|
2d tee w or without fol w/con,in
|
$1,232.16 |
$1,232.16 |
$1,232.16 |
$1,525.28
|
|
2nd order venous cath
|
$315.84 |
$315.84 |
$315.84 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$317.28 |
$317.28 |
$317.28 |
$632.45
|
|
3-d radiotherapy plan
|
$9,107.04 |
$9,107.04 |
$9,107.04 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,614.24 |
$1,614.24 |
$1,614.24 |
$425.10
|
|
88334 ap bill cytologic exam each additional site
|
$48.96 |
$48.96 |
$48.96 |
$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
|
$3,423.36 |
$3,423.36 |
$3,423.36 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$446.40 |
$446.40 |
$446.40 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$621.12 |
$621.12 |
$621.12 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,030.08 |
$1,030.08 |
$1,030.08 |
$2,727.40
|
|
Abd/low ext cath addl
|
$497.28 |
$497.28 |
$497.28 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,866.24 |
$1,866.24 |
$1,866.24 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,725.60 |
$1,725.60 |
$1,725.60 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,596.48 |
$1,596.48 |
$1,596.48 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,715.84 |
$5,715.84 |
$5,715.84 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$5,627.52 |
$5,627.52 |
$5,627.52 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$3,916.80 |
$3,916.80 |
$3,916.80 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,455.84 |
$1,455.84 |
$1,455.84 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,237.92 |
$1,237.92 |
$1,237.92 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$894.72 |
$894.72 |
$894.72 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,359.36 |
$1,359.36 |
$1,359.36 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$12,674.88 |
$12,674.88 |
$12,674.88 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$12,819.84 |
$12,819.84 |
$12,819.84 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$6,472.80 |
$6,472.80 |
$6,472.80 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$3,718.08 |
$3,718.08 |
$3,718.08 |
$9,836.16
|
|
Ablate inf turbinate superf 30801
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,122.56
|
|
Ablate pulm tumor perq crybl
|
$9,785.28 |
$9,785.28 |
$9,785.28 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$5,930.88 |
$5,930.88 |
$5,930.88 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$11,380.32 |
$11,380.32 |
$11,380.32 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$3,335.04 |
$3,335.04 |
$3,335.04 |
$2,555.80
|
|
Ablation cryo adrenal tumor
|
$3,599.52 |
$3,599.52 |
$3,599.52 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$452.64 |
$452.64 |
$452.64 |
$339.18
|
|
Ablation cryo pq liver tumor(s)
|
$9,101.76 |
$9,101.76 |
$9,101.76 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$674.40 |
$674.40 |
$674.40 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$3,500.64 |
$3,500.64 |
$3,500.64 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,953.92 |
$2,953.92 |
$2,953.92 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$44.76 |
$44.76 |
$44.76 |
$89.91
|
|
Acetaminophen level
|
$41.28 |
$41.28 |
$41.28 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$109.67 |
$109.67 |
$109.67 |
$137.80
|
|
Acetylcholine receptor modulating antibody
|
$21.24 |
$21.24 |
$21.24 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$117.87 |
$117.87 |
$117.87 |
$306.22
|
|
Acetylcysteine non-comp unit
|
$46.38 |
$46.38 |
$46.38 |
$29.01
|
|
Acne surgery 10040
|
$489.60 |
$489.60 |
$489.60 |
$265.20
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$16.80 |
$16.80 |
$16.80 |
$44.40
|
|
Acute hepatitis panel
|
$342.72 |
$342.72 |
$342.72 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$107.22 |
$107.22 |
$107.22 |
$64.45
|
|
#acylcarnitineprfl
|
$82.56 |
$82.56 |
$82.56 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$9,384.48 |
$9,384.48 |
$9,384.48 |
$6,875.44
|
|
Adding walker to prev cast
|
$290.40 |
$290.40 |
$290.40 |
$205.38
|
|
Adenosine 3 mg/250 ml bag for osm
|
$110.16 |
$110.16 |
$110.16 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$11.45 |
$11.45 |
$11.45 |
$60.00
|
|
Adh-sendout
|
$14.40 |
$14.40 |
$14.40 |
$109.28
|
|
Adj gastric band via subq port
|
$3,113.28 |
$3,113.28 |
$3,113.28 |
$1,952.40
|
|
Adjmt/revj ext fixj sys anes
|
$4,287.36 |
$4,287.36 |
$4,287.36 |
$7,907.11
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$2,837.09
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$375.28 |
$375.28 |
$375.28 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$176.64 |
$176.64 |
$176.64 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$396.96 |
$396.96 |
$396.96 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$566.40 |
$566.40 |
$566.40 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$392.64 |
$392.64 |
$392.64 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$159.84 |
$159.84 |
$159.84 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$349.92 |
$349.92 |
$349.92 |
$267.43
|
|
Administration immunization 1 vaccine
|
$53.02 |
$53.02 |
$53.02 |
$70.00
|
|
Administration immunization each additional vaccine
|
$24.48 |
$24.48 |
$24.48 |
$46.23
|
|
Adrenal cortex & medulla img
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$1,818.05
|
|
_afb id by dna probe rflx ast
|
$20.67 |
$20.67 |
$20.67 |
$105.00
|
|
Air conduction bilat
|
$196.32 |
$196.32 |
$196.32 |
$116.22
|
|
Air injection into abdomen 49400
|
$508.80 |
$508.80 |
$508.80 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$32.33 |
$32.33 |
$32.33 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$138.31 |
$138.31 |
$138.31 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$449.40 |
$449.40 |
$449.40 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$27.36 |
$27.36 |
$27.36 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$36.86 |
$36.86 |
$36.86 |
$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
|
$5.28 |
$5.28 |
$5.28 |
$9.43
|
|
Alkaline phosphatase
|
$36.05 |
$36.05 |
$36.05 |
$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 160mg placental salera mini membrane
|
$6,636.17 |
$6,636.17 |
$6,636.17 |
$4,906.77
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$9,865.79 |
$9,865.79 |
$9,865.79 |
$5,579.34
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$25,124.02 |
$25,124.02 |
$25,124.02 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$10,592.27 |
$10,592.27 |
$10,592.27 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$25,141.71 |
$25,141.71 |
$25,141.71 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$19,984.42 |
$19,984.42 |
$19,984.42 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$6,613.82 |
$6,613.82 |
$6,613.82 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$8,248.78 |
$8,248.78 |
$8,248.78 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$6,550.32 |
$6,550.32 |
$6,550.32 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$7,173.65 |
$7,173.65 |
$7,173.65 |
$4,814.57
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$64.80 |
$64.80 |
$64.80 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$54.24 |
$54.24 |
$54.24 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$15,492.58 |
$15,492.58 |
$15,492.58 |
$9,600.63
|
|
Alt/sgpt
|
$21.60 |
$21.60 |
$21.60 |
$49.00
|
|
Aluminum - quest
|
$5.76 |
$5.76 |
$5.76 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$277.44 |
$277.44 |
$277.44 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$44.76 |
$44.76 |
$44.76 |
$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)
|
$73.40 |
$73.40 |
$73.40 |
$43.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$50.85
|