|
11-desoxycortisol - sendout
|
$74.97 |
$74.97 |
$74.97 |
$87.50
|
|
17-hydroxypregnenolone
|
$39.06 |
$39.06 |
$39.06 |
$87.50
|
|
17-ketosteroids
|
$14.49 |
$14.49 |
$14.49 |
$44.00
|
|
2019-ncov diagnostic p
|
$85.40 |
$85.40 |
$85.40 |
$39.51
|
|
24 hr ambulatory b/p monitor
|
$4,107.71 |
$4,107.71 |
$4,107.71 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$2,735.25 |
$2,735.25 |
$26,861.67 |
$1,641.60
|
|
2nd order venous cath
|
$2,674.00 |
$2,674.00 |
$2,674.00 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$2,891.07 |
$2,891.07 |
$2,891.07 |
$669.00
|
|
3-d radiotherapy plan
|
$28,575.92 |
$28,575.92 |
$28,575.92 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$501.17 |
$501.17 |
$501.17 |
$427.34
|
|
5' nucleotidase - sendout
|
$51.03 |
$51.03 |
$51.03 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$82.85 |
$82.85 |
$1,542.18 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$9,100.88 |
$9,100.88 |
$9,100.88 |
$3,615.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$54.18 |
$54.18 |
$54.18 |
$52.25
|
|
Abciximab injection
|
$9,798.97 |
$9,798.97 |
$9,798.97 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$3,921.05 |
$3,921.05 |
$3,921.05 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,154.79 |
$1,154.79 |
$1,154.79 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$1,755.25 |
$1,755.25 |
$1,755.25 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$2,089.40 |
$2,089.40 |
$2,089.40 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,233.05 |
$1,233.05 |
$1,233.05 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$4,556.65 |
$4,556.65 |
$19,405.41 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$4,032.44 |
$4,032.44 |
$18,228.49 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,339.05 |
$2,339.05 |
$17,173.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,936.05 |
$4,936.05 |
$23,324.97 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$4,442.55 |
$4,442.55 |
$22,125.19 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$2,863.00 |
$2,863.00 |
$14,363.92 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$2,239.30 |
$2,239.30 |
$2,239.30 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,569.78 |
$1,569.78 |
$3,588.08 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$926.45 |
$926.45 |
$926.45 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$604.80 |
$604.80 |
$604.80 |
$1,170.28
|
|
Ablate arrhythmia add on
|
$27,392.42 |
$27,392.42 |
$27,392.42 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$24,175.43 |
$24,175.43 |
$24,175.43 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$6,333.60 |
$6,333.60 |
$24,175.43 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$30,996.56 |
$30,996.56 |
$30,996.56 |
$10,047.60
|
|
Ablate pulm tumor perq crybl
|
$19,445.65 |
$19,445.65 |
$19,445.65 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$19,445.65 |
$19,445.65 |
$19,445.65 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$5,296.10 |
$5,296.10 |
$8,583.64 |
$3,664.63
|
|
Ablation cryo pq liver tumor(s)
|
$19,445.65 |
$19,445.65 |
$19,445.65 |
$8,080.50
|
|
Abscess drain retroperitoneal surg code
|
$1,583.05 |
$1,583.05 |
$1,583.05 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$1,080.46 |
$1,080.46 |
$1,080.46 |
$125.63
|
|
Acetone qualitative
|
$18.90 |
$18.90 |
$430.70 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$496.13 |
$496.13 |
$496.13 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$195.96 |
$195.96 |
$195.96 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$34.92 |
$34.92 |
$34.92 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.96 |
$17.96 |
$17.96 |
$42.28
|
|
Acute hepatitis panel
|
$368.55 |
$368.55 |
$2,519.63 |
$285.35
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$8.82 |
$8.82 |
$8.82 |
$50.70
|
|
#acylcarnitineprfl
|
$1,425.95 |
$1,425.95 |
$1,425.95 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$5,872.76 |
$5,872.76 |
$7,248.94 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$413.70 |
