|
11-desoxycortisol - sendout
|
$465.68 |
$465.68 |
$465.68 |
$87.50
|
|
17-hydroxypregnenolone
|
$237.24 |
$237.24 |
$237.24 |
$85.15
|
|
17-ketosteroids
|
$203.66 |
$203.66 |
$203.66 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$1,281.73 |
$1,281.73 |
$1,281.73 |
$319.15
|
|
2d tte w or without fol w/con,co
|
$4,386.63 |
$4,386.63 |
$4,386.63 |
$1,088.36
|
|
2nd order venous cath
|
$4,195.68 |
$4,195.68 |
$4,195.68 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$894.19 |
$894.19 |
$894.19 |
$669.00
|
|
3-d radiotherapy plan
|
$15,779.15 |
$15,779.15 |
$15,779.15 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$1,196.20 |
$1,196.20 |
$1,196.20 |
$427.34
|
|
5' nucleotidase - sendout
|
$177.46 |
$177.46 |
$177.46 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$192.48 |
$192.48 |
$192.48 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$191.03 |
$191.03 |
$191.03 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$10,935.52 |
$10,935.52 |
$10,935.52 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$5,550.26 |
$5,550.26 |
$5,550.26 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$6,389.87 |
$6,389.87 |
$6,389.87 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$6,472.85 |
$6,472.85 |
$6,472.85 |
$3,050.58
|
|
Abd/low ext cath addl
|
$1,681.17 |
$1,681.17 |
$1,681.17 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$7,983.37 |
$7,983.37 |
$7,983.37 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$6,969.87 |
$6,969.87 |
$6,969.87 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,339.31 |
$5,339.31 |
$5,339.31 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,059.50 |
$7,059.50 |
$7,059.50 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$6,344.58 |
$6,344.58 |
$6,344.58 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$5,635.48 |
$5,635.48 |
$5,635.48 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$6,528.41 |
$6,528.41 |
$6,528.41 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$1,923.06 |
$1,923.06 |
$1,923.06 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,714.74 |
$1,714.74 |
$1,714.74 |
$603.33
|
|
Abdominoplasty 15830
|
$17,321.90 |
$17,321.90 |
$17,321.90 |
$5,741.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,494.32 |
$1,494.32 |
$1,494.32 |
$1,170.28
|
|
Abl1 gene
|
$609.93 |
$609.93 |
$609.93 |
$609.93
|
|
Ablate arrhythmia add on
|
$21,079.53 |
$21,079.53 |
$21,079.53 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$23,192.96 |
$23,192.96 |
$23,192.96 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$23,192.96 |
$23,192.96 |
$23,192.96 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$26,742.12 |
$26,742.12 |
$26,742.12 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$9,830.77 |
$9,830.77 |
$9,830.77 |
$3,587.65
|
|
Ablation cryo adrenal tumor
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$22,024.06 |
$22,024.06 |
$22,024.06 |
$8,080.50
|
|
Ablation of upper extremity nerves rf
|
$4,013.06 |
$4,013.06 |
$4,013.06 |
$987.60
|
|
Abscess drain retroperitoneal surg code
|
$10,622.95 |
$10,622.95 |
$10,622.95 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$4,468.43 |
$4,468.43 |
$4,468.43 |
$3,263.74
|
|
Access thoracic lymph duct
|
$1,727.21 |
$1,727.21 |
$1,727.21 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$200.12 |
$200.12 |
$200.12 |
$125.63
|
|
Acetaminophen level
|
$217.75 |
$217.75 |
$217.75 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$776.70 |
$776.70 |
$776.70 |
$133.60
|
|
Acetone qualitative
|
$71.86 |
$71.86 |
$71.86 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$71.10 |
$71.10 |
$71.10 |
$65.60
|
|
Acetylcholinesterase assay
|
$177.68 |
$177.68 |
$177.68 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$330.83 |
$330.83 |
$330.83 |
$323.77
|
|
Acne surgery 10040
|
$1,262.85 |
$1,262.85 |
$1,262.85 |
$235.13
|
|
Aco ccm; at least 20 min 99490aco
|
$119.16 |
$119.16 |
$119.16 |
$109.46
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$282.39 |
$282.39 |
