|
17-ketosteroids
|
$42.20 |
$42.20 |
$42.20 |
$44.88
|
|
2019-ncov diagnostic p
|
$0.01 |
$0.01 |
$0.01 |
$49.37
|
|
2d tee w or without fol w/con,in
|
$642.88 |
$642.88 |
$642.88 |
$1,628.93
|
|
2nd order venous cath
|
$305.30 |
$305.30 |
$305.30 |
$1,720.80
|
|
3-d radiotherapy plan
|
$2,166.30 |
$2,166.30 |
$2,166.30 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$56.44 |
$56.44 |
$56.44 |
$425.10
|
|
5' nucleotidase - sendout
|
$37.12 |
$37.12 |
$37.12 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$618.98 |
$618.98 |
$618.98 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$1,109.59 |
$1,109.59 |
$1,109.59 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$542.98 |
$542.98 |
$542.98 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$638.05 |
$638.05 |
$638.05 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$750.66 |
$750.66 |
$750.66 |
$2,727.40
|
|
Abd/low ext cath addl
|
$142.61 |
$142.61 |
$142.61 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$914.87 |
$914.87 |
$914.87 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$839.12 |
$839.12 |
$839.12 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$788.79 |
$788.79 |
$788.79 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,192.71 |
$1,192.71 |
$1,192.71 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,192.71 |
$1,192.71 |
$1,192.71 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$720.41 |
$720.41 |
$720.41 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$366.31 |
$366.31 |
$366.31 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$249.12 |
$249.12 |
$249.12 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$406.47 |
$406.47 |
$406.47 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$3,824.95 |
$3,824.95 |
$3,824.95 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$1,980.48 |
$1,980.48 |
$1,980.48 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$3,360.53 |
$3,360.53 |
$3,360.53 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$4,382.92 |
$4,382.92 |
$4,382.92 |
$9,836.16
|
|
Ablate pulm tumor perq rf
|
$4,138.89 |
$4,138.89 |
$4,138.89 |
$7,911.80
|
|
Ablation cryo abd perit om
|
$823.61 |
$823.61 |
$823.61 |
$2,555.80
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$168.54 |
$168.54 |
$168.54 |
$339.18
|
|
Ablation cryo thigh/knee
|
$229.55 |
$229.55 |
$229.55 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$416.13 |
$416.13 |
$416.13 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,379.55 |
$1,379.55 |
$1,379.55 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$295.64 |
$295.64 |
$295.64 |
$3,287.87
|
|
Acetone qualitative
|
$21.87 |
$21.87 |
$21.87 |
$48.00
|
|
Acute hepatitis panel
|
$194.98 |
$194.98 |
$194.98 |
$284.70
|
|
Acute venous thrombus image
|
$649.49 |
$649.49 |
$649.49 |
$873.75
|
|
#acylcarnitineprfl
|
$57.20 |
$57.20 |
$57.20 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$11,308.64 |
$11,308.64 |
$11,308.64 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$197.35 |
$197.35 |
$197.35 |
$268.50
|
|
Adh-sendout
|
$112.11 |
$112.11 |
$112.11 |
$109.28
|
|
Adj gastric band via subq port
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$1,952.40
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$240.73 |
$240.73 |
$240.73 |
$695.37
|
|
Administration immunization 1 vaccine
|
$53.39 |
$53.39 |
$53.39 |
$70.00
|
|
Administration immunization each additional vaccine
|
$14.49 |
$14.49 |
$14.49 |
$46.23
|
|
Administration vaccine hepatitis b
|
$33.56 |
$33.56 |
$33.56 |
$54.60
|
|
Administration vaccine influenza virus
|
$54.91 |
$54.91 |
$54.91 |
$48.35
|
|
Administration vaccine pneumococcal
|
$54.91 |
$54.91 |
$54.91 |
$49.50
|
|
_afb id by dna probe rflx ast
|
$66.35 |
$66.35 |
$66.35 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$67.37 |
$67.37 |
$67.37 |
$289.60
|
|