$413.70 |
$413.70 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$19.85 |
$19.85 |
$1,009.08 |
$63.00
|
|
Adh-sendout
|
$56.39 |
$56.39 |
$869.11 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$432.55 |
$432.55 |
$432.55 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$94.50 |
$94.50 |
$94.50 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$282.80 |
$282.80 |
$282.80 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$282.80 |
$282.80 |
$282.80 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$121.28 |
$121.28 |
$121.28 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$151.83 |
$151.83 |
$151.83 |
$264.00
|
|
Administration immunization 1 vaccine
|
$75.25 |
$75.25 |
$75.25 |
$70.20
|
|
Administration vaccine hepatitis b
|
$75.25 |
$75.25 |
$75.25 |
$51.11
|
|
Administration vaccine influenza virus
|
$75.25 |
$75.25 |
$75.25 |
$49.40
|
|
Administration vaccine pneumococcal
|
$45.15 |
$45.15 |
$45.15 |
$51.07
|
|
_afb id by dna probe rflx ast
|
$43.47 |
$43.47 |
$43.47 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$26.78 |
$26.78 |
$26.78 |
$38.58
|
|
Albumin body fluid quantitative each specimen
|
$58.59 |
$58.59 |
$589.14 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$275.26 |
$275.26 |
$275.26 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$32.13 |
$32.13 |
$1,161.38 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$77.00 |
$77.00 |
$589.14 |
$43.50
|
|
Alkaline phosphatase
|
$24.26 |
$24.26 |
$1,065.99 |
$46.40
|
|
Allergen egg white ige
|
$59.85 |
$59.85 |
$172.29 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$1,116.76 |
$1,116.76 |
$1,116.76 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$10,136.39 |
$10,136.39 |
$10,136.39 |
$3,104.06
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$6,748.04 |
$6,748.04 |
$6,748.04 |
$6,555.62
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$7,899.05 |
$7,899.05 |
$7,899.05 |
$5,913.60
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$3,937.50 |
$3,937.50 |
$3,937.50 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$3,202.40 |
$3,202.40 |
$3,202.40 |
$1,021.78
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,419.16 |
$5,419.16 |
$5,419.16 |
$2,674.32
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$11,572.58 |
$11,572.58 |
$11,572.58 |
$2,198.85
|
|
Alpha-fetoprotein tumor marker
|
$127.05 |
$127.05 |
$127.05 |
$99.71
|
|
Alprostadil for injection
|
$1,332.20 |
$1,332.20 |
$1,332.20 |
$533.06
|
|
Alteplase 100 mg infusion from pyxis vial
|
$205.10 |
$205.10 |
$205.10 |
$3,069.00
|
|
Alt/sgpt
|
$26.46 |
$26.46 |
$261.51 |
$49.00
|
|
Aluminum - quest
|
$24.89 |
$24.89 |
$1,333.65 |
$88.40
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$17.31 |
$17.31 |
$17.31 |
$36.30
|
|
Amino acid screen, urine
|
$141.44 |
$141.44 |
$141.44 |
$64.28
|
|
Amino acid single qual
|
$675.29 |
$675.29 |
$675.29 |
$25.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$57.70 |
$57.70 |
$57.70 |
$42.84
|
|
Aminolevulinic acid delta
|
$30.24 |
$30.24 |
$30.24 |
$87.12
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.21 |
$2.21 |
$2.21 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$51.35 |
$51.35 |
$51.35 |
$101.17
|
|
Ammonia
|
$122.50 |
$122.50 |
$1,199.83 |
$123.00
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$24.85 |
$24.85 |
$24.85 |
$51.93
|
|
Amputation toe metatarsophalangeal joint
|
$778.37 |
$778.37 |
$778.37 |
$3,777.93
|
|
Amylase
|
$195.30 |
$195.30 |
$195.30 |
$93.45
|
|
Ana ds-dna
|
$1,239.83 |
$1,239.83 |
$1,239.83 |
$68.06
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$869.11 |
$869.11 |
$869.11 |
$110.98
|
|
Anal/urinary muscle study
|
$164.75 |
$164.75 |
$164.75 |
$513.04
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$319.41 |
$319.41 |
$319.41 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$301.77 |
$301.77 |
$1,456.70 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$275.63 |
$275.63 |
$1,456.70 |
$231.11
|
