|
17-hydroxypregnenolone
|
$82.82 |
$82.82 |
$82.82 |
$85.15
|
|
2019-ncov diagnostic p
|
$53.71 |
$53.71 |
$53.71 |
$49.57
|
|
5' nucleotidase - sendout
|
$20.50 |
$20.50 |
$20.50 |
$50.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,024.59 |
$1,024.59 |
$1,024.59 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$863.46 |
$863.46 |
$863.46 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$755.63 |
$755.63 |
$755.63 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,942.17 |
$1,942.17 |
$1,942.17 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$1,114.79 |
$1,114.79 |
$1,114.79 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$993.84 |
$993.84 |
$993.84 |
$2,010.62
|
|
Abdominal paracentesis w/image guidance
|
$346.04 |
$346.04 |
$346.04 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$337.02 |
$337.02 |
$337.02 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$366.13 |
$366.13 |
$366.13 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$769.98 |
$769.98 |
$769.98 |
$1,170.40
|
|
Ablation cryo abd perit om
|
$1,428.85 |
$1,428.85 |
$1,428.85 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$323.08 |
$323.08 |
$323.08 |
$900.00
|
|
Acetaminophen level
|
$31.57 |
$31.57 |
$31.57 |
$117.01
|
|
Acetone qualitative
|
$46.33 |
$46.33 |
$46.33 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$15.17 |
$15.17 |
$15.17 |
$61.80
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$18.04 |
$18.04 |
$18.04 |
$42.28
|
|
Acute hepatitis panel
|
$133.66 |
$133.66 |
$133.66 |
$283.47
|
|
#acylcarnitineprfl
|
$143.50 |
$143.50 |
$143.50 |
$110.25
|
|
Adh-sendout
|
$55.35 |
$55.35 |
$55.35 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$96.76 |
$96.76 |
$96.76 |
$235.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$757.68 |
$757.68 |
$757.68 |
$676.55
|
|
Administration immunization 1 vaccine
|
$41.00 |
$41.00 |
$41.00 |
$67.70
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$26.24 |
$26.24 |
$26.24 |
$41.15
|
|
Administration vaccine hepatitis b
|
$31.98 |
$31.98 |
$31.98 |
$54.60
|
|
Administration vaccine influenza virus
|
$9.43 |
$9.43 |
$9.43 |
$48.35
|
|
Administration vaccine pneumococcal
|
$9.43 |
$9.43 |
$9.43 |
$49.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$22.55 |
$22.55 |
$22.55 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$7,851.58 |
$7,851.58 |
$7,851.58 |
$11,350.31
|
|
After cataract laser surgery
|
$635.50 |
$635.50 |
$635.50 |
$1,411.20
|
|
Albumin body fluid quantitative each specimen
|
$24.60 |
$24.60 |
$24.60 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$90.77 |
$90.77 |
$90.77 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$91.02 |
$91.02 |
$91.02 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$80.77 |
$80.77 |
$80.77 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$28.29 |
$28.29 |
$28.29 |
$40.00
|
|
Alkaline phosphatase
|
$29.93 |
$29.93 |
$29.93 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$23.78 |
$23.78 |
$23.78 |
$48.57
|
|
Allergen egg white ige
|
$14.76 |
$14.76 |
$14.76 |
$36.60
|
|
Alpha-fetoprotein tumor marker
|
$50.43 |
$50.43 |
$50.43 |
$103.80
|
|
Alprostadil for injection
|
$436.94 |
$436.94 |
$436.94 |
$519.93
|
|
Alt/sgpt
|
$23.37 |
$23.37 |
$23.37 |
$45.50
|
|
Aluminum - quest
|
$60.27 |
$60.27 |
$60.27 |
$81.49
|
|
Aminolevulinic acid delta
|
$85.28 |
$85.28 |
$85.28 |
$74.10
|
|
Amitriptyline (elavil) -sendout
|
$137.35 |
$137.35 |
$137.35 |
$92.50
|
|
Ammonia
|
$63.96 |
$63.96 |
$63.96 |
$116.64
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,631.80 |
$1,631.80 |
$1,631.80 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$15.58 |
$15.58 |
$15.58 |
$93.61
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$577.48 |
