|
11-desoxycortisol - sendout
|
$45.20 |
$45.20 |
$45.20 |
$84.56
|
|
17-hydroxypregnenolone
|
$51.00 |
$51.00 |
$51.00 |
$87.00
|
|
17-ketosteroids
|
$81.40 |
$81.40 |
$81.40 |
$49.45
|
|
2019-ncov diagnostic p
|
$25.20 |
$25.20 |
$25.20 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$690.20 |
$690.20 |
$690.20 |
$1,591.63
|
|
2d tte w or without fol w/con,co
|
$441.20 |
$441.20 |
$441.20 |
$1,137.75
|
|
3-d radiotherapy plan
|
$1,282.00 |
$1,282.00 |
$1,282.00 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$417.00 |
$417.00 |
$417.00 |
$483.53
|
|
5' nucleotidase - sendout
|
$25.20 |
$25.20 |
$25.20 |
$46.53
|
|
88334 ap bill cytologic exam each additional site
|
$12.20 |
$12.20 |
$12.20 |
$98.15
|
|
Abd aorta w/runoff s&i
|
$1,574.60 |
$1,574.60 |
$1,574.60 |
$3,594.60
|
|
Abd/low ext cath 1st
|
$378.20 |
$378.20 |
$378.20 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$449.60 |
$449.60 |
$449.60 |
$2,199.60
|
|
Abd/low ext cath 3rd
|
$501.40 |
$501.40 |
$501.40 |
$2,662.40
|
|
Abd/low ext cath addl
|
$501.40 |
$501.40 |
$501.40 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$855.00 |
$855.00 |
$855.00 |
$2,047.50
|
|
Abdominal CT scan (with contrast)
|
$738.60 |
$738.60 |
$738.60 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$630.40 |
$630.40 |
$630.40 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$825.40 |
$825.40 |
$825.40 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$802.40 |
$802.40 |
$802.40 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$659.20 |
$659.20 |
$659.20 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$242.40 |
$242.40 |
$242.40 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$196.80 |
$196.80 |
$196.80 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$509.60 |
$509.60 |
$509.60 |
$1,153.54
|
|
Abl1 gene
|
$146.00 |
$146.00 |
$146.00 |
$682.50
|
|
Ablate bone tumor(s) perq
|
$1,722.00 |
$1,722.00 |
$1,722.00 |
$9,527.28
|
|
Ablation cryo abd perit om
|
$697.00 |
$697.00 |
$697.00 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$163.20 |
$163.20 |
$163.20 |
$842.40
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$15.00 |
$15.00 |
$15.00 |
$83.93
|
|
Acetaminophen level
|
$14.80 |
$14.80 |
$14.80 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$55.48 |
$55.48 |
$55.48 |
$115.20
|
|
Acetone qualitative
|
$17.40 |
$17.40 |
$17.40 |
$45.50
|
|
Acetylcholine receptor modulating antibody
|
$7.40 |
$7.40 |
$7.40 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$152.64 |
$152.64 |
$152.64 |
$252.07
|
|
Acute hepatitis panel
|
$97.20 |
$97.20 |
$97.20 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$29.16 |
$29.16 |
$29.16 |
$68.32
|
|
Adenosine 3 mg/250 ml bag for osm
|
$271.98 |
$271.98 |
$271.98 |
$275.73
|
|
Adh-sendout
|
$139.60 |
$139.60 |
$139.60 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$13.08 |
$13.08 |
$13.08 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$74.40 |
$74.40 |
$74.40 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$61.80 |
$61.80 |
$61.80 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$159.80 |
$159.80 |
$159.80 |
$673.60
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$83.20 |
$83.20 |
$83.20 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$61.80 |
$61.80 |
$61.80 |
$222.14
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$61.80 |
$61.80 |
$61.80 |
$265.50
|
|
Administration immunization 1 vaccine
|
$24.20 |
$24.20 |
$24.20 |
$69.21
|
|
Administration immunization each additional vaccine
|
$26.60 |
$26.60 |
$26.60 |
$47.52
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$12.80 |
$12.80 |
$12.80 |
$41.15
|
|
Administration vaccine hepatitis b
|
$25.20 |
$25.20 |
$25.20 |
