|
11-desoxycortisol - sendout
|
$234.60 |
$234.60 |
$234.60 |
$87.50
|
|
17-hydroxypregnenolone
|
$183.00 |
$183.00 |
$183.00 |
$89.25
|
|
17-ketosteroids
|
$189.00 |
$189.00 |
$189.00 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$202.20 |
$202.20 |
$202.20 |
$313.04
|
|
2nd order venous cath
|
$1,917.60 |
$1,917.60 |
$1,917.60 |
$1,543.85
|
|
3d ech img cgen car anomal
|
$1,127.40 |
$1,127.40 |
$1,127.40 |
$460.00
|
|
3-d radiotherapy plan
|
$8,967.60 |
$8,967.60 |
$8,967.60 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,632.60 |
$1,632.60 |
$3,379.80 |
$485.00
|
|
5' nucleotidase - sendout
|
$158.40 |
$158.40 |
$166.20 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$97.80 |
$97.80 |
$97.80 |
$97.65
|
|
99381 initial comp preventive med less than 1 year new
|
$160.80 |
$160.80 |
$160.80 |
$132.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$135.00 |
$135.00 |
$135.00 |
$126.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$290.40 |
$290.40 |
$290.40 |
$111.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$114.60 |
$114.60 |
$114.60 |
$107.10
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$132.00 |
$132.00 |
$132.00 |
$115.50
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$186.00 |
$186.00 |
$186.00 |
$113.40
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$114.60 |
$114.60 |
$114.60 |
$127.20
|
|
99397 periodic comp preventive med 65+ years est
|
$114.60 |
$114.60 |
$114.60 |
$160.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$133.20 |
$133.20 |
$133.20 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$2,899.20 |
$2,899.20 |
$7,126.20 |
$3,569.56
|
|
Abd/low ext cath 1st
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
$2,015.85
|
|
Abd/low ext cath 3rd
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
$2,486.97
|
|
Abd/low ext cath addl
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$964.70
|
|
Abdominal CT scan (with and without contrast)
|
$1,788.60 |
$1,788.60 |
$2,424.60 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,665.80 |
$2,665.80 |
$3,613.20 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,378.80 |
$1,378.80 |
$2,304.00 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$666.60 |
$666.60 |
$1,317.60 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$517.80 |
$517.80 |
$1,112.40 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,145.40
|
|
Abl1 gene
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$682.50
|
|
Ablate arrhythmia add on
|
$12,472.20 |
$12,472.20 |
$12,472.20 |
$6,898.92
|
|
Ablate bone tumor(s) cryo perq 20983
|
$20,002.20 |
$20,002.20 |
$20,002.20 |
$8,453.60
|
|
Ablate bone tumor(s) perq
|
$10,455.00 |
$10,455.00 |
$10,455.00 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$12,215.40 |
$12,215.40 |
$12,215.40 |
$9,522.05
|
|
Ablate pulm tumor perq crybl
|
$13,768.20 |
$13,768.20 |
$13,768.20 |
$9,591.75
|
|
Ablate pulm tumor perq rf
|
$19,354.20 |
$19,354.20 |
$19,354.20 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$1,960.80
|
|
Ablation cryo abd perit om
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$441.09
|
|
Ablation cryo pq liver tumor(s)
|
$11,883.00 |
$11,883.00 |
$11,883.00 |
$8,581.80
|
|
Ablation cryo thigh/knee
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$531.95
|
|
Ablation of upper extremity nerves rf
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$808.50
|
|
Abltj mal prst8 tiss hifu
|
$9,583.80 |
$9,583.80 |
$9,583.80 |
$5,855.00
|
|
Abscess drain retroperitoneal surg code
|
$1,986.00 |
$1,986.00 |
$8,048.40 |
$2,957.17
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$2,115.60 |
$2,115.60 |
$2,115.60 |
$2,314.00
|
|
