|
11-desoxycortisol - sendout
|
$75.40 |
$75.40 |
$75.40 |
$87.50
|
|
17-hydroxypregnenolone
|
$142.35 |
$142.35 |
$142.35 |
$85.15
|
|
17-ketosteroids
|
$110.50 |
$110.50 |
$110.50 |
$44.00
|
|
2019-ncov diagnostic p
|
$109.85 |
$109.85 |
$109.85 |
$39.51
|
|
2d tee w or without fol w/con,in
|
$1,366.30 |
$1,366.30 |
$1,366.30 |
$1,570.80
|
|
2d tte w or without fol w/con,co
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$1,088.36
|
|
3d ech img cgen car anomal
|
$427.05 |
$427.05 |
$427.05 |
$669.00
|
|
3-d radiotherapy plan
|
$2,585.70 |
$2,585.70 |
$2,585.70 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$358.15 |
$358.15 |
$358.15 |
$427.34
|
|
5' nucleotidase - sendout
|
$1,645.15 |
$1,645.15 |
$1,645.15 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$150.15 |
$150.15 |
$150.15 |
$97.65
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$115.70 |
$115.70 |
$115.70 |
$147.92
|
|
99397 periodic comp preventive med 65+ years est
|
$115.70 |
$115.70 |
$115.70 |
$176.03
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,934.18 |
$4,934.18 |
$4,934.18 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$158.60 |
$158.60 |
$158.60 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,978.35 |
$4,978.35 |
$4,978.35 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$2,126.15 |
$2,126.15 |
$2,126.15 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,858.35 |
$1,858.35 |
$1,858.35 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,589.90 |
$1,589.90 |
$1,589.90 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,360.50 |
$3,360.50 |
$3,360.50 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$2,787.85 |
$2,787.85 |
$2,787.85 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$2,214.55 |
$2,214.55 |
$2,214.55 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,064.05 |
$1,064.05 |
$1,064.05 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$886.60 |
$886.60 |
$886.60 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$709.15 |
$709.15 |
$709.15 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$676.00 |
$676.00 |
$676.00 |
$1,170.28
|
|
Abl1 gene
|
$754.00 |
$754.00 |
$754.00 |
$609.93
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,317.00 |
$5,317.00 |
$5,317.00 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$9,812.40 |
$9,812.40 |
$9,812.40 |
$9,812.40
|
|
Ablate pulm tumor perq crybl
|
$10,388.30 |
$10,388.30 |
$10,388.30 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$10,388.30 |
$10,388.30 |
$10,388.30 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$4,081.35 |
$4,081.35 |
$4,081.35 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$2,453.75 |
$2,453.75 |
$2,453.75 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$1,441.70 |
$1,441.70 |
$1,441.70 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$3,291.60 |
$3,291.60 |
$3,291.60 |
$8,080.50
|
|
Ablation cryo retro lymph node
|
$625.30 |
$625.30 |
$625.30 |
$859.50
|
|
Ablation cryo thigh/knee
|
$3,214.90 |
$3,214.90 |
$3,214.90 |
$386.10
|
|
Ablation of upper extremity nerves rf
|
$495.30 |
$495.30 |
$495.30 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$952.90 |
$952.90 |
$952.90 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$48.42 |
$48.42 |
$48.42 |
$125.63
|
|
Acetaminophen level
|
$118.95 |
$118.95 |
$118.95 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$134.17 |
$134.17 |
$134.17 |
$133.60
|
|
Acetone qualitative
|
$52.65 |
$52.65 |
$52.65 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$146.25 |
$146.25 |
$146.25 |
$65.60
|
|
Acetylcholinesterase assay
|
$162.50 |
$162.50 |
$162.50 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$382.06 |
$382.06 |
$382.06 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$69.08 |
$69.08 |
$69.08 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$34.45 |
$34.45 |
$34.45 |
$42.28
|
|
Acute hepatitis panel
|
$208.00 |
$208.00 |
$208.00 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$247.02 |
