|
11-desoxycortisol - sendout
|
$28.90 |
$28.90 |
$134.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$39.80 |
$39.80 |
$127.00 |
$87.50
|
|
17-ketosteroids
|
$49.45 |
$49.45 |
$126.00 |
$44.00
|
|
24 hr ambulatory b/p monitor
|
$819.00 |
$819.00 |
$819.00 |
$319.15
|
|
2d tte w or without fol w/con,co
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$1,108.76
|
|
2nd order venous cath
|
$3,307.00 |
$3,307.00 |
$3,307.00 |
$1,809.60
|
|
3d ech img cgen car anomal
|
$179.80 |
$179.80 |
$579.00 |
$669.00
|
|
3-d radiotherapy plan
|
$17,569.00 |
$17,569.00 |
$17,680.29 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$427.34
|
|
5' nucleotidase - sendout
|
$5.81 |
$5.85 |
$99.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$83.12 |
$85.25 |
$226.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$2,774.50 |
$2,774.50 |
$2,774.50 |
$3,615.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$25.25 |
$25.25 |
$182.00 |
$52.25
|
|
Abciximab injection
|
$3,747.00 |
$3,747.00 |
$4,046.50 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$8,614.00 |
$8,614.00 |
$23,951.12 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$2,608.45
|
|
Abd/low ext cath 2nd
|
$4,543.00 |
$4,543.00 |
$4,543.00 |
$2,517.20
|
|
Abd/low ext cath 3rd
|
$4,507.00 |
$4,507.00 |
$4,507.00 |
$3,050.58
|
|
Abd/low ext cath addl
|
$905.00 |
$905.00 |
$905.00 |
$1,009.00
|
|
Abdominal CT scan (with and without contrast)
|
$11,182.00 |
$11,182.00 |
$22,141.42 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$9,645.00 |
$9,645.00 |
$22,141.42 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$6,338.00 |
$6,338.00 |
$22,141.42 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$8,611.00 |
$8,611.00 |
$25,772.77 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$8,134.00 |
$8,134.00 |
$21,628.56 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$7,659.00 |
$7,659.00 |
$16,735.51 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$3,190.00 |
$3,190.00 |
$3,190.00 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$2,465.00 |
$2,465.00 |
$4,557.69 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$1,659.00 |
$1,659.00 |
$4,499.91 |
$603.33
|
|
Abdominoplasty 15830
|
$32,799.00 |
$32,799.00 |
$32,799.00 |
$5,741.00
|
|
Abd paracentesis/w/o image guide 49082
|
$5,243.00 |
$5,243.00 |
$5,243.00 |
$1,170.28
|
|
Abl1 gene
|
$533.95 |
$533.95 |
$3,112.00 |
$609.93
|
|
Ablate arrhythmia add on
|
$1,450.00 |
$37,412.00 |
$45,500.90 |
$7,417.15
|
|
Ablate bone tumor(s) cryo perq 20983
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$25,255.00 |
$25,255.00 |
$25,255.00 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$26,022.00 |
$26,022.00 |
$37,940.50 |
$10,047.60
|
|
Ablate inf turbinate submuc 30802
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$1,744.44
|
|
Ablate pulm tumor perq rf
|
$27,849.00 |
$27,849.00 |
$27,849.00 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$88.00 |
$88.00 |
$88.00 |
$3,664.63
|
|
Ablation cryo adrenal tumor
|
$19,100.00 |
$19,100.00 |
$19,100.00 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$19,100.00 |
$19,100.00 |
$19,100.00 |
$8,080.50
|
|
Ablation of upper extremity nerves rf
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$1,081.00
|
|
Abscess drain retroperitoneal surg code
|
$7,790.00 |
$7,790.00 |
$7,790.00 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$14,542.00 |
$14,542.00 |
$14,542.00 |
$3,263.74
|
|
Access thoracic lymph duct
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.25 |
$142.70 |
$225.00 |
$125.63
|
|
Acetaminophen level
|
$589.00 |
$2,446.79 |
$2,501.35 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$74.85 |
$82.00 |
$534.42 |
$133.60
|
|
Acetone qualitative
|
$143.00 |
$613.27 |
