|
11-desoxycortisol - sendout
|
$14.61 |
$14.61 |
$28.82 |
$91.85
|
|
17-hydroxypregnenolone
|
$11.45 |
$11.45 |
$22.45 |
$92.65
|
|
17-ketosteroids
|
$12.60 |
$12.60 |
$13.28 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$883.51 |
$883.51 |
$883.51 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$345.39 |
$345.39 |
$487.86 |
$1,284.00
|
|
2nd order venous cath
|
$494.27 |
$494.27 |
$824.10 |
$1,532.04
|
|
3-d radiotherapy plan
|
$2,500.34 |
$2,500.34 |
$2,500.34 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$152.24 |
$152.24 |
$320.54 |
$508.13
|
|
5' nucleotidase - sendout
|
$10.98 |
$10.98 |
$16.43 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$73.80 |
$73.80 |
$73.80 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$10.44 |
$10.44 |
$11.82 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,476.96 |
$1,476.96 |
$2,319.54 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$782.24 |
$782.24 |
$834.19 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$955.69 |
$955.69 |
$1,502.33 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,202.83 |
$1,202.83 |
$1,796.30 |
$2,475.45
|
|
Abd/low ext cath addl
|
$618.91 |
$618.91 |
$1,371.70 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$455.43 |
$455.43 |
$650.67 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$290.96 |
$290.96 |
$378.35 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$349.77 |
$349.77 |
$1,081.91 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$291.48 |
$291.48 |
$966.05 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$233.18 |
$233.18 |
$878.96 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$534.88 |
$534.88 |
$1,740.21 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$445.82 |
$445.82 |
$445.82 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$356.59 |
$356.59 |
$1,023.61 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$524.97 |
$524.97 |
$688.56 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$300.67 |
$300.67 |
$575.64 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$227.67 |
$227.67 |
$471.83 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$160.08 |
$160.08 |
$257.32 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$213.54 |
$213.54 |
$390.41 |
$418.63
|
|
Abdominal X-ray (single view)
|
$131.27 |
$131.27 |
$172.70 |
$260.00
|
|
Abl1 gene
|
$255.94 |
$255.94 |
$295.20 |
$683.20
|
|
Ablate arrhythmia add on
|
$5,721.72 |
$5,721.72 |
$5,721.72 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,589.14 |
$3,589.14 |
$3,589.14 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$5,920.98 |
$5,920.98 |
$5,920.98 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$3,646.85 |
$3,646.85 |
$3,646.85 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$3,646.85 |
$3,646.85 |
$3,646.85 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$6,618.63 |
$6,618.63 |
$6,618.63 |
$2,260.30
|
|
Ablation cryo adrenal tumor
|
$1,380.31 |
$1,380.31 |
$1,380.31 |
$6,948.75
|
|
Ablation cryo pq liver tumor(s)
|
$3,109.30 |
$3,109.30 |
$3,109.30 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$400.64 |
$400.64 |
$400.64 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$713.78 |
$713.78 |
$713.78 |
$3,050.40
|
|
Access thoracic lymph duct
|
$405.85 |
$405.85 |
$405.85 |
$828.80
|
|
Acetazolamide 500 mg solution for injection
|
$100.37 |
$100.37 |
$100.37 |
$122.55
|
|
Acetone qualitative
|
$37.89 |
$37.89 |
$37.89 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$11.35 |
$11.35 |
$11.47 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$409.10 |
$409.10 |
$409.10 |
$218.79
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$32.48 |
$32.48 |
$32.48 |
$38.50
|
|
Acute hepatitis panel
|
$75.20 |
$75.20 |
$454.61 |
$284.95
|
|
Acute venous thrombus image
|
$610.08 |
$610.08 |
$610.08 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$0.90 |
$0.90 |
$0.90 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$37.64 |
$37.64 |
$37.64 |
$64.45
|
|
#acylcarnitineprfl
|
$19.09 |
$19.09 |
$73.80 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$6,571.20 |
$6,571.20 |
$6,652.34 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$417.71 |
$417.71 |
$417.71 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$8.97 |
$8.97 |
$77.74 |
$58.00
|
|
Adh-sendout
|
$16.93 |
$16.93 |
$33.40 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$158.67 |
$158.67 |
$158.67 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$59.59 |
$59.59 |
$451.41 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$122.42 |
$122.42 |
$309.23 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$260.28 |
$260.28 |
$591.39 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$218.45 |
$218.45 |
$252.89 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$122.67 |
$122.67 |
$200.25 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$200.25 |
$200.25 |
$264.70 |
$256.49
|
|
Administration immunization each additional vaccine
|
$11.29 |
$11.29 |
$56.58 |
$47.40
|
|
Administration vaccine hepatitis b
|
$23.31 |
$23.31 |
$23.31 |
$53.00
|
|
Administration vaccine influenza virus
|
$23.31 |
$23.31 |
$23.31 |
$51.07
|
|
Administration vaccine pneumococcal
|
$23.31 |
$23.31 |
$23.31 |
$49.68
|
|
Adrenal cortex & medulla img
|
$713.83 |
$713.83 |
$713.83 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$231.47
|
|
Aep hearing status deter i&r
|
$393.26 |
$393.26 |
$393.26 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$394.98 |
$394.98 |
$394.98 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$532.84 |
$532.84 |
$532.84 |
$635.00
|
|
Afamitresgene autoleucel
|
$1,829,146.46 |
$1,829,146.46 |
$1,829,146.46 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$11.90 |
$11.90 |
$59.54 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$10.27 |
$10.27 |
$11.57 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$57.26 |
$57.26 |
$295.70 |
$300.00
|
|
Air conduction bilat
|
$30.75 |
$30.75 |
$30.75 |
$134.00
|
|
Air injection into abdomen 49400
|
$126.18 |
$126.18 |
$126.18 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$77.76 |
$77.76 |
$77.76 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$9.63 |
$9.63 |
$22.39 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$376.38 |
$376.38 |
$376.38 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$231.00 |
$231.00 |
$231.00 |
$252.77
|
|
Albumin, human 5 % intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$275.16
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$9.30 |
$9.30 |
$49.45 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$20.92 |
$20.92 |
$66.67 |
$43.00
|
|
Alcohol/subs interv 15-30mn
|
$36.90 |
$36.90 |
$36.90 |
$56.70
|
|
Alkaline phosphatase
|
$23.07 |
$23.07 |
$52.89 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$11.76 |
$11.76 |
$73.80 |
$48.57
|
|
Allergen egg white ige
|
$8.23 |
$8.23 |
$230.26 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$7.85 |
$7.85 |
$8.67 |
$24.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$11,244.17 |
$11,244.17 |
$11,244.17 |
$5,399.16
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$2,558.70 |
$2,558.70 |
$24,814.27 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$8,648.63 |
$8,648.63 |
$8,648.63 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$58.98 |
$58.98 |
$33,027.72 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$260.25 |
$260.25 |
$19,004.98 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$8,648.63 |
$8,648.63 |
$8,648.63 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$780.56 |
$780.56 |
$4,168.50 |
$5,096.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$6,652.34 |
$6,652.34 |
$6,652.34 |
$5,278.73
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,025.07 |
$3,025.07 |
$3,025.07 |
$1,225.35
|