Acetaminophen level
|
$405.00 |
$405.00 |
$405.00 |
$107.62
|
|
Acetone qualitative
|
$136.20 |
$136.20 |
$136.20 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$153.00 |
$153.00 |
$160.80 |
$64.50
|
|
Acetylcholinesterase assay
|
$268.80 |
$268.80 |
$268.80 |
$113.00
|
|
Acne surgery 10040
|
$163.80 |
$163.80 |
$163.80 |
$260.49
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$548.40 |
$548.40 |
$548.40 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$72.60 |
$72.60 |
$72.60 |
$41.67
|
|
Acoustic immitance testing
|
$214.20 |
$214.20 |
$214.20 |
$158.50
|
|
Acoustic refl threshold tst
|
$310.80 |
$310.80 |
$310.80 |
$102.05
|
|
Actigraphy testing
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$218.05
|
|
Acute hepatitis panel
|
$229.20 |
$229.20 |
$1,111.20 |
$292.00
|
|
Acute venous thrombus image
|
$1,508.40 |
$1,508.40 |
$1,508.40 |
$1,426.73
|
|
#acylcarnitineprfl
|
$521.40 |
$521.40 |
$521.40 |
$125.40
|
|
Adenovirus antibody,serum - quest
|
$50.40 |
$50.40 |
$50.40 |
$63.00
|
|
Adh-sendout
|
$337.20 |
$337.20 |
$337.20 |
$109.28
|
|
Adj gastric band via subq port
|
$643.20 |
$643.20 |
$643.20 |
$1,609.80
|
|
Admin ecg contrast agent
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$175.20 |
$175.20 |
$350.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$243.60 |
$243.60 |
$243.60 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$426.00 |
$426.00 |
$680.40 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$634.20 |
$634.20 |
$634.20 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$349.80 |
$349.80 |
$349.80 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$340.80 |
$340.80 |
$340.80 |
$257.40
|
|
Administration immunization 1 vaccine
|
$69.60 |
$69.60 |
$69.60 |
$69.21
|
|
Administration immunization each additional vaccine
|
$58.80 |
$58.80 |
$58.80 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$63.00 |
$63.00 |
$63.00 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$57.00 |
$57.00 |
$57.00 |
$30.24
|
|
Administration vaccine hepatitis b
|
$65.40 |
$65.40 |
$65.40 |
$54.40
|
|
Administration vaccine influenza virus
|
$52.20 |
$52.20 |
$57.00 |
$50.43
|
|
Administration vaccine pneumococcal
|
$52.80 |
$52.80 |
$78.60 |
$50.43
|
|
Aep hearing status deter i&r
|
$381.00 |
$381.00 |
$381.00 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$798.00 |
$798.00 |
$798.00 |
$576.80
|
|
Aep thrshld est mlt freq i&r
|
$798.00 |
$798.00 |
$798.00 |
$605.15
|
|
_afb org id by sequencing rflx ast-sendout
|
$407.40 |
$407.40 |
$407.40 |
$315.00
|
|
Afo molded ankle gauntlet
|
$169.20 |
$169.20 |
$169.20 |
$765.51
|
|
Afo rig ant tib tcf/= custom
|
$3,423.00 |
$3,423.00 |
$3,423.00 |
$1,877.15
|
|
Air conduction bilat
|
$151.80 |
$151.80 |
$151.80 |
$133.00
|
|
Air injection into abdomen 49400
|
$2,600.40 |
$2,600.40 |
$2,600.40 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$254.40 |
$254.40 |
$254.40 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$75.60 |
$75.60 |
$181.80 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$400.80 |
$400.80 |
$400.80 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$73.20 |
$73.20 |
$73.20 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$48.00 |
$48.00 |
$130.80 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$184.80 |
$184.80 |
$184.80 |
$93.60
|
|
Alkaline phosphatase
|
$51.60 |
$51.60 |
$74.40 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$433.80 |
$433.80 |
$433.80 |
$48.00
|
|
Allergen egg white ige
|
$9.60 |
$9.60 |
$183.00 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$51.00 |
$51.00 |
$51.00 |
$43.75
|
|
Allergy injection; single 95115
|
$40.80 |
$40.80 |
$40.80 |
$42.75
|
