|
11-desoxycortisol - sendout
|
$404.80 |
$404.80 |
$404.80 |
$87.50
|
|
17-hydroxypregnenolone
|
$375.49 |
$375.49 |
$375.49 |
$85.15
|
|
17-ketosteroids
|
$143.78 |
$143.78 |
$143.78 |
$44.00
|
|
2nd order venous cath
|
$663.19 |
$663.19 |
$663.19 |
$1,809.60
|
|
5' nucleotidase - sendout
|
$185.65 |
$185.65 |
$185.65 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$73.85 |
$73.85 |
$73.85 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$349.44 |
$349.44 |
$349.44 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,930.80 |
$4,930.80 |
$4,930.80 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,662.08 |
$1,662.08 |
$1,662.08 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$2,255.84 |
$2,255.84 |
$2,255.84 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,480.79 |
$2,480.79 |
$2,480.79 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,862.68 |
$1,862.68 |
$1,862.68 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$5,079.39 |
$5,079.39 |
$5,079.39 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$4,701.85 |
$4,701.85 |
$4,701.85 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,079.16 |
$4,079.16 |
$4,079.16 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,923.72 |
$5,923.72 |
$5,923.72 |
$2,916.21
|
|
Abdominal MRI (without contrast)
|
$3,711.82 |
$3,711.82 |
$3,711.82 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$5,498.45 |
$5,498.45 |
$5,498.45 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,356.39 |
$1,356.39 |
$1,356.39 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,242.44 |
$1,242.44 |
$1,242.44 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$5,666.49 |
$5,666.49 |
$5,666.49 |
$1,170.28
|
|
Abl1 gene
|
$5,374.69 |
$5,374.69 |
$5,374.69 |
$609.93
|
|
Ablate bone tumor(s) perq
|
$14,180.72 |
$14,180.72 |
$14,180.72 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$13,722.25 |
$13,722.25 |
$13,722.25 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$3,587.65
|
|
Abscess drain retroperitoneal surg code
|
$6,099.23 |
$6,099.23 |
$6,099.23 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$139.05 |
$139.05 |
$139.05 |
$125.63
|
|
Acetaminophen level
|
$302.10 |
$302.10 |
$302.10 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$246.40 |
$246.40 |
$246.40 |
$133.60
|
|
Acetone qualitative
|
$145.10 |
$145.10 |
$145.10 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$149.46 |
$149.46 |
$149.46 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$110.18 |
$110.18 |
$110.18 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$80.50 |
$80.50 |
$80.50 |
$42.28
|
|
Acute hepatitis panel
|
$841.45 |
$841.45 |
$841.45 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$50.85 |
$50.85 |
$50.85 |
$50.70
|
|
#acylcarnitineprfl
|
$699.33 |
$699.33 |
$699.33 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$762.46 |
$762.46 |
$762.46 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$224.20 |
$224.20 |
$224.20 |
$63.00
|
|
Adh-sendout
|
$433.43 |
$433.43 |
$433.43 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$42.99 |
$42.99 |
$42.99 |
$124.70
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$802.02 |
$802.02 |
$802.02 |
$264.00
|
|
Administration immunization 1 vaccine
|
$215.00 |
$215.00 |
$215.00 |
$70.52
|
|
Administration immunization each additional vaccine
|
$34.95 |
$34.95 |
$34.95 |
$46.23
|
|
Administration vaccine hepatitis b
|
$399.41 |
$399.41 |
$399.41 |
$51.35
|
|
Administration vaccine influenza virus
|
$566.00 |
$566.00 |
$566.00 |
$49.50
|
|
Albumin body fluid quantitative each specimen
|
$163.82 |
$163.82 |
$163.82 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,217.81 |
$1,217.81 |
$1,217.81 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$765.64 |
$765.64 |
$765.64 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,229.57 |
$1,229.57 |
$1,229.57 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$223.41 |
$223.41 |
