|
11-desoxycortisol - sendout
|
$122.70 |
$122.70 |
$122.70 |
$84.56
|
|
17-hydroxypregnenolone
|
$30.30 |
$30.30 |
$30.30 |
$87.00
|
|
17-ketosteroids
|
$64.95 |
$64.95 |
$64.95 |
$49.45
|
|
2019-ncov diagnostic p
|
$19.65 |
$19.65 |
$19.65 |
$49.57
|
|
2d tee w or without fol w/con,in
|
$425.85 |
$425.85 |
$425.85 |
$1,591.63
|
|
2d tte w or without fol w/con,co
|
$361.20 |
$361.20 |
$361.20 |
$1,137.75
|
|
2nd order venous cath
|
$250.80 |
$250.80 |
$250.80 |
$1,758.90
|
|
3d ech img cgen car anomal
|
$325.20 |
$325.20 |
$325.20 |
$463.68
|
|
3-d radiotherapy plan
|
$999.90 |
$999.90 |
$999.90 |
$4,937.00
|
|
3d recon without postprocess indpndt
|
$325.20 |
$325.20 |
$325.20 |
$469.20
|
|
5' nucleotidase - sendout
|
$52.50 |
$52.50 |
$52.50 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$9.45 |
$9.45 |
$9.45 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$6.90 |
$6.90 |
$6.90 |
$52.47
|
|
Abd aorta w/runoff s&i
|
$1,169.70 |
$1,169.70 |
$1,169.70 |
$3,623.12
|
|
Abd/low ext cath 1st
|
$295.05 |
$295.05 |
$295.05 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$350.70 |
$350.70 |
$350.70 |
$2,223.00
|
|
Abd/low ext cath 3rd
|
$391.05 |
$391.05 |
$391.05 |
$2,662.40
|
|
Abd/low ext cath addl
|
$391.05 |
$391.05 |
$391.05 |
$976.00
|
|
Abdominal CT scan (with and without contrast)
|
$612.30 |
$612.30 |
$612.30 |
$2,002.00
|
|
Abdominal CT scan (with contrast)
|
$538.50 |
$538.50 |
$538.50 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$459.90 |
$459.90 |
$459.90 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$905.70 |
$905.70 |
$905.70 |
$3,061.80
|
|
Abdominal MRI (with contrast)
|
$643.80 |
$643.80 |
$643.80 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$561.60 |
$561.60 |
$561.60 |
$2,047.72
|
|
Abdominal paracentesis w/image guidance
|
$514.20 |
$514.20 |
$514.20 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$228.45 |
$228.45 |
$228.45 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$272.70 |
$272.70 |
$272.70 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$397.50 |
$397.50 |
$397.50 |
$1,170.28
|
|
Abl1 gene
|
$163.80 |
$163.80 |
$163.80 |
$682.50
|
|
Ablat 1/+thyr ndul addl prq rf
|
$111.90 |
$111.90 |
$111.90 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$2,223.75 |
$2,223.75 |
$2,223.75 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$1,417.95 |
$1,417.95 |
$1,417.95 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$1,343.10 |
$1,343.10 |
$1,343.10 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$2,223.75 |
$2,223.75 |
$2,223.75 |
$9,523.83
|
|
Ablate pulm tumor perq crybl
|
$1,435.50 |
$1,435.50 |
$1,435.50 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$1,996.95 |
$1,996.95 |
$1,996.95 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$543.60 |
$543.60 |
$543.60 |
$2,566.58
|
|
Ablation cryo adrenal tumor
|
$1,609.80 |
$1,609.80 |
$1,609.80 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$1,663.65 |
$1,663.65 |
$1,663.65 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$1,058.10 |
$1,058.10 |
$1,058.10 |
$842.40
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$223.95 |
$223.95 |
$223.95 |
$2,974.20
|
|
Abltj mal prst8 tiss hifu
|
$2,122.65 |
$2,122.65 |
$2,122.65 |
$5,339.00
|
|
Ablt trurl prst8 tis thrm Ultrasound
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,802.80
|
|
Ablt trurl prst8 tis trnsdcr
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$15,374.71
|
|
Abscess drain retroperitoneal surg code
|
$550.35 |
$550.35 |
$550.35 |
$3,051.36
|
|
Access thoracic lymph duct
|
$284.55 |
$284.55 |
$284.55 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$11.25 |
$11.25 |
$11.25 |
$81.07
|
|
Acetaminophen level
|
$11.55 |
$11.55 |
$11.55 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$41.61 |
$41.61 |
