|
11-desoxycortisol - sendout
|
$20.24 |
$20.24 |
$20.24 |
$91.85
|
|
17-hydroxypregnenolone
|
$15.87 |
$15.87 |
$15.87 |
$92.65
|
|
17-ketosteroids
|
$18.40 |
$18.40 |
$18.40 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$595.00 |
$595.00 |
$595.00 |
$1,724.25
|
|
2nd order venous cath
|
$918.14 |
$918.14 |
$918.14 |
$1,532.04
|
|
3-d radiotherapy plan
|
$4,559.92 |
$4,559.92 |
$4,559.92 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$45.35 |
$45.35 |
$45.35 |
$508.13
|
|
5' nucleotidase - sendout
|
$22.77 |
$22.77 |
$22.77 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$51.41 |
$51.41 |
$51.41 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$18.96 |
$18.96 |
$18.96 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,191.48 |
$3,191.48 |
$3,191.48 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$994.58 |
$994.58 |
$994.58 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$1,049.56 |
$1,049.56 |
$1,049.56 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$1,163.09 |
$1,163.09 |
$1,163.09 |
$2,475.45
|
|
Abd/low ext cath addl
|
$492.15 |
$492.15 |
$492.15 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$379.08 |
$379.08 |
$379.08 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$218.71 |
$218.71 |
$218.71 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$373.75 |
$373.75 |
$373.75 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$311.62 |
$311.62 |
$311.62 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$249.16 |
$249.16 |
$249.16 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$601.77 |
$601.77 |
$601.77 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$501.41 |
$501.41 |
$501.41 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$401.05 |
$401.05 |
$401.05 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$717.44 |
$717.44 |
$717.44 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$228.39 |
$228.39 |
$228.39 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$191.34 |
$191.34 |
$191.34 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$71.10 |
$71.10 |
$71.10 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$87.65 |
$87.65 |
$87.65 |
$418.63
|
|
Abdominal X-ray (single view)
|
$48.58 |
$48.58 |
$48.58 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$614.62 |
$614.62 |
$614.62 |
$1,148.40
|
|
Abl1 gene
|
$388.80 |
$388.80 |
$388.80 |
$683.20
|
|
Ablate arrhythmia add on
|
$3,572.40 |
$3,572.40 |
$3,572.40 |
$6,828.51
|
|
Ablate atria lmtd endo 33265
|
$4,946.50 |
$4,946.50 |
$4,946.50 |
$2,738.40
|
|
Ablate bone tumor(s) cryo perq 20983
|
$4,119.11 |
$4,119.11 |
$4,119.11 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$5,731.43 |
$5,731.43 |
$5,731.43 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$3,738.00 |
$3,738.00 |
$3,738.00 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$9,617.20 |
$9,617.20 |
$9,617.20 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$5,665.28 |
$5,665.28 |
$5,665.28 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,126.95 |
$2,126.95 |
$2,126.95 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$1,016.03 |
$1,016.03 |
$1,016.03 |
$2,312.80
|
|
Ablation cryo pq liver tumor(s)
|
$6,411.32 |
$6,411.32 |
$6,411.32 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$776.44 |
$776.44 |
$776.44 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$3,050.40
|
|
Access thoracic lymph duct
|
$694.19 |
$694.19 |
$694.19 |
$828.80
|
|
Acetylcholine receptor modulating antibody
|
$20.83 |
$20.83 |
$20.83 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$0.45 |
$0.45 |
$0.45 |
$218.79
|
|
Acute hepatitis panel
|
$32.89 |
$32.89 |
$32.89 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.21 |
$0.21 |
$0.21 |
$54.77
|
|
#acylcarnitineprfl
|
$26.45 |
$26.45 |
$26.45 |
$121.55
|
|
