|
11-desoxycortisol - sendout
|
$7.39 |
$11.18 |
$44.71 |
$91.85
|
|
17-hydroxypregnenolone
|
$5.80 |
$8.76 |
$10.35 |
$92.65
|
|
17-ketosteroids
|
$6.72 |
$10.16 |
$62.50 |
$55.00
|
|
2019-ncov diagnostic p
|
$8.87 |
$8.87 |
$8.87 |
$54.50
|
|
24 hr ambulatory b/p monitor
|
$40.79 |
$40.79 |
$40.79 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$554.54 |
$670.46 |
$767.58 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$306.21 |
$370.22 |
$782.25 |
$1,284.00
|
|
2nd order venous cath
|
$455.63 |
$550.62 |
$569.94 |
$1,532.04
|
|
3-d radiotherapy plan
|
$2,586.94 |
$2,586.94 |
$2,586.94 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$112.64 |
$140.80 |
$309.25 |
$508.13
|
|
5' nucleotidase - sendout
|
$8.32 |
$8.65 |
$14.85 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$52.62 |
$52.62 |
$52.62 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$11.93 |
$13.13 |
$18.53 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$973.06 |
$1,216.32 |
$1,517.50 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$721.08 |
$871.42 |
$901.99 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$880.98 |
$1,064.65 |
$1,102.00 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,108.79 |
$1,339.96 |
$1,386.97 |
$2,475.45
|
|
Abd/low ext cath addl
|
$570.53 |
$689.47 |
$713.66 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$319.69 |
$357.20 |
$473.75 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$204.24 |
$228.20 |
$408.30 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$419.19 |
$429.87 |
$1,425.94 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$349.32 |
$358.22 |
$1,198.20 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$279.46 |
$286.58 |
$742.98 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$560.20 |
$765.93 |
$2,093.08 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$466.93 |
$638.40 |
$1,539.06 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$373.47 |
$510.62 |
$1,026.04 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$483.93 |
$1,655.36 |
$2,493.46 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$121.66 |
$278.08 |
$515.25 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$92.12 |
$210.56 |
$448.06 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$150.92 |
$155.23 |
$223.68 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$201.32 |
$207.07 |
$298.38 |
$418.63
|
|
Abdominal X-ray (single view)
|
$123.76 |
$127.30 |
$186.74 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$464.09 |
$464.09 |
$464.09 |
$1,148.40
|
|
Abl1 gene
|
$96.88 |
$315.23 |
$636.24 |
$683.20
|
|
Ablate arrhythmia add on
|
$1,965.45 |
$5,677.96 |
$6,392.67 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,308.55 |
$3,998.32 |
$4,138.61 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$2,862.26 |
$3,458.99 |
$3,580.36 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$1,841.20 |
$5,319.03 |
$5,988.56 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$3,361.76 |
$4,062.62 |
$4,205.17 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$3,361.76 |
$4,062.62 |
$4,205.17 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,183.34 |
$10,866.28 |
$12,234.07 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$343.73 |
$343.73 |
$893.99 |
$2,312.80
|
|
Ablation cryo pq liver tumor(s)
|
$2,866.22 |
$3,463.78 |
$3,585.31 |
$8,581.80
|
|
Abscess drain retroperitoneal surg code
|
$657.97 |
$795.15 |
$823.05 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,024.53 |
$2,024.53 |
$2,024.53 |
$2,314.00
|
|
Acetaminophen 120 mg rectal suppository
|
$1,247.11 |
$1,247.11 |
$1,247.11 |
$146.76
|
|
Acetazolamide 500 mg solution for injection
|
$100.78 |
$100.78 |
$100.78 |
$122.55
|
|
Acetone qualitative
|
$29.40 |
$29.40 |
$29.40 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$13.10 |
$14.43 |
$60.52 |
$67.50
|
|
