|
11-desoxycortisol - sendout
|
$13.90 |
$13.90 |
$13.90 |
$91.85
|
|
17-hydroxypregnenolone
|
$10.90 |
$10.90 |
$10.90 |
$92.65
|
|
17-ketosteroids
|
$12.64 |
$12.64 |
$12.64 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$645.40 |
$645.40 |
$645.40 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$356.38 |
$356.38 |
$356.38 |
$1,284.00
|
|
2nd order venous cath
|
$495.88 |
$495.88 |
$495.88 |
$1,532.04
|
|
3-d radiotherapy plan
|
$2,262.22 |
$2,262.22 |
$2,262.22 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$182.16 |
$182.16 |
$182.16 |
$508.13
|
|
5' nucleotidase - sendout
|
$15.64 |
$15.64 |
$15.64 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$10.58 |
$10.58 |
$10.58 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,471.17 |
$1,471.17 |
$1,471.17 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$784.78 |
$784.78 |
$784.78 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$958.80 |
$958.80 |
$958.80 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,206.74 |
$1,206.74 |
$1,206.74 |
$2,475.45
|
|
Abd/low ext cath addl
|
$620.93 |
$620.93 |
$620.93 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$412.57 |
$412.57 |
$412.57 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$263.57 |
$263.57 |
$263.57 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$515.31 |
$515.31 |
$515.31 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$429.42 |
$429.42 |
$429.42 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$343.54 |
$343.54 |
$343.54 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$651.99 |
$651.99 |
$651.99 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$543.43 |
$543.43 |
$543.43 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$434.66 |
$434.66 |
$434.66 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,925.39 |
$1,925.39 |
$1,925.39 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$359.77 |
$359.77 |
$359.77 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$272.41 |
$272.41 |
$272.41 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$137.98 |
$137.98 |
$137.98 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$184.06 |
$184.06 |
$184.06 |
$418.63
|
|
Abdominal X-ray (single view)
|
$113.15 |
$113.15 |
$113.15 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$403.79 |
$403.79 |
$403.79 |
$1,148.40
|
|
Abl1 gene
|
$313.78 |
$313.78 |
$313.78 |
$683.20
|
|
Ablate arrhythmia add on
|
$5,677.96 |
$5,677.96 |
$5,677.96 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,600.83 |
$3,600.83 |
$3,600.83 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$3,115.11 |
$3,115.11 |
$3,115.11 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$5,319.03 |
$5,319.03 |
$5,319.03 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$3,658.73 |
$3,658.73 |
$3,658.73 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$3,658.73 |
$3,658.73 |
$3,658.73 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,177.60 |
$2,177.60 |
$2,177.60 |
$2,260.30
|
|
Ablation cryo pq liver tumor(s)
|
$3,119.42 |
$3,119.42 |
$3,119.42 |
$8,581.80
|
|
Abscess drain retroperitoneal surg code
|
$716.10 |
$716.10 |
$716.10 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,761.45 |
$1,761.45 |
$1,761.45 |
$2,314.00
|
|
Acetylcholine receptor modulating antibody
|
$11.62 |
$11.62 |
$11.62 |
$67.50
|
|
Acute hepatitis panel
|
$71.57 |
$71.57 |
$71.57 |
$284.95
|
|
Acute venous thrombus image
|
$517.19 |
$517.19 |
$517.19 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$23.29 |
$23.29 |
$23.29 |
$54.77
|
|
#acylcarnitineprfl
|
$18.17 |
$18.17 |
$18.17 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$5,760.75 |
$5,760.75 |
$5,760.75 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$9.09 |
$9.09 |
$9.09 |
$58.00
|
|
Adh-sendout
|
$16.12 |
$16.12 |
$16.12 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$43.99 |
$43.99 |
$43.99 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$90.37 |
$90.37 |
$90.37 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$192.12 |
$192.12 |
$192.12 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$195.80 |
$195.80 |
$195.80 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$109.96 |
$109.96 |
$109.96 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$237.26 |
$237.26 |
$237.26 |
$256.49
|
|
Administration immunization each additional vaccine
|
$11.41 |
$11.41 |
$11.41 |
$47.40
|
|
Administration vaccine hepatitis b
|
$23.56 |
$23.56 |
$23.56 |
$53.00
|
|
Administration vaccine influenza virus
|
$23.56 |
$23.56 |
$23.56 |
$51.07
|
|
Administration vaccine pneumococcal
|
$23.56 |
$23.56 |
$23.56 |
$49.68
|
|
Adrenal cortex & medulla img
|
$605.15 |
$605.15 |
$605.15 |
$1,987.70
|
|
Aep neurodiagnostic i&r
|
$360.12 |
$360.12 |
$360.12 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$485.82 |
$485.82 |
$485.82 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$18.47 |
$18.47 |
$18.47 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$15.94 |
$15.94 |
$15.94 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$87.79 |
$87.79 |
$87.79 |
$300.00
|
|
Air injection into abdomen 49400
|
$126.59 |
$126.59 |
$126.59 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$10.08 |
$10.08 |
$10.08 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$9.16 |
$9.16 |
$9.16 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$8.85 |
$8.85 |
$8.85 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$19.91 |
$19.91 |
$19.91 |
$43.00
|
|
Alkaline phosphatase
|
$21.96 |
$21.96 |
$21.96 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$11.92 |
$11.92 |
$11.92 |
$48.57
|
|
Allergen egg white ige
|
$8.34 |
$8.34 |
$8.34 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$8.79 |
$8.79 |
$8.79 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$221.18 |
$221.18 |
$221.18 |
$9,900.02
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$53.26 |
$53.26 |
$53.26 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$228.15 |
$228.15 |
$228.15 |
$858.66
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,654.39 |
$3,654.39 |
$3,654.39 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$30.65 |
$30.65 |
$30.65 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$8.06 |
$8.06 |
$8.06 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$8.06 |
$8.06 |
$8.06 |
$106.00
|
|
Alt/sgpt
|
$20.54 |
$20.54 |
$20.54 |
$47.50
|
|
Aluminum - quest
|
$12.17 |
$12.17 |
$12.17 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$30.81 |
$30.81 |
$30.81 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$0.02 |
$0.02 |
$0.02 |
$39.84
|
|
Aminolevulinic acid delta
|
$11.85 |
$11.85 |
$11.85 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$10.74 |
$10.74 |
$10.74 |
$87.45
|
|
Ammonia
|
$33.65 |
$33.65 |
$33.65 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$367.75 |
$367.75 |
$367.75 |
$942.60
|
|
Amniocentesis therapeutic
|
$873.80 |
$873.80 |
$873.80 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$24.65 |
$24.65 |
$24.65 |
$93.61
|
|
Amylase
|
$53.88 |
$53.88 |
$53.88 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$70.47 |
$70.47 |
$70.47 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$68.79 |
$68.79 |
$68.79 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$76.82 |
$76.82 |
$76.82 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$8.20 |
$8.20 |
$8.20 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$441.98 |
$441.98 |
$441.98 |
$2,480.94
|
|
An fluoro guide for cvp
|
$119.30 |
$119.30 |
$119.30 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,878.88 |
$2,878.88 |
$2,878.88 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$5,606.83 |
$5,606.83 |
$5,606.83 |
$8,600.40
|