Air injection into abdomen 49400
|
$166.00 |
$166.00 |
$166.00 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$202.09 |
$202.09 |
$202.09 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$25.68 |
$25.68 |
$25.68 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$24.88 |
$24.88 |
$24.88 |
$256.84
|
|
Albumin, human 25 % intravenous solution
|
$41.19 |
$41.19 |
$41.19 |
$117.82
|
|
Albumin (human), 5%, 250 ml
|
$336.24 |
$336.24 |
$336.24 |
$258.00
|
|
Albumin, human 5 % intravenous solution
|
$22.12 |
$22.12 |
$22.12 |
$125.99
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$20.85 |
$20.85 |
$20.85 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$20.85 |
$20.85 |
$20.85 |
$43.45
|
|
Alkaline phosphatase
|
$62.03 |
$62.03 |
$62.03 |
$46.50
|
|
Allergen egg white ige
|
$23.65 |
$23.65 |
$23.65 |
$39.78
|
|
Allg patch or app # of tests 95044
|
$50.08 |
$50.08 |
$50.08 |
$39.00
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$2,669.18 |
$2,669.18 |
$2,669.18 |
$6,606.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$1,193.55 |
$1,193.55 |
$1,193.55 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$2,230.61 |
$2,230.61 |
$2,230.61 |
$1,253.92
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,100.21 |
$2,100.21 |
$2,100.21 |
$4,906.77
|
|
Alpha-fetoprotein amniotic
|
$55.67 |
$55.67 |
$55.67 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$75.50 |
$75.50 |
$75.50 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,219.50 |
$8,219.50 |
$8,219.50 |
$15,857.45
|
|
Alt/sgpt
|
$26.19 |
$26.19 |
$26.19 |
$49.00
|
|
Aluminum - quest
|
$28.73 |
$28.73 |
$28.73 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$201.59 |
$201.59 |
$201.59 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$15.26 |
$15.26 |
$15.26 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$56.00 |
$56.00 |
$56.00 |
$39.15
|
|
Aminolevulinic acid delta
|
$54.15 |
$54.15 |
$54.15 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$11.50 |
$11.50 |
$11.50 |
$48.29
|
|
Amiodarone 50 mg/ml intravenous solution
|
$8.45 |
$8.45 |
$8.45 |
$58.57
|
|
Ammonia
|
$48.81 |
$48.81 |
$48.81 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$247.09 |
$247.09 |
$247.09 |
$963.79
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,238.47 |
$1,238.47 |
$1,238.47 |
$3,969.00
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$85.05 |
$85.05 |
$85.05 |
$130.08
|
|
Amp metatarsal w/toe single 28810
|
$1,543.76 |
$1,543.76 |
$1,543.76 |
$3,839.54
|
|
Amputation toe metatarsophalangeal joint
|
$1,543.76 |
$1,543.76 |
$1,543.76 |
$3,777.93
|
|
Amylase
|
$30.51 |
$30.51 |
$30.51 |
$93.00
|
|
Ana ds-dna
|
$40.17 |
$40.17 |
$40.17 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$36.36 |
$36.36 |
$36.36 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$186.84 |
$186.84 |
$186.84 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$233.61 |
$233.61 |
$233.61 |
$226.60
|
|
Analysis nerve
|
$223.19 |
$223.19 |
$223.19 |
$223.19
|
|
Analysis tumor
|
$457.31 |
$457.31 |
$457.31 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$201.59 |
$201.59 |
$201.59 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$22.37 |
$22.37 |
$22.37 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$50.08 |
$50.08 |
$50.08 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$378.25 |
$378.25 |
$378.25 |
$2,426.60
|
|
An fluoro guide for cvp
|
$175.40 |
$175.40 |
$175.40 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$1,759.07 |
$1,759.07 |
$1,759.07 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$3,376.04 |
$3,376.04 |
$3,376.04 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$3,917.99 |
$3,917.99 |
$3,917.99 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,115.76 |
$4,115.76 |
$4,115.76 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$72.85 |
$72.85 |
$72.85 |
$5,128.65
|
