|
11-desoxycortisol - sendout
|
$174.63 |
$174.63 |
$174.63 |
$87.50
|
|
17-hydroxypregnenolone
|
$190.20 |
$190.20 |
$190.20 |
$85.15
|
|
17-ketosteroids
|
$126.27 |
$126.27 |
$126.27 |
$44.00
|
|
2nd order venous cath
|
$2,885.40 |
$2,885.40 |
$2,885.40 |
$1,809.60
|
|
5' nucleotidase - sendout
|
$135.70 |
$135.70 |
$135.70 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$176.77 |
$176.77 |
$176.77 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$111.35 |
$111.35 |
$111.35 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,913.34 |
$3,913.34 |
$3,913.34 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,591.03 |
$1,591.03 |
$1,591.03 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,653.22 |
$1,653.22 |
$1,653.22 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$1,731.94 |
$1,731.94 |
$1,731.94 |
$3,050.58
|
|
Abd/low ext cath addl
|
$166.64 |
$166.64 |
$166.64 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$6,280.00 |
$6,280.00 |
$6,280.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,711.13 |
$5,711.13 |
$5,711.13 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,947.21 |
$4,947.21 |
$4,947.21 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,661.42 |
$5,661.42 |
$5,661.42 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$4,622.06 |
$4,622.06 |
$4,622.06 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$3,587.63 |
$3,587.63 |
$3,587.63 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,170.05 |
$2,170.05 |
$2,170.05 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,617.97 |
$1,617.97 |
$1,617.97 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,361.02 |
$1,361.02 |
$1,361.02 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$5,559.08 |
$5,559.08 |
$5,559.08 |
$1,170.28
|
|
Abl1 gene
|
$1,536.66 |
$1,536.66 |
$1,536.66 |
$609.93
|
|
Ablate arrhythmia add on
|
$19,340.09 |
$19,340.09 |
$19,340.09 |
$7,417.15
|
|
Ablate bone tumor(s) perq
|
$23,658.23 |
$23,658.23 |
$23,658.23 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$20,307.09 |
$20,307.09 |
$20,307.09 |
$10,008.58
|
|
Abscess drain retroperitoneal surg code
|
$2,872.78 |
$2,872.78 |
$2,872.78 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$8,339.56 |
$8,339.56 |
$8,339.56 |
$3,263.74
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$90.38 |
$90.38 |
$90.38 |
$125.63
|
|
Acetaminophen level
|
$296.37 |
$296.37 |
$296.37 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$195.89 |
$195.89 |
$195.89 |
$133.60
|
|
Acetone qualitative
|
$102.74 |
$102.74 |
$102.74 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$109.20 |
$109.20 |
$109.20 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$88.79 |
$88.79 |
$88.79 |
$323.77
|
|
Acute hepatitis panel
|
$1,458.74 |
$1,458.74 |
$1,458.74 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$46.88 |
$46.88 |
$46.88 |
$50.70
|
|
#acylcarnitineprfl
|
$720.01 |
$720.01 |
$720.01 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$601.63 |
$601.63 |
$601.63 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$195.93 |
$195.93 |
$195.93 |
$63.00
|
|
Adh-sendout
|
$583.35 |
$583.35 |
$583.35 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$39.65 |
$39.65 |
$39.65 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$333.84 |
$333.84 |
$333.84 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$786.39 |
$786.39 |
$786.39 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,118.21 |
$1,118.21 |
$1,118.21 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$1,118.21 |
$1,118.21 |
$1,118.21 |
$264.00
|
|
Administration immunization 1 vaccine
|
$213.20 |
$213.20 |
$213.20 |
$70.52
|
|
Administration immunization each additional vaccine
|
$41.64 |
$41.64 |
$41.64 |
$46.23
|
|
Administration vaccine hepatitis b
|
$391.84 |
$391.84 |
$391.84 |
$51.35
|
|
Administration vaccine influenza virus
|
$447.17 |
$447.17 |
$447.17 |
$49.50
|
|
Albumin body fluid quantitative each specimen
|
$157.86 |
$157.86 |
$157.86 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$836.78 |
$836.78 |
$836.78 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$628.07 |
$628.07 |
$628.07 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,007.84 |
$1,007.84 |
$1,007.84 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$185.40 |
$185.40 |
$185.40 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$128.52 |
$128.52 |
$128.52 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$19.73 |
$19.73 |
$19.73 |
$22.45
|
|
Albuterol non-comp unit
|
$6.06 |
$6.06 |
$6.06 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$503.48 |
$503.48 |
$503.48 |
$93.60
|
|
Alkaline phosphatase
|
$116.89 |
$116.89 |
$116.89 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$223.03 |
$223.03 |
$223.03 |
$56.35
|
|
Allergen egg white ige
|
$142.98 |
$142.98 |
$142.98 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$51.67 |
$51.67 |
$51.67 |
$26.95
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,920.31 |
$1,920.31 |
$1,920.31 |
$905.18
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$721.20 |
$721.20 |
$721.20 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$330.17 |
$330.17 |
$330.17 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$604.61 |
$604.61 |
$604.61 |
$2,600.22
|
|
Alt/sgpt
|
$200.22 |
$200.22 |
$200.22 |
$49.00
|
|
Aluminum - quest
|
$213.95 |
$213.95 |
$213.95 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$247.80 |
$247.80 |
$247.80 |
$196.20
|
|
Aminolevulinic acid delta
|
$171.04 |
$171.04 |
$171.04 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$36.78 |
$36.78 |
$36.78 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$294.61 |
$294.61 |
$294.61 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$64.52 |
$64.52 |
$64.52 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$267.54 |
$267.54 |
$267.54 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$44,332.16 |
$44,332.16 |
$44,332.16 |
$15,167.75
|
|
Ammonia
|
$162.44 |
$162.44 |
$162.44 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$112.85 |
$112.85 |
$112.85 |
$94.50
|
|
Amphetamines 5 or more
|
$378.66 |
$378.66 |
$378.66 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$66.60 |
$66.60 |
$66.60 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$127.02 |
$127.02 |
$127.02 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$1,314.95 |
$1,314.95 |
$1,314.95 |
$312.00
|
|
Amylase
|
$246.57 |
$246.57 |
$246.57 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$244.41 |
$244.41 |
$244.41 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$790.43 |
$790.43 |
$790.43 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$889.18 |
$889.18 |
$889.18 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$189.77 |
$189.77 |
$189.77 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$168.20 |
$168.20 |
$168.20 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$216.58 |
$216.58 |
$216.58 |
$2,626.65
|
|
An fluoro guide for cvp
|
$2,294.42 |
$2,294.42 |
$2,294.42 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$31,027.81 |
$31,027.81 |
$31,027.81 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$22,413.21 |
$22,413.21 |
$22,413.21 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$22,431.55 |
$22,431.55 |
$22,431.55 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$22,704.14 |
$22,704.14 |
$22,704.14 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,402.78 |
$14,402.78 |
$14,402.78 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$22,413.45 |
$22,413.45 |
$22,413.45 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$7,494.43 |
$7,494.43 |
$7,494.43 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$21,622.83 |
$21,622.83 |
$21,622.83 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$9,917.74 |
$9,917.74 |
$9,917.74 |
$8,689.20
|
|
Ankle X-ray
|
$692.46 |
$692.46 |
$692.46 |
$339.44
|
