|
11-desoxycortisol - sendout
|
$248.50 |
$248.50 |
$248.50 |
$87.50
|
|
17-hydroxypregnenolone
|
$259.70 |
$259.70 |
$259.70 |
$90.90
|
|
17-ketosteroids
|
$67.20 |
$67.20 |
$67.20 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$404.60 |
$404.60 |
$404.60 |
$313.04
|
|
2d tee w or without fol w/con,in
|
$1,848.70 |
$1,848.70 |
$1,848.70 |
$1,711.58
|
|
2d tte w or without fol w/con,co
|
$1,997.10 |
$1,997.10 |
$1,997.10 |
$1,278.75
|
|
2nd order venous cath
|
$65,123.06 |
$65,123.06 |
$65,123.06 |
$1,543.85
|
|
3-d radiotherapy plan
|
$37,820.30 |
$37,820.30 |
$37,820.30 |
$5,005.80
|
|
3d recon without postprocess indpndt
|
$865.20 |
$865.20 |
$865.20 |
$504.40
|
|
5' nucleotidase - sendout
|
$147.70 |
$147.70 |
$147.70 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$38,952.25 |
$38,952.25 |
$38,952.25 |
$96.39
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$9,469.77 |
$9,469.77 |
$9,469.77 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$86.80 |
$86.80 |
$86.80 |
$53.50
|
|
Abd aorta w/runoff s&i
|
$4,862.90 |
$4,862.90 |
$4,862.90 |
$3,667.71
|
|
Abd/low ext cath 1st
|
$44,964.94 |
$44,964.94 |
$44,964.94 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$31,748.51 |
$31,748.51 |
$31,748.51 |
$2,038.85
|
|
Abd/low ext cath 3rd
|
$82,518.44 |
$82,518.44 |
$82,518.44 |
$2,545.00
|
|
Abd/low ext cath addl
|
$80,841.45 |
$80,841.45 |
$80,841.45 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$3,658.90 |
$3,658.90 |
$3,658.90 |
$1,976.00
|
|
Abdominal CT scan (with contrast)
|
$3,201.10 |
$3,201.10 |
$3,201.10 |
$1,664.40
|
|
Abdominal CT scan (without contrast)
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,385.50 |
$4,385.50 |
$4,385.50 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,770.20 |
$3,770.20 |
$3,770.20 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$2,047.72
|
|
Abdominal paracentesis w/image guidance
|
$7,104.37 |
$7,104.37 |
$7,104.37 |
$1,650.96
|
|
Abdominal Ultrasound (complete)
|
$1,772.40 |
$1,772.40 |
$1,772.40 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$586.52
|
|
Abd paracentesis/w/o image guide 49082
|
$1,481.20 |
$1,481.20 |
$1,481.20 |
$1,148.40
|
|
Abl1 gene
|
$831.60 |
$831.60 |
$831.60 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$17,963.07 |
$17,963.07 |
$17,963.07 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$17,618.30 |
$17,618.30 |
$17,618.30 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$7,078.40 |
$7,078.40 |
$7,078.40 |
$9,238.00
|
|
Ablate bone tumor(s) perq
|
$12,513.90 |
$12,513.90 |
$12,513.90 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$7,438.90 |
$7,438.90 |
$7,438.90 |
$9,523.80
|
|
Ablate inf turbinate submuc 30802
|
$36,564.78 |
$36,564.78 |
$36,564.78 |
$1,783.50
|
|
Ablate pulm tumor perq crybl
|
$32,384.19 |
$32,384.19 |
$32,384.19 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$38,904.44 |
$38,904.44 |
$38,904.44 |
$6,904.15
|
|
Ablation cardiac vagal inputs atrium
|
$37,655.10 |
$37,655.10 |
$37,655.10 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$10,561.60 |
$10,561.60 |
$10,561.60 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$43,563.97 |
$43,563.97 |
$43,563.97 |
$6,904.15
|
|
Ablation cryo pq liver tumor(s)
|
$41,426.45 |
$41,426.45 |
$41,426.45 |
$8,581.80
|
|
Ablation cryo retro lymph node
|
$23,921.80 |
$23,921.80 |
$23,921.80 |
$806.85
|
|
Ablation of upper extremity nerves rf
|
$65,803.74 |
$65,803.74 |
$65,803.74 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$17,963.07 |
$17,963.07 |
$17,963.07 |
$2,964.48
|
|
Abobotulinumtoxina
|
$8,201.55 |
$8,201.55 |
$8,201.55 |
$1,541.21
|
|
Abortion (mpr)
|
$606.90 |
$606.90 |
$606.90 |
$587.60
|
|
Abscess drain retroperitoneal surg code
|
$11,465.42 |
$11,465.42 |
$11,465.42 |
$2,998.20
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,576.30 |
$3,576.30 |
$3,576.30 |
$2,314.00
|
|
Access thoracic lymph duct
|
$346.50 |
$346.50 |
$346.50 |
$828.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$129.50 |
