|
2nd order venous cath
|
$505.86 |
$505.86 |
$505.86 |
$1,720.80
|
|
3d recon without postprocess indpndt
|
$700.34 |
$700.34 |
$700.34 |
$425.10
|
|
88334 ap bill cytologic exam each additional site
|
$30.56 |
$30.56 |
$30.56 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$4,081.28 |
$4,081.28 |
$4,081.28 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$971.46 |
$971.46 |
$971.46 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,194.07 |
$1,194.07 |
$1,194.07 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,421.54 |
$1,421.54 |
$1,421.54 |
$2,727.40
|
|
Abd/low ext cath addl
|
$838.57 |
$838.57 |
$838.57 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,397.77 |
$1,397.77 |
$1,397.77 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,202.32 |
$1,202.32 |
$1,202.32 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$782.79 |
$782.79 |
$782.79 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,986.77 |
$4,986.77 |
$4,986.77 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$4,329.60 |
$4,329.60 |
$4,329.60 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,986.15 |
$2,986.15 |
$2,986.15 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$798.80 |
$798.80 |
$798.80 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,298.83 |
$1,298.83 |
$1,298.83 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$999.10 |
$999.10 |
$999.10 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$798.80 |
$798.80 |
$798.80 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$417.59 |
$417.59 |
$417.59 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$12,176.41 |
$12,176.41 |
$12,176.41 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$9,541.89 |
$9,541.89 |
$9,541.89 |
$9,836.16
|
|
Ablate pulm tumor perq rf
|
$2,812.52 |
$2,812.52 |
$2,812.52 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$8,897.33 |
$8,897.33 |
$8,897.33 |
$2,948.40
|
|
Abscess drain retroperitoneal surg code
|
$1,839.12 |
$1,839.12 |
$1,839.12 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,500.73 |
$3,500.73 |
$3,500.73 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$30.56 |
$30.56 |
$30.56 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$132.41 |
$132.41 |
$132.41 |
$137.80
|
|
Acetone qualitative
|
$119.31 |
$119.31 |
$119.31 |
$48.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$599.95 |
$599.95 |
$599.95 |
$306.22
|
|
Acute hepatitis panel
|
$561.15 |
$561.15 |
$561.15 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$60.14 |
$60.14 |
$60.14 |
$64.45
|
|
#acylcarnitineprfl
|
$36.38 |
$36.38 |
$36.38 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$615.95 |
$615.95 |
$615.95 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$542.72 |
$542.72 |
$542.72 |
$217.04
|
|
Adh-sendout
|
$21.83 |
$21.83 |
$21.83 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$708.59 |
$708.59 |
$708.59 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$205.16 |
$205.16 |
$205.16 |
$233.56
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$469.00 |
$469.00 |
$469.00 |
$695.37
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$257.05 |
$257.05 |
$257.05 |
$267.43
|
|
Administration immunization 1 vaccine
|
$108.64 |
$108.64 |
$108.64 |
$70.00
|
|
Administration immunization each additional vaccine
|
$108.64 |
$108.64 |
$108.64 |
$46.23
|
|
Adrenal cortex & medulla img
|
$1,168.85 |
$1,168.85 |
$1,168.85 |
$1,818.05
|
|
_afb id by dna probe rflx ast
|
$30.56 |
$30.56 |
$30.56 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$77.36 |
$77.36 |
$77.36 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$56.75 |
$56.75 |
$56.75 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$342.90 |
$342.90 |
$342.90 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$146.96 |
$146.96 |
$146.96 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$73.24 |
$73.24 |
$73.24 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$62.08 |
$62.08 |
$62.08 |
$43.45
|
|
Alcohol/subs interv >30 min
|
$202.73 |
$202.73 |
$202.73 |
$177.99
|
|
Alkaline phosphatase
|
$65.48 |
$65.48 |
$65.48 |
$46.50
|
|
Allergen egg white ige
|
$2.74 |
$2.74 |
$2.74 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$2.77 |
$2.77 |
$2.77 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$14,465.13 |
$14,465.13 |
$14,465.13 |
$5,579.34
|
|
Allograft amnioexcel plus 17mm disk
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$3,380.36
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$35,795.43 |
$35,795.43 |
$35,795.43 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,301.33 |
$2,301.33 |
$2,301.33 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$8,557.83 |
$8,557.83 |
$8,557.83 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$8,557.83 |
$8,557.83 |
$8,557.83 |
$4,814.57
|
|
Alpha-fetoprotein tumor marker
|
$26.19 |
$26.19 |
$26.19 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$7,682.89 |
$7,682.89 |
$7,682.89 |
$9,600.63
|
|
Alt/sgpt
|
$72.27 |
$72.27 |
$72.27 |
$49.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$192.06 |
$192.06 |
$192.06 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$49.47 |
$49.47 |
$49.47 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$23.28 |
$23.28 |
$23.28 |
$45.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.61 |
$12.61 |
$12.61 |
$43.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$53.84 |
$53.84 |
$53.84 |
$50.85
|
|
Ammonia
|
$191.58 |
$191.58 |
$191.58 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$563.09 |
$563.09 |
$563.09 |
$963.79
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$121.25 |
$121.25 |
$121.25 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$521.86 |
$521.86 |
$521.86 |
$382.55
|
|
Ampicillin 1 gram solution for injection
|
$159.57 |
$159.57 |
$159.57 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$46.08 |
$46.08 |
$46.08 |
$57.38
|
|
Amylase
|
$142.59 |
$142.59 |
$142.59 |
$93.00
|
|
Anal pressure record
|
$946.24 |
$946.24 |
$946.24 |
$954.00
|
|
Anal/urinary muscle study
|
$90.70 |
$90.70 |
$90.70 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$19.40 |
$19.40 |
$19.40 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$16.98 |
$16.98 |
$16.98 |
$226.60
|
|
An cholangiogram percutaneous compl
|
$3,201.00 |
$3,201.00 |
$3,201.00 |
$2,426.60
|
|
An fluoro guide for cvp
|
$339.50 |
$339.50 |
$339.50 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$9,102.48 |
$9,102.48 |
$9,102.48 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$10,027.38 |
$10,027.38 |
$10,027.38 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,027.38 |
$10,027.38 |
$10,027.38 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$6,472.81 |
$6,472.81 |
$6,472.81 |
$6,513.10
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$6,048.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$11,230.18 |
$11,230.18 |
$11,230.18 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$2,644.22 |
$2,644.22 |
$2,644.22 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$6,639.17 |
$6,639.17 |
$6,639.17 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,644.22 |
$2,644.22 |
$2,644.22 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$6,639.17 |
$6,639.17 |
$6,639.17 |
$8,745.10
|
|
Anora (draw only)
|
$82.94 |
$82.94 |
$82.94 |
$36.36
|
|
Antibody elution rbc reference
|
$176.54 |
$176.54 |
$176.54 |
$179.62
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$203.70 |
$203.70 |
$203.70 |
$218.30
|
|
Antibody id rbc panel
|
$281.30 |
$281.30 |
$281.30 |
$291.75
|
|
Antibody screen rbc
|
$100.40 |
$100.40 |
$100.40 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.85 |
$4.85 |
$4.85 |
$4.00
|