|
11-desoxycortisol - sendout
|
$91.85 |
$91.85 |
$91.85 |
$87.50
|
|
17-hydroxypregnenolone
|
$44.00 |
$44.00 |
$44.00 |
$87.50
|
|
17-ketosteroids
|
$44.00 |
$44.00 |
$44.00 |
$44.88
|
|
2nd order venous cath
|
$1,758.90 |
$1,758.90 |
$1,758.90 |
$1,720.80
|
|
3-d radiotherapy plan
|
$6,734.75 |
$6,734.75 |
$6,734.75 |
$5,002.69
|
|
5' nucleotidase - sendout
|
$91.85 |
$91.85 |
$91.85 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$198.00 |
$198.00 |
$198.00 |
$97.65
|
|
99397 periodic comp preventive med 65+ years est
|
$183.70 |
$183.70 |
$183.70 |
$176.03
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$135.30 |
$135.30 |
$135.30 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$2,610.85 |
$2,610.85 |
$2,610.85 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,055.35 |
$2,055.35 |
$2,055.35 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$3,999.60 |
$3,999.60 |
$3,999.60 |
$2,727.40
|
|
Abdominal CT scan (with and without contrast)
|
$3,010.15 |
$3,010.15 |
$3,010.15 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,809.40 |
$2,809.40 |
$2,809.40 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,608.65 |
$2,608.65 |
$2,608.65 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$3,150.40 |
$3,150.40 |
$3,150.40 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,746.15 |
$2,746.15 |
$2,746.15 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,849.65 |
$1,849.65 |
$1,849.65 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,271.60 |
$1,271.60 |
$1,271.60 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,010.35 |
$1,010.35 |
$1,010.35 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,847.45 |
$1,847.45 |
$1,847.45 |
$1,248.00
|
|
Abl1 gene
|
$1,332.10 |
$1,332.10 |
$1,332.10 |
$614.25
|
|
Ablate bone tumor(s) cryo perq 20983
|
$5,648.50 |
$5,648.50 |
$5,648.50 |
$8,096.90
|
|
Ablate bone tumor(s) perq
|
$10,340.55 |
$10,340.55 |
$10,340.55 |
$9,812.40
|
|
Ablation cardiac vagal inputs atrium
|
$3,787.85 |
$3,787.85 |
$3,787.85 |
$2,948.40
|
|
Ablation cryo abd perit om
|
$4,476.45 |
$4,476.45 |
$4,476.45 |
$2,555.80
|
|
Ablation of upper extremity nerves rf
|
$790.90 |
$790.90 |
$790.90 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$2,634.50 |
$2,634.50 |
$2,634.50 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$3,287.87
|
|
Acetone qualitative
|
$49.50 |
$49.50 |
$49.50 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$71.50 |
$71.50 |
$71.50 |
$64.50
|
|
Acetylcholinesterase assay
|
$227.15 |
$227.15 |
$227.15 |
$106.70
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$381.70 |
$381.70 |
$381.70 |
$350.73
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$38.50 |
$38.50 |
$38.50 |
$44.40
|
|
Acup 1/> w/estim 1st 15 min
|
$37.95 |
$37.95 |
$37.95 |
$47.33
|
|
Acute hepatitis panel
|
$348.15 |
$348.15 |
$348.15 |
$284.70
|
|
#acylcarnitineprfl
|
$287.65 |
$287.65 |
$287.65 |
$87.72
|
|
Acylcarnitines qual
|
$47.30 |
$47.30 |
$47.30 |
$35.75
|
|
Adapter b 8 channel 10cm
|
$123.78 |
$123.78 |
$123.78 |
$6,875.44
|
|
Adenovirus antibody,serum - quest
|
$169.40 |
$169.40 |
$169.40 |
$60.00
|
|
Adh-sendout
|
$63.80 |
$63.80 |
$63.80 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$170.50 |
$170.50 |
$170.50 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$211.20 |
$211.20 |
$211.20 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$445.50 |
$445.50 |
$445.50 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$435.60 |
$435.60 |
$435.60 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$253.00 |
$253.00 |
$253.00 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$340.45 |
$340.45 |
$340.45 |
$267.43
|
|
Administration immunization 1 vaccine
|
$84.15 |
$84.15 |
$84.15 |
$70.00
|
|
Administration immunization each additional vaccine
|
$73.70 |
$73.70 |
$73.70 |
