|
11-desoxycortisol - sendout
|
$6.10 |
$6.10 |
$8.05 |
$87.50
|
|
17-hydroxypregnenolone
|
$6.54 |
$6.54 |
$8.64 |
$87.50
|
|
17-ketosteroids
|
$5.71 |
$5.71 |
$7.54 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$750.58 |
$750.58 |
$991.59 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$823.83 |
$823.83 |
$1,088.36 |
$1,108.76
|
|
2nd order venous cath
|
$667.52 |
$667.52 |
$881.86 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$204.05 |
$204.05 |
$269.57 |
$632.45
|
|
3d recon without postprocess indpndt
|
$388.48 |
$388.48 |
$513.22 |
$425.10
|
|
5' nucleotidase - sendout
|
$2.70 |
$2.70 |
$3.56 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$30.96 |
$30.96 |
$40.90 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,530.36 |
$1,530.36 |
$1,530.36 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$2.62 |
$2.62 |
$3.46 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$2,207.47 |
$2,207.47 |
$2,916.29 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$572.47 |
$572.47 |
$756.29 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$637.65 |
$637.65 |
$842.40 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$795.05 |
$795.05 |
$1,050.34 |
$2,727.40
|
|
Abd/low ext cath addl
|
$787.20 |
$787.20 |
$1,039.97 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$1,551.95 |
$1,551.95 |
$2,050.28 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,551.95 |
$1,551.95 |
$2,050.28 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,024.39 |
$1,024.39 |
$1,353.32 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,929.30 |
$1,929.30 |
$2,548.80 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,929.30 |
$1,929.30 |
$2,548.80 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,254.16 |
$1,254.16 |
$1,656.87 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$917.78 |
$917.78 |
$1,212.48 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$408.54 |
$408.54 |
$539.72 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$408.54 |
$408.54 |
$539.72 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$917.78 |
$917.78 |
$1,212.48 |
$1,248.00
|
|
Abl1 gene
|
$142.18 |
$142.18 |
$187.84 |
$614.25
|
|
Ablate arrhythmia add on
|
$2,592.02 |
$2,592.02 |
$3,424.32 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$5,330.32 |
$5,330.32 |
$7,041.89 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$7,575.94 |
$7,575.94 |
$10,008.58 |
$9,836.16
|
|
Ablation cardiac vagal inputs atrium
|
$3,812.17 |
$3,812.17 |
$5,036.26 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$1,369.26 |
$1,369.26 |
$1,808.93 |
$2,555.80
|
|
Ablation of upper extremity nerves rf
|
$214.08 |
$214.08 |
$282.82 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,348.55 |
$1,348.55 |
$1,781.57 |
$3,053.18
|
|
Access thoracic lymph duct
|
$562.66 |
$562.66 |
$743.33 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$39.24 |
$39.24 |
$51.84 |
$89.91
|
|
Acetaminophen level
|
$15.92 |
$15.92 |
$21.03 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$43.60 |
$43.60 |
$57.60 |
$137.80
|
|
Acetone qualitative
|
$23.33 |
$23.33 |
$30.82 |
$48.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$305.20 |
$305.20 |
$403.20 |
$306.22
|
|
Acid perfusion of esophagus
|
$1,108.32 |
$1,108.32 |
$1,464.20 |
$513.11
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$13.96 |
$13.96 |
$18.44 |
$44.40
|
|
Acute hepatitis panel
|
$73.03 |
$73.03 |
$96.48 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$47.09 |
$47.09 |
$62.21 |
$64.45
|
|
#acylcarnitineprfl
|
$16.35 |
$16.35 |
$21.60 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$49.83 |
$49.83 |
$341.83 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$17.23 |
$17.23 |
$22.76 |
$60.00
|
|
Adh-sendout
|
$9.81 |
$9.81 |
$12.96 |
$109.28
|
|
Adj gastric band via subq port
|
$1,507.47 |
$1,507.47 |
$1,991.52 |
$1,952.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$200.78 |
$200.78 |
$265.25 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$101.81 |
$101.81 |
$134.50 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$155.22 |
$155.22 |
$205.06 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$391.53 |
$391.53 |
$517.25 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$254.41 |
$254.41 |
$336.10 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$111.40 |
$111.40 |
$147.17 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$154.78 |
$154.78 |
$204.48 |
$267.43
|
|
Administration immunization 1 vaccine
|
$61.04 |
$61.04 |
$80.64 |
$70.00
|
|
Administration immunization each additional vaccine
|
$61.04 |
$61.04 |
$80.64 |
$46.23
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$5,002.67 |
$5,002.67 |
$5,002.67 |
$14,346.62
|
|
_afb id by dna probe rflx ast
|
$38.37 |
$38.37 |
$50.69 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$18.10 |
$18.10 |
$23.91 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$34.78 |
$34.78 |
$45.94 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$5,925.90 |
$5,925.90 |
$5,925.90 |
$14,467.53
|
|
Air injection into abdomen 49400
|
$855.22 |
$855.22 |
$1,129.83 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$43.60 |
$43.60 |
$57.60 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,453.19 |
$1,453.19 |
$1,919.81 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$193.81 |
$193.81 |
$256.04 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$18.72 |
$18.72 |
$34.88 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$13.08 |
$13.08 |
$17.28 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$24.86 |
$24.86 |
$32.84 |
$43.45
|
|
Alcohol/subs interv >30 min
|
$45.35 |
$45.35 |
$59.91 |
$177.99
|
|
Aldesleukin injection
|
$5,809.27 |
$5,809.27 |
$5,809.27 |
$6,538.20
|
|
Alkaline phosphatase
|
$24.86 |
$24.86 |
$32.84 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$0.96 |
$0.96 |
$1.27 |
$56.35
|
|
Allergen egg white ige
|
$9.81 |
$9.81 |
$12.96 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$1.61 |
$1.61 |
$2.12 |
$26.95
|
|
Allograft 160mg placental salera mini membrane
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$4,906.77
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$5,579.34
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$8,452.95 |
$8,452.95 |
$11,167.20 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$14,626.71 |
$14,626.71 |
$19,323.36 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$13,296.91 |
$13,296.91 |
$17,566.56 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$5.48 |
$5.48 |
$5.48 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$1.75 |
$1.75 |
$2.31 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,127.92 |
$8,127.92 |
$10,737.80 |
$9,600.63
|
|
Alt/sgpt
|
$24.86 |
$24.86 |
$32.84 |
$49.00
|
|
Aluminum - quest
|
$4.30 |
$4.30 |
$5.68 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$59.08 |
$59.08 |
$78.05 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$2,720.64 |
$2,720.64 |
$3,594.24 |
$45.50
|
|
Aminolevulinic acid delta
|
$9.62 |
$9.62 |
$12.71 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$13.08 |
$13.08 |
$17.28 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$45.78 |
$45.78 |
$60.48 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$20.74 |
$20.74 |
$34.67 |
$50.85
|
|
Ammonia
|
$85.68 |
$85.68 |
$113.19 |
$123.48
|