|
3d ech img cgen car anomal
|
$3,333.65 |
$3,333.65 |
$3,333.65 |
$632.45
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$71.40 |
$71.40 |
$71.40 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$3,419.43 |
$3,419.43 |
$3,419.43 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,179.40 |
$3,179.40 |
$3,179.40 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,618.28 |
$2,618.28 |
$2,618.28 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,606.90 |
$5,606.90 |
$5,606.90 |
$2,933.60
|
|
Abdominal MRI (without contrast)
|
$4,563.30 |
$4,563.30 |
$4,563.30 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,864.38 |
$1,864.38 |
$1,864.38 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,128.96 |
$1,128.96 |
$1,128.96 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$899.75 |
$899.75 |
$899.75 |
$604.43
|
|
Ablation of upper extremity nerves rf
|
$912.24 |
$912.24 |
$912.24 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$5,709.06 |
$5,709.06 |
$5,709.06 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$66.29 |
$66.29 |
$66.29 |
$74.96
|
|
Acetaminophen level
|
$311.96 |
$311.96 |
$311.96 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$227.51 |
$227.51 |
$227.51 |
$120.90
|
|
Acetone qualitative
|
$85.16 |
$85.16 |
$85.16 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$307.13 |
$307.13 |
$307.13 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$102.13 |
$102.13 |
$102.13 |
$306.72
|
|
Acute hepatitis panel
|
$101.64 |
$101.64 |
$101.64 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$33.54 |
$33.54 |
$33.54 |
$62.48
|
|
Adenosine 3 mg/250 ml bag for osm
|
$702.50 |
$702.50 |
$702.50 |
$268.50
|
|
Adenovirus ag ia
|
$108.15 |
$108.15 |
$108.15 |
$31.20
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$29.41 |
$29.41 |
$29.41 |
$172.86
|
|
Administration chemotherapy IV infusion each additional hour
|
$360.89 |
$360.89 |
$360.89 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$467.67 |
$467.67 |
$467.67 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$939.02 |
$939.02 |
$939.02 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$586.11 |
$586.11 |
$586.11 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$319.31 |
$319.31 |
$319.31 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$416.64 |
$416.64 |
$416.64 |
$267.43
|
|
Administration immunization 1 vaccine
|
$169.26 |
$169.26 |
$169.26 |
$70.00
|
|
Administration immunization each additional vaccine
|
$164.12 |
$164.12 |
$164.12 |
$46.23
|
|
Administration vaccine influenza virus
|
$521.68 |
$521.68 |
$521.68 |
$48.35
|
|
Adrenalin epinephrine inject
|
$102.31 |
$102.31 |
$102.31 |
$108.60
|
|
Albumin body fluid quantitative each specimen
|
$89.36 |
$89.36 |
$89.36 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$732.70 |
$732.70 |
$732.70 |
$256.84
|
|
Albumin, human 25 % intravenous solution
|
$488.08 |
$488.08 |
$488.08 |
$117.82
|
|
Albumin (human), 5%, 250 ml
|
$781.06 |
$781.06 |
$781.06 |
$258.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$58.17 |
$58.17 |
$58.17 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$76.02 |
$76.02 |
$76.02 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$32.29 |
$32.29 |
$32.29 |
$7.43
|
|
Albuterol non-comp unit
|
$8.65 |
$8.65 |
$8.65 |
$5.28
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$108.00 |
$108.00 |
$108.00 |
$94.90
|
|
Alkaline phosphatase
|
$125.90 |
$125.90 |
$125.90 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$391.00 |
$391.00 |
$391.00 |
$56.35
|
|
Allergen egg white ige
|
$391.00 |
$391.00 |
$391.00 |
$39.78
|
|
Alpha-fetoprotein tumor marker
|
$178.61 |
$178.61 |
$178.61 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$705.99 |
$705.99 |
$705.99 |
$15,857.45
|
|
Alt/sgpt
|
$82.85 |
$82.85 |
$82.85 |
$49.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$841.68 |
$841.68 |
$841.68 |
$431.84
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$27.77 |
