|
17-hydroxypregnenolone
|
$57.96 |
$57.96 |
$57.96 |
$87.50
|
|
17-ketosteroids
|
$24.54 |
$24.54 |
$24.54 |
$44.88
|
|
2019-ncov diagnostic p
|
$0.01 |
$0.01 |
$0.01 |
$49.37
|
|
2d tee w or without fol w/con,in
|
$1,854.44 |
$1,854.44 |
$1,854.44 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$1,150.99 |
$1,150.99 |
$1,150.99 |
$1,155.75
|
|
2nd order venous cath
|
$1,497.85 |
$1,497.85 |
$1,497.85 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$392.13 |
$392.13 |
$392.13 |
$632.45
|
|
3-d radiotherapy plan
|
$3,686.03 |
$3,686.03 |
$3,686.03 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$156.51 |
$156.51 |
$156.51 |
$425.10
|
|
5' nucleotidase - sendout
|
$51.19 |
$51.19 |
$51.19 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$32.15 |
$32.15 |
$32.15 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$4,369.80 |
$4,369.80 |
$4,369.80 |
$3,627.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$60.92 |
$60.92 |
$60.92 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,623.03 |
$2,623.03 |
$2,623.03 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$2,160.27 |
$2,160.27 |
$2,160.27 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,690.74 |
$1,690.74 |
$1,690.74 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,690.74 |
$1,690.74 |
$1,690.74 |
$2,727.40
|
|
Abd/low ext cath addl
|
$2,113.74 |
$2,113.74 |
$2,113.74 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,194.56 |
$1,194.56 |
$1,194.56 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,134.91 |
$1,134.91 |
$1,134.91 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$895.92 |
$895.92 |
$895.92 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,416.60 |
$2,416.60 |
$2,416.60 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$870.12 |
$870.12 |
$870.12 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,691.58 |
$1,691.58 |
$1,691.58 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,088.78 |
$2,088.78 |
$2,088.78 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$893.38 |
$893.38 |
$893.38 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$402.28 |
$402.28 |
$402.28 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,086.27 |
$1,086.27 |
$1,086.27 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$709.80 |
$709.80 |
$709.80 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$2,370.50 |
$2,370.50 |
$2,370.50 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$16,321.46 |
$16,321.46 |
$16,321.46 |
$9,836.16
|
|
Ablation cardiac vagal inputs atrium
|
$230.96 |
$230.96 |
$230.96 |
$2,948.40
|
|
Ablation of upper extremity nerves rf
|
$432.31 |
$432.31 |
$432.31 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,912.81 |
$1,912.81 |
$1,912.81 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,195.40 |
$1,195.40 |
$1,195.40 |
$3,287.87
|
|
Acetazolamide 500 mg solution for injection
|
$94.03 |
$94.03 |
$94.03 |
$120.90
|
|
Acetone qualitative
|
$22.42 |
$22.42 |
$22.42 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$21.15 |
$21.15 |
$21.15 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$360.22 |
$360.22 |
$360.22 |
$306.72
|
|
Acetylcysteine non-comp unit
|
$4.77 |
$4.77 |
$4.77 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$13.96 |
$13.96 |
$13.96 |
$44.40
|
|
Acute hepatitis panel
|
$208.12 |
$208.12 |
$208.12 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$38,698.28 |
$38,698.28 |
$38,698.28 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$30.71 |
$30.71 |
$30.71 |
$62.48
|
|
Adapter b 8 channel 10cm
|
$0.43 |
$0.43 |
$0.43 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$505.00 |
$505.00 |
$505.00 |
$268.50
|
|
Adenovirus antibody,serum - quest
|
$21.15 |
$21.15 |
$21.15 |
$60.00
|
|
Adh-sendout
|
$67.68 |
$67.68 |
$67.68 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$110.09 |
$110.09 |
$110.09 |
$172.86
|
|
Administration chemotherapy IV infusion each additional hour
