|
11-desoxycortisol - sendout
|
$70.85 |
$74.10 |
$103.35 |
|
|
17-hydroxypregnenolone
|
$76.05 |
$103.35 |
$103.35 |
|
|
1st hosp/birthing center care per day nml nb 99460
|
$135.20 |
$135.20 |
$135.20 |
|
|
2d tee w or without fol w/con,in
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
|
|
2d tte w or without fol w/con,co
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
|
|
2nd order venous cath
|
$6,009.65 |
$6,009.65 |
$6,009.65 |
|
|
3-d radiotherapy plan
|
$27,452.10 |
$27,452.10 |
$27,452.10 |
|
|
3d recon without postprocess indpndt
|
$504.40 |
$504.40 |
$504.40 |
|
|
5' nucleotidase - sendout
|
$34.45 |
$34.45 |
$40.30 |
|
|
88334 ap bill cytologic exam each additional site
|
$71.50 |
$71.50 |
$85.80 |
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,138.72 |
$3,138.72 |
$3,232.57 |
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.95 |
$59.80 |
$59.80 |
|
|
Abd aorta w/runoff s&i
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
|
|
Abd exp/postop hem/throm/infec 35840
|
$5,370.08 |
$5,370.08 |
$5,370.08 |
|
|
Abd/low ext cath 1st
|
$19,061.46 |
$19,061.46 |
$19,061.46 |
|
|
Abd/low ext cath 2nd
|
$13,500.62 |
$13,500.62 |
$13,500.62 |
|
|
Abd/low ext cath 3rd
|
$13,577.78 |
$13,577.78 |
$13,577.78 |
|
|
Abd/low ext cath addl
|
$16,381.78 |
$16,381.78 |
$16,381.78 |
|
|
Abdominal CT scan (with and without contrast)
|
$1,758.25 |
$2,215.20 |
$2,215.85 |
|
|
Abdominal CT scan (with contrast)
|
$1,397.50 |
$1,761.50 |
$1,804.40 |
|
|
Abdominal CT scan (without contrast)
|
$982.15 |
$1,237.60 |
$1,389.05 |
|
|
Abdominal MRI (with and without contrast)
|
$2,334.15 |
$2,334.15 |
$2,670.85 |
|
|
Abdominal MRI (with contrast)
|
$1,963.00 |
$1,963.00 |
$2,195.70 |
|
|
Abdominal MRI (without contrast)
|
$1,602.90 |
$1,602.90 |
$1,806.35 |
|
|
Abdominal paracentesis w/image guidance
|
$387.40 |
$520.65 |
$2,795.65 |
|
|
Abdominal Ultrasound (complete)
|
$553.80 |
$553.80 |
$745.55 |
|
|
Abdominal Ultrasound (limited)
|
$411.45 |
$411.45 |
$482.30 |
|
|
Abd paracentesis/w/o image guide 49082
|
$345.15 |
$438.75 |
$440.05 |
|
|
Ablate arrhythmia add on
|
$6,509.75 |
$6,509.75 |
$6,509.75 |
|
|
Ablate heart dysrhythm focus
|
$9,898.85 |
$9,898.85 |
$9,898.85 |
|
|
Ablate inf turbinate submuc 30802
|
$3,618.89 |
$3,618.89 |
$3,618.89 |
|
|
Ablation cardiac vagal inputs atrium
|
$5,671.25 |
$5,671.25 |
$5,671.25 |
|
|
Ablation cryo pq liver tumor(s)
|
$7,742.47 |
$7,742.47 |
$7,742.47 |
|
|
Ablation of upper extremity nerves rf
|
$267.15 |
$267.15 |
$7,179.90 |
|
|
Abscess drain retroperitoneal surg code
|
$3,794.76 |
$3,794.76 |
$3,794.76 |
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.64 |
$32.64 |
$33.34 |
|
|
Acetaminophen level
|
$141.70 |
$146.90 |
$150.80 |
|
|
Acetazolamide 500 mg solution for injection
|
$97.26 |
$97.26 |
$120.90 |
|
|
Acetone qualitative
|
$27.95 |
$27.95 |
$45.50 |
|
|
Acetylcholine receptor modulating antibody
|
$188.50 |
$203.45 |
$203.45 |
|
|
Acetylcholinesterase assay
|
$185.25 |
$185.25 |
$219.05 |
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$160.95 |
$339.66 |
$339.66 |
|
|
Acne surgery 10040
|
$161.85 |
$161.85 |
$161.85 |
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$32.50 |
$32.50 |
$52.00 |
|
|
Actinotherapy uv light
|
$118.95 |
$118.95 |
$118.95 |
|
|
Acute hepatitis panel
|
$212.55 |
$212.55 |
$363.35 |
|
|
Acute venous thrombus image
|
$775.45 |
$775.45 |
$775.45 |
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$34.01 |
$34.74 |
$34.74 |
|
|
#acylcarnitineprfl
|
$95.55 |
$126.10 |
$133.90 |
|
|
Adenosine 3 mg/250 ml bag for osm
|
$9.26 |
