|
11-desoxycortisol - sendout
|
$133.25 |
$133.25 |
$133.25 |
$92.04
|
|
17-hydroxypregnenolone
|
$107.90 |
$107.90 |
$107.90 |
$98.40
|
|
2d tee w or without fol w/con,in
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$1,870.05
|
|
2d tte w or without fol w/con,co
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,278.75
|
|
5' nucleotidase - sendout
|
$81.25 |
$81.25 |
$81.25 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$100.75 |
$100.75 |
$100.75 |
$98.15
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,910.36 |
$3,910.36 |
$3,910.36 |
$3,649.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$76.05 |
$76.05 |
$76.05 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$2,070.25 |
$2,070.25 |
$2,070.25 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,718.60 |
$1,718.60 |
$1,718.60 |
$1,678.00
|
|
Abdominal CT scan (without contrast)
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$1,290.90
|
|
Abdominal MRI (with and without contrast)
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$2,713.80
|
|
Abdominal MRI (with contrast)
|
$2,651.35 |
$2,651.35 |
$2,651.35 |
$2,077.14
|
|
Abdominal MRI (without contrast)
|
$2,271.10 |
$2,271.10 |
$2,271.10 |
$1,883.70
|
|
Abdominal Ultrasound (complete)
|
$872.95 |
$872.95 |
$872.95 |
$733.85
|
|
Abdominal Ultrasound (limited)
|
$551.20 |
$551.20 |
$551.20 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$460.20 |
$460.20 |
$460.20 |
$1,145.00
|
|
Ablation cryo abd perit om
|
$2,096.25 |
$2,096.25 |
$2,096.25 |
$2,566.58
|
|
Ablation cryo thigh/knee
|
$130.65 |
$130.65 |
$130.65 |
$339.18
|
|
Ablation of upper extremity nerves rf
|
$1,238.90 |
$1,238.90 |
$1,238.90 |
$1,408.20
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$35.10 |
$35.10 |
$35.10 |
$47.25
|
|
Acetaminophen level
|
$146.90 |
$146.90 |
$146.90 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$130.00 |
$130.00 |
$130.00 |
$97.26
|
|
Acetone qualitative
|
$47.45 |
$47.45 |
$47.45 |
$48.75
|
|
Acetylcholine receptor modulating antibody
|
$220.35 |
$220.35 |
$220.35 |
$93.60
|
|
Acetylcholinesterase assay
|
$135.85 |
$135.85 |
$135.85 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$173.06 |
$173.06 |
$173.06 |
$406.77
|
|
Acne surgery 10040
|
$161.85 |
$161.85 |
$161.85 |
$234.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$248.30 |
$248.30 |
$248.30 |
$387.73
|
|
Actinotherapy uv light
|
$36.40 |
$36.40 |
$36.40 |
$111.15
|
|
Acute hepatitis panel
|
$325.00 |
$325.00 |
$325.00 |
$310.20
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$36.56 |
$36.56 |
$36.56 |
$63.47
|
|
#acylcarnitineprfl
|
$205.40 |
$205.40 |
$205.40 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$17.80 |
$17.80 |
$17.80 |
$97.58
|
|
Adh-sendout
|
$185.90 |
$185.90 |
$185.90 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$98.60 |
$98.60 |
$98.60 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$319.15 |
$319.15 |
$319.15 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$298.35 |
$298.35 |
$298.35 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$319.15 |
$319.15 |
$319.15 |
$735.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$282.75 |
$282.75 |
$282.75 |
$464.40
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$204.10 |
$204.10 |
$204.10 |
$224.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$176.80 |
$176.80 |
$176.80 |
$267.43
|
|
Administration immunization 1 vaccine
|
$67.60 |
$67.60 |
$67.60 |
$66.51
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$41.60 |
$41.60 |
$41.60 |
$48.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$17,354.18 |
$17,354.18 |
$17,354.18 |
$59.76
|
|
_afb id by dna probe rflx ast
|
$128.70 |
$128.70 |
$128.70 |
$105.00
|
|
After cataract laser surgery
|
$1,214.78 |
$1,214.78 |
$1,214.78 |
$1,380.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$19,651.83 |
$19,651.83 |
$19,651.83 |