$577.48 |
$577.48 |
$475.75
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$188.60 |
$188.60 |
$188.60 |
$262.99
|
|
Amylase
|
$48.38 |
$48.38 |
$48.38 |
$84.36
|
|
Anabolic steroid 1 or 2
|
$145.14 |
$145.14 |
$145.14 |
$80.08
|
|
Ana ds-dna
|
$36.90 |
$36.90 |
$36.90 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$86.10 |
$86.10 |
$86.10 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$82.00 |
$82.00 |
$82.00 |
$212.65
|
|
Analysis gene f5 leiden variant
|
$82.00 |
$82.00 |
$82.00 |
$219.13
|
|
Anaplsma phgcytophlm amp prb
|
$46.33 |
$46.33 |
$46.33 |
$88.00
|
|
Ankle X-ray
|
$107.83 |
$107.83 |
$107.83 |
$352.20
|
|
Anora (draw only)
|
$15.58 |
$15.58 |
$15.58 |
$35.00
|
|
Anoscopy remove fb 46608
|
$1,027.87 |
$1,027.87 |
$1,027.87 |
$1,457.76
|
|
Antibody elution rbc reference
|
$72.98 |
$72.98 |
$72.98 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$103.73 |
$103.73 |
$103.73 |
$121.80
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$384.17 |
$384.17 |
$384.17 |
$219.30
|
|
Antibody id rbc panel
|
$225.09 |
$225.09 |
$225.09 |
$281.30
|
|
Antibody screen rbc
|
$62.32 |
$62.32 |
$62.32 |
$102.75
|
|
Antibody tetanus
|
$18.86 |
$18.86 |
$18.86 |
$52.20
|
|
Antidepressant tricyclic 3-5
|
$67.24 |
$67.24 |
$67.24 |
$23.20
|
|
Anti mog serum - sendout
|
$16.40 |
$16.40 |
$16.40 |
$113.91
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$16.40 |
$16.40 |
$16.40 |
$43.32
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$16.40 |
$16.40 |
$16.40 |
$36.60
|
|
Antinuclear antibodies
|
$69.70 |
$69.70 |
$69.70 |
$90.00
|
|
Antinuclear antibodies titer
|
$49.20 |
$49.20 |
$49.20 |
$78.26
|
|
Antiphosphatidylserine antibody
|
$56.99 |
$56.99 |
$56.99 |
$67.43
|
|
Antipsychotics nos 1-3
|
$85.28 |
$85.28 |
$85.28 |
$153.75
|
|
Antistreptolysin o titer
|
$72.98 |
$72.98 |
$72.98 |
$54.16
|
|
Antithrombin iii activity
|
$11.89 |
$11.89 |
$11.89 |
$113.85
|
|
Apheresis plasma
|
$1,214.83 |
$1,214.83 |
$1,214.83 |
$3,291.00
|
|
Apomorphine hydrochloride
|
$493.82 |
$493.82 |
$493.82 |
$174.99
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,175.88 |
$1,175.88 |
$1,175.88 |
$2,164.64
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$758.09 |
$758.09 |
$758.09 |
$3,667.20
|
|
Application finger splntstatic 29130
|
$13.12 |
$13.12 |
$13.12 |
$219.00
|
|
Application long leg splint 29505
|
$86.10 |
$86.10 |
$86.10 |
$356.85
|
|
Application lower leg splint 29515
|
$64.78 |
$64.78 |
$64.78 |
$362.70
|
|
Application multi layer compression below knee (both sides)
|
$35.26 |
$35.26 |
$35.26 |
$377.65
|
|
Application of cylinder cast 29365
|
$139.40 |
$139.40 |
$139.40 |
$468.00
|
|
Application of forearm cast 29075
|
$129.15 |
$129.15 |
$129.15 |
$370.80
|
|
Application of long arm cast 29065
|
$164.00 |
$164.00 |
$164.00 |
$404.63
|
|
Application of long leg cast 29345
|
$134.89 |
$134.89 |
$134.89 |
$493.60
|
|
Application of paste boot 29580
|
$583.43 |
$583.43 |
$583.43 |
$331.74
|
|
Application short leg cast 29405
|
$118.90 |
$118.90 |
$118.90 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,175.88 |
$1,175.88 |
$1,175.88 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,175.88 |
$1,175.88 |
$1,175.88 |
$2,189.70
|
|
Appl modality 1/> areas paraffin bath 97018
|
$36.08 |
$36.08 |
$36.08 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$16.40 |
$16.40 |
$16.40 |
$75.98
|
|
Apply forearm splintdynamic 29126
|
$59.45 |
$59.45 |
$59.45 |
$258.65
|
|
Apply of finger splint 29131
|
$70.93 |
$70.93 |
$70.93 |
$171.00
|
|
Apply rigid leg cast 29445
|
$223.86 |
$223.86 |
$223.86 |
$585.31
|
|
Apply short leg castambul type 29425
|
$283.72 |
$283.72 |
$283.72 |
$452.20
|
|
Aqaprn-4 antb flo cytmtry ea
|
$28.29 |
$28.29 |
$28.29 |
$220.00
|