|
Adenovirus antibody,serum - quest
|
$39.20 |
$39.20 |
$86.90 |
$58.00
|
|
Adhesive, liquid or equal
|
$14.40 |
$14.40 |
$14.40 |
$14.40
|
|
Adh-sendout
|
$29.70 |
$29.70 |
$304.11 |
$118.79
|
|
Adjmt/revj ext fixj sys anes
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$3,397.11
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$4.00 |
$4.00 |
$4.00 |
$193.40
|
|
Admin ecg contrast agent
|
$224.80 |
$224.80 |
$224.80 |
$120.78
|
|
Administration chemotherapy IV infusion each additional hour
|
$152.35 |
$152.35 |
$204.04 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$204.04 |
$204.04 |
$270.60 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$677.05 |
$677.05 |
$980.96 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$273.90 |
$273.90 |
$980.96 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$204.04 |
$204.04 |
$204.04 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$208.00 |
$208.00 |
$299.20 |
$256.49
|
|
Administration immunization each additional component
|
$35.20 |
$35.20 |
$35.20 |
$29.20
|
|
Administration immunization each additional vaccine
|
$53.27 |
$53.27 |
$140.25 |
$47.40
|
|
Administration immunization first component each vaccine
|
$35.20 |
$35.20 |
$35.20 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$74.30 |
$74.30 |
$74.30 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$29.60 |
$29.60 |
$29.60 |
$30.24
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$48.00 |
$48.00 |
$85.25 |
$44.80
|
|
Administration vaccine hepatitis b
|
$115.80 |
$115.80 |
$133.65 |
$53.00
|
|
Administration vaccine influenza virus
|
$133.65 |
$133.65 |
$173.12 |
$51.07
|
|
Administration vaccine pneumococcal
|
$110.30 |
$110.30 |
$133.65 |
$49.68
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$48.00 |
$48.00 |
$63.80 |
$41.45
|
|
Adrenalin epinephrine inject
|
$70.08 |
$70.08 |
$70.08 |
$231.47
|
|
Aep hearing status deter i&r
|
$886.88 |
$886.88 |
$886.88 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$1,021.35 |
$1,021.35 |
$1,329.87 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$1,329.87 |
$1,329.87 |
$1,329.87 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$87.78 |
$87.78 |
$87.78 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$166.10 |
$166.10 |
$166.10 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$515.20 |
$515.20 |
$564.85 |
$300.00
|
|
Afluria vacc, 3 yrs & >, im
|
$36.80 |
$36.80 |
$36.80 |
$18.40
|
|
Agalsidase beta 35 mg intravenous solution
|
$346.20 |
$346.20 |
$346.20 |
$14,475.20
|
|
Air conduction bilat
|
$71.20 |
$71.20 |
$71.20 |
$134.00
|
|
Air injection into abdomen 49400
|
$784.32 |
$784.32 |
$1,783.65 |
$525.60
|
|
Albumin body fluid quantitative each specimen
|
$31.35 |
$31.35 |
$69.64 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$162.56 |
$162.56 |
$162.56 |
$244.70
|
|
Albumin, human 5 % intravenous solution
|
$66.48 |
$66.48 |
$66.48 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$57.20 |
$57.20 |
$103.20 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$30.25 |
$30.25 |
$67.02 |
$43.00
|
|
Albuterol comp con
|
$9.60 |
$9.60 |
$9.60 |
$12.80
|
|
Albuterol ipratrop non-comp
|
$9.60 |
$9.60 |
$9.60 |
$5.67
|
|
Albuterol non-comp unit
|
$9.60 |
$9.60 |
$9.60 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$75.20 |
$75.20 |
$179.30 |
$96.00
|
|
Alcohols biomarkers 3/more
|
$156.00 |
$156.00 |
$156.00 |
$16.24
|
|
Alcohol/sub misuse assess
|
$75.35 |
$75.35 |
$75.35 |
$31.20
|
|
Alcohol/subs interv 15-30mn
|
$85.80 |
$85.80 |
$85.80 |
$56.70
|
|
Alcohol/subs interv >30 min
|
$133.10 |
$133.10 |
$133.10 |
$190.13
|
|
Alkaline phosphatase
|
$33.00 |
$33.00 |
$69.76 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$98.40 |
$98.40 |
$402.60 |
$48.57
|
|
Allergen egg white ige
|
$23.65 |
$23.65 |
