|
11-desoxycortisol - sendout
|
$268.00 |
$268.00 |
$268.00 |
$91.85
|
|
17-hydroxypregnenolone
|
$74.10 |
$74.10 |
$183.00 |
$92.65
|
|
17-ketosteroids
|
$762.00 |
$762.00 |
$762.00 |
$55.00
|
|
1pc ost pch drain hgh output
|
$9.75 |
$9.75 |
$197.00 |
$8.40
|
|
1 pc ost pouch w filter
|
$3.25 |
$3.25 |
$3.25 |
$6.72
|
|
1 pc ost pou w built-in conv
|
$11.05 |
$11.05 |
$11.05 |
$11.05
|
|
24 hr ambulatory b/p monitor
|
$320.45 |
$320.45 |
$320.45 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$2,254.85 |
$2,254.85 |
$2,254.85 |
$1,284.00
|
|
2nd order venous cath
|
$3,721.90 |
$3,721.90 |
$3,721.90 |
$1,532.04
|
|
3d anat seg imaging preop
|
$431.60 |
$431.60 |
$431.60 |
$192.08
|
|
3d ech img cgen car anomal
|
$805.35 |
$805.35 |
$805.35 |
$511.60
|
|
3-d radiotherapy plan
|
$5,820.75 |
$5,820.75 |
$5,820.75 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$176.80 |
$176.80 |
$185.90 |
$508.13
|
|
5' nucleotidase - sendout
|
$20.15 |
$20.15 |
$446.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$120.90 |
$120.90 |
$383.00 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$306.15 |
$306.15 |
$10,392.00 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$27.30 |
$27.30 |
$608.00 |
$53.95
|
|
Abciximab injection
|
$7,380.10 |
$7,380.10 |
$7,380.10 |
$2,443.52
|
|
Abd aorta w/runoff s&i
|
$5,802.55 |
$5,802.55 |
$5,802.55 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$4,748.90 |
$4,748.90 |
$4,748.90 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$3,929.90 |
$3,929.90 |
$3,929.90 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$3,216.20 |
$3,216.20 |
$3,216.20 |
$2,475.45
|
|
Abd/low ext cath addl
|
$1,495.65 |
$1,495.65 |
$1,495.65 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,494.35 |
$1,494.35 |
$1,494.35 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$516.75 |
$516.75 |
$610.35 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$3,948.75 |
$3,948.75 |
$4,433.65 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$3,341.65 |
$3,341.65 |
$3,562.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$3,194.75 |
$3,194.75 |
$3,406.65 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$4,013.75 |
$4,013.75 |
$16,188.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,765.45 |
$3,765.45 |
$15,170.00 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$3,647.80 |
$3,647.80 |
$5,339.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,369.25 |
$2,369.25 |
$2,369.25 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,479.40 |
$1,479.40 |
$1,479.40 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$1,167.40 |
$1,167.40 |
$1,167.40 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$640.25 |
$640.25 |
$640.25 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$761.15 |
$761.15 |
$761.15 |
$418.63
|
|
Abdominal X-ray (single view)
|
$575.90 |
$575.90 |
$575.90 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,879.15 |
$1,879.15 |
$1,879.15 |
$1,148.40
|
|
Abl1 gene
|
$668.85 |
$668.85 |
$765.05 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$3,081.00 |
$3,081.00 |
$3,081.00 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$16,352.05 |
$16,352.05 |
$16,352.05 |
$6,828.51
|
|
Ablate atria lmtd endo 33265
|
$6,860.75 |
$6,860.75 |
$6,860.75 |
$2,738.40
|
|
Ablate atria x10sv endo 33266
|
$11,873.55 |
$11,873.55 |
$11,873.55 |
$11,873.55
|
|
Ablate bone tumor(s) cryo perq 20983
|
$67,272.40 |
$67,272.40 |
$67,272.40 |
$9,290.70
|
|
Ablate bone tumor(s) perq
|
$31,626.40 |
$31,626.40 |
$31,626.40 |
$9,511.44
|
|
Ablate heart dysrhythm focus
|
$17,585.75 |
$17,585.75 |
$17,585.75 |
$9,332.05
|
|
Ablate pulm tumor perq crybl
|
$32,562.40 |
$32,562.40 |
$32,562.40 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$31,338.45 |
$31,338.45 |
$31,338.45 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$36,429.25 |
$36,429.25 |
$36,429.25 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$46,824.70 |
$46,824.70 |
