|
17-hydroxypregnenolone
|
$40.56 |
$40.56 |
$40.56 |
$87.50
|
|
17-ketosteroids
|
$17.17 |
$17.17 |
$17.17 |
$44.88
|
|
2019-ncov diagnostic p
|
$0.01 |
$0.01 |
$0.01 |
$49.37
|
|
2d tee w or without fol w/con,in
|
$1,297.67 |
$1,297.67 |
$1,297.67 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$805.42 |
$805.42 |
$805.42 |
$1,155.75
|
|
2nd order venous cath
|
$1,048.14 |
$1,048.14 |
$1,048.14 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$274.40 |
$274.40 |
$274.40 |
$632.45
|
|
3-d radiotherapy plan
|
$2,579.35 |
$2,579.35 |
$2,579.35 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$109.52 |
$109.52 |
$109.52 |
$425.10
|
|
5' nucleotidase - sendout
|
$35.82 |
$35.82 |
$35.82 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$22.50 |
$22.50 |
$22.50 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,057.83 |
$3,057.83 |
$3,057.83 |
$3,627.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$42.63 |
$42.63 |
$42.63 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,835.50 |
$1,835.50 |
$1,835.50 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,511.68 |
$1,511.68 |
$1,511.68 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,183.12 |
$1,183.12 |
$1,183.12 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,183.12 |
$1,183.12 |
$1,183.12 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,479.12 |
$1,479.12 |
$1,479.12 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$835.91 |
$835.91 |
$835.91 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$794.17 |
$794.17 |
$794.17 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$626.93 |
$626.93 |
$626.93 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,691.05 |
$1,691.05 |
$1,691.05 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$608.88 |
$608.88 |
$608.88 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,183.71 |
$1,183.71 |
$1,183.71 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,461.65 |
$1,461.65 |
$1,461.65 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$625.16 |
$625.16 |
$625.16 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$281.50 |
$281.50 |
$281.50 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$760.13 |
$760.13 |
$760.13 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$496.69 |
$496.69 |
$496.69 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$1,658.79 |
$1,658.79 |
$1,658.79 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$11,421.16 |
$11,421.16 |
$11,421.16 |
$9,836.16
|
|
Ablation cardiac vagal inputs atrium
|
$161.62 |
$161.62 |
$161.62 |
$2,948.40
|
|
Ablation of upper extremity nerves rf
|
$302.52 |
$302.52 |
$302.52 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,338.52 |
$1,338.52 |
$1,338.52 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$836.50 |
$836.50 |
$836.50 |
$3,287.87
|
|
Acetazolamide 500 mg solution for injection
|
$65.80 |
$65.80 |
$65.80 |
$120.90
|
|
Acetone qualitative
|
$15.69 |
$15.69 |
$15.69 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$14.80 |
$14.80 |
$14.80 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$252.07 |
$252.07 |
$252.07 |
$306.72
|
|
Acetylcysteine non-comp unit
|
$3.34 |
$3.34 |
$3.34 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$9.77 |
$9.77 |
$9.77 |
$44.40
|
|
Acute hepatitis panel
|
$145.64 |
$145.64 |
$145.64 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$27,079.65 |
$27,079.65 |
$27,079.65 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$21.49 |
$21.49 |
$21.49 |
$62.48
|
|
Adapter b 8 channel 10cm
|
$0.30 |
$0.30 |
$0.30 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$353.38 |
$353.38 |
$353.38 |
$268.50
|
|
Adenovirus antibody,serum - quest
|
$14.80 |
$14.80 |
$14.80 |
$60.00
|
|
Adh-sendout
|
$47.36 |
$47.36 |
$47.36 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$77.04 |
$77.04 |
$77.04 |
$172.86
|
|
Administration chemotherapy IV infusion each additional hour