$54.60
|
|
Administration vaccine influenza virus
|
$25.20 |
$25.20 |
$25.20 |
$48.35
|
|
Administration vaccine pneumococcal
|
$25.20 |
$25.20 |
$25.20 |
$49.50
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$11.00 |
$11.00 |
$11.00 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$3,830.04 |
$3,830.04 |
$3,830.04 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$561.93 |
$561.93 |
$561.93 |
$176.40
|
|
Albumin body fluid quantitative each specimen
|
$4.40 |
$4.40 |
$4.40 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$44.28 |
$44.28 |
$44.28 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$44.40 |
$44.40 |
$44.40 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$39.20 |
$39.20 |
$39.20 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$33.20 |
$33.20 |
$33.20 |
$40.00
|
|
Alkaline phosphatase
|
$33.20 |
$33.20 |
$33.20 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$11.20 |
$11.20 |
$11.20 |
$48.57
|
|
Allergen egg white ige
|
$11.20 |
$11.20 |
$11.20 |
$36.66
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$93.40 |
$93.40 |
$93.40 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$98.80 |
$98.80 |
$98.80 |
$106.00
|
|
Alprostadil for injection
|
$213.14 |
$213.14 |
$213.14 |
$519.93
|
|
Als 1
|
$478.20 |
$478.20 |
$478.20 |
$853.44
|
|
Als1-emergency
|
$550.40 |
$550.40 |
$550.40 |
$898.88
|
|
Als 2
|
$624.20 |
$624.20 |
$624.20 |
$1,288.56
|
|
Alt/sgpt
|
$33.20 |
$33.20 |
$33.20 |
$47.30
|
|
Aluminum - quest
|
$104.60 |
$104.60 |
$104.60 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$61.80 |
$61.80 |
$61.80 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$32.32 |
$32.32 |
$32.32 |
$36.30
|
|
Aminolevulinic acid delta
|
$42.40 |
$42.40 |
$42.40 |
$76.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$17.26 |
$17.26 |
$17.26 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$53.62 |
$53.62 |
$53.62 |
$60.61
|
|
Amitriptyline (elavil) -sendout
|
$61.80 |
$61.80 |
$61.80 |
$92.50
|
|
Ammonia
|
$93.00 |
$93.00 |
$93.00 |
$117.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$754.00 |
$754.00 |
$754.00 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$61.80 |
$61.80 |
$61.80 |
$93.61
|
|
Amphetamines 5 or more
|
$61.80 |
$61.80 |
$61.80 |
$87.75
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$52.66 |
$52.66 |
$52.66 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$281.70 |
$281.70 |
$281.70 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$95.71 |
$95.71 |
$95.71 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$77.71 |
$77.71 |
$77.71 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$157.80 |
$157.80 |
$157.80 |
$262.99
|
|
Amylase
|
$55.20 |
$55.20 |
$55.20 |
$85.65
|
|
Anabolic steroid 1 or 2
|
$61.80 |
$61.80 |
$61.80 |
$80.08
|
|
Ana ds-dna
|
$8.80 |
$8.80 |
$8.80 |
$58.63
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$59.40 |
$59.40 |
$59.40 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$204.40 |
$204.40 |
$204.40 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$343.00 |
$343.00 |
$343.00 |
$223.60
|
|
Anaplsma phgcytophlm amp prb
|
$22.60 |
$22.60 |
$22.60 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$229.00 |
$229.00 |
$229.00 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$693.80 |
$693.80 |
$693.80 |
$2,494.35
|
|
An fluoro guide for cvp
|
$93.80 |
$93.80 |
$93.80 |
$531.00
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$5,341.83
|
|
Angioplasty fem/pop unilat 37224
|
$4,956.60 |
$4,956.60 |
$4,956.60 |
$9,074.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,910.20 |
$4,910.20 |
$4,910.20 |
$10,344.88
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,149.40 |
$3,149.40 |
$3,149.40 |
$5,950.50
|