$41.61 |
$122.55
|
|
Acetone qualitative
|
$23.85 |
$23.85 |
$23.85 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$5.55 |
$5.55 |
$5.55 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$114.48 |
$114.48 |
$114.48 |
$258.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$6.90 |
$6.90 |
$6.90 |
$42.28
|
|
Acoustic immitance testing
|
$27.90 |
$27.90 |
$27.90 |
$158.50
|
|
Acoustic refl threshold tst
|
$29.10 |
$29.10 |
$29.10 |
$102.05
|
|
Acute hepatitis panel
|
$316.80 |
$316.80 |
$316.80 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$21.87 |
$21.87 |
$21.87 |
$65.51
|
|
#acylcarnitineprfl
|
$92.25 |
$92.25 |
$92.25 |
$114.10
|
|
Adenosine 3 mg/250 ml bag for osm
|
$203.99 |
$203.99 |
$203.99 |
$276.02
|
|
Adenovirus antibody,serum - quest
|
$28.65 |
$28.65 |
$28.65 |
$63.00
|
|
Adh-sendout
|
$78.15 |
$78.15 |
$78.15 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$9.81 |
$9.81 |
$9.81 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$72.75 |
$72.75 |
$72.75 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$72.75 |
$72.75 |
$72.75 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$156.30 |
$156.30 |
$156.30 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$97.65 |
$97.65 |
$97.65 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$58.05 |
$58.05 |
$58.05 |
$220.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$72.75 |
$72.75 |
$72.75 |
$265.50
|
|
Administration immunization 1 vaccine
|
$20.70 |
$20.70 |
$20.70 |
$67.70
|
|
Administration immunization each additional vaccine
|
$20.70 |
$20.70 |
$20.70 |
$46.50
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$9.60 |
$9.60 |
$9.60 |
$41.15
|
|
Administration vaccine hepatitis b
|
$17.10 |
$17.10 |
$17.10 |
$54.60
|
|
Administration vaccine influenza virus
|
$17.10 |
$17.10 |
$17.10 |
$48.35
|
|
Administration vaccine pneumococcal
|
$17.10 |
$17.10 |
$17.10 |
$49.40
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$8.25 |
$8.25 |
$8.25 |
$41.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$2,872.53 |
$2,872.53 |
$2,872.53 |
$11,350.31
|
|
Adrenalin epinephrine inject
|
$421.45 |
$421.45 |
$421.45 |
$130.71
|
|
Aep hearing status deter i&r
|
$191.10 |
$191.10 |
$191.10 |
$303.05
|
|
Aep neurodiagnostic i&r
|
$191.10 |
$191.10 |
$191.10 |
$570.96
|
|
Aep thrshld est mlt freq i&r
|
$221.40 |
$221.40 |
$221.40 |
$573.65
|
|
_afb org id by sequencing rflx ast-sendout
|
$58.35 |
$58.35 |
$58.35 |
$289.60
|
|
Air conduction bilat
|
$30.00 |
$30.00 |
$30.00 |
$138.00
|
|
Air injection into abdomen 49400
|
$63.75 |
$63.75 |
$63.75 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$75.75 |
$75.75 |
$75.75 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$3.45 |
$3.45 |
$3.45 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$33.21 |
$33.21 |
$33.21 |
$218.40
|
|
Albumin (human), 5%, 250 ml
|
$33.30 |
$33.30 |
$33.30 |
$242.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$32.70 |
$32.70 |
$32.70 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$30.60 |
$30.60 |
$30.60 |
$40.00
|
|
Alkaline phosphatase
|
$35.40 |
$35.40 |
$35.40 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$8.70 |
$8.70 |
$8.70 |
$48.57
|
|
Allergen egg white ige
|
$3.90 |
$3.90 |
$3.90 |
$36.66
|
|
Allergen specific ige qual multi scrn ea
|
$4.50 |
$4.50 |
$4.50 |
$24.01
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$34.65 |
$34.65 |
$34.65 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$198.75 |
$198.75 |
$198.75 |
$3,654.39
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$756.00 |
$756.00 |
$756.00 |
$4,384.80
|
|
Alpha-fetoprotein amniotic
|
$9.60 |
$9.60 |
$9.60 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$78.75 |
$78.75 |
$78.75 |
$106.00
|
|
Alprostadil for injection
|
$159.86 |
$159.86 |
$159.86 |
$519.93
|