$27,295.80
|
|
Albumin body fluid quantitative each specimen
|
$71.50 |
$71.50 |
$71.50 |
$42.90
|
|
Albumin (human), 25%, 50ml
|
$292.50 |
$292.50 |
$292.50 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$73.45 |
$73.45 |
$73.45 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$61.75 |
$61.75 |
$61.75 |
$41.90
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$110.50 |
$110.50 |
$110.50 |
$78.00
|
|
Alkaline phosphatase
|
$70.20 |
$70.20 |
$70.20 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$42.25 |
$42.25 |
$42.25 |
$56.35
|
|
Allergen egg white ige
|
$53.95 |
$53.95 |
$53.95 |
$41.38
|
|
Allergen specific ige qual multi scrn ea
|
$46.15 |
$46.15 |
$46.15 |
$39.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,608.75 |
$1,608.75 |
$1,608.75 |
$9.36
|
|
Alpha-fetoprotein amniotic
|
$148.20 |
$148.20 |
$148.20 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$161.20 |
$161.20 |
$161.20 |
$124.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$21,450.88 |
$21,450.88 |
$21,450.88 |
$285.00
|
|
Alt/sgpt
|
$64.35 |
$64.35 |
$64.35 |
$44.68
|
|
Aluminum - quest
|
$148.20 |
$148.20 |
$148.20 |
$121.25
|
|
Amantadine (symmetrel)-sendout
|
$180.05 |
$180.05 |
$180.05 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$46.47 |
$46.47 |
$46.47 |
$44.55
|
|
Amino acid screen, urine
|
$81.90 |
$81.90 |
$81.90 |
$76.05
|
|
Amino acids quant 2-5
|
$169.00 |
$169.00 |
$169.00 |
$148.20
|
|
Aminolevulinic acid delta
|
$101.40 |
$101.40 |
$101.40 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$71.47 |
$71.47 |
$71.47 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$150.15 |
$150.15 |
$150.15 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$7.15 |
$7.15 |
$7.15 |
$42.92
|
|
Amitriptyline (elavil) -sendout
|
$118.95 |
$118.95 |
$118.95 |
$96.35
|
|
Ammonia
|
$117.00 |
$117.00 |
$117.00 |
$96.53
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$2,903.55 |
$2,903.55 |
$2,903.55 |
$3,743.15
|
|
Amphetamine confirm urine -sendout
|
$122.20 |
$122.20 |
$122.20 |
$93.61
|
|
Ampicillin 1 gram solution for injection
|
$23.11 |
$23.11 |
$23.11 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$29.25 |
$29.25 |
$29.25 |
$45.34
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$512.20 |
$512.20 |
$512.20 |
$362.93
|
|
Amylase
|
$92.30 |
$92.30 |
$92.30 |
$83.20
|
|
Ana ds-dna
|
$106.60 |
$106.60 |
$106.60 |
$69.03
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$254.15 |
$254.15 |
$254.15 |
$373.23
|
|
Analysis gene f2 20210g>a variant
|
$352.30 |
$352.30 |
$352.30 |
$249.03
|
|
Analysis gene f5 leiden variant
|
$318.50 |
$318.50 |
$318.50 |
$263.90
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$188.50 |
$188.50 |
$188.50 |
$166.00
|
|
Analysis tumor
|
$174.85 |
$174.85 |
$174.85 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$152.10 |
$152.10 |
$152.10 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$134.55 |
$134.55 |
$134.55 |
$112.45
|
|
Ankle arthroscopy/surgery
|
$16,806.73 |
$16,806.73 |
$16,806.73 |
$3,594.44
|
|
Ankle X-ray
|
$518.05 |
$518.05 |
$518.05 |
$327.20
|
|
Anodyne therapy charges pt
|
$37.05 |
$37.05 |
$37.05 |
$41.02
|
|
Anora (draw only)
|
$17.55 |
$17.55 |
$17.55 |
$36.00
|
|
Anoscopy remove fb 46608
|
$523.25 |
$523.25 |
$523.25 |
$1,313.97
|
|
Antibody bacterium, not elsewhere specified
|
$92.30 |
$92.30 |
$92.30 |
$61.45
|
|
Antibody elution rbc reference
|
$146.90 |
$146.90 |
$146.90 |
$168.00
|
|
Antibody htlv/hiv confirm test
|
$180.70 |
$180.70 |
$180.70 |
$154.85
|
|
Antibody htlv-i
|
$74.75 |
$74.75 |
$74.75 |
$50.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$289.25 |
$289.25 |
$289.25 |
$227.00
|
|
Antibody id rbc panel
|
$216.45 |
$216.45 |
$216.45 |
$265.05
|
|
Antibody influenza virus
|
$76.05 |
$76.05 |
$76.05 |
$65.79
|
|
Antibody lymphocytic choriomeningitis
|
$59.80 |
$59.80 |
$59.80 |
$57.85
|
