|
11-desoxycortisol - sendout
|
$129.60 |
$129.60 |
$129.60 |
$87.50
|
|
17-hydroxypregnenolone
|
$226.08 |
$226.08 |
$226.08 |
$85.15
|
|
17-ketosteroids
|
$110.70 |
$110.70 |
$110.70 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$299.79 |
$299.79 |
$299.79 |
$319.15
|
|
2d tee w or without fol w/con,in
|
$807.84 |
$807.84 |
$807.84 |
$1,570.80
|
|
2d tte w or without fol w/con,co
|
$1,357.02 |
$1,357.02 |
$1,357.02 |
$1,088.36
|
|
2nd order venous cath
|
$182.52 |
$182.52 |
$182.52 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$0.54 |
$0.54 |
$0.54 |
$669.00
|
|
3d recon without postprocess indpndt
|
$174.96 |
$174.96 |
$174.96 |
$427.34
|
|
5' nucleotidase - sendout
|
$593.73 |
$593.73 |
$593.73 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$111.51 |
$111.51 |
$111.51 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$34.11 |
$34.11 |
$34.11 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$48.42 |
$48.42 |
$48.42 |
$52.25
|
|
Abciximab injection
|
$702.72 |
$702.72 |
$702.72 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$3,032.91 |
$3,032.91 |
$3,032.91 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$194.76 |
$194.76 |
$194.76 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$193.05 |
$193.05 |
$193.05 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$255.42 |
$255.42 |
$255.42 |
$3,050.58
|
|
Abd/low ext cath addl
|
$348.30 |
$348.30 |
$348.30 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,524.24 |
$1,524.24 |
$1,524.24 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,397.88 |
$1,397.88 |
$1,397.88 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,203.12 |
$1,203.12 |
$1,203.12 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,505.51 |
$2,505.51 |
$2,505.51 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$1,845.72 |
$1,845.72 |
$1,845.72 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,702.71 |
$1,702.71 |
$1,702.71 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$969.84 |
$969.84 |
$969.84 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$415.71 |
$415.71 |
$415.71 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$250.11 |
$250.11 |
$250.11 |
$603.33
|
|
Ablate arrhythmia add on
|
$2,284.02 |
$2,284.02 |
$2,284.02 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$5,644.35 |
$5,644.35 |
$5,644.35 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$51.57 |
$51.57 |
$51.57 |
$3,587.65
|
|
Ablation of upper extremity nerves rf
|
$6,507.36 |
$6,507.36 |
$6,507.36 |
$987.60
|
|
Abobotulinumtoxina
|
$406.62 |
$406.62 |
$406.62 |
$602.06
|
|
Abscess drain retroperitoneal surg code
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$3,053.18
|
|
Acetaminophen level
|
$29.52 |
$29.52 |
$29.52 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$74.34 |
$74.34 |
$74.34 |
$133.60
|
|
Acetone qualitative
|
$38.16 |
$38.16 |
$38.16 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$193.68 |
$193.68 |
$193.68 |
$65.60
|
|
Acetylcholinesterase assay
|
$80.73 |
$80.73 |
$80.73 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$142.11 |
$142.11 |
$142.11 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$41.67 |
$41.67 |
$41.67 |
$42.28
|
|
Acoustic immitance testing
|
$75.60 |
$75.60 |
$75.60 |
$158.50
|
|
Acoustic refl threshold tst
|
$46.35 |
$46.35 |
$46.35 |
$83.79
|
|
Acute hepatitis panel
|
$362.70 |
$362.70 |
$362.70 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$10.80 |
$10.80 |
$10.80 |
$50.70
|
|
#acylcarnitineprfl
|
$1,021.32 |
$1,021.32 |
$1,021.32 |
$105.60
|
|
Adapter b 8 channel 10cm
|
$12,081.42 |
$12,081.42 |
$12,081.42 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$106.83 |
$106.83 |
$106.83 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$132.66 |
$132.66 |
$132.66 |
$63.00
|
|
Adenovirus assay w/optic
|
$208.53 |
$208.53 |
$208.53 |
$30.03
|
|
Adh-sendout
|
$321.12 |
$321.12 |
