|
17-ketosteroids
|
$177.60 |
$177.60 |
$177.60 |
$57.20
|
|
2nd order venous cath
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$2,414.40
|
|
3d ech img cgen car anomal
|
$669.00 |
$669.00 |
$669.00 |
$695.69
|
|
3-d radiotherapy plan
|
$8,337.60 |
$8,337.60 |
$8,337.60 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$469.20 |
$469.20 |
$469.20 |
$443.20
|
|
5' nucleotidase - sendout
|
$217.20 |
$217.20 |
$217.20 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$111.60 |
$111.60 |
$111.60 |
$93.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$52.20 |
$52.20 |
$52.20 |
$53.95
|
|
Abciximab injection
|
$2,432.72 |
$2,432.72 |
$2,432.72 |
$1,084.06
|
|
Abd aorta w/runoff s&i
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,483.84
|
|
Abd/low ext cath 1st
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
$2,954.86
|
|
Abd/low ext cath 2nd
|
$4,039.80 |
$4,039.80 |
$4,039.80 |
$2,941.25
|
|
Abd/low ext cath 3rd
|
$4,552.80 |
$4,552.80 |
$4,552.80 |
$3,522.75
|
|
Abd/low ext cath addl
|
$4,039.80 |
$4,039.80 |
$4,039.80 |
$909.22
|
|
Abdominal CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$520.20 |
$520.20 |
$520.20 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$329.40 |
$329.40 |
$329.40 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$1,144.26
|
|
Abl1 gene
|
$721.20 |
$721.20 |
$721.20 |
$600.00
|
|
Ablat 1/+thyr ndul addl prq rf
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$1,370.00
|
|
Ablate arrhythmia add on
|
$7,717.80 |
$7,717.80 |
$7,717.80 |
$7,717.80
|
|
Ablate bone tumor(s) cryo perq 20983
|
$8,512.80 |
$8,512.80 |
$8,512.80 |
$7,896.23
|
|
Ablate bone tumor(s) perq
|
$4,246.20 |
$4,246.20 |
$4,246.20 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$7,717.80 |
$7,717.80 |
$7,717.80 |
$8,936.20
|
|
Ablate pulm tumor perq crybl
|
$10,084.20 |
$10,084.20 |
$10,084.20 |
$10,443.00
|
|
Ablate pulm tumor perq rf
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$8,632.80
|
|
Ablation cardiac vagal inputs atrium
|
$6,590.40 |
$6,590.40 |
$6,590.40 |
$4,519.45
|
|
Ablation cryo abd perit om
|
$6,178.80 |
$6,178.80 |
$6,178.80 |
$2,566.58
|
|
Ablation cryo retro lymph node
|
$7,641.00 |
$7,641.00 |
$7,641.00 |
$1,948.83
|
|
Ablation of upper extremity nerves rf
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$1,435.20
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$3,396.00
|
|
Abscess drain retroperitoneal surg code
|
$3,617.40 |
$3,617.40 |
$3,617.40 |
$3,053.18
|
|
Access thoracic lymph duct
|
$709.20 |
$709.20 |
$709.20 |
$879.45
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.82 |
$125.63 |
$125.63 |
$45.63
|
|
Acetaminophen level
|
$36.00 |
$36.00 |
$36.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$55.49 |
$60.38 |
$60.38 |
$94.47
|
|
Acetone qualitative
|
$129.00 |
$129.00 |
$129.00 |
$43.80
|
|
Acetylcholinesterase assay
|
$175.20 |
$175.20 |
$175.20 |
$104.40
|
|
Acetylcysteine non-comp unit
|
$29.01 |
$29.01 |
$29.01 |
$29.01
|
|
Aco ccm; at least 20 min 99490aco
|
$60.60 |
$60.60 |
$60.60 |
$108.93
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$53.40 |
$53.40 |
$53.40 |
$45.60
|
|
Acoustic immitance testing
|
$108.00 |
$108.00 |
$108.00 |
$157.30
|
|
Acoustic refl threshold tst
|
$150.60 |
$150.60 |
$160.20 |
$90.13
|
|
Acute hepatitis panel
|
$370.20 |
$982.80 |
$982.80 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$48.72 |
$64.45 |
$64.45 |
$48.72
|
|
#acylcarnitineprfl
|
$339.00 |
$339.00 |
$339.00 |
$110.25
|
|
Acylcarnitines qual
|
$52.80 |
$52.80 |
$102.00 |
$45.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$199.72 |
$199.72 |
$199.72 |
$97.50
