|
11-desoxycortisol - sendout
|
$121.55 |
$121.55 |
$121.55 |
$92.04
|
|
3d recon without postprocess indpndt
|
$545.35 |
$545.35 |
$545.35 |
$455.83
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,649.67 |
$3,649.67 |
$3,649.67 |
$3,649.67
|
|
Abdominal CT scan (with and without contrast)
|
$2,009.80 |
$2,009.80 |
$2,009.80 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,781.65 |
$1,781.65 |
$1,781.65 |
$1,678.00
|
|
Abdominal CT scan (without contrast)
|
$1,552.85 |
$1,552.85 |
$1,552.85 |
$1,290.90
|
|
Abdominal MRI (with and without contrast)
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$2,713.80
|
|
Abdominal MRI (with contrast)
|
$2,174.90 |
$2,174.90 |
$2,174.90 |
$2,077.14
|
|
Abdominal MRI (without contrast)
|
$1,177.15 |
$1,177.15 |
$1,177.15 |
$1,883.70
|
|
Abdominal paracentesis w/image guidance
|
$498.55 |
$498.55 |
$498.55 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$677.95 |
$677.95 |
$677.95 |
$733.85
|
|
Abdominal Ultrasound (limited)
|
$450.45 |
$450.45 |
$450.45 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$399.75 |
$399.75 |
$399.75 |
$1,145.00
|
|
Ablation cryo abd perit om
|
$837.20 |
$837.20 |
$837.20 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$6,583.23 |
$6,583.23 |
$6,583.23 |
$1,408.20
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$45.63 |
$45.63 |
$45.63 |
$47.25
|
|
Acetaminophen level
|
$133.25 |
$133.25 |
$133.25 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$169.00 |
$169.00 |
$169.00 |
$97.26
|
|
Acetone qualitative
|
$57.20 |
$57.20 |
$57.20 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$171.60 |
$171.60 |
$171.60 |
$93.60
|
|
Acetylcholinesterase assay
|
$140.40 |
$140.40 |
$140.40 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$464.80 |
$464.80 |
$464.80 |
$406.77
|
|
Acne surgery 10040
|
$152.10 |
$152.10 |
$152.10 |
$234.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$25.35 |
$25.35 |
$25.35 |
$44.80
|
|
Actinotherapy uv light
|
$104.65 |
$104.65 |
$104.65 |
$111.15
|
|
Acup 1/> w/estim 1st 15 min
|
$40.30 |
$40.30 |
$40.30 |
$45.75
|
|
Acute hepatitis panel
|
$274.95 |
$274.95 |
$274.95 |
$310.20
|
|
#acylcarnitineprfl
|
$149.50 |
$149.50 |
$149.50 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$202.80 |
$202.80 |
$202.80 |
$97.58
|
|
Adh-sendout
|
$153.40 |
$153.40 |
$153.40 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$156.86 |
$156.86 |
$156.86 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$408.85 |
$408.85 |
$408.85 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$314.60 |
$314.60 |
$314.60 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$429.65 |
$429.65 |
$429.65 |
$735.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$306.80 |
$306.80 |
$306.80 |
$464.40
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$185.90 |
$185.90 |
$185.90 |
$224.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$185.90 |
$185.90 |
$185.90 |
$267.43
|
|
Administration immunization 1 vaccine
|
$44.20 |
$44.20 |
$44.20 |
$66.51
|
|
Administration immunization each additional component
|
$0.65 |
$0.65 |
$0.65 |
$27.20
|
|
Administration immunization each additional vaccine
|
$44.85 |
$44.85 |
$44.85 |
$46.23
|
|
Administration immunization first component each vaccine
|
$30.55 |
$30.55 |
$30.55 |
$46.00
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$34.45 |
$34.45 |
$34.45 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$29.90 |
$29.90 |
$29.90 |
$33.60
|
|
Administration vaccine hepatitis b
|
$35.10 |
$35.10 |
$35.10 |
$38.25
|
|
Administration vaccine influenza virus
|
$37.05 |
$37.05 |
$37.05 |
$37.05
|
|
Administration vaccine pneumococcal
|
$33.80 |
$33.80 |
$33.80 |
$38.25
|
|
Aep hearing status deter i&r
|
$234.65 |
$234.65 |
$234.65 |
$308.40
|
|
Aep neurodiagnostic i&r
|
$234.65 |
$234.65 |
