$85.15
|
|
17-ketosteroids
|
$86.60 |
$86.60 |
$86.60 |
$49.45
|
|
2019-ncov diagnostic p
|
$26.20 |
$26.20 |
$26.20 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$567.80 |
$567.80 |
$567.80 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$481.60 |
$481.60 |
$481.60 |
$1,131.69
|
|
2nd order venous cath
|
$318.40 |
$318.40 |
$318.40 |
$1,809.60
|
|
3-d radiotherapy plan
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$4,953.00
|
|
3d recon without postprocess indpndt
|
$433.60 |
$433.60 |
$433.60 |
$469.20
|
|
5' nucleotidase - sendout
|
$8.80 |
$8.80 |
$8.80 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$12.60 |
$12.60 |
$12.60 |
$96.39
|
|
Abd aorta w/runoff s&i
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$491.80 |
$491.80 |
$491.80 |
$2,383.31
|
|
Abd/low ext cath 2nd
|
$584.60 |
$584.60 |
$584.60 |
$2,261.83
|
|
Abd/low ext cath 3rd
|
$497.60 |
$497.60 |
$497.60 |
$2,662.40
|
|
Abd/low ext cath addl
|
$521.40 |
$521.40 |
$521.40 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$856.60 |
$856.60 |
$856.60 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$718.00 |
$718.00 |
$718.00 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$613.20 |
$613.20 |
$613.20 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,207.60 |
$1,207.60 |
$1,207.60 |
$3,039.92
|
|
Abdominal MRI (with contrast)
|
$858.40 |
$858.40 |
$858.40 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$1,993.50
|
|
Abdominal paracentesis w/image guidance
|
$653.20 |
$653.20 |
$653.20 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$304.60 |
$304.60 |
$304.60 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$382.00 |
$382.00 |
$382.00 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$530.00 |
$530.00 |
$530.00 |
$1,176.00
|
|
Abl1 gene
|
$218.40 |
$218.40 |
$218.40 |
$668.85
|
|
Ablate arrhythmia add on
|
$2,823.80 |
$2,823.80 |
$2,823.80 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$1,790.80 |
$1,790.80 |
$1,790.80 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$2,965.00 |
$2,965.00 |
$2,965.00 |
$9,556.83
|
|
Ablate pulm tumor perq crybl
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$9,970.50
|
|
Ablation cardiac vagal inputs atrium
|
$2,662.60 |
$2,662.60 |
$2,662.60 |
$2,126.95
|
|
Ablation cryo abd perit om
|
$724.80 |
$724.80 |
$724.80 |
$2,566.58
|
|
Ablation cryo pq liver tumor(s)
|
$2,218.20 |
$2,218.20 |
$2,218.20 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$177.00 |
$177.00 |
$177.00 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$178.80 |
$178.80 |
$178.80 |
$961.20
|
|
Abscess drain retroperitoneal surg code
|
$733.80 |
$733.80 |
$733.80 |
$3,053.18
|
|
Abscess imaging whole body
|
$390.20 |
$390.20 |
$390.20 |
$1,457.72
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$15.00 |
$15.00 |
$15.00 |
$81.07
|
|
Acetaminophen level
|
$15.40 |
$15.40 |
$15.40 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$55.48 |
$55.48 |
$55.48 |
$122.55
|
|
Acetone qualitative
|
$31.80 |
$31.80 |
$31.80 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$7.40 |
$7.40 |
$7.40 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$152.64 |
$152.64 |
$152.64 |
$278.36
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$9.20 |
$9.20 |
$9.20 |
$42.28
|
|
Acute hepatitis panel
|
$422.40 |
$422.40 |
$422.40 |
$281.09
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$29.16 |
$29.16 |
$29.16 |
$64.45
|
|
Adenosine 3 mg/250 ml bag for osm
|
$271.98 |
$271.98 |
$271.98 |
$272.57
|
|
Adenovirus antibody,serum - quest
|
$60.40 |
$60.40 |
$60.40 |
$63.00
|
|
Adh-sendout
|
$104.20 |
$104.20 |
$104.20 |
$109.41
|
|
Adj gastric band via subq port