$27.77 |
$27.77 |
$48.29
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$219.32 |
$219.32 |
$219.32 |
$152.84
|
|
Amiodarone 50 mg/ml intravenous solution
|
$76.13 |
$76.13 |
$76.13 |
$58.57
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$31,828.36 |
$31,828.36 |
$31,828.36 |
$11,376.95
|
|
Ammonia
|
$136.40 |
$136.40 |
$136.40 |
$123.48
|
|
Ampicillin 1 gram solution for injection
|
$47.83 |
$47.83 |
$47.83 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$77.98 |
$77.98 |
$77.98 |
$56.63
|
|
Amylase
|
$152.57 |
$152.57 |
$152.57 |
$93.00
|
|
Analysis gene f2 20210g>a variant
|
$323.61 |
$323.61 |
$323.61 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$289.91 |
$289.91 |
$289.91 |
$226.60
|
|
An fluoro guide for cvp
|
$806.30 |
$806.30 |
$806.30 |
$509.60
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,390.64 |
$14,390.64 |
$14,390.64 |
$5,128.65
|
|
Ankle X-ray
|
$345.98 |
$345.98 |
$345.98 |
$350.85
|
|
Antibody htlv/hiv confirm test
|
$313.01 |
$313.01 |
$313.01 |
$141.26
|
|
Antibody screen rbc
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Antidepressant not specified
|
$61.01 |
$61.01 |
$61.01 |
$89.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$236.25 |
$236.25 |
$236.25 |
$40.00
|
|
Antinuclear antibodies
|
$123.38 |
$123.38 |
$123.38 |
$91.70
|
|
Antinuclear antibodies titer
|
$137.81 |
$137.81 |
$137.81 |
$80.25
|
|
Antistreptolysin o titer
|
$77.28 |
$77.28 |
$77.28 |
$57.85
|
|
Antithrombin iii activity
|
$64.37 |
$64.37 |
$64.37 |
$106.85
|
|
Aortic dysfunction/dilation
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$653.18
|
|
Apl(pml-rara) quant - sendout
|
$2,136.59 |
$2,136.59 |
$2,136.59 |
$465.60
|
|
Application finger splntstatic 29130
|
$143.96 |
$143.96 |
$143.96 |
$226.20
|
|
Application long leg splint 29505
|
$671.06 |
$671.06 |
$671.06 |
$370.00
|
|
Application lower leg splint 29515
|
$544.53 |
$544.53 |
$544.53 |
$365.60
|
|
Application of forearm cast 29075
|
$488.88 |
$488.88 |
$488.88 |
$386.10
|
|
Application of long leg cast 29345
|
$734.37 |
$734.37 |
$734.37 |
$511.68
|
|
Application of paste boot 29580
|
$318.78 |
$318.78 |
$318.78 |
$336.00
|
|
Application short leg cast 29405
|
$414.65 |
$414.65 |
$414.65 |
$397.33
|
|
Appl modality 1/> areas paraffin bath 97018
|
$42.84 |
$42.84 |
$42.84 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$98.07 |
$98.07 |
$98.07 |
$75.98
|
|
Apply finger cast 29086
|
$143.96 |
$143.96 |
$143.96 |
$242.20
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,080.99 |
$1,080.99 |
$1,080.99 |
$1,091.17
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$196.46 |
$196.46 |
$196.46 |
$100.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$462.93 |
$462.93 |
$462.93 |
$1,642.18
|
|
Arterial blood draw/perc 36620
|
$1,443.44 |
$1,443.44 |
$1,443.44 |
$500.82
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$974.72 |
$974.72 |
$974.72 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,328.67 |
$1,328.67 |
$1,328.67 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,464.54 |
$1,464.54 |
$1,464.54 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$421.89 |
$421.89 |
$421.89 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$519.44 |
$519.44 |
$519.44 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,049.37 |
$1,049.37 |
$1,049.37 |
$700.80
|
|
Aspirate pleura without imaging 32554
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,796.55 |
$1,796.55 |
$1,796.55 |
$1,306.50
|
|
Assay of interleukin-6 (il-6)
|
$386.40 |
$386.40 |
$386.40 |
$77.35
|
|
Assay of salicylate
|
$291.48 |
$291.48 |
$291.48 |
$104.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$305.13 |
$305.13 |
$305.13 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$68.88 |
$68.88 |
$68.88 |
$47.25
|
|
Ast/sgot
|
$79.80 |
$79.80 |
$79.80 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$31,208.35 |
$31,208.35 |
$31,208.35 |
$25,944.32
|