$321.12 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$520.38 |
$520.38 |
$520.38 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$144.00 |
$144.00 |
$144.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$254.70 |
$254.70 |
$254.70 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$288.00 |
$288.00 |
$288.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$252.00 |
$252.00 |
$252.00 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$172.17 |
$172.17 |
$172.17 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$127.35 |
$127.35 |
$127.35 |
$264.00
|
|
Administration immunization 1 vaccine
|
$34.47 |
$34.47 |
$34.47 |
$70.52
|
|
Administration immunization each additional component
|
$7.20 |
$7.20 |
$7.20 |
$27.20
|
|
Administration immunization each additional vaccine
|
$34.20 |
$34.20 |
$34.20 |
$46.23
|
|
Administration immunization first component each vaccine
|
$14.49 |
$14.49 |
$14.49 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$19.26 |
$19.26 |
$19.26 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$39.06 |
$39.06 |
$39.06 |
$33.60
|
|
Administration vaccine influenza virus
|
$67.05 |
$67.05 |
$67.05 |
$49.50
|
|
Administration vaccine pneumococcal
|
$71.37 |
$71.37 |
$71.37 |
$51.11
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$6,118.02 |
$6,118.02 |
$6,118.02 |
$11,874.55
|
|
Adrenal cortex & medulla img
|
$1,322.19 |
$1,322.19 |
$1,322.19 |
$1,780.19
|
|
Aep hearing status deter i&r
|
$179.64 |
$179.64 |
$179.64 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$131.22 |
$131.22 |
$131.22 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$131.22 |
$131.22 |
$131.22 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$159.57 |
$159.57 |
$159.57 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$44.10 |
$44.10 |
$44.10 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$173.70 |
$173.70 |
$173.70 |
$289.60
|
|
Afo tib fx semi-rigid l2114
|
$556.74 |
$556.74 |
$556.74 |
$1,116.55
|
|
Agalsidase beta 35 mg intravenous solution
|
$7,759.89 |
$7,759.89 |
$7,759.89 |
$13,696.68
|
|
Airway resistance by impulse oscillometry 94728
|
$95.31 |
$95.31 |
$95.31 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$68.13 |
$68.13 |
$68.13 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$144.45 |
$144.45 |
$144.45 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$73.26 |
$73.26 |
$73.26 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$169.11 |
$169.11 |
$169.11 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$80.28 |
$80.28 |
$80.28 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.83 |
$34.83 |
$34.83 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$24.39 |
$24.39 |
$24.39 |
$43.50
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$33,626.43 |
$33,626.43 |
$33,626.43 |
$8,173.80
|
|
Alkaline phosphatase
|
$31.86 |
$31.86 |
$31.86 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$36.00 |
$36.00 |
$36.00 |
$56.35
|
|
Allergen egg white ige
|
$26.46 |
$26.46 |
$26.46 |
$41.00
|
|
Allergy injection; single 95115
|
$10.08 |
$10.08 |
$10.08 |
$42.75
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$449.82 |
$449.82 |
$449.82 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$91.89 |
$91.89 |
$91.89 |
$2,513.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,736.45 |
$2,736.45 |
$2,736.45 |
$2,198.85
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$13.50 |
$13.50 |
$13.50 |
$13.14
|
|
Alpha-fetoprotein amniotic
|
$88.74 |
$88.74 |
$88.74 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$127.44 |
$127.44 |
$127.44 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$3,069.00 |
$3,069.00 |
$3,069.00 |
$2,600.22
|
|
Alt/sgpt
|
$30.06 |
$30.06 |
$30.06 |
$49.00
|
|
Aluminum - quest
|
$218.52 |
$218.52 |
$218.52 |
$87.00
|
|
Ambl bp mntr w/sw a/r
|
$332.82 |
$332.82 |
$332.82 |
$318.96
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$19.89 |
$19.89 |
$19.89 |
$36.30
|