|
$482.00 |
$482.00 |
$482.00 |
$1,684.80
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$13.08 |
$13.08 |
$13.08 |
$183.76
|
|
Admin ecg contrast agent
|
$38.60 |
$38.60 |
$38.60 |
$187.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$73.80 |
$73.80 |
$73.80 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$97.00 |
$97.00 |
$97.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$303.60 |
$303.60 |
$303.60 |
$688.88
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$189.60 |
$189.60 |
$189.60 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$97.00 |
$97.00 |
$97.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$97.00 |
$97.00 |
$97.00 |
$265.50
|
|
Administration immunization 1 vaccine
|
$27.60 |
$27.60 |
$27.60 |
$67.60
|
|
Administration immunization each additional vaccine
|
$27.60 |
$27.60 |
$27.60 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$12.80 |
$12.80 |
$12.80 |
$41.15
|
|
Administration vaccine hepatitis b
|
$31.80 |
$31.80 |
$31.80 |
$54.60
|
|
Administration vaccine influenza virus
|
$22.80 |
$22.80 |
$22.80 |
$48.35
|
|
Administration vaccine pneumococcal
|
$22.80 |
$22.80 |
$22.80 |
$49.17
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$11.00 |
$11.00 |
$11.00 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,830.04 |
$3,830.04 |
$3,830.04 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$561.93 |
$561.93 |
$561.93 |
$108.60
|
|
Air injection into abdomen 49400
|
$85.00 |
$85.00 |
$85.00 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$101.00 |
$101.00 |
$101.00 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$4.60 |
$4.60 |
$4.60 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$44.28 |
$44.28 |
$44.28 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$44.40 |
$44.40 |
$44.40 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$43.60 |
$43.60 |
$43.60 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$40.80 |
$40.80 |
$40.80 |
$40.00
|
|
Alkaline phosphatase
|
$60.40 |
$60.40 |
$60.40 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$11.60 |
$11.60 |
$11.60 |
$48.57
|
|
Allergen egg white ige
|
$5.20 |
$5.20 |
$5.20 |
$36.60
|
|
Allergen specific ige qual multi scrn ea
|
$6.20 |
$6.20 |
$6.20 |
$24.01
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$107.80 |
$107.80 |
$107.80 |
$922.40
|
|
Alloskin
|
$8.20 |
$8.20 |
$8.20 |
$582.40
|
|
Alpha-fetoprotein amniotic
|
$105.00 |
$105.00 |
$105.00 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$105.00 |
$105.00 |
$105.00 |
$103.60
|
|
Alprostadil for injection
|
$213.14 |
$213.14 |
$213.14 |
$519.93
|
|
Alt/sgpt
|
$58.80 |
$58.80 |
$58.80 |
$44.68
|
|
Aluminum - quest
|
$105.00 |
$105.00 |
$105.00 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$64.20 |
$64.20 |
$64.20 |
$178.10
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$32.32 |
$32.32 |
$32.32 |
$37.64
|
|
Aminolevulinic acid delta
|
$58.00 |
$58.00 |
$58.00 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$17.26 |
$17.26 |
$17.26 |
$45.32
|
|
Amiodarone 50 mg/ml intravenous solution
|
$53.62 |
$53.62 |
$53.62 |
$61.67
|
|
Amitriptyline (elavil) -sendout
|
$64.20 |
$64.20 |
$64.20 |
$92.50
|
|
Ammonia
|
$81.00 |
$81.00 |
$81.00 |
$116.40
|
|
Amniocentesisdiagnostic 59000
|
$292.20 |
$292.20 |
$292.20 |
$943.50
|
|
Amniocentesis therapeutic
|
$97.20 |
$97.20 |
$97.20 |
$778.57
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$861.00 |
$861.00 |
$861.00 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$64.20 |
$64.20 |
$64.20 |
$93.61
|
|
Amphetamines 5 or more
|
$64.20 |
$64.20 |
$64.20 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$52.66 |
$52.66 |
$52.66 |
$117.75
|
