|
11-desoxycortisol - sendout
|
$23.24 |
$23.24 |
$23.24 |
$87.50
|
|
17-ketosteroids
|
$67.23 |
$67.23 |
$67.23 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$163.51 |
$163.51 |
$163.51 |
$313.04
|
|
3-d radiotherapy plan
|
$8,684.29 |
$8,684.29 |
$8,684.29 |
$5,002.69
|
|
5' nucleotidase - sendout
|
$64.74 |
$64.74 |
$64.74 |
$50.40
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,212.38 |
$1,212.38 |
$1,212.38 |
$3,128.29
|
|
Abdominal CT scan (with and without contrast)
|
$3,316.68 |
$3,316.68 |
$3,316.68 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,591.26 |
$2,591.26 |
$2,591.26 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$2,151.36 |
$2,151.36 |
$2,151.36 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,584.92 |
$4,584.92 |
$4,584.92 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$2,751.45 |
$2,751.45 |
$2,751.45 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$3,393.04 |
$3,393.04 |
$3,393.04 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,005.96 |
$1,005.96 |
$1,005.96 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$887.27 |
$887.27 |
$887.27 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$470.61 |
$470.61 |
$470.61 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$805.10 |
$805.10 |
$805.10 |
$1,145.40
|
|
Ablation cryo abd perit om
|
$2,602.05 |
$2,602.05 |
$2,602.05 |
$2,312.80
|
|
Abscess imaging ltd area
|
$1,215.12 |
$1,215.12 |
$1,215.12 |
$1,098.00
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.12 |
$0.12 |
$0.12 |
$74.96
|
|
Acetaminophen level
|
$103.75 |
$103.75 |
$103.75 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$30.36 |
$30.36 |
$30.36 |
$122.55
|
|
Acetone qualitative
|
$31.54 |
$31.54 |
$31.54 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$175.96 |
$175.96 |
$175.96 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$5.24 |
$5.24 |
$5.24 |
$216.00
|
|
Acne surgery 10040
|
$232.40 |
$232.40 |
$232.40 |
$260.49
|
|
Aco ccm; at least 20 min 99490aco
|
$145.25 |
$145.25 |
$145.25 |
$102.38
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$318.72 |
$318.72 |
$318.72 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$42.33 |
$42.33 |
$42.33 |
$41.67
|
|
Acute hepatitis panel
|
$305.44 |
$305.44 |
$305.44 |
$292.00
|
|
Acyclovir 400 mg tablet
|
$0.22 |
$0.22 |
$0.22 |
$45.06
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$6.17 |
$6.17 |
$6.17 |
$63.48
|
|
Adapter b 8 channel 10cm
|
$4,012.94 |
$4,012.94 |
$4,012.94 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$4.21 |
$4.21 |
$4.21 |
$255.41
|
|
Adenovirus ag ia
|
$65.57 |
$65.57 |
$65.57 |
$53.95
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$75.89 |
$75.89 |
$75.89 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$119.52 |
$119.52 |
$119.52 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$330.34 |
$330.34 |
$330.34 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$428.28 |
$428.28 |
$428.28 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$330.34 |
$330.34 |
$330.34 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$217.46 |
$217.46 |
$217.46 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$217.46 |
$217.46 |
$217.46 |
$257.40
|
|
Administration immunization 1 vaccine
|
$332.83 |
$332.83 |
$332.83 |
$69.21
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$45.65 |
$45.65 |
$45.65 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$110.39 |
$110.39 |
$110.39 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$5,168.24 |
$5,168.24 |
$5,168.24 |
$11,350.31
|
|
_afb id by dna probe rflx ast
|
$141.93 |
$141.93 |
$141.93 |
$93.52
|
|
Agalsidase beta 35 mg intravenous solution
|
$5,721.15 |
$5,721.15 |
$5,721.15 |
$14,475.20
|
|
Airway resistance by impulse oscillometry 94728
|
$118.69 |
$118.69 |
$118.69 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$19.92 |
$19.92 |