|
$146.79 |
$146.79 |
$146.79 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$213.20 |
$213.20 |
$213.20 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$508.03 |
$508.03 |
$508.03 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$416.24 |
$416.24 |
$416.24 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$147.21 |
$147.21 |
$147.21 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$147.21 |
$147.21 |
$147.21 |
$267.43
|
|
Administration immunization 1 vaccine
|
$90.53 |
$90.53 |
$90.53 |
$70.00
|
|
Administration immunization each additional vaccine
|
$58.80 |
$58.80 |
$58.80 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$19,503.31 |
$19,503.31 |
$19,503.31 |
$12,791.80
|
|
_afb id by dna probe rflx ast
|
$54.99 |
$54.99 |
$54.99 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$14.81 |
$14.81 |
$14.81 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$235.62 |
$235.62 |
$235.62 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$85.45 |
$85.45 |
$85.45 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$97.91 |
$97.91 |
$97.91 |
$256.84
|
|
Albumin, human 5 % intravenous solution
|
$169.14 |
$169.14 |
$169.14 |
$125.99
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$15.23 |
$15.23 |
$15.23 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$88.41 |
$88.41 |
$88.41 |
$43.45
|
|
Alkaline phosphatase
|
$22.42 |
$22.42 |
$22.42 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$9.31 |
$9.31 |
$9.31 |
$56.35
|
|
Allergen egg white ige
|
$10.58 |
$10.58 |
$10.58 |
$39.78
|
|
All tstg perq&iq drugs/biol
|
$56.69 |
$56.69 |
$56.69 |
$64.80
|
|
Alpha-fetoprotein tumor marker
|
$38.92 |
$38.92 |
$38.92 |
$103.60
|
|
Als 1
|
$473.34 |
$473.34 |
$473.34 |
$892.32
|
|
Als1-emergency
|
$751.25 |
$751.25 |
$751.25 |
$926.94
|
|
Als 2
|
$1,086.69 |
$1,086.69 |
$1,086.69 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$2,614,309.05 |
$2,614,309.05 |
$2,614,309.05 |
$15,857.45
|
|
Alt/sgpt
|
$11.43 |
$11.43 |
$11.43 |
$49.00
|
|
Aluminum - quest
|
$53.73 |
$53.73 |
$53.73 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$149.75 |
$149.75 |
$149.75 |
$188.65
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$32.59 |
$32.59 |
$32.59 |
$44.00
|
|
Aminolevulinic acid delta
|
$27.50 |
$27.50 |
$27.50 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$47.68 |
$47.68 |
$47.68 |
$48.29
|
|
Amiodarone 50 mg/ml intravenous solution
|
$34.59 |
$34.59 |
$34.59 |
$58.57
|
|
Amitriptyline (elavil) -sendout
|
$57.53 |
$57.53 |
$57.53 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$10,979.21 |
$10,979.21 |
$10,979.21 |
$11,376.95
|
|
Ammonia
|
$214.47 |
$214.47 |
$214.47 |
$123.48
|
|
Amphetamine confirm urine -sendout
|
$214.47 |
$214.47 |
$214.47 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$84.95 |
$84.95 |
$84.95 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$191.51 |
$191.51 |
$191.51 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$36.06 |
$36.06 |
$36.06 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$49.09 |
$49.09 |
$49.09 |
$56.63
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$457.69 |
$457.69 |
$457.69 |
$280.20
|
|
Amp metatarsal w/toe single 28810
|
$2,222.87 |
$2,222.87 |
$2,222.87 |
$3,839.54
|
|
Amp thigh through femur re-amp 27596
|
$4,902.57 |
$4,902.57 |
$4,902.57 |
$3,430.64
|
|
Amputate metacarpal bone 26910
|
$4,594.21 |
$4,594.21 |
$4,594.21 |
$3,666.29
|
|
Amputate thigh through femur 27590
|
$4,827.70 |
$4,827.70 |
$4,827.70 |
$3,852.55
|
|
Amputation follow-up surgery
|
$4,601.82 |
$4,601.82 |
$4,601.82 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$1,394.64 |
$1,394.64 |
$1,394.64 |
$3,996.20
|
|
Amputation leg; tib/fib f/u 27886
|
$1,461.89 |
$1,461.89 |
$1,461.89 |
$3,206.40
|
|
Amputation of foot at ankle
|
$10,160.46 |
$10,160.46 |
$10,160.46 |
$5,886.74
|
|
Amputation of lower leg
|
$1,394.64 |
$1,394.64 |
$1,394.64 |
$2,916.80
|
