|
2d tee w or without fol w/con,in
|
$2,986.56 |
$2,986.56 |
$2,986.56 |
$1,525.28
|
|
2nd order venous cath
|
$907.68 |
$907.68 |
$907.68 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$317.28 |
$317.28 |
$317.28 |
$632.45
|
|
3-d radiotherapy plan
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$643.68 |
$643.68 |
$643.68 |
$425.10
|
|
88334 ap bill cytologic exam each additional site
|
$44.64 |
$44.64 |
$44.64 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$20.66 |
$20.66 |
$20.66 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,916.16 |
$1,916.16 |
$1,916.16 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,901.28 |
$1,901.28 |
$1,901.28 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$2,579.52 |
$2,579.52 |
$2,579.52 |
$2,727.40
|
|
Abd/low ext cath addl
|
$1,901.28 |
$1,901.28 |
$1,901.28 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,911.36 |
$1,911.36 |
$1,911.36 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,572.96 |
$1,572.96 |
$1,572.96 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,441.44 |
$1,441.44 |
$1,441.44 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,371.20 |
$5,371.20 |
$5,371.20 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,377.44 |
$2,377.44 |
$2,377.44 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$2,212.80 |
$2,212.80 |
$2,212.80 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$984.96 |
$984.96 |
$984.96 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$677.76 |
$677.76 |
$677.76 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$13,690.08 |
$13,690.08 |
$13,690.08 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$15,291.36 |
$15,291.36 |
$15,291.36 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$15,070.56 |
$15,070.56 |
$15,070.56 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$4,455.84 |
$4,455.84 |
$4,455.84 |
$9,836.16
|
|
Ablate inf turbinate superf 30801
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$2,122.56
|
|
Ablate pulm tumor perq crybl
|
$10,138.08 |
$10,138.08 |
$10,138.08 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$9,123.84 |
$9,123.84 |
$9,123.84 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$3,205.44 |
$3,205.44 |
$3,205.44 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$9,703.20 |
$9,703.20 |
$9,703.20 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$547.20 |
$547.20 |
$547.20 |
$339.18
|
|
Ablation cryo pq liver tumor(s)
|
$10,138.08 |
$10,138.08 |
$10,138.08 |
$8,581.80
|
|
Ablation ire liver 1+ tumor(s) w/image pq
|
$9,176.16 |
$9,176.16 |
$9,176.16 |
$21,177.00
|
|
Ablation of upper extremity nerves rf
|
$3,698.88 |
$3,698.88 |
$3,698.88 |
$825.60
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$2,964.48 |
$2,964.48 |
$2,964.48 |
$3,396.00
|
|
Abscess drain retroperitoneal surg code
|
$1,661.76 |
$1,661.76 |
$1,661.76 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,686.08 |
$2,686.08 |
$2,686.08 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$119.95 |
$119.95 |
$119.95 |
$89.91
|
|
Acetaminophen level
|
$166.56 |
$166.56 |
$166.56 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$149.53 |
$149.53 |
$149.53 |
$137.80
|
|
Acetylcholine receptor modulating antibody
|
$21.24 |
$21.24 |
$21.24 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$150.92 |
$150.92 |
$150.92 |
$306.22
|
|
Acetylcysteine non-comp unit
|
$25.07 |
$25.07 |
$25.07 |
$29.01
|
|
Acne surgery 10040
|
$918.72 |
$918.72 |
$918.72 |
$265.20
|
|
Acute hepatitis panel
|
$59.04 |
$59.04 |
$59.04 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$71.11 |
$71.11 |
$71.11 |
$64.45
|
|
#acylcarnitineprfl
|
$82.56 |
$82.56 |
$82.56 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$11,172.00 |
$11,172.00 |
$11,172.00 |
$6,875.44
|
|
Adding walker to prev cast
|
$324.48 |
$324.48 |
$324.48 |
$205.38
|
|
Adenosine 3 mg/250 ml bag for osm
|
$68.91 |
$68.91 |
$68.91 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$11.45 |
$11.45 |
$11.45 |
$60.00
|
|
Adh-sendout
|
$14.40 |
$14.40 |
$14.40 |
$109.28
|
|
Adjmt/revj ext fixj sys anes
|
$4,265.28 |
$4,265.28 |
$4,265.28 |
$7,907.11
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$2,837.09
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$348.71 |
$348.71 |
$348.71 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$163.20 |
$163.20 |
$163.20 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$149.76 |
$149.76 |
$149.76 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$521.28 |
$521.28 |
$521.28 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$299.04 |
$299.04 |
$299.04 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$89.76 |
$89.76 |
$89.76 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$144.48 |
$144.48 |
$144.48 |
$267.43
|
|
Administration immunization 1 vaccine
|
$60.48 |
$60.48 |
$60.48 |
$70.00
|
|
Administration immunization each additional vaccine
|
$47.52 |
$47.52 |
$47.52 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$7,621.78 |
$7,621.78 |
$7,621.78 |
$14,346.62
|
|
Adrenal cortex & medulla img
|
$2,327.52 |
$2,327.52 |
$2,327.52 |
$1,818.05
|
|
Aep thrshld est mlt freq i&r
|
$251.04 |
$251.04 |
$251.04 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$25.92 |
$25.92 |
$25.92 |
$105.00
|
|
Albumin body fluid quantitative each specimen
|
$59.04 |
$59.04 |
$59.04 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$140.76 |
$140.76 |
$140.76 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$449.40 |
$449.40 |
$449.40 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$59.04 |
$59.04 |
$59.04 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$59.04 |
$59.04 |
$59.04 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$5.28 |
$5.28 |
$5.28 |
$9.93
|
|
Albuterol non-comp con
|
$12.10 |
$12.10 |
$12.10 |
$9.93
|
|
Albuterol non-comp unit
|
$6.26 |
$6.26 |
$6.26 |
$9.43
|
|
Alkaline phosphatase
|
$65.76 |
$65.76 |
$65.76 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$2.40 |
$2.40 |
$2.40 |
$56.35
|
|
Allergen egg white ige
|
$10.73 |
$10.73 |
$10.73 |
$39.78
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$6,545.86 |
$6,545.86 |
$6,545.86 |
$5,579.34
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$34,580.82 |
$34,580.82 |
$34,580.82 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$13,583.35 |
$13,583.35 |
$13,583.35 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$36,839.06 |
$36,839.06 |
$36,839.06 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$27,506.64 |
$27,506.64 |
$27,506.64 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$8,908.20 |
$8,908.20 |
$8,908.20 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$9,424.51 |
$9,424.51 |
$9,424.51 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$6,884.52 |
$6,884.52 |
$6,884.52 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$7,867.87 |
$7,867.87 |
$7,867.87 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$51.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$64.80 |
$64.80 |
$64.80 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$90.24 |
$90.24 |
$90.24 |
$103.60
|
|
Alprostadil for injection
|
$512.20 |
$512.20 |
$512.20 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$570.46 |
$570.46 |
$570.46 |
$9,600.63
|
|
Alt/sgpt
|
$61.92 |
$61.92 |
$61.92 |
$49.00
|
|
Aluminum - quest
|
$5.76 |
$5.76 |
$5.76 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$91.68 |
$91.68 |
$91.68 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$44.76 |
$44.76 |
$44.76 |
$45.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$47.25 |
$47.25 |
$47.25 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$72.00 |
$72.00 |
$72.00 |
$174.72
|