$247.02 |
$247.02 |
$654.96
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$19.50 |
$19.50 |
$19.50 |
$50.70
|
|
#acylcarnitineprfl
|
$164.45 |
$164.45 |
$164.45 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$24.21 |
$24.21 |
$24.21 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$98.15 |
$98.15 |
$98.15 |
$63.00
|
|
Adh-sendout
|
$180.05 |
$180.05 |
$180.05 |
$109.28
|
|
Adj gastric band via subq port
|
$2,975.05 |
$2,975.05 |
$2,975.05 |
$1,874.60
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$4,458.80 |
$4,458.80 |
$4,458.80 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$187.85 |
$187.85 |
$187.85 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$235.30 |
$235.30 |
$235.30 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$566.80 |
$566.80 |
$566.80 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$295.10 |
$295.10 |
$295.10 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$195.00 |
$195.00 |
$195.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$195.00 |
$195.00 |
$195.00 |
$264.00
|
|
Administration immunization 1 vaccine
|
$88.40 |
$88.40 |
$88.40 |
$70.52
|
|
Administration immunization each additional vaccine
|
$44.20 |
$44.20 |
$44.20 |
$46.23
|
|
Administration vaccine hepatitis b
|
$88.40 |
$88.40 |
$88.40 |
$51.35
|
|
Administration vaccine influenza virus
|
$88.40 |
$88.40 |
$88.40 |
$49.50
|
|
Administration vaccine pneumococcal
|
$88.40 |
$88.40 |
$88.40 |
$51.11
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$24.70 |
$24.70 |
$24.70 |
$41.00
|
|
Adrenal cortex & medulla img
|
$1,818.05 |
$1,818.05 |
$1,818.05 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$120.25 |
$120.25 |
$120.25 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$243.10 |
$243.10 |
$243.10 |
$289.60
|
|
Air conduction bilat
|
$80.60 |
$80.60 |
$80.60 |
$106.50
|
|
Air injection into abdomen 49400
|
$2,908.75 |
$2,908.75 |
$2,908.75 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$29.90 |
$29.90 |
$29.90 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$141.00 |
$141.00 |
$141.00 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$138.84 |
$138.84 |
$138.84 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$37.70 |
$37.70 |
$37.70 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$72.80 |
$72.80 |
$72.80 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$1.68 |
$1.68 |
$1.68 |
$22.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$93.60 |
$93.60 |
$93.60 |
$93.60
|
|
Alkaline phosphatase
|
$26.65 |
$26.65 |
$26.65 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$243.75 |
$243.75 |
$243.75 |
$56.35
|
|
Allergen egg white ige
|
$32.50 |
$32.50 |
$32.50 |
$41.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,657.87 |
$1,657.87 |
$1,657.87 |
$6,555.62
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$567.03 |
$567.03 |
$567.03 |
$905.18
|
|
All tstg perq&iq drugs/biol
|
$139.75 |
$139.75 |
$139.75 |
$64.80
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$145.60 |
$145.60 |
$145.60 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$96.20 |
$96.20 |
$96.20 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$72.80 |
$72.80 |
$72.80 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$23,242.18 |
$23,242.18 |
$23,242.18 |
$2,600.22
|
|
Alt/sgpt
|
$11.05 |
$11.05 |
$11.05 |
$49.00
|
|
Aluminum - quest
|
$105.30 |
$105.30 |
$105.30 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$81.90 |
$81.90 |
$81.90 |
$196.20
|
|
Amino acids quant 2-5
|
$77.35 |
$77.35 |
$77.35 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$45.50 |
$45.50 |
$45.50 |
$42.84
|
|
Aminolevulinic acid delta
|
$130.65 |
$130.65 |
$130.65 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$58.92 |
$58.92 |
$58.92 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$130.70 |
$130.70 |
$130.70 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$23.56 |
$23.56 |
$23.56 |
$47.44
|
