|
2019-ncov diagnostic p
|
$30.13 |
$30.13 |
$30.13 |
$49.57
|
|
3d recon without postprocess indpndt
|
$498.64 |
$498.64 |
$498.64 |
$483.53
|
|
5' nucleotidase - sendout
|
$28.29 |
$28.29 |
$28.29 |
$46.53
|
|
88334 ap bill cytologic exam each additional site
|
$14.49 |
$14.49 |
$14.49 |
$98.15
|
|
Abd aorta w/runoff s&i
|
$1,810.79 |
$1,810.79 |
$1,810.79 |
$3,594.60
|
|
Abd/low ext cath 1st
|
$434.93 |
$434.93 |
$434.93 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$517.04 |
$517.04 |
$517.04 |
$2,199.60
|
|
Abd/low ext cath 3rd
|
$576.61 |
$576.61 |
$576.61 |
$2,662.40
|
|
Abd/low ext cath addl
|
$576.61 |
$576.61 |
$576.61 |
$981.95
|
|
Abdominal CT scan (with and without contrast)
|
$915.86 |
$915.86 |
$915.86 |
$2,047.50
|
|
Abdominal CT scan (with contrast)
|
$808.68 |
$808.68 |
$808.68 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$717.60 |
$717.60 |
$717.60 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$1,457.51 |
$1,457.51 |
$1,457.51 |
$3,061.80
|
|
Abdominal MRI (without contrast)
|
$856.06 |
$856.06 |
$856.06 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$758.08 |
$758.08 |
$758.08 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$288.19 |
$288.19 |
$288.19 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$235.29 |
$235.29 |
$235.29 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$232.53 |
$232.53 |
$232.53 |
$1,153.54
|
|
Ablation cryo abd perit om
|
$833.52 |
$833.52 |
$833.52 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$225.63 |
$225.63 |
$225.63 |
$842.40
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$17.25 |
$17.25 |
$17.25 |
$84.15
|
|
Acetaminophen level
|
$17.71 |
$17.71 |
$17.71 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$63.81 |
$63.81 |
$63.81 |
$115.20
|
|
Acetone qualitative
|
$47.61 |
$47.61 |
$47.61 |
$44.24
|
|
Acetylcholine receptor modulating antibody
|
$8.51 |
$8.51 |
$8.51 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$175.54 |
$175.54 |
$175.54 |
$249.04
|
|
Acid perfusion of esophagus
|
$405.26 |
$405.26 |
$405.26 |
$587.30
|
|
Acute hepatitis panel
|
$73.14 |
$73.14 |
$73.14 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$33.53 |
$33.53 |
$33.53 |
$68.32
|
|
Adenosine 3 mg/250 ml bag for osm
|
$312.78 |
$312.78 |
$312.78 |
$275.73
|
|
Adh-sendout
|
$65.09 |
$65.09 |
$65.09 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$15.05 |
$15.05 |
$15.05 |
$181.12
|
|
Administration immunization 1 vaccine
|
$28.98 |
$28.98 |
$28.98 |
$69.21
|
|
Administration immunization each additional vaccine
|
$31.74 |
$31.74 |
$31.74 |
$48.00
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$14.72 |
$14.72 |
$14.72 |
$41.15
|
|
Administration vaccine hepatitis b
|
$30.13 |
$30.13 |
$30.13 |
$54.60
|
|
Administration vaccine influenza virus
|
$26.22 |
$26.22 |
$26.22 |
$48.49
|
|
Administration vaccine pneumococcal
|
$26.22 |
$26.22 |
$26.22 |
$49.50
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$12.65 |
$12.65 |
$12.65 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$4,404.55 |
$4,404.55 |
$4,404.55 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$646.22 |
$646.22 |
$646.22 |
$206.20
|
|
Albumin body fluid quantitative each specimen
|
$5.29 |
$5.29 |
$5.29 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$50.92 |
$50.92 |
$50.92 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$51.06 |
$51.06 |
$51.06 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$43.01 |
$43.01 |
$43.01 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$29.90 |
$29.90 |
$29.90 |
$40.00
|
|
Alkaline phosphatase
|
$55.89 |
$55.89 |
$55.89 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$13.34 |
$13.34 |
$13.34 |
$48.57
|
|
Allergen egg white ige