$28.00 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$5.00 |
$5.00 |
$7.15 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$71.20 |
$71.20 |
$71.20 |
$45.00
|
|
Allergy injection; single 95115
|
$58.40 |
$58.40 |
$58.40 |
$46.80
|
|
Allergy Skin Testing
|
$19.20 |
$19.20 |
$19.20 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$44.00 |
$44.00 |
$44.00 |
$423.37
|
|
Allograft amnioexcel plus 17mm disk
|
$102.40 |
$102.40 |
$102.40 |
$497.95
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$684.80 |
$684.80 |
$684.80 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,305.31 |
$1,305.31 |
$1,305.31 |
$4,677.40
|
|
All tstg perq&iq drugs/biol
|
$132.00 |
$132.00 |
$132.00 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$320.00 |
$320.00 |
$320.00 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$9.62 |
$9.62 |
$9.62 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$193.25 |
$193.25 |
$193.25 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$24.23 |
$24.23 |
$50.05 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$34.10 |
$34.10 |
$198.01 |
$106.00
|
|
Alprostadil for injection
|
$8.00 |
$8.00 |
$8.00 |
$511.41
|
|
Alteplase 100 mg infusion from pyxis vial
|
$211.08 |
$211.08 |
$211.08 |
$15,857.45
|
|
Alt/sgpt
|
$70.60 |
$70.60 |
$78.10 |
$47.50
|
|
Aluminum - quest
|
$15.40 |
$15.40 |
$389.27 |
$83.05
|
|
Alveoloplasty each quadrant
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,824.31 |
$1,824.31 |
$1,824.31 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$156.00 |
$156.00 |
$211.75 |
$179.70
|
|
Ambl bp mntr w/software
|
$160.00 |
$160.00 |
$160.00 |
$178.20
|
|
Ambl bp mntr w/sw a/r
|
$20.00 |
$20.00 |
$20.00 |
$320.45
|
|
Ambl bp mntr w/sw i&r
|
$58.40 |
$58.40 |
$58.40 |
$57.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$70.64 |
$70.64 |
$70.64 |
$39.84
|
|
Amino acid screen, urine
|
$278.85 |
$278.85 |
$278.85 |
$77.00
|
|
Amino acids quant 2-5
|
$112.00 |
$112.00 |
$112.00 |
$112.00
|
|
Aminolevulinic acid delta
|
$82.50 |
$82.50 |
$162.40 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$325.60 |
$325.60 |
$325.60 |
$640.56
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$84.63 |
$84.63 |
$84.63 |
$47.06
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$25.11 |
$25.11 |
$25.11 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$11.42 |
$11.42 |
$11.42 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$45.65 |
$45.65 |
$156.00 |
$87.45
|
|
Ammonia
|
$129.80 |
$129.80 |
$343.51 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$986.70 |
$986.70 |
$2,117.47 |
$942.60
|
|
Amniocentesis therapeutic
|
$1,000.97 |
$1,000.97 |
$2,129.60 |
$791.05
|
|
Amniocore per sq cm
|
$554.49 |
$554.49 |
$554.49 |
$1.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,708.28 |
$6,708.28 |
$6,708.28 |
$3,786.00
|
|
Amphetamine confirm urine -sendout
|
$119.35 |
$119.35 |
$156.00 |
$93.61
|
|
Amphetamines 5 or more
|
$49.50 |
$49.50 |
$156.00 |
$90.48
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$146.80 |
$146.80 |
$146.80 |
$123.53
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$99.79 |
$99.79 |
$99.79 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$73.03 |
$73.03 |
$73.03 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$74.36 |
$74.36 |
$74.36 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$165.00 |
$165.00 |
$736.38 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$9,496.40 |
$9,496.40 |
$9,496.40 |
$3,986.00
|
|
Amp thigh through femur re-amp 27596
|
$6,468.80 |
$6,468.80 |
$6,468.80 |
$3,494.40
|
|
Amputate leg at thigh
|
$3,670.40 |
$3,670.40 |
$3,670.40 |
$2,854.80
|
|
Amputate lower leg at knee
|
$5,355.20 |
$5,355.20 |
$5,355.20 |
$3,342.87
|
|
Amputate metacarpal bone 26910
|
$11,494.04 |
$11,494.04 |
$11,494.04 |
$3,839.54
|
