|
11-desoxycortisol - sendout
|
$377.00 |
$377.00 |
$377.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$293.00 |
$293.00 |
$293.00 |
$87.50
|
|
2d tee w or without fol w/con,in
|
$2,778.00 |
$2,778.00 |
$2,778.00 |
$1,628.93
|
|
2d tte w or without fol w/con,co
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$1,155.75
|
|
2nd order venous cath
|
$861.00 |
$861.00 |
$861.00 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$632.45
|
|
3-d radiotherapy plan
|
$10,051.00 |
$10,051.00 |
$10,051.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$317.00 |
$317.00 |
$317.00 |
$425.10
|
|
5' nucleotidase - sendout
|
$143.00 |
$143.00 |
$143.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$155.00 |
$155.00 |
$155.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,562.00 |
$1,562.00 |
$1,562.00 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,311.00 |
$2,311.00 |
$2,311.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,789.00 |
$3,789.00 |
$3,789.00 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,411.00 |
$3,411.00 |
$3,411.00 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,679.00 |
$2,679.00 |
$2,679.00 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$878.00 |
$878.00 |
$878.00 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,849.00 |
$1,849.00 |
$1,849.00 |
$1,248.00
|
|
Ablate bone tumor(s) perq
|
$12,474.00 |
$12,474.00 |
$12,474.00 |
$9,812.40
|
|
Ablate pulm tumor perq rf
|
$15,363.00 |
$15,363.00 |
$15,363.00 |
$7,911.80
|
|
Ablation cryo adrenal tumor
|
$4,751.00 |
$4,751.00 |
$4,751.00 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$10,106.00 |
$10,106.00 |
$10,106.00 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$4,391.00 |
$4,391.00 |
$4,391.00 |
$859.50
|
|
Ablation of upper extremity nerves rf
|
$900.00 |
$900.00 |
$900.00 |
$825.60
|
|
Abrasion lesion single
|
$181.00 |
$181.00 |
$181.00 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$3,053.18
|
|
Absorpt drg <=16 sq in without b
|
$489.00 |
$489.00 |
$489.00 |
$5.60
|
|
Acetaminophen level
|
$377.00 |
$377.00 |
$377.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$290.25 |
$290.25 |
$290.25 |
$120.90
|
|
Acetone qualitative
|
$58.00 |
$58.00 |
$58.00 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$43.00 |
$43.00 |
$43.00 |
$64.50
|
|
Acetylcholinesterase assay
|
$143.00 |
$143.00 |
$143.00 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$396.00 |
$396.00 |
$396.00 |
$306.72
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$45.00 |
$45.00 |
$45.00 |
$44.40
|
|
Actinotherapy uv light
|
$218.00 |
$218.00 |
$218.00 |
$110.50
|
|
Acute hepatitis panel
|
$768.00 |
$768.00 |
$768.00 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$231.00 |
$231.00 |
$231.00 |
$62.48
|
|
#acylcarnitineprfl
|
$227.00 |
$227.00 |
$227.00 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$550.00 |
$550.00 |
$550.00 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$944.00 |
$944.00 |
$944.00 |
$268.50
|
|
Adh-sendout
|
$375.00 |
$375.00 |
$375.00 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$943.25 |
$943.25 |
$943.25 |
$172.86
|
|
Administration chemotherapy IV infusion each additional hour
|
$313.00 |
$313.00 |
$313.00 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$447.00 |
$447.00 |
$447.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$945.00 |
$945.00 |
$945.00 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$424.00 |
$424.00 |
$424.00 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$123.00 |
$123.00 |
$123.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$315.00 |
$315.00 |
$315.00 |
$267.43
|
|
Administration immunization 1 vaccine
|
$185.00 |
$185.00 |
$185.00 |
$70.00
|
|
Administration immunization each additional component
|
$94.00 |
$94.00 |
$94.00 |
$27.20
|
|
Administration immunization each additional vaccine
|
$93.00 |
$93.00 |
$93.00 |
$46.23
|
|
Administration immunization first component each vaccine
|
$111.00 |
$111.00 |
$111.00 |
$45.50
|
|
Administration vaccine hepatitis b
|
$111.00 |
$111.00 |
$111.00 |
$54.60
|
|
Administration vaccine influenza virus
|
$111.00 |
$111.00 |
$111.00 |
$48.35
|
|
Administration vaccine pneumococcal
|
$111.00 |
$111.00 |
$111.00 |
$49.50
|
|
Aep hearing status deter i&r
|
$444.00 |
$444.00 |
$444.00 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$444.00 |
$444.00 |
$444.00 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$776.00 |
$776.00 |
$776.00 |
$573.65
|
|
_afb org id by sequencing rflx ast-sendout
|
$532.00 |
$532.00 |
$532.00 |
$289.60
|
|
Afo rig ant tib tcf/= custom
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$1,421.28
|
|
Afo, walk boot type, cus fab
|
$6,056.00 |
$6,056.00 |
$6,056.00 |
$2,500.10
|
|
After cataract laser surgery
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$1,464.80
|
|
Air injection into abdomen 49400
|
$615.00 |
$615.00 |
$615.00 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$404.00 |
$404.00 |
$404.00 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$76.00 |
$76.00 |
$76.00 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$256.84
|
|
Albumin, human 5 % intravenous solution
|
$594.00 |
$594.00 |
$594.00 |
$125.99
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$74.00 |
$74.00 |
$74.00 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$79.00 |
$79.00 |
$79.00 |
$43.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$287.00 |
$287.00 |
$287.00 |
$94.90
|
|
Alkaline phosphatase
|
$72.00 |
$72.00 |
$72.00 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$105.00 |
$105.00 |
$105.00 |
$56.35
|
|
Allergen egg white ige
|
$85.00 |
$85.00 |
$85.00 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$103.00 |
$103.00 |
$103.00 |
$26.95
|
|
Allograft amnioexcel plus 17mm disk
|
$289.00 |
$289.00 |
$289.00 |
$2,386.00
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$215.00 |
$215.00 |
$215.00 |
$4,906.77
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$4,744.80
|
|
Alpha-fetoprotein amniotic
|
$216.00 |
$216.00 |
$216.00 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$226.00 |
$226.00 |
$226.00 |
$103.60
|
|
Alprostadil for injection
|
$1,117.75 |
$1,117.75 |
$1,117.75 |
$522.85
|
|
Alteplase 100 mg infusion from pyxis vial
|
$37,806.50 |
$37,806.50 |
$37,806.50 |
$15,857.45
|
|
Alt/sgpt
|
$87.00 |
$87.00 |
$87.00 |
$49.00
|
|
Aluminum - quest
|
$112.00 |
$112.00 |
$112.00 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$366.00 |
$366.00 |
$366.00 |
$188.65
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$94.50 |
$94.50 |
$94.50 |
$44.00
|
|
Amino acids quant 2-5
|
$217.00 |
$217.00 |
$217.00 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$48.25 |
$48.25 |
$48.25 |
$39.15
|
|
Aminolevulinic acid delta
|
$211.00 |
$211.00 |
$211.00 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$132.00 |
$132.00 |
$132.00 |
$48.29
|
|
Amiodarone 50 mg/ml intravenous solution
|
$113.50 |
$113.50 |
$113.50 |
$58.57
|
|
Amitriptyline (elavil) -sendout
|
$158.00 |
$158.00 |
$158.00 |
$101.17
|