|
$5.98 |
$5.98 |
$5.98 |
$36.66
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$86.02 |
$86.02 |
$86.02 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$67.62 |
$67.62 |
$67.62 |
$106.00
|
|
Alprostadil for injection
|
$245.11 |
$245.11 |
$245.11 |
$519.93
|
|
Als 1
|
$572.01 |
$572.01 |
$572.01 |
$853.44
|
|
Als1-emergency
|
$658.26 |
$658.26 |
$658.26 |
$898.88
|
|
Als 2
|
$746.58 |
$746.58 |
$746.58 |
$1,288.56
|
|
Alt/sgpt
|
$54.05 |
$54.05 |
$54.05 |
$47.30
|
|
Amantadine (symmetrel)-sendout
|
$71.07 |
$71.07 |
$71.07 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$37.17 |
$37.17 |
$37.17 |
$36.30
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$19.85 |
$19.85 |
$19.85 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$61.67 |
$61.67 |
$61.67 |
$58.87
|
|
Amitriptyline (elavil) -sendout
|
$73.83 |
$73.83 |
$73.83 |
$92.50
|
|
Ammonia
|
$48.76 |
$48.76 |
$48.76 |
$117.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$861.81 |
$861.81 |
$861.81 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$73.83 |
$73.83 |
$73.83 |
$94.38
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$60.56 |
$60.56 |
$60.56 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$323.96 |
$323.96 |
$323.96 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$110.07 |
$110.07 |
$110.07 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$89.37 |
$89.37 |
$89.37 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$181.47 |
$181.47 |
$181.47 |
$262.99
|
|
Amylase
|
$55.89 |
$55.89 |
$55.89 |
$85.65
|
|
Ana ds-dna
|
$10.58 |
$10.58 |
$10.58 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$71.07 |
$71.07 |
$71.07 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$176.18 |
$176.18 |
$176.18 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$319.70 |
$319.70 |
$319.70 |
$226.50
|
|
Anaplsma phgcytophlm amp prb
|
$25.99 |
$25.99 |
$25.99 |
$88.00
|
|
An fluoro guide for cvp
|
$112.24 |
$112.24 |
$112.24 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,176.91 |
$1,176.91 |
$1,176.91 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$5,700.09 |
$5,700.09 |
$5,700.09 |
$9,074.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$5,646.73 |
$5,646.73 |
$5,646.73 |
$10,215.00
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,621.81 |
$3,621.81 |
$3,621.81 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$5,700.09 |
$5,700.09 |
$5,700.09 |
$10,522.96
|
|
Ankle X-ray
|
$103.04 |
$103.04 |
$103.04 |
$356.32
|
|
Anora (draw only)
|
$7.13 |
$7.13 |
$7.13 |
$35.00
|
|
Anoscopy remove fb 46608
|
$539.81 |
$539.81 |
$539.81 |
$1,496.56
|
|
Antibody htlv/hiv confirm test
|
$22.31 |
$22.31 |
$22.31 |
$127.95
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$201.71 |
$201.71 |
$201.71 |
$220.73
|
|
Antibody id rbc panel
|
$126.27 |
$126.27 |
$126.27 |
$277.50
|
|
Antibody influenza virus
|
$36.11 |
$36.11 |
$36.11 |
$53.95
|
|
Antibody screen rbc
|
$50.14 |
$50.14 |
$50.14 |
$106.00
|
|
Antibody tetanus
|
$10.58 |
$10.58 |
$10.58 |
$52.20
|
|
Anti mog serum - sendout
|
$9.20 |
$9.20 |
$9.20 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$9.20 |
$9.20 |
$9.20 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$9.20 |
$9.20 |
$9.20 |
$36.60
|
|
Antinuclear antibodies
|
$37.95 |
$37.95 |
$37.95 |
$91.70
|
|
Antinuclear antibodies titer
|
$9.20 |
$9.20 |
$9.20 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$14.03 |
$14.03 |
$14.03 |
$65.97
|
|
Antistreptolysin o titer
|
$29.90 |
$29.90 |
$29.90 |
$52.50
|
|
Antithrombin iii activity
|
$39.56 |
$39.56 |
$39.56 |
$114.00
|
|
Apheresis plasma
|
$681.49 |
$681.49 |
$681.49 |
$3,291.00
|
|
Apomorphine hydrochloride
|
$277.02 |
$277.02 |
$277.02 |
$174.99
|
