|
11-desoxycortisol - sendout
|
$29.52 |
$29.52 |
$29.52 |
$87.50
|
|
17-hydroxypregnenolone
|
$29.52 |
$29.52 |
$29.52 |
$87.50
|
|
17-ketosteroids
|
$20.30 |
$20.30 |
$20.30 |
$44.88
|
|
2nd order venous cath
|
$985.85 |
$985.85 |
$985.85 |
$1,720.80
|
|
3-d radiotherapy plan
|
$640.22 |
$640.22 |
$640.22 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$410.21 |
$410.21 |
$410.21 |
$425.10
|
|
5' nucleotidase - sendout
|
$7.79 |
$7.79 |
$7.79 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$42.85 |
$42.85 |
$42.85 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$27.06 |
$27.06 |
$27.06 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,415.92 |
$3,415.92 |
$3,415.92 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,183.88 |
$1,183.88 |
$1,183.88 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,528.07 |
$1,528.07 |
$1,528.07 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,819.17 |
$1,819.17 |
$1,819.17 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,073.38 |
$1,073.38 |
$1,073.38 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$2,473.74 |
$2,473.74 |
$2,473.74 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,828.40 |
$1,828.40 |
$1,828.40 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$989.54 |
$989.54 |
$989.54 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,494.44 |
$2,494.44 |
$2,494.44 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,199.24 |
$2,199.24 |
$2,199.24 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$855.06 |
$855.06 |
$855.06 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$870.64 |
$870.64 |
$870.64 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$713.81 |
$713.81 |
$713.81 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$726.73 |
$726.73 |
$726.73 |
$1,248.00
|
|
Abl1 gene
|
$465.56 |
$465.56 |
$465.56 |
$614.25
|
|
Ablate arrhythmia add on
|
$7,555.07 |
$7,555.07 |
$7,555.07 |
$7,717.80
|
|
Ablate heart dysrhythm focus
|
$8,805.57 |
$8,805.57 |
$8,805.57 |
$9,836.16
|
|
Ablate pulm tumor perq crybl
|
$6,890.05 |
$6,890.05 |
$6,890.05 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$3,048.56 |
$3,048.56 |
$3,048.56 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$8,310.70 |
$8,310.70 |
$8,310.70 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$536.49 |
$536.49 |
$536.49 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$3,101.45 |
$3,101.45 |
$3,101.45 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$161.13 |
$161.13 |
$161.13 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,158.87 |
$1,158.87 |
$1,158.87 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$10.66 |
$10.66 |
$10.66 |
$89.91
|
|
Acetaminophen 120 mg rectal suppository
|
$14.76 |
$14.76 |
$14.76 |
$146.76
|
|
Acetazolamide 500 mg solution for injection
|
$45.92 |
$45.92 |
$45.92 |
$137.80
|
|
Acetone qualitative
|
$87.74 |
$87.74 |
$87.74 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$22.14 |
$22.14 |
$22.14 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$207.67 |
$207.67 |
$207.67 |
$306.22
|
|
Acid perfusion of esophagus
|
$297.87 |
$297.87 |
$297.87 |
$513.11
|
|
Acute hepatitis panel
|
$235.75 |
$235.75 |
$235.75 |
$284.70
|
|
Acute venous thrombus image
|
$662.15 |
$662.15 |
$662.15 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$44.28 |
$44.28 |
$44.28 |
$64.45
|
|
#acylcarnitineprfl
|
$95.94 |
$95.94 |
$95.94 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$462.28 |
$462.28 |
$462.28 |
$217.04
|
|
Adh-sendout
|
$52.07 |
$52.07 |
$52.07 |
$109.28
|
|
Adj gastric band via subq port
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$1,952.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$146.99 |
$146.99 |
$146.99 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$102.09 |
$102.09 |
$102.09 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$165.64 |
$165.64 |
$165.64 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$493.23 |
$493.23 |
$493.23 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$158.47 |
$158.47 |
$158.47 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$108.65 |
$108.65 |
$108.65 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$108.65 |
$108.65 |
$108.65 |
$267.43
|
|
Administration immunization 1 vaccine
|
$70.52 |
$70.52 |
$70.52 |
$70.00
|
|
Administration immunization each additional vaccine
|
$35.26 |
$35.26 |
$35.26 |
$46.23
|
|
Adrenal cortex & medulla img
|
$1,202.94 |
$1,202.94 |
$1,202.94 |
$1,818.05
|
|
Aep neurodiagnostic i&r
|
$200.49 |
$200.49 |
$200.49 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$200.49 |
$200.49 |
$200.49 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$24.60 |
$24.60 |
$24.60 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$86.72 |
$86.72 |
$86.72 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$800.32 |
$800.32 |
$800.32 |
$1,116.55
|
|
Air injection into abdomen 49400
|
$317.34 |
$317.34 |
$317.34 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$142.89 |
$142.89 |
$142.89 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$68.68 |
$68.68 |
$68.68 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$118.90 |
$118.90 |
$118.90 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$198.03 |
$198.03 |
$198.03 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$49.61 |
$49.61 |
$49.61 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$69.09 |
$69.09 |
$69.09 |
$43.45
|
|
Aldesleukin injection
|
$2,048.57 |
$2,048.57 |
$2,048.57 |
$6,538.20
|
|
Alkaline phosphatase
|
$83.64 |
$83.64 |
$83.64 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$8.61 |
$8.61 |
$8.61 |
$56.35
|
|
Allergen egg white ige
|
$12.92 |
$12.92 |
$12.92 |
$39.78
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$2,981.93 |
$2,981.93 |
$2,981.93 |
$5,579.34
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$8,519.80 |
$8,519.80 |
$8,519.80 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$13,460.10 |
$13,460.10 |
$13,460.10 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$11,123.92 |
$11,123.92 |
$11,123.92 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$8,519.80 |
$8,519.80 |
$8,519.80 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$890.52 |
$890.52 |
$890.52 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,293.13 |
$2,293.13 |
$2,293.13 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,356.08 |
$1,356.08 |
$1,356.08 |
$4,814.57
|
|
Alpha-fetoprotein amniotic
|
$6.97 |
$6.97 |
$6.97 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$50.23 |
$50.23 |
$50.23 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,600.22 |
$2,600.22 |
$2,600.22 |
$9,600.63
|
|
Alt/sgpt
|
$97.38 |
$97.38 |
$97.38 |
$49.00
|
|
Aluminum - quest
|
$17.84 |
$17.84 |
$17.84 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$15.79 |
$15.79 |
$15.79 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$8.00 |
$8.00 |
$8.00 |
$45.50
|
|
Aminolevulinic acid delta
|
$15.79 |
$15.79 |
$15.79 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$5.33 |
$5.33 |
$5.33 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$47.97 |
$47.97 |
$47.97 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$19.48 |
$19.48 |
$19.48 |
$50.85
|
|
Ammonia
|
$143.71 |
$143.71 |
$143.71 |
$123.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$42.03 |
$42.03 |
$42.03 |
$135.63
|
|
Amphotericin b lipid complex
|
$220.99 |
$220.99 |
$220.99 |
$337.94
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$180.81 |
$180.81 |
$180.81 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$32.19 |
$32.19 |
$32.19 |
$68.44
|