$129.50 |
$129.50 |
$73.25
|
|
Acetaminophen level
|
$345.80 |
$345.80 |
$345.80 |
$106.40
|
|
Acetazolamide 500 mg solution for injection
|
$657.65 |
$657.65 |
$657.65 |
$122.07
|
|
Acetone qualitative
|
$82.60 |
$82.60 |
$82.60 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$418.60 |
$418.60 |
$418.60 |
$62.50
|
|
Acetylcholinesterase assay
|
$439.60 |
$439.60 |
$439.60 |
$112.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$580.65 |
$580.65 |
$580.65 |
$227.27
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$131.60 |
$131.60 |
$131.60 |
$37.60
|
|
Acoustic immitance testing
|
$305.90 |
$305.90 |
$305.90 |
$157.30
|
|
Acute hepatitis panel
|
$705.60 |
$705.60 |
$705.60 |
$285.35
|
|
Acyclovir 400 mg tablet
|
$762.47 |
$762.47 |
$762.47 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$133.35 |
$133.35 |
$133.35 |
$63.48
|
|
#acylcarnitineprfl
|
$418.60 |
$418.60 |
$418.60 |
$118.85
|
|
Adapter b 8 channel 10cm
|
$6,639.02 |
$6,639.02 |
$6,639.02 |
$6,142.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1,555.05 |
$1,555.05 |
$1,555.05 |
$272.57
|
|
Adenovirus ag ia
|
$78.40 |
$78.40 |
$78.40 |
$53.95
|
|
Adenovirus antibody,serum - quest
|
$235.90 |
$235.90 |
$235.90 |
$58.00
|
|
Adh-sendout
|
$172.90 |
$172.90 |
$172.90 |
$109.71
|
|
Adj gastric band via subq port
|
$22,791.30 |
$22,791.30 |
$22,791.30 |
$1,666.86
|
|
Adjustment gastric band
|
$498.40 |
$498.40 |
$498.40 |
$207.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$549.50 |
$549.50 |
$549.50 |
$192.64
|
|
Administration chemotherapy IV infusion each additional hour
|
$399.00 |
$399.00 |
$399.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$399.70 |
$399.70 |
$399.70 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$671.04
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$529.90 |
$529.90 |
$529.90 |
$439.45
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$520.80 |
$520.80 |
$520.80 |
$211.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$688.10 |
$688.10 |
$688.10 |
$257.05
|
|
Administration immunization 1 vaccine
|
$44.80 |
$44.80 |
$44.80 |
$67.74
|
|
Administration immunization each additional component
|
$19.60 |
$19.60 |
$19.60 |
$27.95
|
|
Administration immunization each additional vaccine
|
$40.60 |
$40.60 |
$40.60 |
$46.89
|
|
Administration immunization first component each vaccine
|
$40.60 |
$40.60 |
$40.60 |
$46.40
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$75.60 |
$75.60 |
$75.60 |
$44.80
|
|
Administration vaccine hepatitis b
|
$40.60 |
$40.60 |
$40.60 |
$53.00
|
|
Administration vaccine influenza virus
|
$48.30 |
$48.30 |
$48.30 |
$49.17
|
|
Administration vaccine pneumococcal
|
$28.70 |
$28.70 |
$28.70 |
$49.50
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$65.80 |
$65.80 |
$65.80 |
$41.45
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$40,373.72 |
$40,373.72 |
$40,373.72 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$3,778.60 |
$3,778.60 |
$3,778.60 |
$2,015.68
|
|
Aep neurodiagnostic i&r
|
$1,054.90 |
$1,054.90 |
$1,054.90 |
$595.00
|
|
Aep thrshld est mlt freq i&r
|
$888.30 |
$888.30 |
$888.30 |
$664.50
|
|
_afb id by dna probe rflx ast
|
$269.50 |
$269.50 |
$269.50 |
$97.20
|
|
#afb mycobacteria suscep. #1
|
$206.50 |
$206.50 |
$206.50 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$679.70 |
$679.70 |
$679.70 |
$300.22
|
|
Aflibercept injection
|
$12,297.25 |
$12,297.25 |
$12,297.25 |
$2,738.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$49,556.67 |
$49,556.67 |
$49,556.67 |
$14,475.20
|
|
Ag detect nos ia single
|
$74.90 |
$74.90 |
$74.90 |
$74.79
|
|
Air conduction bilat
|
$44.80 |
$44.80 |
$44.80 |
$134.00
|
|
Air injection into abdomen 49400
|
$2,014.60 |
$2,014.60 |
$2,014.60 |
$520.00
|
|
Albumin body fluid quantitative each specimen
|
$166.60 |
$166.60 |
$166.60 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$1,380.22 |
$1,380.22 |
$1,380.22 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$1,310.05 |
$1,310.05 |
$1,310.05 |
$252.77
|