|
$102.72 |
$102.72 |
$102.72 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$149.19 |
$149.19 |
$149.19 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$355.50 |
$355.50 |
$355.50 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$291.27 |
$291.27 |
$291.27 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$103.01 |
$103.01 |
$103.01 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$103.01 |
$103.01 |
$103.01 |
$267.43
|
|
Administration immunization 1 vaccine
|
$63.35 |
$63.35 |
$63.35 |
$70.00
|
|
Administration immunization each additional vaccine
|
$41.15 |
$41.15 |
$41.15 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$13,647.71 |
$13,647.71 |
$13,647.71 |
$12,791.80
|
|
_afb id by dna probe rflx ast
|
$38.48 |
$38.48 |
$38.48 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$10.36 |
$10.36 |
$10.36 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$164.88 |
$164.88 |
$164.88 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$59.80 |
$59.80 |
$59.80 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$68.52 |
$68.52 |
$68.52 |
$256.84
|
|
Albumin, human 5 % intravenous solution
|
$118.36 |
$118.36 |
$118.36 |
$125.99
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$10.66 |
$10.66 |
$10.66 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$61.87 |
$61.87 |
$61.87 |
$43.45
|
|
Alkaline phosphatase
|
$15.69 |
$15.69 |
$15.69 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$6.52 |
$6.52 |
$6.52 |
$56.35
|
|
Allergen egg white ige
|
$7.40 |
$7.40 |
$7.40 |
$39.78
|
|
All tstg perq&iq drugs/biol
|
$39.67 |
$39.67 |
$39.67 |
$64.80
|
|
Alpha-fetoprotein tumor marker
|
$27.24 |
$27.24 |
$27.24 |
$103.60
|
|
Als 1
|
$331.23 |
$331.23 |
$331.23 |
$892.32
|
|
Als1-emergency
|
$525.70 |
$525.70 |
$525.70 |
$926.94
|
|
Als 2
|
$760.43 |
$760.43 |
$760.43 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,829,398.30 |
$1,829,398.30 |
$1,829,398.30 |
$15,857.45
|
|
Alt/sgpt
|
$8.00 |
$8.00 |
$8.00 |
$49.00
|
|
Aluminum - quest
|
$37.60 |
$37.60 |
$37.60 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$104.79 |
$104.79 |
$104.79 |
$188.65
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$22.81 |
$22.81 |
$22.81 |
$44.00
|
|
Aminolevulinic acid delta
|
$19.24 |
$19.24 |
$19.24 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$33.36 |
$33.36 |
$33.36 |
$48.29
|
|
Amiodarone 50 mg/ml intravenous solution
|
$24.21 |
$24.21 |
$24.21 |
$58.57
|
|
Amitriptyline (elavil) -sendout
|
$40.26 |
$40.26 |
$40.26 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$7,682.85 |
$7,682.85 |
$7,682.85 |
$11,376.95
|
|
Ammonia
|
$150.08 |
$150.08 |
$150.08 |
$123.48
|
|
Amphetamine confirm urine -sendout
|
$150.08 |
$150.08 |
$150.08 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$59.44 |
$59.44 |
$59.44 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$134.01 |
$134.01 |
$134.01 |
$434.39
|
|
Ampicillin 1 gram solution for injection
|
$25.23 |
$25.23 |
$25.23 |
$63.06
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$34.35 |
$34.35 |
$34.35 |
$56.63
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$320.28 |
$320.28 |
$320.28 |
$280.20
|
|
Amp metatarsal w/toe single 28810
|
$1,555.48 |
$1,555.48 |
$1,555.48 |
$3,839.54
|
|
Amp thigh through femur re-amp 27596
|
$3,430.64 |
$3,430.64 |
$3,430.64 |
$3,430.64
|
|
Amputate metacarpal bone 26910
|
$3,214.86 |
$3,214.86 |
$3,214.86 |
$3,666.29
|
|
Amputate thigh through femur 27590
|
$3,378.25 |
$3,378.25 |
$3,378.25 |
$3,852.55
|
|
Amputation follow-up surgery
|
$3,220.19 |
$3,220.19 |
$3,220.19 |
$3,839.54
|
|
Amputation leg thr tib/fib 27880
|
$975.92 |
$975.92 |
$975.92 |
$3,996.20
|
|
Amputation leg; tib/fib f/u 27886
|
$1,022.98 |
$1,022.98 |
$1,022.98 |
$3,206.40
|
|
Amputation of foot at ankle
|
$7,109.92 |
$7,109.92 |
$7,109.92 |
$5,886.74
|
|
Amputation of lower leg
|
$975.92 |
$975.92 |
$975.92 |
$2,916.80
|
