|
24 hr ambulatory b/p monitor
|
$509.04 |
$509.04 |
$509.04 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$2,829.60 |
$2,829.60 |
$2,829.60 |
$1,624.70
|
|
2nd order venous cath
|
$1,194.48 |
$1,194.48 |
$1,194.48 |
$1,543.85
|
|
3-d radiotherapy plan
|
$7,422.48 |
$7,422.48 |
$7,422.48 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,458.72 |
$1,458.72 |
$1,458.72 |
$485.00
|
|
5' nucleotidase - sendout
|
$93.60 |
$93.60 |
$93.60 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$385.20 |
$385.20 |
$385.20 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$147.67 |
$147.67 |
$147.67 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$41.04 |
$41.04 |
$41.04 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$2,384.64 |
$2,384.64 |
$2,384.64 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,484.72 |
$2,484.72 |
$2,484.72 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$2,486.97
|
|
Abd/low ext cath addl
|
$902.16 |
$902.16 |
$902.16 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$3,874.32 |
$3,874.32 |
$3,874.32 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$2,831.04 |
$2,831.04 |
$2,831.04 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,299.92 |
$5,299.92 |
$5,299.92 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$4,037.04 |
$4,037.04 |
$4,037.04 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$3,751.20 |
$3,751.20 |
$3,751.20 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$2,743.92 |
$2,743.92 |
$2,743.92 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$1,376.64 |
$1,376.64 |
$1,376.64 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$2,060.64 |
$2,060.64 |
$2,060.64 |
$1,145.40
|
|
Abl1 gene
|
$1,511.28 |
$1,511.28 |
$1,511.28 |
$682.50
|
|
Ablation cardiac vagal inputs atrium
|
$5,510.16 |
$5,510.16 |
$5,510.16 |
$1,960.80
|
|
Ablation cryo adrenal tumor
|
$12,602.16 |
$12,602.16 |
$12,602.16 |
$6,904.15
|
|
Ablation cryo retro lymph node
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$806.85
|
|
Ablation of upper extremity nerves rf
|
$839.52 |
$839.52 |
$839.52 |
$808.50
|
|
Abscess drain retroperitoneal surg code
|
$5,001.12 |
$5,001.12 |
$5,001.12 |
$2,957.17
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$646.56 |
$646.56 |
$646.56 |
$2,314.00
|
|
Acetylcholine receptor modulating antibody
|
$168.48 |
$168.48 |
$168.48 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$9.31 |
$9.31 |
$9.31 |
$216.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$30.96 |
$30.96 |
$30.96 |
$41.67
|
|
Acoustic refl threshold tst
|
$84.96 |
$84.96 |
$84.96 |
$102.05
|
|
Actigraphy testing
|
$336.24 |
$336.24 |
$336.24 |
$218.05
|
|
Acute hepatitis panel
|
$707.04 |
$707.04 |
$707.04 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.94 |
$0.94 |
$0.94 |
$63.48
|
|
#acylcarnitineprfl
|
$247.68 |
$247.68 |
$247.68 |
$125.40
|
|
Adapter b 8 channel 10cm
|
$864.00 |
$864.00 |
$864.00 |
$5,695.04
|
|
Adenosine 3 mg/250 ml bag for osm
|
$17.04 |
$17.04 |
$17.04 |
$255.41
|
|
Adenovirus ag ia
|
$148.32 |
$148.32 |
$148.32 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$126.72 |
$126.72 |
$126.72 |
$63.00
|
|
Adh-sendout
|
$122.40 |
$122.40 |
$122.40 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$20.16 |
$20.16 |
$20.16 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$388.80 |
$388.80 |
$388.80 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$290.88 |
$290.88 |
$290.88 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$755.28 |
$755.28 |
$755.28 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$716.40 |
$716.40 |
$716.40 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$239.04 |
$239.04 |
$239.04 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$210.24 |