$282.39 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$79.97 |
$79.97 |
$79.97 |
$42.28
|
|
Acoustic immitance testing
|
$423.87 |
$423.87 |
$423.87 |
$158.50
|
|
Acup 1/> w/estim 1st 15 min
|
$131.40 |
$131.40 |
$131.40 |
$45.75
|
|
Acup 1/> wo estim 1st 15 min
|
$131.40 |
$131.40 |
$131.40 |
$42.90
|
|
Acute hepatitis panel
|
$762.78 |
$762.78 |
$762.78 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$134.59 |
$134.59 |
$134.59 |
$50.70
|
|
#acylcarnitineprfl
|
$31.00 |
$31.00 |
$31.00 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2,465.85 |
$2,465.85 |
$2,465.85 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$242.23 |
$242.23 |
$242.23 |
$63.00
|
|
Adh-sendout
|
$319.63 |
$319.63 |
$319.63 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$109.31 |
$109.31 |
$109.31 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$1,244.69 |
$1,244.69 |
$1,244.69 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$1,435.05 |
$1,435.05 |
$1,435.05 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$2,021.26 |
$2,021.26 |
$2,021.26 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$2,155.27 |
$2,155.27 |
$2,155.27 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$915.21 |
$915.21 |
$915.21 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$915.21 |
$915.21 |
$915.21 |
$264.00
|
|
Administration immunization 1 vaccine
|
$207.42 |
$207.42 |
$207.42 |
$70.52
|
|
Administration immunization each additional vaccine
|
$179.59 |
$179.59 |
$179.59 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$80.21 |
$80.21 |
$80.21 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$80.21 |
$80.21 |
$80.21 |
$33.60
|
|
Administration vaccine hepatitis b
|
$168.01 |
$168.01 |
$168.01 |
$51.35
|
|
Administration vaccine influenza virus
|
$1,822.82 |
$1,822.82 |
$1,822.82 |
$49.50
|
|
Aep hearing status deter i&r
|
$423.87 |
$423.87 |
$423.87 |
$305.73
|
|
_afb id by dna probe rflx ast
|
$310.99 |
$310.99 |
$310.99 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$74.71 |
$74.71 |
$74.71 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$408.37 |
$408.37 |
$408.37 |
$289.60
|
|
Air conduction bilat
|
$177.00 |
$177.00 |
$177.00 |
$106.50
|
|
Air injection into abdomen 49400
|
$1,581.58 |
$1,581.58 |
$1,581.58 |
$531.49
|
|
Albumin body fluid quantitative each specimen
|
$105.83 |
$105.83 |
$105.83 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$911.40 |
$911.40 |
$911.40 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$1,107.29 |
$1,107.29 |
$1,107.29 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$1,776.36 |
$1,776.36 |
$1,776.36 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$232.38 |
$232.38 |
$232.38 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$126.07 |
$126.07 |
$126.07 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$66.74 |
$66.74 |
$66.74 |
$22.45
|
|
Albuterol non-comp unit
|
$29.70 |
$29.70 |
$29.70 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$217.75 |
$217.75 |
$217.75 |
$93.60
|
|
Alkaline phosphatase
|
$337.90 |
$337.90 |
$337.90 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$111.39 |
$111.39 |
$111.39 |
$56.35
|
|
Allergen egg white ige
|
$76.55 |
$76.55 |
$76.55 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$111.39 |
$111.39 |
$111.39 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$908.52 |
$908.52 |
$908.52 |
$3,104.06
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$34,658.48 |
$34,658.48 |
$34,658.48 |
$6,555.62
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$126.18 |
$126.18 |
$126.18 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$858.66 |
$858.66 |
$858.66 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$211.56 |
$211.56 |
$211.56 |
$2,513.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,024.61 |
$1,024.61 |
$1,024.61 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$266.89 |
$266.89 |
$266.89 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$481.50 |
$481.50 |
$481.50 |
$99.00
|