Acylcarnitines qual
|
$11.50 |
$11.50 |
$11.50 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$3,952.63 |
$3,952.63 |
$3,952.63 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$16.29 |
$16.29 |
$16.29 |
$58.00
|
|
Adh-sendout
|
$23.46 |
$23.46 |
$23.46 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$51.03 |
$51.03 |
$51.03 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$93.74 |
$93.74 |
$93.74 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$238.14 |
$238.14 |
$238.14 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$255.45 |
$255.45 |
$255.45 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$79.95 |
$79.95 |
$79.95 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$205.92 |
$205.92 |
$205.92 |
$256.49
|
|
Administration immunization each additional vaccine
|
$28.08 |
$28.08 |
$28.08 |
$47.40
|
|
Administration vaccine hepatitis b
|
$48.73 |
$48.73 |
$48.73 |
$53.00
|
|
Administration vaccine influenza virus
|
$48.73 |
$48.73 |
$48.73 |
$51.07
|
|
Administration vaccine pneumococcal
|
$48.73 |
$48.73 |
$48.73 |
$49.68
|
|
Adrenal cortex & medulla img
|
$856.10 |
$856.10 |
$856.10 |
$1,987.70
|
|
Adrenalin epinephrine inject
|
$0.45 |
$0.45 |
$0.45 |
$231.47
|
|
Aep hearing status deter i&r
|
$155.45 |
$155.45 |
$155.45 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$226.44 |
$226.44 |
$226.44 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$226.44 |
$226.44 |
$226.44 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$20.37 |
$20.37 |
$20.37 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$17.58 |
$17.58 |
$17.58 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$146.78 |
$146.78 |
$146.78 |
$300.00
|
|
After cataract laser surgery
|
$783.59 |
$783.59 |
$783.59 |
$1,373.11
|
|
Air conduction bilat
|
$118.73 |
$118.73 |
$118.73 |
$134.00
|
|
Albumin body fluid quantitative each specimen
|
$13.34 |
$13.34 |
$13.34 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$15.64 |
$15.64 |
$15.64 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$14.49 |
$14.49 |
$14.49 |
$43.00
|
|
Alkaline phosphatase
|
$13.11 |
$13.11 |
$13.11 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$21.36 |
$21.36 |
$21.36 |
$48.57
|
|
Allergen egg white ige
|
$14.95 |
$14.95 |
$14.95 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$15.75 |
$15.75 |
$15.75 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,198.26 |
$1,198.26 |
$1,198.26 |
$9,900.02
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$321.84 |
$321.84 |
$321.84 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$125.40 |
$125.40 |
$125.40 |
$4,677.40
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,264.96 |
$2,264.96 |
$2,264.96 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$44.62 |
$44.62 |
$44.62 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$11.73 |
$11.73 |
$11.73 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$11.73 |
$11.73 |
$11.73 |
$106.00
|
|
Als 1
|
$820.36 |
$820.36 |
$820.36 |
$853.44
|
|
Als1-emergency
|
$891.01 |
$891.01 |
$891.01 |
$1,103.37
|
|
Als 2
|
$1,210.35 |
$1,210.35 |
$1,210.35 |
$1,288.56
|
|
Alt/sgpt
|
$13.57 |
$13.57 |
$13.57 |
$47.50
|
|
Aluminum - quest
|
$17.71 |
$17.71 |
$17.71 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$43.01 |
$43.01 |
$43.01 |
$179.70
|
|
Aminolevulinic acid delta
|
$17.25 |
$17.25 |
$17.25 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$56.35 |
$56.35 |
$56.35 |
$87.45
|
|
Ammonia
|
$26.45 |
$26.45 |
$26.45 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$534.16 |
$534.16 |
$534.16 |
$942.60
|
|
Amniocentesis therapeutic
|
$699.11 |
$699.11 |
$699.11 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$19.09 |
$19.09 |
$19.09 |
$93.61
|
|
Amp metatarsal w/toe single 28810
|
$2,656.40 |
$2,656.40 |
$2,656.40 |
$3,986.00
|