$46.23
|
|
Administration immunization first component each vaccine
|
$20.35 |
$20.35 |
$20.35 |
$45.50
|
|
Administration vaccine hepatitis b
|
$76.45 |
$76.45 |
$76.45 |
$51.11
|
|
Administration vaccine influenza virus
|
$66.55 |
$66.55 |
$66.55 |
$49.40
|
|
Administration vaccine pneumococcal
|
$70.95 |
$70.95 |
$70.95 |
$51.07
|
|
Adrenal cortex & medulla img
|
$1,987.70 |
$1,987.70 |
$1,987.70 |
$1,818.05
|
|
Aep hearing status deter i&r
|
$303.05 |
$303.05 |
$303.05 |
$305.73
|
|
_afb id by dna probe rflx ast
|
$67.65 |
$67.65 |
$67.65 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$92.95 |
$92.95 |
$92.95 |
$38.58
|
|
Air conduction bilat
|
$145.75 |
$145.75 |
$145.75 |
$116.22
|
|
Air injection into abdomen 49400
|
$281.05 |
$281.05 |
$281.05 |
$545.00
|
|
Albumin body fluid quantitative each specimen
|
$147.40 |
$147.40 |
$147.40 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$187.55 |
$187.55 |
$187.55 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$195.25 |
$195.25 |
$195.25 |
$43.45
|
|
Alkaline phosphatase
|
$142.45 |
$142.45 |
$142.45 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$85.80 |
$85.80 |
$85.80 |
$56.35
|
|
Allergen egg white ige
|
$84.70 |
$84.70 |
$84.70 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$22.55 |
$22.55 |
$22.55 |
$26.95
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$226.47 |
$226.47 |
$226.47 |
$15,083.48
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$315.64 |
$315.64 |
$315.64 |
$3,621.72
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,155.37 |
$2,155.37 |
$2,155.37 |
$4,898.43
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$1,266.24 |
$1,266.24 |
$1,266.24 |
$4,814.57
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$343.20 |
$343.20 |
$343.20 |
$187.20
|
|
Alpha-fetoprotein amniotic
|
$119.90 |
$119.90 |
$119.90 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$347.05 |
$347.05 |
$347.05 |
$103.60
|
|
Alt/sgpt
|
$92.95 |
$92.95 |
$92.95 |
$49.00
|
|
Aluminum - quest
|
$83.05 |
$83.05 |
$83.05 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$216.70 |
$216.70 |
$216.70 |
$188.65
|
|
Amino acid screen, urine
|
$47.30 |
$47.30 |
$47.30 |
$64.28
|
|
Aminolevulinic acid delta
|
$191.40 |
$191.40 |
$191.40 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$293.70 |
$293.70 |
$293.70 |
$101.17
|
|
Ammonia
|
$145.20 |
$145.20 |
$145.20 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$763.40 |
$763.40 |
$763.40 |
$963.79
|
|
Amphetamine confirm urine -sendout
|
$187.00 |
$187.00 |
$187.00 |
$94.50
|
|
Amphetamines 5 or more
|
$102.85 |
$102.85 |
$102.85 |
$93.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$101.75 |
$101.75 |
$101.75 |
$280.20
|
|
Amylase
|
$175.45 |
$175.45 |
$175.45 |
$93.00
|
|
Ana ds-dna
|
$378.95 |
$378.95 |
$378.95 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$171.05 |
$171.05 |
$171.05 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$310.20 |
$310.20 |
$310.20 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$327.80 |
$327.80 |
$327.80 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$43.45 |
$43.45 |
$43.45 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$220.55 |
$220.55 |
$220.55 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,887.40 |
$3,887.40 |
$3,887.40 |
$2,426.60
|
|
An fluoro guide for cvp
|
$366.85 |
$366.85 |
$366.85 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,426.40 |
$4,426.40 |
$4,426.40 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$9,074.45 |
$9,074.45 |
$9,074.45 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$10,357.60 |
$10,357.60 |
$10,357.60 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$7,026.25 |
$7,026.25 |
$7,026.25 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$13,351.25 |
$13,351.25 |
$13,351.25 |
$13,351.25
|
