|
2d tee w or without fol w/con,in
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$1,525.28
|
|
2nd order venous cath
|
$1,710.03 |
$1,710.03 |
$1,710.03 |
$1,720.80
|
|
3d ech img cgen car anomal
|
$795.60 |
$795.60 |
$795.60 |
$632.45
|
|
3-d radiotherapy plan
|
$3,715.35 |
$3,715.35 |
$3,715.35 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$136.68 |
$136.68 |
$136.68 |
$425.10
|
|
88334 ap bill cytologic exam each additional site
|
$96.39 |
$96.39 |
$96.39 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$21.96 |
$21.96 |
$21.96 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,415.58 |
$4,415.58 |
$4,415.58 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,398.42 |
$1,398.42 |
$1,398.42 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$1,755.93 |
$1,755.93 |
$1,755.93 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$1,675.35 |
$1,675.35 |
$1,675.35 |
$2,727.40
|
|
Abd/low ext cath addl
|
$287.64 |
$287.64 |
$287.64 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$5,110.20 |
$5,110.20 |
$5,110.20 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$4,872.54 |
$4,872.54 |
$4,872.54 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,145.28 |
$4,145.28 |
$4,145.28 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,752.80 |
$5,752.80 |
$5,752.80 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$4,774.11 |
$4,774.11 |
$4,774.11 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$4,299.81 |
$4,299.81 |
$4,299.81 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,670.76 |
$1,670.76 |
$1,670.76 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$894.54 |
$894.54 |
$894.54 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,163.31 |
$1,163.31 |
$1,163.31 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$3,190.05 |
$3,190.05 |
$3,190.05 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$8,803.62 |
$8,803.62 |
$8,803.62 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$13,824.57 |
$13,824.57 |
$13,824.57 |
$9,836.16
|
|
Ablate inf turbinate superf 30801
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$2,122.56
|
|
Ablate pulm tumor perq crybl
|
$7,270.56 |
$7,270.56 |
$7,270.56 |
$9,977.40
|
|
Ablation cardiac vagal inputs atrium
|
$5,608.47 |
$5,608.47 |
$5,608.47 |
$2,948.40
|
|
Ablation cryo adrenal tumor
|
$11,066.49 |
$11,066.49 |
$11,066.49 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$5,436.60 |
$5,436.60 |
$5,436.60 |
$339.18
|
|
Ablation of upper extremity nerves rf
|
$3,299.19 |
$3,299.19 |
$3,299.19 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$2,506.14 |
$2,506.14 |
$2,506.14 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$4,993.41 |
$4,993.41 |
$4,993.41 |
$3,287.87
|
|
Access thoracic lymph duct
|
$2,153.22 |
$2,153.22 |
$2,153.22 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$145.35 |
$145.35 |
$145.35 |
$89.91
|
|
Acetaminophen level
|
$600.78 |
$600.78 |
$600.78 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$186.68 |
$186.68 |
$186.68 |
$137.80
|
|
Acetone qualitative
|
$84.66 |
$84.66 |
$84.66 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$22.57 |
$22.57 |
$22.57 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$363.50 |
$363.50 |
$363.50 |
$306.22
|
|
Acetylcysteine non-comp unit
|
$49.28 |
$49.28 |
$49.28 |
$29.01
|
|
Acne surgery 10040
|
$391.68 |
$391.68 |
$391.68 |
$265.20
|
|
Acute hepatitis panel
|
$435.54 |
$435.54 |
$435.54 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$110.71 |
$110.71 |
$110.71 |
$64.45
|
|
#acylcarnitineprfl
|
$87.72 |
$87.72 |
$87.72 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$14,481.71 |
$14,481.71 |
$14,481.71 |
$6,875.44
|
|
Adding walker to prev cast
|
$315.69 |
$315.69 |
$315.69 |
$205.38
|
|
Adenosine 3 mg/250 ml bag for osm
|
$100.00 |
$100.00 |
$100.00 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$12.16 |
$12.16 |
$12.16 |
$60.00
|
|
Adh-sendout
|
$15.30 |
$15.30 |
$15.30 |
$109.28
|
|
Adjmt/revj ext fixj sys anes