$234.65 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$564.20 |
$564.20 |
$564.20 |
$573.65
|
|
Albumin body fluid quantitative each specimen
|
$73.45 |
$73.45 |
$73.45 |
$42.90
|
|
Albumin (human), 25%, 50ml
|
$197.73 |
$197.73 |
$197.73 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$106.60 |
$106.60 |
$106.60 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$29.90 |
$29.90 |
$29.90 |
$41.90
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$99.45 |
$99.45 |
$99.45 |
$78.00
|
|
Alkaline phosphatase
|
$35.75 |
$35.75 |
$35.75 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$43.55 |
$43.55 |
$43.55 |
$56.35
|
|
Allergen egg white ige
|
$61.10 |
$61.10 |
$61.10 |
$41.38
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$9.36
|
|
Alpha-fetoprotein amniotic
|
$70.85 |
$70.85 |
$70.85 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$142.35 |
$142.35 |
$142.35 |
$124.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$20,020.82 |
$20,020.82 |
$20,020.82 |
$285.00
|
|
Alt/sgpt
|
$31.85 |
$31.85 |
$31.85 |
$44.68
|
|
Aluminum - quest
|
$114.40 |
$114.40 |
$114.40 |
$121.25
|
|
Alys cplx sp/pn npgt w/prgrm
|
$778.05 |
$778.05 |
$778.05 |
$431.84
|
|
Amantadine (symmetrel)-sendout
|
$173.55 |
$173.55 |
$173.55 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$60.42 |
$60.42 |
$60.42 |
$44.55
|
|
Amino acids quant 2-5
|
$166.40 |
$166.40 |
$166.40 |
$148.20
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$45.80 |
$45.80 |
$45.80 |
$32.77
|
|
Aminolevulinic acid delta
|
$79.95 |
$79.95 |
$79.95 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$92.91 |
$92.91 |
$92.91 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$195.19 |
$195.19 |
$195.19 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$8.46 |
$8.46 |
$8.46 |
$42.92
|
|
Amitriptyline (elavil) -sendout
|
$94.25 |
$94.25 |
$94.25 |
$96.35
|
|
Ammonia
|
$82.55 |
$82.55 |
$82.55 |
$96.53
|
|
Amphetamine confirm urine -sendout
|
$98.15 |
$98.15 |
$98.15 |
$93.61
|
|
Amphetamines 5 or more
|
$81.25 |
$81.25 |
$81.25 |
$85.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$202.80 |
$202.80 |
$202.80 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,385.21 |
$1,385.21 |
$1,385.21 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$30.02 |
$30.02 |
$30.02 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$29.57 |
$29.57 |
$29.57 |
$45.34
|
|
Amputation leg thr tib/fib 27880
|
$1,582.10 |
$1,582.10 |
$1,582.10 |
$3,996.20
|
|
Amputation leg; tib/fib f/u 27886
|
$1,321.45 |
$1,321.45 |
$1,321.45 |
$3,206.40
|
|
Amylase
|
$105.95 |
$105.95 |
$105.95 |
$83.20
|
|
Ana ds-dna
|
$125.45 |
$125.45 |
$125.45 |
$69.03
|
|
Anal/urinary muscle study
|
$322.40 |
$322.40 |
$322.40 |
$411.48
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$238.55 |
$238.55 |
$238.55 |
$373.23
|
|
Analysis gene f2 20210g>a variant
|
$315.90 |
$315.90 |
$315.90 |
$249.03
|
|
Analysis gene f5 leiden variant
|
$339.95 |
$339.95 |
$339.95 |
$263.90
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$305.50 |
$305.50 |
$305.50 |
$166.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$629.20 |
$629.20 |
$629.20 |
$475.00
|
|
Anaplsma phgcytophlm amp prb
|
$130.00 |
$130.00 |
$130.00 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$154.05 |
$154.05 |
$154.05 |
$112.45
|
|
An fluoro guide for cvp
|
$498.55 |
$498.55 |
$498.55 |
$510.17
|
|
Ankle arthroscopy/surgery
|
$16,609.33 |
$16,609.33 |
$16,609.33 |
$6,193.84
|
|
Ankle X-ray
|
$378.30 |
$378.30 |
$378.30 |
$327.20
|
|
Anl sp inf pmp w/mdreprg&fil
|
$379.60 |
$379.60 |
$379.60 |
$693.75
|
|
Anora (draw only)
|
$18.20 |
$18.20 |
$18.20 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$47.45 |
$47.45 |
$47.45 |
$61.45
|
|
Antibody elution rbc reference
|
$155.35 |
$155.35 |
$155.35 |
$168.00
|
|
Antibody htlv/hiv confirm test
|
$170.95 |
$170.95 |
$170.95 |
$154.85
|