$210.24 |
$210.24 |
$257.40
|
|
Administration immunization 1 vaccine
|
$133.92 |
$133.92 |
$133.92 |
$69.21
|
|
Administration immunization each additional vaccine
|
$47.52 |
$47.52 |
$47.52 |
$47.40
|
|
Administration vaccine hepatitis b
|
$99.36 |
$99.36 |
$99.36 |
$54.40
|
|
Administration vaccine influenza virus
|
$99.36 |
$99.36 |
$99.36 |
$50.43
|
|
Administration vaccine pneumococcal
|
$99.36 |
$99.36 |
$99.36 |
$50.43
|
|
Aep hearing status deter i&r
|
$672.48 |
$672.48 |
$672.48 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$995.76 |
$995.76 |
$995.76 |
$576.80
|
|
_afb id by dna probe rflx ast
|
$115.92 |
$115.92 |
$115.92 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$155.52 |
$155.52 |
$155.52 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$405.36 |
$405.36 |
$405.36 |
$315.00
|
|
Air conduction bilat
|
$278.64 |
$278.64 |
$278.64 |
$133.00
|
|
Airway resistance by impulse oscillometry 94728
|
$337.68 |
$337.68 |
$337.68 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$87.84 |
$87.84 |
$87.84 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$311.04 |
$311.04 |
$311.04 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$311.22 |
$311.22 |
$311.22 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$151.20 |
$151.20 |
$151.20 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$72.00 |
$72.00 |
$72.00 |
$40.80
|
|
Alkaline phosphatase
|
$105.12 |
$105.12 |
$105.12 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$22.32 |
$22.32 |
$22.32 |
$48.00
|
|
Allergen egg white ige
|
$49.68 |
$49.68 |
$49.68 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$99.36 |
$99.36 |
$99.36 |
$43.75
|
|
Allergy injection; single 95115
|
$99.36 |
$99.36 |
$99.36 |
$42.75
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$157.68 |
$157.68 |
$157.68 |
$874.65
|
|
Alpha-fetoprotein amniotic
|
$125.28 |
$125.28 |
$125.28 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$142.56 |
$142.56 |
$142.56 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$377.96 |
$377.96 |
$377.96 |
$15,857.45
|
|
Alt/sgpt
|
$166.32 |
$166.32 |
$166.32 |
$47.45
|
|
Aluminum - quest
|
$165.60 |
$165.60 |
$165.60 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$208.80 |
$208.80 |
$208.80 |
$169.80
|
|
Amino acid screen, urine
|
$128.88 |
$128.88 |
$128.88 |
$102.00
|
|
Amino acids quant 2-5
|
$90.00 |
$90.00 |
$90.00 |
$104.00
|
|
Aminolevulinic acid delta
|
$192.24 |
$192.24 |
$192.24 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$156.92 |
$156.92 |
$156.92 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$43.14 |
$43.14 |
$43.14 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$7.92 |
$7.92 |
$7.92 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$160.56 |
$160.56 |
$160.56 |
$87.45
|
|
Ammonia
|
$192.96 |
$192.96 |
$192.96 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,880.64 |
$1,880.64 |
$1,880.64 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$45.36 |
$45.36 |
$45.36 |
$92.61
|
|
Amphetamines 5 or more
|
$84.96 |
$84.96 |
$84.96 |
$82.96
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$199.71 |
$199.71 |
$199.71 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$74.12 |
$74.12 |
$74.12 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$90.97 |
$90.97 |
$90.97 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$378.72 |
$378.72 |
$378.72 |
$262.99
|
|
Amputation toe metatarsophalangeal joint
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Amylase
|
$136.08 |
$136.08 |
$136.08 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$169.92 |
$169.92 |
$169.92 |
$80.08
|
|
Ana ds-dna
|
$72.72 |
$72.72 |
$72.72 |
$56.50
|
|
Analgesics non-opioid 3-5
|
$58.32 |
$58.32 |
$58.32 |
$16.24
|