|
$14,413.11 |
$14,413.11 |
$14,413.11 |
$7,907.11
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$3,760.74 |
$3,760.74 |
$3,760.74 |
$2,837.09
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$101.48 |
$101.48 |
$101.48 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$397.29 |
$397.29 |
$397.29 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$106.59 |
$106.59 |
$106.59 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$748.68 |
$748.68 |
$748.68 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$614.55 |
$614.55 |
$614.55 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$69.36 |
$69.36 |
$69.36 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$130.56 |
$130.56 |
$130.56 |
$267.43
|
|
Administration immunization 1 vaccine
|
$81.60 |
$81.60 |
$81.60 |
$70.00
|
|
Administration immunization each additional vaccine
|
$95.88 |
$95.88 |
$95.88 |
$46.23
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$350.37 |
$350.37 |
$350.37 |
$41.15
|
|
_afb id by dna probe rflx ast
|
$172.89 |
$172.89 |
$172.89 |
$105.00
|
|
Albumin body fluid quantitative each specimen
|
$81.60 |
$81.60 |
$81.60 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$199.32 |
$199.32 |
$199.32 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$172.25 |
$172.25 |
$172.25 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$160.65 |
$160.65 |
$160.65 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$142.29 |
$142.29 |
$142.29 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$5.61 |
$5.61 |
$5.61 |
$9.93
|
|
Albuterol non-comp con
|
$5.61 |
$5.61 |
$5.61 |
$9.93
|
|
Albuterol non-comp unit
|
$5.61 |
$5.61 |
$5.61 |
$9.43
|
|
Alkaline phosphatase
|
$161.16 |
$161.16 |
$161.16 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$2.55 |
$2.55 |
$2.55 |
$56.35
|
|
Allergen egg white ige
|
$33.66 |
$33.66 |
$33.66 |
$39.78
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$8,318.96 |
$8,318.96 |
$8,318.96 |
$5,579.34
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$45,440.26 |
$45,440.26 |
$45,440.26 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$17,726.96 |
$17,726.96 |
$17,726.96 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$48,745.30 |
$48,745.30 |
$48,745.30 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$36,144.57 |
$36,144.57 |
$36,144.57 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$8,834.18 |
$8,834.18 |
$8,834.18 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$12,135.23 |
$12,135.23 |
$12,135.23 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$8,749.36 |
$8,749.36 |
$8,749.36 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$10,064.32 |
$10,064.32 |
$10,064.32 |
$4,814.57
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$68.85 |
$68.85 |
$68.85 |
$187.20
|
|
Alpha-fetoprotein tumor marker
|
$196.86 |
$196.86 |
$196.86 |
$103.60
|
|
Alprostadil for injection
|
$527.72 |
$527.72 |
$527.72 |
$550.20
|
|
Alteplase 100 mg infusion from pyxis vial
|
$17,531.48 |
$17,531.48 |
$17,531.48 |
$9,600.63
|
|
Alt/sgpt
|
$174.42 |
$174.42 |
$174.42 |
$49.00
|
|
Aluminum - quest
|
$6.12 |
$6.12 |
$6.12 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$84.15 |
$84.15 |
$84.15 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$84.15 |
$84.15 |
$84.15 |
$45.50
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$87.59 |
$87.59 |
$87.59 |
$43.72
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$150.35 |
$150.35 |
$150.35 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$276.42 |
$276.42 |
$276.42 |
$50.85
|
|
Ammonia
|
$362.10 |
$362.10 |
$362.10 |
$123.48
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,969.00
|
|
Amphetamine confirm urine -sendout
|
$30.60 |
$30.60 |
$30.60 |
$94.50
|
|
Amphetamines 5 or more
|
$5.56 |
$5.56 |
$5.56 |
$93.60
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$178.58 |
$178.58 |
$178.58 |
$135.63
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$352.88 |
$352.88 |
$352.88 |
$382.55
|