|
11-desoxycortisol - sendout
|
$115.70 |
$115.70 |
$115.70 |
$92.04
|
|
17-hydroxypregnenolone
|
$108.55 |
$108.55 |
$108.55 |
$92.30
|
|
2d tee w or without fol w/con,in
|
$3,208.40 |
$3,208.40 |
$3,208.40 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$996.45 |
$996.45 |
$996.45 |
$1,026.40
|
|
2nd order venous cath
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$2,537.60
|
|
3-d radiotherapy plan
|
$34,757.45 |
$34,757.45 |
$34,757.45 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$722.80 |
$722.80 |
$722.80 |
$455.83
|
|
5' nucleotidase - sendout
|
$65.65 |
$65.65 |
$65.65 |
$64.28
|
|
88334 ap bill cytologic exam each additional site
|
$101.40 |
$101.40 |
$101.40 |
$100.75
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,275.33 |
$4,275.33 |
$4,275.33 |
$213.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$60.45 |
$60.45 |
$60.45 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$4,012.45 |
$4,012.45 |
$4,012.45 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$9,954.83 |
$9,954.83 |
$9,954.83 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$11,396.41 |
$11,396.41 |
$11,396.41 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$8,911.57 |
$8,911.57 |
$8,911.57 |
$3,522.75
|
|
Abd/low ext cath addl
|
$3,339.05 |
$3,339.05 |
$3,339.05 |
$963.76
|
|
Abdominal CT scan (with and without contrast)
|
$3,008.85 |
$3,008.85 |
$3,008.85 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,596.10 |
$2,596.10 |
$2,596.10 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,994.85 |
$1,994.85 |
$1,994.85 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,737.85 |
$4,737.85 |
$4,737.85 |
$2,713.80
|
|
Abdominal MRI (without contrast)
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$1,883.70
|
|
Abdominal paracentesis w/image guidance
|
$4,798.30 |
$4,798.30 |
$4,798.30 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,199.25 |
$1,199.25 |
$1,199.25 |
$745.55
|
|
Abdominal Ultrasound (limited)
|
$947.05 |
$947.05 |
$947.05 |
$604.43
|
|
Ablation cardiac vagal inputs atrium
|
$5,248.75 |
$5,248.75 |
$5,248.75 |
$2,260.30
|
|
Ablation cryo adrenal tumor
|
$3,569.15 |
$3,569.15 |
$3,569.15 |
$8,312.83
|
|
Ablation of upper extremity nerves rf
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$1,364.52
|
|
Abscess drain retroperitoneal surg code
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$3,053.18
|
|
Acetaminophen level
|
$260.65 |
$260.65 |
$260.65 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$153.56 |
$153.56 |
$153.56 |
$137.07
|
|
Acetone qualitative
|
$52.65 |
$52.65 |
$52.65 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$88.40 |
$88.40 |
$88.40 |
$93.60
|
|
Acetylcholinesterase assay
|
$198.90 |
$198.90 |
$198.90 |
$92.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$536.30 |
$536.30 |
$536.30 |
$406.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$55.25 |
$55.25 |
$55.25 |
$44.40
|
|
Actinotherapy uv light
|
$89.05 |
$89.05 |
$89.05 |
$105.30
|
|
Acute hepatitis panel
|
$284.70 |
$284.70 |
$284.70 |
$306.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$102.37 |
$102.37 |
$102.37 |
$64.45
|
|
#acylcarnitineprfl
|
$67.60 |
$67.60 |
$67.60 |
$84.50
|
|
Adapter b 8 channel 10cm
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$7,560.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$234.00 |
$234.00 |
$234.00 |
$199.72
|
|
Adh-sendout
|
$118.30 |
$118.30 |
$118.30 |
$152.10
|
|
Adj gastric band via subq port
|
$2,971.42 |
$2,971.42 |
$2,971.42 |
$1,952.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$136.99 |
$136.99 |
$136.99 |
$120.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$300.95 |
$300.95 |
$300.95 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$300.95 |
$300.95 |
$300.95 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$361.40 |
$361.40 |
$361.40 |
$742.85
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$317.85 |
$317.85 |
$317.85 |
$488.88
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$110.50 |
