|
11-desoxycortisol - sendout
|
$8.22 |
$8.22 |
$15.96 |
$87.50
|
|
17-hydroxypregnenolone
|
$8.82 |
$8.82 |
$17.13 |
$87.50
|
|
17-ketosteroids
|
$8.60 |
$8.60 |
$16.70 |
$44.88
|
|
2d tee w or without fol w/con,in
|
$2,620.13 |
$2,620.13 |
$2,620.13 |
$1,525.28
|
|
2d tte w or without fol w/con,co
|
$526.85 |
$526.85 |
$526.85 |
$1,108.76
|
|
2nd order venous cath
|
$2,715.39 |
$2,715.39 |
$2,715.39 |
$1,720.80
|
|
3-d radiotherapy plan
|
$2,029.49 |
$2,029.49 |
$2,029.49 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$763.82 |
$763.82 |
$763.82 |
$425.10
|
|
5' nucleotidase - sendout
|
$3.64 |
$3.64 |
$7.06 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$15.67 |
$15.67 |
$87.62 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,676.98 |
$1,676.98 |
$1,676.98 |
$3,998.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$3.53 |
$3.53 |
$6.86 |
$52.25
|
|
Abciximab injection
|
$1,545.86 |
$1,545.86 |
$1,545.86 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$3,089.06 |
$3,089.06 |
$3,089.06 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$3,687.94 |
$3,687.94 |
$3,687.94 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$5,167.94 |
$5,167.94 |
$5,167.94 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$5,778.28 |
$5,778.28 |
$5,778.28 |
$2,727.40
|
|
Abd/low ext cath addl
|
$2,400.81 |
$2,400.81 |
$2,400.81 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$4,160.69 |
$4,160.69 |
$4,160.69 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,578.28 |
$3,578.28 |
$3,578.28 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,329.95 |
$2,329.95 |
$2,329.95 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$8,571.57 |
$8,571.57 |
$8,571.57 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$7,442.32 |
$7,442.32 |
$7,442.32 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$5,132.66 |
$5,132.66 |
$5,132.66 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,658.75 |
$1,658.75 |
$1,658.75 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,275.96 |
$1,275.96 |
$1,275.96 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$503.33 |
$503.33 |
$503.33 |
$1,248.00
|
|
Ablate arrhythmia add on
|
$7,989.75 |
$7,989.75 |
$7,989.75 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$7,430.85 |
$7,430.85 |
$7,430.85 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$4,426.76 |
$4,426.76 |
$4,426.76 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$11,604.18 |
$11,604.18 |
$11,604.18 |
$9,836.16
|
|
Ablate pulm tumor perq crybl
|
$4,738.70 |
$4,738.70 |
$4,738.70 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$4,394.42 |
$4,394.42 |
$4,394.42 |
$7,911.80
|
|
Ablation cardiac vagal inputs atrium
|
$6,606.77 |
$6,606.77 |
$6,606.77 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$884.36 |
$884.36 |
$884.36 |
$2,555.80
|
|
Ablation cryo pq liver tumor(s)
|
$11,040.88 |
$11,040.88 |
$11,040.88 |
$8,581.80
|
|
Ablation cryo thigh/knee
|
$584.48 |
$584.48 |
$584.48 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$438.95 |
$438.95 |
$438.95 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$3,714.11 |
$3,714.11 |
$3,714.11 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,317.71 |
$1,317.71 |
$1,317.71 |
$3,287.87
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$43.22 |
$43.22 |
$43.22 |
$89.91
|
|
Acetazolamide 500 mg solution for injection
|
$47.63 |
$47.63 |
$47.63 |
$137.80
|
|
Acetone qualitative
|
$79.97 |
$79.97 |
$106.78 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$6.77 |
$6.77 |
$13.14 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$334.58 |
$334.58 |
$334.58 |
$306.22
|
|
Acute hepatitis panel
|
$348.39 |
$348.39 |
$620.68 |
$284.70
|
|
Acute venous thrombus image
|
$553.61 |
$553.61 |
$553.61 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$51.75 |
$51.75 |
$51.75 |
$64.45
|
|
#acylcarnitineprfl
|
$27.64 |
$27.64 |
$53.68 |
$87.72
|
|
Adapter b 8 channel 10cm
