|
11-desoxycortisol - sendout
|
$10.26 |
$10.26 |
$10.37 |
$87.50
|
|
17-hydroxypregnenolone
|
$11.01 |
$11.01 |
$11.13 |
$87.50
|
|
17-ketosteroids
|
$10.74 |
$10.74 |
$10.85 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$911.55 |
$911.55 |
$2,653.78 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$899.15 |
$899.15 |
$908.95 |
$1,108.76
|
|
2nd order venous cath
|
$1,430.94 |
$1,430.94 |
$1,446.53 |
$1,720.80
|
|
3d recon without postprocess indpndt
|
$427.03 |
$427.03 |
$822.45 |
$425.10
|
|
5' nucleotidase - sendout
|
$4.54 |
$4.54 |
$4.59 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$66.06 |
$66.06 |
$66.78 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,563.50 |
$2,563.50 |
$2,591.44 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$4.41 |
$4.41 |
$4.46 |
$52.25
|
|
Abciximab injection
|
$2,388.87 |
$2,388.87 |
$2,388.87 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$2,832.51 |
$2,832.51 |
$2,863.38 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$954.96 |
$954.96 |
$1,375.89 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,261.83 |
$2,261.83 |
$2,286.48 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$2,691.22 |
$2,691.22 |
$2,720.55 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,102.84 |
$1,102.84 |
$1,114.86 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$2,376.70 |
$2,376.70 |
$2,402.60 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,048.97 |
$2,048.97 |
$2,071.30 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,331.85 |
$1,331.85 |
$1,346.36 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,404.96 |
$2,404.96 |
$2,431.17 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,087.87 |
$2,087.87 |
$2,110.62 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,440.11 |
$1,440.11 |
$1,455.81 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$672.72 |
$672.72 |
$680.05 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$866.49 |
$866.49 |
$875.94 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$399.30 |
$399.30 |
$403.65 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$700.45 |
$700.45 |
$700.45 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$7,018.51 |
$7,018.51 |
$7,018.51 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$12,864.09 |
$12,864.09 |
$13,004.30 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$12,864.09 |
$12,864.09 |
$13,004.30 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$14,893.60 |
$14,893.60 |
$14,893.60 |
$9,836.16
|
|
Ablate pulm tumor perq crybl
|
$6,218.82 |
$6,218.82 |
$6,286.60 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$5,399.68 |
$5,399.68 |
$5,458.53 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$13,539.74 |
$13,539.74 |
$13,539.74 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$1,092.93 |
$1,092.93 |
$1,104.84 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$6,146.89 |
$6,146.89 |
$6,213.88 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$497.66 |
$497.66 |
$497.66 |
$859.50
|
|
Ablation cryo thigh/knee
|
$256.54 |
$256.54 |
$259.33 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$300.51 |
$300.51 |
$300.51 |
$825.60
|
|
Abrasion lesions add-on
|
$136.53 |
$136.53 |
$136.53 |
$100.00
|
|
Abrasion lesion single
|
$136.53 |
$136.53 |
$136.53 |
$340.86
|
|
Abscess drain retroperitoneal surg code
|
$1,632.78 |
$1,632.78 |
$1,728.21 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,729.31 |
$1,729.31 |
$1,729.31 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$66.06 |
$66.06 |
$66.78 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$73.04 |
$73.04 |
$73.83 |
$137.80
|
|
Acetone qualitative
|
$128.45 |
$128.45 |
$129.85 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$8.45 |
$8.45 |
$8.54 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$511.24 |
$511.24 |
$516.81 |
$306.22
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$13.22 |
$13.22 |
$13.22 |
$44.40
|
|
Acute hepatitis panel
|
$450.31 |
$450.31 |
$455.22 |
$284.70
|
|
Acute venous thrombus image
|
$733.64 |
$733.64 |
$741.63 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$78.91 |
$78.91 |
$79.77 |
$64.45
|
|
#acylcarnitineprfl
|
$34.50 |
$34.50 |
$34.88 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$7,448.27 |
$7,448.27 |
$7,529.45 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$572.52 |
$572.52 |
$578.76 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$4.78 |
$4.78 |
$4.83 |
$60.00
|
|
Adh-sendout
|
$16.52 |
$16.52 |
$16.70 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$186.07 |
$186.07 |
$307.93 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$63.82 |
$63.82 |
$151.94 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$663.91 |
$663.91 |
$663.91 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$383.62 |
$383.62 |
$727.40 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$322.60 |
$322.60 |
$322.60 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$103.13 |
$103.13 |
$103.13 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$94.24 |
$94.24 |
$103.13 |
$267.43
|
|
Administration immunization 1 vaccine
|
$82.58 |
$82.58 |
$83.48 |
$70.00
|
|
Administration immunization each additional vaccine
|
$82.58 |
$82.58 |
$83.48 |
$46.23
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$69.73 |
$69.73 |
$70.49 |
$33.60
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$8,379.72 |
$8,379.72 |
$8,471.05 |
$14,346.62
|
|
Adrenal cortex & medulla img
|
$1,234.59 |
$1,234.59 |
$1,248.05 |
$1,818.05
|
|
Aep hearing status deter i&r
|
$218.74 |
$218.74 |
$218.74 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$803.00 |
$803.00 |
$811.75 |
$509.00
|
|
_afb id by dna probe rflx ast
|
$19.09 |
$19.09 |
$19.30 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$11.01 |
$11.01 |
$11.13 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$58.54 |
$58.54 |
$59.18 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$9,926.25 |
$9,926.25 |
$10,034.44 |
$14,467.53
|
|
Air injection into abdomen 49400
|
$200.75 |
$200.75 |
$202.94 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$16.15 |
$16.15 |
$16.33 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$2,434.32 |
$2,434.32 |
$2,460.85 |
$277.87
|
|
Albumin, human 25 % intravenous solution
|
$52.85 |
$52.85 |
$52.85 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$166.21 |
$166.21 |
$324.80 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.61 |
$6.61 |
$6.68 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$75.61 |
$75.61 |
$76.43 |
$43.45
|
|
Aldesleukin injection
|
$9,836.70 |
$9,836.70 |
$9,836.70 |
$6,538.20
|
|
Alkaline phosphatase
|
$100.93 |
$100.93 |
$102.03 |
$46.50
|
|
Allergen egg white ige
|
$19.09 |
$19.09 |
$19.30 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$2.70 |
$2.70 |
$2.73 |
$26.95
|
|
Allograft amnioexcel plus 17mm disk
|
$2,605.70 |
$2,605.70 |
$2,605.70 |
$3,380.36
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$16,366.37 |
$16,366.37 |
$16,544.75 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$7,448.27 |
$7,448.27 |
$7,529.45 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$19,425.31 |
$19,425.31 |
$19,637.03 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$16,366.37 |
$16,366.37 |
$16,544.75 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$7,448.27 |
$7,448.27 |
$7,529.45 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,185.41 |
$1,185.41 |
$1,198.33 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$671.98 |
$671.98 |
$671.98 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$43.31 |
$43.31 |
$43.78 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$13,614.60 |
$13,614.60 |
$13,762.99 |
$9,600.63
|
|
Alt/sgpt
|
$81.85 |
$81.85 |
$82.74 |
$49.00
|
|
Aluminum - quest
|
$4.43 |
$4.43 |
$4.48 |
$83.05
|