$46,824.70 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$15,654.60 |
$15,654.60 |
$15,654.60 |
$6,948.75
|
|
Ablation cryo pq liver tumor(s)
|
$17,603.95 |
$17,603.95 |
$17,603.95 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$2,114.45 |
$2,114.45 |
$39,882.05 |
$857.60
|
|
Ablation of upper extremity nerves rf
|
$842.40 |
$842.40 |
$4,046.25 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$4,465.50 |
$4,465.50 |
$4,465.50 |
$3,055.20
|
|
Abltj mal prst8 tiss hifu
|
$14,420.25 |
$14,420.25 |
$14,420.25 |
$5,855.00
|
|
Abobotulinumtoxina
|
$83.85 |
$83.85 |
$83.85 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$2,250.30 |
$2,250.30 |
$2,250.30 |
$3,050.40
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$718.25 |
$718.25 |
$718.25 |
$2,314.00
|
|
Access thoracic lymph duct
|
$4,502.55 |
$4,502.55 |
$4,502.55 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$92.30 |
$92.30 |
$452.00 |
$72.74
|
|
Acetaminophen 120 mg rectal suppository
|
$403.65 |
$403.65 |
$403.65 |
$146.76
|
|
Acetaminophen level
|
$241.80 |
$241.80 |
$1,943.00 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$347.10 |
$347.10 |
$347.10 |
$122.55
|
|
Acetone qualitative
|
$122.85 |
$122.85 |
$533.00 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$77.00 |
$137.80 |
$137.80 |
$67.50
|
|
Acetylcholinesterase assay
|
$311.00 |
$311.00 |
$311.00 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$14.30 |
$14.30 |
$2,530.00 |
$218.79
|
|
Acne surgery 10040
|
$598.65 |
$598.65 |
$598.65 |
$265.20
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$385.45 |
$385.45 |
$385.45 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$17.55 |
$17.55 |
$17.55 |
$38.50
|
|
Actinotherapy uv light
|
$110.50 |
$110.50 |
$110.50 |
$105.60
|
|
Acute hepatitis panel
|
$1,250.60 |
$1,250.60 |
$2,582.00 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$3,087.50 |
$3,087.50 |
$3,087.50 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$142.35 |
$142.35 |
$142.35 |
$64.45
|
|
#acylcarnitineprfl
|
$15.00 |
$24.70 |
$24.70 |
$121.55
|
|
Acylcarnitines qual
|
$4,623.00 |
$4,623.00 |
$4,623.00 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$16,157.05 |
$16,157.05 |
$16,157.05 |
$5,109.58
|
|
Adding walker to prev cast
|
$657.15 |
$657.15 |
$657.15 |
$216.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$947.05 |
$947.05 |
$947.05 |
$271.98
|
|
Adenovirus ag ia
|
$31.20 |
$31.20 |
$98.00 |
$53.95
|
|
Adh-sendout
|
$37.70 |
$37.70 |
$37.70 |
$118.79
|
|
Adjmt/revj ext fixj sys anes
|
$11,436.10 |
$11,436.10 |
$11,436.10 |
$8,261.40
|
|
Adj tis trans/see area/10.1-30sqcm 14041
|
$5,120.05 |
$5,120.05 |
$5,120.05 |
$3,397.11
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$393.90 |
$393.90 |
$393.90 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$308.10 |
$308.10 |
$308.10 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$308.10 |
$308.10 |
$308.10 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$848.25 |
$848.25 |
$848.25 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$626.60 |
$626.60 |
$626.60 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$274.30 |
$274.30 |
$274.30 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$274.30 |
$274.30 |
$274.30 |
$256.49
|
|
Administration immunization each additional component
|
$124.80 |
$124.80 |
$124.80 |
$29.20
|
|
Administration immunization each additional vaccine
|
$118.30 |
$118.30 |
$118.30 |
$47.40
|
|
Administration immunization first component each vaccine
|
$124.80 |
$124.80 |
$124.80 |
$46.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$118.30 |
$118.30 |
$118.30 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$116.35 |
$116.35 |
$116.35 |
$30.24
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$167.05 |
$167.05 |
$37,014.00 |
$11,350.31
|
|
Aep hearing status deter i&r
|
$456.30 |
$456.30 |
$456.30 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$916.50 |
$916.50 |
$916.50 |
$583.80
|