Acetylcholinesterase assay
|
$43.23 |
$43.23 |
$43.23 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$410.77 |
$410.77 |
$410.77 |
$218.79
|
|
Acoustic immitance testing
|
$121.77 |
$121.77 |
$121.77 |
$158.50
|
|
Acoustic refl threshold tst
|
$33.25 |
$33.25 |
$33.25 |
$102.05
|
|
Acute hepatitis panel
|
$38.05 |
$57.53 |
$281.09 |
$284.95
|
|
Acute venous thrombus image
|
$282.87 |
$591.08 |
$662.85 |
$1,426.73
|
|
Acyclovir 400 mg tablet
|
$0.55 |
$10.13 |
$16.36 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$37.80 |
$37.80 |
$37.80 |
$64.45
|
|
#acylcarnitineprfl
|
$9.66 |
$14.61 |
$208.47 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$5,278.86 |
$5,782.66 |
$5,957.89 |
$5,109.58
|
|
Adenosine 3 mg/250 ml bag for osm
|
$15.32 |
$15.32 |
$15.32 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$10.25 |
$11.29 |
$15.92 |
$58.00
|
|
Adh-sendout
|
$8.57 |
$12.95 |
$44.46 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$251.20 |
$251.20 |
$251.20 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$43.96 |
$45.82 |
$78.68 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$90.31 |
$94.12 |
$161.63 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$192.00 |
$200.10 |
$343.65 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$176.38 |
$350.32 |
$406.26 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$196.72 |
$196.72 |
$228.14 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$68.18 |
$213.72 |
$492.27 |
$256.49
|
|
Administration immunization each additional vaccine
|
$8.66 |
$8.72 |
$49.40 |
$47.40
|
|
Administration vaccine hepatitis b
|
$15.32 |
$17.89 |
$29.99 |
$53.00
|
|
Administration vaccine influenza virus
|
$17.89 |
$18.02 |
$49.40 |
$51.07
|
|
Administration vaccine pneumococcal
|
$17.89 |
$18.02 |
$29.99 |
$49.68
|
|
Adrenal cortex & medulla img
|
$691.60 |
$691.60 |
$691.60 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$37.80 |
$37.80 |
$37.80 |
$231.47
|
|
Aep hearing status deter i&r
|
$842.06 |
$842.06 |
$842.06 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$288.86 |
$303.50 |
$845.75 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$389.68 |
$409.43 |
$1,140.95 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$11.97 |
$16.28 |
$59.78 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$10.33 |
$14.05 |
$38.54 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$56.91 |
$84.67 |
$323.82 |
$300.00
|
|
Air conduction bilat
|
$157.93 |
$157.93 |
$157.93 |
$134.00
|
|
Air injection into abdomen 49400
|
$116.31 |
$140.56 |
$145.49 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$38.88 |
$75.74 |
$199.58 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$4.87 |
$7.37 |
$28.16 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$59.11 |
$59.11 |
$377.91 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$2.61 |
$2.61 |
$231.94 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$5.71 |
$8.64 |
$51.13 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$9.88 |
$10.58 |
$18.90 |
$43.00
|
|
Alcohol/subs interv 15-30mn
|
$34.34 |
$34.34 |
$34.34 |
$56.70
|
|
Alcohol/subs interv >30 min
|
$34.34 |
$34.34 |
$34.34 |
$190.13
|
|
Alkaline phosphatase
|
$11.68 |
$12.85 |
$20.85 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$13.44 |
$13.84 |
$20.88 |
$48.57
|
|
Allergen egg white ige
|
$9.41 |
$10.36 |
$144.50 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$9.91 |
$10.91 |
$15.40 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$202.68 |
$251.01 |
$2,319.89 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$64.79 |
$119.09 |
$2,506.07 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$34.30 |
$53.46 |
$1,482.25 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$176.51 |
$235.96 |
$1,416.55 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$95.64 |
$95.64 |
$95.64 |
$4,677.40
|
