|
11-desoxycortisol - sendout
|
$13.73 |
$13.73 |
$14.26 |
$91.85
|
|
17-hydroxypregnenolone
|
$10.76 |
$10.76 |
$11.18 |
$92.65
|
|
17-ketosteroids
|
$12.48 |
$12.48 |
$12.96 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$806.00 |
$806.00 |
$1,104.38 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$457.60 |
$457.60 |
$627.00 |
$1,284.00
|
|
2nd order venous cath
|
$475.53 |
$475.53 |
$690.37 |
$1,532.04
|
|
3-d radiotherapy plan
|
$1,049.88 |
$1,049.88 |
$1,049.88 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$81.21 |
$81.21 |
$96.24 |
$508.13
|
|
5' nucleotidase - sendout
|
$15.44 |
$15.44 |
$16.04 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$28.08 |
$28.08 |
$29.16 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$9.66 |
$9.66 |
$15.27 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,472.03 |
$1,472.03 |
$1,828.16 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$901.69 |
$901.69 |
$1,309.07 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$967.40 |
$967.40 |
$1,404.46 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,139.09 |
$1,139.09 |
$1,653.73 |
$2,475.45
|
|
Abd/low ext cath addl
|
$672.28 |
$672.28 |
$976.00 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$357.12 |
$357.12 |
$388.91 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$210.82 |
$210.82 |
$229.60 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$375.29 |
$375.29 |
$384.15 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$312.80 |
$312.80 |
$320.19 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$250.19 |
$250.19 |
$256.10 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$608.14 |
$608.14 |
$712.06 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$506.86 |
$506.86 |
$593.48 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$405.43 |
$405.43 |
$474.71 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$596.41 |
$596.41 |
$865.86 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$319.22 |
$319.22 |
$378.29 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$236.60 |
$236.60 |
$280.39 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$159.90 |
$159.90 |
$164.16 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$246.00 |
$246.00 |
$252.56 |
$418.63
|
|
Abdominal X-ray (single view)
|
$120.30 |
$120.30 |
$123.51 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$475.89 |
$475.89 |
$690.90 |
$1,148.40
|
|
Abl1 gene
|
$210.50 |
$210.50 |
$299.13 |
$683.20
|
|
Ablate arrhythmia add on
|
$1,765.30 |
$1,765.30 |
$3,968.14 |
$6,828.51
|
|
Ablate bone tumor(s) cryo perq 20983
|
$3,313.83 |
$3,313.83 |
$4,810.98 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$3,579.18 |
$3,579.18 |
$5,196.22 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$1,799.69 |
$1,799.69 |
$4,045.47 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$6,213.47 |
$6,213.47 |
$9,020.66 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$6,223.27 |
$6,223.27 |
$9,034.89 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,144.48 |
$1,144.48 |
$8,057.00 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$3,645.25 |
$3,645.25 |
$3,645.25 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$3,275.71 |
$3,275.71 |
$3,275.71 |
$6,948.75
|
|
Ablation cryo pq liver tumor(s)
|
$4,142.19 |
$4,142.19 |
$4,142.19 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$3,988.64 |
$3,988.64 |
$3,988.64 |
$857.60
|
|
Ablation of upper extremity nerves rf
|
$2,615.78 |
$2,615.78 |
$2,615.78 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$1,346.00 |
$1,346.00 |
$1,954.12 |
$3,050.40
|
|
Access thoracic lymph duct
|
$490.05 |
$490.05 |
$490.05 |
$828.80
|
|
Acetazolamide 500 mg solution for injection
|
$0.64 |
$0.64 |
$0.64 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$10.61 |
$10.61 |
$16.77 |
$67.50
|
|
Acoustic immitance testing
|
$106.40 |
$106.40 |
$106.40 |
$158.50
|
|
Acoustic refl threshold tst
|
$49.95 |
$49.95 |
$49.95 |
$102.05
|
|
Acute hepatitis panel
|
$52.57 |
$52.57 |
$54.59 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.17 |
$0.17 |
$0.39 |
$54.77
|
|
#acylcarnitineprfl
|
$17.94 |
$17.94 |
$18.63 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$6,176.93 |
$6,176.93 |
$6,439.78 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$8.30 |
$8.30 |
$13.12 |
$58.00
|
|
Adh-sendout
|
$15.91 |
$15.91 |
$16.52 |
$118.79
|
|
Adj gastric band via subq port
|
$925.29 |
$925.29 |
$925.29 |
$1,666.86
|
|
Administration chemotherapy IV infusion each additional hour
|
$55.22 |
$55.22 |
$84.02 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$129.64 |
$129.64 |
$197.22 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$264.19 |
$264.19 |
$401.92 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$208.68 |
$208.68 |
$236.51 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$100.79 |
$100.79 |
$114.24 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$224.64 |
$224.64 |
$254.60 |
$256.49
|
|
Administration immunization each additional vaccine
|
$4.90 |
$4.90 |
$12.09 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$18.65 |
$18.65 |
$18.65 |
$48.00
|
|
Administration vaccine hepatitis b
|
$8.71 |
$8.71 |
$21.52 |
$53.00
|
|
Administration vaccine influenza virus
|
$8.71 |
$8.71 |
$21.52 |
$51.07
|
|
Administration vaccine pneumococcal
|
$8.71 |
$8.71 |
$21.52 |
$49.68
|
|
Adrenal cortex & medulla img
|
$733.31 |
$733.31 |
$733.31 |
$1,987.70
|
|
Aep hearing status deter i&r
|
$178.15 |
$178.15 |
$178.15 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$213.41 |
$213.41 |
$252.70 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$213.41 |
$213.41 |
$252.70 |
$635.00
|
|
Afamitresgene autoleucel
|
$907,514.78 |
$907,514.78 |
$907,514.78 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$12.19 |
$12.19 |
$17.08 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$10.52 |
$10.52 |
$14.74 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$61.42 |
$61.42 |
$81.20 |
$300.00
|
|
Air conduction bilat
|
$70.70 |
$70.70 |
$70.70 |
$134.00
|
|
Air injection into abdomen 49400
|
$170.25 |
$170.25 |
$170.25 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$51.46 |
$51.46 |
$51.46 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$9.05 |
$9.05 |
$9.40 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$10.61 |
$10.61 |
$11.02 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$9.83 |
$9.83 |
$10.21 |
$43.00
|
|
Alkaline phosphatase
|
$27.46 |
$27.46 |
$28.51 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$10.88 |
$10.88 |
$17.20 |
$48.57
|
|
Allergen egg white ige
|
$7.62 |
$7.62 |
$12.04 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$8.02 |
$8.02 |
$12.69 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$237.16 |
$237.16 |
$484.01 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$116.55 |
$116.55 |
$231.08 |
$6,285.56
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$59.53 |
$59.53 |
$59.53 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$196.57 |
$196.57 |
$196.57 |
$858.66
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,941.77 |
$4,941.77 |
$5,152.06 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$30.26 |
$30.26 |
$31.43 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$7.96 |
$7.96 |
$8.26 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$7.96 |
$7.96 |
$8.26 |
$106.00
|
|
Alt/sgpt
|
$9.20 |
$9.20 |
$9.56 |
$47.50
|
|
Aluminum - quest
|
$12.01 |
$12.01 |
$12.47 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$131.24 |
$131.24 |
$131.24 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$35.57 |
$35.57 |
$59.29 |
$179.70
|
|
Aminolevulinic acid delta
|
$11.70 |
$11.70 |
$12.15 |
$87.12
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.25 |
$0.25 |
$0.25 |
$55.86
|