$223.41 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$93.53 |
$93.53 |
$93.53 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$24.95 |
$24.95 |
$24.95 |
$22.45
|
|
Albuterol non-comp unit
|
$7.18 |
$7.18 |
$7.18 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$357.06 |
$357.06 |
$357.06 |
$93.60
|
|
Alkaline phosphatase
|
$160.38 |
$160.38 |
$160.38 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$227.34 |
$227.34 |
$227.34 |
$56.35
|
|
Allergen egg white ige
|
$170.78 |
$170.78 |
$170.78 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$221.34 |
$221.34 |
$221.34 |
$26.95
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$1,722.91 |
$1,722.91 |
$1,722.91 |
$905.18
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$735.14 |
$735.14 |
$735.14 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$292.16 |
$292.16 |
$292.16 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$766.25 |
$766.25 |
$766.25 |
$2,600.22
|
|
Alt/sgpt
|
$146.48 |
$146.48 |
$146.48 |
$49.00
|
|
Aluminum - quest
|
$321.04 |
$321.04 |
$321.04 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$324.64 |
$324.64 |
$324.64 |
$196.20
|
|
Aminolevulinic acid delta
|
$247.08 |
$247.08 |
$247.08 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$42.10 |
$42.10 |
$42.10 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$603.78 |
$603.78 |
$603.78 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$101.75 |
$101.75 |
$101.75 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$237.70 |
$237.70 |
$237.70 |
$101.17
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$11,477.86 |
$11,477.86 |
$11,477.86 |
$15,167.75
|
|
Ammonia
|
$232.94 |
$232.94 |
$232.94 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$121.03 |
$121.03 |
$121.03 |
$94.50
|
|
Amphetamines 5 or more
|
$385.99 |
$385.99 |
$385.99 |
$101.40
|
|
Ampicillin 1 gram solution for injection
|
$100.41 |
$100.41 |
$100.41 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$198.60 |
$198.60 |
$198.60 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$788.97 |
$788.97 |
$788.97 |
$312.00
|
|
Amylase
|
$265.95 |
$265.95 |
$265.95 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$249.13 |
$249.13 |
$249.13 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$805.71 |
$805.71 |
$805.71 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$899.90 |
$899.90 |
$899.90 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$116.06 |
$116.06 |
$116.06 |
$95.45
|
|
An fluoro guide for cvp
|
$744.02 |
$744.02 |
$744.02 |
$484.45
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,549.86 |
$1,549.86 |
$1,549.86 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$15,894.60 |
$15,894.60 |
$15,894.60 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$14,105.61 |
$14,105.61 |
$14,105.61 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$18,428.55 |
$18,428.55 |
$18,428.55 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$14,669.95 |
$14,669.95 |
$14,669.95 |
$6,736.02
|
|
Angio tib/peroneal/init ves/unila 37228
|
$18,428.55 |
$18,428.55 |
$18,428.55 |
$13,351.25
|
|
Angio trnslmnl balloon same vein ea addl
|
$6,746.26 |
$6,746.26 |
$6,746.26 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$19,972.44 |
$19,972.44 |
$19,972.44 |
$8,689.20
|
|
Ankle X-ray
|
$663.23 |
$663.23 |
$663.23 |
$339.44
|
|
Antibody elution rbc reference
|
$428.52 |
$428.52 |
$428.52 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$226.15 |
$226.15 |
$226.15 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,084.65 |
$1,084.65 |
$1,084.65 |
$220.73
|
|
Antibody id rbc panel
|
$338.66 |
$338.66 |
$338.66 |
$291.75
|
|
Antibody influenza virus
|
$141.38 |
$141.38 |
$141.38 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$136.78 |
$136.78 |
$136.78 |
$53.96
|
|
Antibody screen rbc
|
$161.24 |
$161.24 |
$161.24 |
$105.00
|
|
Antidepressant not specified
|
$170.81 |
$170.81 |
$170.81 |
$89.50
|