$9.26 |
$148.20 |
|
|
Adh-sendout
|
$93.60 |
$93.60 |
$158.60 |
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$78.90 |
$86.12 |
$171.07 |
|
|
Administration chemotherapy IV infusion each additional hour
|
$235.30 |
$252.20 |
$334.10 |
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$252.20 |
$252.20 |
$295.75 |
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$252.20 |
$252.20 |
$334.10 |
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$210.60 |
$256.75 |
$263.90 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$154.05 |
$154.05 |
$172.25 |
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$172.25 |
$195.00 |
$200.20 |
|
|
Administration immunization 1 vaccine
|
$20.15 |
$20.15 |
$35.75 |
|
|
Administration immunization each additional component
|
$0.65 |
$0.65 |
$0.65 |
|
|
Administration immunization each additional vaccine
|
$0.65 |
$0.65 |
$0.65 |
|
|
Administration immunization first component each vaccine
|
$20.15 |
$20.15 |
$20.80 |
|
|
Administration vaccine hepatitis b
|
$9.75 |
$9.75 |
$9.75 |
|
|
Administration vaccine influenza virus
|
$11.05 |
$11.05 |
$46.80 |
|
|
Administration vaccine pneumococcal
|
$11.05 |
$11.05 |
$46.80 |
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$15,109.63 |
$15,109.63 |
$15,109.63 |
|
|
Adrenal cortex & medulla img
|
$1,214.85 |
$1,214.85 |
$1,214.85 |
|
|
Aep hearing status deter i&r
|
$254.15 |
$254.15 |
$254.15 |
|
|
Aep neurodiagnostic i&r
|
$254.15 |
$254.15 |
$254.15 |
|
|
Aep thrshld est mlt freq i&r
|
$328.90 |
$328.90 |
$328.90 |
|
|
_afb id by dna probe rflx ast
|
$68.25 |
$68.25 |
$123.50 |
|
|
_afb org id by sequencing rflx ast-sendout
|
$353.60 |
$365.95 |
$365.95 |
|
|
Aflibercept injection
|
$4,557.86 |
$4,557.86 |
$4,557.86 |
|
|
Albumin body fluid quantitative each specimen
|
$15.60 |
$73.45 |
$73.45 |
|
|
Albumin (human), 25%, 50ml
|
$144.49 |
$277.87 |
$277.87 |
|
|
Albumin (human), 5%, 250 ml
|
$144.35 |
$144.35 |
$277.87 |
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$70.20 |
$83.85 |
$99.45 |
|
|
Albumin serum plasma or whole blood
|
$17.55 |
$45.50 |
$53.30 |
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$93.60 |
$93.60 |
$109.85 |
|
|
Alkaline phosphatase
|
$65.65 |
$66.30 |
$71.50 |
|
|
Allergen alpha lactalbumin ige
|
$42.25 |
$46.15 |
$55.25 |
|
|
Allergen egg white ige
|
$52.00 |
$52.00 |
$57.20 |
|
|
Allergen specific ige qual multi scrn ea
|
$49.40 |
$49.40 |
$58.50 |
|
|
Allergy injection; single 95115
|
$19.50 |
$19.50 |
$19.50 |
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$264.55 |
$269.10 |
$1,721.20 |
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,471.30 |
$2,471.30 |
$2,471.30 |
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$600.60 |
$600.60 |
$600.60 |
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
|
|
Alpha-fetoprotein amniotic
|
$102.70 |
$102.70 |
$121.55 |
|
|
Alpha-fetoprotein tumor marker
|
$131.30 |
$131.30 |
$143.65 |
|
|
Alprostadil for injection
|
$522.85 |
$522.85 |
$522.85 |
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,866.36 |
$17,732.73 |
$17,732.73 |
|
|
Alt/sgpt
|
$14.30 |
$26.65 |
$57.85 |
|
|
Aluminum - quest
|
$88.40 |
$91.65 |
$108.55 |
|
|
Amantadine (symmetrel)-sendout
|
$167.05 |
$178.10 |
$183.30 |
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$23.16 |
$24.70 |
$49.40 |
|
|
Amino acid screen, urine
|
$112.45 |
$112.45 |
$112.45 |
|
|
Amino acids quant 2-5
|
$148.20 |
$148.20 |
$174.85 |
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$32.77 |
$33.47 |
$33.47 |
|
|
Aminolevulinic acid delta
|
$85.15 |
$85.15 |
$100.75 |
|