$626.55 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$57.80 |
$87.44 |
$147.00 |
$67.50
|
|
Acetylcholinesterase assay
|
$44.30 |
$44.30 |
$64.00 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$161.65 |
$219.11 |
$226.00 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$110.00 |
$110.00 |
$110.00 |
$29.01
|
|
Acne surgery 10040
|
$621.00 |
$621.00 |
$621.00 |
$235.13
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$863.00 |
$863.00 |
$863.00 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$79.00 |
$79.00 |
$97.75 |
$42.28
|
|
Acoustic immitance testing
|
$667.00 |
$667.00 |
$667.00 |
$158.50
|
|
Acup 1/> w/estim 1st 15 min
|
$273.00 |
$273.00 |
$273.00 |
$45.75
|
|
Acup 1/> wo estim 1st 15 min
|
$235.00 |
$235.00 |
$235.00 |
$42.90
|
|
Acute hepatitis panel
|
$16.65 |
$16.65 |
$1,464.00 |
$285.35
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$102.52 |
$102.52 |
$102.52 |
$50.70
|
|
#acylcarnitineprfl
|
$80.49 |
$80.75 |
$458.00 |
$105.60
|
|
Acylcarnitines qual
|
$182.00 |
$182.00 |
$182.00 |
$35.75
|
|
Adapt behavior tx phys/qhp
|
$543.00 |
$543.00 |
$543.00 |
$190.13
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,728.96 |
$1,728.96 |
$1,728.96 |
$219.86
|
|
Adenovirus ag ia
|
$14.60 |
$14.60 |
$261.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$11.61 |
$11.65 |
$331.00 |
$63.00
|
|
Adh-sendout
|
$34.84 |
$34.95 |
$126.00 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$79.70 |
$79.70 |
$79.70 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$580.00 |
$580.00 |
$580.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$287.00 |
$287.00 |
$287.00 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$809.00 |
$809.00 |
$2,650.00 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$2,650.00 |
$2,650.00 |
$2,650.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$544.00 |
$544.00 |
$544.00 |
$264.00
|
|
Administration immunization 1 vaccine
|
$277.00 |
$277.00 |
$537.71 |
$70.20
|
|
Administration immunization each additional vaccine
|
$196.00 |
$196.00 |
$542.38 |
$46.23
|
|
Administration immunization first component each vaccine
|
$282.00 |
$282.00 |
$282.00 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$63.00 |
$63.00 |
$63.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$63.00 |
$63.00 |
$63.00 |
$33.60
|
|
Administration vaccine hepatitis b
|
$282.00 |
$282.00 |
$305.60 |
$51.11
|
|
Administration vaccine influenza virus
|
$1,274.22 |
$1,274.22 |
$1,274.22 |
$49.40
|
|
Aep hearing status deter i&r
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$2,371.00 |
$2,371.00 |
$2,371.00 |
$537.95
|
|
_afb id by dna probe rflx ast
|
$71.50 |
$95.28 |
$628.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$34.74 |
$119.20 |
$473.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$77.50 |
$137.05 |
$1,108.00 |
$289.60
|
|
Air conduction bilat
|
$46.00 |
$46.00 |
$223.00 |
$106.50
|
|
Air injection into abdomen 49400
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$531.49
|
|
Airway resistance by impulse oscillometry 94728
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$119.00 |
$119.00 |
$119.00 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$1,484.25 |
$1,484.25 |
$1,484.25 |
$622.80
|
|
Albumin (human), 5%, 250 ml
|
$2,398.44 |
$2,398.44 |
$2,398.44 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$470.00 |
$470.00 |
$470.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$117.00 |
$117.00 |
$117.00 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$5.00 |
$5.00 |
$68.03 |
$22.45
|
|
Albuterol non-comp con
|
$9.72 |
$9.72 |
$9.72 |
$15.00
|
|
Albuterol non-comp unit
|
$2.61 |
$2.61 |
$13.72 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$503.00 |
$503.00 |
$503.00 |
$93.60
|