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$6,875.44
|
|
Adenosine 3 mg/250 ml bag for osm
|
$374.56 |
$374.56 |
$374.56 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$3.83 |
$3.83 |
$7.43 |
$60.00
|
|
Adh-sendout
|
$13.23 |
$13.23 |
$25.70 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$158.18 |
$158.18 |
$287.79 |
$158.18
|
|
Administration chemotherapy IV infusion each additional hour
|
$126.13 |
$126.13 |
$126.13 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$545.08 |
$545.08 |
$545.08 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$603.59 |
$603.59 |
$603.59 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$274.60 |
$274.60 |
$274.60 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$68.51 |
$68.51 |
$68.51 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$68.51 |
$68.51 |
$68.51 |
$267.43
|
|
Administration immunization 1 vaccine
|
$74.39 |
$74.39 |
$118.77 |
$70.00
|
|
Administration immunization each additional vaccine
|
$74.39 |
$74.39 |
$118.77 |
$46.23
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$12.35 |
$12.35 |
$12.35 |
$33.60
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$5,481.63 |
$5,481.63 |
$5,481.63 |
$14,346.62
|
|
Adrenal cortex & medulla img
|
$959.62 |
$959.62 |
$959.62 |
$1,818.05
|
|
Aep hearing status deter i&r
|
$119.66 |
$119.66 |
$119.66 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$921.03 |
$921.03 |
$921.03 |
$509.00
|
|
_afb id by dna probe rflx ast
|
$33.12 |
$33.12 |
$67.33 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$8.82 |
$8.82 |
$17.13 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$46.90 |
$46.90 |
$91.08 |
$289.60
|
|
Air injection into abdomen 49400
|
$190.52 |
$190.52 |
$190.52 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$40.55 |
$40.55 |
$99.08 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,592.31 |
$1,592.31 |
$1,592.31 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$212.57 |
$212.57 |
$212.57 |
$292.50
|
|
Albumin, human 5 % intravenous solution
|
$38.22 |
$38.22 |
$38.22 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$110.84 |
$110.84 |
$193.57 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$22.27 |
$22.27 |
$114.96 |
$43.45
|
|
Aldesleukin injection
|
$6,365.40 |
$6,365.40 |
$6,365.40 |
$6,538.20
|
|
Alkaline phosphatase
|
$37.69 |
$37.69 |
$211.98 |
$46.50
|
|
Allergen egg white ige
|
$15.29 |
$15.29 |
$29.70 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$2.17 |
$2.17 |
$4.20 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$6,555.62 |
$6,555.62 |
$6,555.62 |
$15,083.48
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$2,983.52 |
$2,983.52 |
$2,983.52 |
$8,295.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$7,780.71 |
$7,780.71 |
$7,780.71 |
$25,508.83
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$6,555.62 |
$6,555.62 |
$6,555.62 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,983.52 |
$2,983.52 |
$2,983.52 |
$4,898.43
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$664.74 |
$664.74 |
$664.74 |
$5,381.40
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$5,538.22
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$2,294.67 |
$2,294.67 |
$2,294.67 |
$4,814.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$439.53 |
$439.53 |
$439.53 |
$51.00
|
|
Alpha-fetoprotein tumor marker
|
$60.53 |
$60.53 |
$224.62 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,906.15 |
$8,906.15 |
$8,906.15 |
$9,600.63
|
|
Alt/sgpt
|
$51.39 |
$51.39 |
$135.24 |
$49.00
|
|
Aluminum - quest
|
$3.55 |
$3.55 |
$6.89 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$155.24 |
$155.24 |
$155.24 |
$431.84
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$64.98 |
$64.98 |
$64.98 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$2,981.16 |
$2,981.16 |
$2,981.16 |
$45.50
|
|
Aminolevulinic acid delta
|
$12.97 |
$12.97 |
$25.19 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$19.11 |
$19.11 |
$19.11 |
$43.72
|