$19.92 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$0.72 |
$0.72 |
$0.72 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$0.24 |
$0.24 |
$0.24 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$24.90 |
$24.90 |
$24.90 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$23.24 |
$23.24 |
$23.24 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$103.75 |
$103.75 |
$103.75 |
$93.60
|
|
Alginate drsg >16 <=48 sq in
|
$32.54 |
$32.54 |
$32.54 |
$43.72
|
|
Alginate drsg wound filler
|
$34.16 |
$34.16 |
$34.16 |
$15.79
|
|
Alkaline phosphatase
|
$53.12 |
$53.12 |
$53.12 |
$46.40
|
|
Allergen egg white ige
|
$50.63 |
$50.63 |
$50.63 |
$38.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$4,295.25 |
$4,295.25 |
$4,295.25 |
$5,401.92
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$7,171.20 |
$7,171.20 |
$7,171.20 |
$9,018.12
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$11,447.77 |
$11,447.77 |
$11,447.77 |
$6,414.50
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$9,234.92 |
$9,234.92 |
$9,234.92 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$7,843.50 |
$7,843.50 |
$7,843.50 |
$4,725.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$0.55 |
$0.55 |
$0.55 |
$12.50
|
|
Alpha-fetoprotein amniotic
|
$9.13 |
$9.13 |
$9.13 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$67.23 |
$67.23 |
$67.23 |
$106.00
|
|
Alprostadil for injection
|
$99.88 |
$99.88 |
$99.88 |
$519.93
|
|
Alteplase 100 mg infusion from pyxis vial
|
$7,048.66 |
$7,048.66 |
$7,048.66 |
$15,857.45
|
|
Alt/sgpt
|
$47.31 |
$47.31 |
$47.31 |
$47.45
|
|
Amantadine (symmetrel)-sendout
|
$208.33 |
$208.33 |
$208.33 |
$169.80
|
|
Ambl bp mntr w/sw a/r
|
$206.67 |
$206.67 |
$206.67 |
$310.44
|
|
Amifostine
|
$829.87 |
$829.87 |
$829.87 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.36 |
$1.36 |
$1.36 |
$39.84
|
|
Aminolevulinic acid delta
|
$34.86 |
$34.86 |
$34.86 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$1.07 |
$1.07 |
$1.07 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$0.27 |
$0.27 |
$0.27 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.33 |
$2.33 |
$2.33 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$112.88 |
$112.88 |
$112.88 |
$87.45
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$451.37 |
$451.37 |
$451.37 |
$7,994.03
|
|
Ammonia
|
$23.24 |
$23.24 |
$23.24 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$191.73 |
$191.73 |
$191.73 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,889.08 |
$1,889.08 |
$1,889.08 |
$785.85
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,602.73 |
$1,602.73 |
$1,602.73 |
$3,730.53
|
|
Amphetamine confirm urine -sendout
|
$99.60 |
$99.60 |
$99.60 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$28.81 |
$28.81 |
$28.81 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$241.26 |
$241.26 |
$241.26 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$16.05 |
$16.05 |
$16.05 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$12.11 |
$12.11 |
$12.11 |
$53.86
|
|
Amputation toe metatarsophalangeal joint
|
$664.00 |
$664.00 |
$664.00 |
$3,839.54
|
|
Amylase
|
$58.10 |
$58.10 |
$58.10 |
$89.04
|
|
Ana ds-dna
|
$107.07 |
$107.07 |
$107.07 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$280.54 |
$280.54 |
$280.54 |
$117.01
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$131.97 |
$131.97 |
$131.97 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$81.34 |
$81.34 |
$81.34 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$46.48 |
$46.48 |
$46.48 |
$230.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$52.29 |
$52.29 |
$52.29 |
$122.20
|
|
Anaplsma phgcytophlm amp prb
|
$80.51 |
$80.51 |
$80.51 |
$85.80
|
|
An cholangiogram percutaneous compl
|
$328.68 |
$328.68 |
$328.68 |
$2,626.65
|
|
An fluoro guide for cvp
|
$913.83 |
$913.83 |
$913.83 |
$515.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$18.99 |
$18.99 |
$18.99 |
$3,080.85
|