$110.50 |
$110.50 |
$225.60
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$201.50 |
$201.50 |
$201.50 |
$269.54
|
|
Administration immunization 1 vaccine
|
$100.75 |
$100.75 |
$100.75 |
$65.00
|
|
Administration immunization each additional component
|
$13.00 |
$13.00 |
$13.00 |
$27.20
|
|
Administration immunization each additional vaccine
|
$40.30 |
$40.30 |
$40.30 |
$46.23
|
|
Administration immunization first component each vaccine
|
$36.40 |
$36.40 |
$36.40 |
$46.40
|
|
Administration vaccine hepatitis b
|
$70.20 |
$70.20 |
$70.20 |
$38.25
|
|
Administration vaccine influenza virus
|
$48.75 |
$48.75 |
$48.75 |
$37.05
|
|
Administration vaccine pneumococcal
|
$52.65 |
$52.65 |
$52.65 |
$38.25
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$19,424.81 |
$19,424.81 |
$19,424.81 |
$59.76
|
|
Aep hearing status deter i&r
|
$760.50 |
$760.50 |
$760.50 |
$300.80
|
|
Aep neurodiagnostic i&r
|
$941.20 |
$941.20 |
$941.20 |
$570.16
|
|
Aep thrshld est mlt freq i&r
|
$929.50 |
$929.50 |
$929.50 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$88.40 |
$88.40 |
$88.40 |
$101.40
|
|
_afb org id by sequencing rflx ast-sendout
|
$314.60 |
$314.60 |
$314.60 |
$330.00
|
|
Albumin body fluid quantitative each specimen
|
$15.60 |
$15.60 |
$15.60 |
$40.20
|
|
Albumin (human), 25%, 50ml
|
$438.75 |
$438.75 |
$438.75 |
$295.80
|
|
Albumin (human), 5%, 250 ml
|
$227.91 |
$227.91 |
$227.91 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$81.25 |
$81.25 |
$81.25 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$17.55 |
$17.55 |
$17.55 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$120.90 |
$120.90 |
$120.90 |
$78.00
|
|
Alkaline phosphatase
|
$43.55 |
$43.55 |
$43.55 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$59.15 |
$59.15 |
$59.15 |
$56.35
|
|
Allergen egg white ige
|
$102.70 |
$102.70 |
$102.70 |
$39.00
|
|
Allergen specific ige qual multi scrn ea
|
$22.75 |
$22.75 |
$22.75 |
$35.75
|
|
Allograft amnioexcel plus 17mm disk
|
$418.60 |
$418.60 |
$418.60 |
$8,667.87
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$388.70 |
$388.70 |
$388.70 |
$4,668.54
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,652.30 |
$1,652.30 |
$1,652.30 |
$29.80
|
|
Alpha-fetoprotein amniotic
|
$94.25 |
$94.25 |
$94.25 |
$94.25
|
|
Alpha-fetoprotein tumor marker
|
$70.20 |
$70.20 |
$70.20 |
$103.80
|
|
Alprostadil for injection
|
$825.55 |
$825.55 |
$825.55 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$518.16 |
$518.16 |
$518.16 |
$543.20
|
|
Alt/sgpt
|
$41.60 |
$41.60 |
$41.60 |
$43.55
|
|
Aluminum - quest
|
$122.20 |
$122.20 |
$122.20 |
$121.25
|
|
Alveoloplasty each quadrant
|
$6,290.44 |
$6,290.44 |
$6,290.44 |
$3,190.65
|
|
Amantadine (symmetrel)-sendout
|
$208.00 |
$208.00 |
$208.00 |
$169.80
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$69.71 |
$69.71 |
$69.71 |
$46.47
|
|
Amino acid screen, urine
|
$111.80 |
$111.80 |
$111.80 |
$64.28
|
|
Amino acids quant 2-5
|
$90.35 |
$90.35 |
$90.35 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$52.84 |
$52.84 |
$52.84 |
$13.00
|
|
Aminolevulinic acid delta
|
$132.60 |
$132.60 |
$132.60 |
$101.40
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$107.20 |
$107.20 |
$107.20 |
$56.90
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$225.22 |
$225.22 |
$225.22 |
$150.15
|
|
Amiodarone 50 mg/ml intravenous solution
|
$9.76 |
$9.76 |
$9.76 |
$42.80
|
|
Amitriptyline (elavil) -sendout
|
$59.80 |
$59.80 |
$59.80 |
$96.35
|
|
Ammonia
|
$85.80 |
$85.80 |
$85.80 |
$96.53
|
|
Amniocentesisdiagnostic 59000
|
$1,425.45 |
$1,425.45 |
$1,425.45 |
$929.66
|
|
Amphetamine confirm urine -sendout
|
$84.50 |
$84.50 |
$84.50 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$234.00 |
$234.00 |
$234.00 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,598.32 |
$1,598.32 |
$1,598.32 |
$235.20
|
|
Ampicillin 1 gram solution for injection
|
$3,315.29 |
$3,315.29 |
$3,315.29 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$73.12 |
$73.12 |
$73.12 |
$33.32
|