|
|
Adenovirus ag ia
|
$140.40 |
$140.40 |
$140.40 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$140.40 |
$140.40 |
$140.40 |
$63.00
|
|
Adh-sendout
|
$283.20 |
$283.20 |
$283.20 |
$152.10
|
|
Adj gastric band via subq port
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$1,874.60
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$639.08 |
$639.08 |
$639.08 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$304.20 |
$304.20 |
$304.20 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$607.80 |
$607.80 |
$607.80 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$543.00 |
$543.00 |
$543.00 |
$454.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$497.40 |
$497.40 |
$497.40 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$497.40 |
$497.40 |
$497.40 |
$267.43
|
|
Administration immunization 1 vaccine
|
$99.00 |
$99.00 |
$99.00 |
$65.00
|
|
Administration immunization each additional vaccine
|
$116.40 |
$116.40 |
$116.40 |
$45.50
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$59.76 |
$59.76 |
$59.76 |
$59.76
|
|
Adrenal cortex & medulla img
|
$3,192.60 |
$3,192.60 |
$3,192.60 |
$1,642.08
|
|
Advance care planning each additional 30 min 99498
|
$108.00 |
$108.00 |
$108.00 |
$134.40
|
|
Aep hearing status deter i&r
|
$636.60 |
$636.60 |
$795.60 |
$308.40
|
|
Aep neurodiagnostic i&r
|
$979.20 |
$979.20 |
$979.20 |
$570.16
|
|
Aep thrshld est mlt freq i&r
|
$979.20 |
$979.20 |
$1,224.00 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$216.00 |
$216.00 |
$216.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$69.60 |
$107.40 |
$107.40 |
$38.58
|
|
Aflibercept injection
|
$3,893.02 |
$3,893.02 |
$3,893.02 |
$2,738.00
|
|
Agalsidase beta 35 mg intravenous solution
|
$335.46 |
$335.46 |
$335.46 |
$19,651.83
|
|
Air conduction bilat
|
$169.80 |
$169.80 |
$169.80 |
$140.87
|
|
Air injection into abdomen 49400
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$525.00
|
|
Albumin body fluid quantitative each specimen
|
$105.60 |
$105.60 |
$105.60 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$481.30 |
$481.30 |
$482.78 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$471.44 |
$471.44 |
$471.44 |
$253.48
|
|
Albumin, human 5 % intravenous solution
|
$470.97 |
$470.97 |
$470.97 |
$196.74
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$226.20 |
$226.20 |
$226.20 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$87.60 |
$87.60 |
$87.60 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$9.18 |
$9.18 |
$9.18 |
$9.18
|
|
Albuterol non-comp unit
|
$9.59 |
$9.59 |
$9.59 |
$7.20
|
|
Aldesleukin injection
|
$6,446.09 |
$6,446.09 |
$6,446.09 |
$5,301.26
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$1,513.25 |
$1,513.25 |
$1,513.25 |
$27,257.23
|
|
Alkaline phosphatase
|
$96.00 |
$96.00 |
$96.00 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$61.80 |
$61.80 |
$61.80 |
$56.35
|
|
Allergen egg white ige
|
$135.00 |
$135.00 |
$135.00 |
$41.00
|
|
Allograft 160mg placental salera mini membrane
|
$5,481.00 |
$5,481.00 |
$5,481.00 |
$5,481.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$5,796.00 |
$5,796.00 |
$5,796.00 |
$13,768.09
|
|
Allograft amnioexcel plus 17mm disk
|
$2,677.80 |
$2,677.80 |
$2,677.80 |
$2,959.72
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$15,486.60 |
$15,486.60 |
$15,486.60 |
$1,377.04
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$5,913.60 |
$5,913.60 |
$9,560.40 |
$9,702.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$4,708.20 |
$4,708.20 |
$12,016.80 |
$30,615.48
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$11,500.80 |
$11,500.80 |
$11,500.80 |
$3,035.85
|
