|
11-desoxycortisol - sendout
|
$131.30 |
$131.30 |
$131.30 |
$91.85
|
|
17-hydroxypregnenolone
|
$102.05 |
$102.05 |
$102.05 |
$92.65
|
|
17-ketosteroids
|
$57.20 |
$57.20 |
$57.20 |
$55.00
|
|
2019-ncov diagnostic p
|
$161.20 |
$161.20 |
$161.20 |
$54.50
|
|
3d recon without postprocess indpndt
|
$367.90 |
$367.90 |
$367.90 |
$508.13
|
|
5' nucleotidase - sendout
|
$50.05 |
$50.05 |
$50.05 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$118.95 |
$118.95 |
$118.95 |
$100.10
|
|
99391 periodic comp preventive med less than 1 year est
|
$93.60 |
$93.60 |
$93.60 |
$117.72
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$99.45 |
$99.45 |
$99.45 |
$132.30
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$120.25 |
$120.25 |
$120.25 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$137.15 |
$137.15 |
$137.15 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$157.95 |
$157.95 |
$157.95 |
$164.73
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,627.00 |
$3,627.00 |
$3,627.00 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.95 |
$53.95 |
$53.95 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$903.50 |
$903.50 |
$903.50 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$397.15 |
$397.15 |
$397.15 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$477.10 |
$477.10 |
$477.10 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$477.10 |
$477.10 |
$477.10 |
$418.63
|
|
Abdominal X-ray (single view)
|
$395.20 |
$395.20 |
$395.20 |
$260.00
|
|
Ablation cardiac vagal inputs atrium
|
$187.85 |
$187.85 |
$187.85 |
$2,260.30
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$32,471.40 |
$32,471.40 |
$32,471.40 |
$17,286.00
|
|
Abobotulinumtoxina
|
$2,060.37 |
$2,060.37 |
$2,060.37 |
$1,541.21
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.20 |
$0.20 |
$0.20 |
$72.74
|
|
Acetaminophen level
|
$83.85 |
$83.85 |
$83.85 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$102.86 |
$102.86 |
$102.86 |
$122.55
|
|
Acetone qualitative
|
$20.15 |
$20.15 |
$20.15 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$53.95 |
$53.95 |
$53.95 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3.90 |
$3.90 |
$3.90 |
$218.79
|
|
Aco depression screen annual medicare g0444aco
|
$77.35 |
$77.35 |
$77.35 |
$39.32
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$65.00 |
$65.00 |
$65.00 |
$38.50
|
|
Acoustic refl threshold tst
|
$102.05 |
$102.05 |
$102.05 |
$102.05
|
|
Acute hepatitis panel
|
$213.85 |
$213.85 |
$213.85 |
$284.95
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$3.59 |
$3.59 |
$3.59 |
$64.45
|
|
#acylcarnitineprfl
|
$75.40 |
$75.40 |
$75.40 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$18.72 |
$18.72 |
$18.72 |
$271.98
|
|
Adenovirus ag ia
|
$53.95 |
$53.95 |
$53.95 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$57.85 |
$57.85 |
$57.85 |
$58.00
|
|
Adh-sendout
|
$152.10 |
$152.10 |
$152.10 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$223.94 |
$223.94 |
$223.94 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$319.15 |
$319.15 |
$319.15 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$668.98
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$319.15 |
$319.15 |
$319.15 |
$212.80
|
|
Administration immunization each additional component
|
$17.55 |
$17.55 |
$17.55 |
$29.20
|
|
Administration immunization each additional vaccine
|
$41.60 |
$41.60 |
$41.60 |
$47.40
|
|
Administration immunization first component each vaccine
|
$45.50 |
$45.50 |
$45.50 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$139.10 |
$139.10 |
$139.10 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$102.70 |
$102.70 |
$102.70 |
$44.80
|
|
Administration vaccine influenza virus
|
$120.25 |
$120.25 |
$120.25 |
$51.07
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$102.70 |
$102.70 |
$102.70 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$19,916.21 |
$19,916.21 |
$19,916.21 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$712.08 |
$712.08 |
$712.08 |
$231.47
|
|
Afamelanotide implant, 1 mg
|
$78,638.30 |
$78,638.30 |
$78,638.30 |
$78,638.30
|
|
Afamitresgene autoleucel
|
$2,268,240.00 |
$2,268,240.00 |
$2,268,240.00 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$89.70 |
$89.70 |
$89.70 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$517.40 |
$517.40 |
$517.40 |
$300.00
|
|
Aflibercept injection
|
$90,901.04 |
$90,901.04 |
$90,901.04 |
$2,738.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$25,154.35 |
$25,154.35 |
$25,154.35 |
$14,475.20
|
|
Air conduction bilat
|
$335.40 |
$335.40 |
$335.40 |
$134.00
|
|
Albumin body fluid quantitative each specimen
|
$35.10 |
$35.10 |
$35.10 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$2.71 |
$2.71 |
$2.71 |
$244.70
|
|
Albumin, human 25 % intravenous solution
|
$3.26 |
$3.26 |
$3.26 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$0.84 |
$0.84 |
$0.84 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$1.54 |
$1.54 |
$1.54 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$26.00 |
$26.00 |
$26.00 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$22.10 |
$22.10 |
$22.10 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$77.35 |
$77.35 |
$77.35 |
$96.00
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$77,335.02 |
$77,335.02 |
$77,335.02 |
$47,974.31
|
|
Alkaline phosphatase
|
$23.40 |
$23.40 |
$23.40 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$80.60 |
$80.60 |
$80.60 |
$48.57
|
|
Allergen egg white ige
|
$23.40 |
$23.40 |
$23.40 |
$38.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1.52 |
$1.52 |
$1.52 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$288.60 |
$288.60 |
$288.60 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$76.05 |
$76.05 |
$76.05 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$75.40 |
$75.40 |
$75.40 |
$106.00
|
|
Alprostadil for injection
|
$1,639.15 |
$1,639.15 |
$1,639.15 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$20,592.84 |
$20,592.84 |
$20,592.84 |
$15,857.45
|
|
Alt/sgpt
|
$24.05 |
$24.05 |
$24.05 |
$47.50
|
|
Altuviiio per factor viii iu
|
$13.32 |
$13.32 |
$13.32 |
$13.32
|
|
Aluminum - quest
|
$114.40 |
$114.40 |
$114.40 |
$83.05
|
|
Amifostine
|
$2,507.10 |
$2,507.10 |
$2,507.10 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$9.36 |
$9.36 |
$9.36 |
$39.84
|
|
Amino acid screen, urine
|
$62.40 |
$62.40 |
$62.40 |
$77.00
|
|
Amino acids quant 2-5
|
$87.75 |
$87.75 |
$87.75 |
$112.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$1.27 |
$1.27 |
$1.27 |
$37.33
|
|
Aminolevulinic acid, 10% gel
|
$297.18 |
$297.18 |
$297.18 |
$1.81
|
|
Aminolevulinic acid hcl top
|
$613.42 |
$613.42 |
$613.42 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$5.15 |
$5.15 |
$5.15 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$55.86
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$1,696.68 |
$1,696.68 |
$1,696.68 |
$9,084.45
|
|
Ammonia
|
$65.65 |
$65.65 |
$65.65 |
$119.70
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$117.00 |
$117.00 |
$117.00 |
$123.53
|